Technology in Mental Health

Question 1

According to Christopher, what types of technology are being used in mental healthcare?

Answer 1

Online clinics, blended treatments, digital assessments, digital training

Question 2

According to Christopher, what types of therapies are used digitally?

Answer 2

CBT / acceptance / commitment / interpersonal / psychotherapy / mindfulness / problem solving

Question 3

What % of UK household, have access to digital technologies?

Answer 3

90%

Question 4

How are digital technologies used in mental healthcare?

Answer 4

Front door to the NHS (first point of contact is digital) / appointments / prescriptions / advice / online assessments / monitoring via wearables and real time self-report

Question 5

How does NICE recommend using digital therapies?

Answer 5

As the first line of treatment fro moderate to mild depression and anxiety

Question 6

How were computer therapies first used?

Answer 6

Systematic desensitisation treatment via hierarchal exposure on a computer

Question 7

According to Bloom, what was found to be successful about the first systematic desensitisation treatments?

Answer 7

It did not require a therapist to be successful

Question 8

According to Lang, what was found to be successful about the first systematic desensitisation treatments?

Answer 8

The individual was fully responsible for their goals / a live therapist was a hinderance

Question 9

What is virtual reality good for in mental healthcare?

Answer 9

Exposure therapy

Question 10

What is the least and most supported digitally delivered therapies?

Answer 10

Least: unguided digital interventions
Most: digitally augmented therapies

Question 11

What digitally delivered therapy is common in IAPT services?

Answer 11

Guided digital interventions

Question 12

What is the structure of modern digital technology programmes, that are based on SBT principles?

Answer 12

Psychoeducation / assessment / action plan and goals / guided change techniques / homework / narrator

Question 13

What is an example of a digital technology therapy, used in the NHS?

Answer 13

Beating the Blues

Question 14

What did the McCrone study find about the effectiveness of the Beating the Blues digital programme?

Answer 14

Had a clinical benefit over and above usual treatment / benefits were maintained for up to 6 months / BTB was a cost effective intervention

Question 15

What did the Andrew’s study find about the effectiveness of digital programmes?

Answer 15

Large effect size of computerised CBT

Question 16

What did the Cuipers study find about the effectiveness of digital programmes?

Answer 16

There were no differences between the effectiveness of guided self-help and computerised programmes

Question 17

What did the Newman study find about the effectiveness of digital programmes?

Answer 17

Computerised programmes are a less intensive and more cost effective way to deliver treatment

Question 18

Are apps effective?

Answer 18

Yes, however it is still early days

Question 19

What are some examples of local IAPT digital initiatives?

Answer 19

Silver cloud / IESO / mind district

Question 20

What are the advantages of digital technologies in mental healthcare?

Answer 20

Increased access / flexibility / confidentiality / reduced stigma / up to date / self-efficacy / cost effective

Question 21

What are the disadvantages of digital technologies in mental healthcare?

Answer 21

Exclusion and inaccessibility / scope / solutions / absence of human therapeutic relationships / no engagement motivation