MyCognition – an all ages self-care App to monitor, prevent and treat mental illness and well-being (#2894)

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Initial
Detailed
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Idea Description
Supplementary Information
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)
Similar Content3
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
Read more
Hide details
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
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 / 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
4.20 (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?:
My Possible Self has exclusive licence of the Black Dog Institute's underlying research materials (in which the BDI own the intellectual property) and has developed its own web/phone app, in which it owns the branding and the copyright.
 


 
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
0-6 mon
Ease of scalability: 
Simple
Read more
Hide details
Innovation 'Elevator Pitch':
Amaven is an online health, fitness and wellbeing profiling tool which measures, tracks and improves bio-motor abilities and prescribes evidence-based physical activity programmes to prevent and treat medical conditions and age-related diseases.
Overview of Innovation:
The Amaven programme adheres to up-to-date guidelines & best practise to deliver an effective & safe approach to caring for the wellbeing of older people. All our programmes have been designed by occupational therapists/physical activity specialists. One of our exercise programmes is based on the Otago exercise programme which has been proven to reduce falls and injuries from falls.


We follow guidelines from: CQC, DH, NICE falls guidance, Cochrane Reviews, Sherrington Effective Exercise to Prevent Falls Review, Public Health England, British Heart Foundation National Centre Research, FaME trial. 

Health, fitness & wellbeing profiling tool. We use health assessments to identify risks & create an in-depth health, fitness & wellbeing profile for individuals. Assessments are simple to do & can be carried out by family members, care workers/other professionals or Amaven Health Mentors. Regular assessments produce evidence of progress or deterioration, highlight risks & can lead to prevention of damage. Information can be shared via reports with individuals & organisations involved in their care.


Person-centred wellbeing programmes. Specific scores & indicators are used to inform a personalised activity programme that can be done safely at home or in other settings, either done individually or in a group all activities prescribed promote physical, social & emotional health to positively impact an individual's life. 

Individual health assessments provide practitioners with a complete picture of a person’s health helping to identify any risks & prevent potential injuries. Staff can discuss results with relevant professionals such as GPs if the person needs additional help. All information a person chooses to share is confidential unless they wish to share it further. They can log onto the Amaven platform at any time & view their wellbeing profile. 

Amaven is personalised to the needs of the individual & a personalised activity plan is generated to work on areas that need greatest attention. The programme also helps to create a wellbeing community in residential homes & group activity sessions help people to be more social. 

Staff will be fully trained to use the Amaven platform & receive on-going support (phone/email) if required, using the information gathered to work with the individual’s practitioners & family members to improve the delivery of care. 

Visit the website & learn more about our programmes for Independent Living, In-care, Low Back Pain & Parkinson's.
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
Benefit to NHS:
Early intervention is proven to reduce costs significantly.
 
Amaven is an online health, fitness & wellbeing profiling tool which measures, tracks & improves bio-motor abilities & prescribes physical activities to prevent & treat medical conditions & age-related diseases.
 
The programme is designed for older people to stay independent & allow them to live in their own homes & keep them out of hospitals & care homes. 
 
Falls remain a major cause of injury & death amongst the over 70s & account for more than 50% of hospital admissions for accidental injury. Hip fractures resulting from falls are reported to be the most serious type of injury, affecting approximately 60,000 people per year in the UK (Husk et al. 2008).  
  • 1/3 of all UK households are older households*
  • 3.5 million 65+ live alone (36% of all people aged 65+ in GB)*
  • 2 million people over 75 live alone*
  • There are 11.6 million people aged 65 or over in the UK*
  • Falls are the largest cause of emergency hospital admissions for older people & significantly impact on long term outcomes*
  • Falls account for up to 40% of ambulance call-outs to homes for people aged 65+ costing £115 per callout*
* Source Age UK, Later Life in the United Kingdom, June 2016
 
Amaven tracks progress to highlight impact, inform personal needs & deliver specific outcomes. Specific programmes for strength & balance have been shown to reduce the risk of falls by as much as 60 percent (Skelton, 2001).
 
The Amaven platform adopts a person-centred approach to wellbeing. The activity programmes have been designed to build resistance against conditions such as osteoporosis & dementia & improve the overall health & wellbeing of older people. 
 
Low back pain is a major health-care problem resulting in disability & often depression & job-loss. It is reported that 60-80% of the population suffer from low back pain.
 
For Parkinson’s, in addition to medications, there are some activities that may ease the motor symptoms of Parkinson’s, improve quality of life & increase adherence to the medication. There is also now scientific evidence to suggest that certain activities, including exercise, social connectedness & creativity may not only be therapeutic for Parkinson’s symptoms, but could alter the brain by creating new pathways of communication among brain cells & to create new cells.
 
Visit our website to learn more about the Amaven programmes for Independent living, In-Care, Low Back Pain & Parkinson's.
Online Discussion Rating
6.00 (1 ratings)
Initial Review Rating
4.60 (1 ratings)
Benefit to WM population:
Demand pressures facing the NHS are increasing with emergency admissions crowding out elective admissions. Cost pressures facing the NHS include a growing and ageing population, the increasing prevalence of chronic conditions across all age groups, and the rising cost of delivering care.
 
Amaven is an online health, fitness and wellbeing profiling tool which measures, tracks and improves bio-motor abilities and prescribes physical activities to prevent and treat medical conditions and age-related diseases.
 
The platform is a cost effective and convenient tool that helps health practitioners to deliver outstanding care, keeping people independent in their own homes and out of hospitals and care homes.
 
National data shows that the number of hospital admissions amongst older people is increasing. Over the last 10 years hospital discharges (and therefore admissions) for those over 75 have been rising at a much faster rate than ageing trends in the population; almost four times faster (38% compared to 10%)*.
 
The growth in hospital readmissions has been higher still, up by 86% for those over 75. This national picture is supported by the results of research by Royal Voluntary Service: of 401 people over 75 who had been in hospital within the last 5 years, 13% had been readmitted within three months. * (* source:  Royal Voluntary Service)
 
Amaven will prescribe personalised activity programmes that promote physical, social, and emotional health to reduce the incidence of frailty and falls. Regardless of age or ability, personalised physical activities will be prescribed to either maintain or develop the key components of health, helping the individual stay active and self-sufficient into old age.
 
By supporting people effectively in the community, Amaven can help those with long-term health and care needs to stay out of hospital or residential care, thereby reducing costs to the NHS and social care by avoiding the need for more costly interventions whilst maximising outcomes for patients and service users.
 
Click here to watch how Amaven has helped the residents of St Johns Nursing Home in Bromsgrove. 
Current and planned activity: 
We would like to see greater regional awareness and adoption of the Amaven Exercise Medicine Programme, working in partnership with providers to focus on individual patient outcomes and to effectively embed technology enabled care to deliver services that are truly person centred. 
Return on Investment (£ Value): 
N/A
Return on Investment (Timescale): 
N/A
Ease of scalability: 
Simple
Regional Scalability:
Apart from initial training and support and ongoing email and telephone support, the programme is delivered through an online platform which is designed to be person centred. It will therefore be easy to provide across the region and further afield.
Measures:
The platform includes an assessment aspect which generates reports as and when the user/s require. Through regular assessments (3 months, 6 months, etc.) comparable data will be generated to identify and monitor the user's heath, using specific indicators such as risk of falls, strength, balance, cognitive function, etc.

Reports can be generated for an individual, a group or a whole setting or area, providing robust data for the user as per their needs and requirements.

As much of the programme is delivered through the platform it is very cost-effective and not labour intesive.

The aim of the programme is to identify, prevent or improve older people's well-being, specifically focussing on risk of falls and frailty.
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