The digital clinic: Implementing technology and augmenting care for mental health.

General Hospital Psychiatry
Elena Rodriguez-VillaJohn Torous

Abstract

Increasing both access to and quality of mental healthcare is a global priority. One solution is to integrate technologies such as smartphone apps and sensors directly into care. Acknowledging many prior attempts and barriers, we introduce the Digital Clinic which is an already functioning clinic using smartphone apps to augment and extend care today at Beth Israel Deaconess Medical Center (BIDMC) in Boston, Massachusetts. In this piece, we outline the theoretical foundation of the Digital Clinic and its emphasis on the therapeutic alliance, measurement-based care, and shared decision making. We explore both workflow and engagement challenges as well as solutions including a new care team member, the Digital Navigator, and the customization of technology. Acknowledging that the Digital Clinic is an evolving program, we offer details on our implementation in order to allow others to replicate, expand on, and improve these initial efforts.

References

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Feb 15, 2019·BJPsych Open·Philip HensonJohn Torous
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Feb 1, 2020·Epidemiology and Psychiatric Sciences·John Torous, Aditya Vaidyam
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Jun 1, 2019·The Lancet. Digital Health·Philip HensonJohn Torous

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Citations

Mar 3, 2021·Psychiatrische Praxis·Tilman Steinert, Samuel Thoma
Mar 27, 2021·Journal of American College Health : J of ACH·Jennifer MelcherJohn Torous
Apr 2, 2021·International Review of Psychiatry·Natali Rauseo-RicuperoJohn Torous
Jun 4, 2021·General Hospital Psychiatry·John Torous, Jeff Huffman
Jun 24, 2021·Industrial Psychiatry Journal·Kalpana SrivastavaKaushik Chatterjee
Dec 22, 2020·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Shannon RichardsonHarris A Eyre
Sep 11, 2021·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·John TorousJoseph Firth

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Software Mentioned

Projection Lifeline
REP
Digital Navigator
mindLAMP

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