1. Helping support young people
Building Resilience
Helping support young people
Jamie Prangnell – Managing Director
{Skills Show - Birmingham}
Welcome everybody, my name is…
During the next 45mins I’ll be talking about:
What building resilience means
The technology behind the mental healthcare apps
How we co-designed and developed them with BSMHFT
And the knowledge we’ve gained as a result
Video case study of clinicians and patients talking about how apps can help
In the last 5 minutes of my presentation I’ll take questions.
“Appadoodle have been extremely accommodating of our ideas, helping to refine and tailor them according to our patients’ needs.”
– BSMHFT Early Intervention Services for Psychosis

2. What is Building Resilience? Being Mindful
Helping build mental health resilience
What is Building Resilience?
Being Mindful
First what does mental health mean?
We all know the importance of physical health, so equally the same applies to mental health
Unlike physical health, mental health seems to be a taboo subject even though at some stage we all suffer common mental health conditions such as stress, anxiety, or depression.
BR is about coping with different life pressures
It’s finding coping strategies to overcome these different challenges, which can stem across all areas of life:
Exam pressure
Changing school
Thinking of future careers
Bullying, or peer pressure
Relationship or family issues
Overcoming various
Ultimately resilience is the ability to bounce back from adversity and problem solve life's challenges

3. Raising Awareness of Mental Health
Helping build mental health resilience
Over half of mental disorders first emerge in childhood and adolescence (Kessler et al., 2007)
- Possibilities for early identification and intervention…

4. Raising Awareness of Mental Health
Helping build mental health resilience
Attributes of resilient young people:
Social competence: empathy, caring, flexibility, communication skills, and a sense of humour
Problem-solving skills: think abstractly, generate alternate solutions, planning, seek help from others
Critical consciousness: insightful awareness of structures of cruelty (e.g. an alcoholic parent) and strategies in overcoming them.
Autonomy: sense of own identity, act independently, able to exert some control over the environment
Sense of purpose: having goals, educational aspirations, and a belief in a bright future (Zolkoski and Bullock 2012)

5. Building Mental Health Resilience
Software solutions need to be aligned to a strong requirement 1
Resilience 2 3 4 5 6
Identify the trigger / problem
What would I like to happen?
What is the first step I need to take?
Who can help?
Where else can I look for support?
What makes me feel better?
Reflection and self discovery
Building Blocks

6. Smartphone Use Young People
Helping build mental health resilience

7. Digital Support: Mental Health
Helping build mental health resilience through the use of mobile apps

8. Silver Linings Mobile App
Helping build mental health resilience through the use of mobile apps
Silver Linings is an app to help young people who have experienced an episode of Psychosis
The app is designed to improve understanding of experiences and help recovery as well as being helpful and fun. It offers the tools to imaprove mental health and help patients to stay positive.
An important feature of the app is to help you identify goals and work towards achieving these with rewards for challenges

9. Helping build mental health resilience through the use of mobile apps
Focus ADHD Mobile App
Helping build mental health resilience through the use of mobile apps
The ADHD team were keen to explore ways in which they could support patients as many weren't able to reflect their mood, diet, sleep and whether they'd taken their medication on time – all vital to wellbeing and progress
Working with patients to help design the App – individuals can now record their activities and mental status – and easily find helpful advice encouraging co-responsibility for progress and engagement with clinical staff

10. Idea, Concept and Final Product
Ideas can start with a drawing and basic wireframe

11. How we work with clinicians to build software solutions
Mobile App Dev Process
How we work with clinicians to build software solutions
Roadmap
Delivery &
Launch
Testing
System
Architecture
DEVELOP
Requirement
Analysis
DESIGN
DELIVER
Technical
Specification
Discuss
Concept
App
Development
“Appadoodle are clear thinkers and communicate ideas in jargon-free language for technology naïve clients.”
- Dr Erin Turner

12. Innovative features born out of partnership working
App Features
Innovative features born out of partnership working
Mood diary
Diagnostic data
Dynamic content
Smart advice
Scheduled alerts
Push notifications
Medication reminders
Gamification
Educational

13. Innovation: Gamification
An innovative way to engage users and achieve results
Personal
Engages
Empowers users
Rewards
Reinforcement
Social & supportive
Fun and progressive

14. “What patients and clinicians say..” NHS Co-Design and Development
Video case study of how mobile apps can support mental health
“What patients and clinicians say..”
NHS Co-Design and Development

15. The full process of design and developing software
Lessons Learnt
The full process of design and developing software
Initial Meeting
Testing
User
Involvement
User interface design
Future
Proofing
Front-end Design
Workflow diagram
Launch
Validation
milestone1
milestone2
milestone3
milestone4
milestone5
milestone6
Refinement
User journey mapping
User
Requirements
Wireframes
Content Population
Artwork
Maintenance
Coding
We’ve been working with BSMHFT for nearly 2 years
It’s been an exciting and inspiring journey
We’ve learnt a lot, which we’re ready to share with other NHS trusts and healthcare bodies
Initial Contact
Planning
Content
Design
Development
Launch