Using technology to enable therapists to be the best they can be

Improving access to evidence-based mental health therapy

The history of technology and CBT

CCBT ICBT IECBT

A continuum

10-30 minute support

Idiosyncratic therapist delivered

No therapist

x

Mental Health: Magnitude of the Problem

1 in 4 adultsexperience at least one

diagnosable mental health problem in any one year

~80% of these

conditions go undiagnosed and

untreated

The economic impact of mental illness is estimated at

more than £100bn in the UK alone

Sources: The Office for National Statistics; World Health Organisation; National Survey on Drug Use and Health (NSDUH).

Cognitive Behavioural Therapy (CBT) is the most effective treatment

£100Bn+

• Stigma and Embarrassment prevent people from seeking help

• Access to qualified therapists is limited

• Quality is variable

But…

Transforming Mental Health Care

Personalised, clinically validated and quality controlled care augmented by computing for

• Accessibility• Affordability• Accountability

We measure outcomes and therapist behaviour. We share insights with patients and providers, so that we all learn what works.

• Therapy via synchronous messaging in secure one-to-one therapy area (scheduled sessions)

• Online access to homework tasks & outcome questionnaires

• Secure asynchronous messaging between sessions

• Review of verbatim transcripts

• Complete record of therapy available to patient for review post discharge

Unique, clinically validated, written conversation, CBT methodDelivered using proprietary web-based platform optimised for online therapy

2

Accessibility

Accessibility

Ieso Puts Patient Experience First

Focussing on patient experience –offering appointments

at a time and location convenient to the patient.

Patients typically choose to access therapy out of office hours,

especially during weekday evenings, to fit around work and other

life commitments.

Monday

Tuesday

Wenesday

Thursday

Friday

Saturday

Sunday

Having therapy in my home

environment helped me keep

my business private. I felt I

could open up and

be honest.

I have a busy schedule so

‘appointments’ which involve driving

anywhere add to my stress and become

more of a problem than a help. It was

great to be able to do this treatment

online, whilst at home, a place where

I feel more relaxed and in control.

Earlymorning 9am til 5pm Evening

9%Weekends

48%Weekday evenings

8

Accountability

Since 2013, Ieso has a proven track record of translating data into improved outcomes

47%

50% 51% 52%

2013 2014 2015 Jan-Jun 2015 Jul-Dec

*Based on a cohort of 80% high severity

We are using data insights to systematically improve clinical outcomes

Using data analytics, Ieso Digital Health can:

Monitor performance outcomes and compare it with national outcomes

Track therapist performance data and offer personalised support and training based upon this

Offer a ‘standing trial’ platform for advancing understanding of theory driven improvements in clinical practice

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Preliminary Ieso Clinical Outcomes Recovery Data 2013/2014 benchmarked against HSCIC National Statistics for other providers for the same period.

Matching Patients with Best Treatment Protocol

Percentage of cases recovered

Disorder Focused Clinical Outcomes Analysis Provides Baseline for Systematic Clinical Programme

0 10 20 30 40 50 60 70

IESO National

F41.2 Mixed anxiety and depressive disorder

F42 Obsessive compulsive disorder

F41.1 Generalised anxiety disorder

F41.0 Panic disorders

F40.1 Social phobia

Access to data enables accountability in care

Drill down to show individual

therapist performance

Ieso’s data analytics allow therapist performance data to be continually monitored

Personalised support and training based upon individual therapist data can be delivered

Therapist D Therapist E Therapist F Therapist G Therapist H Therapist I Therapist J Therapist K Therapist L Therapist M Therapist N Therapist O Therapist P Therapist Q Therapist R Therapist S Therapist T Therapist U

Therapist A

Therapist B

We enable therapists and supervisors to visualise their performance

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Research and Development Platform

Therapist transcripts provide full audit trail to limit therapist liability exposure in the event of client suicide

• Clinical status measured objectively at each session incl. improvement, deterioration, recovery

• Validated diagnosis-specific outcome scales

• Rate of recovery• Caseness• Relapse• Costs of therapeutic results

Detailed measurement of clinical course and response to treatment

EnablesLearning and

Prediction

Data already yielding significant operational efficiency gains. Recorded transcripts enable mandatory therapist quality control 10x faster than face to face therapy. By 2018 this will be fully automated and instantaneous

Digitally-Enabled NHS Business Generates Unique and Valuable Dataset

Full patient characterisation

• Clinical diagnosis

• Full clinical discourse transcripts

from patient and therapist

• Therapeutic model

• Asynchronous message content

• Clinical notes

• Demographics

• Medical History

• Medication status

• Location

• Ethnicity

• Quality of therapist

• Future: Sensor / Biometric Data

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Exceptional team

Lennart Hergel

Dr Ann Hayes

Dr Andy Richards, CBE

Dr Inga Deakin

Dr Jonathan Pell

Simon Cartmell

Steve Kerridge

Rosemary Cunningham Thomas

Dr Thom Van Every

Clive Pinder

Simon Cartmell, Executive Chairman

Barnaby Perks, CEO

Julian Coe, CFO/COO

Dr Andy Blackwell, CSO

Guy Beauchamp, CTO

Sarah Bateup, Director of Clinical Services

Imperial Innovations

Ananda Social Venture Fund

Cambridge Angels

Clearly Social Angels

HBS London Angels

Thorium Technology Investors

Professor Paul Stallard

Dr David Kessler

Professor Edward Watkins

Professor Michael King

Dr Jill Rasmussen

Non-Executives Executive Management Investment 2011-15

Commercial Advisory Board Clinical Advisory Board