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From Research to Practice: Ten Lessons in Delivering Digital Mental Health Services
Macquarie Univ, Australia.
Univ Regina, Canada.
Macquarie Univ, Australia.
Northwestern Univ, IL 60611 USA.
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2019 (English)In: JOURNAL OF CLINICAL MEDICINE, ISSN 2077-0383, Vol. 8, no 8, article id 1239Article in journal (Refereed) Published
Abstract [en]

There is a large body of research showing that psychological treatment can be effectively delivered via the internet, and Digital Mental Health Services (DMHS) are now delivering those interventions in routine care. However, not all attempts to translate these research outcomes into routine care have been successful. This paper draws on the experience of successful DMHS in Australia and Canada to describe ten lessons learned while establishing and delivering internet-delivered cognitive behavioural therapy (ICBT) and other mental health services as part of routine care. These lessons include learnings at four levels of analysis, including lessons learned working with (1) consumers, (2) therapists, (3) when operating DMHS, and (4) working within healthcare systems. Key themes include recognising that DMHS should provide not only treatment but also information and assessment services, that DMHS require robust systems for training and supervising therapists, that specialist skills are required to operate DMHS, and that the outcome data from DMHS can inform future mental health policy. We also confirm that operating such clinics is particularly challenging in the evolving funding, policy, and regulatory context, as well as increasing expectations from consumers about DMHS. Notwithstanding the difficulties of delivering DMHS, we conclude that the benefits of such services for the broader community significantly outweigh the challenges.

Place, publisher, year, edition, pages
MDPI, 2019. Vol. 8, no 8, article id 1239
Keywords [en]
delivery; implementation; internet-delivered cognitive behaviour therapy; psychological treatment; routine care; depression; anxiety disorders
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-160435DOI: 10.3390/jcm8081239ISI: 000483737700124PubMedID: 31426460OAI: oai:DiVA.org:liu-160435DiVA, id: diva2:1352983
Note

Funding Agencies|Saskatchewan Ministry of Health; Canadian Institutes of Health Research [152917]; Saskatchewan Health Research Foundation; Saskatchewan Centre for Patient-Oriented Research; Australian Department of Health; MQ Health, Macquarie University

Available from: 2019-09-20 Created: 2019-09-20 Last updated: 2019-11-28Bibliographically approved

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PsychologyFaculty of Arts and SciencesDepartment of Otorhinolaryngology
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