mental health crisis in the wake of covid-19 · mental health crisis in the wake of covid-19...
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Mental Health Crisis in the Wake of Covid-19STRATEGIES TO HELP EMPLOYEES COPE AND EXCEL
Louis Gagnon CEO, Total Brain
Mollie LombardiAnalyst, Human Capital Strategies
2
LOUIS GAGNONCEO, Total Brain
MOLLIE LOMBARDIFounder, m.Research
SPEAKERS
There’s a Crisis Out There
U.S. workers currently at risk
52% 20% U.S. workers suffer from a mental condition
Brains are impaired
72% =
We Don’t Live at Our Full Capacity
Total Brain Helps Individuals
Improvetheir brain’s capacity
Manage their mental health risk
Improve health outcomes & reduce healthcare costs
Total Brain Helps Organizations
Improve productivity
Total Brain (TTB) ModelWhat is it?
Why does it matter?
Mental Health IndexU.S. Worker Edition
TTB App DemoIndividuals’ Experience
App DemoOrganizations’
Experience
1 2 3 4
Agenda
Mental Health = Brain Capacities
All Capacities Are Constantly Impaired
By Fight-Flight Response AND/OR Sub/Clinical ConditionsThemselves driven by Uncontrollable Life Events (e.g.: COVID)
totalbrain.com/mentalhealthindex
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
General Anxiety Disorder
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
Depressive Disorder
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
PTSD
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
Social Anxiety Disorder
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
Addiction
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
Sleep Apnea
Risk of Mental Conditions Since Feb 2020
↑ 91% ↑ 163% ↑ 73%
↑ 55% ↑ 25% 0%
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
Emotional Awareness
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
Non-Conscious Negativity Bias
Emotional Capacities Since Feb 2020
0% ↑ 7%
• How we read emotional cues in others
• Drives relationships and trust
• How negatively biased we are given our past experiences
• Drives flexibility and creativity
Feeling Control Capacities Since Feb 2020
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
Stress
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
Anxiety
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
Depressed Mood
↑ 47%↑ 28% ↑ 64%
• How much of a threat we perceive
• Drives performance… or burn-out
• How fearful we are vs. the future
• Drives our aversion to risk
• How negative and hopeless we feel
• Drives our bias for action
Cognitive Capacities Since Feb 2020
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
Memory
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
Focus
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
Planning
↓ 8%0% -32%
• How much we remember
• Drives thinking and non-conscious bias
• How much we complete tasks
• Drives task completion
• How we make decisions
• Drives strategy
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
Social Connectivity
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
Resilience
FEB
3
FEB
10
FEB
17
FEB
24
MA
R 2
MA
R 9
MA
R 16
MA
R 23
MA
R 30
AP
R 6
AP
R 13
AP
R 20
AP
R 27
MA
Y 4
MA
Y 11
MA
Y 18
MA
Y 2
5
Conscious Negativity
Self-Control Capacities Since Feb 2020
↑ 23%↑ 3% ↓ 4%
• How much we connect to others
• Drives collaboration
• How much we bounce back from stress
• Drives business stamina
• How negative we consciously are
• Drives collaboration
What can we do?
Total Brain AppSELF-MONITOR AND SELF-CARE• 12 Brain Capacities (neuroscience)• Fight-Flight Response (bio-feedback)• 7 Mental Conditions (health screens)
We do not control life events but we do control how aware we are and how we react to life
Compare 12 capacitiesstrengths/weaknesses
Emotional awareness example task
Cognition (planning) example task
Self-Monitor CapacitiesReview highest and lowest capacities with percentile rankings (same age,
gender, edu)
Self-Care for CapacitiesBreathing exercises to balance emotions and
find calm focus
Daily feed prompts users with personalized content and exercise
regimen
Brain training exercises to improve positivity; shuts off
fight/flightRecommendations provided but users can always choose
Self-Monitor for Brain State
Measure HRV and compare vs norm and personal baseline; recommend actions
Measure Heart Rate Variability (HRV) with camera technology
Measure continuous HRV with proprietary band(Coming late 2020)
Self-Care for Brain State
Breathe at 6 BPM for 3 minutes to shut off your fight/flight system and feel calm and flexible
Mental ConditionsMonitor, Screen & Refer
Standardized screening questions
When at-risk: validation of symptoms
by users
Stress: DASSDepression: PHQ2/9Anxiety: GAD 2/7ADHD: Internal ADHD testAddiction: CAGE-AIDPTSD: VA PTSD TestSocial Phobia: DSM-IV Sleep Apnea: 1995 Maslin Sleep
Scientifically Validated 70–80% accurate
Health referrals when appropriate
(user-driven)
Aggregate Workforce AnalyticsVALUABLE DATA FOR EMPLOYERS
Total Brain Helps Businesses• Visualize corporate strengths, weaknesses and risks• Benchmark vs. norms and national index• Get custom analytics by office locations, departments, SBUs• Manage organizational change
Free Support for Employees
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Free Whitepaper: Available for free to help you and your employees understand how to mitigate the impact of COVID-19 on their mental health
Free 3-Month Corporate Subscription to Total Brain: Offer your employees free access to the Total Brain platform, available on desktop or mobile, to help them during this difficult time
1 2
Visit: info.totalbrain.com/covid-19-corporate
Q & A
Appendix
1. Implementation2. Scientific Basis3. Total Brain for Other Market Verticals 4. Total Brain as a Platform5. References6. Disclaimer
How Does TTB Get ImplementedComplete support throughout the program lifecycle
Customized reporting and analysis
Regular data reviews with scientific analysis and recommendations
Population Analytics
Dedicated account management support to enable ongoing engagement
User specific and population programs
Ongoing Engagement
Personalized care recommendations
In app referral to support services
Self care within the app or other application
Care Recommendations
Guided user assessment
Deep explanation of results
User Assessment
Integration into any member experience and engagement platforms
Onboarding enablement for any communication channel
User Onboarding
Neuroscience-Based Measurement
Capacities1,317 norms - peer regression modelingPractice effect neutralReliable and validated
1. Internal consistency2. Test-retest reliability3. Across site reliability4. Face validity with world experts5. Content validity 6. Concurrent validity 7. Convergent & construct validity
SymptomsAll screening questions use well-known, validated tests (70-80% accurate) like PHQ2/9, GAD 2/7, Internal ADHD test, CAGE-AID, DASS, VA PTSD Test, DSM-IV Social Phobia, 1995 Maslin Sleep
Measurements
Neuroscience-Based Measurement
Powerful DatabasePowered by the largest standardized neuroscientific database in the world with more than 1.3M standardized data sets (tasks, questions, EEG, MRIs, GWAS)
Data Sources Include200 brain studies at Harvard, NYU, MIT, Stanford, Oxford, Cambridge, etc. that generated 300 publications (licensing)
20 clinical trials of psychiatric drugs (licensing)
2 clinical trials predicting drug effectiveness for Depression and ADHD - (proprietary)
780K+ individual brain assessments/brain trainings through employers, consumer groups and clinics (proprietary)
Benchmarks & Insights
Neuroscience-Based Support ToolsSelf-Care Recommendations
CapacitiesWe use published data on which exercises affect which capacities
Neuroscience-Based Support ToolsSelf-Care Recommendations
SymptomsWe know which conditions affect which brain capacities by how much (avg.)
Mental Conditions Core Deficit 3 Top Capacity Deficits Created by Conditions
Addiction Craving Self Control, Planning, Resilience
Depression Negativity Conscious Negativity Bias, Non-Conscious Negativity Bias, Depressed Mood
Anxiety Fight/Flight Anxiety Control, Stress Control, Social Connectivity
ADHD Task Completion Focus, Controlled Attention, Memory
PTSD Intrusive Thoughts Anxiety Control, Conscious Negativity Bias, Resilience
Social Phobia Judgement Anxiety Control, Emotion Awareness, Social Connectivity
Sleep Fatigue Focus, Stress Control, Resilience
Go-to-Market Verticals, Top Clients, Biz Models
Patients• via Clinics• Insurance reimbursements
Employees• via HR departments • Price per employee or per user
Consumers• via B2C Affinity Groups• Tiered user-based or annual
license fee
Health seekers
Populationsover 50 years old
Populations in transition
Mental health seekers
Total Brain PlatformScalable technology set-up to address the needs of each vertical
B2C AffinityModular Total Brain platform services for configurable integration of any service or variation into a third-party experience
B2B CorporateCore Total Brain experience utilizing TB app and core assessment, screening, training services
ClinicalCore Total Brain experience utilizing TB app and core assessment, expanded screening, training services
Capacity Scoring
Screening Results
Training Scoring Usage TrendingResults
SharingRecommenda-
tions Notifications
Total Brain Web(Consumer/Clinical)
Total Brain Mobile(Consumer/Clinical)
Total Brain Services(Consumer/Clinical)
Total Brain Clinician Portal (Clinical)
User Experience
Data
Total Brain Platform Modules
ContentExercisesAssessment
FeelingStress ControlAnxiety Control
Depressive Mood Control
EmotionEmotion Awareness
Negativity BiasDefault Emotion
CognitionMemoryFocus
Planning
Self-ControlSocial Connectivity
ResilienceConscious Bias
Brain Training
PositivityFocus
MemoryResilience
Stress
Mind TrainingBreathingMeditation
Brain ImpactExplanations
Life ImpactPerspectives
Video
Audio(coming)
Text(coming)
Books(coming)
Health Partners (coming)
ScreeningLite Corporate / Consumer & Deep Clinical Versions
Depression
Anxiety
PTSD
Addiction
ADHD
Sleep Apnea
Social Anxiety
References
1. Based on a Total Brain internal, week over week user assessment data. Population studied: Representative sample of TTB population; n: 500-1,000 users per week; Statistically controlled
2. Based on example of large self-insured client program implementing TTB best practices – assessment 100% optional – NO HRA incentive
3. Based on Total Brain Internal data, n = 12,000. 61% of US employees screen at-risk of having one of 7 mental conditions.
4. Among those flagged as at risk for depression or anxiety, a 28% improvement in anxiety levels was found for those who completed 2 or more hours of training.
5. Among Total Brain users who completed 2 or more hours of training, a 39% improvement in depressed mood was found
6. Among Total Brain users who completed 2 or more hours of training, a 40% improvement in addiction symptoms was found
7. Improvements in brain performance correlated with average of three hours of training. 2017/2018 blended average internal book of business data; N = 11,116; Users who assessed + trained at least twice
8. Based on example of large self-insured client program; Data includes employees who have taken a follow-up assessment n=2760 in 2019; Trending/monitoring did not exist as a feature during that period
Disclaimer
This presentation is issued by Total Brain (ASX: TTB) (“Total Brain”, “the Company" or “we”) to you, is to be held confidentially by you and may not be shared by you with third parties. This presentation is general background information about the Company’s activities current as at the date of this presentation. The information is given in summary form and does not purport to be complete. This presentation is not an offer to sell, or any sale, of securities. Any offer and sale of securities would be done only pursuant to a written agreement between Total Brain and its investors.
Total Brain has made every effort to ensure that the information in this presentation is accurate. However, its accuracy, reliability or completeness cannot be assured. To the maximum extent permitted by law, we and our associates, respective officers, employees and agents, disclaim any liability for any error or omission or for any loss suffered as a result of others acting on the basis of the information contained in this document.
In particular this presentation includes forward looking statements (e.g. phrases with “will” “may”, “would”, “anticipate”, “expect” and other statements about future events, results or outcomes) regarding our belief, intent or expectations with respect to the Company’s businesses, market conditions and/or results of operations, and while our management believes reasonable assumptions have been made, the Company’s actual results may vary in a material and adverse manner,
nothing herein is a guarantee of future performance and you are cautioned not to place undue reliance on such statements.
Except to the extent required by law, the Company has no intention to update or revise forward-looking statements, or to publish prospective financial information in the future, regardless of whether new information, future events or any other factors affect the information contained in this presentation.
Any investment in the Company is subject to various risks, including but not limited to, our technology and science not meeting current expectations, intellectual property challenges, competition in the market, insufficient customer acquisition, legal and regulatory limitations in certain jurisdictions, privacy issues, among others.
Information in this presentation, including financial information, should not be considered as legal, financial or tax advice or a recommendation to investors or potential investors in relation to holding, purchasing or selling securities. Before acting on any information you should consider the appropriateness of the information having regard to these matters, any relevant offer document and in particular, you should seek your own independent financial, legal and tax advice.