Orman Jan, O'Dea Bridianne, Shand Fiona, Berk Michael, Proudfoot Judith, Christensen Helen
MBBS, MPsychMed, General Practitioner Services Consultant, Black Dog Institute, Randwick, NSW.
Aust Fam Physician. 2014 Dec;43(12):832-7.
Australia is a world leader in the development of internet-delivered programs for the prevention and management of mood and anxiety disorders. Despite a strong evidence base of time- and cost-effectiveness, as well as clinical efficacy, the uptake of these programs in general practice remains low.
To familiarise general practitioners (GPs) with the range of online programs in Australia that have demonstrated efficacy and are currently available for use by patients with mental health problems.
E-mental health programs provide an efficacious and accessible form of mental healthcare and have the potential to fill the gap for those for whom such care is inaccessible, unaffordable or unacceptable. Clinicians can also use it in a stepped-care manner to augment existing healthcare services. There are a number of online resources currently available to Australians who have mood or anxiety disorders. These resources have strong evidence to support their effectiveness. Online portals facilitate access to these programs. Recently the Australian Federal Government has funded an education program (eMHPrac) for GPs and mental health professionals, to outline what is available, indicate situations where recommending such resources is appropriate, and suggest ways in which they can be incorporated into general practice.
在开发用于预防和管理情绪及焦虑障碍的互联网交付项目方面,澳大利亚处于世界领先地位。尽管有充分的证据表明这些项目具有时间和成本效益以及临床疗效,但它们在全科医疗中的采用率仍然很低。
使全科医生(GPs)熟悉澳大利亚一系列已证明有效的在线项目,这些项目目前可供有心理健康问题的患者使用。
电子心理健康项目提供了一种有效且可及的心理保健形式,有可能填补那些无法获得、负担不起或无法接受此类护理的人的空白。临床医生也可以以逐步护理的方式使用它来增强现有的医疗服务。目前有一些在线资源可供患有情绪或焦虑障碍的澳大利亚人使用。这些资源有充分的证据支持其有效性。在线门户网站便于获取这些项目。最近,澳大利亚联邦政府为全科医生和心理健康专业人员资助了一个教育项目(eMHPrac),以概述可用的资源,指出推荐此类资源合适的情况,并建议将它们纳入全科医疗的方法。