Dr Helen Pote
‘Catch them Early’
Developing Digital Competences in Clinical Psychology Trainees
The Future’s Digital
2
Mayden Summit 2015 & Conferences
3
https://www.minddistrict.com/professional/tag/online-therapy-uk/
Clinicians as Problem Solvers
Assessment
Formulation
Intervention
Evaluation
• Define the
Problem
• Data form
multiple
sources
• Identify key
concerns
• Integrates
theoretical
and research
knowledge
• Consider the
evidence base
• Individualised
intervention
plan
• Refine in light
of feedback
• Outcome Data
• PROMS and
PREMS
Knowledge
4
Interventions Available
Evidence Base/Feedback
CYP IAPT Hackathon
5
Clinicians & Developers as Problem Solvers
Agile Working
Assessment
Formulation
Intervention
Evaluation
• Define the
Problem
• Data form
multiple
sources
• Identify key
concerns
• Integrates
theoretical
and research
knowledge
• Consider the
evidence base
• Individualised
intervention
plan
• Refine in light
of feedback
• Outcome Data
• PROMS and
PREMS
Problem
Definition
6
User journey
Minimum viable
product
Usability Testing
Hackathon as a training model?
Experiential
Interprofessional
working
Mental Health First Aid App for Teachers
http://mindaid.herokuapp.com/
7
1. Shared problem
solving process
2.Shared language
3. Exposure to fears
4.Builds enthusiasm
Clinicians as Problem Solvers
Experiential
Competence & Confidence
Exposure to anxiety
Assessment
Formulation
Intervention
Evaluation
• Define the
Problem
• Data form
multiple
sources
• Identify key
concerns
• Integrates
theoretical
and research
knowledge
• Consider the
evidence base
• Individualised
intervention
plan
• Refine in light
of feedback
• Outcome Data
• PROMS and
PREMS
Knowledge
8
Interventions Available
Evidence Base/Feedback
Digital Training Innovations at Royal Holloway
Conference
• Novice & Experienced Practitioners
• Information sharing & evidence base
• Experiential workshops
App Development
Workshop
• Trainee & experienced Practitioners
• Trainee coders
• Educational aims
National Survey
9
• Digital training offered
• National Workshop
Conference Feedback
Critical
thinking
Thinking outside the box about how services and treatments can be
developed with technology
Helped me think critically about digital mental health services
Helped me significantly to think about process of procurement in this area
Client to the
centre of
digital
developments
It helps stimulate thinking on how to develop interventions to meet the
needs of the client group I work with
Creative
enthusiasm
It made a digital approach is more inviting
Time away from clinic to stop and think about the potential for digital tools
and the benefits to patients
Inspirational for further ideas
10
The chance to think about new creative ideas with colleagues
National Survey: How important are DMH Skills for future practice?
10
9
9
8
7
7
6
5
5
4
3
2
2
1
1
0
Very important
11
Important
Slightly important
Not at all important
Undecided
Teaching and Placement Activity on Digital Mental Health
Do you teach about digital
mental health?
unsure
25%
yes
8%
Do NHS placements develop skills in
digital mental health?
yes
0%
no
67%
unsure
50%
12
30 CP Training
Programmes Nationally
N = 24 respondents (80%)
no
50%
What DMH activities might trainees have the opportunity to try?
online therapy
13%
skype therapy
6%
• Recognition of the
importance of the area for
future practice
• Limited teaching
N = 16
13
mental health
apps
81%
• Limited focus on developing
and monitoring these skills in
placement
What specific DMH competences and knowledge are
important for trainees?
Consent and
governance
issues in using
digital
The training need is
technologies
more within the
programme staff as
the trainees are
more familiar to
digital Maintaining
interactions the
therapeutic
relationship
14
IT and ability to
be spontaneous
Etiquette
To understand that non face
to faceof
in posting
using
Skype for
approaches are potentially
defensive
in
therapy
nature and can have a negative
impact on
a service user. The costs of implementing
effective digital based interventions
remain huge and are currently non
evidence based.
Training around
use and content
of emails
Conclusions
• Some promise in experiential, multi-professional
collaborations for the development of digital
mental health skills.
• Doing this early with mental health trainees in
partnership with more experienced colleagues may
be a positive way to spread knowledge and dispel
fears.
• Commissioner and policy implementers need to
take the training message seriously for success
15
What next for training in digital mental health?
1. Need to enthuse more trainers to include it in their curriculum
– working with professional bodies & HCPC
2. Define what digital mental health competences we need to
train? Road map of digital competences.
 British Association for Counselling & Psychotherapy BACP Telephone and E-counselling Competences Framework
3. Need more mapping of training and what works in workforce
development.
4. Need ways to assess competences and training outcomes measurement of digital skills
16