Technology in the Care of PTSD: Mobile Applications, Websites and Virtual Reality
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Technology offers great potential in developing new models of care for behavioral health conditions such as post-traumatic stress disorder (PTSD). This presentation covers some of the advances in Web applications, mobile applications, and virtual reality made by the National Center for Telehealth & Technology in support of PTSD in military service members and veterans.
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Technology in the Care of PTSD: Mobile Applications, Websites and Virtual Reality
- 1. Technology in the Care of PTSD: Mobile Applications, Websites and Virtual Reality Julie Kinn, Ph.D. & Kelly Blasko, Ph.D. March 16, 2012
- 2. Agenda • Introductions – T2 • What is PTSD? • Traditional Care Models • Technology and Psychology • Demos/Videos – AfterDeployment.org – PTSD Coach – PTSD Experience (Second Life) • Discussion
- 3. National Center for Telehealth & Technology (T2) • Mission: Improve psychological health and traumatic brain injury recovery in the military community. • Designs, develops and deploys web, mobile, and virtual-reality-based therapeutic tools for the military community. • Comprised of clinical and research psychologists as well as tech developers.
- 6. Quiz (True & False) 1. In the DSM-IV, PTSD is classified as an adjustment disorder. 2. Service members usually experience PTSD symptoms immediately following combat. 3. People who have been traumatized will develop PTSD. 4. PTSD is both a behavioral and physiological reaction. 5. Prolonged exposure to stress can be helpful to someone with PTSD.
- 7. Post Traumatic Stress Disorder (PTSD) • Classified as an anxiety disorder in the DSM-IV • Can occur after someone goes through or sees a traumatic event.
- 8. Diagnostic Criteria • Criterion A: Stressor • Criterion B: Intrusive Recollection • Criterion C: Avoidant/Numbing • Criterion D: Hyper-arousal • Criterion E: Duration • Criterion F: Functional Significance
- 9. Diagnostic Criteria • Criterion A: Stressor – Event that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others. – Response involves intense fear, helplessness, or horror.
- 10. Prevalence of PTSD • Adult Americans (NCS-R, 2001-2003) – Lifetime prevalence – 6.8% • Service Members – Vietnam Veterans (NVVRS, 1986-1988) • 15.2% of males and 8.1% of females were currently diagnosed with PTSD – Gulf War Veterans (Kang, et. Al, 1995-1997) • 12.1% were currently diagnosed with PTSD – Operation Enduring Freedom/Operation Iraqi Freedom (RAND, 2008) • 13.8% were currently diagnosed with PTSD
- 13. Treatment • Psychopharmacology • Group Therapy • Cognitive Processing Therapy • Eye Movement Desensitization and Reprocessing (EMDR) • Prolonged Exposure Therapy
- 14. Technology & Psychology Technology Psychology - Web - Stigma - Mobile Apps New Models - Accessibility - Virtual Reality of - Effectiveness - Telehealth Care - Standard of Care
- 15. Why Use Technology in Military Healthcare? • Overcomes barriers to care – Stigma: • Websites and mobile applications are anonymous • Use interfaces and platforms familiar to Service Members – Logistics: • “Hip pocket” availability • 24/7 access to care, 365 days a year
- 19. Virtual World – Second Life http://t2health.org/vwproj
- 20. Prolonged Exposure with VR • Sight • Sound • Smell • Motion (vibration or Virtusphere)
- 21. MilitaryKidsConnect.org 21 https://www.militarykidsconnect.org/
- 22. Summary • PTSD treatment is a growing need • Variety of treatment options and adjuncts to treatment exist • There is room for creativity as technology advances
- 23. Contact T2 National Center for Telehealth & Technology 9933C West Hayes Street Joint Base Lewis-McChord Tacoma, WA 98431 For more information on T2 apps or programs, please visit: www.T2Health.org Or contact T2 at: AskUs@T2Health.org
Editor's Notes
- In the DSM-IV, PTSD is classified as an adjustment disorder. - FALSEService members usually experience PTSD symptoms immediately following combat. - FALSEPeople who have been traumatized will develop PTSD. - FALSEPTSD is both a behavioral and physiological reaction. - TRUEProlonged exposure to stress can be helpful to someone with PTSD. - TRUE