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Idea Description
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Innovation 'Elevator Pitch':

My Possible Self is a digital self-help programme with exclusive content that is clinically proven to reduce stress, anxiety and mild-to-moderate depression after just eight weeks.
Overview of Innovation:
My Possible Self, which has been delivering emotional health and wellbeing services since 2009, is launching a digital self-help programme, using content which is clinically proven to reduce stress, anxiety and mild-to-moderate depression after just eight weeks.
The application uses clinically proven content adapted from the myCompass online programme developed by the internationally recognised, Black Dog Institute (BDI) in Australia, linked with the University of New South Wales. The institute is globally renowned as a pioneer in the identification, prevention and treatment of mental illness and the promotion of wellbeing.
The BDI content has been clinically proven to reduce depression, stress and anxiety in just eight weeks, based on the Australian equivalent of the PHQ and GAD-7 questionnaires. This outcome supports the objectives of the Future in Mind, Five Year Forward View for Mental Health and Mental Health System Strategy Board (Birmingham) ‘Getting it Right, First Time: Prevention of Mental Illness’ strategies, which together aim to improve resilience, mental ill-health prevention, early intervention and accessibility.
The application supports real-time self-monitoring of mental health symptoms across three core areas – problem thoughts, feelings and behaviours – and provides 24/7 access to evidence-based, skill-building modules and other self-help resources. These are made up of cognitive behavioural therapy, interpersonal therapy, problem-solving therapy and positive psychology tools. The user journey is personalised according to the responses.
It will be launched into the App Store, Google Play and online in September 2017.
We gave a demonstration of the prototype to Norman Lamb MP, the former health and care minister. He said: “Digital innovations in mental health care have massive potential, and this is an app that uses clinically proven forms of therapy. I am confident that My Possible Self can help people to improve their mental wellbeing, come through difficult times, and improve their overall quality of life. It could also help to reduce reliance on NHS services which we all know are under strain. It is exactly the sort of preventive measure we should be looking at.”
My Possible Self can help prevent the development of mental health problems and get help earlier for young people, adults and older adults starting to suffer poor mental wellbeing.
Stage of Development:
Close to market - Prototype near completion and final form may require additional validation/evaluation and all CE marking and regulatory requirements are in place
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Innovation 'Elevator Pitch':
My Possible Self is the first of its kind in the UK: a personalised digital self-help programme with exclusive content that is clinically proven to reduce stress, anxiety and mild-to-moderate depression after just eight weeks.
Overview of Innovation:
My Possible Self, which has been delivering emotional health and wellbeing services since 2009, is launching a digital self-help programme, using content which is clinically proven to reduce stress, anxiety and mild-to-moderate depression after just eight weeks. 

The application uses clinically proven content adapted from the myCompass online programme developed by the internationally recognised, Black Dog Institute (BDI) in Australia, linked with the University of New South Wales. The institute is globally renowned as a pioneer in the identification, prevention and treatment of mental illness and the promotion of wellbeing. 
The BDI content has been clinically proven to reduce depression, stress and anxiety in just eight weeks, based on the Australian equivalent of the PHQ and GAD-7 questionnaires. This outcome supports the objectives of the Future in Mind, Five Year Forward View for Mental Health and Mental Health System Strategy Board (Birmingham) ‘Getting it Right, First Time: Prevention of Mental Illness’ strategies, which together aim to improve resilience, mental ill-health prevention, early intervention and accessibility.  
The application supports real-time self-monitoring of mental health symptoms across three core areas – problem thoughts, feelings and behaviours – and provides 24/7 access to evidence-based, skill-building modules and other self-help resources.  These are made up of cognitive behavioural therapy, interpersonal therapy, problem-solving therapy and positive psychology tools. The user journey is personalised according to the responses. 
It will be launched into the App Store, Google Play and online in September 2017.
We gave a demonstration of the prototype to Norman Lamb MP, the former health and care minister and prominent mental health campaigner. He said: “Digital innovations in mental health care have massive potential, and this is an app that uses clinically proven forms of therapy. I am confident that My Possible Self can help people to improve their mental wellbeing, come through difficult times, and improve their overall quality of life. It could also help to reduce reliance on NHS services which we all know are under strain. It is exactly the sort of preventive measure we should be looking at.”
My Possible Self can help prevent the development of mental health problems and get help earlier for young people, adults and older adults starting to suffer poor mental wellbeing. 
 
Stage of Development:
Close to market - Prototype near completion and final form may require additional validation/evaluation and all CE marking and regulatory requirements are in place
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
My Possible Self is based on content that is clinically proven to reduce stress, anxiety and mild-to-moderate depression after just eight weeks. As such, it can support the range of initiatives at a national, regional and local levels to improve mental health and wellbeing.

Importantly, My Possible Self can ease pressure on short-term Improving Access to Psychological Services (IAPT) services. 

The Five Year Forward View for Mental Health notes the NHS needs a far more proactive and preventative approach to reduce the long-term impact for people experiencing mental health problems and for their families, and to reduce costs for the NHS and emergency services. My Possible Self offers NHS commissioners and service providers the opportunity to deploy at scale an accessible and personalised digital self-help programme to increase resilience, prevention and early intervention. 

The Future in Mind strategy aims to provide better support for young people experiencing mental health problems. My Possible Self is based on content for those aged 18 and over. The company would be delighted to have the opportunity to work with commissioners service providers, education and other organisations working with children and young people in the West Midlands to co-design an application for younger groups.  

The West Midlands Academic Health Science Network’s April 2017 report on the prevention of mental illness calls for a model of care that is measurable, effective, scalable and achievable. My Possible Self meets this challenge with a tried-and-tested and personalised digital self-help tool. 

My Possible Self will help the NHS to use its limited resources more effectively, allowing commissioners and service providers to focus their efforts on people who need help the most. It can also be a useful asset for NHS employers to support the wellbeing of staff and contractors. 
Initial Review Rating
4.60 (1 ratings)
Benefit to WM population:
The West Midlands population suffers worse-than-average mental health. The National Psychiatric Morbidity Survey identified 23.8 per cent of all adults in the region with some kind of mental health problem, compared with 23 per cent in England.

According to the University of Birmingham, as well as the social cost of poor mental health, there is an economic price to be paid. Mental health problems cost the region an aggregate of £12.6bn in 2015.

Research has shown that mental health issues costs UK employers nearly £26bn per year - or just over £1,000 for every employee in the workforce. Giving staff access to MPS could improve staff productivity, reduce absenteeism and lower staff turnover.

My Possible Self can offer hope and practical help to those suffering from anxiety, stress and mild-to-moderate depression, by providing a personalised digital self-help programme based on content that is clinically proven to improve conditions within eight weeks. 

Investing in My Possible Self will generate social and economic returns for communities in the West Midlands. 
 
Current and planned activity: 
My Possible Self is preparing to launch its digital self-help programme via mobile app and browser experience in September 2017.  The company is keen to work with NHS commissioners, service providers, education, third sector organisations and employers of all shapes and sizes in the West Midlands to establish My Possible Self as a force for good in the region.

It was founded in 2009 by Joanne Wilkinson whose daughters Hana and Fleur have now joined the business.  They are passionate about helping as many people as possible. 
What is the intellectual property status of your innovation?:
We have licensed the BDI's MyCompass programme and have developed this programme into our own web/phone app, in which we own the branding and the copyright we have created in creating the website/app.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
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Innovation 'Elevator Pitch':
My Possible Self is a digital programme available online or via a mobile app consisting of 14 proven self-help modules. Data provided by patients integrates with existing NHS systems, enabling remote monitoring with clinical support.
Overview of Innovation:
My Possible Self
A digital self-help programme for mild to moderate stress anxiety and depression.

About My Possible Self​
  • My Possible Self is a digital programme which is available online or via a mobile app.
     
  • The programme consists of 14 proven self-help modules and additional features which use effective cognitive behavioural therapy, interpersonal therapy, problem solving therapy and positive psychology.
     
  • The data provided by patients integrates with existing clinical systems including SystmOne, EMIS Web and Vision. This allows healthcare professionals within primary, secondary and community care to track and monitor progress to make early intervention where necessary.
     
  • My Possible Self has been proven by the University of New South Wales, Australia to significantly reduce stress, anxiety and depression after just 8 weeks.
.How does My Possible Self work?
  • GPs can register patients to the My Possible Self programme. My Possible Self is effective in enabling GPs to better understand patients’ needs, monitor patients while waiting referral to Improving Access to Psychological Therapies (IAPT) and for stable patients to monitor their condition.
     
  • Patients referred to My Possible Self are provided with a ‘token’ which they use to register their details on the online tool or app. Each token will last one year.
     
  • Patients complete questionnaires which direct them to the most appropriate modules where they are able to actively track their thoughts, feelings and progress. This data is automatically made visible to their GP.
     
  • GPs are able to track and monitor patients progress and use this data to inform the appropriate care going forward, which may be to continue with My Possible Self self-monitoring or referral to therapy.
How can My Possible Self benefit the NHS?
  • My Possible Self can be incorparated with existing pathways.
     
  • Enables rapid access to mental health services available to patients 24/7.
     
  • Assists in providing integrated mental health care, enabling the sharing of data across primary, secondary and community care.
     
  • Better informs decisions about patient care and enables GPs to make early intervention if a patient’s condition deteriorates.
     
  • Empowers patients to manage their own health and care.
     
  • Offers an additional approach to reach patients who have not engaged with primary care before.
     
  • Easily scalable across the wider NHS.
Stage of Development:
Close to market - Prototype near completion and final form may require additional validation/evaluation and all CE marking and regulatory requirements are in place
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Wellness and prevention of illness / Digital health / Innovation and adoption / Person centred care
Return on Investment (£ Value): 
N/A
Return on Investment (Timescale): 
N/A
Ease of scalability: 
N/A
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Innovation 'Elevator Pitch':
TPT is a new delivery platform for CBT offering easily accessible pre-recorded therapy sessions using a customised interactive phone system. Patients call TPT free - anytime, anywhere. Healthcare providers reduce treatment costs & cut waiting lists
Overview of Innovation:
TPT is a personalised, guided self-help psychological therapy delivered over the telephone in a range of pre-recorded modules for the treatment of mild to moderate anxiety-based mental health problems. It uses modern telephone technology to achieve vastly reduced costs with no waiting lists and is designed for use in NHS primary or secondary care settings.

Easy to prescribe, easy to use
TPT is available 'on prescription' to patients from their GP or other healthcare provider. The therapy can then be regularly accessed by the service-user making a simple free telephone call. An interactive, intelligent computer controlled telephone system using voice recordings of therapeutic scripts and questionnaires will then guide the service-user through a psycho-education, treatment and recovery programme that is responsive to the patient's individual presentation and circumstances. Patients will typically complete the programme in 8 to 12 weeks.
Instant access
Psycho-education, guidance and structured self-help for managing their condition are available to service-users wherever they are and at all times of the day and night. This immediacy of access is of particular benefit to patients with conditions that require help managing situational responses to emotional and environmental triggers or developing and maintaining impulse control strategies.
 
Choice of treatment modules for different presentations
A range of TPT modules is available for the treatment of different mild to moderate anxiety-based mental health problems such as generalised anxiety disorder, OCD and agoraphobia. Although each module is written with the specific presentation in mind there is a broad commonality of structure. A typical TPT module will have some of the following elements delivered by spoken scripts and using targeted questionnaires:
  • Introduction to anxiety and its effects
  • Description of the symptoms and causes
  • Psycho educational quizzes and self assessment measures
  • A range of anxiety management strategies
  • Instant-access session for managing acute symptoms
  • Cognitive techniques for overcoming negative thinking
  • Text messages which are sent to service-users to give feedback, reinforcement and reminders
  • Tailored sessions to inform and support friends and family
For a quick introduction to TPT, its operation and its benefits visit our 3 minute video at: https://vimeo.com/145905041
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Wealth creation / Clinical trials and evidence / Digital health / Innovation and adoption / Person centred care
Benefit to NHS:
Lower costs
  • TPT costs are 80% less than the cost of a course of therapy by a psychological wellbeing practitioner
  • No need for staff training or regular patient supervision by a therapist
  • No extra capital investment
  • Secondary prevention reduces need for further treatment
  • Reduction in demand for consultations by 'revolving door' patients
Instant access
  • Presenting service-users can leave the consulting room with a prescription giving immediate access to a suitable treatment offered in the 'language of their thoughts'.
  • Ease of use – familiar telephone dial in system for patients to access the session they require.
  • Help is available 24/7 whenever the patient needs support
Cuts waiting lists
  • High-level IAPT and secondary care services are freed up for more seriously ill service-users
Reduced dependency
  • Opportunity to reduce risk and cost of service-user dependency on prescription drugs
Reduced benefits bill
  • Patients can get back to work without deteriorating on a waiting list for other treatments
Fully translatable for the BAME community:
  • TPT modules can be translated once and used by many, reducing the cost for conventional translators
Meeting the Government agenda
In the face of growing numbers of people with common mental health problems and in an environment of increasing costs and reduced budgets the Government is directing commissioners to look for new ways of improving accessibility to treatment. TPT falls in line with many of these objectives, such as:
  • Cost reductions in the NHS
  • Increased patient choice
  • Flexible delivery of services
  • Access by minority groups
  • Use of new technology
  • Innovation programmes
Quality Assurance
The Cognitive Behavioural Therapy delivered by TPT is well researched, evidence-based, and commonly practiced in the NHS. The therapy scripts have been peer reviewed. The technology of the delivery platform has been exhaustively tested to ensure reliable operation in the face of intensive and unpredictable use.

Performance metrics
Standard reports showing patient outcome and experience measures are available from the database which manages TPT. Healthcare providers can monitor their consumption of TPT licences. Cornard Healthcare is happy to work with clients on their reporting requirements in the light of user experience.
Initial Review Rating
4.20 (1 ratings)
Benefit to WM population:
Prevention of Mental Health Problems
We believe that TPT can address the needs identified under the ‘Prevention of Mental Health Problems’ campaign. It is a simple, easy-to-use delivery platform which gives patients with mild to moderate mental health problems instant access to CBT and gives healthcare providers a cost-effective and flexible treatment option.
TPT is designed to teach people coping strategies for mild to moderate mental health problems. This, in turn, will improve the lives of the friends and family who are supporting them.
Using TPT in a primary care setting such as the Sandwell Model will reduce the burden on GPs and, by improving access to cost-effective treatment, will improve the mental health of the population. With only a few mouse-clicks during a consultation, GPs and other healthcare professionals log in online, prescribe a unit of TPT and print a simple two-page user-guide for the patient to take away.
The modular nature of TPT means it can be tailored to the needs of the population across the West Midlands, thus reducing the number of people directly and indirectly affected by mental health problems. Cornard Healthcare can work with healthcare providers and with commissioners to develop modules to best address the specific needs of the region.
The confidentiality of the TPT delivery platform for CBT and its ready translatability make it specially well suited to the diverse multi-ethnic and multi-cultural population groups in the West Midlands where language barriers and the stigma associated with mental health problems can prevent  patients from accessing the services they need.
Patient data protection
There is no personal data stored within the system as all patients are only referenced via their unique ID number.
Delivery Costs
The cost to the prescribing healthcare organisation is in two parts:
  • The prescribing licence for the organisation
  • A service-user licence for each 12 week course of treatment. These are pre-purchased in blocks by healthcare organisations.
Cornard Healthcare is happy to discuss favourable terms for early-adoption sites.
Patient Cost - None
TPT is free at the point of use. There is no cost to the patient as this covered by the service-user licence, so those on low income or benefits do not need to use valuable mobile credit or incur large telephone bills.
Current and planned activity: 
Cornard Healthcare is currently working with MIND in Suffolk who are using the TPT system to help their clients. The pilot study has already shown the system to be easily accepted and used by patients, popular with clinicians and reliable in use.

Required activity:
  • Procurement / Adoption of TPT across the West Midlands Trusts within both primary and secondary care settings
  • Feedback from clinicians and patients on how to develop the service to best suit the needs of patients and providers


 
What is the intellectual property status of your innovation?:
IP held and owned by Cornard Healthcare Limited.
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
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Innovation 'Elevator Pitch':
The MyCognition App is co-designed with patients and trialled with academics to monitor, prevent and treat mental well-being by measuring, monitoring and improving cognitive health.
Overview of Innovation:
Cognitive functioning (attention, episodic memory, executive function, working memory and processing speed) are tightly linked with mental health.  Research shows that cognitive deficits are significant predictors and major risk factors for mental illness e.g. depression, anxiety and stress. Poor cognitive health has a negative impact on our emotions, our coping strategies and tendency to ruminate and catastrophise. Alternatively, robust cognitive health contributes to building good psychological resilience, self-management and control, which are major protective factors for prevalent mental diseases. Cognition deficit affects all ages. It is manifest in young children and adolescents affecting school performance and mental well-being. It is also prevalent in preretirement populations where patients present with unexplained symptoms often categorised as psychosomatic.


MyCognition App provides digitally delivered assessment, cognitive training, coaching and behavioural change programmes. It is an easy to use and patient friendly app that can be used with any device. It is a fun and engaging App designed for all age groups for use in everyday settings.
The App has three programmes:
  1. MyCQ™ – a five-domain, 15 minute, cognitive assessment tool based on a clinically validated version.
  2. AquaSnap™ – a fun cognitive training tool, programmed by MyCQ to train all five cognitive domains. The training is personalised, designed to improve and boost an individual’s cognition where they have greatest need.
  3. A digitally delivered coaching programme to raise awareness of cognitive health and to educate and train people in healthy habits encouraging positive behavioural change.
The MyCognition App is a resource which patients can use remotely in their own homes, in residential stay or whilst in hospital. It is scalable across the whole patient community to support cognitive health. It can also be deployed in secondary care environments to support in-patient stays, occupational therapy and rehabilitation patients; and be recommended for use to patients entering step-down-care into the community, e.g. oncology and critical care.
 
The App also provides carers and professionals with personalised reports showing the cognitive health of individuals and of patient cohorts vs the general population, alerts on patients at risk and progression over time. We recommend patients and their family members/carers also use the App to encourage social interaction and shared experiences.
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Wellness and prevention of illness / Digital health / Person centred care
Benefit to NHS:
MyCognition offers a self-care digital solution to assess, monitor and treat mental health and well-being by addressing a person’s cognitive health. The MyCognition App improves cognitive function in as little as eight weeks and improves mental resilience and mental health symptoms across a range of mental health disorders. From studies with patients with conditions, such as Depression, Anxiety, Schizophrenia, Post-traumatic Stress Disorder, as well as Parkinson’s and cancer-related cognitive impairment.
 
MyCognition is a self-care solution that patients can use remotely in their everyday lives to help address their mental well-being. It is ideal for use in patient waiting to be refereed to NHS services where is there is extended waiting time. It is also suitable for patients in residential stay. It is scalable across the whole patient community to support cognitive health in a range of disease areas. It can also be deployed in secondary care environments to support in-patient stays, occupational therapy and rehabilitation patients; and be recommended for use to patients entering step-down-care into the community, e.g. oncology and critical care.
 
Evidence
MyCognition has led five years of research in clinics and local institutions, demonstrating the validity of the assessment and training paradigms adopted and the positive outcomes on users’ cognition, mental health, and consequent quality of life. MyCognition is collaborating with major international universities and clinics, such as Amsterdam Medical Centre (NL), Maastricht UMC+ (NL), UZA Antwerp (BE), McGill University (CA), UCL and the Royal Free Hospital Children’s School in London. We are running studies with patients with different mental health conditions, such as Depression, Anxiety, Schizophrenia, Post-traumatic Stress Disorder, as well as Parkinson’s disease and cancer-related cognitive impairment.
Initial Review Rating
4.00 (2 ratings)
Benefit to WM population:
MyCognition is committed to preventing and treating mental illness. Our strategy is aligned with the West Midlands Mental Health Strategy Boards recommendations in its 2017 report ‘Getting It Right First Time’ Prevention of Mental Illness. 
The 2017 Report by the West Midlands Mental Health Commission states that over 25% of the West Midlands population is suffering from mental illness. It highlights that people with an increased risk of developing mental health problems and/or for whom access to effective help is problematic are:
  • Unemployed people
  • People with long-term physical health conditions
  • Carers
  • Young children of school age*
  • Homeless people and people living in poor quality housing
  • People from Black, Asian and Minority Ethnic communities - Lesbian, Gay, Bisexual and Trans people
  • People with disabilities, including learning difficulties and sensory impairments
  • Young people leaving care
  • Survivors of sexual, emotional and physical abuse
  • People experiencing severe and multiple disadvantage.
*50% of mental health problems start before the age of 14 and 75% before 18
The aggregate economic and social cost of mental health problems in the WMCA is estimated at around £12.6 billion in 2014–15, equivalent to a cost of about £3,100 per head. With 28% being directly attributed to care costs of the NHS and Social Services costs. The employment costs are rising and equate to £4 billion per annum with human cost accounting for £5 billion. 
MyCognition have designed its technology to be integrated with NHS healthcare, social care, educational and workplace systems to help provide accessible self-care support for populations across the West Midlands. We wish to work with stakeholders to ensure there are as many community touchpoints for MyCognitions as possible. And provide adequate prevention and triage for at risk populations so they can reduce their risk of mental health development and deterioration.
MyCognition offers low cost personalised support to help these people deal with their mental illness. Offering them the opportunity to self-care, manage and reduce their symptoms and avoid ‘crashing’ in to the NHS for more serious and costly intervention. And more importantly lead productive and fulfilled lives.
Current and planned activity: 
Current:
MyCognition is working with several AHSNs evaluating the App in various clinical scenarios & patient pathways (rep. early 2019). Plans to roll out these clinical models with AHSNs’ support across the NHS.
 
Engaged in NHS test bed wave 2 programme and in discussions to test suitability for addressing mental health & wellbeing in schools, supporting referral to CAMS and adult mental health services, treatment of medically unexplained symptoms & diabetic self-care.
 
Running UK studies with NIHR, extending evidence base for MyCognition and also contributing to the global evidence base linking cognitive, physical & mental health.

Required:
Wish to test App & Platform’s performance in several clinical settings & pathways with West Mids. partners to generate additional data & build successful business models for NHS
  • like assistance with Procurement/Adoption & contracting with CCGs
  • further studies, seeking research partners to assist in NIHR funding proposals
What is the intellectual property status of your innovation?:
MyCognition is unique in the market place. We have full copyright of the code written for the app.

MHRA CE Marked Medical Device
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
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Innovation 'Elevator Pitch':
ProReal was built using 3D gaming technology, this evidence-based immersive platform helps people create a visual representation of how they experience a situation so they can explore different perspectives, visualise futures & solve problems
Overview of Innovation:
ProReal’s innovative technology provides its users (clients, service users, patients) with a safe, secure & confidential visual way to describe how they experience the world. With support & facilitation users can label strong feelings & name issues, as well as articulate hopes & concerns all of which are critical for building resilience & supporting recovery.

Independent research shows that the use of the software is associated with emotional & cognitive responses, reductions in psychological distress & building of empathy & insight.

The ProReal platform helps people create a visual representation of how they experience a situation so they can explore different perspectives, visualise futures & solve problems. Clients enter a secure, virtual landscape & add avatars & props to create representations of real-world scenarios.

Clients experience increased self-awareness & rapid empathy building leading to improved relationships. Costs are reduced by enabling faster & more effective change & communication without the need to travel. Its use is associated with significant reductions in stress & self-criticism & is being used by a growing number of health & social care organisations.


ProReal features:
  • Avatars: unlimited number of avatars available
  • Symbols: a selection of symbols/props to represent various aspects of a client’s world (eg elephant, minefield, clock, mirror etc)
  • Environment & sessions: naming function provides meaning & context
  • Views & functionality: views from avatars & roaming camera provides different perspectives
ProReal benefits:
  • Faster & more effective change
  • Actionable insight
  • Reduces costs
  • Increases self-awareness, self-confidence & self-expression
  • Increases engagement
  • Associated with reductions in stress & self-criticism
  • More effective communication of vision, priorities & values
  • Rapid empathy building & improved relationships & trust
  • Convenient
  • Secure, password protected login & encrypted data

ProReal continues to work with clinicians & academics & in particular NIHR MindTech to explore the use of its software with a range of disorders & clients including adults with personality disorder, young people with anxiety, depression, trauma & eating disorders.

Our product development is underpinned by extensive & ongoing clinical & corporate research & end-user input.

This means the benefits of our software are evidence-based by independent & rigourous evaluation & meet the needs of our users. Discover more about our evidence-base here.


 
Stage of Development:
Market ready and adopted - Fully proven, commercially deployable, market ready and already adopted in some areas (in a different region or sector)
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Digital health / Innovation and adoption
Benefit to NHS:
£9.49 billion was planned to be spent by CCGs on mental health services in 2016/17 – up from £9.15 billion in 2015/16. This amounts to 13.1% of planned CCG spending, up from 12.5% in 2015.16 Figures for individual CCG areas can be found using NHS England’s Mental Health Five Year Forward View Dashboard.  This does not account for all spending on mental health services, because specialised mental health commissioning is the responsibility of NHS England rather than CCGs.
 
Independent research shows that the use of the software is associated with emotional and cognitive responses, reductions in psychological distress and building of empathy and insight.
 
ProReal tailors its services to a wide range of organisations and service user needs to help them to find the right digital solution to accelerate change and improve engagement.
 
ProReal’s avatar-based therapy is a flexible and cost-effective solution. Having completed two research studies funded by SBRI Healthcare (an NHS England funded initiative to develop products that address unmet health needs) it has been proven to be effective with adults and young people. Click here for more information. As at March 2018, South London and Maudsley NHS Foundation Trust and Mersey Care NHS Foundation Trust are using/have commissioned ProReal for use with service users.
 
The software has been designed to be very easy to use - most clients learn how to use it in the first 5-10 minutes. For those using it with others in their work, most people require 15-20 hours of training, much of which is practice time. Online training is delivered via three webinars, reading material, reflective practice/assignment work and a formal assessment at the end. Face-to-face training is also offered for groups.
 
A suitable laptop or desktop computer (Windows or Mac are fine), an unrestricted internet connection and permission to install the software on your device is required. ProReal can be accessed 24/7 online via a secure login providing flexibility, convenience and increased access for clients to do self-help online.
 
ProReal provides many benefits from accelerated insight to better engagement of all which help to reduce costs.

Initial Review Rating
5.00 (1 ratings)
Benefit to WM population:
There are an estimated 4.032 million people in 2014–15 living in the West Midlands Combined Authority (WMCA). The population is culturally diverse with over 22% from Black & Asian Minority Ethnic communities, ranging from 2.3% in Cannock Chase to 42% in Birmingham.
 
Nearly a quarter of adults living in the WMCA are experiencing a mental health problem at any one time. The risks of poor mental health are not uniformly distributed across the WMCA population. They are influenced by social, economic & physical environmental factors & social inequalities in particular.
 
The aggregate economic & social cost of mental health problems in the WMCA is estimated at around £12.6 billion in 2014–15 equivalent to a cost of about £3,100 per head of population.
 
Mental ill health is estimated to cost the NHS nearly £2 billion a year in the WMCA. Only about half of this represents the direct costs of treatment & care for people with diagnosable mental health problems. The other half arises mainly because large numbers of people with long-term physical conditions such as diabetes & asthma, also suffer from depression or anxiety & this greatly increases the costs of physical health care.
 
Following the successes of the use of our software in commercial settings we had long been of the opinion that it could be beneficial in a healthcare capacity as well. To begin our investigation of this theory we secured funding from NHS England’s SBRI Healthcare programme as part of their initiative to find new technology solutions to unmet mental healthcare needs. This ‘Phase 1’ contract allowed us to conduct a pilot study using the ProReal software with a small group of adult offenders who were residents of a therapeutic wing of a category B prison in the north of England.
 
Over the course of 7 weeks our therapeutic intervention at this Serco managed prison consisted of 6, hour-long, group sessions lead by a qualified counsellor on the prison staff who we trained in the use of the ProReal software.
 
Results indicated that using our software improved participants’ capacity to elicit emotional responses & initiate further cognitive processing – both fundamental aspects of improved mental health. The study also produced good preliminary indications that using the ProReal software helps reduce psychological distress & improve general wellbeing. In addition participants reported enhanced levels of self-expression, new insights, development of empathy & the ability to build stronger relationships.
 


Current and planned activity: 
We would like to connect with the WMAHSN Mental Health Innovation Network to help to drive the adoption of ProReal across the region.
 
If you would like copies of our completed evaluation reports or to find out about our ongoing research please contact us.
Return on Investment (£ Value): 
Very high
Return on Investment (Timescale): 
N/A
Ease of scalability: 
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