Promoting reach, dissemination, and engagement of technologies for addressing mental health care disparities among underserved populations

2019 ◽  
Vol 26 (1) ◽  
pp. e12273
Author(s):  
Tatiana M. Davidson ◽  
Kenneth J. Ruggiero ◽  
Leonard E. Egede
2017 ◽  
Vol 5 (2) ◽  
pp. 351-356
Author(s):  
Rahn Bailey ◽  
Daphne Sharpe ◽  
Tricia Kwiatkowski ◽  
Susanne Watson ◽  
A . Dexter Samuels ◽  
...  

2020 ◽  
Author(s):  
Natali Rauseo-Ricupero ◽  
John Torous

BACKGROUND Even before COVID-19, there has been an urgent need to expand access to and quality of mental health care. This paper introduces an 8-week treatment protocol to realize that vision—Technology Enabled Clinical Care (TECC). TECC offers innovation in clinical assessment, monitoring, and interventions for mental health. TECC uses the mindLAMP app to enable digital phenotyping, clinical communication, and smartphone-based exercises that will augment in-person or telehealth virtual visits. TECC exposes participants to an array of evidence-based treatments (cognitive behavioral therapy, dialectical behavior therapy, acceptance and commitment therapy) introduced through clinical sessions and then practiced through interactive activities provided through a smartphone app called mindLAMP. OBJECTIVE TECC will test the feasibility of providing technology-enabled mental health care within an outpatient clinic; explore the practicality for providing this care to individuals with limited English proficiency; and track anxiety, depression, and mood symptoms for participants to measure the effectiveness of the TECC design. METHODS The TECC study will assess the acceptability and efficacy of this care model in 50 participants as compared to an age- and gender-matched cohort of patients presenting with similar clinical severity of depression, anxiety, or psychotic symptoms. Participants will be recruited from clinics in the Metro Boston area. Aspects of TECC will be conducted in both Spanish and English to ensure wide access to care for multiple populations. RESULTS The results of the TECC study will be used to support or adapt this model of care and create training resources to ensure its dissemination. The study results will be posted on ClinicalTrials.gov, with primary outcomes related to changes in mood, anxiety, and stress, and secondary outcomes related to engagement, alliance, and satisfaction. CONCLUSIONS TECC combines new digital mental health technology with updated clinical protocols and workflows designed to ensure patients can benefit from innovation in digital mental health. Supporting multiple languages, TECC is designed to ensure digital health equity and highlights how mobile health can bridge, not expand, gaps in care for underserved populations. INTERNATIONAL REGISTERED REPORT PRR1-10.2196/23771


2017 ◽  
Vol 52 (8) ◽  
pp. 939-948 ◽  
Author(s):  
Giyeon Kim ◽  
Natalie Dautovich ◽  
Katy-Lauren Ford ◽  
Daniel E. Jimenez ◽  
Benjamin Cook ◽  
...  

Author(s):  
Leopoldo J. Cabassa

Latinos in the United States face serious mental health care disparities. A combination of person-level barriers, such as low levels of acculturation, stigma, negative attitudes towards mental health treatments, and limited health literacy, contribute to these inequities in mental health care. In this chapter, we review the literature on how person-level barriers impact mental health care disparities in the Latino community. We describe how a depression fotonovela, “Secret Feelings”, that integrates cultural elements from the Latino community and uses an entertainment-education approach can help address these barriers. We also discuss the practice and research implications of using “Secret Feelings” to improve mental health care in the Latino community.


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