Digital mental health: challenges and next steps

Research output: Contribution to journal › Review › Research › peer-review

Standard

Digital mental health : challenges and next steps. / Smith, Katharine A.; Blease, Charlotte; Faurholt-Jepsen, Maria; Firth, Joseph; Van Daele, Tom; Moreno, Carmen; Carlbring, Per; Ebner-Priemer, Ulrich W.; Koutsouleris, Nikolaos; Riper, Heleen; Mouchabac, Stephane; Torous, John; Cipriani, Andrea.

In: BMJ mental health, Vol. 26, No. 1, 2023.

Research output: Contribution to journal › Review › Research › peer-review

Harvard

Smith, KA, Blease, C, Faurholt-Jepsen, M, Firth, J, Van Daele, T, Moreno, C, Carlbring, P, Ebner-Priemer, UW, Koutsouleris, N, Riper, H, Mouchabac, S, Torous, J & Cipriani, A 2023, 'Digital mental health: challenges and next steps', BMJ mental health, vol. 26, no. 1. https://doi.org/10.1136/bmjment-2023-300670

APA

Smith, K. A., Blease, C., Faurholt-Jepsen, M., Firth, J., Van Daele, T., Moreno, C., Carlbring, P., Ebner-Priemer, U. W., Koutsouleris, N., Riper, H., Mouchabac, S., Torous, J., & Cipriani, A. (2023). Digital mental health: challenges and next steps. BMJ mental health, 26(1). https://doi.org/10.1136/bmjment-2023-300670

Vancouver

Smith KA, Blease C, Faurholt-Jepsen M, Firth J, Van Daele T, Moreno C et al. Digital mental health: challenges and next steps. BMJ mental health. 2023;26(1). https://doi.org/10.1136/bmjment-2023-300670

Author

Smith, Katharine A. ; Blease, Charlotte ; Faurholt-Jepsen, Maria ; Firth, Joseph ; Van Daele, Tom ; Moreno, Carmen ; Carlbring, Per ; Ebner-Priemer, Ulrich W. ; Koutsouleris, Nikolaos ; Riper, Heleen ; Mouchabac, Stephane ; Torous, John ; Cipriani, Andrea. / Digital mental health : challenges and next steps. In: BMJ mental health. 2023 ; Vol. 26, No. 1.

Bibtex

@article{aa55c4a9ae8b4516bf1055d79af9b445,
title = "Digital mental health: challenges and next steps",
abstract = "Digital innovations in mental health offer great potential, but present unique challenges. Using a consensus development panel approach, an expert, international, cross-disciplinary panel met to provide a framework to conceptualise digital mental health innovations, research into mechanisms and effectiveness and approaches for clinical implementation. Key questions and outputs from the group were agreed by consensus, and are presented and discussed in the text and supported by case examples in an accompanying appendix. A number of key themes emerged. (1) Digital approaches may work best across traditional diagnostic systems: we do not have effective ontologies of mental illness and transdiagnostic/symptom-based approaches may be more fruitful. (2) Approaches in clinical implementation of digital tools/interventions need to be creative and require organisational change: not only do clinicians and patients need training and education to be more confident and skilled in using digital technologies to support shared care decision-making, but traditional roles need to be extended, with clinicians working alongside digital navigators and non-clinicians who are delivering protocolised treatments. (3) Designing appropriate studies to measure the effectiveness of implementation is also key: including digital data raises unique ethical issues, and measurement of potential harms is only just beginning. (4) Accessibility and codesign are needed to ensure innovations are long lasting. (5) Standardised guidelines for reporting would ensure effective synthesis of the evidence to inform clinical implementation. COVID-19 and the transition to virtual consultations have shown us the potential for digital innovations to improve access and quality of care in mental health: now is the ideal time to act.",
author = "Smith, {Katharine A.} and Charlotte Blease and Maria Faurholt-Jepsen and Joseph Firth and {Van Daele}, Tom and Carmen Moreno and Per Carlbring and Ebner-Priemer, {Ulrich W.} and Nikolaos Koutsouleris and Heleen Riper and Stephane Mouchabac and John Torous and Andrea Cipriani",
note = "Publisher Copyright: {\textcopyright} Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. Published by BMJ.",
year = "2023",
doi = "10.1136/bmjment-2023-300670",
language = "English",
volume = "26",
journal = "BMJ mental health",
issn = "2755-9734",
publisher = "BMJ Publishing Group",
number = "1",

}

RIS

TY - JOUR

T1 - Digital mental health

T2 - challenges and next steps

AU - Smith, Katharine A.

AU - Blease, Charlotte

AU - Faurholt-Jepsen, Maria

AU - Firth, Joseph

AU - Van Daele, Tom

AU - Moreno, Carmen

AU - Carlbring, Per

AU - Ebner-Priemer, Ulrich W.

AU - Koutsouleris, Nikolaos

AU - Riper, Heleen

AU - Mouchabac, Stephane

AU - Torous, John

AU - Cipriani, Andrea

N1 - Publisher Copyright: © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. Published by BMJ.

PY - 2023

Y1 - 2023

N2 - Digital innovations in mental health offer great potential, but present unique challenges. Using a consensus development panel approach, an expert, international, cross-disciplinary panel met to provide a framework to conceptualise digital mental health innovations, research into mechanisms and effectiveness and approaches for clinical implementation. Key questions and outputs from the group were agreed by consensus, and are presented and discussed in the text and supported by case examples in an accompanying appendix. A number of key themes emerged. (1) Digital approaches may work best across traditional diagnostic systems: we do not have effective ontologies of mental illness and transdiagnostic/symptom-based approaches may be more fruitful. (2) Approaches in clinical implementation of digital tools/interventions need to be creative and require organisational change: not only do clinicians and patients need training and education to be more confident and skilled in using digital technologies to support shared care decision-making, but traditional roles need to be extended, with clinicians working alongside digital navigators and non-clinicians who are delivering protocolised treatments. (3) Designing appropriate studies to measure the effectiveness of implementation is also key: including digital data raises unique ethical issues, and measurement of potential harms is only just beginning. (4) Accessibility and codesign are needed to ensure innovations are long lasting. (5) Standardised guidelines for reporting would ensure effective synthesis of the evidence to inform clinical implementation. COVID-19 and the transition to virtual consultations have shown us the potential for digital innovations to improve access and quality of care in mental health: now is the ideal time to act.

AB - Digital innovations in mental health offer great potential, but present unique challenges. Using a consensus development panel approach, an expert, international, cross-disciplinary panel met to provide a framework to conceptualise digital mental health innovations, research into mechanisms and effectiveness and approaches for clinical implementation. Key questions and outputs from the group were agreed by consensus, and are presented and discussed in the text and supported by case examples in an accompanying appendix. A number of key themes emerged. (1) Digital approaches may work best across traditional diagnostic systems: we do not have effective ontologies of mental illness and transdiagnostic/symptom-based approaches may be more fruitful. (2) Approaches in clinical implementation of digital tools/interventions need to be creative and require organisational change: not only do clinicians and patients need training and education to be more confident and skilled in using digital technologies to support shared care decision-making, but traditional roles need to be extended, with clinicians working alongside digital navigators and non-clinicians who are delivering protocolised treatments. (3) Designing appropriate studies to measure the effectiveness of implementation is also key: including digital data raises unique ethical issues, and measurement of potential harms is only just beginning. (4) Accessibility and codesign are needed to ensure innovations are long lasting. (5) Standardised guidelines for reporting would ensure effective synthesis of the evidence to inform clinical implementation. COVID-19 and the transition to virtual consultations have shown us the potential for digital innovations to improve access and quality of care in mental health: now is the ideal time to act.

U2 - 10.1136/bmjment-2023-300670

DO - 10.1136/bmjment-2023-300670

M3 - Review

C2 - 37197797

AN - SCOPUS:85165662350

VL - 26

JO - BMJ mental health

JF - BMJ mental health

SN - 2755-9734

IS - 1

ER -

ID: 386609872