NEWS Summer 2019 - Interreg NWE
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NEWS
Summer 2019
eMEN
Welcome Influencing policy and practice:
to the eMEN summer newsletter, updating you Combined expertise across the eMEN partners
on our progress and achievements in e-mental has supported our policy work, illustrated below
health technologies across Europe. by the German draft law for the “Digital Health
Care Act” and the promotion of safer (mental)
What has happened so health information exchange in the Netherlands
far? by using international medical standards.
Piloting new products: Knowledge Sharing & Exchange:
As part of the eMEN project, each partner We have also been sharing knowledge about
country is piloting an e-mental health product. policy and research in new ways, through cross-
This summer’s newsletter highlights some of disciplinary events like the Belgian seminar
the innovative approaches developing from focussing on Return on Investment, the Irish
these pilots, including how they are addressing seminar on technology and student mental
barriers to the uptake of e-mental health. Read health and the Cardiff seminar on the increasing
more about the experiences of the German access and equity of digital mental health in
Moodbuster roadshow. Cardiff, Wales.
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Knowledge-sharing events are being hosted by
eMEN partners throughout the project, so if you
missed out on the events above, there is still
time to attend one of our upcoming seminars or
conferences. They are all free to attend!
Recent eMEN events
Technology and mental health: a good
ROI?
The 4th Belgian seminar was held in Leuven
(BE) and focused on “Technology and Health: a
good Return on Investment (ROI)?”. During the
opening of the seminar, the Federal Minister of
Public Health, Maggie De Block emphasized the
importance of a good integration of eHealth in
Charlotte Van den Broucke (Pulso Europe
the healthcare system. She elaborated on the
subsequently presented one of the Pulso tools
various e-health initiatives that have been rolled
“Studying Without Worries” (“Studeren zonder
out in recent years and was also very positive
blokkeren”), an online program which offers
about how the eMEN project is contributing to
students a wide range of guidance during their
the further upscaling of e-(mental) health.
studies.
Next, an interesting line-up of speakers shared
The second keynote, Eric Van der Hulst provided
their experience on the Return on Investment
an overview on health tech innovations
(ROI) of eMental Health products.
developed by Imec. He also discussed current
healthcare challenges and how technology or
mobile health could be of added value for the
“mobile generation”.
After these two keynotes some case studies
were presented: The Balance tool (a stress self-
assessment tool) and how it was used in the
Belgian supermarket chain, Delhaize, presented
by Eddie De Block. Next, Koen Dewit (Zenjoy)
showed us why design matters in branding
and designing apps and tools. Pamela Loges
(Ideas from Europe) presented the “Generation
Z” and their own mental health, and solutions
to empower it. Finally, a Belgian publisher
(Lannoo) demonstrated how they also invest in
The first keynote, Dirk Antonissen (Pulso Europe)
interactive products in mental healthcare. In this
spoke frankly about the difficulties to make a
case, Memory Palace, was presented by Lannoo
revenue with e-mental health products from
author Kasper Bormans. Memory palace gives
the perspective of a social profit organisation,
memories a place for people with dementia in a
providing services and tools in e-mental health.
unique way to improve contact with people with
dementia.
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The program was closed by a short panel and Prof. Jacques van Lankveld from Open
discussion. All presenters further discussed ROI University, The Netherlands, who presented on
and concluded that such a commercial focus eMental Health courses for students.
is often outside of the comfort zone of mental
healthcare (professionals). Nonetheless it is The seminar also covered some examples of
an important aspect of any mental healthcare usage of technology in student mental health
service and we should certainly be mindful of services in Ireland, including Trinity College
this in the future. Dublin Counselling Service, Dublin City University
and Participate Social Anxiety Programme of
Technology and Student Mental National University of Ireland, Galway.
Health Seminar
The last session focused on presentations
from students on how they have developed
On June 18th, Mental Health Reform and
technology and successfully integrated it into
the Union of Students of Ireland hosted an
their campaigns. This was followed by a student
international seminar on Technology and
leader panel, discussing the use of technology in
Student Mental Health. The event was held at
improving students’ mental health.
Technological University Dublin, Grangegorman
Campus.
The seminar addressed the potential offered
by technology-supported applications (eMental
Health) in student mental health services and
supports. It covered a range of themes, including
some existing examples of eMental Health as
part of core student mental health services,
innovation in third level settings, cross-campus
initiatives and eMental Health courses.
The event has attracted a range of national
and international expert speakers and over
100 participants. Among the keynote speakers
were: Prof. Heleen Riper from Vrije Universiteit
Amsterdam, who presented on: eMental Health,
beyond state of the art & the Caring Universities
project; Dr Derek Richards from SilverCloud
Visit the eMEN website for the full article
Health and Trinity College Dublin, who talked
about Developments in eMental Health for students
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Wales well-placed to incorporate Health Technology Wales and the Digital Health
Ecosystem are looking at how it can be used
digital technology into mental health
in Wales. Professor Ricardo Araya, Professor
care of Global Mental Health and academic lead
of the Global Mental Health Research Group,
On July 4th 2019, the Mental Health Foundation,
King’s College London, spoke about the recent
the UK partner in the eMEN project, organised
progress and challenges in Global eMental
a seminar Digital Mental Health: Increasing
Health. With the rapidly growing ‘industry’ of
Access and Equity in Cardiff, Wales. The seminar
digital solutions to help reduce the treatment
was organised in collaboration with the Public
gap in mental health, most of these digital
Health Wales 1000 Lives Mental Health and
solutions have never been tested or evaluated in
Learning Disability team. Carol Shillabeer, CEO
a rigorous way.
Powys teaching Health Board, opened the day.
Delegates were informed that Wales is well
In the late morning session, Shari McDaid spoke
placed to incorporate digital technology into
on behalf of Rebecca Cotton, Director of Policy
mental health care and that digital technology
at the Mental Health Network, who recently
can play a key role in mental healthcare.
completed a Winston Churchill Memorial Trust
Fellowship. There Rebecca learned about how
Expert presentations focussed on recent
digital technology is being used to improve
developments in digital mental health and
mental health in Australia and the USA.
explored how such evidence-based technologies
Professor Chris Williams, Emeritus Professor
can offer innovative and increased access to
of Psychosocial Psychiatry at the University of
high-quality mental health care, including for
Glasgow, spoke about how blended learning
groups with a higher risk of developing mental
approaches offer benefits over online alone.
health problems, and those living further
Professor Williams referred to the solution of
away from more traditional service provision.
combining digital, book and class approaches.
It will also explore issues of the effectiveness
Dr Paul Best, lecturer in Social Work at Queen’s
and accessibility of digital mental health
University Belfast (QUB) and BABCP registered
technologies.
Cognitive Behavioural Therapist, spoke about
the accessibility and acceptability of online
technologies to support mental health and well-
being within a Northern Irish context.
In the afternoon session, Dr Jacinta Tan, a
child and adolescent psychiatrist and medical
ethicist, and Professor Alka Ahuja, Consultant
Child and Adolescent Psychiatrist and the Lead
Consultant for the Tertiary Neurodevelopmental
service at Aneurin Bevan University Health
Board, delivered a workshop which focused
on how to collaborate and partner with other
agencies on technological mental healthcare
innovations. This was followed by a Tabletop
discussion where delegates could discuss and
propose answers to key questions regarding
the integration of digital mental health from
Addressing the issue of quality of mental health three perspectives: service users, practitioners,
apps, Helen Northmore, Programme Manager, organisations (e.g., the advantages and
Digital Health Ecosystem Wales, reported that disadvantages of using digital mental health
NICE has launched an evidence standards tools in assessments? in interventions?
framework for digital health technologies and Concerns about digital technology in this field?
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how to establish an evidenced base for digital
technology?). The session was closed with a Interesting
question and answer feedback session between Developments
delegates and speakers.
Acceptance and benefits of internet-
Chair speakers included Dr Antonis Kousoulis,
Director of Policy & Research at the Mental based interventions in inpatient
Health Foundation, Andrea Gray, Mental Health settings – experiences of German
Development Lead at 1000 Lives Improvement Moodbuster roadshow
in Public Health Wales and Simon Mudie,
Experts by Experience Involvement Consultant The interest in e-mental health is increasing,
representative. not least because of projects such as eMEN.
With increased interest comes the possibility to
During the breaks, SMEs and App developers explore new and previously neglected areas for
had the opportunity to showcase their product. application. Though internet-based interventions
have acquired a solid evidence base in a variety
Read the full article here of settings, especially when provided with some
form of human support, little is known about
Digital innovation: trying to do things in a their application in inpatient contexts. That is
new way with the use of technology why researchers from the eMEN project have
Interview with Helen Northmore by Marleen Swenne conducted a workshop on the acceptance and
benefits of internet-based interventions in 10
One of the speakers at the Cardiff seminar, mental health institutions all across Germany:
‘Digital Mental Health: Increasing access Schleswig-Holstein, Berlin, Brandenburg, North
and equity’, was Helen Northmore. Helen is Rhine-Westphalia and Bavaria. Participants
Programme Manager, Digital Health Ecosystem ranged from senior to junior physicians,
Wales and her task is building a network that psychiatrists, psychologists, and even to
improves developing digital healthcare. Main occupational therapists. They received a live
goal is to bring all the parties that are involved introduction to Moodbuster, an internet-
together: industry, social care, experienced based treatment for depression, and had the
users, IT-people. I wanted to interview her about opportunity to work hands on with the program.
the theme of the seminar and also because Moreover, they completed questionnaires
I thought she knew a lot about the e-mental on the usability and acceptance as well as on
health users’ perspective, but that was not quite advantages and disadvantages of internet-
correct… based interventions in inpatient settings. Each
workshop was concluded by a group discussion.
Read the full interview here In these discussions, the researchers gathered
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information on the essential intervention The German health care system is
components that staff members require in moving towards digitalisation
order to use an internet-based intervention.
Finally, barriers to implementation, as well as In Mid-May 2019 the German Federal Health
chances and risks associated with internet-based Minister presented a draft law for the “Digital
interventions were discussed. Health Care Act (Digitale Versorgung-Gesetz –
DVG)”. By German standards, it contains almost
The results of the questionnaires will be spectacular new regulations, as it provides,
analysed in the upcoming months. However, among other things, for insured persons to be
a few trends emerged during the discussions. entitled to digital health applications (“diGA”).
Generally, most participants were enthusiastic Digital health applications might soon be
about the use of internet-based interventions, prescribed by doctors and might gain access to
such as Moodbuster, in ambulant settings. the primary healthcare market.
They were more reluctant however to provide
a full intervention online to their inpatients. At request of the provider, the application would
Staff feared the reduction of already limited be audited by the Federal Institute for Drugs and
contact hours with their patients. Despite Medical Devices (BfArM) for compliance with all
this reservation, certain components, such legal requirements, data protection and data
as a psychoeducation module, were deemed security as well as for positive healthcare effects
beneficial. An often-mentioned application was and then would be included in the directory of
bridging the time between face-to-face sessions. reimbursable digital health applications.
Unfortunately, the largest barrier to To be listed reimbursable, the “diGA” must be
implementation from a technical perspective a medical device with a low risk class, i.e. risk
was the lack of infrastructure. Almost none class I or IIa according to the Medical Devices
of the 10 institutions regarded their WIFI Regulation. Stand-alone software, which
connection or availability of computer prepares and makes available information to
workspaces as sufficient for implementing an decide on diagnoses or treatments, is in risk
internet-based intervention. Finally, privacy and class IIa. However, if it can directly or indirectly
data safety remained a concern. cause a serious deterioration in health, it falls
in a higher class. As a result, many applications
Visit the eMEN website for the online article would be excluded from the new regulation.
Further development of this draft law will be
presented in the next eMEN newsletter.
You can read the online article here
Promoting safer (mental) health
information exchange in the
Netherlands by using international
medical standards (SNOMED CT and
HL7 FHIR)
In the Netherlands different types of healthcare
service providers use different information
standards and digital systems (sometime even
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The Dutch Ministry of Health, Welfare and Sport
has started the MedMij program together with
the Dutch Patients’ Federation, Nictiz and the
Care associations. MedMij is an agreement
system aimed at the safe exchange of health
information. It is a framework of agreements
and standards that is represented on
government level in the so-called ‘Information
Consultation’ (IB), a partnership without further
within their own organisation). This makes legal entity. Nictiz, the centre of expertise for
the exchange of medical data and prevention eHealth, develops and manages these standards
of mistakes very complex. Healthcare is (health information blocks) and provides advice
increasingly occurring in networks. These are on their implementation.
networks between patients, care providers,
colleagues and organisations conducting Currently a large funding program called VIPP,
research and contributing to the improvement which focuses on IT optimization, is being
of quality. Also, there is a need for patients implemented by the main sector organisation
to access and retrieve their medical data and for mental health care in the Netherlands (GGZ
participate in their own treatment. Nederland). VIPP makes it possible that patients
themselves have access to their digital files and
In 2014 The Dutch Ministry of Health proposed documents and increase the use of e-mental
plans to take a digital approach to make health. Furthermore, the data exchange within
healthcare even safer, more patient-oriented the entire care sector is supported, starting with
and more efficient. This means that health medication safety.
organisations can digitally exchange information
with patients in a standardized and secure
manner. This helps people to take control
of their own medical data and to be able to
manage and use it securely within their own
digital Personal Health Environments. A personal
health environment (PHE) is a digital tool
which you choose yourself and in which you
can keep track of information about your own
health and actively work on your health. The
PHE allows you to manage and access medical
data and also share it with others. This way
you keep a grip on your health care data, from The VIPP program also includes scaling up the
treatments to laboratory results, medications use of e-Health by demanding the integration
and vaccinations. And these data are yours and of direct access to e-health systems from
remain accessible throughout your entire life. the primary health system of professionals.
In order to achieve this, it is important that, as Healthcare service providers need to achieve
a first step, all healthcare service providers use patient e-health usages percentages of between
the same information (exchange) standards 10-15% in order to reach the minimum goals to
and legal contracts and healthcare information keep the VIPP grant amount allocated to their
blocks. Healthcare suppliers must be Medmij organisation.
certified. Medmij is a national trust framework
on information exchange between a Personal
Health Environment (PHE) and a healthcare
institution.
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Although the first information blocks are not politicians and other health care stakeholders
so exciting this is a very important first step. to find the best way into the digital future of
The mental health sector is already working on psychiatry and psychotherapy.
new information blocks like the (more dynamic) A preliminary program will be published here
treatment plan and functionality to enable not soon.
only retrieving information but also enable
digital cooperate together between patient and You can already register for the event here:
professional. online registration.
For more information about the VIPP program in
the Netherlands please contact Arq Foundation Share our animation!
(h.hiemstra@arq.org)
Our eMEN animation is available at nweurope.
Read the full article online eu/emen. It explains the concept of e-mental
health and the many ways it can support mental
Upcoming FREE wellbeing. We encourage you to share this with
transnational seminars your networks, embed it in your website and use
and conferences it in your presentations.
Over the life of the project, eMEN is delivering 24
transnational events across Europe addressing
e-mental health evidence-based innovations,
quality, access and scale.
29 November 2019: Berlin, Germany
Digital Innovations in Psychiatry and
Psychotherapy
Why not join our
transnational network?
The aim of the event is to provide an overview
of future key technologies in psychiatry and eMEN is an e-mental health project running until
psychotherapy. What is the state of research and May 2020, funded through the Interreg North
how can innovations transfer into health care West European Innovation Programme with a
routines? A highlight will be the presentation value of €5.36million. The six country partners
of several German innovation fund projects are led by the Netherlands and include Belgium,
in the field of e-mental health. In addition, the France, Germany, Ireland and the UK, who
current legal and political framework conditions together combine diverse technological, clinical,
in Germany are examined and discussed. research, and policy expertise.
An insight into the latest developments
is provided by a start-up slam in which To receive updates on our future activities and
innovative applications are presented in short connect to e-mental health stakeholders across
presentations. There is also a marketplace Europe, we encourage you to register to join our
for e-mental health companies. The event is network.
free and will take place in the context of the
biggest German congress on psychiatry. It We also welcome invitations to contribute to
brings together developers, researchers, users, your event. Further contact information for all
the partners is available at www.nweurope.eu/
emen.
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