1. How Technology is Reshaping the Psychiatric Landscape
WHAT WE CAN LEARN FROM WIKIPEDIA, STACK OVERFLOW & 7 CUPS
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2. Proprietary and Confidential
OBJECTIVES
Discuss how technology + task-sharing can be used to dramatically expand access to quality care.
Describe digital therapeutics (apps, sites) as digital “medicines” with different types and different dosage rates for efficacy.
Explain the weCare model with Stack Overflow and Wikipedia as illustrations in engineering and academic space
Illustrate how online and offline care can be bridged to reach better outcomes.
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3. Proprietary and Confidential
WIKIPEDIA
Free encyclopedia that is available in almost every language.
Collaboratively written and managed by volunteers who make thousands of changes per hour and publish 800 new articles a day.
Smithsonian estimates it would cost $6.6 Billion dollars to replace.
Wikipedia as disruption; Britannica; Nature article.
Wikipedia offers clues on how we might be able to scale behavioral health.
Quick demo of how anyone can edit
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4. Proprietary and Confidential
STACK OVERFLOW
Free software engineering Q and A educational site.
Real-time updated, on-demand, feedback to very challenging and specific questions across all software domains.
Pioneered badging, privileges, and point systems (or game elements) in a very intuitive and effective manner.
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5. WHAT DO THESE PLATFORMS SHARE IN COMMON?
FREE
Aspects of the services may cost money, but, by and large, the services are free.
COLLABORATIVE
Designed to give & get information. People find meaning in the connection the system provides.
ITERATIVE (ADAPTIVE)
the processes of how the service is governed and the content continuously evolve.
QUALITY-FOCUSED
Quality contributions and behaving in ways that are additive are encouraged. Explicit and implicit rules that create a culture focused on positive work and behavior.
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6. Proprietary and Confidential
WHAT IS 7 CUPS?
VOLUNTEER ACTIVE LISTENERS
240,000 Listeners trained in active listening, who provide 1-on-1 emotional support.
GROWTH PATHS
32 Treatment Plans consisting of educational & therapeutic exercises to teach coping skills.
COMMUNITY
A vast community of users working together to provide a supportive and understanding environment.
THERAPISTS
A directory of professional clinicians facilitating therapeutic outcomes locally and online.
7 Cups is the world’s largest behavioral health support system, consisting of four main components.
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7. BEHAVIORAL HEALTH EXAMPLE: 7 CUPS
FREE
COLLABORATIVE ITERATIVE QUALITY-FOCUSED
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8. WELLNESS ENGINE CHAT & EMOTIONAL SUPPORT GROWTH PATHS COMMUNITY
GROUP CHAT
CHAT BOT
CHECK-INS
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9. USING TECH TO SOLVE PROBLEMS
A problem is identified according to wants and needs of organization or region.
When a problem is solved, the next problem is
identified and the
cycle starts again.
A tech solution is tailored to address problem
BUILD
The solution is measured to see if it is having expected outcomes
MEASURE
The solution is adapted to better solve the problem
LEARN
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10. SCALING OUR WORKFORCE TO MEET GLOBAL DEMAND
RISING DEMAND
CURRENT SYSTEM = LIMITED SUPPLY
Limited Amount of Clinicians = Expensive to Scale
OUTCOME CAPACITY
(PEOPLE HELPED)
RISING DEMAND
7 CUPS = UNLIMITED SUPPLY
Peer Support + Tech = Very Affordable to Scale
OUTCOME CAPACITY
(PEOPLE HELPED)
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11. CURRENT AND FUTURE INNOVATION
Artificial Intelligence & Machine Learning
Sensor Data
Personalized Treatment
Collaboration Across Systems
Healthcare Research Platform
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12. CURRENT AND FUTURE INNOVATION
7 Cups is merging the power of the listener community and state-of-the-art AI to provide listener training and chatbot support to people that are too anxious to chat with a listener.
Listeners are provided with immediate feedback and corrections on how to support the members they are talking to
ARTIFICIAL INTELLIGENCE &
MACHINE LEARNING
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13. ARTIFICIAL INTELLIGENCE POWERED LISTENING
Listeners get real time feedback based on the responses of our best listeners.
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14. NONI: OUR INTERACTIVE CHATBOT
Noni is the 7 Cups AI interactive chatbot.
She weaves together psychotherapy scripts and AI to communicate empathy and acceptance in a warm manner
Noni was created in collaboration with AI experts from Johns Hopkins, Stanford, and Carnegie Mellon. She speaks dozens of languages.
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HOW NONI WORKS
Noni is informed by listeners and listener messages that get the best outcomes.
This emerges from the corpus of the world's largest mental health and affect cognition dataset
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16. CURRENT AND FUTURE INNOVATION
Movement, sleep, and communication data are all tracked by the phone and are strong predictors of mental health. Integrating sensor data into 7 Cups will help us better intervene.
SENSOR DATA
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17. DIGITAL PHENOTYPING & DATA ACCESS TIERS
OPEN & PUBLIC
PUBLIC DATA
Social Media and Web data, no permission needed to analyze.
OPT-IN DIGITAL LIFE DATA
A person gives us access to their digital life data (e.g., social media, wearable, workout).
SENSOR-ENABLED DIGITAL LIFE DATA
A person installs an app that provides us access to the sensors in their smartphone (e.g., GPS, accelerometer, keystrokes).
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PERSONAL & PRIVATE
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18. CURRENT AND FUTURE INNOVATION
Treatment now is largely one size fits all. All of our data can help us provide tailored treatment to reach better collective outcomes.
PERSONALIZED TREATMENT
7 Cups is the digital backbone or safety net that connects the offline healthcare world to the online healthcare world.
COLLABORATION ACROSS SYSTEMS
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19. TARGETED TO SPECIFIC NEEDS
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20. A PARALLEL MENTAL HEALTH SYSTEM
REGIONAL, STATE,
& NATIONAL SUPPORT
A partnership comprised of stepped care, community & social engagement, therapeutic outcomes, data, and scaled compassion.
Population treated by Community Mental Health services
Population supported by 7 Cups
Both
Treated by Community MH Services
Supported by 7 Cups
Both
De-identified
LEVEL I: DATA SHARING
LEVEL II: ALIGNMENT
LEVEL III: POSSIBLE FUTURE FULL
SYSTEMS INTEGRATION
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21. REFERRALS & COLLABORATIVE CARE
Clients
Family
Outpatient
Inpatient
Partial
Listeners
Therapists
Community
INITIAL TREATMENT
Can benefit from extra support?
ASSESSMENT
Needs more attentive services?
Continue Support
CONTINUE CARE AS NEEDED
Collaborative Care No
Yes
REACH OUTCOMES
YOUR SYSTEM
Therapeutic Outcomes
Therapeutic Outcomes
7 CUPS
Therapeutic Outcomes
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22. CURRENT AND FUTURE INNOVATION
Researchers from organizations and regions will be able to focus on specific populations, implement treatment programs, and track outcomes.
HEALTHCARE RESEARCH PLATFORM
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23. PERINATAL DEPRESSION & ANXIETY ADJUNCT TREATMENT FOR SCHIZOPHRENIA
RESEARCH PLATFORM
PERINATAL DEPRESSION & ANXIETY
ADJUNCT TREATMENT FOR SCHIZOPHRENIA
USER SATISFACTION
7 Cups is viewed to be as helpful as traditional psychotherapy.
Accessible support for women and ability to create new healthcare services.
Cost effective way to introduce new methods of intervention.
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24. GLOBAL HEALTHCARE OPERATING SYSTEM
Countries
GLOBAL HEALTHCARE OPERATING SYSTEM
States
Regions
Organizations
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25. QUESTIONS Question & Answer Period Glen Moriarty, Psy.D.
Chief Executive Officer
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