Turvey Carolyn L, Roberts Lisa J
a Department of Psychiatry, Carver College of Medicine , University of Iowa , Iowa City , Iowa.
b AMC Health , New York , USA.
Int Rev Psychiatry. 2015;27(6):547-57. doi: 10.3109/09540261.2015.1087975. Epub 2015 Nov 2.
This review describes recent developments in online and mobile mental health applications, including a discussion of patient portals to support mental health care. These technologies are rapidly evolving, often before there is systematic investigation of their effectiveness. Though there are some reviews of the effectiveness of mental health mobile apps, perhaps the more significant development is innovation in technology evaluation as well as new models of interprofessional collaboration in developing behavioural health technologies. Online mental health programs have a strong evidence base. Their role in population health strategies needs further exploration, including the most effective use of limited clinical staff resources. Patient portals and personal health records serve to enhance mental health treatment also, though concerns specific to mental health must be addressed to support broader adoption of portals. Provider concerns about sharing psychiatric notes with patients hinder support for portals. Health information exchange for mental health information requires thoughtful consent management strategies so mental health patients can benefit. Finally, the broad array of health information technologies may overwhelm patients. User-friendly, well-designed, patient-centred health information technology homes may integrate these functions to promote a holistic approach to care plans and overall wellness. Such technology homes have special security needs and require providers and patients to be well informed about how best to use these technologies to support behavioural health interventions.
本综述描述了在线和移动心理健康应用的最新进展，包括对支持心理健康护理的患者门户网站的讨论。这些技术正在迅速发展，往往在对其有效性进行系统调查之前就已发展。虽然有一些关于心理健康移动应用有效性的综述，但或许更重要的发展是技术评估方面的创新以及开发行为健康技术时跨专业协作的新模式。在线心理健康项目有坚实的证据基础。它们在人群健康策略中的作用需要进一步探索，包括如何最有效地利用有限的临床工作人员资源。患者门户网站和个人健康记录也有助于加强心理健康治疗，不过必须解决心理健康特有的问题，以支持更广泛地采用门户网站。医疗服务提供者对与患者共享精神科记录的担忧阻碍了对门户网站的支持。心理健康信息的健康信息交换需要周全的同意管理策略，以便心理健康患者能够从中受益。最后，大量的健康信息技术可能会让患者应接不暇。用户友好、设计精良、以患者为中心的健康信息技术之家可以整合这些功能，以促进对护理计划和整体健康采取整体方法。这样的技术之家有特殊的安全需求，需要医疗服务提供者和患者充分了解如何最好地利用这些技术来支持行为健康干预措施。
