Web and mobile applications can play a vital role in supporting the behavioral health of our military service members and their families. This presentation to the US Navy and Marine Corps Psychological Health Outreach Program (PHOP) outlines the mobile apps developed by the National Center for Telehealth & Technology specifically designed to support our warriors.

1. Web and Mobile
Apps for Military
Behavioral Health
Dr. Julie Kinn
Deputy Director, Mobile Health Program, T2
31 OCT 2013

2. Military Behavioral Health
• Needs
– Care for service members and families
– Access to resources for providers
– Agility to respond to emergent crises
• Challenges to excellent care
– Costs
– Distance
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3. Why Use Technology in
Military Health Care?
• Overcome barriers to care (e.g., Hoge et
al., 2004)
– Stigma:
• Web-based and mobile apps are anonymous
• User interfaces/ platforms familiar to service
members
– Logistics:
• “Hip pocket” availability
• 24/7 access to care, 365 days a year
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4. After Deployment
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5. After Deployment’s Provider Pro
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6. MilitaryKidsConnect.org
Site Visits
• Since JAN 2012: 201K
Site tailored depending
on identified
deployment location
Features
identified by text
and graphics
Passport
“gamification”
Age-differentiated
message boards
Stampy the
Global Guide
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7. MilitaryKidsConnect.org
PTS, Injury, and
Grief discussed
using graphic
novels and videos
of real military kids
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8. Deployed T2 Mobile Apps
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9. PTSD Coach
T2 collaborated with the VA's National
Center for PTSD to develop this app to
assist veterans and active duty
personnel (and civilians) who are
experiencing symptoms of PTSD. It is
intended to be used as an adjunct to
psychological treatment but can also
serve as a stand-alone education tool.
Features:
• Self-assessment of PTSD Symptoms
• Tracking of changes in symptoms
• Manage symptoms with coping tools
• Assistance in finding immediate support
• Customized support information
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10. T2 Mood Tracker
Self-monitor, track and reference
emotional experiences over a period of
days, weeks and months.
Features:
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Self-rating on pre-populated categories
Full note adding
Graphed results
Fully customizable categories
User-set reminders for self-rating
Send results to providers

11. Breathe2Relax
A portable stress management tool
utilizing hands-on diaphragmatic
breathing exercise. Breathe2Relax
uses state-of-the-art
graphics, animation, narration, and
videos to deliver a
sophisticated, immersive experience
for the user.
Features:
• Setup guide to assist with tailoring app
• Customizable backgrounds and music
• Immersive tutorial videos
• Body scanner to display effects of stress
• Graphing to track effectiveness
• Audio narration
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12. Provider Resilience
Self-care tool for healthcare
providers who work with service
members and who may need
support in coping with burnout or
compassion fatigue
Features:
• Quick dashboard view
• Graphing to track resilience
progress
• Tools to assist increasing resilience
• Inspirational value cards
• User sets reminders
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13. LifeArmor
A multi-topic application derived from
AfterDeployment.org to provide the
user with knowledge and tools to cope
with the many challenges faced by
today’s service members.
Features:
• 17 Self-assessments
• Multi-topic resource guide
• Ease to manage, customizable views and
favorites
• Manage symptoms with coping tools
• Video resources on topics
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14. Prolonged Exposure (PE) Coach
The first mobile application that
supports the elements of an
evidence-based psychotherapy for
PTSD
Features:
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Session homework
Confidential and convenient
Therapist guide
Session audio recording
Assessment result tracking
Disabled veteran accessible

15. Positive Activity Jackpot
Provides suggestions for daily positive
activities. Based on positive event
scheduling, the active component of
Behavior Activation. Helps with
depression, self-harming behaviors, and
individuals without any mental health
difficulties.
Features:
• “Jackpot” suggests random activities
• Users select from 376+ possible activities
• Augmented reality technology to identify
activities in immediate surroundings
• Ability to invite friends or post chosen
activity to social media
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16. Stay Quit Coach
T2 collaborated with the VA's National
Center for PTSD to develop this app to
assist veterans and active duty personnel
(and civilians) to reduce addition to
nicotine. It is intended to be used as an
adjunct to substance use treatment but
can also serve as a stand-alone
education tool.
Features:
• Personalized reasons to quit smoking
• Manage cravings with coping tools
• Progress tools and savings chart
• Assistance in finding immediate support
• Customized support information
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17. Biozen
Monitor, track and view biometric
data from Bluetooth enabled
devices to assist with biofeedback
therapies.
Features:
• Real-time tracking
• User tutorials for setup and learning
• Customizable graphical feedback
• Supports broad range of signal data
including:
EEG, EMG, GSR, EKG, respiratory
rate, and temp
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18. Psychological First Aid (PFA) Mobile
T2 collaborated with the VA's
National Center for PTSD to develop
this app to assist responders who
provide psychological first aid (PFA)
to adults, families, and children as
part of an organized response effort.
Features:
• Summary of PFA fundamentals
• PFA interventions matched to specific
concerns and needs of survivors
• Mentor tips for applying PFA in the field
• Self-assessment tool for readiness to
conduct PFA
• Survivors’ needs form for simplified
data collection and easy referral
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19. mTBI Pocket Guide
Clinical Practice Guidelines for
treatment of mild Traumatic Brain
Injury
Features:
• Quick results with coding guidance
• Symptom management lists
• Summary of clinical recommendations
• Patient education resources
• Clinical tools and resources
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20. Navy Leader’s Guide to
Managing Sailors in Distress
[Pending Release]
T2 collaborated with the Navy Marine
Corps Public Health Center to develop
this app as a leadership tool to help
leaders understand the factors that can
cause distress among Sailors, assess and
identify Sailors’ psychological and social
needs, and improve awareness of local
helping agencies.
Features:
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Case studies for reference examples
Guidance for identification and management strategies
Self-assessment of awareness of behavioral health
In-depth educational information about behavioral
health issues
 Links to resources for support
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21. Mobile Apps: Metrics
Mobile App Metric
Lifetime Downloads
Lifetime Uses
Avg. Monthly Downloads
Avg. Monthly Uses
Avg Session Length
Use/Download Ratio
Total
637,681
3,328,420
21,961
112,089
6:04
5.2
FY 2013 Uses are up
147% over FY 2012
"I use T2 apps EVERYDAY with my patients and
they love them! And as a provider I really love
the PE Coach app it has made PE so much
easier and I have seen an increase in patients
actually doing their assignments :)"
"I'm more likely to use this than keep track manually. Doc
loves that result!! Thanks for creating this tool!!"
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22. Resource Disc
T2’s Resource DVD is an easy
reference guide featuring easy-to-share
information about our websites,
mobile apps and special programs.
 Print-Ready posters and cards.
 Videos
 News stories about our products.
Request your T2 Resource DVD from publicaffairs@T2health.org
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23. LinkedIn Group
Psychological Health Providers for the Military Community
Psychological Health Providers for the Military Community Private
LinkedIn group for all health care providers supporting the military
community with psychological health related issues.
Provides members a dynamic environment for sharing knowledge,
resources, tools, and best-practices with colleagues in the military
mental health community.
Delivers unique content and previews of new tools and technologies
focused on military mental health.
Over 500 members comprised of psychologists, psychiatrists,
physicians, nurses, therapists, counselors, chaplains, and other roles.
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24. Contact Information
Julie T. Kinn, Ph.D.
Deputy Director, Mobile Health Program
National Center for Telehealth & Technology |T2|
9933 West Hayes Street, OMAMC
Joint Base Lewis-McChord
Tacoma, WA 98431
Julie.t.kinn.civ@mail.mil
www.t2health.org
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