![]() ![]() Back to the core point of this panel, what we see is that when someone has a mental health condition, they will cost the health system 2.5 times more. We can just handle more people with coaches. Russ: Majority of our providers are therapists/psychologists. Now post COVID, we're getting a lot more on the clinical side. We want to focus on how to get them to be at peak performance. For our population, we don't want to burden them with focusing on health as much as what they want from their health. If rigor is the root of performance, then we said let's make this about performance. But by focusing on performance, leadership, promotion and on the outcomes people want when they are healthy, we found use and adoption was off the charts. Yet what we were actually doing was mental health, resilience, mild anxiety. We needed to focus on what are the frustrations of people who do not have acute mental illness and how do they think about their mental health? Our cultural dialogue wasn't doing our users a favor by focusing and branding ourselves as mental health because people thought of that as removing mental illness. What we realized at that time, to most people, mental health was stigmatizing. We started in 2013, we had this heroic idea that everyone will flock to supporting the whole person. How are clients perceiving your services?Īlexi: We were chronologically pretty early. We want to provide clinical rigor to the non-clinical domain. We're focused on self-actualization and resilience. It would be evidence-based, informed by CBT, DBT and work by Frankl and Maslow and the human potential movement as well as Martin Seligman and positive psychology. If you re-envision therapy as secondary care, then what's primary? It's coaching. If we were good at prevention, most people wouldn't need therapy. We don't think it's productive to tell most people they need therapy, nor do I think it's realistic to think we can give people therapy at a global level nor do I think this should be desirable. The reality is most people don't need therapy. We see ourselves as the top of the funnel. But even so, matching is hard because therapy is so personalized.Īlexi: For BetterUp, we believe 80% of folks don't need therapy because their need can be addressed by coaching. We have nearly 20,000 therapists in our network, so with that critical mass, we are very positioned to provide quality matching. The biggest problem isn't that therapy isn't good, it's that the vast majority of people who need therapy don't receive it. Our differentiator is we are not innovating because we're bringing the tried and true therapy online and making it more affordable and accessible. About a half to two-thirds of our clients are dealing with moderate to severe acuity.Īlon: BetterHelp only has licensed therapists. We're betting on the notion that providers who've been trained in evidence-based modalities and have a focus on using measurement in their care will ultimately drive to better outcomes. Sandeep: We're all collectively trying to improve access. This strong team helps us make better therapeutic matches. We are vetting folks, training folks of all diverse theoretical orientations. We also full-time employ almost all our therapists. Our matching system relies on building an exceptional clinical team. Because of this matching, we are seeing much higher alliance scores and symptom improvement. We use this data to make personalized matches. ![]() We emphasize gathering tons of data from our clients, plus an initial 45-minute appointment. So our matching system is at the heart of our system. We want a clinical alliance between our patients and therapists. We also provide smart replies so a coach only has to push one button.Īlex: Two Chairs is focused absolutely on therapeutic relationships. We give coaches actions to take and a predictive path for the patient we're also looking for what might be the requirement if there's acceleration. There is a lot of AI to monitor chats and extract key features, such as comorbidities, even tone of voice, combined with PHQ scores and we create a personalized care pathway. Our coaching is 100% real-time synchronous care. We then try to step down from that higher level of care as soon as we can. We also bring therapists and psychiatrists into the care team so the experience is seamless. About 80% of our members can use coaches though we employ more therapists and psychologists than coaches. We start everyone at the behavioral coach level. One flight attendant had a panic attack, connected with a Ginger coach who got them back to baseline resilience. If you have a need in the middle of the night if you're having a panic attack we are there for you. 30:00 - Unique approach and differentiation? ![]()
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