1. Adjunctive Mobile Technologies for CBT: Part 3 Ryan Hansen, M.S. Ohio State University Hansen.282@osu.edu

2. What is an App?  Offline Phone Apps  Semi-Offline Phone Apps  Online Phone Apps  HTML5 Apps/Webpages  Computer Apps  Wearables

3. APA 2013 GUIDELINES FOR THE PRACTICE OF TELEPSYCHOLOGY “Guideline 1: Psychologists who provide telepsychology services strive to take reasonable steps to ensure their competence with both the technologies used and the potential impact of the technologies on clients/patients, supervisees or other professionals. “

4. Competence  Training  Continuing Education  Professional Literature  Journal of Medical Internet Research

5. “Dogfooding”  Use and be familiar with the apps that you recommend

6. APA 2013 GUIDELINES FOR THE PRACTICE OF TELEPSYCHOLOGY “Guideline 2: Psychologists make every effort to ensure that ethical and professional standards of care and practice are met at the outset and throughout the duration of the telepsychology services they provide. “

7. Benefits/Risks  Benefits  Access to Care  Convenience  Interactive  Risks  Information Security  Emergency Management

8. APA 2013 GUIDELINES FOR THE PRACTICE OF TELEPSYCHOLOGY  “Guideline 3: Psychologists strive to obtain and document informed consent that specifically addresses the unique concerns related to the telepsychology services they provide. When doing so, psychologists are cognizant of the applicable laws and regulations, as well as organizational requirements that govern informed consent in this area.”

9. Informed Consent  Risks and Benefits  How the technology will be used  Boundaries and Communication  Fees  Interruptions/Tech Failures

10. APA 2013 GUIDELINES FOR THE PRACTICE OF TELEPSYCHOLOGY “Guideline 4: Psychologists who provide telepsychology services make reasonable effort to protect and maintain the confidentiality of the data and information relating to their clients/patients and inform them of the potentially increased risks to loss of confidentiality inherent in the use of the telecommunication technologies, if any.”

11. Confidentiality  Possible Breaches:  Text Messaging  Phone Access  Push Notifications  Social Media  Billing

12. APA 2013 GUIDELINES FOR THE PRACTICE OF TELEPSYCHOLOGY “Guideline 5: Psychologists who provide telepsychology services take reasonable steps to ensure that security measures are in place to protect data and information related to their clients/patients from unintended access or disclosure.”

13. Security  Where is the data stored?

14. Security  Is it on the phone?  App Password Protection  Phone Password Protection  Encryption

15. Security  Is it in the cloud?  Photos/media?  Backed up on iTunes/internet?  How is it getting there?  HTTP vs HTTPS

16.  Privacy Policy  Advertising  Data Aggregation  How much information is being shared indirectly? Security

17. The Real Danger: Hackers vs Lawyers

18. Other Issues  What if your client is tracking illegal activity?  HIPPA  FDA  “Suicidal Siri”

19. Provider Resilience PlatformsiOS, Android PriceFree CreatorNational Center for Telehealth and Technology. Features:Vacation Clock Burnout Self-Assessment Self Care Tracking Psychoeducation Values cards

20. Gamification

21. SuperBetter PlatformsiOS Only Price$4.99 CreatorSuperBetter Labs Features:Packages for: Mood Anxiety Resilience …and many more Premade and Customizable Quests, Power Ups, and Bad Guys Social Integration Daily Reminders

22. HabitRPG PlatformsiOS/Android PriceFree CreatorOCDevel Features:To-do List Daily Habits Tracking and Reinforcement Digital Rewards Self-Defined Rewards

23. Zombies, Run! PlatformsiOS and Android Price$3.99 CreatorSix to Start Features:Easy to Use Interface Engaging Missions Immediate Feedback A Customizable “Base” Activity Tracking Social Integration

24. Assessment

25. Psych on Demand PlatformsiOS Only PriceFree CreatorWilliam Lemley Features:Extensive Test Library Easy to Use Easy to Score Norms Provided for Many Instruments

26. DBT

27. DBT Diary Card and Skills Coach PlatformsiOS only Price$4.99 CreatorDurham DBT inc. Features:Diary Card Extensive Coaching Dialogues 911 Skills Distress Tolerance Mindfulness Emotion Interpersonal Skills DBT Reference

28. Anxiety

29. Behavioral Experiments- CBT PlatformsiOS Only PriceFree CreatorHapptic Features:Create Lists of Experiments List Prediction Rate Belief Review Outcome Review Belief Password Protected Archive Results Email Results

30. Depression

31. eCBT Mood PlatformsiOS Only Price$0.99 CreatorMindApps LLC Features:Psychoeducation Thought Records Mood Tracking Med Tracking/Reminders

32. PTSD

33. PTSD Coach PlatformsiOS, Android PriceFree CreatorNational Center for Telehealth and Technology. Features: Psychoeducation PTSD Therapy Assessment and Symptom Tracking Symptom Management Tools

34. PECoach PlatformsiOS, Android PriceFree Creator National Center for PTSD, National Center for Telehealth and Technology. Features:Psychoeducation Record Therapy Sessions Appointment Reminders Breathing Retraining Suds Anchors Symptom Assessment (PCL) Security Settings

35. Sleep

36. CBT-I Coach PlatformsiOS and Android PriceFree CreatorUS Department of Veterans Affairs Features:Sleep Journal Psychoeducation Assessment Sleep Prescription

37. Positive Psychology

38. LiveHappy PlatformsiOS only Price$0.99 CreatorSignal Patterns, Dr. Sonja Lyubomirsky Features:Savoring Activities Social Activities Acts of Kindness Developing Support Network Strive (Goal Setting) Gratitude Journal Optimism Psychoeducation on Positive Psychology

39. Suicide Prevention

40. My3 PlatformsiOS and Android PriceFree CreatorUS Department of Veterans Affairs Features:Hotline Numbers Psychoeducation Safety Plan

41. Current Challenges  Leaky pipeline  “Not available in the US”

42. Discussion: Mood Panda