HOFFMAN, WISNIEWSKI, HAYS, HENSON, VAIDYAM, HENDELL, KESHAVAN, TOROUS: Department of Psychiatry, Division of Digital Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
J Psychiatr Pract. 2020 Mar;26(2):80-88. doi: 10.1097/PRA.0000000000000450.
Digital health technologies such as smartphones present the potential for increased access to care and on-demand services. However, many patients with serious mental illnesses (eg, schizophrenia) have not been offered the digital health training necessary to fully utilize these innovative approaches. To bridge this digital divide in knowledge and skills, we created a hands-on and interactive training program grounded in self-determination theory, technology use cases, and the therapeutic alliance. This article introduces the need and theoretical foundation for and the experience of running the resulting Digital Opportunities for Outcomes in Recovery Services (DOORS) group in the setting of 2 programs: a first-episode psychosis program and a clubhouse for individuals with serious mental illness. The experience of running these 2 DOORS groups resulted in 2 publicly available, free training manuals to empower others to run such groups and adapt them for local needs. Future work on DOORS will expand the curriculum to best support digital health needs and increase equity of access to and knowledge and skills related to technology use in serious mental illness.
数字健康技术，如智能手机，为增加获得医疗保健和按需服务的机会提供了潜力。然而，许多患有严重精神疾病（如精神分裂症）的患者并未接受充分利用这些创新方法所需的数字健康培训。为了弥合知识和技能方面的数字鸿沟，我们创建了一个基于自主决定理论、技术用例和治疗联盟的实践和互动培训计划。本文介绍了在 2 个项目（一个首发精神病项目和一个严重精神疾病患者会所）背景下，创建数字机会以促进康复服务（DOORS）小组的需求、理论基础和经验。这 2 个 DOORS 小组的运行经验产生了 2 份公开的、免费的培训手册，以授权其他人运行这些小组，并根据当地需求进行调整。未来关于 DOORS 的工作将扩展课程，以最佳支持数字健康需求，并增加获得严重精神疾病相关技术使用知识和技能的公平性。
