The promise and the reality: a mental health workforce perspective on technology-enhanced youth mental health service delivery

Orlowski, Simone; Lawn, Sharon; Matthews, Ben; Venning, Anthony; Wyld, Kaisha; Jones, Gabrielle M; Winsall, Megan; Antezana, Gaston; Schrader, G.; Bidargaddi, Niranjan

doi:10.1186/s12913-016-1790-y

Cited by 33 publications

(50 citation statements)

References 48 publications

(54 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In their systematic appraisal of ED treatment apps, they question if clinicians will benefit from or even want to have access to patient data 24–7 (Fairburn & Rothwell, ). Likewise, our result is backed by studies suggesting that the introduction of health technology in clinical settings may decrease clinician work satisfaction, which may especially be the case in clinicians doubting their own technological skills, that is, clinicians with impaired technological self‐efficacy (Lin, Viscardi, & McHugh, ; Orlowski et al, ). Thus, an undesired consequence of adopting RR may be reduced clinician work satisfaction, in particular if their technological self‐efficacy levels are not considered and addressed if low, for example, by educational efforts.…”

Section: Discussionsupporting

confidence: 59%

Clinicians' perspective on an app for patient self‐monitoring in eating disorder treatment

Lindgreen

Clausen

Lomborg

2018

Intl J Eating Disorders

View full text Add to dashboard Cite

Recovery Record induced new and affected pre-existing treatment and work conditions for clinicians. Clinicians were preoccupied with challenges associated with the app, for example, an added work load and potential harm to the patient-clinician collaboration. Thus, prior to adopting the app, we encourage clinicians and managements to discuss the objectives, advantages and disadvantages of adopting the app, and outline specific guidelines for patient and clinician app usage.

show abstract

Section: Discussionsupporting

confidence: 59%

Clinicians' perspective on an app for patient self‐monitoring in eating disorder treatment

Lindgreen

Clausen

Lomborg

2018

Intl J Eating Disorders

View full text Add to dashboard Cite

show abstract

“…In contrast, use of online services in mental health clinics has been acknowledged as a challenge to the professional attitudes and values of some health professionals. For example, health professionals may feel unable to trust online service capability, they have questioned the effects of technology on establishing and maintaining therapeutic relationships, and they have raised concerns about being able to manage or allay consumer confidentiality and privacy concerns …”

Section: Study 4: Implementation Study Of a Prototypic E‐clinic Beingmentioning

confidence: 99%

“…Recently, a review of the youth mental health workforce found that health professionals consider the assessment and management of risk and safety issues to be critically important and expressed concerns regarding the ability of technology to accurately assess, interpret or communicate such issues back to consumers . In situations where doubts about the appropriateness of technology have been expressed by health professionals (eg, regarding the clinical applicability and utility of technology), this influences their engagement with the technology .…”

Section: Study 4: Implementation Study Of a Prototypic E‐clinic Beingmentioning

confidence: 99%

“…In situations where doubts about the appropriateness of technology have been expressed by health professionals (eg, regarding the clinical applicability and utility of technology), this influences their engagement with the technology . Consumer factors such as age, personal attitudes and prior use of technology also influence health professionals’ perceptions regarding use of technology in service . Education and training of staff that addresses such concerns and perceptions, and emphasises the benefits and utility for consumers and clinicians, is therefore an important component of implementation …”

Section: Study 4: Implementation Study Of a Prototypic E‐clinic Beingmentioning

confidence: 99%

See 1 more Smart Citation

Project Synergy: co‐designing technology‐enabled solutions for Australian mental health services reform

Hickie

Davenport

Burns

et al. 2019

Medical Journal of Australia

109

View full text Add to dashboard Cite

Summary Project Synergy aims to test the potential of new and emerging technologies to enhance the quality of mental health care provided by traditional face‐to‐face services. Specifically, it seeks to ensure that consumers get the right care, first time (delivery of effective mental health care early in the course of illness). Using co‐design with affected individuals, Project Synergy has built, implemented and evaluated an online platform to assist the assessment, feedback, management and monitoring of people with mental disorders. It also promotes the maintenance of wellbeing by collating health and social information from consumers, their supportive others and health professionals. This information is reported back openly to consumers and their service providers to promote genuine collaborative care. The online platform does not provide stand‐alone medical or health advice, risk assessment, clinical diagnosis or treatment; instead, it supports users to decide what may be suitable care options. Using an iterative cycle of research and development, the first four studies of Project Synergy (2014–2016) involved the development of different types of online prototypes for young people (i) attending university; (ii) in three disadvantaged communities in New South Wales; (iii) at risk of suicide; and (iv) attending five headspace centres. These contributed valuable information concerning the co‐design, build, user testing and evaluation of prototypes, as well as staff experiences during development and service quality improvements following implementation. Through ongoing research and development (2017–2020), these prototypes underpin one online platform that aims to support better multidimensional mental health outcomes for consumers; more efficient, effective and appropriate use of health professional knowledge and clinical skills; and quality improvements in mental health service delivery.

show abstract

“…In contrast, the adoption of new technologies in health care by youth mental health clinicians was less positive. Resistance to technology was based on a preference for face-to-face engagement with young consumers and a belief that the integration of new technology would create extra work in an already under-resourced environment [ 33 ]. Additional barriers identified by youth workers were related to skills, training, and concerns around confidentiality and the legal implications of online technology [ 33 ].…”

Section: Introductionmentioning

confidence: 99%

General Practitioners’ Attitudes Toward a Web-Based Mental Health Service for Adolescents: Implications for Service Design and Delivery

Subotic-Kerry¹,

King²,

O’Moore³

et al. 2018

JMIR Hum Factors

View full text Add to dashboard Cite

BackgroundAnxiety disorders and depression are prevalent among youth. General practitioners (GPs) are often the first point of professional contact for treating health problems in young people. A Web-based mental health service delivered in partnership with schools may facilitate increased access to psychological care among adolescents. However, for such a model to be implemented successfully, GPs’ views need to be measured.ObjectiveThis study aimed to examine the needs and attitudes of GPs toward a Web-based mental health service for adolescents, and to identify the factors that may affect the provision of this type of service and likelihood of integration. Findings will inform the content and overall service design.MethodsGPs were interviewed individually about the proposed Web-based service. Qualitative analysis of transcripts was performed using thematic coding. A short follow-up questionnaire was delivered to assess background characteristics, level of acceptability, and likelihood of integration of the Web-based mental health service.ResultsA total of 13 GPs participated in the interview and 11 completed a follow-up online questionnaire. Findings suggest strong support for the proposed Web-based mental health service. A wide range of factors were found to influence the likelihood of GPs integrating a Web-based service into their clinical practice. Coordinated collaboration with parents, students, school counselors, and other mental health care professionals were considered important by nearly all GPs. Confidence in Web-based care, noncompliance of adolescents and GPs, accessibility, privacy, and confidentiality were identified as potential barriers to adopting the proposed Web-based service.ConclusionsGPs were open to a proposed Web-based service for the monitoring and management of anxiety and depression in adolescents, provided that a collaborative approach to care is used, the feedback regarding the client is clear, and privacy and security provisions are assured.

show abstract

The promise and the reality: a mental health workforce perspective on technology-enhanced youth mental health service delivery

Cited by 33 publications

References 48 publications

Clinicians' perspective on an app for patient self‐monitoring in eating disorder treatment

Clinicians' perspective on an app for patient self‐monitoring in eating disorder treatment

Project Synergy: co‐designing technology‐enabled solutions for Australian mental health services reform

General Practitioners’ Attitudes Toward a Web-Based Mental Health Service for Adolescents: Implications for Service Design and Delivery

Contact Info

Product

Resources

About