ptsd family coach
DESCRIPTION
PTSD Family Coach. Application Overview. Eric Kuhn, Ph.D. VA National Center for PT November 22, 2013 D. Application Development. Project Team. Subject Matter Experts. Steven L. Sayers, Ph.D. Katherine Iverson, Ph.D. C. Perry Bosmajian , Ph.D. Shirley Glynn, Ph.D. - PowerPoint PPT PresentationTRANSCRIPT
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PTSD Family CoachApplication OverviewEric Kuhn, Ph.D.
VA National Center for PTNovember 22, 2013D
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Application Development
Project Team• Julia E. Hoffman, Psy.D.1,3
• Eric Kuhn, Ph.D.1,2,4 • Laura H. Wald, Ph.D. 1
• Kelly M. Ramsey 1
• Josef I. Ruzek, Ph.D.1,4
1 VA National Center for Posttraumatic Stress Disorder2 VA Sierra Pacific (VISN 21) Mental Illness Research,
Education, & Clinical Center3 DoD National Center for Telehealth & Technology (T2)4 Stanford University School of Medicine (affiliated)
Subject Matter Experts• Steven L. Sayers, Ph.D.• Katherine Iverson, Ph.D.• C. Perry Bosmajian, Ph.D.• Shirley Glynn, Ph.D.
5 VA Puget Sound Health Care System, MIRECC 6 University of Washington, School of Medicine7Durham VA Medical Center, MIRECC8 Duke University School of Medicine9 VHA Office of Clinical Public Health
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Need for PTSD Family Coach
• Involvement of family members/loved ones is critical to treatment of someone with mental illness (e.g., Dausch et al., 2012)
• PTSD symptoms such as anger, violence, numbing, and avoidance may negatively impact close relationships, including those with spouses and children (e.g., Galovski & Lyons, 2004; Sayers, 2011; Sayers, Farrow, Ross, & Oslin, 2009)
• Family members and friends of someone with PTSD may experience distress as result of their interactions with that person (e.g., Dekel & Monson, 2010)
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Promise of PTSD Family Coach Mobile Phone Intervention
• Accessibleo 56% of adults in the U.S. have smartphones (Pew Internet & American Life Project, 2013)
• Evidence based featureso Content developed by PTSD subject matter experts
• Conveniento Can be used anytime & anywhereo Can be personalized with user’s own photos, music, & contacts
• Discreeto Can be used in public spaces without drawing attention/notice
• Cost-effectiveo App is free
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PTSD Family Coach Overview• PTSD Family Coach is a mobile phone
application for people who have a loved one with Posttraumatic Stress Disorder (PTSD)
• This application provides:o education about PTSDo a self-assessment toolo portable skills to address acute symptomso direct connection to crisis support o information about treatment aimed at guiding those
who could benefit into care• Can be used as a stand-alone tool or to augment
face-to-face care with a healthcare professional • Due to the application’s portability, these tools are
easily accessible when they are needed most5
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PTSD Family Coach: 4 Main Components
• From the Home screen users can choose to:
o Learn
o Self Assess
o Get Support
o Manage Stress
• Personalize button can be used to customize app with user’s own photos, music, support contacts, & safety plan
• The “?” button provides info about the app development team
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(1) Learn About PTSDProvides user with information derived from PTSD experts about the following topics:
• PTSD Basicso Symptomology, treatment, ways to support a
loved one with PTSD• Self-Care
o Overview of challenges that family members or friends may experience if a loved one has PTSD
• Family Careo Impact of PTSD on children & parenting tipso Impact of PTSD on intimate partner
relationships, communication tips, & addressing concerns about IPV
• Getting Treatmento Communication tips for encouraging treatment,
types of treatment providers, counseling options, & overcoming barriers to seeking care
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(1) Learn about PTSD - Basics
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(1) Learn about PTSD: Family Care
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(2) Self-Assessment
• Monitor distress levelso 10-item Perceived Stress Scale
(PSS; Cohen, Kamarck, Mermelstein, 1983; Cohen & Williamson, 1988)
o Item about stress related to loved one with PTSD
o Item about perception of safety around loved one with PTSD
• Track & view stress history over time
• Schedule future assessments
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(2) Self-Assessment Examples
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(3) Get Support
Users can locate resources for:• Immediate services in
emergency situations• Loved ones with PTSD• Children or family
members affected by PTSD
• Veterans & Service Members
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(3) Get Support - Examples
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(4) Manage Stress
• Identify problem areas & severity of distress related to:o General stresso Isolation/Lonelinesso Anger/irritationo Sleeplessnesso Parenting challengeso Safety concerns
• Immediately access specific tools for coping
• Determine preferred tools • Thumbs up – Tool is saved to “Favorites” List
• Thumbs down – Tool is not suggested again 14
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(4) Manage Stress - Process
• User selects symptom area• User rates distress on 0 to 10
thermometer scale• Depending on problem & severity,
user is routed to any of a number of cognitive-behavioral skills
• After completing tool, user re-rates distress
• User receives feedback on score• Option to give thumbs up/down
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(4) Manage Stress – Process Example
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Users can determine which tools they like
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(4) Manage Stress – Toolkit
• All tools are based on Cognitive Behavioral Therapy and are empirically supported
• Tools include:o Activity planningo Motivational messageso Mindfulness exerciseso Positive imageryo Reframing techniqueso Relaxation exerciseso Sleep hygiene tipso Time outs
• Also includes option to create personalized safety plans if user has safety concerns
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(4) Manage Stress – Toolkit Examples
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(4) Manage Stress – Toolkit Personalization
• User can add personal photos, music, and contacts into the app for customized distress support
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(4) Manage Stress – Personalized Safety Plan
User can:• Access info
about safety plans
• Create a customized safety plan
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(4) Manage Stress – Safety Planning
User can:• Access info about safety plans, such as:
o Who to contacto What to pack if leaving is necessaryo Where to go
• Create a customized safety plano Specific contactso Safe locations in the homeo Safe locations outside the home
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(4) Manage Stress – Safety Plan Access (3 Locations)
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(4) Manage Stress – Customize Safety Plans
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Tool Preference Removal
• All tool preferences can be removed
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Clearing All App Data
• All data can be cleared from the app– Helps protects
security of user– Allows for
multiple users
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