Digital Opportunities for Outcomes in Recovery Services (DOORS): A Pragmatic Hands-On Group Approach Toward Increasing Digital Health and Smartphone Competencies, Autonomy, Relatedness, and Alliance for Those With Serious Mental Illness.

Journal of Psychiatric Practice
Liza HoffmanJohn Torous

Abstract

Digital health technologies such as smartphones present the potential for increased access to care and on-demand services. However, many patients with serious mental illnesses (eg, schizophrenia) have not been offered the digital health training necessary to fully utilize these innovative approaches. To bridge this digital divide in knowledge and skills, we created a hands-on and interactive training program grounded in self-determination theory, technology use cases, and the therapeutic alliance. This article introduces the need and theoretical foundation for and the experience of running the resulting Digital Opportunities for Outcomes in Recovery Services (DOORS) group in the setting of 2 programs: a first-episode psychosis program and a clubhouse for individuals with serious mental illness. The experience of running these 2 DOORS groups resulted in 2 publicly available, free training manuals to empower others to run such groups and adapt them for local needs. Future work on DOORS will expand the curriculum to best support digital health needs and increase equity of access to and knowledge and skills related to technology use in serious mental illness.

References

Jan 11, 2007·Journal of Medical Internet Research·Cameron D Norman, Harvey A Skinner
Dec 21, 2010·Journal of Medical Internet Research·Beate SchrankMichaela Amering
Nov 8, 2015·JMIR MHealth and UHealth·Joseph Firth, John Torous
Jan 7, 2016·Journal of Mental Health·Til Wykes, Mark Brown
May 3, 2016·Mental Health and Physical Activity·John A NaslundStephen J Bartels
Sep 28, 2017·The Lancet. Psychiatry·Dinesh BhugraAntonio Ventriglio
Jun 26, 2018·Schizophrenia Bulletin·Danielle A SchlosserSophia Vinogradov
Aug 8, 2019·NPJ Digital Medicine·Valerie A NoelRobert E Drake

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Citations

Jul 14, 2020·JMIR Mental Health·Katharine SmithAndrea Cipriani
Feb 4, 2021·Internet Interventions : the Application of Information Technology in Mental and Behavioural Health·Elena Rodriguez-VillaJohn Torous
Apr 25, 2020·Schizophrenia Research·John Torous, Matcheri Keshavan
Feb 20, 2021·Journal of Psychiatric and Mental Health Nursing·Amy Hai Yan Chan, Michelle L L Honey
Apr 2, 2021·International Review of Psychiatry·Natali Rauseo-RicuperoJohn Torous
May 8, 2021·Current Psychiatry Reports·Samantha L ConnollyJohn Torous
May 16, 2021·Journal of Medical Ethics·Charlotte BleaseCatherine M DesRoches
Jun 2, 2021·Journal of Medical Internet Research·Phoebe BarnettSonia Johnson
Sep 11, 2021·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·John TorousJoseph Firth

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Software Mentioned

mindLAMP
DOORS

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