During the coronavirus disease (COVID-19) crisis, digital technologies have become a major route for accessing remote care. Therefore, the need to ensure that these tools are safe and effective has never been greater. We raise five calls to action to ensure the safety, availability, and long-term sustainability of these technologies: (1) due diligence: remove harmful health apps from app stores; (2) data insights: use relevant health data insights from high-quality digital tools to inform the greater response to COVID-19; (3) freely available resources: make high-quality digital health tools available without charge, where possible, and for as long as possible, especially to those who are most vulnerable; (4) digital transitioning: transform conventional offline mental health services to make them digitally available; and (5) population self-management: encourage governments and insurers to work with developers to look at how digital health management could be subsidized or funded. We believe this should be carried out at the population level, rather than at a prescription level.
BACKGROUND The immediate impact of COVID-19 on mortality and morbidity has demonstrated the need for accurate and real time data monitoring and communication. Displacements to healthcare systems and economies may have created the perfect storm for an impending and enduring mental health crisis. OBJECTIVE This project documents observations from multiple digital platforms during the COVID-19 crisis, especially digital mental health services. METHODS We used email and social media campaigns to announce an urgent call for support. Digital mental health service providers (N=44), financial services providers (N=5) and other relevant digital data source providers (N=3) responded with quantitative and/or qualitative insights. RESULTS This study demonstrates the complexity of mental health concerns as witnessed by digital providers. A recurring observation is that demand for digital mental health support has risen. The nature of this demand has also changed since COVID-19, notably with an increased presentation of anxiety and loneliness. CONCLUSIONS This study provides proof-of-concept of the viability of working with data insights from diverse digital services providers. We hope that these insights might help to form an epistemological foundation to stimulate future research. Looking ahead, we anticipate the need for a rigorous process to interpret insights from a wide variety of sources in order to monitor mental health needs.
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