Clinicians' use of and attitudes towards technology to provide and support interventions in child and adolescent mental health services

Cliffe, Bethany; Croker, Abigail; Denne, Megan; Stallard, Paul

doi:10.1111/camh.12362

Cited by 29 publications

(39 citation statements)

References 28 publications

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“…This is illustrated by data that indicate that 96% of European youth (aged 16–24) use the internet regularly ( 31 ). Furthermore, research shows that young people report using the internet to find information pertaining to mental health ( 32 ), they have positive perceptions about using the internet for mental health related-issues ( 33 ), and clinicians hold positive attitudes toward using technology for treatment too ( 34 ). Moreover, online interventions hold the potential to decrease costs for the individual and the healthcare system.…”

Section: Introductionmentioning

confidence: 99%

Online Indicated Preventive Mental Health Interventions for Youth: A Scoping Review

et al. 2021

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Objective: Between the ages of 12 and 25 the onset of mental disorders typically occurs, and the burden of mental health problems is greatest for this group. Indicated preventive interventions to target individuals with subclinical symptoms to prevent the transition to clinical levels of disorders have gained considerable traction. However, the threshold to seek help appears to be high even when help is needed. Online interventions could offer a solution, especially during the COVID-19 pandemic. This scoping review will present an overview of the recent research of indicated online preventive interventions for youth (12–25 years) experiencing the early stages of mental health complaints with the aim of identifying the nature and extent of the research evidence.Methods: The 5-stage framework by Arksey and O'Malley was used. Academic literature published from 2013 onwards in printed or electronic format was included from Scopus, PsychINFO, and Ovid MEDLINE(R) ALL.Results: The search yielded 11,122 results, with the final selection resulting in inclusion of 30 articles for this review. In total, the articles included 4,950 participants. 26.7% of the selected articles focused on youth between 12 and 25 years. Of the articles 60% did not screen for, nor exclude participants with clinical levels of symptoms. Most studies used a common evidence-based therapy for the disorder-category targeted. More than half of the online interventions included some form of human support. Adherence levels ranged between 27.9 and 98%. The results indicate general effectiveness, usability and acceptability of online indicated preventive interventions. The most commonly used approach was CBT (n = 12 studies). Studies varied in their size, rigor of study, effectiveness and outcome measures. Online interventions with a combination of clinical and peer moderation (n = 3 studies) appear to result in the most stable and highest effect sizes.Conclusion: Online indicated preventive mental health interventions for youth with emerging mental health issues show promise in reducing various mental health complaints, and increasing positive mental health indicators such as well-being and resilience. Additionally, high levels of usability and acceptability were found. However, the included studies show important methodological shortcomings. Also, the research has mainly focused on specific diagnostic categories, meaning there is a lack of transdiagnostic approaches. Finally, clear definitions of- as well as instruments to measure- emerging or subclinical mental health symptoms in youth remain are missing.

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Section: Introductionmentioning

confidence: 99%

Online Indicated Preventive Mental Health Interventions for Youth: A Scoping Review

et al. 2021

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“…The restrictions on physical contact have demanded a transition to novel formats for facilitating clinical contacts, including telephone and video consultations, to continue service provision. Before the pandemic, a survey of 154 CAMHS clinicians in the UK estimated that only 4.5% were using videoconferencing technology in their clinical role on a weekly basis (Cliffe et al, 2020). Research has highlighted several barriers to the use of technology in health settings, including the limited integration as a part of routine practice (Topooco et al, 2017), resulting from clinicians' uncertainties about the availability of technologies and the technical aspects regarding privacy and security, reliability, and safety of use (Cliffe et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Before the pandemic, a survey of 154 CAMHS clinicians in the UK estimated that only 4.5% were using videoconferencing technology in their clinical role on a weekly basis (Cliffe et al, 2020). Research has highlighted several barriers to the use of technology in health settings, including the limited integration as a part of routine practice (Topooco et al, 2017), resulting from clinicians' uncertainties about the availability of technologies and the technical aspects regarding privacy and security, reliability, and safety of use (Cliffe et al, 2020). It is also noteworthy that the evidence‐base for CAMHS intervention is predominantly based upon face‐to‐face working.…”

Section: Introductionmentioning

confidence: 99%

Wellbeing of CAMHS staff and changes in working practices during the COVID‐19 pandemic

Bentham

Driver

Stark

2021

Child Adoles Psych Nursing

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Introduction The coronavirus disease 2019 pandemic has necessitated significant changes in working practices across healthcare services. The current study aimed to assess the wellbeing of health professionals and quantify the adaptations to working practices in a Child and Adolescent Mental Health Service (CAMHS) during the pandemic. Method The study was conducted in a UK CAMH team six weeks into lockdown measures. All clinicians were invited to complete a survey eliciting their experiences of working practices during the pandemic, degree of worry about the virus and mental wellbeing. Results Clinicians had significantly lower levels of mental wellbeing during the pandemic than population normative data, to the extent that some clinicians were classified as at heightened risk of depression. A significant shift to remote working, reduction in face‐to‐face appointments, and decrease in clinicians' perceived ability to undertake clinical tasks was observed. Themes emerging from clinicians' experiences of working during the pandemic include being supported within the team, providing a service, working adaptations, and working as a team. A further theme highlights the needs of clinicians to complete their clinical role effectively. Conclusion CAMHS clinicians require additional support, training, and guidance during a pandemic to promote mental wellbeing and effectiveness in completing clinical tasks.

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“…Another commonly observed finding was the clinicians’ favorable attitudes toward the intervention. This reflects overall positive attitudes and an eagerness to incorporate technology into practice found in research on clinicians’ attitudes toward technology in mental health care [ 78 ]. This is important considering that there is research highlighting that clinicians’ attitudes are pivotal in intervention implementation [ 79 ].…”

Section: Discussionmentioning

confidence: 90%

mHealth Interventions for Self-Harm: Scoping Review

Cliffe¹,

Tingley²,

Greenhalgh³

et al. 2021

J Med Internet Res

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Background Self-harm is a growing issue with increasing prevalence rates; however, individuals who self-harm do not often receive treatment. Mobile health (mHealth) interventions are a possible solution to some of the barriers that individuals face when seeking support, and they have also been found to be effective in improving mental health. Thus far, reviews of mHealth interventions for self-harm have been limited by study type. Therefore, we determined that a broader scoping review will provide a more exhaustive understanding of mHealth interventions for self-harm. Objective This scoping review aims to identify mHealth interventions for self-harm within the literature, understand the types and features of interventions that have been developed and evaluated, highlight research findings around mHealth interventions for self-harm, and determine what outcomes are typically used to assess the efficacy of interventions. Methods A search was conducted using Embase, PubMed, PsycINFO, PsycEXTRA, Web of Science, and the Cochrane Library. Studies were included if they described an mHealth intervention designed to have a direct (ie, if the intervention was designed for self-harm or for people who self-harm) or indirect (ie, if self-harm was measured as an outcome) treatment effect and if the paper was available in English. There were no exclusion criteria based on the study design. Results A total of 36 papers were included in the review, and most of them were randomized controlled trials published within the last 4 years. The interventions were mostly smartphone apps and calling or texting services, with 62% (21/34) having underlying therapeutic models to inform the intervention content. They were generally shown to be promising and appealing, but only 5 were widely available for use. Outcomes focused on a reduction of self-harm and suicidality, mood, and the users’ experiences of the intervention. Samples were typically nondiverse, and there was limited variety in the study designs and in the measurements of self-harm recovery. Conclusions Promising and appealing mHealth interventions have been developed but are not widely available. Research could benefit from greater diversity as well as a broader and more nuanced understanding of recovery from self-harm.

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Clinicians' use of and attitudes towards technology to provide and support interventions in child and adolescent mental health services

Cited by 29 publications

References 28 publications

Online Indicated Preventive Mental Health Interventions for Youth: A Scoping Review

Online Indicated Preventive Mental Health Interventions for Youth: A Scoping Review

Wellbeing of CAMHS staff and changes in working practices during the COVID‐19 pandemic

mHealth Interventions for Self-Harm: Scoping Review

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