Division of Psychiatry, University College London, London, UK.
Evid Based Ment Health. 2017 Nov;20(4):107-111. doi: 10.1136/eb-2017-102759. Epub 2017 Sep 25.
The use of digital technologies in the management of mental illness, and more generally in the promotion of well-being and mental health, has received much recent attention and is a focus of current health policy. We conducted a narrative review to explore the opportunities and risks of digital technologies in mental healthcare specifically for people with intellectual disability, a sometimes marginalised and socially excluded group. The scope of digital mental health is vast and the promise of cheaper and more effective interventions delivered digitally is attractive. People with intellectual disability experience high rates of mental illness and could benefit from the development of novel therapies, yet seem to have been relatively neglected in the discourse around digital mental health and are often excluded from the development and implementation of new interventions. People with intellectual disability encounter several barriers to fully embracing digital technology, which may be overcome with appropriate support and adaptations. A small, but growing, literature attests to the value of incorporating digital technologies into the lives of people with intellectual disability, not only for promoting health but also for enhancing educational, vocational and leisure opportunities. Clearly further evidence is needed to establish the safety and clinical efficacy of digital mental health interventions for people with and without intellectual disability. A digital inclusion strategy that explicitly addresses the needs of people with intellectual disability would ensure that all can share the benefits of the digital world.
数字技术在精神疾病管理中的应用，更广泛地说，在促进幸福感和精神健康方面，最近受到了广泛关注，也是当前卫生政策的重点。我们进行了一项叙述性评论，专门探讨数字技术在精神保健方面，特别是在智力残疾人士中的机遇和风险，他们是一个有时被边缘化和社会排斥的群体。数字心理健康的范围非常广泛，数字干预手段更便宜、更有效的承诺很有吸引力。智力残疾人士的精神疾病发病率很高，可以从新疗法的开发中受益，但在数字心理健康的讨论中似乎相对被忽视，而且往往被排除在新干预措施的开发和实施之外。智力残疾人士在全面接受数字技术方面存在一些障碍，通过适当的支持和调整可能会克服这些障碍。虽然文献数量很少，但越来越多的文献证明将数字技术融入智力残疾人士的生活具有价值，不仅可以促进健康，还可以增强教育、职业和休闲机会。显然，需要进一步的证据来确定数字心理健康干预措施对智力残疾和非智力残疾人士的安全性和临床疗效。一项明确解决智力残疾人士需求的数字包容战略将确保所有人都能共享数字世界的好处。
