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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
Julie Kinn, Ph.D. & Kelly Blasko, Ph.D.
March 16, 2012
Agenda
• Introductions – T2• What is PTSD?• Traditional Care Models• Technology and Psychology• Demos/Videos
– AfterDeployment.org– PTSD Coach– PTSD Experience (Second Life)
• Discussion
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.
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T2 Mobile Applications
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.
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.
Diagnostic Criteria
• Criterion A: Stressor• Criterion B: Intrusive Recollection• Criterion C: Avoidant/Numbing• Criterion D: Hyper-arousal• Criterion E: Duration• Criterion F: Functional Significance
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.
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
Congressional Mandate
Treatment
• Psychopharmacology• Group Therapy• Cognitive Processing Therapy• Eye Movement Desensitization and
Reprocessing (EMDR) • Prolonged Exposure Therapy
Technology & Psychology
Technology- Web
- Mobile Apps- Virtual Reality
- Telehealth
Psychology- Stigma
- Accessibility- Effectiveness- Standard of
Care
New Models
of Care
Why Use Technology inMilitary 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
AfterDeployment PTSD Module
http://www.afterdeployment.org/topics-post-traumatic-stress
Virtual World – Second Life
http://t2health.org/vwproj
Prolonged Exposure with VR
•Sight•Sound•Smell•Motion (vibration or Virtusphere)
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MilitaryKidsConnect.org
https://www.militarykidsconnect.org/
Summary
• PTSD treatment is a growing need• Variety of treatment options and adjuncts
to treatment exist• There is room for creativity as technology
advances
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: [email protected]
