Digital technology can revolutionize mental health services delivery: The COVID-19 crisis as a catalyst for change.
Identifieur interne : 000620 ( Main/Exploration ); précédent : 000619; suivant : 000621Digital technology can revolutionize mental health services delivery: The COVID-19 crisis as a catalyst for change.
Auteurs : C Barr Taylor [États-Unis] ; Ellen E. Fitzsimmons-Craft [États-Unis] ; Andrea K. Graham [États-Unis]Source :
- The International journal of eating disorders [ 1098-108X ] ; 2020.
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English descriptors
- KwdEn :
- MESH :
Abstract
The unprecedented COVID-19 crisis presents an imperative for mental health care systems to make digital mental health interventions a routine part of care. Already because of COVID-19, many therapists have rapidly moved to using telehealth in place of in-person contact. In response to this shift, Waller and colleagues compiled a series of expert recommendations to help clinicians pivot to delivering teletherapy to address eating disorders during COVID-19. However, numerous barriers still impede widespread adoption and implementation of digital interventions. In this commentary, we aim to extend the recommendations for clinicians offered by Waller and colleagues by presenting a roadmap of the systems- and policy-level requirements that are needed. We advocate for addressing barriers associated with training, licensing, safety, privacy, payment, and evaluation, as these factors have greatly limited use of these promising interventions. We also indicate that longer-term goals should include introducing truly innovative digital mental health practices, such as stepped-care models and simultaneously providing preventive and self-management services in addition to clinical services, into the health care system. Now is the time to catalyze change and comprehensively address the barriers that have prevented widespread delivery of these efficacious digital services to the millions of people who would benefit.
DOI: 10.1002/eat.23300
PubMed: 32449523
PubMed Central: PMC7280562
Affiliations:
- États-Unis
- Californie, Illinois, Missouri (État)
- Saint-Louis (Missouri)
- École de médecine (Université Washington de Saint-Louis)
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We also indicate that longer-term goals should include introducing truly innovative digital mental health practices, such as stepped-care models and simultaneously providing preventive and self-management services in addition to clinical services, into the health care system. Now is the time to catalyze change and comprehensively address the barriers that have prevented widespread delivery of these efficacious digital services to the millions of people who would benefit.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Automated" Owner="NLM"><PMID Version="1">32449523</PMID><DateCompleted><Year>2020</Year><Month>07</Month><Day>09</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>18</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1098-108X</ISSN><JournalIssue CitedMedium="Internet"><Volume>53</Volume><Issue>7</Issue><PubDate><Year>2020</Year><Month>07</Month></PubDate></JournalIssue><Title>The International journal of eating disorders</Title><ISOAbbreviation>Int J Eat Disord</ISOAbbreviation></Journal><ArticleTitle>Digital technology can revolutionize mental health services delivery: The COVID-19 crisis as a catalyst for change.</ArticleTitle><Pagination><MedlinePgn>1155-1157</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/eat.23300</ELocationID><Abstract><AbstractText>The unprecedented COVID-19 crisis presents an imperative for mental health care systems to make digital mental health interventions a routine part of care. Already because of COVID-19, many therapists have rapidly moved to using telehealth in place of in-person contact. In response to this shift, Waller and colleagues compiled a series of expert recommendations to help clinicians pivot to delivering teletherapy to address eating disorders during COVID-19. However, numerous barriers still impede widespread adoption and implementation of digital interventions. In this commentary, we aim to extend the recommendations for clinicians offered by Waller and colleagues by presenting a roadmap of the systems- and policy-level requirements that are needed. We advocate for addressing barriers associated with training, licensing, safety, privacy, payment, and evaluation, as these factors have greatly limited use of these promising interventions. We also indicate that longer-term goals should include introducing truly innovative digital mental health practices, such as stepped-care models and simultaneously providing preventive and self-management services in addition to clinical services, into the health care system. Now is the time to catalyze change and comprehensively address the barriers that have prevented widespread delivery of these efficacious digital services to the millions of people who would benefit.</AbstractText><CopyrightInformation>© 2020 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Taylor</LastName><ForeName>C Barr</ForeName><Initials>CB</Initials><Identifier Source="ORCID">0000-0002-4564-6548</Identifier><AffiliationInfo><Affiliation>Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Center for m2Health, Palo Alto University, Palo Alto, California, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fitzsimmons-Craft</LastName><ForeName>Ellen E</ForeName><Initials>EE</Initials><Identifier Source="ORCID">0000-0001-7064-3835</Identifier><AffiliationInfo><Affiliation>Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Graham</LastName><ForeName>Andrea K</ForeName><Initials>AK</Initials><Identifier Source="ORCID">0000-0002-9736-8906</Identifier><AffiliationInfo><Affiliation>Center for Behavioral Intervention Technologies, Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>K01 DK116925</GrantID><Acronym>DK</Acronym><Agency>NIDDK NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>K08 MH120341</GrantID><Acronym>MH</Acronym><Agency>NIMH NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01 MH115128</GrantID><Acronym>MH</Acronym><Agency>NIMH NIH 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Disord</MedlineTA><NlmUniqueID>8111226</NlmUniqueID><ISSNLinking>0276-3478</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentOn"><RefSource>Int J Eat Disord. 2020 Jul;53(7):1132-1141</RefSource><PMID Version="1">32383530</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003071" MajorTopicYN="N">Cognition</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017934" MajorTopicYN="Y">Coronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="Y">Coronavirus Infections</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001068" MajorTopicYN="Y">Feeding and Eating 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MajorTopicYN="Y">telehealth</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>05</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>05</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>5</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>7</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>5</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32449523</ArticleId><ArticleId IdType="doi">10.1002/eat.23300</ArticleId><ArticleId IdType="pmc">PMC7280562</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>J Consult Clin Psychol. 2012 Oct;80(5):707-18</Citation><ArticleIdList><ArticleId IdType="pubmed">22823859</ArticleId></ArticleIdList></Reference><Reference><Citation>Cogn Behav Ther. 2018 Jan;47(1):1-18</Citation><ArticleIdList><ArticleId IdType="pubmed">29215315</ArticleId></ArticleIdList></Reference><Reference><Citation>J Clin Med. 2019 Aug 17;8(8):</Citation><ArticleIdList><ArticleId IdType="pubmed">31426460</ArticleId></ArticleIdList></Reference><Reference><Citation>Int J Eat Disord. 2020 Jul;53(7):1132-1141</Citation><ArticleIdList><ArticleId IdType="pubmed">32383530</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li><li>Illinois</li><li>Missouri (État)</li></region><settlement><li>Saint-Louis (Missouri)</li></settlement><orgName><li>École de médecine (Université Washington de Saint-Louis)</li></orgName></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Taylor, C Barr" sort="Taylor, C Barr" uniqKey="Taylor C" first="C Barr" last="Taylor">C Barr Taylor</name></region><name sortKey="Fitzsimmons Craft, Ellen E" sort="Fitzsimmons Craft, Ellen E" uniqKey="Fitzsimmons Craft E" first="Ellen E" last="Fitzsimmons-Craft">Ellen E. Fitzsimmons-Craft</name><name sortKey="Graham, Andrea K" sort="Graham, Andrea K" uniqKey="Graham A" first="Andrea K" last="Graham">Andrea K. Graham</name><name sortKey="Taylor, C Barr" sort="Taylor, C Barr" uniqKey="Taylor C" first="C Barr" last="Taylor">C Barr Taylor</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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