<details class="details"><summary>Accessibility</summary><div data-type="detailsContent"><p>We want our users to find Melo as easy to use as possible. For example, that means you should be able to:</p><p class="preFade fadeIn" style="text-align: start"></p><p class="preFade fadeIn" style="text-align: start">- change colours, contrast levels and fonts using browser or device settings</p><p class="preFade fadeIn" style="text-align: start">- zoom in up to 400% without the text spilling off the screen</p><p class="preFade fadeIn" style="text-align: start">- navigate most of Melo using a keyboard or speech recognition software</p><p class="preFade fadeIn" style="text-align: start">- listen to most of Melo using a screen reader (including the most recent versions of JAWS, NVDA and VoiceOver)</p><p class="preFade fadeIn" style="text-align: start"></p><p class="preFade fadeIn" style="text-align: start">We’ve also made the text on Melo as simple as possible to understand. If you find any problems not listed on this page or think we’re not meeting accessibility requirements, contact: <a target="_blank" rel="noopener noreferrer nofollow" class="link" href="mailto:support@melo.health">support@melo.health</a></p><p class="preFade fadeIn" style="text-align: start"></p><p class="preFade fadeIn" style="text-align: start">If you need information on Melo in a different format like accessible PDF, large print, easy read, audio recording or braille then please email <a target="_blank" rel="noopener noreferrer nofollow" class="link" href="mailto:support@melo.health">support@melo.health</a>. We’ll do our best to consider your request and get back to you in 5 working days.</p><p class="preFade fadeIn" style="text-align: start"></p><p class="preFade fadeIn" style="text-align: start">Melo is fully compliant with the Web Content Accessibility Guidelines version 2.1 AA standard.</p></div></details><details class="details"><summary>Alignment with NICE ESF</summary><div data-type="detailsContent"><p>Melo aligns with the National Institute for Health and Care Excellence (NICE) Evidence Standards Framework (ESF) guidelines - as a Tier 3a digital health technology.</p></div></details><details class="details"><summary>Bug Reporting</summary><div data-type="detailsContent"><p>We are eager and happy to help verify and fix any bugs - we take pride in it! Create an issue by contacting <a target="_blank" rel="noopener noreferrer nofollow" class="link" href="mailto:support@melo.health">support@melo.health</a> or using the ‘help’ and ‘lightbulb’ icons in the toolbar within the app. </p><p></p><p>Please provide as much information as you can about the problem you're experiencing and the steps taken before becoming aware of the issue. We'll try to replicate the bug to verify it, and if successful lodge the report for you. We'll also try to construct workarounds if possible.</p><p></p><p class="preFade fadeIn" style="text-align: start">Whilst we are only a small team, then we will seek to fix the most critical bugs affecting the widest set of users first. Bugs are triaged and prioritised (highest to low) based on the impact to users /patients.</p></div></details><details class="details"><summary>Credits - OASMNR</summary><div data-type="detailsContent"><p><strong>Overt Aggression Scale-Modified for Neurorehabilitation (OAS-MNR)</strong></p><p class="preFade fadeIn" style="text-align: start"><br>We are pleased to confirm that we have obtained permission from the author, <a target="_blank" rel="noopener noreferrer nofollow" class="link" href="https://www.researchgate.net/profile/Nick-Alderman">Professor Nick Alderman</a> to incorporate The Overt Aggression Scale-Modified for Neurorehabilitation (OAS-MNR) within Melo for the availability to our users.</p><p class="preFade fadeIn" style="text-align: start">We extend our sincere gratitude to Nick for his cooperation and support in enabling us to make this recognised and trusted assessment tool accessible in a digital format through our platform.</p></div></details><details class="details"><summary>Credits - SASBA</summary><div data-type="detailsContent"><p><strong>St Andrew's Sexual Behaviour Assessment (SASBA)</strong></p><p class="preFade fadeIn" style="text-align: start"><br>We are pleased to confirm that we have obtained permission from the authors (Knight, Alderman, Johnson, Green, Birkett-Swan &amp; Yorston, 2008) and St Andrews Healthcare to incorporate the St Andrew's Sexual Behaviour Assessment (SASBA) within Melo for the availability to our users.</p><p class="preFade fadeIn" style="text-align: start"></p><p class="preFade fadeIn" style="text-align: start">We extend our sincere gratitude for their cooperation and support in enabling us to make this recognised and trusted assessment tool accessible in a digital format through our platform.</p></div></details><details class="details"><summary>Clinical Focus</summary><div data-type="detailsContent"><p>Melo has been co-designed and clinically validated to help healthcare teams make informed decisions about a patients’ behaviours and provide a range of features and tools to support an evidenced based decision making approach.</p></div></details><details class="details"><summary>Clinical Calculator</summary><div data-type="detailsContent"><p>Melo includes a clinical calculator (the Agitated Behaviour Scale) to assist users in making informed health-related calculations.</p></div></details><details class="details"><summary>Clinical Safety</summary><div data-type="detailsContent"><p>At Melo, we recognise the profound responsibility that comes with handling patient data. Misuse or mishandling of such data can lead to significant risks, including:</p><ul><li><p class="preFade fadeIn"><strong>Misdiagnosis or Delayed Treatment</strong>: Incorrect or incomplete data can result in inappropriate clinical decisions.</p></li><li><p class="preFade fadeIn"><strong>Privacy Breaches</strong>: Unauthorised access to sensitive information can compromise patient confidentiality.</p></li><li><p class="preFade fadeIn"><strong>Erosion of Trust</strong>: Patients may lose confidence in digital health solutions if their data is not managed responsibly.</p><p class="preFade fadeIn"></p></li></ul><p class="preFade fadeIn" style="text-align: start">To mitigate these risks, we place clinical safety at the forefront of our operations. We adhere to the <strong>DCB0129</strong> clinical risk management standard, as mandated by the Health and Social Care Act 2012.</p><p class="preFade fadeIn" style="text-align: start"></p><p class="preFade fadeIn" style="text-align: start">This standard outlines the necessary processes for manufacturers of health IT systems to identify, assess, and manage potential clinical risks associated with their products.</p><p class="preFade fadeIn" style="text-align: start"></p><p class="preFade fadeIn" style="text-align: start">For more information please see: <a target="_blank" rel="noopener noreferrer nofollow" class="link" href="https://www.melo.health/dcb">https://www.melo.health/dcb</a></p></div></details><details class="details"><summary>Contact Us</summary><div data-type="detailsContent"><p>Please feel free to reach out to us with any concerns or feedback. We value your input and are committed to improving Melo based on user suggestions. You can contact us at <a target="_blank" rel="noopener noreferrer nofollow" class="link" href="mailto:support@melo.health">support@melo.health</a> or use the ‘help’ and ‘lightbulb’ icons in the toolbar within the app. </p></div></details><details class="details"><summary>Cost</summary><div data-type="detailsContent"><p>Melo is free at the point of care. We are funded through a combination of organisational level licence and implementation agreements.</p></div></details><details class="details"><summary>Data Collection</summary><div data-type="detailsContent"><p>Melo collects patient data, but rest assured, we prioritise user privacy and follow strict data protection regulations (eg, DTAC). Your data is handled securely, and you have control over what information you share.</p><p></p><p class="preFade fadeIn" style="text-align: start">We do not knowingly solicit data from or market to children under 18 years of age. If we learn that personal information from users less than 18 years of age has been collected, we will take reasonable measures to promptly delete such data from our records. If you become aware of any data we may have collected from children under age 18, please contact us at <a target="_blank" rel="noopener noreferrer nofollow" class="link" href="mailto:support@melo.health">support@melo.health</a>.</p></div></details><details class="details"><summary>Data Security</summary><div data-type="detailsContent"><p>We take data security seriously and have implemented robust measures to safeguard your information. Your data is encrypted and protected according to industry best practices.</p><p></p><p class="preFade fadeIn" style="text-align: start">More information can be found within our Privacy policy.</p></div></details><details class="details"><summary>Design Standards</summary><div data-type="detailsContent"><p>We are currently working towards adherence with WCAG 2.2 standards.</p></div></details><details class="details"><summary>Endorsement</summary><div data-type="detailsContent"><p>We are proud to be endorsed by a number of leading healthcare organisations across the UK - including the Oakleaf Group, the Royal Hospital for Neuro-Disability, and a number of NHS Trusts.</p><p></p><p class="preFade fadeIn" style="text-align: start">This is testament to our commitment to providing a reliable and value-add digital service.</p><p class="preFade fadeIn" style="text-align: start"></p><p class="preFade fadeIn" style="text-align: start"><em>“M<span>elo is the single most exciting innovation in how we manage complex behaviours I’ve seen in my 30 year career” - </span></em><strong><span>Dr Caroline Knight, Head of Psychology &amp; Consultant Clinical Neuropsychologist, The Oakleaf Group. </span></strong></p><p class="preFade fadeIn" style="text-align: start"></p><p class="preFade fadeIn" style="text-align: start"><em>“We are thrilled that the neuro behavioural service at the RHN has partnered with Decently. Melo is such an important, useful and exciting development in the world of managing behaviour that challenges. Melo is a straightforward and clear app to track behaviour that challenges after brain injury. This will help us improve the data collection and how we utilise the data on our wards”</em> - <strong>Dr Alex Rose, Consultant Clinical Psychologist &amp; Neurobehavioural Programme Lead , Royal Hospital for Neuro-disability.</strong></p></div></details><details class="details"><summary>Evaluation Process &amp; Outcomes</summary><div data-type="detailsContent"><p>Melo has undergone rigorous testing and evaluation processes to ensure its quality and effectiveness. We are dedicated to continuously improving and providing the best user experience.</p></div></details><details class="details"><summary>Medical Device Regulations</summary><div data-type="detailsContent"><p>Melo is not classed as a medical device but serves as a clinical decision support tool (in line with MHRA guidelines).</p><p></p><p class="preFade fadeIn" style="text-align: start">This position has been verified with a number of organisations in the last 12 months - including NHS University Hospitals of Liverpool Group.</p></div></details><details class="details"><summary>Notifications</summary><div data-type="detailsContent"><p>Melo does not currently send push or email notifications. If these were to be introduced in the future we would ensure they are customisable to suit your preference.</p></div></details><details class="details"><summary>Qualified Professional Involvement</summary><div data-type="detailsContent"><p>A team of suitably qualified professionals have been actively involved in the development of Melo to ensure its accuracy and reliability. This includes our Clinical Safety Officer and Data Protection Officer.</p></div></details><details class="details"><summary>Risk Log</summary><div data-type="detailsContent"><p>If you require access to our risk log, please contact us and we will provide you with the necessary information.</p></div></details><details class="details"><summary>Treatment Pathway Automation</summary><div data-type="detailsContent"><p>Melo does not automate treatment pathways. Any medical decisions will remain to be made by an appropriate qualified healthcare professional.</p></div></details><details class="details"><summary>Treatment Provision</summary><div data-type="detailsContent"><p>Whilst we offer valuable health information and resources, Melo does not provide direct treatment for specific medical conditions. Always consult a healthcare professional for personalised advice.</p></div></details><details class="details"><summary>User Feedback &amp; Input</summary><div data-type="detailsContent"><p>User feedback and input have been integral to the design phase of Melo. Your suggestions have played a significant role in shaping our features and functionality. </p><p></p><p>We are always open to suggestions on how we can improve Melo. To make a feature request, please use the ‘lightbulb’ icon in the toolbar at the top of the page within the app. </p></div></details><p></p><p></p>

Welcome to Melo, your trusted digital partner in helping make sense of complex patient behaviours. We understand that you may have questions about our app, so we've put together this overview to address your concerns.

About Melo

Changelog

Find out more about Melo, the types of data we collect, our data security, storage and cookies policies.

Privacy, cookies & T&C's

We understand that you may have questions about the data we collect and how you use it, so we have put together the following policy content with details about our privacy practices.

Privacy policy

This Cookie Policy applies to the use of cookies and similar technologies on Melo ("the App"). By using the App, you consent to the use of cookies in accordance with this policy.

Cookies policy

Terms & conditions

Onboarding & initial setup

This process aims to get you signed in and walks you through a few basic tasks to get you going. If you get stuck, contact your local Melo administrator for some quick hands on help, or email us at support@melo.health and we’ll be in touch asap.

Getting started with Melo

These articles cover topics around sign in, security, user access, and administrating an organisation.

User accounts & devices

How you sign into Melo will depend on whether your organisation integrates with Melo.

Signing in

Resetting your password

Managing users

Switching between sites

Installing Melo vs. simply visiting the website gives you a cleaner, app-like experience; no tabs, address bars, or distractions. It lives right on your desktop or phone wallpaper. It also loads faster and feels more like a native app than a regular website.

Installing Melo for a better experience

All things patient management (create, update, and delete).

Patient management & details

This article explains how to add patients into Melo to start recording data against them.

Adding & updating patients

The background description for a patient is a freetext area to be filled with details of the person, not the patient. This aims to bring new carers up to speed quickly and give clues on calming conversation topics.

Adding context with a patient background information 

Bookmarking is a way of pinning your most-accessed patients to common areas of Melo so they're always within reach. This could be high-agitation patients, recently referred, or patients on close observations. Use it however you find to be useful.

Bookmarking patients for quick access

Wards are used to identify, group, and filter patients in Melo.

Wards

Patient transfers (for multi-site organisations)

These articles explain how to record assessments and supporting behaviours against patients.

Behavioural data

These assessments are observational tools used to record and measure detailed aggressive behaviours (SASBA focusses on sexualised aggression) in patients with brain injuries. This allows teams to understand whether changes to care are effective by comprehensively measuring changes in behaviour.

OASMNR & SASBA (Overt Aggression Scale Modified for NeuroRehab & St. Andrew's Sexualised Behaviour Scale)

ABC (Antecedent, Behaviour, Consequence)

The ABC Plus is a more structured, richer version of the ABC form. It can additionally capture positive behaviours, sleep, and observation duration. It also contains more behaviour options with severity-descriptions. This aligns different people on what "moderate" means, for example. Finally, negative submissions calculate a weighted-severity meaning that ABC Plus observations are directly comparable to other Melo behavioural assessments.

ABC-Plus (Antecedent, Behaviour, Consequence)

ABS forms measure how present 14 behaviour types are in a patient whilst they’re being observed, from absent through to extreme. Answer each question with your best estimate.

ABS (Agitated Behaviour Scale)

This page describes all things assessment-management. Assessments are all stored in a filterable list and can be updated or deleted.

Updating & deleting assessments

Melo contains multiple assessment types for capturing agitation, each with their own severity scale. To simplify severity analysis across multiple assessment types Melo ‘equates’ these severity levels enabling a more holistic view.

How Melo equates severity levels between assessment types

Care tips act as a patient-specific toolbox for caring effectively for them. People enter what's worked for them when working with this patient, and others can upvote these tips. This results in a validated list of personalised strategies.

Care tips

Key events are timestamp markers which can be annotated onto timeseries graphs to highlight things like a change in care strategy or day-trips. This can be useful to determine if behaviour changes around these times. 

Key events

This widget is designed to show which patients have been agitated the most, recently. the colourful badges represent the equated severity scale across all assessment types (ABC, etc.). The list is sorted primarily by most-negative-assessments within the timeframe, followed by severity.

"Negative behaviours (prev. 48h)" widget

Troubleshooting & errors

If you're experiencing a blank page or an error when accessing Melo, clearing your browser cookies will resolve the issue.                                                                                                                To clear cookies, please follow the steps below in your browser (not app view).                                                                                                      After clearing cookies you will need to log in again.                                                                                       