Digital Mental Health

Description:

Mental Health is now a digital field. The last few decades have brought digital approaches to both clinical systems and service user supports. The COVID-19 pandemic has further accelerated this, highlighting both new ways of working but also major issues with our hardware and clinical systems. This book will empower those working in mental health to to gain the most from digital changes, to build better services, and to enhance the quality of care that is delivered to patients. It will update readers on the digital mental health landscape and cover technology-enabled care, big data, the challenges of technology in the NHS, and the role of professional bodies in developing future digital clinicians. In an increasingly digital world this is a critical guide for mental health professionals to realise the benefits of technology for patients.

Table of contents:

Introduction

A Promised Land?

The Changing Landscape

The Landscape Is Rocky

Who Should Travel This Road?

What Is My Role on the Team?

The Digital Horizon

References

Chapter 1 Working with IT Systems

Introduction

History and Current State of Health Informatics

Pre-computer

The Electronic Health Record

Telepsychiatry (Also Known as Video Consultations)

E-Learning

Past Failures

Problems with Public Sector IT Procurement

Problems with Electronic Health Records

The National Program for IT

Background

Successes

Failures

Lessons Learned

Current and Near-Future Issues

UK Structures

Pandemic Response

Resilience and Disaster Management

Mobility and Remote Access

Carbon Footprint

Manpower Issues

Future Prospects

Infrastructure

Analysis

Standards and Security

Conclusions

References

Chapter 2 Technology-Enabled Care

Introduction

Why Develop Technology-Enabled Mental Health Services?

Public Expectations

Policy Priorities

Evidence

Resources

Which Initiatives Should We Prioritise When Considering Technology-Enabled Mental Healthcare?

Need

Health Information Infrastructure/Installed Base

Citizens’ Perspectives

Design

Process Mapping

User Archetypes and Universal Barriers to Access

Summary

How Do We Increase the Likelihood of Successfully Implementing Technology-Enabled Care Projects?

Complexity and Failure

Strategy and Leadership

Stakeholders

Business Case Development

Programme and Project Management

Information Governance and Cybersecurity

Clinical Risk Management

Medical Devices

Evaluating Technology

Marketing and Communication

Service Evaluation, Quality Improvement and Research

Technology-Enabled Care Case Studies

Dementia Post-Diagnostic Support Platform

Webchat Introduction in a Telephone-Centric Service

Digital Marketing of Web-based Services

Summary

Acknowledgements

References

Chapter 3 Note Keeping in the Digital Age

History of Mental Health Records

Electronic Health Records

Current Challenges

Future State

Conclusions

Further reading

References

Chapter 4 Big Data

Introduction

Data Sources

Healthcare

Research

Personal Technology

Using Routinely Collected Data in Psychiatry

Research

Challenges and Limitations

Data Capture

Data Quality and Provenance

Data Storage

Obstacles to Data Access

Data Analytics

Translating Knowledge into Practice

Conclusions and Future Perspectives

References

Chapter 5 Artificial Intelligence

The Need for and Advantages of AI in Psychiatry

Natural Language Processing

The Dangers, Risks and Pitfalls

The Mitigations

What Does the Future Hold?

Summary

References

Chapter 6 Digital Clinicians

Introduction

Recent History: From Zero to Hero

Training and Development

Undergraduate

Postgraduate

Senior Positions

NHS Digital Academy

Topol Fellowships

Professionalisation

Career Pathways

Current and Future Challenges

References

Chapter 7 Global Telepsychiatry

The Pre-Covid-19 Telepsychiatry World

Mobile devices

Inter-generational Changes

The Global Digital Divide Affects Countries Differently

The Covid-19 Pandemic and the Global Transformation of Psychiatry

Australia

Japan

Taiwan

Egypt

Turkey

International Telepsychiatry Companies

What Have We Learned? Future Directions for Telepsychiatry and the Practice of Psychiatrists

Innovation 1: Hybrid Psychiatric Care

Innovation 2: The Return of the Virtual Home Visit

Innovation 3: Asynchronous Telepsychiatry

Conclusions

References

Chapter 8 The Integration Agenda

Disintegrated by Design

Who Needs to Know?

Standard Setting

Making Connections

Keeping It Simple

Picking the Low-Hanging Fruit

Integration by Design

A Diverse Ecosystem

CareConnect APIs

Patient Portals

Just One Login Please! Single Sign-on (SSO)

Summary

References

Chapter 9 Digital Wellbeing

Technology as a Cause of Burnout or an Enabler for Better Health and of Wellness

Why Care about Digital Distress?

Are We Always Anxious?

The Rise of Social Media and Our Fears of Missing Out

The Discomfort of Going Digital

Digital without the Despair

What Actually Works?

Digital Wellbeing in the Workplace

Digital Wellbeing at Home

Take Control: From Helplessness to Wellness!

Prevention

Reinvention/Redesign

User-Centred Design

Leadership

The Future of Wellbeing in a Post-Digital Age

References

Chapter 10 Conclusion

Everyone Gets to Play

Everyone Wants to Play

Play Requires Structure and Rules

How Do I Fit In?

Innovation as a Way Forward

Summary

References

Appendix: Abbreviations

Index