Developing a roadmap for the translation of e-mental health services for depression
Open accessAbstract
Objective: 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. Method: 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. Results: 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. Conclusion: 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.
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There is substantial evidence that psychosocial programs delivered online can be effective in treating and preventing mental health problems.
“There is substantial evidence that psychosocial programs delivered online can be effective in treating and preventing mental health problems [6].”
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“Digital mental health is defined as internet-based and/or digital technologies (e.g. smartphone applications) that are used to provide therapeutic content directly to consumers, with or without involvement from a trained mental health practitioner (Batterham et al., 2015).”
Background
- Authors
- Batterham, P. J., Sunderland, M., Calear, A. L., Davey, C. G., Christensen, H., Teesson, M., Kay-Lambkin, F., Andrews, G., Mitchell, P. B., Herrman, H., Butow, P. N., & Krouskos, D.
- Affiliations
- Australian National University (AU)
- UNSW Sydney (AU)
- The University of Melbourne (AU)
- Black Dog Institute (AU)
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, University of New South Wales, Sydney, NSW, Australia
- The University of Sydney (AU)
- Centre for Culture, Ethnicity & Health, Melbourne, VIC, Australia
- ORCID
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2015-04-23
- Volume
- 49
- Issue
- 9
- Pages
- 776-784
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W2167898569
- Cited by
- 77
- References
- 29
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 9 · 2023: 7 · 2022: 9 · 2021: 8 · 2020: 8 · 2019: 9 · 2018: 10 · 2017: 8 · 2016: 3 · 2015: 1
- FWCI
- 0.90
- Type
- journal article
- Language
- en
- Open access
- green
- handle.unsw.edu.au
- Licence
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UNSWorks (UNSW Sydney) (submittedVersion, cc-by-nc-nd)
- ANU Open Research (Australian National University) (submittedVersion)
- UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Funders
- National Institute for Health and Care Excellence
- National Health Commission of the People's Republic of China
- National Mental Health Commission
- National Institutes of Health
- National Health and Medical Research Council
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- e-mental health, depression, digital mental health interventions, implementation barriers and facilitators, dissemination model, clinical translation, consumer awareness, accreditation
- MeSH terms
- Australia, Cost-Benefit Analysis, Depression, Major Depressive Disorder, Humans, Mental Health Services, Telemedicine, Translational Research, Biomedical
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