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

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dc.contributor.authorLaMonica, Haley M.
dc.contributor.authorIorfino, Frank
dc.contributor.authorYeeun Lee, Grace
dc.contributor.authorPiper, Sarah
dc.contributor.authorOcchipinti, Jo-An
dc.contributor.authorDavenport, Tracey A.
dc.contributor.authorCross, Shane
dc.contributor.authorMilton, Alyssa
dc.contributor.authorOspina-Pinillos, Laura
dc.contributor.authorWhittle, Lisa
dc.contributor.authorRowe, Shelley C.
dc.contributor.authorDowling, Mitchell
dc.contributor.authorStewart, Elizabeth
dc.contributor.authorOttavio, Antonia
dc.contributor.authorHockey, Samuel
dc.contributor.authorWan Sze Cheng, Vanessa
dc.contributor.authorBurns, Jane
dc.contributor.authorScott, Elizabeth M.
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Psiquiatría y Salud Mentalspa
dc.contributor.javerianateacherOspina-Pinillos, Laura
dc.coverage.citySídney (Australia)spa
dc.coverage.spatialAustraliaspa
dc.date.accessioned2023-03-08T20:03:55Z
dc.date.available2023-03-08T20:03:55Z
dc.date.created2022-03-09
dc.description.abstractenglishBackground: 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.spa
dc.description.esciNospa
dc.description.indexingRevista Internacional - Indexadaspa
dc.description.orcidhttps://orcid.org/0000-0002-7929-1511spa
dc.description.publindexA2spa
dc.description.quartilescopusQ1spa
dc.description.quartilewosQ2spa
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.identifierhttps://mental.jmir.org/2022/3/e33060/spa
dc.identifier.doihttps://doi.org/10.2196/33060spa
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.issn2368-7959spa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.identifier.urihttp://hdl.handle.net/10554/63637
dc.language.isoengspa
dc.relation.citationendpage22spa
dc.relation.citationissue3spa
dc.relation.citationstartpage1spa
dc.relation.citationvolume9spa
dc.relation.ispartofjournalJMIR Mental Healthspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.keywordMental healthspa
dc.subject.keywordTechnologyspa
dc.subject.keywordCo-designspa
dc.subject.keywordParticipatory researchspa
dc.subject.keywordHealth care reformspa
dc.subject.keywordStakeholder participationspa
dc.subject.keywordMobile phonespa
dc.titleInforming the future of integrated digital and clinical mental health care: Synthesis of the outcomes from project synergyspa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501spa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de revistaspa

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