A Future Research Agenda for Digital Geriatric Mental Healthcare

Fortuna, Karen L.; Torous, John; Depp, Colin A.; Jimenez, Daniel E.; Areán, Patricia A.; Walker, R. M.; Ajilore, Olusola; Goldstein, Carly M.; Cosco, Theodore D.; Brooks, Jessica; Vahia, Ipsit V.; Bartels, Stephen J.

doi:10.1016/j.jagp.2019.05.013

Cited by 39 publications

(24 citation statements)

References 59 publications

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“…Recommendations have been made about incorporating digital technology for conducting research in geriatric psychiatry, improving the feasibility and acceptability in general and especially in remote long-stay homes. 59 , 60 Though the pandemic has opened up opportunities to exploit telemedicine highly, it would be wiser to pile up on the lessons learned during this time. With the Government of India regulating its use officially, telemedicine can serve as a vital tool in reaching the unreached, time and again.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine in Geriatric Psychiatry: Relevance in India

Kalaivanan

Patley

Manjunatha

et al. 2021

Indian Journal of Psychological Medicine

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Telemedicine has evolved as a novel tool in delivering health care in the modern world. With the advancement in video conferencing technology at an affordable price and innovative digital medical instruments, it has grown from guiding paramedics in managing patients to aiding physicians in providing direct consultation. Delivering care for older adults has always been challenging due to comorbidities that may warrant a multidisciplinary approach leading to frequent visits across specialties. As per the preliminary reports of the Longitudinal Aging Study in India, 55% of this population suffers from any chronic illness, of which 40% have some form of disability and 20% deal with mental health issues. Over the years, telepsychiatry care for older adults has received increasing acceptability. Videoconferencing with improved connectivity and transmission rates has aided in evaluating, assessing, and providing mental health interventions at ease. The recent regulation of telemedicine practice in the country by rolling out the Telemedicine Practice Guidelines 2020 and Telepsychiatry Operational Guidelines 2020 has fast-tracked its utility during the COVID-19 pandemic. Concerns of physical examination, psychological satisfaction of consulting physician in person, confidentiality, and security of information shared are points that need better addressing in the future. However, Telemedicine is recommended to be used judiciously, taking the risk and benefit of older adults on a case basis as it can significantly bring down the financial and emotional burden.

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Section: Discussionmentioning

confidence: 99%

Telemedicine in Geriatric Psychiatry: Relevance in India

Kalaivanan

Patley

Manjunatha

et al. 2021

Indian Journal of Psychological Medicine

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“…Those of us who study economic, civic, and social engagement in later life must continue to strengthen our focus on creating community-research partnerships with aging services providers and a diverse group of older adults themselves (e.g., Fortuna et al, 2019;Zendell et al, 2007). These are examples of public scholarship, a long-held guidepost within social work research that has received renewed recent attention and involves reciprocal exchanges of information and conversations between scholars and the community in research, teaching, and service with a goal of reaching and supporting marginalized groups (for an in-depth discussion, see Sliva et al, 2019).…”

Section: Gerontological Social Work Scholars Must Continue To Engage mentioning

confidence: 99%

Older Workers in the Time of COVID-19: The Senior Community Service Employment Program and Implications for Social Work

Halvorsen

Yulikova

2020

Journal of Gerontological Social Work

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It has long been the goal of many gerontological social work scholars to increase the ability and opportunity for people to be engaged in paid and unpaid work throughout the life course. Yet the COVID-19 pandemic is revealing and exacerbating the financial insecurity of many older adults. In this paper, we review information related to older workers and how they might be affected by this pandemic and its aftermath, paying particular attention to the most socioeconomically and physically vulnerable older workers. We also offer first-hand experiences from our careers working with and conducting scholarship on older workers, paying particular attention to recent actions by many in the Senior Community Service Employment Program (SCSEP) network to provide paid sick leave to its low-income, older adult participants. We conclude with implications for social work scholarship and teaching, noting the uptick in technology use among older adults and the disparities that remain, as well as teaching that integrates discussions on the lifelong and cumulative effects of inequalities and marginalization and the need for additional researcher, student, and community collaborations.

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“…According to a recent Banbury Report on digital mental health (10) such technologies may address the mental health needs of US citizens; these tools are evidencebased and prolific, with over 20,000 apps and 40 companies offering these services (11). Further, digital mental health is cost-effective, scalable, lowers the cost of hospitalizations, lowers burden on providers, increases access to care in rural settings where broadband is available, results in lower wait times, and can personalize treatment (12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

Generational Perspectives on Technology's Role in Mental Health Care: A Survey of Adults With Lived Mental Health Experience

Woerner

Sams

Nales

et al. 2022

Front. Digit. Health

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IntroductionPersonal technology (e.g., smartphones, wearable health devices) has been leveraged extensively for mental health purposes, with upwards of 20,000 mobile applications on the market today and has been considered an important implementation strategy to overcome barriers many people face in accessing mental health care. The main question yet to be addressed is the role consumers feel technology should play in their care. One underserved demographic often ignored in this discussion are people over the age of 60. The population of adults 60 and older is predicted to double by 2,050 signaling a need to address how older adults view technology for their mental health care.ObjectiveThe objective of this study is to better understand why digital mental health tools are not as broadly adopted as predicted, what role people with lived mental health experience feel technology should play in their care and how those results compare across age groups.MethodIn a mixed-methods approach, we analyzed results from a one-time cross-sectional survey that included 998 adults aged 18–83 with lived experience of mental health concerns recruited from Prolific, an online research platform. We surveyed participant's use of technology including their perspectives on using technology in conjunction with their mental health care. We asked participants about their previous use of digital mental health tools, their treatment preferences for mental health care, and the role technology should play in their mental health care.ResultsAcross all age groups, respondents had favorable views of using digital mental health for managing mental health care. However, older adults rated their acceptability of digital mental health tools lower than middle-aged and younger adults. When asked what role technology should play in mental health care in an open-ended response, most participants responded that technology should play a complementary role in mental health care (723/954, 75.8%).ConclusionDigital mental health is seen as a valuable care management tool across all age groups, but preferences for its role in care remain largely administrative and supportive. Future development of digital mental health should reflect these preferences.

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A Future Research Agenda for Digital Geriatric Mental Healthcare

Cited by 39 publications

References 59 publications

Telemedicine in Geriatric Psychiatry: Relevance in India

Telemedicine in Geriatric Psychiatry: Relevance in India

Older Workers in the Time of COVID-19: The Senior Community Service Employment Program and Implications for Social Work

Generational Perspectives on Technology's Role in Mental Health Care: A Survey of Adults With Lived Mental Health Experience

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