This document discusses the use of mobile apps and devices in psychiatric training. It begins by acknowledging those who contributed to the discussion. It then notes that the authors do not have any financial conflicts of interest in advising startups. Several key points are made about incorporating apps safely: use reputable developers, try apps yourself first, and ensure informed consent about security, privacy, and lack of testing. Current uses of apps in telepsychiatry are described, as are resources like the VA app store and IntelliCare platform. Emerging technologies like virtual reality and Facebook's suicide detection are also mentioned.
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Smartphone Apps AADPRT
1. @JohnTorousMD, @StevenChanMD
MOBILE APPS & DEVICES IN
PSYCHIATRIC TRAINING
Steven Chan MD MBA PGY-4 UC Davis Psychiatry
John Torous MD PGY-4 Harvard / BIDMC / BWH
THANKS TO DON HILTY, DONALD HILTY, SANDRA DE JONG, ERICA SHOEMAKER,
CHRIS SNOWDY, STEVEN CHAN, JOHN TOROUS & PATRICK ONEILL, JOHN LUO, APA/
SAMHSA MINORITY FELLOWSHIP PROGRAM.
5. @JohnTorousMD, @StevenChanMD
NATIONAL HEALTH SERVICE APP STORE RISKS
Half of apps (50 %, n = 35/70) included strong
identi鍖ers in transmitted information. Two-
thirds of these (66 %, n = 23/35, 29 % of all
apps) sent identifying information without
encryption, including email addresses (n = 5),
account login details (n = 5), full name (n=2) or
date of birth (n=2).
Huckvaleetal.BMCMedicine(2015)13:214DOI10.1186/s12916-015-0444-y
6. @JohnTorousMD, @StevenChanMD
NATIONAL HEALTH SERVICE APP STORE RISKS
[Of the apps with privacy policies,] for a small
number (4 %, n = 2/49) information handling was
completely consistent with commitments made by
the policy. However, while no apps transmitted
information where a speci鍖c commitment had
been made not to, four-鍖fths either collected (82
%, n = 42/49) or transmitted (78 %, n = 38/49) one
or more data items not addressed by a policy.
Huckvaleetal.BMCMedicine(2015)13:214DOI10.1186/s12916-015-0444-y
7. @JohnTorousMD, @StevenChanMD
THREE KEYS TO INCORPORATING APPS
1 Use reputable institutions & veri鍖ed
developers.
2 Try an app yourself 鍖rst. If an average
person can use it prescribe it.
3 Informed consent on security, privacy,
and lack of testing is key.
19. @JohnTorousMD + @StevenChanMD
HTTPS://GOO.GL/nrlDRg
≒ How can the following patients take
advantage of apps to help with their
condition?
≒ When should apps not be used?
≒ Where can you turn to for more information?
20. @JohnTorousMD + @StevenChanMD
HTTPS://GOO.GL/nrlDRg
Case 2a. A 30-year-old female with no prior
history comes in for intake, stating that her
boyfriend brought her here saying she needed to
see a psychiatrist. Her boyfriend has threatened
her to not leave him on a daily basis and has
closely monitored her Android smartphones call
logs and messaging. She is planning to leave him.
You 鍖nd that her symptoms are most consistent
with PTSD.
Case 2b. A 30-year-old female (similar to #2a)
comes in for intake, but instead of Android, she
has an iPhone.
21. @JohnTorousMD + @StevenChanMD
HTTPS://GOO.GL/nrlDRg
Case 2c. A 30-year-old female has a new-onset history
of panic attacks. She has no access to a psychotherapist,
lives in a remote rural area 2 hours away, and has an
iPhone.
Case 2d. A 30-year-old female presents similarly to #2c,
but instead of an iPhone, she has anObamaphone.You
ask her what anObamaphoneis, and she shows you
her Palm Pr辿.
Case 2e. A 30-year-
old female presents similarly to #2c, but instead of an iP
hone, she has adumbphone.You ask her what adumb
phoneis, and she shows you a device with only SMS me
ssaging capabilities.
23. @JohnTorousMD, @StevenChanMD
MOBILE APPS & DEVICES IN
PSYCHIATRIC TRAINING
Steven Chan MD MBA PGY-4 UC Davis Psychiatry
John Torous MD PGY-4 Harvard / BIDMC / BWH
THANKS TO DON HILTY, DONALD HILTY, SANDRA DE JONG, ERICA SHOEMAKER,
CHRIS SNOWDY, STEVEN CHAN, JOHN TOROUS & PATRICK ONEILL, JOHN LUO, APA/
SAMHSA MINORITY FELLOWSHIP PROGRAM.