Key questions to ask before implementing a Digital Mental Health Service (DMHS): A primer for policy makers

IF 3.6 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Nickolai Titov , Blake F. Dear , Lauren Staples , Alana Fisher , Heather D. Hadjistavropoulos , Olav Nielssen
{"title":"Key questions to ask before implementing a Digital Mental Health Service (DMHS): A primer for policy makers","authors":"Nickolai Titov ,&nbsp;Blake F. Dear ,&nbsp;Lauren Staples ,&nbsp;Alana Fisher ,&nbsp;Heather D. Hadjistavropoulos ,&nbsp;Olav Nielssen","doi":"10.1016/j.invent.2025.100857","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The proven success of treating high prevalence mental disorders via the internet by digital mental health services (DMHSs) has created enormous interest in the implementation of these services. In response, there are now excellent guides to support the “how” of DMHS implementation.</div></div><div><h3>Method</h3><div>Drawing on the authors' experiences of successfully implementing high volume DMHSs and reflecting on planning sessions with decision makers and funders, the authors identified important questions that should be considered by policy makers, funders and healthcare managers before implementing a DMHS. These questions are more concerned with the “why” of implementation and are questions not typically examined or discussed in existing implementation guides and frameworks.</div></div><div><h3>Results</h3><div>The authors describe eleven questions categorised by theme: 1. The nature of mental health and treatments, 2. The nature of DMHSs, and 3. Governance and eco-system. Questions include which mental health conditions to address, whether the condition even requires treatment, what type of services should be offered, where would the DMHS fit into the broader mental health system, how will they integrate with other health services, what is the optimal funding model, how will they employ technology, and what governance is required.</div></div><div><h3>Conclusions</h3><div>Policy makers and funders have the challenging task of determining resource allocation among competing priorities in a complex and ever-changing world. We propose that navigating the complexities of DMHSs can be facilitated by developing a robust program logic that addresses these and other important questions. It is noted that the long-term success DMHSs requires not only a clear vision and careful planning, but realistic and stable funding, and a commitment to ongoing evaluation and development.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100857"},"PeriodicalIF":3.6000,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214782925000582","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

Abstract

Background

The proven success of treating high prevalence mental disorders via the internet by digital mental health services (DMHSs) has created enormous interest in the implementation of these services. In response, there are now excellent guides to support the “how” of DMHS implementation.

Method

Drawing on the authors' experiences of successfully implementing high volume DMHSs and reflecting on planning sessions with decision makers and funders, the authors identified important questions that should be considered by policy makers, funders and healthcare managers before implementing a DMHS. These questions are more concerned with the “why” of implementation and are questions not typically examined or discussed in existing implementation guides and frameworks.

Results

The authors describe eleven questions categorised by theme: 1. The nature of mental health and treatments, 2. The nature of DMHSs, and 3. Governance and eco-system. Questions include which mental health conditions to address, whether the condition even requires treatment, what type of services should be offered, where would the DMHS fit into the broader mental health system, how will they integrate with other health services, what is the optimal funding model, how will they employ technology, and what governance is required.

Conclusions

Policy makers and funders have the challenging task of determining resource allocation among competing priorities in a complex and ever-changing world. We propose that navigating the complexities of DMHSs can be facilitated by developing a robust program logic that addresses these and other important questions. It is noted that the long-term success DMHSs requires not only a clear vision and careful planning, but realistic and stable funding, and a commitment to ongoing evaluation and development.
实施数字心理健康服务(DMHS)之前要问的关键问题:政策制定者的入门书
背景:通过数字精神卫生服务(dmhs)通过互联网治疗高患病率精神障碍已被证明是成功的,这引起了人们对实施这些服务的巨大兴趣。作为回应,现在有优秀的指南来支持DMHS的“如何”实施。方法根据作者成功实施大规模DMHS的经验,并与决策者和资助者进行规划会议的反思,作者确定了政策制定者、资助者和卫生保健管理人员在实施DMHS之前应该考虑的重要问题。这些问题更多地与实现的“为什么”有关,并且是在现有的实现指南和框架中通常没有检查或讨论的问题。结果作者描述了按主题分类的11个问题:1。2.心理健康的性质和治疗;2 . dmhs的性质;治理和生态系统。问题包括需要解决哪些精神健康状况,这种状况是否需要治疗,应该提供哪种类型的服务,DMHS将在哪里融入更广泛的精神卫生系统,它们将如何与其他卫生服务相结合,最佳融资模式是什么,它们将如何使用技术,以及需要什么样的治理。在一个复杂和不断变化的世界中,决策者和资助者面临着一项具有挑战性的任务,即在相互竞争的优先事项中确定资源分配。我们建议,通过开发一个健壮的程序逻辑来解决这些问题和其他重要问题,可以促进驾驭dmhs的复杂性。报告指出,dmhs的长期成功不仅需要清晰的愿景和仔细的规划,而且需要现实和稳定的资金,并致力于持续的评价和发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
6.50
自引率
9.30%
发文量
94
审稿时长
6 weeks
期刊介绍: Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信