Informing the future of integrated digital and clinical mental health care: Synthesis of the outcomes from project synergy

Q2

Autores:
LaMonica, Haley M.
Iorfino, Frank
Yeeun Lee, Grace
Piper, Sarah
Occhipinti, Jo-An
Davenport, Tracey A.
Cross, Shane
Milton, Alyssa
Ospina-Pinillos, Laura
Whittle, Lisa
Rowe, Shelley C.
Dowling, Mitchell
Stewart, Elizabeth
Ottavio, Antonia
Hockey, Samuel
Wan Sze Cheng, Vanessa
Burns, Jane
Scott, Elizabeth M.
Tipo de recurso:
Article of journal
Fecha de publicación:
2022
Institución:
Pontificia Universidad Javeriana
Repositorio:
Repositorio Universidad Javeriana
Idioma:
eng
OAI Identifier:
oai:repository.javeriana.edu.co:10554/63637
Acceso en línea:
https://mental.jmir.org/2022/3/e33060/
http://hdl.handle.net/10554/63637
https://doi.org/10.2196/33060
Palabra clave:
Mental health
Technology
Co-design
Participatory research
Health care reform
Stakeholder participation
Mobile phone
Rights
License
Atribución-NoComercial 4.0 Internacional
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oai_identifier_str oai:repository.javeriana.edu.co:10554/63637
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network_name_str Repositorio Universidad Javeriana
repository_id_str
dc.title.spa.fl_str_mv Informing the future of integrated digital and clinical mental health care: Synthesis of the outcomes from project synergy
title Informing the future of integrated digital and clinical mental health care: Synthesis of the outcomes from project synergy
spellingShingle Informing the future of integrated digital and clinical mental health care: Synthesis of the outcomes from project synergy
Mental health
Technology
Co-design
Participatory research
Health care reform
Stakeholder participation
Mobile phone
title_short Informing the future of integrated digital and clinical mental health care: Synthesis of the outcomes from project synergy
title_full Informing the future of integrated digital and clinical mental health care: Synthesis of the outcomes from project synergy
title_fullStr Informing the future of integrated digital and clinical mental health care: Synthesis of the outcomes from project synergy
title_full_unstemmed Informing the future of integrated digital and clinical mental health care: Synthesis of the outcomes from project synergy
title_sort Informing the future of integrated digital and clinical mental health care: Synthesis of the outcomes from project synergy
dc.creator.fl_str_mv LaMonica, Haley M.
Iorfino, Frank
Yeeun Lee, Grace
Piper, Sarah
Occhipinti, Jo-An
Davenport, Tracey A.
Cross, Shane
Milton, Alyssa
Ospina-Pinillos, Laura
Whittle, Lisa
Rowe, Shelley C.
Dowling, Mitchell
Stewart, Elizabeth
Ottavio, Antonia
Hockey, Samuel
Wan Sze Cheng, Vanessa
Burns, Jane
Scott, Elizabeth M.
dc.contributor.author.none.fl_str_mv LaMonica, Haley M.
Iorfino, Frank
Yeeun Lee, Grace
Piper, Sarah
Occhipinti, Jo-An
Davenport, Tracey A.
Cross, Shane
Milton, Alyssa
Ospina-Pinillos, Laura
Whittle, Lisa
Rowe, Shelley C.
Dowling, Mitchell
Stewart, Elizabeth
Ottavio, Antonia
Hockey, Samuel
Wan Sze Cheng, Vanessa
Burns, Jane
Scott, Elizabeth M.
dc.contributor.corporatename.spa.fl_str_mv Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Psiquiatría y Salud Mental
dc.contributor.javerianateacher.none.fl_str_mv Ospina-Pinillos, Laura
dc.subject.keyword.spa.fl_str_mv Mental health
Technology
Co-design
Participatory research
Health care reform
Stakeholder participation
Mobile phone
topic Mental health
Technology
Co-design
Participatory research
Health care reform
Stakeholder participation
Mobile phone
description Q2
publishDate 2022
dc.date.created.none.fl_str_mv 2022-03-09
dc.date.accessioned.none.fl_str_mv 2023-03-08T20:03:55Z
dc.date.available.none.fl_str_mv 2023-03-08T20:03:55Z
dc.type.local.spa.fl_str_mv Artículo de revista
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_6501
format http://purl.org/coar/resource_type/c_6501
dc.identifier.spa.fl_str_mv https://mental.jmir.org/2022/3/e33060/
dc.identifier.issn.spa.fl_str_mv 2368-7959
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10554/63637
dc.identifier.doi.spa.fl_str_mv https://doi.org/10.2196/33060
dc.identifier.instname.spa.fl_str_mv instname:Pontificia Universidad Javeriana
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional - Pontificia Universidad Javeriana
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.javeriana.edu.co
url https://mental.jmir.org/2022/3/e33060/
http://hdl.handle.net/10554/63637
https://doi.org/10.2196/33060
identifier_str_mv 2368-7959
instname:Pontificia Universidad Javeriana
reponame:Repositorio Institucional - Pontificia Universidad Javeriana
repourl:https://repository.javeriana.edu.co
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationstartpage.spa.fl_str_mv 1
dc.relation.citationendpage.spa.fl_str_mv 22
dc.relation.ispartofjournal.spa.fl_str_mv JMIR Mental Health
dc.relation.citationvolume.spa.fl_str_mv 9
dc.relation.citationissue.spa.fl_str_mv 3
dc.rights.licence.*.fl_str_mv Atribución-NoComercial 4.0 Internacional
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.coar.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
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dc.format.spa.fl_str_mv PDF
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.coverage.spatial.spa.fl_str_mv Australia
dc.coverage.city.spa.fl_str_mv Sídney (Australia)
institution Pontificia Universidad Javeriana
bitstream.url.fl_str_mv http://repository.javeriana.edu.co/bitstream/10554/63637/2/license.txt
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spelling Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2LaMonica, Haley M.Iorfino, FrankYeeun Lee, GracePiper, SarahOcchipinti, Jo-AnDavenport, Tracey A.Cross, ShaneMilton, AlyssaOspina-Pinillos, LauraWhittle, LisaRowe, Shelley C.Dowling, MitchellStewart, ElizabethOttavio, AntoniaHockey, SamuelWan Sze Cheng, VanessaBurns, JaneScott, Elizabeth M.Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Psiquiatría y Salud MentalOspina-Pinillos, LauraAustraliaSídney (Australia)2023-03-08T20:03:55Z2023-03-08T20:03:55Z2022-03-09https://mental.jmir.org/2022/3/e33060/2368-7959http://hdl.handle.net/10554/63637https://doi.org/10.2196/33060instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengInforming the future of integrated digital and clinical mental health care: Synthesis of the outcomes from project synergyArtículo de revistahttp://purl.org/coar/resource_type/c_6501Q2Q1Background: Globally, there are fundamental shortcomings in mental health care systems, including restricted access, siloed services, interventions that are poorly matched to service users’ needs, underuse of personal outcome monitoring to track progress, exclusion of family and carers, and suboptimal experiences of care. Health information technologies (HITs) hold great potential to improve these aspects that underpin the enhanced quality of mental health care. Objective: Project Synergy aimed to co-design, implement, and evaluate novel HITs, as exemplified by the InnoWell Platform, to work with standard health care organizations. The goals were to deliver improved outcomes for specific populations under focus and support organizations to enact significant system-level reforms. Methods: Participating health care organizations included the following: Open Arms–Veterans & Families Counselling (in Sydney and Lismore, New South Wales [NSW]); NSW North Coast headspace centers for youth (Port Macquarie, Coffs Harbour, Grafton, Lismore, and Tweed Heads); the Butterfly Foundation’s National Helpline for eating disorders; Kildare Road Medical Centre for enhanced primary care; and Connect to Wellbeing North Coast NSW (administered by Neami National), for population-based intake and assessment. Service users, families and carers, health professionals, and administrators of services across Australia were actively engaged in the configuration of the InnoWell Platform to meet service needs, identify barriers to and facilitators of quality mental health care, and highlight potentially the best points in the service pathway to integrate the InnoWell Platform. The locally configured InnoWell Platform was then implemented within the respective services. A mixed methods approach, including surveys, semistructured interviews, and workshops, was used to evaluate the impact of the InnoWell Platform. A participatory systems modeling approach involving co-design with local stakeholders was also undertaken to simulate the likely impact of the platform in combination with other services being considered for implementation within the North Coast Primary Health Network to explore resulting impacts on mental health outcomes, including suicide prevention. Results: Despite overwhelming support for integrating digital health solutions into mental health service settings and promising impacts of the platform simulated under idealized implementation conditions, our results emphasized that successful implementation is dependent on health professional and service readiness for change, leadership at the local service level, the appropriateness and responsiveness of the technology for the target end users, and, critically, funding models being available to support implementation. The key places of interoperability of digital solutions and a willingness to use technology to coordinate health care system use were also highlighted. Conclusions: Although the COVID-19 pandemic has resulted in the widespread acceptance of very basic digital health solutions, Project Synergy highlights the critical need to support equity of access to HITs, provide funding for digital infrastructure and digital mental health care, and actively promote the use of technology-enabled, coordinated systems of care.https://orcid.org/0000-0002-7929-1511Revista Internacional - IndexadaA2NoMental healthTechnologyCo-designParticipatory researchHealth care reformStakeholder participationMobile phone122JMIR Mental Health93LICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/63637/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessORIGINALInforming the Future of Integrated Digital and Clinical Mental Health Care Synthesis of the Outcomes From Project Synergy.pdfInforming the Future of Integrated Digital and Clinical Mental Health Care Synthesis of the Outcomes From Project Synergy.pdfArtículoapplication/pdf1903148http://repository.javeriana.edu.co/bitstream/10554/63637/1/Informing%20the%20Future%20of%20Integrated%20Digital%20and%20Clinical%20Mental%20Health%20Care%20Synthesis%20of%20the%20Outcomes%20From%20Project%20Synergy.pdf462945e808f409799760d3d24700e720MD51open accessTHUMBNAILInforming the Future of Integrated Digital and Clinical Mental Health Care Synthesis of the Outcomes From Project Synergy.pdf.jpgInforming the Future of Integrated Digital and Clinical Mental Health Care Synthesis of the Outcomes From Project Synergy.pdf.jpgIM Thumbnailimage/jpeg9060http://repository.javeriana.edu.co/bitstream/10554/63637/3/Informing%20the%20Future%20of%20Integrated%20Digital%20and%20Clinical%20Mental%20Health%20Care%20Synthesis%20of%20the%20Outcomes%20From%20Project%20Synergy.pdf.jpg3d14ec16ded9cf9e0e2150f28a369d36MD53open access10554/63637oai:repository.javeriana.edu.co:10554/636372023-03-09 03:04:57.341Repositorio Institucional - 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