The role of technology in Australian youth mental health reform

Burns, Jane; Birrell, E. T. F.; Bismark, Marie; Pirkis, Jane; Davenport, Tracey A; Hickie, Ian B.; Weinberg, Melissa K.; Ellis, Louise A.

doi:10.1071/ah15115

Cited by 55 publications

(48 citation statements)

References 15 publications

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“…From a service level perspective, the priorities can serve to identify effective service features and recommend a best practice model of care for young people. The integration of digital technologies within such a model (ie, offering faceto-face, mobile and online services) has the potential to enhance helpseeking behaviours, access to therapy, service engagement and costeffectiveness (Alvarez-Jimenez et al, 2012;Burns et al, 2016;Lal & Adair, 2014;Rickwood, Webb, Kennedy, & Telford, 2016). For LMICs in particular, approaches that incorporate digital technologies, lay health workers and the integration of mental health care into larger frontline primary health and community development initiatives could reduce the treatment gap (Arjadi et al, 2018;Patel et al, 2008).…”

Section: Box 3 Overarching Considerations For Youth Mental Health Resmentioning

confidence: 99%

Global research priorities for youth mental health

Mei

Fitzsimons

Allen

et al. 2020

Early Intervention Psych

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Aim: Over the past two decades, the youth mental health field has expanded and advanced considerably. Yet, mental disorders continue to disproportionately affect adolescents and young adults. Their prevalence and associated morbidity and mortality in young people have not substantially reduced, with high levels of unmet need and poor access to evidence-based treatments even in high-income countries. Despite the potential return on investment, youth mental disorders receive insufficient funding. Motivated by these continual disparities, we propose a strategic agenda for youth mental health research.Method: Youth mental health experts and funders convened to develop youth mental health research priorities, via thematic roundtable discussions, that address critical evidence-based gaps. Results: Twenty-one global youth mental health research priorities were developed, including population health, neuroscience, clinical staging, novel interventions, technology, socio-cultural factors, service delivery, translation and implementation.Conclusions: These priorities will focus attention on, and provide a basis for, a systematic and collaborative strategy to globally improve youth mental health outcomes. K E Y W O R D S mental health, research priorities, youth

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Section: Box 3 Overarching Considerations For Youth Mental Health Resmentioning

confidence: 99%

Global research priorities for youth mental health

Mei

Fitzsimons

Allen

et al. 2020

Early Intervention Psych

Self Cite

View full text Add to dashboard Cite

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“…Young people are increasingly relying on the Internet to find answers about their health concerns. For example, in Australia, a national survey in 2012-13 revealed that 53% of young people aged between 16 and 25 years with moderate and very high levels of psychological distress sought Web-based information related to a mental health and/or alcohol or other substance use problem; the majority found this information to be helpful [ 23 ]. In other surveys, young people reported feeling comfortable accessing Web-based mental health tools because they felt they were anonymous, welcoming, less stigmatizing, and, for the most part, trustworthy [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

Developing a Mental Health eClinic to Improve Access to and Quality of Mental Health Care for Young People: Using Participatory Design as Research Methodologies

Ospina-Pinillos¹,

Davenport²,

Ricci³

et al. 2018

J Med Internet Res

117

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BackgroundEach year, many young Australians aged between 16 and 25 years experience a mental health disorder, yet only a small proportion access services and even fewer receive timely and evidence-based treatments. Today, with ever-increasing access to the Internet and use of technology, the potential to provide all young people with access (24 hours a day, 7 days a week) to the support they require to improve their mental health and well-being is promising.ObjectiveThe aim of this study was to use participatory design (PD) as research methodologies with end users (young people aged between 16 and 25 years and youth health professionals) and our research team to develop the Mental Health eClinic (a Web-based mental health clinic) to improve timely access to, and better quality, mental health care for young people across Australia.MethodsA research and development (R&D) cycle for the codesign and build of the Mental Health eClinic included several iterative PD phases: PD workshops; translation of knowledge and ideas generated during workshops to produce mockups of webpages either as hand-drawn sketches or as wireframes (simple layout of a webpage before visual design and content is added); rapid prototyping; and one-on-one consultations with end users to assess the usability of the alpha build of the Mental Health eClinic.ResultsFour PD workshops were held with 28 end users (young people n=18, youth health professionals n=10) and our research team (n=8). Each PD workshop was followed by a knowledge translation session. At the conclusion of this cycle, the alpha prototype was built, and one round of one-on-one end user consultation sessions was conducted (n=6; all new participants, young people n=4, youth health professionals n=2). The R&D cycle revealed the importance of five key components for the Mental Health eClinic: a home page with a visible triage system for those requiring urgent help; a comprehensive online physical and mental health assessment; a detailed dashboard of results; a booking and videoconferencing system to enable video visits; and the generation of a personalized well-being plan that includes links to evidence-based, and health professional–recommended, apps and etools.ConclusionsThe Mental Health eClinic provides health promotion, triage protocols, screening, assessment, a video visit system, the development of personalized well-being plans, and self-directed mental health support for young people. It presents a technologically advanced and clinically efficient system that can be adapted to suit a variety of settings in which there is an opportunity to connect with young people. This will enable all young people, and especially those currently not able or willing to connect with face-to-face services, to receive best practice clinical services by breaking down traditional barriers to care and making health care more personalized, accessible, affordable, and available.

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“…To date, these three stakeholder groups have focused on different aspects of implementation. Researchers have studied user satisfaction [13, 15, 16] to determine that eMental healthcare technologies are acceptable to children and adolescents, and their parents and mental healthcare professionals. Healthcare planners and policymakers have discussed issues such as the cost and feasibility of eMental healthcare technologies to deliver pediatric mental healthcare [17].…”

Section: Introductionmentioning

confidence: 99%

Pediatric eMental healthcare technologies: a systematic review of implementation foci in research studies, and government and organizational documents

et al. 2017

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BackgroundResearchers, healthcare planners, and policymakers convey a sense of urgency in using eMental healthcare technologies to improve pediatric mental healthcare availability and access. Yet, different stakeholders may focus on different aspects of implementation. We conducted a systematic review to identify implementation foci in research studies and government/organizational documents for eMental healthcare technologies for pediatric mental healthcare.MethodsA search of eleven electronic databases and grey literature was conducted. We included research studies and documents from organization and government websites if the focus included eMental healthcare technology for children/adolescents (0–18 years), and implementation was studied and reported (research studies) or goals/recommendations regarding implementation were made (documents). We assessed study quality using the Mixed Methods Appraisal Tool and document quality using the Appraisal of Guidelines for Research & Evaluation II. Implementation information was grouped according to Proctor and colleagues’ implementation outcomes—acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration, and sustainability—and grouped separately for studies and documents.ResultsTwenty research studies and nine government/organizational documents met eligibility criteria. These articles represented implementation of eMental healthcare technologies in the USA (14 studies), United Kingdom (2 documents, 3 studies), Canada (2 documents, 1 study), Australia (4 documents, 1 study), New Zealand (1 study), and the Netherlands (1 document). The quality of research studies was excellent (n = 11), good (n = 6), and poor (n = 1). These eMental health studies focused on the acceptability (70%, n = 14) and appropriateness (50%, n = 10) of eMental healthcare technologies to users and mental healthcare professionals. The quality of government and organizational documents was high (n = 2), medium (n = 6), and low (n = 1). These documents focused on cost (100%, n = 9), penetration (89%, n = 8), feasibility (78%, n = 7), and sustainability (67%, n = 6) of implementing eMental healthcare technology.ConclusionTo date, research studies have largely focused on acceptability and appropriateness, while government/organizational documents state goals and recommendations regarding costs, feasibility, and sustainability of eMental healthcare technologies. These differences suggest that the research evidence available for pediatric eMental healthcare technologies does not reflect the focus of governments and organizations. Partnerships between researchers, healthcare planners, and policymakers may help to align implementation research with policy development, decision-making, and funding foci.Electronic supplementary materialThe online version of this article (doi:10.1186/s13012-017-0608-6) contains supplementary material, which is available to authorized users.

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The role of technology in Australian youth mental health reform

Cited by 55 publications

References 15 publications

Global research priorities for youth mental health

Global research priorities for youth mental health

Developing a Mental Health eClinic to Improve Access to and Quality of Mental Health Care for Young People: Using Participatory Design as Research Methodologies

Pediatric eMental healthcare technologies: a systematic review of implementation foci in research studies, and government and organizational documents

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