Norse Feedback is a data-driven analytical tool for mapping patients’ symptoms, problem and resource areas, based on real-time data from patients. The prototype has been developed based on significant research and clinical practice in mental health.
Here’s how it works: Prior to the appointment, the patient is sent a link (automated) to his/hers assessment and answers via telephone, tablet, etc. The questions you get will depend based on what you consecutively answer to the trigger questions, which should reveal symptoms, problems and resource areas of the individual. The underlying algorithm is based on research-based threshold values, which determine whether something is clinically relevant or not. The questions will therefore be perceived as meaningful for the individual patient throughout a course of treatment.
Healthcare professionals gain access to an interactive report that graphically shows what the patient has answered now, and also in previous assessments, with notifications of important areas. That way, the therapist can see what has an effect and what does not. In addition, the patient answers questions related to needs in the treatment, and whether or not a good relationship with the therapist is achieved. This is the most important predictor of treatment outcomes. The breadth of Norse means that health personnel get a comprehensive overview of many relevant factors that affect mental health. In addition, there will be notifications of general severity and risk of suicide, based on the patient’s response.
When healthcare professionals recieve this information already in the intake process , valuable time is saved on obtaining information and could also offer the right help at the right time. In a course of treatment, the therapist will adjust the treatment to what gives the best effect. Patients will experience being heard, and both progress and deterioration will be visible. With real-time data, the management in the health service could at an aggregate level retrieve data that highlights areas for improvement, for the benefit of both the patients and the caregivers. If one thinks big, this could be lifted up both nationally and globally as an indicator of mental health etc.
Norse is also relevant for other wards and health fields (eg cancer wards, pain clinics), and receives regular inquiries regarding this.
Norse is the world’s first clinical feedback tool in mental health – and is based on heavy academic research. Every other year, Norse is revised qualitatively in collaboration with clinicians, patients and quantitatively through statistical analysis.
Norse is delivered as a web application with security level 4 login for therapists, and runs in a private cloud solution on physical servers that Norse owns, operated by Atea in Bergen.
During the course of our lives, 50% of us will suffer from a mental illness. Those affected by mental illness dies 12-15 years before the average. The annual social cost of mental illness is estimated at about NOK 300 billion. It has been established that the treatment offered in mental health varies across municipalities and health trusts. The financial and human costs of mental illness are enormous. The solution proposed is usually more money for more therapists. Norse represents a more comprehensive and scalable solution.
The research and development of Norse was done by two psychologists who experienced and identified problems in their everyday work: A lack of structured data that could explain why patients over time had to return to treatment (revolving door patients). Lack of structured data that could say anything about whether their treatment had an effect, there and then. Patients who found it challenging to communicate their own problems, and the time they had to spend identifying what was most important to the patient. Norse is a solution to these challenges. Norse was specifically mentioned by the previous Minister of Health, Bent Høie, in the national hospital speech 2019, precisely as an important innovation that can raise the patient’s voice in treatment to provide more precise follow-ups. In mental health, ICT investments have been absent. Until now, digitalisation in mental health has been about digitizing old validated assesaments. Norse is built exclusively for being digital, and is a striking combination of innovative research and technology development in a very demanding field – which has no definitive answer. Norse is never fully developed, neither technologically nor clinically.