She feels very stressed. She often finds herself worried about the future.
She feels very stressed. She often finds herself worried about the future.
She searches online and finds a page on her GP website, which allows her to self-refer and request access to the SilverCloud® by Amwell® platform.
She searches online and finds a page on her GP website, which allows her to self-refer and request access to the SilverCloud® by Amwell® platform.
Once she's signed up, Sarah has instant access to the Stress Programme. The modules help her to understand her stress and worry.
Once she's signed up, Sarah has instant access to the Stress Programme. The modules help her to understand her stress and worry.
|
She works her way through the programme, and builds new knowledge and tools into her daily life, which help her to manage her anxiety and stress. |
|
|
She works her way through the programme, and builds new knowledge and tools into her daily life, which help her to manage her anxiety and stress. |
For quite some time, they have been feeling tired and demotivated, which has been making day-to-day life tough.
For quite some time, they have been feeling tired and demotivated, which has been making day-to-day life tough.
They are referred to NHS Talking Therapies. Having been assessed by Talking Therapies, they opt for online Cognitive Behavioural Therapy (CBT) via a digital programme, with a supporter for guidance.
They are referred to NHS Talking Therapies. Having been assessed by Talking Therapies, they opt for online Cognitive Behavioural Therapy (CBT) via a digital programme, with a supporter for guidance.
Among the tools and resources their psychological wellbeing practitioner (PWP) has chosen for them is the Depression Programme, which Asher starts to work through.
Among the tools and resources their psychological wellbeing practitioner (PWP) has chosen for them is the Depression Programme, which Asher starts to work through.
They use this to get an overview of Asher’s activity, and to check in. Asher works their way through the iCBT tasks. These help them to understand how thoughts, feelings and behaviours can affect their mood and wellbeing.
They use this to get an overview of Asher’s activity, and to check in. Asher works their way through the iCBT tasks. These help them to understand how thoughts, feelings and behaviours can affect their mood and wellbeing.
They mention this to their supporter. The PWP unlocks added sleep content on the SilverCloud® platform to help with forming some healthy sleep habits.
They mention this to their supporter. The PWP unlocks added sleep content on the SilverCloud® platform to help with forming some healthy sleep habits.
|
They will still have access to the SilverCloud platform for a year, in case they want to revisit it. Asher has an improved understanding of mental health. They are equipped with the skills they need to feel better able to deal with mental health issues in the future. |
 |
|
They will still have access to the SilverCloud platform for a year, in case they want to revisit it. Asher has an improved understanding of mental health. They are equipped with the skills they need to feel better able to deal with mental health issues in the future. |
|
Because she’s struggling with anxiety, Sonia’s midwife suggests that she might like to try digital therapy to support her mental health. She sends her details about the SilverCloud® by Amwell® platform.
Because she’s struggling with anxiety, Sonia’s midwife suggests that she might like to try digital therapy to support her mental health. She sends her details about the SilverCloud® by Amwell® platform.
She uses the platform on her mobile phone, to support herself through the last few months of her pregnancy, and in the time shortly after her baby is born.
She uses the platform on her mobile phone, to support herself through the last few months of her pregnancy, and in the time shortly after her baby is born.
It enables her to understand her thoughts, feelings and behaviours. The platform collects routine outcome measures, meaning her midwife can check on Sonia’s wellbeing, as she works her way through the content.
It enables her to understand her thoughts, feelings and behaviours. The platform collects routine outcome measures, meaning her midwife can check on Sonia’s wellbeing, as she works her way through the content.
|
They have supported her ongoing mental |
|
|
They have supported her ongoing mental |
He has been drinking more than usual lately. He feels down, depressed and hopeless all of the time.
He has been drinking more than usual lately. He feels down, depressed and hopeless all of the time.
They give him an urgent referral to secondary care Talking Therapies. He is assessed and referred to Step 2, but there is a waiting list for psychological therapy.
They give him an urgent referral to secondary care Talking Therapies. He is assessed and referred to Step 2, but there is a waiting list for psychological therapy.
He can use it for digital therapy while he waits. He is assigned a supporter to help guide and motivate him. Having created an account, Michael downloads the SilverCloud® app onto his tablet. The Depression and Anxiety Programme helps him to learn about his thoughts and feelings, and how to manage them.
He can use it for digital therapy while he waits. He is assigned a supporter to help guide and motivate him. Having created an account, Michael downloads the SilverCloud® app onto his tablet. The Depression and Anxiety Programme helps him to learn about his thoughts and feelings, and how to manage them.
That means working on SilverCloud helps him to prepare for the psychological treatment he is waiting for. The SilverCloud platform helps to mitigate Michael’s experience of waiting by establishing a continuous connection with the mental health service during that time.
That means working on SilverCloud helps him to prepare for the psychological treatment he is waiting for. The SilverCloud platform helps to mitigate Michael’s experience of waiting by establishing a continuous connection with the mental health service during that time.
The skills and tools he has learned will help him to spot early warning signs of a relapse. He can now create a plan for dealing with tough situations.
The skills and tools he has learned will help him to spot early warning signs of a relapse. He can now create a plan for dealing with tough situations.
He continues to use the SilverCloud platform too. His therapist unlocks the Alcohol Programme at his request. It helps him reflect on his drinking patterns and understand the damage that drinking could be doing to his mental and physical health. The Motivational Enhancement Theory helps him realise that he wants to drink less and the CBT techniques equip him to take steps towards doing so.
He continues to use the SilverCloud platform too. His therapist unlocks the Alcohol Programme at his request. It helps him reflect on his drinking patterns and understand the damage that drinking could be doing to his mental and physical health. The Motivational Enhancement Theory helps him realise that he wants to drink less and the CBT techniques equip him to take steps towards doing so.
|
Working through the modules means he has cut down on his drinking. Plus, by spotting his triggers, he’s able to find better ways to manage his depression. |
 |
|
Working through the modules means he has cut down on his drinking. Plus, by spotting his triggers, he’s able to find better ways to manage his depression. |
|
He goes to see his GP, who directs him to his local Talking Therapies services’ website, where Amar can self-refer online and get his needs assessed.
He goes to see his GP, who directs him to his local Talking Therapies services’ website, where Amar can self-refer online and get his needs assessed.
He inputs his personal information, and completes his sign-up questionnaires, including GAD7, PHQ9 and phobia scales.
He inputs his personal information, and completes his sign-up questionnaires, including GAD7, PHQ9 and phobia scales.
In the meantime, he can access the Self-Management Toolkit on the SilverCloud® platform. The toolkit gives him access to digital Cognitive Behavioural Therapy (iCBT) content, and interactive tools, to help prepare him for face-to-face treatment.
In the meantime, he can access the Self-Management Toolkit on the SilverCloud® platform. The toolkit gives him access to digital Cognitive Behavioural Therapy (iCBT) content, and interactive tools, to help prepare him for face-to-face treatment.
He is refererred to Step 2. He is told there will be a wait for treatment, but that he can keep using the Self-Management Toolkit in the meantime.
Doing so will mean he can spend more time with his therapist working out his best care plan when he gets to face-to-face treatment.
He is refererred to Step 2. He is told there will be a wait for treatment, but that he can keep using the Self-Management Toolkit in the meantime.
Doing so will mean he can spend more time with his therapist working out his best care plan when he gets to face-to-face treatment.
He is supported remotely by a PWP. After a while, it becomes clear that Amar would benefit from stepping up to more intensive support from a CBT therapist. He continues to access the OCD Programme while he is waiting for this extra support.
He is supported remotely by a PWP. After a while, it becomes clear that Amar would benefit from stepping up to more intensive support from a CBT therapist. He continues to access the OCD Programme while he is waiting for this extra support.
|
She wants to arrange his first in-person CBT session. Because of the work he’s already done, he is able to progress quickly onto protocol-led interventions. His therapist unlocks advanced content, and uses Tools for Therapy to conduct synchronous reviews. |
|
|
She wants to arrange his first in-person CBT session. Because of the work he’s already done, he is able to progress quickly onto protocol-led interventions. His therapist unlocks advanced content, and uses Tools for Therapy to conduct synchronous reviews. |
|
She goes to her educational mental health practitioner (EMHP) at school. Following an assessment, with Alexis’s agreement, he then talks to her dad James.
She goes to her educational mental health practitioner (EMHP) at school. Following an assessment, with Alexis’s agreement, he then talks to her dad James.
They agree that there are some helpful interventions they can work on together. The EMHP tells Alexis and James about SilverCloud® by Amwell®.
They agree that there are some helpful interventions they can work on together. The EMHP tells Alexis and James about SilverCloud® by Amwell®.
She downloads the app then starts to watch the videos and engage with the content. The Anxiety for Teens Programme includes strategies for building self-esteem, and proactive problem solving.
She downloads the app then starts to watch the videos and engage with the content. The Anxiety for Teens Programme includes strategies for building self-esteem, and proactive problem solving.
As well as learning how to help Alexis manage her symptoms, the programme content helps James practise better ways of communicating with his daughter. He also learns how to manage his own anxiety.
As well as learning how to help Alexis manage her symptoms, the programme content helps James practise better ways of communicating with his daughter. He also learns how to manage his own anxiety.
|
Alexis feels calmer and better able to manage her thoughts. James feels calmer and more equipped to give Alexis the support she needs. |
|
|
Alexis feels calmer and better able to manage her thoughts. James feels calmer and more equipped to give Alexis the support she needs. |
See Our Platform In Action
If you would like to learn more about our digital pathways or how our online mental health solutions can benefit your organisation, why not book a demo with one of our insightful team, and see the platform for yourself.
Patient Outcomes
By decreasing wait times for face-to-face or phone appointments and creating unlimited potential for access to care versus the historic appointment wait times and limited members of staff, patients have had a greater accessibility to treatment. There have been 12,700 SilverCloud users from 1 April 2020 to 1 March 2021. Enrollments on the platform demonstrate demand with 1,100-1,400 enrollments on average per quarter prior to the pandemic, lifting to 2,800-3,200 during the pandemic
Benefits to staff
The GMHSCP estimates that its psychological wellbeing practitioners have been made three times more effective as a result of the SilverCloud programme, helping to treat those with a lower level of need and allowing practitioners to focus time and resource on those with essential need for more intensive therapy. This meant that between 1 April 2020 and 31 January 2021, 29,070 hours of therapist time has been saved using SilverCloud.
Cost Savings
Prior to working with SilverCloud the partnership had many simultaneous small contracts with providers of digital therapy. Using reference pricing and savings from NICE (The National Institute for Health and Care Excellence) the GMHSCP evaluation has identified that during a 12-month period the net cost saving to Greater Manchester by SilverCloud will be a minimum of £2,234,137; just 2,043 patients need to use SilverCloud to break even; for every 1% increase in utilisation Greater Manchester saves £267,135; 29,070 hours of therapist time has been saved using SilverCloud.
More useful content
Explore our content library and find the tools and resources to improve your population’s wellbeing and mental health. Your one-stop-shop to digital mental health resources - from podcasts to our latest case studies and white papers.
Digital interventions in mental healthcare: the road ahead
During SilverCloud by Amwell’s annual Digital Mindset conference, experts deliberated the potential of technology in addressing current NHS pressures and enhancing access to mental healthcare
Read Now
Whitepaper: The Future of Therapy: How digital interventions are reshaping the mental health care landscape
We asked eight mental health professionals to share their thoughts on how digital tools like are changing the therapy landscape
Download Now
Podcast: Implementing Digital Mental Health Solutions
In episode 23 Dr Dan Duffy talks to Dr Hussain Al-Zubaidi on how to support and empower GPs to use digital tools
Listen Now
Live Webinar: Using digital interventions to explore relationships with alcohol
Join Amwell® in a conversation with Josh Connolly, leading resilience coach and influential mental health advocate, and Inclusion, part of Midlands Partnership NHS Foundation Trust (MPFT) on 8th December.
Sign up Now
Health Systems Playbook: Reshaping the Mental Health Pathway With Digital Solutions
Learn about the increased challenges facing healthcare providers, and how digital therapies relieve the strain, supporting systems and staff to operate more effectively, efficiently and economically.
Download Now
Programme Guide: Mental Health, Wellbeing, Chronic Conditions and Children & Young People
Download our guide to learn about our selection of effective programs, covering mental health, wellbeing, chronic conditions, and adolescents.
Download Now
Digital clinics revolutionising mental healthcare globally
Digital clinics globally meet mental health demands, relieving staff pressures and enhancing patient outcomes with evidence-based interventions, says Dan Duffy, senior digital health scientist at Amwell
Read Now
Estimating the Economic Benefit of iCBT
A mapping function to aid prediction of QALY gains from routinely collected data
Read now
Case Study: How Greater Manchester HSCP Saved 29,070 Hours of Staff Time With Digital Mental Health Services
This case study showcases how Greater Manchester Health and Social Care Partnership (GMHSCP) rolled out a digital mental health programme during COVID-19 to continue to deliver a vital service with limited resources. It outlines the challenges, approaches, and results GMHSCP achieved by implementing SilverCloud.
Download Now
On-Demand Webinar: Direct-to-Digital: Instant Access to SilverCloud
Reduce admin and increase workforce capacity with a digital, self-referral pathway to SilverCloud programmes. With guests Mayden, Northamptonshire NHS Foundation Trust and Berkshire Healthcare NHS Foundation Trust
Watch Now
Datasheet: Integrating Digital Therapeutics for Mental Health into Secondary Care Pathways
In this datasheet you can find the benefits of integrating digital therapeutics into secondary care settings
Download Now
Managing and reducing mental health waiting lists
While demand for treatment increases, mental health services are struggling to recruit and retain qualified staff. The inevitable outcome of this imbalance between supply and demand is longer waiting times for patients. In some cases even high-risk patients are waiting not just months, but years, to receive treatment.
Download now
Podcast: Adherence and Engagement with Digital Interventions
In this podcast, SilverCloud’s Digital Health Scientist, Dr Jorge E Palacios, speaks with Dr Ina Beintner, Chief Science Officer at MindDoc, and SilverCloud colleague and Digital Health Scientist, Angel Enrique. Ina’s background has been in e-mental health, and she is very passionate about improving adherence of interventions.
Listen Now