Lessons Learned or Forgotten? Impacts of COVID-19 on the Future Direction of Global (e-)Mental Health Care

Mucic, Davor; Shore, Jay H.; Hilty, Donald M.; Krysta, K.; Krzystanek, Marek

doi:10.1007/s11920-021-01300-5

Cited by 6 publications

(4 citation statements)

References 44 publications

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“…We should also note that the present data were collected right before the corona pandemic started in 2020, even leading to difficulties in collecting the completed questionnaires from the hospitals. Many mental health professionals in Belgium gained experience with online consultations during the pandemic ( 7 ) and this could lead to increased willingness to use e-mental health as an add-on or in a blended format to manage an increasing demand for mental health services ( 37 , 38 ).…”

Section: Discussionmentioning

confidence: 99%

E-mental health implementation in inpatient care: Exploring its potential and future challenges

Assche¹,

Bonroy

Mertens

et al. 2022

Front. Digit. Health

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BackgroundThere is a great evidence base today for the effectiveness of e-mental health, or the use of technology in mental healthcare. However, large-scale implementation in mental healthcare organisations is lacking, especially in inpatient specialized mental healthcare settings.AimThe current study aimed to gain insights into the factors that promote or hinder the implementation of e-mental health applications on organisational, professional and patient levels in Belgium.MethodsFour Belgian psychiatric hospitals and psychiatric departments of general hospitals invited their professionals and patients to use Moodbuster, which is a modular web-based platform with a connected smartphone application for monitoring. The platform was used in addition to treatment as usual for three to four months. The professionals and patients completed pre- and post-implementation questionnaires on their reasons to participate or to decline participation and experiences with the Moodbuster platform.ResultsMain reasons for the organisations to participate in the implementation study were a general interest in e-mental health and seeing it is a helpful add-on to regular treatment. The actual use of Moodbuster by professionals and patients proved to be challenging with only 10 professionals and 24 patients participating. Implementation was hindered by technical difficulties and inpatient care specific factors such as lack of structural facilities to use e-mental health and patient-specific factors. Professionals saw value in using e-mental health applications for bridging the transition from inpatient to outpatient care. Twenty-two professionals and 31 patients completed the questionnaire on reasons not to participate. For the patients, lack of motivation because of too severe depressive symptoms was the most important reason not to participate. For professionals, it was lack of time and high workload.ConclusionsThe current implementation study reveals several important barriers to overcome in order to successfully implement e-mental health in inpatient psychiatric care.

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Section: Discussionmentioning

confidence: 99%

E-mental health implementation in inpatient care: Exploring its potential and future challenges

Assche¹,

Bonroy

Mertens

et al. 2022

Front. Digit. Health

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“…At that time, teleportation became popular, and because of the high demand for medical consultations, telemedicine tools began to be developed and subsequently improved [18]. Telepsychiatry was developed in parallel with other branches [19]. Digital health care made it possible to continue treatment without exposing patients to COVID-19 infection.…”

Section: Equal Access To Health Care Servicesmentioning

confidence: 99%

“…W tym czasie popularność zyskały teleporady, a wobec dużego zapotrzebowania na konsultacje lekarskie zaczęto rozwijać i następnie udoskonalać narzędzia telemedycyny [18]. Równocześnie z innymi gałęziami rozwijano telepsychiatrię [19]. Cyfrowa opieka zdrowotna umożliwiła kontynuację terapii bez narażenia pacjentów na zakażenie wirusem COVID19.…”

Section: Korzyści Wynikające Ze Stosowania Telepsychiatrii 1równomier...unclassified

Are we ready for Telepsychiatry? Benefits and challenges of digital psychotherapy

KISTER

Jakub

Dybała

et al. 2023

Curr Probl Psychiatry

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Background: Telemedicine is one of the most modern and fastest-growing branches of medicine. The most common form is video consultation. We distinguish between synchronous and asynchronous telepsychiatry. This study aims to show the benefits of using telepsychiatry services, the challenges it poses to users, and to evaluate its use against traditional therapy. Materials and methods: A review of literature from 1956-2023 in EMBASE, OpenKnowledge and PubMed databases was conducted. Keywords used were: telepsychiatry, teletherapy, and digital psychiatry. Ninety-eight articles were included. Discussion: Telepsychiatry is an opportunity for regions affected by medical staff shortages. It bypasses cultural barriers, the problem of traveling and reduces the cost of medical point-of-service. Telepsychiatry is an opportunity for patients who do not use psychiatrists due to discrimination in a conservative society. Groups that may find it challenging include the elderly, the blind, and the deaf. Creating a healthy therapeutic alliance through a screen can be impossible, making it difficult to achieve successful therapy. A barrier to developing telepsychiatry is the need for more guidelines for dealing with medical errors. Conclusions: Telemedicine can help in accessing specialized care regardless of location. Telepsychiatry provides a safe and anonymous environment for patients reluctant to receive inpatient therapy. The effectiveness of online therapy is primarily debated. Telepsychiatry should be limited to follow-up consultations and well-known patients - it is a form of complementing the diagnosis and treatment process. The authors point to the need for developing specific guidelines for conducting teletherapy with particular attention to the problem of suicide. Keywords: telepsychiatry, teletherapy, digital psychiatry.

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“…The COVID-19 pandemic is a social stressor that has acted on a global scale. A significant number of illnesses and deaths around the world, lockdowns, and isolation, followed by social distancing and limitations to movement and access to medical aid, the paralysis of health care, job losses, and an economic crisis caused individual and social adaptive and maladaptive responses in the form of emerging mental health problems or exacerbation of mental disorders symptoms have occurred [1][2][3]. A meta-analysis by Salari et al indicated that the COVID-19 pandemic is affecting people's mental health, albeit to varying degrees, for different social groups [4].…”

Section: Introductionmentioning

confidence: 99%

Shades of Fear—Mental and Physical Health Reactions to the COVID-19 Pandemic: A Representative Study of Polish Society

Sobierajski

Krzystanek

2023

IJERPH

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The study was carried out one year after the establishment of the pandemic state in the European Union (EU), the situation at the end of the next wave of the COVID-19 pandemic in Poland. The survey was conducted on a representative sample of Polish people using Computer Assisted Web Interviewing (CAWI), considering several demographic categories, such as sex, age, place of residence, education, and monthly income. The survey’s main objective was to find out whether the respondents feel fear related to pandemics and living in a pandemic, and if so, what the psychological and physiological symptoms of this fear are. Half of the respondents (50.2%) declared that they felt fear about what their life would look like after the pandemic, and every tenth person (10.1%) marked the highest level of fear on the scale. The respondents felt the psychological symptoms of the pandemic much more often than they felt the physical ones. The most common psychological symptoms were fear of the future (38.5% of them gave “often” and “very often” responses, together), despondency (29.2% of them gave “often” and “very often” responses), and mental tension (28.9% of them gave “often” and “very often” responses). A detailed analysis of data from representative studies showed that the responses in a pandemic are strongly determined by demographic categories, mainly sex and age, and they differ depending on the social group to which a person belongs.

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Lessons Learned or Forgotten? Impacts of COVID-19 on the Future Direction of Global (e-)Mental Health Care

Cited by 6 publications

References 44 publications

E-mental health implementation in inpatient care: Exploring its potential and future challenges

E-mental health implementation in inpatient care: Exploring its potential and future challenges

Are we ready for Telepsychiatry? Benefits and challenges of digital psychotherapy

Shades of Fear—Mental and Physical Health Reactions to the COVID-19 Pandemic: A Representative Study of Polish Society

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