- Tin Ngo-Minh, MD, FRCPC, CPD Director, Association des médecins psychiatres du Québec, Gatineau, QC, Canada
The PPv2 (outil Psychoéducatif sur la Psychose) is a medium sized spiral bound 24 pages patient education document that can easily be carried around by mental health care professional (HCP) who often need to intervene with their patients in the community. The picture-rich document was developed 5 years ago in French and is used to explain the symptoms and implications of psychosis in a non-threatening way to patients. More than just being educational, it was found to foster therapeutic alliance as a relational medium between the HCP and the patient. It was also meant to standardize the practice of psychoeducational interventions with a challenging cohort that often has limited insight. With the feedback from users, the PPv2 has evolved and has been reedited many times over the years. It has been translated in English and Chinese. Only the most useful and practical elements of the PPv2 have survived the test of time. Among those are the ones depicting the modern patient-centered biopsychosocioexistential (BPSE) model of care which has been termed “the 4 pillars of treatment”. The model doesn’t only pertain to the treatment of psychosis or other mental health disorders, but to all conditions that require more than just the biological/pharmacological attention such as cancers, diabetes and other chronic diseases. The model reminds the patient that he/she is an active actor of his/her own health and life and that illness isn’t a fatality. He can do much more than just take his pills. An easily accessible electronic online PPv2 (ePPv2) assorted with over 60 additional web-integrated apps were quickly made freely available to everyone during the pandemic to provide patient education through the screen: repitpsychose.org That ePPv2 allows the user to resize different parts of the images, add text, draw over the original psychoeducational image… Hence, thanks to the share screen capabilities of videoconsultations, the HCP can co-create with his patient a personalized BPSE treatment plan which he can then easily be saved in an electronic medical record, sent to an email or SMS # with a few clicks. These become BPSE picture prescriptions. The required interactivity in the use of the ePPv2 helps maintaining the engagement of patients during videoconsultations, but also after, as patients can easily remind themselves what can do between appointments by reviewing a few pictures. In contrast with regular medical notes, HCP can also, at a glance, remember the treatment plan or the issues/solutions discussed during last appointment. Less time is spent reviewing charts, more time is spent in continuing the care and work from where things were left. As feelings of isolation, fear and guilt burden many during the pandemic, these personalized prescriptive pictures have been useful to remind patients to care for themselves with healing attitudes: self-compassion, mindfulness, patience, humility, trust to himself, but also trust in the future, which means hope
- Recognize the rationale for psychoeducation & caregivers' responsibility to provide personalized interventions to engage their patients in their care
- Identify the ePPv2 tools and complementary web-based apps available on www.repitpsychose.org
- Demonstrate the use of the tools in everyday medical/psychiatric practice and during virtual care.