Strudwick Gillian, Kassam Iman, Torous John, Patenaude Sean
Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, 1001 Queen St West, Toronto, ON, M6J 1H1, Canada, 1 4165358501.
Division of Digital Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA, United States.
JMIR Ment Health. 2025 Jul 21;12:e78791. doi: 10.2196/78791.
Despite the growing enthusiasm for and a proliferation of digital mental health innovations, their integration into routine clinical care remains limited-often stalled at the pilot, research, or demonstration stage. This editorial argues that the successful adoption, scale-up, and sustainability of digital mental health innovations require intentional infrastructure, not just technology. Using the Non-Adoption, Abandonment, Scale-Up, Spread, and Sustainability (NASSS) implementation science framework, we examine how challenges across the seven framework domains (condition, technology, value proposition, adopters, organization, wider context, and their interactions over time) continue to hinder meaningful progress. We describe a focused digital mental health innovation infrastructure as a model for overcoming these barriers. Drawing on experiences from the Digital Innovation Hub at Canada's largest mental health and addictions teaching hospital, we illustrate how investing in the right infrastructure may move digital mental health innovations from "promising" to "impactful." We call for global collaboration to share knowledge and accelerate the real-world integration of digital innovations in routine mental health clinical care.
尽管人们对数字心理健康创新的热情日益高涨且此类创新不断涌现，但它们在常规临床护理中的整合仍然有限，往往停滞在试点、研究或示范阶段。本社论认为，数字心理健康创新的成功采用、扩大规模和可持续性需要有意为之的基础设施，而不仅仅是技术。我们使用非采用、放弃、扩大规模、传播和可持续性（NASSS）实施科学框架，研究七个框架领域（状况、技术、价值主张、采用者、组织、更广泛的背景以及它们随时间的相互作用）中的挑战如何继续阻碍取得有意义的进展。我们将重点突出的数字心理健康创新基础设施描述为克服这些障碍的一种模式。借鉴加拿大最大的心理健康和成瘾教学医院数字创新中心的经验，我们说明了投资合适的基础设施如何能将数字心理健康创新从“有前景”转变为“有影响力”。我们呼吁全球合作，以分享知识并加速数字创新在常规心理健康临床护理中的实际整合。
