Social work and tele-mental health services for rural and remote communities

Author(s):  
Lia Bryant ◽  
Bridget Garnham ◽  
Deirdre Tedmanson ◽  
Sophie Diamandi
2015 ◽  
Vol 61 (1) ◽  
pp. 143-155 ◽  
Author(s):  
Lia Bryant ◽  
Bridget Garnham ◽  
Deirdre Tedmanson ◽  
Sophie Diamandi

Rural and remote communities often have complex and diverse mental health needs and inadequate mental health services and infrastructure. Information and communication technologies (ICTs) provide an array of potentially innovative and cost-effective means for connecting rural and remote communities to specialist mental health practitioners, services, and supports, irrespective of physical location. However, despite this potential, a review of Australian and international literature reveals that ICT has not attained widespread uptake into social work practice or implementation in rural communities. This article reviews the social work literature on ICT, draws on research on tele-psychology and tele-education, and provides suggestions on how to enhance engagement with ICT by social workers to implement and provide mental health services and supports tailored to community values, needs, and preferences that are commensurate with the values of the social work profession.


2015 ◽  
Vol 27 (11) ◽  
pp. 1751-1754 ◽  
Author(s):  
David Burke ◽  
Ayse Burke ◽  
Jacqueline Huber

Mental health service delivery to rural and remote communities can be significantly impeded by the tyranny of distance. In Australia, rural and remote mental health services are characterized by limited resources stretched across geographically large and socio-economically disadvantaged regions (Inderet al., 2012; Thomaset al., 2012). Internationally, rural and remote area mental health workforce shortages are common, especially in relation to specialist mental health services for older people (McCarthyet al., 2012; Bascuet al., 2012).


Author(s):  
Fay Jackson ◽  
Tim Heffernan ◽  
Mark Orr ◽  
Robert Butch Young ◽  
Cherie Puckett ◽  
...  

Author(s):  
Fay Jackson ◽  
Tim Heffernan ◽  
Mark Orr ◽  
Robert Butch Young ◽  
Cherie Puckett ◽  
...  

2020 ◽  
Author(s):  
Anne Dwyer ◽  
Abílio de Almeida Neto ◽  
Dominique Estival ◽  
Weicong Li ◽  
Christa Lam-Cassettari ◽  
...  

BACKGROUND People living in rural and remote areas have poorer access to mental health services than those living in cities. They also are less likely to seek help because of self-stigma and entrenched stoic beliefs about help-seeking as a sign of weakness. OBJECTIVE E-mental health services have the potential to circumvent these barriers using technology. METHODS This review argues that text-based, real-time communication with a qualified therapist is an effective form of e-mental health service delivery that will be particularly attractive for those concerned with stigma and confidentiality. RESULTS Another advantage of text-based communications is that computational linguistic analyses of transcripts may help identify individuals at risk of serious mental health issues and suicide. CONCLUSIONS We recommend that future research should pursue this potentially fruitful hypothesis to develop policy and improve intervention accessibility for regional communities.


10.2196/19478 ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. e19478
Author(s):  
Anne Dwyer ◽  
Abílio de Almeida Neto ◽  
Dominique Estival ◽  
Weicong Li ◽  
Christa Lam-Cassettari ◽  
...  

Background People living in rural and remote areas have poorer access to mental health services than those living in cities. They are also less likely to seek help because of self-stigma and entrenched stoic beliefs about help seeking as a sign of weakness. E-mental health services can span great distances to reach those in need and offer a degree of privacy and anonymity exceeding that of traditional face-to-face counseling and open up possibilities for identifying at-risk individuals for targeted intervention. Objective This scoping review maps the research that has explored text-based e-mental health counseling services and studies that have used language use patterns to predict mental health status. In doing so, one of the aims was to determine whether text-based counseling services have the potential to circumvent the barriers faced by clients in rural and remote communities using technology and whether text-based communications, in particular, can be used to identify individuals at risk of psychological distress or self-harm. Methods We conducted a comprehensive electronic literature search of PsycINFO, PubMed, ERIC, and Web of Science databases for articles published in English through November 2020. Results Of the 9134 articles screened, 70 met the eligibility criteria and were included in the review. There is preliminary evidence to suggest that text-based, real-time communication with a qualified therapist is an effective form of e-mental health service delivery, particularly for individuals concerned with stigma and confidentiality. There is also converging evidence that text-based communications that have been analyzed using computational linguistic techniques can be used to accurately predict progress during treatment and identify individuals at risk of serious mental health conditions and suicide. Conclusions This review reveals a clear need for intensified research into the extent to which text-based counseling (and predictive models using modern computational linguistics tools) may help deliver mental health treatments to underserved groups such as regional communities, identify at-risk individuals for targeted intervention, and predict progress during treatment. Such approaches have implications for policy development to improve intervention accessibility in at-risk and underserved populations.


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