“Management of mental health disorders through advanced technology and services – telehealth for the MIND”
The MastermMind Consortium to avoid dispersing efforts has narrowed the scope of the services to just one, non-organic, mental disorder: depression. This because of its high incidence, social cost and proven clinical effectiveness of ICT in its treatment.
1) to implement at scale (almost 5.000 patient overall) evidence based computerised Cognitive Behavioural Therapy (cCBT) services for depressed adults across 9 EU and Associated Countries, 6 of which participate through Authorised National Representatives, and from
this implementation: identify the barriers and success factors to implement cCBT on a large scale in different political, social, economic and technical health care contexts and from the perspective of different stakeholders such as patients, professionals and health insurances; recommend successful strategies for implementing cCBT in these different contexts/settings.
2) Implement video conference enabled blended care for patients with depression treated in General Practice where the patient and GP have an interview with a specialist to support diagnosis, treatment planning, follow-up and education of both the patient and the GP. Using the lessons learnt, the Consortium will develop guidelines for promoting and facilitating the broader implementation across Europe of a safe, effective and efficient service supported by relevant stakeholders. The project will also explore the implementation of language and culture specific cCBT services for foreign citizens living in EU countries and will produce localised version of cCBT (4 in total) for countries non represented in the Consortium to prepare the roll-out of cCBT in other areas of the EU. The outcome of the service will be evaluated using a widespread HTA-based rigorous multi-dimensional evaluation methodology, MAST, already in use in other Pilots A. The Consortium provides a balanced mix between pioneer and early followers and between Nothern and Southern, Eastern and Western Europe.
Region Syddanmark (RSD),- Denmark
NHS 24 (Scotland) (NHS24), United Kingdom
Powys Teaching Local Health Board (PHB), United Kingdom
The Institute of Rural Health LBG (IRH), United Kingdom
Stichting VU-VUMC (VUA ), Netherlands
Stichting GGZ InGeest (GGZinGeest), Netherlands
Servicio Aragones de la Salud (SALUD), Spain
Asociacion Centro de Excelencia Internacional en Investigacion Sobre Cronicidad (KRONIKGUNE), Spain
Servicio Vasco de Salud Osakidetza (OSAKIDETZA), Spain
Badalona Serveis Assistencials SA (BSA), Spain
Conselleria de Sanidade de Galicia (SERGAS), Spain
Azienda Unita Locale Socio Sanitaria N 9 di Treviso (ULSS9 ), Italy
Consorzio Per il Sistema Informativo (CSI Piemonte) (CSI Piemonte), Italy
Azienda Sanitaria Locale TO3 (ASLTO3), Italy
Middle East Technical University (METU), Turkey
Friedrich-Alexander-Universitat Erlangen Nurnberg (FAU), Germany
Schon Holding GMBH & CO KG (SCHOEN), Germany
Universitetssykehuset Nord-Norge HF (NST), Norway
Tallinna Tehnikaulikool (TUT), Estonia
Global Alliance of Mental Illness Advocacy Networks Europe AISBL (GAMIAN ), Belgium
European Alliance Against Depression EV (EAAD), Germany
Health Information Management SA (HIM SA), Belgium
Ministry of Health and Infrastructure (AHP), Greenland
The objectives of Mastermind are to support the deployment of ICT-supported treatments for depression by:
• Upscaling the ICT-based mental healthcare services in regions / countries where these have been already successfully piloted.
• Triggering the uptake of the services in regions / countries new to ICT-based mental health care services.
• Demonstrating the cost-effectiveness of the services, confirming that the clinical outcome obtained through the services is at least equivalent to that of traditional care and checking their usability.
• Reducing the waiting lists for access to mental healthcare.
• Improving equality of access to mental healthcare between patients living in urban and rural areas and compensate for the phenomenon of medical desertification.
• Demonstrating that the results obtained in the regions and countries participating in MasterMind are representative of the variety of situations encountered in the European Union and in the Associated Countries and are therefore transferable to different healthcare organisations and cultural contexts.
• Demonstrating that the services are safe for patients and do not increase the incidence of adverse events (e.g. suicide).
• Rationalising the organisation of mental health services.
WP1 – Project Management, Financial Co-ordination and Quality Assurance.
WP2 – Dissemination and communication.
WP3 – Pilot Evaluation and Deployment Planning.
WP4 – Advisory Boards Management.
WP5 – Internet based guided cCBT for treatment of depression – 1st wave.
WP6 – Internet based guided cCBT for treatment of depression – 2nd wave.
WP7 – Collaborative care for depression facilitated by videoconference.
WP8 – Localisation of cCBT to new contexts.
WP9 – Liaison with other relevant EU and non-EU initiatives
GAMIAN is an active partner in WP 2 &4 :
WP2 – Dissemination and communication
This WP intends to give high visibility to the activities carried out in the project. Target audiences for this dissemination effort are:
• Health Authorities;
• Health Insurers;
• Healthcare Providers;
• Patients Associations;
• Professionals Associations.
The MasterMind dissemination strategy will clearly identify the key messages of MasterMind that are to be shared throughout the various means and media as well as to all target audience groups. The messages will be finally drawn up in the beginning of the project by the dissemination team, but will overall evolve around the central themes of MasterMind – Accessibility; Equity; Collaboration; Inclusiveness; self-management and “mastering of own mind”. The dissemination effort will be organised along the following communication lines:
• MasterMind website, which will be a living window of the project and will be constantly updated with the latest results achieved throughout the entire lifecycle of the Project;
• MasterMind leaflet which will be produced in two version to support the presentation of the Project in relevant conferences and fairs; This represents the “classical” but still widespread marketing tool of any project;
• Midterm Workshop and the Final Conference where 50-60 and 80-100 sector players respectively will be invited for a face-to-face presentation of the project results to promote the adoption of the MasterMind business model and service by other European regions.
WP4 – Advisory Boards Management
This WP brings together representatives of different categories of stakeholders having a say for the acceptance and deployment of the services trialled in the context of MasterMind to:
• provide the Project Team with advice on various aspects of a Project from an angle different from that of the stakeholders directly involved in the implementation of it;
• help increasing the general applicability of the solutions selected for the trials;
• support the Project Team in raising awareness on telemedicine evidence issues at European, national and local level;
• facilitate interactions of the Project Team with local stakeholders.