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Developing a roadmap for the translation of e-mental health services for depression.

Authors
  • Batterham, Philip J1
  • Sunderland, Matthew2
  • Calear, Alison L3
  • Davey, Christopher G4
  • Christensen, Helen5
  • Teesson, Maree2
  • Kay-Lambkin, Frances2
  • Andrews, Gavin6
  • Mitchell, Philip B6
  • Herrman, Helen4
  • Butow, Phyllis N7
  • Krouskos, Demos8
  • 1 National Institute for Mental Health Research, The Australian National University, Acton, ACT, Australia [email protected] , (Australia)
  • 2 NHMRC Centre of Research Excellence in Mental Health and Substance Use, University of New South Wales, Sydney, NSW, Australia. , (Australia)
  • 3 National Institute for Mental Health Research, The Australian National University, Acton, ACT, Australia. , (Australia)
  • 4 Orygen, The National Centre of Excellence in Youth Mental Health, and Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia. , (Australia)
  • 5 Black Dog Institute, University of New South Wales, Randwick, NSW, Australia. , (Australia)
  • 6 School of Psychiatry, University of New South Wales, Randwick, NSW, Australia. , (Australia)
  • 7 School of Psychology, The University of Sydney, Sydney, NSW, Australia. , (Australia)
  • 8 Centre for Culture, Ethnicity & Health, Melbourne, VIC, Australia. , (Australia)
Type
Published Article
Journal
Australian & New Zealand Journal of Psychiatry
Publisher
SAGE Publications
Publication Date
Sep 01, 2015
Volume
49
Issue
9
Pages
776–784
Identifiers
DOI: 10.1177/0004867415582054
PMID: 25907269
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

e-Mental health services have been shown to be effective and cost-effective for the treatment of depression. However, to have optimal impact in reducing the burden of depression, strategies for wider reach and uptake are needed. A review was conducted to assess the evidence supporting use of e-mental health programmes for treating depression. From the review, models of dissemination and gaps in translation were identified, with a specific focus on characterising barriers and facilitators to uptake within the Australian healthcare context. Finally, recommendations for promoting the translation of e-mental health services in Australia were developed. There are a number of effective and cost-effective e-health applications available for treating depression in community and clinical settings. Four primary models of dissemination were identified: unguided, health service-supported, private ownership and clinically guided. Barriers to translation include clinician reluctance, consumer awareness, structural barriers such as funding and gaps in the translational evidence base. Key strategies for increasing use of e-mental health programmes include endorsement of e-mental health services by government entities, education for clinicians and consumers, adequate funding of e-mental health services, development of an accreditation system, development of translation-focused activities and support for further translational research. The impact of these implementation strategies is likely to include economic gains, reductions in disease burden and greater availability of more interventions for prevention and treatment of mental ill-health complementary to existing health and efficient evidence-based mental health services. © The Royal Australian and New Zealand College of Psychiatrists 2015.

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