Ganapathy Aarthi, Clough Bonnie A, Casey Leanne M
School of Applied Psychology, Griffith University, Brisbane, Australia.
Menzies Health Institute, Mount Gravatt, Australia.
Telemed J E Health. 2021 Dec;27(12):1332-1343. doi: 10.1089/tmj.2020.0455. Epub 2021 Feb 26.
Digital mental health (DMH) provides effective methods of overcoming issues of time constraints, accessibility, and availability of mental health care. They can provide a valuable means to deliver mental health care in the present pandemic. However, adoption of these methods has been slow. Mental health professional (MHP) concerns at the organizational and policy level that influence this slow adoption need to be examined. A narrative review was conducted to identify the barriers. Searches using the databases Scopus, Embase, and PubMed were conducted to identify research focused on barriers reported by MHPs to use DMH. The search resulted in 356 unique citations, and 21 papers met the inclusion and exclusion criteria. Forward and backward sampling resulted in identifying an additional 19 relevant papers. Unmet needs for information, training, and infrastructure, challenges to the workflow and excessive workloads, and ambiguous policies serve as barriers to DMH use. This article recommends strategies for researchers, organizations, DMH designers, and governmental institutions to ensure efficient utilization of DMH. Concerted efforts at individual, organizational, and governmental levels are essential to ensure efficient utilization of DMH.
数字心理健康(DMH)提供了有效的方法来克服心理健康护理在时间限制、可及性和可用性方面的问题。在当前的疫情中,它们可以成为提供心理健康护理的宝贵手段。然而,这些方法的采用速度一直很慢。需要审视在组织和政策层面上影响这种缓慢采用的心理健康专业人员(MHP)的担忧。进行了一项叙述性综述以确定障碍。通过使用Scopus、Embase和PubMed数据库进行检索,以确定侧重于心理健康专业人员报告的使用数字心理健康障碍的研究。检索结果有356条独特的引文,21篇论文符合纳入和排除标准。通过向前和向后抽样又确定了另外19篇相关论文。信息、培训和基础设施的未满足需求、工作流程的挑战和工作量过大以及政策不明确,都成为使用数字心理健康的障碍。本文为研究人员、组织、数字心理健康设计者和政府机构推荐了策略,以确保数字心理健康的有效利用。个人、组织和政府层面的协同努力对于确保数字心理健康的有效利用至关重要。