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Integrating digital interventions with clinical practice in youth mental health services
Abstract
OBJECTIVE: Integrating digital technologies with clinical practice promises to improve access and enhance care in the context of high service demand and constrained capacity. METHOD: We outline the emerging research in the integration of digital tools in clinical care, known as blended care, and provide case examples of mental health technology platforms currently in use, summarise findings regarding novel technologies such as virtual reality, and outline real-world implementation challenges and potential solutions. RESULTS: Recent evidence shows that blended care approaches are clinically effective and improve service efficiency. Youth-specific technologies such as moderated online social therapy (MOST) are achieving a range of positive clinical and functional outcomes, while emerging technologies like virtual reality have strong evidence in anxiety disorder, and accumulating evidence in psychotic conditions. Implementation science frameworks show promise in helping overcome the common challenges faced in real-world adoption and ongoing use. CONCLUSION: The integrated, blended use of digital mental health technologies with face-to-face clinical care has the potential to improve care quality for young people while helping overcome the growing challenges faced by youth mental health service providers.
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Digital interventions can be offered to young people while waiting for face-to-face care, during care, and on discharge and can extend the in-person therapy hour by building on skills and concepts introduced in therapy.
“Digital interventions can be offered to young people while waiting for face-to-face care, during care, and on discharge and can extend the in-person ‘therapy hour’ by building on skills and concepts introduced in therapy.13”
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Metadata
- Authors
- Cross, S. P., Nicholas, J., Bell, I. H., Mangelsdorf, S., Valentine, L., Thompson, A., Gleeson, J. F., & Alvarez-Jimenez, M.
- Affiliations
- The University of Melbourne (AU)
- Australian Catholic University (AU)
- Orygen, Melbourne, VIC, Australia; and Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
- Corresponding author
- Cross, Shane P
- ORCID
- Venue
- Australasian Psychiatry
- Publisher
- SAGE Publications
- Published
- 2023-04-18
- Volume
- 31
- Issue
- 3
- Pages
- 302-305
- ISSN
- 1039-8562 (ISSN-L)
- 1440-1665
- OpenAlex
- W4366256329
- Cited by
- 16
- References
- 24
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 3 · 2023: 2
- FWCI
- 4.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australasian Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Warwick Research Archive Portal (University of Warwick) (acceptedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- 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 › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- blended care, digital mental health interventions, child and adolescent mental health services, virtual reality therapy, implementation science, implementation barriers, anxiety disorders, psychosis
- MeSH terms
- Adolescent, Anxiety Disorders, Humans, Mental Health, Mental Health Services, Psychotic Disorders
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