Goodville team R&D work in the context of mental health: in tune with the challenge of modernity

In October 2021, the next 21st congress of the World Psychiatric Association was held. This organization unites the largest (in comparison with other specialists – cardiologists, rheumatologists, endocrinologists, etc.) number of professionals working in the same field - mental health. More than 250,000 specialists from 121 countries (psychiatrists, psychotherapists, psychologists, social workers and representatives of other related professions) are united by a common idea – the fastest possible "return to service" of people who have met with mental disorders. Forums of this kind bring to the discussion of professionals advanced technologies for the provision of assistance and recovery of a person after suffering mental and behavioral disorders.

In modern psychiatry, we are talking not only about the treatment of signs of the disease (for example, medications), but also the highest quality restoration of a person in his social environment (family, professional environment) with a high level of functioning (professional productivity, emotional well-being, cognitive flexibility, etc.).

A number of problems have to be solved by specialists working in the field of mental health in the modern world. One of the most relevant has manifested itself in connection with the COVID-19 pandemic. We are talking about the need to ensure the continuous provision of psychiatric care in situations of quarantine measures, lockdown. In other words, it is necessary to preserve the ability to identify those in need of help, accompany them during treatment, and support them during recovery from illness. The problem is particularly acute in countries with low and middle income per capita, where, despite the exceptionally high need for such assistance, the imperfection of health systems is unable to provide those in need (the so-called "MH treatment gap" - the difference between those who need help and those who receive it).

One of the unique approaches to solving this problem is the use of digital technologies. Behind the prospect of their development and implementation is the future of such a branch of psychiatry as electronic psychiatry (E-psychiatry). The possibilities of this approach are endless. They relate to interventions with a wide range of conditions - from situations with a low risk of mental health problems against the background of stress experienced to detailed painful manifestations of severe mental disorders, for example, depression. If we are talking about low-risk situations, then interventions, for example, are focused on monitoring the condition and preventing the development of disorders through counseling. The widespread introduction of psychoeducational interventions around the world with the help of digital technologies, for example, through gadgets, allows an individual to acquire skills of controlling the situation in terms of caring for his health in general and mental health in particular. In the case of a high risk of developing mental disorders in clinically significant situations, digital technologies allow for diagnostic procedures and therapeutic interventions, providing constant dynamic monitoring of the patient's condition.

Undoubtedly, the use of digital technologies has its limitations in applying to the assessment of mental health (data security, ethical aspects, lack of personal communication, etc.). At the same time, their advantages determine the prospects of combined use along with routine clinical practice. The Congress of the World Psychiatric Association mentioned at the beginning of the message focuses on promising and problematic areas of the use of digital technologies in the field of mental health. If we are talking about their use in the diagnostic process, it is extremely important to ensure the reliability of their use for an objective assessment of a person's mental status. For this purpose, artificial intelligence and machine learning technologies are used. Approaches focused on the use of integrated systems for analyzing human behavior, taking into account his current mental state, deserve special attention. It is this direction that has been actively developed by the Goodville team for two years based on the use of data obtained in game content to determine the response profile of a potential user in comparison with the status of his emotional well-being.

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Команда Goodville R&D Ρ€Π°Π±ΠΎΡ‚Π°Π΅Ρ‚ Π² контСкстС психичСского Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΡ: Π² соотвСтствии с Π²Ρ‹Π·ΠΎΠ²ΠΎΠΌ соврСмСнности

Π’ октябрС 2021 Π³ΠΎΠ΄Π° ΠΏΡ€ΠΎΡˆΠ΅Π» ΠΎΡ‡Π΅Ρ€Π΅Π΄Π½ΠΎΠΉ 21 съСзд ВсСмирной психиатричСской ассоциации. Π­Ρ‚Π° организация ΠΎΠ±ΡŠΠ΅Π΄ΠΈΠ½ΡΠ΅Ρ‚ самоС большоС (ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с Π΄Ρ€ΡƒΠ³ΠΈΠΌΠΈ спСциалистами - ΠΊΠ°Ρ€Π΄ΠΈΠΎΠ»ΠΎΠ³Π°ΠΌΠΈ, Ρ€Π΅Π²ΠΌΠ°Ρ‚ΠΎΠ»ΠΎΠ³Π°ΠΌΠΈ, эндокринологами ΠΈ Π΄Ρ€.) ΠšΠΎΠ»ΠΈΡ‡Π΅ΡΡ‚Π²ΠΎ спСциалистов, Ρ€Π°Π±ΠΎΡ‚Π°ΡŽΡ‰ΠΈΡ… Π² ΠΎΠ΄Π½ΠΎΠΉ сфСрС - психичСском Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΠ΅. Π‘ΠΎΠ»Π΅Π΅ 250 000 спСциалистов ΠΈΠ· 121 страны (психиатров, психотСрапСвтов, психологов, ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½Ρ‹Ρ… Ρ€Π°Π±ΠΎΡ‚Π½ΠΈΠΊΠΎΠ² ΠΈ прСдставитСлСй Π΄Ρ€ΡƒΠ³ΠΈΡ… смСТных профСссий) ΠΎΠ±ΡŠΠ΅Π΄ΠΈΠ½ΡΠ΅Ρ‚ общая идСя - ΡΠΊΠΎΡ€Π΅ΠΉΡˆΠ΅Π΅ Β«Π²ΠΎΠ·Π²Ρ€Π°Ρ‰Π΅Π½ΠΈΠ΅ Π½Π° слуТбу» людСй, ΡΡ‚ΠΎΠ»ΠΊΠ½ΡƒΠ²ΡˆΠΈΡ…ΡΡ с психичСскими расстройствами. ΠŸΠΎΠ΄ΠΎΠ±Π½Ρ‹Π΅ Ρ„ΠΎΡ€ΡƒΠΌΡ‹ выносят Π½Π° обсуТдСниС профСссионалов ΠΏΠ΅Ρ€Π΅Π΄ΠΎΠ²Ρ‹Π΅ Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ оказания ΠΏΠΎΠΌΠΎΡ‰ΠΈ ΠΈ восстановлСния Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊΠ° послС психичСских ΠΈ повСдСнчСских расстройств. Π’ соврСмСнной психиатрии Ρ€Π΅Ρ‡ΡŒ ΠΈΠ΄Π΅Ρ‚ Π½Π΅ Ρ‚ΠΎΠ»ΡŒΠΊΠΎ ΠΎ Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ ΠΏΡ€ΠΈΠ·Π½Π°ΠΊΠΎΠ² заболСвания (Π½Π°ΠΏΡ€ΠΈΠΌΠ΅Ρ€, лСкарства), Π½ΠΎ ΠΈ максимально качСствСнноС восстановлСниС Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊΠ° Π² Π΅Π³ΠΎ ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΌ ΠΎΠΊΡ€ΡƒΠΆΠ΅Π½ΠΈΠΈ (сСмья, ΠΏΡ€ΠΎΡ„Π΅ΡΡΠΈΠΎΠ½Π°Π»ΡŒΠ½Π°Ρ срСда) с высоким ΡƒΡ€ΠΎΠ²Π½Π΅ΠΌ функционирования (ΠΏΡ€ΠΎΡ„Π΅ΡΡΠΈΠΎΠ½Π°Π»ΡŒΠ½Π°Ρ ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ, ΡΠΌΠΎΡ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠ΅ Π±Π»Π°Π³ΠΎΠΏΠΎΠ»ΡƒΡ‡ΠΈΠ΅, когнитивная Π³ΠΈΠ±ΠΊΠΎΡΡ‚ΡŒ ΠΈ Ρ‚. Π΄.). Π’ соврСмСнном ΠΌΠΈΡ€Π΅ ряд ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌ приходится Ρ€Π΅ΡˆΠ°Ρ‚ΡŒ спСциалистам, Ρ€Π°Π±ΠΎΡ‚Π°ΡŽΡ‰ΠΈΠΌ Π² области психичСского Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΡ. Одно ΠΈΠ· самых Π°ΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½Ρ‹Ρ… ΠΏΡ€ΠΎΡΠ²ΠΈΠ»ΠΎΡΡŒ Π² связи с ΠΏΠ°Π½Π΄Π΅ΠΌΠΈΠ΅ΠΉ COVID-19. Π Π΅Ρ‡ΡŒ ΠΈΠ΄Π΅Ρ‚ ΠΎ нСобходимости ΠΎΠ±Π΅ΡΠΏΠ΅Ρ‡ΠΈΡ‚ΡŒ Π½Π΅ΠΏΡ€Π΅Ρ€Ρ‹Π²Π½ΠΎΠ΅ ΠΎΠΊΠ°Π·Π°Π½ΠΈΠ΅ психиатричСской ΠΏΠΎΠΌΠΎΡ‰ΠΈ Π² ситуациях ΠΊΠ°Ρ€Π°Π½Ρ‚ΠΈΠ½Π½Ρ‹Ρ… ΠΌΠ΅Ρ€, ΠΊΠ°Ρ€Π°Π½Ρ‚ΠΈΠ½Π°. Π”Ρ€ΡƒΠ³ΠΈΠΌΠΈ словами, Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎ ΡΠΎΡ…Ρ€Π°Π½ΠΈΡ‚ΡŒ ΡΠΏΠΎΡΠΎΠ±Π½ΠΎΡΡ‚ΡŒ Π²Ρ‹ΡΠ²Π»ΡΡ‚ΡŒ Π½ΡƒΠΆΠ΄Π°ΡŽΡ‰ΠΈΡ…ΡΡ Π² ΠΏΠΎΠΌΠΎΡ‰ΠΈ, ΡΠΎΠΏΡ€ΠΎΠ²ΠΎΠΆΠ΄Π°Ρ‚ΡŒ ΠΈΡ… Π²ΠΎ врСмя лСчСния ΠΈ ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΈΠ²Π°Ρ‚ΡŒ ΠΈΡ… Π²ΠΎ врСмя выздоровлСния ΠΎΡ‚ Π±ΠΎΠ»Π΅Π·Π½ΠΈ. ΠŸΡ€ΠΎΠ±Π»Π΅ΠΌΠ° особСнно остро стоит Π² странах с Π½ΠΈΠ·ΠΊΠΈΠΌ ΠΈ срСдним Π΄ΠΎΡ…ΠΎΠ΄ΠΎΠΌ Π½Π° Π΄ΡƒΡˆΡƒ насСлСния, Π³Π΄Π΅, нСсмотря Π½Π° ΠΈΡΠΊΠ»ΡŽΡ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ Π²Ρ‹ΡΠΎΠΊΡƒΡŽ ΠΏΠΎΡ‚Ρ€Π΅Π±Π½ΠΎΡΡ‚ΡŒ Π² Ρ‚Π°ΠΊΠΎΠΉ ΠΏΠΎΠΌΠΎΡ‰ΠΈ, Π½Π΅ΡΠΎΠ²Π΅Ρ€ΡˆΠ΅Π½ΡΡ‚Π²ΠΎ систСм здравоохранСния Π½Π΅ ΠΌΠΎΠΆΠ΅Ρ‚ ΠΎΠ±Π΅ΡΠΏΠ΅Ρ‡ΠΈΡ‚ΡŒ Π½ΡƒΠΆΠ΄Π°ΡŽΡ‰ΠΈΡ…ΡΡ (Ρ‚Π°ΠΊ Π½Π°Π·Ρ‹Π²Π°Π΅ΠΌΡ‹ΠΉ Β«ΠΏΡ€ΠΎΠ±Π΅Π» Π² Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ Π—ΠœΒ» - Ρ€Π°Π·Π½ΠΈΡ†Π° ΠΌΠ΅ΠΆΠ΄Ρƒ Ρ‚Π΅ΠΌΠΈ, ΠΊΡ‚ΠΎ нуТдаСтся Π² ΠΏΠΎΠΌΠΎΡ‰ΠΈ, ΠΈ Ρ‚Π΅ΠΌΠΈ, ΠΊΡ‚ΠΎ Π΅Π΅ ΠΏΠΎΠ»ΡƒΡ‡Π°Π΅Ρ‚) .Один ΠΈΠ· ΡƒΠ½ΠΈΠΊΠ°Π»ΡŒΠ½Ρ‹Ρ… ΠΏΠΎΠ΄Ρ…ΠΎΠ΄ΠΎΠ² ΠΊ Ρ€Π΅ΡˆΠ΅Π½ΠΈΡŽ этой ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΡ‹ - использованиС Ρ†ΠΈΡ„Ρ€ΠΎΠ²Ρ‹Ρ… Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ. Π—Π° пСрспСктивой ΠΈΡ… Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚ΠΊΠΈ ΠΈ внСдрСния стоит Π±ΡƒΠ΄ΡƒΡ‰Π΅Π΅ Ρ‚Π°ΠΊΠΎΠΉ отрасли психиатрии, ΠΊΠ°ΠΊ элСктронная психиатрия (ЭлСктронная психиатрия). ВозмоТности этого ΠΏΠΎΠ΄Ρ…ΠΎΠ΄Π° Π±Π΅Π·Π³Ρ€Π°Π½ΠΈΡ‡Π½Ρ‹. Они ΠΊΠ°ΡΠ°ΡŽΡ‚ΡΡ Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π² с ΡˆΠΈΡ€ΠΎΠΊΠΈΠΌ спСктром состояний - ΠΎΡ‚ ситуаций с Π½ΠΈΠ·ΠΊΠΈΠΌ риском ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌ с психичСским Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΠ΅ΠΌ Π½Π° Ρ„ΠΎΠ½Π΅ ΠΏΠ΅Ρ€Π΅ΠΆΠΈΡ‚ΠΎΠ³ΠΎ стрСсса Π΄ΠΎ ΠΏΠΎΠ΄Ρ€ΠΎΠ±Π½Ρ‹Ρ… Π±ΠΎΠ»Π΅Π·Π½Π΅Π½Π½Ρ‹Ρ… проявлСний тяТСлых психичСских расстройств, Π½Π°ΠΏΡ€ΠΈΠΌΠ΅Ρ€, дСпрСссии. Если ΠΌΡ‹ Π³ΠΎΠ²ΠΎΡ€ΠΈΠΌ ΠΎ ситуациях с Π½ΠΈΠ·ΠΊΠΈΠΌ ΡƒΡ€ΠΎΠ²Π½Π΅ΠΌ риска, Ρ‚ΠΎ Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π°, Π½Π°ΠΏΡ€ΠΈΠΌΠ΅Ρ€, Π½Π°ΠΏΡ€Π°Π²Π»Π΅Π½Ρ‹ Π½Π° наблюдСниС Π·Π° состояниСм ΠΈ ΠΏΡ€Π΅Π΄ΠΎΡ‚Π²Ρ€Π°Ρ‰Π΅Π½ΠΈΠ΅ развития расстройств посрСдством ΠΊΠΎΠ½ΡΡƒΠ»ΡŒΡ‚ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΡ. Π¨ΠΈΡ€ΠΎΠΊΠΎΠ΅ Π²Π½Π΅Π΄Ρ€Π΅Π½ΠΈΠ΅ ΠΏΡΠΈΡ…ΠΎΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… мСроприятий Π²ΠΎ всСм ΠΌΠΈΡ€Π΅ с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ Ρ†ΠΈΡ„Ρ€ΠΎΠ²Ρ‹Ρ… Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ, Π½Π°ΠΏΡ€ΠΈΠΌΠ΅Ρ€, с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ Π³Π°Π΄ΠΆΠ΅Ρ‚ΠΎΠ², позволяСт Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊΡƒ ΠΏΡ€ΠΈΠΎΠ±Ρ€Π΅Ρ‚Π°Ρ‚ΡŒ Π½Π°Π²Ρ‹ΠΊΠΈ управлСния ситуациСй Π² ΠΏΠ»Π°Π½Π΅ Π·Π°Π±ΠΎΡ‚Ρ‹ ΠΎ своСм Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΠ΅ Π² Ρ†Π΅Π»ΠΎΠΌ ΠΈ психичСском Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΠ΅ Π² частности. Π’ случаС высокого риска развития психичСских расстройств Π² клиничСски Π·Π½Π°Ρ‡ΠΈΠΌΡ‹Ρ… ситуациях Ρ†ΠΈΡ„Ρ€ΠΎΠ²Ρ‹Π΅ Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡŽΡ‚ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΡ‚ΡŒ диагностичСскиС ΠΏΡ€ΠΎΡ†Π΅Π΄ΡƒΡ€Ρ‹ ΠΈ тСрапСвтичСскиС Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π°, обСспСчивая постоянный динамичСский ΠΌΠΎΠ½ΠΈΡ‚ΠΎΡ€ΠΈΠ½Π³ состояния ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°. НСсомнСнно, использованиС Ρ†ΠΈΡ„Ρ€ΠΎΠ²Ρ‹Ρ… Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ ΠΈΠΌΠ΅Π΅Ρ‚ свои ограничСния Π² ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠΈ ΠΊ ΠΎΡ†Π΅Π½ΠΊΠ΅. психичСского Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΡ (Π±Π΅Π·ΠΎΠΏΠ°ΡΠ½ΠΎΡΡ‚ΡŒ Π΄Π°Π½Π½Ρ‹Ρ…, этичСскиС аспСкты, отсутствиС Π»ΠΈΡ‡Π½ΠΎΠ³ΠΎ общСния ΠΈ Ρ‚. Π΄.). Π’ Ρ‚ΠΎ ΠΆΠ΅ врСмя ΠΈΡ… прСимущСства ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΡΡŽΡ‚ пСрспСктивы ΠΈΡ… ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ примСнСния наряду с Ρ€ΡƒΡ‚ΠΈΠ½Π½ΠΎΠΉ клиничСской ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠΎΠΉ. Упомянутый Π² Π½Π°Ρ‡Π°Π»Π΅ сообщСния ΠšΠΎΠ½Π³Ρ€Π΅ΡΡ ВсСмирной психиатричСской ассоциации фокусируСтся Π½Π° пСрспСктивных ΠΈ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ½Ρ‹Ρ… областях использования Ρ†ΠΈΡ„Ρ€ΠΎΠ²Ρ‹Ρ… Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ Π² области психичСского Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΡ. Если ΠΌΡ‹ Π³ΠΎΠ²ΠΎΡ€ΠΈΠΌ ΠΎΠ± ΠΈΡ… использовании Π² диагностичСском процСссС, ΠΊΡ€Π°ΠΉΠ½Π΅ Π²Π°ΠΆΠ½ΠΎ ΠΎΠ±Π΅ΡΠΏΠ΅Ρ‡ΠΈΡ‚ΡŒ Π½Π°Π΄Π΅ΠΆΠ½ΠΎΡΡ‚ΡŒ ΠΈΡ… использования для ΠΎΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΠΉ ΠΎΡ†Π΅Π½ΠΊΠΈ психичСского состояния Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊΠ°. Для этого ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΡƒΡŽΡ‚ΡΡ Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ искусствСнного ΠΈΠ½Ρ‚Π΅Π»Π»Π΅ΠΊΡ‚Π° ΠΈ машинного обучСния. Особого внимания Π·Π°ΡΠ»ΡƒΠΆΠΈΠ²Π°ΡŽΡ‚ ΠΏΠΎΠ΄Ρ…ΠΎΠ΄Ρ‹, ΠΎΡ€ΠΈΠ΅Π½Ρ‚ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Π΅ Π½Π° использованиС ΠΈΠ½Ρ‚Π΅Π³Ρ€ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… систСм Π°Π½Π°Π»ΠΈΠ·Π° повСдСния Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊΠ° с ΡƒΡ‡Π΅Ρ‚ΠΎΠΌ Π΅Π³ΠΎ Ρ‚Π΅ΠΊΡƒΡ‰Π΅Π³ΠΎ психичСского состояния. ИмСнно это Π½Π°ΠΏΡ€Π°Π²Π»Π΅Π½ΠΈΠ΅ Π² Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ Π΄Π²ΡƒΡ… Π»Π΅Ρ‚ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎ Ρ€Π°Π·Π²ΠΈΠ²Π°Π»Π°ΡΡŒ ΠΊΠΎΠΌΠ°Π½Π΄ΠΎΠΉ Goodville Π½Π° основС использования Π΄Π°Π½Π½Ρ‹Ρ…, ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Ρ… Π² ΠΈΠ³Ρ€ΠΎΠ²ΠΎΠΌ ΠΊΠΎΠ½Ρ‚Π΅Π½Ρ‚Π΅, для опрСдСлСния профиля Ρ€Π΅Π°ΠΊΡ†ΠΈΠΈ ΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΏΠΎΠ»ΡŒΠ·ΠΎΠ²Π°Ρ‚Π΅Π»Ρ Π² сравнСнии со статусом Π΅Π³ΠΎ ΡΠΌΠΎΡ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ благополучия.

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Goodville team R&D work in the context of mental health: in tune with the challenge of modernity

Oleg Skugarevsky
Andrew Sokol
Marat Assanovich
Mikhail Kaspartov
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In October 2021, the next 21st congress of the World Psychiatric Association was held. This organization unites the largest (in comparison with other specialists – cardiologists, rheumatologists, endocrinologists, etc.) number of professionals working in the same field - mental health. More than 250,000 specialists from 121 countries (psychiatrists, psychotherapists, psychologists, social workers and representatives of other related professions) are united by a common idea – the fastest possible "return to service" of people who have met with mental disorders. Forums of this kind bring to the discussion of professionals advanced technologies for the provision of assistance and recovery of a person after suffering mental and behavioral disorders.

In modern psychiatry, we are talking not only about the treatment of signs of the disease (for example, medications), but also the highest quality restoration of a person in his social environment (family, professional environment) with a high level of functioning (professional productivity, emotional well-being, cognitive flexibility, etc.).

A number of problems have to be solved by specialists working in the field of mental health in the modern world. One of the most relevant has manifested itself in connection with the COVID-19 pandemic. We are talking about the need to ensure the continuous provision of psychiatric care in situations of quarantine measures, lockdown. In other words, it is necessary to preserve the ability to identify those in need of help, accompany them during treatment, and support them during recovery from illness. The problem is particularly acute in countries with low and middle income per capita, where, despite the exceptionally high need for such assistance, the imperfection of health systems is unable to provide those in need (the so-called "MH treatment gap" - the difference between those who need help and those who receive it).

One of the unique approaches to solving this problem is the use of digital technologies. Behind the prospect of their development and implementation is the future of such a branch of psychiatry as electronic psychiatry (E-psychiatry). The possibilities of this approach are endless. They relate to interventions with a wide range of conditions - from situations with a low risk of mental health problems against the background of stress experienced to detailed painful manifestations of severe mental disorders, for example, depression. If we are talking about low-risk situations, then interventions, for example, are focused on monitoring the condition and preventing the development of disorders through counseling. The widespread introduction of psychoeducational interventions around the world with the help of digital technologies, for example, through gadgets, allows an individual to acquire skills of controlling the situation in terms of caring for his health in general and mental health in particular. In the case of a high risk of developing mental disorders in clinically significant situations, digital technologies allow for diagnostic procedures and therapeutic interventions, providing constant dynamic monitoring of the patient's condition.

Undoubtedly, the use of digital technologies has its limitations in applying to the assessment of mental health (data security, ethical aspects, lack of personal communication, etc.). At the same time, their advantages determine the prospects of combined use along with routine clinical practice. The Congress of the World Psychiatric Association mentioned at the beginning of the message focuses on promising and problematic areas of the use of digital technologies in the field of mental health. If we are talking about their use in the diagnostic process, it is extremely important to ensure the reliability of their use for an objective assessment of a person's mental status. For this purpose, artificial intelligence and machine learning technologies are used. Approaches focused on the use of integrated systems for analyzing human behavior, taking into account his current mental state, deserve special attention. It is this direction that has been actively developed by the Goodville team for two years based on the use of data obtained in game content to determine the response profile of a potential user in comparison with the status of his emotional well-being.

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