a South London & Maudsley NHS Foundation Trust, Croydon Recovery & Rehabilitation Team , London , UK and.
b Salomons Centre for Applied Psychology, Canterbury Christ Church University , Canterbury , UK.
J Ment Health. 2019 Feb;28(1):4-10. doi: 10.1080/09638237.2017.1340623. Epub 2017 Jul 4.
UK society is undergoing a technological revolution, including meeting health needs through technology. Government policy is shifting towards a "digital by default" position. Studies have trialled health technology interventions for those experiencing psychosis and shown them to be useful.
To gauge levels of engagement with mobile phones (Internet-enabled or cell phone), computers and the Internet in the specific population of community mental health rehabilitation.
Two surveys were conducted: with service-users on use/non-use of technologies, and interest in technology interventions and support; and with placements on facilities and support available to service-users.
Levels of engagement in this population were substantially less than those recorded in the general UK and other clinical populations: 40.2% regularly use mobiles, 17.5% computers, and 14.4% the Internet. Users of all three technologies were significantly younger than non-users. Users of mobiles and computers were significantly more likely to live in lower support/higher independence placements. Of surveyed placements, 35.5% provide a communal computer and 38.7% IT skills sessions.
Community mental health rehabilitation service-users risk finding themselves excluded by a "digital divide". Action is needed to ensure equal access to online opportunities, including healthcare innovations. Clinical and policy implications are discussed.
英国社会正在经历一场技术革命，包括通过技术满足健康需求。政府政策正在转向“默认数字化”的立场。已经有研究针对精神病患者试用了健康技术干预措施，并证明它们是有用的。
评估社区心理健康康复特定人群中对手机（具备互联网功能或手机）、计算机和互联网的使用程度。
进行了两项调查：一项是针对服务使用者对技术的使用/不使用情况、对技术干预和支持的兴趣进行的调查；另一项是针对服务使用者可获得的设施和支持情况进行的调查。
该人群的参与度大大低于英国和其他临床人群的记录：40.2%的人经常使用手机，17.5%的人使用计算机，14.4%的人使用互联网。所有三种技术的使用者都明显比非使用者年轻。使用手机和计算机的用户更有可能居住在支持度较低、独立性较高的住所。在接受调查的安置点中，35.5%提供公共计算机，38.7%提供 IT 技能课程。
社区心理健康康复服务使用者有可能面临“数字鸿沟”而被排除在外。需要采取行动确保他们能够平等地获得在线机会，包括医疗保健创新。讨论了临床和政策影响。
