3. Agenda
Introduction to Cognitive Intervention
How it’s done today?
Issues with today’s approach
Key Success Factors
The Journey
Patient Cases
Introducing HAPPYneuron PRO
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4. Interventions
Cognitive Training-
Who: healthy individuals with no brain impairments
Goal: improve their neuron network performance.
Cognitive Remediation -
Who: individuals with impaired cognitive abilities as a result of
general conditions – psychiatric, post chemotherapy, MCI, etc.
Goal: neural network stimulation for improved cognition and
skills development.
Cognitive Rehabilitation -
Who: Individuals with neurologic damage from conditions like
TBI, Stroke, Alzheimer’s, etc.
Goal: neural-network regeneration
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5. Brain Plasticity
The adult brain is not fixed
New neural pathway creation
Neural network strengthening
Brain reserve* enhancement
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6. Cognitive Rem/Rehab Programs
Medical Professionals Conditions
Cognitive Schizophrenia
Psychologists Depression
Neurologists Mild Cognitive
Neuro-psychologists Impairment (MCI)
Psychiatrists Traumatic Brain Injury
Occupational Stroke
Therapists Alzheimer’s Disease
Language Therapists PTSD
Nurse Managers ADD/ADHD
Etc. Chemo Fog
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7. Cog Rem/Rehab today…
Pencil & paper exercises
Libraries of children’s
educational CD-ROM
software
Mostly ’80s and ‘90s era
computer interaction
methods
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11. Patient Dignity
“But these are for kids. I am not stupid !” (cf)
“Colorful games won’t make me happy ?” (d)
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12. Audience/Conditions
not factored
Choose Your Challenge Level
Easy
Normal
Bad for
Hard Remediation
Patients
Insane!
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14. Issues with today’s approach
The Games/Exercises
The Supporting Environment
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15. High Cost
Some
programs not
covered by
insurance
Low therapist
to patient ratio
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16. Manual Case Management
Manual…
Configurations
Tracking
Results in…
Errors
Confidentiality
Time
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18. Issues with today’s approach
The Games/Exercises
Low engagement and interest with current
solutions
Adult acceptance of kids games
Audience/Conditions not factored
Poor performance feedback messaging
The Supporting Environment
High cost of treatment delivery
Manual performance monitoring
Software installation and maintenance issues
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20. The Destination - Games
Developed with target audience in mind
Continued, relentless positive
reinforcement
Engaging, non childish interactions
Cost effective & rapid configurability
Educational bridging to daily life activities
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21. The Destination –
Environment
Online delivers…
Reduces the Information Technology (IT) costs
Improved case management
Facilitates distance therapy protocols
Higher patient to therapist ratio
Enables rapid deployment of product changes
Improved patient confidentiality and data security
Better research tools
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22. From here there
The Givens:
Improved patient engagement
Superior case management
Personalization
Performance monitoring
The Adjustments:
Offline Online
Work style / methodology shifts
Increased patient to clinician ratios
Introducing supplemental distance therapy protocols
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23. HAPPYneuron PRO
A brief Introduction
First previewed at the Cognitive Remediation Conference in NYC
June 5th, 2009
24. Product Line
HAPPYneuron HAPPYneuron PRO
Target Healthy Adults, Depression/ TBI / Stroke /
Children & Schizophrenia / Alzheimer’s
Seniors MCI
Function Stimulation / Remediation Rehabilitation
Training
Where At Home Doctor’s Office / Doctor’s Office /
At Home At Home
How Self Service Guided Guided
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26. Customize and
Prescribe
HAPPYneuron PRO
Cognitive Patient performs the
Rem / Rehab assigned cognitive
stimulation activities at
Program Medical office or at Home
Compliance &
Performance
Review
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27. Independent Researchers
Psychiatry, Neurology, Geriatrics, Occupational Rehab
Johnny Orr Memory Center, IA
Lyon Hospital, France
Queens University, Toronto, Canada
Hartford Hospital, CT
Veteran’s Administration, PA
Pierre&Marie Curie Hospital, Paris France
Memory Training Center of America, NJ
Columbia University, NY
UCLA, CA
Lausanne Hospital, Switzerland
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29. Life Changing Rehab
Chris Bowie, PhD
Joe – Severe Depression Research Professor
Queens University,
Toronto,
Canada
1 year progression
Energize Motivation
Train Cognitive Remediation
Practice (higher order) Skills Training
Generalize Bridge to Daily Activities
Apply Vocational Services and
Case Management
Progress Employment!
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30. Games make the start…
Dona Bellucci, PhD
Clinical Instructor,
Clementine @ Essex County Hospital, New Jersey Department of
Psychiatry,
UMDNJ-Robert
Before… Wood Johnson
Hospitalized 5 years with schizophrenia Medical
Minimal human interaction
Staff not optimistic about remediation possibilities
Then…
“Come to the lab with me to try a game or two...”
After 5 months…
Goes to ‘work’ each day at the computer lab
Takes outdoor exercise
‘Chats’ with all the staff
Starting more progressive therapies
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31. Thank You
Laura Fay, CEO
HAPPYneuron, Inc.
+650-776-4352
Laura.Fay @ Happy-Neuron.com