Youth-focused Design and Regulation in eHealth Can Help Address the Mental Healthcare Crisis

Melissa L Gasser, Carly E. Gray, Katherine Seldin
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Abstract

An ongoing mental healthcare crisis has been exacerbated by COVID-19, particularly for youth. However, one unexpected effect of this pandemic is that access to digital mental healthcare has rapidly expanded. We argue that eHealth interventions, including telehealth and mobile interventions (mHealth), can effectively address mental health challenges, reduce costs for individuals and institutions, and broadly expand access to mental healthcare. For the promise of eHealth to be fully realized, FDA regulation must thoughtfully balance the promotion of evidence-based interventions with broad public accessibility. Furthermore, youth involvement throughout the design process and consideration of youth-specific needs when establishing regulations are critical to the success of eHealth in addressing youth mental health in the United States.
以青年为中心的电子健康设计和监管有助于解决心理健康危机
COVID-19加剧了持续存在的精神卫生保健危机,特别是对年轻人而言。然而,这次大流行的一个意想不到的影响是,获得数字精神卫生保健的机会迅速扩大。我们认为,包括远程医疗和移动医疗(mHealth)在内的电子卫生干预措施可以有效应对精神卫生挑战,降低个人和机构的成本,并广泛扩大获得精神卫生保健的机会。为了充分实现电子健康的承诺,FDA监管必须深思熟虑地平衡以证据为基础的干预措施的推广与广泛的公众可及性。此外,青年在整个设计过程中的参与,以及在制定法规时考虑到青年的具体需求,对于电子保健在解决美国青年心理健康问题方面取得成功至关重要。
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