scholarly journals Digital Interventions to Support Population Mental Health during the COVID-19 Pandemic: A Rapid Review (Preprint)

2020 ◽  
Author(s):  
Gillian Strudwick ◽  
Sanjeev Sockalingam ◽  
Iman Kassam ◽  
Lydia Sequeira ◽  
Sarah Bonato ◽  
...  

BACKGROUND The COVID-19 pandemic has resulted in a number of negative health related consequences, including impacts on mental health. More than 22% of Canadians reported that they had felt depressed in the last week, in response to a December, 2020 national survey. Given the need to physically distance during the pandemic, and the increase in demand for mental health services, digital interventions that support mental health and wellness may be beneficial. OBJECTIVE The purpose of this research was to identify digital interventions that could be broadly used to reduce the potential mental health impacts of COVID-19 . The objectives were to identify : 1) the populations these interventions were developed for, inclusive of exploring areas of equity such as socio-economic status, sex/gender, race/ethnicity/culture and relevance to Indigenous People’s and communities; 2) the efficacy of the interventions; and 3) any barriers or facilitators to the use of the intervention. METHODS This study was completed using a Cochrane Rapid Review methodology. A search of Embase, Psycinfo, Medline and Web of Science, along with Google, Millionshort and popular mobile application libraries, was conducted. Two screeners were involved in applying inclusion and exclusion criteria using Covidence software. Academic articles and mobile applications identified were screened using the Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields resource, and the American Psychiatric Association App Evaluation Framework along with the Mental Health Commission of Canada’s guidance on application assessment and selection, respectively. RESULTS The searches of the academic and grey literature identified a total of 25 primary studies, 31 mobile applications and 114 web based resources. These resources have been listed on a publicly available website, along with search tags that may support an individual in identifying a suitable selection. CONCLUSIONS A number of digital interventions have been developed or augmented to support population mental health during the global COVID-19 pandemic. These interventions vary significantly in their purpose, approach, design, cost and targeted user group. While some research and digital interventions addressed equity related considerations, more research and focused attention should be paid to this area, especially as it relates to supports for Indigenous People’s and communities.

10.2196/26550 ◽  
2020 ◽  
Author(s):  
Gillian Strudwick ◽  
Sanjeev Sockalingam ◽  
Iman Kassam ◽  
Lydia Sequeira ◽  
Sarah Bonato ◽  
...  

2021 ◽  
Author(s):  
Jessica Kemp ◽  
Jill Chorney ◽  
Iman Kassam ◽  
Julie MacDonald ◽  
Tara MacDonald ◽  
...  

BACKGROUND The coronavirus disease (COVID-19) pandemic has increased the demand for youth mental health services in Canada as disruptions to care continue to persist due to risk of transmission and exposure to the virus. Digital mental health interventions, including web-based resources and mobile apps, have provided opportunities to support youth mental health remotely across Canada. There is a need to better understand the ways in which these digital interventions are being selected, recommended, and used in various regions across Canada. OBJECTIVE A national jurisdictional scan was completed to 1) determine what online programs, apps and websites are promoted and/or licensed in Canada for youth mental health, 2) identify criteria and/or decision-making processes that Canadian jurisdictions use to select online programs, apps and websites for youth mental health, and 3) identify upcoming trends, innovations and digital mental health possibilities that are emerging in the youth sector. METHODS The aims of the jurisdictional scan were addressed through a review of related academic and grey literature, stakeholder interviews including individuals involved in various areas of the youth mental health sector, and a social media review of pertinent Twitter content. RESULTS A total of 66 web-based resources and apps were identified for use by youth in Canada. 16 stakeholder interviews were completed and included discussions with researchers, clinicians, youth organizations, and others involved in digital interventions for youth mental health. Over a 4-week period, 2,184 tweets were reviewed to identify global trends and innovations involving digital mental health and youth. CONCLUSIONS As organizations begin to plan for the delivery of mental healthcare post-pandemic, there are some concerns about the sustainability of these digital mental health interventions as well as need for services to be more informed by experiences and preferences of youth.


Author(s):  
Luca Janssen ◽  
Irina Pokhilenko ◽  
Ruben Drost ◽  
Aggie Paulus ◽  
Silvia Evers

IntroductionMental health disorders and their treatments produce costs and benefits in both healthcare and non-healthcare sectors. The latter one is often referred to as inter-sectoral costs and benefits (ICBs). Limited research is available on the inclusion of these inter-sectoral costs and benefits (ICBs) in economic evaluations. In this study, we focus on the identification and classification of ICBs of mental health-related interventions within the criminal justice sector in a broader European context. This study was conducted as part of the PECUNIA-project, which aims to develop new standardized, harmonized and validated methods and tools for the assessment of costs and outcomes in European healthcare systems. The aim of the study is to further conceptualize an internationally applicable list of ICBs of mental health-related interventions in the criminal justice sector. Additionally, we aim to facilitate the inclusion of ICBs in economic evaluations across EU by prioritizing important ICBs.MethodsData was collected via a systematic literature search on PubMed and PsychINFO. Additionally, a grey literature search was carried out in six European countries. In order to validate the international applicability of the list and prioritize the ICBs, a survey was conducted with an international group of experts from the criminal justice sector.ResultsThe literature search identified ICBs and resulted in a comprehensive list of items. A multi-dimensional list was constructed, distinguishing between costs as consequence of crime, and costs in response to crime. Based on the expert survey, the international applicability of the list was validated and the most important ICBs from the economic perspective were identified.ConclusionsThis study laid further foundations for the inclusion of important societal costs of mental health-related interventions within the criminal justice sector. More research is needed to facilitate the greater use of ICBs in economic evaluations.


BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e019312 ◽  
Author(s):  
Adwoa Parker ◽  
Arabella Scantlebury ◽  
Alison Booth ◽  
Jillian Catherine MacBryde ◽  
William J Scott ◽  
...  

ObjectiveTo identify existing evidence on interagency collaboration between law enforcement, emergency services, statutory services and third sector agencies regarding people with mental ill health.DesignSystematic scoping review. Scoping reviews map particular research areas to identify research gaps.Data sources and eligibilityASSIA, CENTRAL, the Cochrane Library databases, Criminal Justice Abstracts, ERIC, Embase, MEDLINE, PsycINFO, PROSPERO and Social Care Online and Social Sciences Citation Index were searched up to 2017, as were grey literature and hand searches. Eligible articles were empirical evaluations or descriptions of models of interagency collaboration between the police and other agencies.Study appraisal and synthesisScreening and data extraction were undertaken independently by two researchers. Arksey’s framework was used to collate and map included studies.ResultsOne hundred and twenty-five studies were included. The majority of articles were of descriptions of models (28%), mixed methods evaluations of models (18%) and single service evaluations (14%). The most frequently reported outcomes (52%) were ‘organisational or service level outcomes’ (eg, arrest rates). Most articles (53%) focused on adults with mental ill health, whereas others focused on adult offenders with mental ill health (17.4%). Thirteen models of interagency collaboration were described, each involving between 2 and 13 agencies. Frequently reported models were ‘prearrest diversion’ of people with mental ill health (34%), ‘coresponse’ involving joint response by police officers paired with mental health professionals (28.6%) and ‘jail diversion’ following arrest (23.8%).ConclusionsWe identified 13 different interagency collaboration models catering for a range of mental health-related interactions. All but one of these models involved the police and mental health services or professionals. Several models have sufficient literature to warrant full systematic reviews of their effectiveness, whereas others need robust evaluation, by randomised controlled trial where appropriate. Future evaluations should focus on health-related outcomes and the impact on key stakeholders.


Author(s):  
Shimin Zhu ◽  
Yanqiong Zhuang ◽  
Patrick Ip

The impacts of the COVID-19 pandemic on physical and mental health-related behaviors among children and adolescents are likely to be profound and long-lasting. This study aimed to investigate the changes in lifestyle and social support and their associations with negative impacts due to the pandemic. A classroom survey using stratified random sampling and structured questionnaire was conducted among Hong Kong primary and secondary school students. The paper-and-pen survey, administered by well-trained research assistants, was completed by 2863 participants aged 9–17 years old (M = 12.6, SD = 1.3) at a brief school reopening six months after the outbreak of the COVID-19 pandemic. About 48% and 37% of the participants stated that they paid increased attention to physical and mental health, respectively. About 20% to 40% stated that they found more support from their friends and family members; only a small percentage reported decreased social support. Around 25% to 50% spent more time to rest, relax, and exercise. The aforementioned changes varied among genders, education groups, and socio-economic status. In general, higher perceived vulnerability, feeling more stressed, apprehensive, and helpless were associated with more reported positive lifestyle changes, including more social/family support, increased mental health awareness, and a positive lifestyle. These positive changes serve as important cushions against the negative impacts of COVID-19.


2018 ◽  
Vol 6 (39) ◽  
pp. 1-68 ◽  
Author(s):  
Liz Shaw ◽  
Michael Nunns ◽  
Simon Briscoe ◽  
Rob Anderson ◽  
Jo Thompson Coon

BackgroundService users detained for assessment and/or treatment under the Mental Health Act 1983 (MHA 1983) are allocated a ‘Nearest Relative’ (NR). The NR has access to confidential information about the service user and can make decisions about their care and treatment. Tensions exist regarding the identification, displacement and powers of the NR.ObjectivesTo examine the experiences of service users, carers and relevant professionals of the NR provisions of the MHA 1983, and the equivalent Named Person (NP) provisions in Scotland. Five research objectives were defined: understanding the experiences of and issues associated with (1) the identification of the NR, (2) the displacement of the NR, (3) confidentiality and information-sharing, (4) access to support from carers and (5) making decisions about treatment or care.Data sourcesSeven bibliographic databases were searched: MEDLINE (via Ovid), MEDLINE In-Process & Other Non-Indexed Citations (via Ovid), PsycINFO (via Ovid), Social Policy and Practice (via Ovid), Health Management Information Consortium (via Ovid), Cumulative Index to Nursing and Allied Health Literature (via EBSCOhost) and Applied Social Sciences Index and Abstracts (via ProQuest). Citation searching, author contact and grey literature searches were conducted.Review methodsA rapid systematic review was conducted in 6 weeks. Evidence published after 1998 from the UK pertaining to the experiences of those involved in compulsory detention under the MHA 1983 (or UK variants), including service users, carers, family members, NRs, NPs, mental health professionals, policy-makers and lawyers, was sought. Study selection, data extraction and critical appraisal were completed independently by two reviewers. We looked for data about experiences, which were obtained through qualitative means or surveys. Included studies containing several paragraphs of participant quotations and/or author interpretations were entered into a framework synthesis; the rest were summarised descriptively. The framework synthesis was based on the five research objectives and refined using the findings of key studies from England and Scotland and an inductive thematic analysis.ResultsTwenty studies were included with 12 prioritised for framework synthesis. Four themes emerged: (1) issues regarding the identification of the NR/NP, (2) confidentiality and information-sharing, (3) enabling the use of the NR/NP role and (4) the importance of maintaining relationships. The involvement of service users in choosing their representative and the role of services in supporting the NR/NP was identified as important.LimitationsThere is little recent evidence to inform this important and complex discussion. The review was rigorously conducted despite the short time scale; however, a more in-depth, iterative thematic analysis of all the included studies may have provided additional insights into the mechanisms underpinning the issues.ConclusionsThe NR provisions of the MHA 1983 are complex and of significant importance to individuals detained under the Mental Health Act and their carers. This rapid review provides specific examples of issues that individuals may experience. More research is needed to aid understanding of this complex topic.Future workPrimary research specifically focused on the perceived and actual use and impact of the NR provisions in England and Scotland.Study registrationThis study is registered as PROSPERO CRD42018088237.FundingThe National Institute for Health Research Health Services and Delivery Research programme.


2021 ◽  
Author(s):  
Sophie Eis ◽  
Oriol Solà-Morales ◽  
Andrea Duarte-Díaz ◽  
Josep Vidal-Alaball ◽  
Lilisbeth Perestelo-Perez ◽  
...  

BACKGROUND There are thousands of health apps available, including for mood disorders. However, their access is unstructured, and most are never download nor used. Their outcomes are rarely systematically measured and therefore effectiveness is disputed, even potentially damaging. The COVID-19 pandemic has posed and continues to pose a significant burden on population mental health, yet it has also given rise to rapid eHealth development. However, despite increasing reliance on eHealth solutions, major knowledge gaps on their utility and effectiveness persist. OBJECTIVE The main objective of this work was to explore and characterize the current landscape of mobile applications available to treat mood disorders such as depression, bipolar disorder, and dysthymia. METHODS We developed a tool that makes both the Apple App Store and the Google Play Store searchable using keywords and that facilitates the extraction of basic app information of the search results. All app results were filtered using various inclusion and exclusion criteria. We characterised all resultant applications according to their technical details. Furthermore, we searched for scientific publications on each app’s website and PubMed, to understand whether any of the apps were supported by any type of scientific evidence on their acceptability, validation, use, effectiveness, etc. RESULTS Thirty apps were identified that fit the inclusion and exclusion criteria. The literature search yielded 27 publications related to the apps. However, these did not exclusively concern mood disorders. 6 were randomised studies and the rest included a protocol, pilot-, feasibility, case-, or qualitative studies, among others. The majority of studies were conducted on relatively small scales and 9 of the 27 studies did not explicitly study the effects of mobile application use on mental wellbeing. CONCLUSIONS While there exists a wealth of mobile applications aimed at the treatment of mental health disorders, including mood disorders, this study has shown that only a handful of these are backed by robust scientific evidence. This result uncovers a need for further clinically-oriented and systematic validation and testing of such apps.


2021 ◽  
Vol 7 ◽  
pp. 205520762110561
Author(s):  
Keri Durocher ◽  
Navi Boparai ◽  
Damian Jankowicz ◽  
Gillian Strudwick

Objective The COVID-19 pandemic has highlighted various barriers to health and the necessity of having access to digital health services. The technology industry can support addressing health barriers, promoting health equity and partnering with organizations to ensure access to digital health services for underserviced communities. The main objective of this study was to 1) identify what initiatives have been developed within the technology industry to address digital health equity; and to 2) determine whether these initiatives have been effective. Methods A rapid review and a grey literature scan were conducted. The academic searches were performed using four databases, including Ovid MEDLINE, Scopus, CINAHL and PsychInfo. Two reviewers screened the articles for inclusion criteria. The grey literature scan was performed through Google and Million Short. Searches of technology industry initiatives were completed through scanning technology companies listed on the New York Stock Exchange, the Toronto Stock Exchange and iShares Expanded Tech Sector – Exchange Traded Fund. Results Within the technology industry, 39 companies had relevant initiatives. These were identified as having one or more of the following: 1) having health-related collaborations with other companies, 2) promoting access to technology infrastructure and 3) delivering programs that supported notable inequities within the social determinants of health. Limited data are available on the effectiveness of these initiatives in reducing health inequities. Conclusions As technology in the delivery of health services continues to evolve, health equity initiatives must be supported through innovative strategies. Partnering with the technology industry may be one way of addressing these health equity challenges.


2018 ◽  
Vol 24 (1) ◽  
pp. 29 ◽  
Author(s):  
Carla Meurk ◽  
Meredith Harris ◽  
Eryn Wright ◽  
Nicola Reavley ◽  
Roman Scheurer ◽  
...  

Primary Health Networks (PHNs) are a new institution for health systems management in the Australian healthcare system. PHNs will play a key role in mental health reform through planning and commissioning primary mental health services at a regional level, specifically adopting a stepped care approach. Selected PHNs are also trialling a healthcare homes approach. Little is known about the systems levers that could be applied by PHNs to achieve these aims. A rapid review of academic and grey literature published between 2006 and 2016 was undertaken to describe the use of systems levers in commissioning primary care services. Fifty-six documents met the inclusion criteria, including twelve specific to primary mental healthcare. Twenty-six levers were identified. Referral management, contracts and tendering processes, and health information systems were identified as useful levers for implementing stepped care approaches. Location, enrolment, capitation and health information systems were identified as useful in implementing a healthcare homes approach. Other levers were relevant to overall health system functioning. Further work is needed to develop a robust evidence-base for systems levers. PHNs can facilitate this by documenting and evaluating the levers that they deploy, and making their findings available to researchers and other commissioning bodies.


2020 ◽  
Vol 36 (4) ◽  
pp. 418-425
Author(s):  
Luca M. M. Janssen ◽  
Irina Pokhilenko ◽  
Silvia M. A. A. Evers ◽  
Aggie T. G. Paulus ◽  
Judit Simon ◽  
...  

BackgroundMental health disorders and their treatments produce significant costs and benefits in both healthcare and non-healthcare sectors. The latter are often referred to as intersectoral costs and benefits (ICBs). Little is known about healthcare-related ICBs in the criminal justice sector and how to include these in health economics research.ObjectivesThe triple aim of this study is (i) to identify healthcare-related ICBs in the criminal justice sector, (ii) to validate the list of healthcare-related ICBs in the criminal justice sector on a European level by sector-specific experts, and (iii) to classify the identified ICBs.MethodsA scientific literature search in PubMed and an additional grey literature search, carried out in six European countries, were used to retrieve ICBs. In order to validate the international applicability of the ICBs, a survey was conducted with an international group of experts from the criminal justice sector. The list of criminal justice ICBs was categorized according to the PECUNIA conceptual framework.ResultsThe full-text analysis of forty-five peer-reviewed journal articles and eleven grey literature sources resulted in a draft list of items. Input from the expert survey resulted in a final list of fourteen unique criminal justice ICBs, categorized according to the care atom.ConclusionThis study laid further foundations for the inclusion of important societal costs of mental health-related interventions within the criminal justice sector. More research is needed to facilitate the further and increased inclusion of ICBs in health economics research.


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