My Game Plan is currently a proof of concept prototype. It is actively being developed to make it even more useful. Tell us us what you think!

My Game Plan

My Game Plan helps people who are following up from a visit to a psychiatric emergency room or a stay in a psychiatric inpatient unit.

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Introduction

My Game Plan is a downloadable native smartphone application designed by and for patients struggling with thoughts of suicide, their family/caregivers, and the health care providers who work with them. This app aims to help in the time following discharge from a psychiatric emergency room and inpatient psychiatric unit. My Game Plan provides a convenient place for patients and their families to record and retrieve information on clinical follow up, safety plans, and local resources. Available on a mobile phone at any time 24/7 and 365 this device supports the services that set up by inpatient and outpatient clinical teams for individual patients and their families.

How it works

  1. Enter follow up appointments with your discharge planner and set reminders for them.
  2. Complete a safety plan with the help of a doctor or other care provider. In this app you can enter warning signs, coping strategies, and supportive phone contacts. Fowarning signs and coping strategies, you can choose a suggestion or enter your own.
  3. Go through the safety plan to identify when you have one of the warning signs. You can mark each time you have it, and app remembers (this information does not leave the privacy of your phone).
  4. Choose a coping strategy. The pre-suggested strategies link to other free mobile apps that can help you use those strategies.
  5. Access your supportive contacts whenever you need to. There is also a button to call the Suicide Prevention Lifeline (United States only).
  6. Browse the resources for important news and tips from the suicide prevention community.

The team

My Gameplan is a collaborative project of the SPIRIT group (see below) with help from the Family Planning Council and others Technology and coding is by Big Yellow Star.

  • SPIRIT (Stress in Pregnancy; Improving Results with Interactive Technology) is a community partnered design group made up of stakeholders focused on perinatal depression including patients, nurses, nurse practitioners, social workers, psychologists, physicians, and care managers, as well as mental health services researchers and health information technology developers. Our group includes faculty and staff from the University of Pennsylvania Health System departments of Obstetrics and Gynecology, Psychiatry, and Family Medicine and Community Health as well as patients that are served in the offices of these departments. Together this group is developing communication technology strategies to improve the delivery of depression care to low income women. We strive to work together to improve communication and healthy outcomes in women with emotional distress using easily accessible interactive technology. Our group is multidisciplinary, stakeholder driven, participatory, and will have fun doing this work.
  • Marian Moseley, LSW, MPH, CPH is a licensed social worker in the Hospital of the University of Pennsylvania, Hellen O. Dickens Center for Women, specialized in addressing behavioral health and social risk factors and their impact on women’s physical health.
  • Khalia Robinson is a concerned patient, student, and new mother.
  • Liisa Hantsoo, PhD, and Sara Kornfield, PhD, are clinical psychology fellows in the University of Pennsylvania’s Department of Psychiatry, Penn Center for Women’s Behavioral Wellness, with particular interest in stress and mental health.
  • Ian Bennett, MD PhD, is an Associate Professor in the Department of Family Medicine and Community Health who focuses on mental health services research in pregnancy and postpartum.
  • Anne Teitelman, PhD, FNP-BC is a faculty member at the University of Pennsylvania, School of Nursing and a Family Nurse Practitioner and conducts research on health promotion interventions.
  • Margaret Pelleriti is a coordinator at the Family Planning Council, Philadelphia, PA and is a parent survivor of a teen suicide.
  • Brian Green is Program Development Director at the Family Planning Council in Philadelphia, PA and has particular interest in the mental health and wellness of LGBT youth.
  • Damien Leri, MS.Ed, MPH [c] is the CEO and lead developer for Big Yellow Star, a health information technology company.
  • Rebecca Henderson is a research assistant helping coordinate the work of the SPIRIT group.
  • Emma Kloppenburg is an undergraduate student from the University of Pennsylvania helping with the SPIRIT group efforts.
  • Thanks also to Dr. Donovan Maust and Beverly Prigge from Pennsylvania Hospital of the University of Pennsylvania Health System, who work every day with the women, men, and families that we hope to help and who provided key feedback and input for the My Game Plan app.

How can I help?

This version of My Game Plan is a proof of concept prototype developed in July 2013 and immediately released in order to get user feedback. We are continuing to refine and develop this app and welcome your input into the design and set of features.

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Demonstration

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Clinical background

Entities such as the National Suicide Prevention Lifeline (1) and the Suicide Prevention Resource Center (2) support safety planning (3) for those experiencing suicidal thoughts or behaviors. My Game Plan allows the user and provider to work together to create an interactive safety plan. In developing My Game Plan, we drew from cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) approaches. The American Psychiatric Association's practice guidelines for patients with suicidal behavior (4) include CBT and DBT as appropriate psychosocial interventions for those with suicidal thoughts or behaviors.

  1. National Suicide Prevention Lifeline - "How Can a Safety Plan Help?" [Link]
  2. Suicide Prevention Resource Center - "Patient Safety Plan Template." [Link]
  3. Stanley, B. & Brown, G.K. (2008). Safety Plan Treatment Manual to Reduce Suicide Risk: Veteran Version. United States Department of Veterans Affairs. [Link]
  4. Douglas G. Jacobs, M.D., Ross J. Baldessarini, M.D., Yeates Conwell, M.D., Jan A. Fawcett, M.D., Leslie Horton, M.D., Ph.D., Herbert Meltzer, M.D., Cynthia R. Pfeffer, M.D., Robert I. Simon, M.D. (2003). Practice Guideline for the Assessment and Treatment of Patients With Suicidal Behaviors. American Psychiatric Association, Arlington, VA. [Link]

Source code

The source code to My Game Plan is fully open source and can be accessed on the GitHub project page.

Usage and privacy

All data in the My Game Plan app is stored locally and no central computer server has access to it. Thus your information remains private except from people who have direct access to your phone.

Please be aware that My Game Plan includes no warranty or guarantee and should not be held liable for your health.