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Accessible and Cost-Effective Mental Health Care Using E-Mental Health (EMH)

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Advances in Psychiatry

Abstract

The burden of disease due to mental illness has risen dramatically over the last 20 years. Only a small minority of patients globally has access to expert-level care, and the number of trained specialists in some of the mental health profession is declining. This is happening on the background of extremely limited resources for mental health care worldwide, including developed countries where it is the most underfunded area in medicine.

With current health-care paradigms, it will be impossible to address this disparity; mainly the development of new web-based technologies offers the opportunity to approach that problem. E-mental health can contribute substantially to a more accessible and cost-effective system of delivery with higher quality and sustainability of care. It also allows for the reallocation of health-care spending toward a more patient-focused approach.

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Notes

  1. 1.

    Retrieved from http://www.who.int/features/factfiles/mental_health/en/ on 11 October 2016.

References

  1. Seaford C. Well-being: human well-being and priorities for economic policy-makers. New Economics Foundation; 2010. Retrieved from http://www.mbsportal.bl.uk/secure/subjareas/accfinecon/neweconfound/130503Well-being_Human_well-being_and_priorities_for_economic_policy-makers.pdf.

  2. Stiglitz JE, Sen A, Fitoussi J-P. Report by the commission on the measurement of economic performance and social progress. 2009. Retrieved from http://www.ssrn.com/abstract=1714428.

    Google Scholar 

  3. World Health Organization. The world health report 2001 – mental health: new understanding, new hope. Geneva: WHO Press, World Health Organization; 2001. Retrieved from http://www.who.int/whr/2001/en/

    Google Scholar 

  4. Ngui EM, Khasakhala L, Ndetei D, Roberts LW. Mental disorders, health inequalities and ethics: a global perspective. Int Rev Psychiatry. 2011;22(3):235–44.

    Article  Google Scholar 

  5. Bloom DE, Cafiero E, Jané-Llopis E, Abrahams-Gessel S, Bloom LR, Fathima S, …, O’Farrell D. The global economic burden of non-communicable diseases (No. 8712). Program on the Global Demography of Aging. 2012.

    Google Scholar 

  6. Lechnyr R. Cost savings and effectiveness of mental health services. J Oregon Psychol Assoc. 1992;38:8–12.

    Google Scholar 

  7. Lane JS. Medical cost offset: a review of current research and practices. Preferred Mental Health Management. 1998.

    Google Scholar 

  8. Sobel DS. The cost-effectiveness of mind-body medicine interventions. Prog Brain Res. 2000;122:393–412.

    Article  CAS  PubMed  Google Scholar 

  9. Agency for Healthcare Research and Quality. National healthcare quality report; 2010.

    Google Scholar 

  10. Reid A. Canada values health: waiting for care: bad for the economy [guest blog post]. Health Council of Canada; 2013. Retrieved from http://healthcouncilcanada.blogspot.com/2013/09/waiting-for-care-bad-for-economy.html.

  11. Wait Time Alliance. Time to close the gap: report card on wait times in Canada. 2014. Retrieved 31, Aug 2016, from http://www.waittimealliance.ca/wp-content/uploads/2014/06/FINAL-EN-WTA-Report-Card.pdf.

  12. Andersson G, Cuijpers P, Carlbring P, Riper H, Hedman E. Guided internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: a systematic review and meta analysis. World Psychiatry. 2014;13(3):288–95. https://doi.org/10.1002/wps.20151.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Lauder S, Chester A, Berk M. Net-effect? Online psychological interventions. Acta Neuropsychiatrica. 2007;19(6):386–8.

    Article  Google Scholar 

  14. Chisholm D, Sweeny K, Sheehan P, Rasmussen B, Smit F, Cuijpers P, Saxena S. Scaling-up treatment of depression and anxiety: a global return on investment analysis. Lancet Psychiatry. 2016;3(5):415–24. https://doi.org/10.1016/S2215-0366(16)30024-4.

    Article  PubMed  Google Scholar 

  15. Institute for Health Metrics and Evaluation. Global burden of diseases, injuries, and risk factors study, 2013. 2015. Retrieved 31, Aug 2016, from http://www.healthdata.org/data-visualization/gbd-compare.

  16. Greenberg PE, Fournier A-A, Sisitsky T, Pike CT, Kessler RC. The economic burden of adults with major depressive disorder in the United States (2005 and 2010). J Clin Psychiatry. 2015;76(2):155–62. https://doi.org/10.4088/JCP.14m09298.

    Article  PubMed  Google Scholar 

  17. Lépine JP, Gastpar M, Mendlewicz J, Tylee A. Depression in the community: the first pan-European study DEPRES (Depression research in European society). Int Clin Psychopharmacol. 1997;12(1):19–29.

    Article  PubMed  Google Scholar 

  18. Patel A. The cost of mood disorders. Psychiatry. 2009;8(2):76–80. https://doi.org/10.1016/j.mppsy.2008.10.021.

    Article  Google Scholar 

  19. Newton MF, Keirns CC, Cunningham R, Hayward RA, Stanley R. Uninsured adults presenting to US emergency departments: assumptions vs data. JAMA. 2008;300(16):1914–24. https://doi.org/10.1001/jama.300.16.1914.

    Article  PubMed  CAS  Google Scholar 

  20. Mood Disorders Society of Canada. Quick facts: mental illness and addiction in Canada. 2009. Retrieved 31, Aug 2016, from https://mdsc.ca/documents/Media%20Room/Quick%20Facts%203rd%20Edition%20Eng%20Nov%2012%2009.pdf?utm_source=Google&utm_medium=cpc&utm_content=FAQ&utm_campaign=MICanadaddisorderscanada.ca/documents/Media%2520Room/Quick%2520Facts%25203rd%2520Edition%2520Eng%2520Nov%252012%252009.pdf%3futm_source=Google&utm_medium=cpc&utm_content=StatsMI&utm_campaign=MICanada&gclid=CKOQ_9C6ns4CFeQK0wodSdkHHw.

    Google Scholar 

  21. Kowalewski K, McLennan JD, McGrath PJ. A preliminary investigation of wait times for child and adolescent mental health services in Canada. J Can Acad Child Adolesc Psychiatry. 2011;20(2):112–9.

    PubMed  PubMed Central  Google Scholar 

  22. The British Psychological Society. Behaviour change: school attendance, exclusion and persistent absence. 2014. Retrieved 31, Aug 2016, from http://www.bps.org.uk/system/files/Public%20files/education.pdf.

  23. Krausz M, Ward J, Ramsey D. From telehealth to an interactive virtual clinic. In: Mucic D, Hilty DM, editors. e-Mental Health. 1st ed. Cham, Heidelberg, New York, Dordrecht, London: Springer International; 2015. https://doi.org/10.1007/978-3-319-20852-7.

    Chapter  Google Scholar 

  24. National Center for Health Statistics. Health, United States, 2012: with special feature on emergency care. 2013.

    Google Scholar 

  25. OECD. Pharmaceutical spending trends and future challenges. In: Health at a glance 2015: OECD indicators. Paris: OECD Publishing; 2015.

    Chapter  Google Scholar 

  26. Bennett J., Lucas G., Neeper M. Preventing worker prescription drug misuse: time for a new integrated approach. EASNA Res Notes. 2016;6(1):27–32.

    Google Scholar 

  27. Lloyds Pharmacy, Online Prescription, Online Pharmacy. n.d. Retrieved October 22, 2016, from http://www.lloydspharmacy.com/en/info/online-prescription-services.

  28. Evans D. An app to help patients taking lithium manage their treatment. Pharm J. 2016;296. https://doi.org/10.1211/PJ.2016.20200481.

  29. Incentivated. NHS health monitor for lithium (version 1.0.0) [android 4.0.3 and up]. 2015. Retrieved from https://play.google.com/store/apps/details?id=com.incentivated.nhs.HealthMonitor&hl=en.

    Google Scholar 

  30. NHS Health Monitor for Lithium. (Version 1.0.0) [Android 4.0.3 and up]. Incentivated. 2015. Retrieved from https://play.google.com/store/apps/details?id=com.incentivated.nhs.HealthMonitor&hl=en.

    Google Scholar 

  31. Christensen A, Christrup LL, Fabricius PE, Chrostowska M, Wronka M, Narkiewicz K, Hansen EH. The impact of an electronic monitoring and reminder device on patient compliance with antihypertensive therapy: a randomized controlled trial. J Hypertens. 2010;28(1):194–200. https://doi.org/10.1097/HJH.0b013e328331b718.

    Article  PubMed  CAS  Google Scholar 

  32. Mira JJ, Navarro I, Botella F, Borrás F, Nuño-Solinís R, Orozco D, et al. A Spanish pillbox app for elderly patients taking multiple medications: randomized controlled trial. J Med Internet Res. 2014;16(4):e99. https://doi.org/10.2196/jmir.3269.

    Article  PubMed  PubMed Central  Google Scholar 

  33. National Collaborating Centre for Mental Health. E-therapies systematic review for children and young people with mental health problems. 2014. Retrieved from https://www.minded.org.uk/pluginfile.php/1287/course/section/579/e-Therapies_link2-Full_Review-v0.2 21.3.14.pdf.

    Google Scholar 

  34. Andrews G, Cuijpers P, Craske MG, McEvoy P, Titov N. Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS One. 2010;5:e13196.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Saddicha S, Al-Desouki M, Lamia A, Linden IA, Krausz M. Online interventions for depression and anxiety – a systematic review. Health Psychol Behav Med. 2014;2(1):841–81.

    Article  Google Scholar 

  36. e-Mental Health Alliance. e-Mental Health Services in Australia 2014: current and future. 2014. Retrieved from https://emhalliance.fedehealth.org.au/wp-content/uploads/sites/42/2014/10/e-Mental-Health-in-Australia-2014.pdf.

    Google Scholar 

  37. Griffiths KM, Christensen H. Internet-based mental health programs: a powerful tool in the rural medical kit. Aust J Rural Health. 2007;15:81–7. https://doi.org/10.1111/j.1440-1584.2007.00859.x.

    Article  PubMed  Google Scholar 

  38. Deutsche Rentenversicherung-Pension fund Germany 2013. 2016. Retrieved from http://www.sozialpolitik-aktuell.de/tl_files/sozialpolitik-aktuell/_Politikfelder/Alter-Rente/Datensammlung/PDF-Dateien/abbVIII11.pdf.

  39. Schofield D, Shrestha R, Percival R, Kelly S, Passey M, Callander E. Quantifying the effect of early retirement on the wealth of individuals with depression or other mental illness. Br J Psychiatry. 2011;198(2):123–8.

    Article  PubMed  Google Scholar 

  40. Colton CW, Manderscheid RW. Congruencies in increased mortality rates, years of potential life lost, and causes of death among public mental health clients in eight states. Prev Chronic Dis. 2006;3(2):A42.

    PubMed  PubMed Central  Google Scholar 

  41. McConnochie KM, Wood NE, Herendeen NE, Ng PK, Noyes K, Wang H, Roghmann KJ. Acute illness care patterns change with use of telemedicine. Pediatrics. 2009;123(6):e989–95. https://doi.org/10.1542/peds.2008-2698.

    Article  PubMed  Google Scholar 

  42. Wienberg G, Driessen M. Auf dem Weg zur vergessenen Mehrheit. Koeln: Psychiatrie Verlag; 2001.

    Google Scholar 

  43. Keyes CLM. Promoting and protecting mental health as flourishing: a complementary strategy for improving national mental health. Am Psychol. 2007;62(2):95–108. https://doi.org/10.1037/0003-066X.62.2.95.

    Article  PubMed  Google Scholar 

  44. Snyderman R, Williams RS. Prospective medicine: the next health care transformation. Acad Med. 2003;78(11):1079–84.

    Article  PubMed  Google Scholar 

  45. Collins PY, Patel V, Joestl SS, March D, Insel TR, Daar AS, et al. Grand challenges in global mental health. Nature. 2011;475(7354):27–30. https://doi.org/10.1038/475027a.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  46. Association of American Medical Colleges. Recent studies and reports on physician shortages in the US. 2012. Retrieved from https://www.aamc.org/download/100598/data/.

  47. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. Lancet Psychiatry. 2016;3(2):171–8.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Psychiatry, University of British Columbia (UBC), Vancouver, BC, Canada

    R. M. Krausz & K. Tabiova

  2. Department of Family Practice, University of British Columbia (UBC), Vancouver, BC, Canada

    D. Ramsey

  3. Department of Psychology, University of Essex, Colchester, UK

    F. Wetterlin

  4. Auckland University of Technology, Auckland, New Zealand

    A. Thapliyal

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  1. R. M. Krausz
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  2. D. Ramsey
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  4. K. Tabiova
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  5. A. Thapliyal
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Editors and Affiliations

  1. The Medical Centre, Nuneaton, United Kingdom

    Afzal Javed

  2. Division of Neuroscience Medicine, Aristotle University, Division of Neuroscience Medicine, Thessaloniki, Greece

    Kostas N. Fountoulakis

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Krausz, R.M., Ramsey, D., Wetterlin, F., Tabiova, K., Thapliyal, A. (2019). Accessible and Cost-Effective Mental Health Care Using E-Mental Health (EMH). In: Javed, A., Fountoulakis, K. (eds) Advances in Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-70554-5_8

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  • DOI: https://doi.org/10.1007/978-3-319-70554-5_8

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