Home The intersection of technology and mental health: enhancing access and care
Article
Licensed
Unlicensed Requires Authentication

The intersection of technology and mental health: enhancing access and care

  • Mohd Altaf Dar , Mudasir Maqbool ORCID logo EMAIL logo , Irfat Ara and Mehrukh Zehravi
Published/Copyright: August 22, 2023

Abstract

In recent times, technology has increasingly become a central force in shaping the landscape of mental health care. The integration of various technological advancements, such as teletherapy, virtual care platforms, mental health apps, and wearable devices, holds great promise in improving access to mental health services and enhancing overall care. Technology’s impact on mental health care is multi-faceted. Teletherapy and virtual care have brought about a revolution in service delivery, eliminating geographical barriers and offering individuals convenient and flexible access to therapy. Mobile mental health apps empower users to monitor their emotional well-being, practice mindfulness, and access self-help resources on the move. Furthermore, wearable devices equipped with biometric data can provide valuable insights into stress levels and sleep patterns, potentially serving as valuable indicators of mental health status. However, integrating technology into mental health care comes with several challenges and ethical considerations. Bridging the digital divide is a concern, as not everyone has equal access to technology or the necessary digital literacy. Ensuring privacy and data security is crucial to safeguard sensitive client information. The rapid proliferation of mental health apps calls for careful assessment and regulation to promote evidence-based practices and ensure the delivery of quality interventions. Looking ahead, it is vital to consider future implications and adopt relevant recommendations to fully harness technology’s potential in mental health care. Continuous research is essential to evaluate the efficacy and safety of digital interventions, fostering collaboration between researchers, mental health professionals, and technology developers. Proper training on ethical technology utilization is necessary for mental health practitioners to maintain therapeutic boundaries while leveraging technological advancements responsibly.


Corresponding author: Mudasir Maqbool, Department of Pharmaceutical Sciences, University of Kashmir, Srinagar, 191131, India, E-mail:

Acknowledgments

We are sincerely grateful to the authors whose unwavering review articles and invaluable contributions played a pivotal role in successfully completing this review article.

  1. Ethical approval: Not applicable.

  2. Informed consent: Not applicable.

  3. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  4. Competing interests: Authors state no conflict of interest.

  5. Research funding: None.

References

1. LaMonica, HM, Davenport, TA, Roberts, AE, Hickie, IB. Understanding technology preferences and requirements for health information technologies designed to improve and maintain the mental health and well-being of older adults: participatory design study. JMIR Aging 2021;4:e21461. https://doi.org/10.2196/21461.Search in Google Scholar PubMed PubMed Central

2. Ellis, LA, Collin, P, Hurley, PJ, Davenport, TA, Burns, JM, Hickie, IB. Young men’s attitudes and behaviour in relation to mental health and technology: implications for the development of online mental health services. BMC Psychiatr 2013;13:1–10. https://doi.org/10.1186/1471-244x-13-119.Search in Google Scholar

3. Swift, C, Levin, G. Empowerment: an emerging mental health technology. J Prim Prev 1987;8:71–94. https://doi.org/10.1007/bf01695019.Search in Google Scholar

4. Figueroa, CA, Aguilera, A. The need for a mental health technology revolution in the COVID-19 pandemic. Front Psychiatr 2020;11:523. https://doi.org/10.3389/fpsyt.2020.00523.Search in Google Scholar PubMed PubMed Central

5. Riemer-Reiss, ML. Utilizing distance technology for mental health counseling. J Ment Health Counsel 2000;22.Search in Google Scholar

6. Shore, JH, Aldag, M, McVeigh, FL, Hoover, RL, Ciulla, R, Fisher, A. Review of mobile health technology for military mental health. Mil Med 2014;179:865–78. https://doi.org/10.7205/milmed-d-13-00429.Search in Google Scholar

7. Carr, S. ‘AI gone mental’: engagement and ethics in data-driven technology for mental health. J Ment Health 2020;125–30.10.1080/09638237.2020.1714011Search in Google Scholar PubMed

8. Riek, LD. Robotics technology in mental health care, artificial intelligence in behavioral and mental health care. Elsevier; 2016:185–203 pp.10.1016/B978-0-12-420248-1.00008-8Search in Google Scholar

9. Lovejoy, CA. Technology and mental health: the role of artificial intelligence. J Eur Psychiatr 2019;55:1–3. https://doi.org/10.1016/j.eurpsy.2018.08.004.Search in Google Scholar PubMed

10. Ellis, LA, Collin, P, Davenport, TA, Hurley, PJ, Burns, JM, Hickie, IB. Young men, mental health, and technology: implications for service design and delivery in the digital age. J Med Internet Res 2012;14:e160. https://doi.org/10.2196/jmir.2291.Search in Google Scholar PubMed PubMed Central

11. Ralston, AL, Andrews, ARIII, Hope, DA. Fulfilling the promise of mental health technology to reduce public health disparities: review and research agenda. Clin Psychol 2019;26:e12277.10.1111/cpsp.12277Search in Google Scholar

12. Cleary, M, Walter, G, Matheson, S. What is the role of e-technology in mental health services and psychiatric research? J Psychosoc Nurs Ment Health Serv 2008;46:42–8. https://doi.org/10.3928/02793695-20080401-04.Search in Google Scholar PubMed

13. Saad, A, Bruno, D, Camara, B, D’Agostino, J, Bolea-Alamanac, B. Self-directed technology-based therapeutic methods for adult patients receiving mental health services: systematic review. JMIR Ment Health 2021;8:e27404. https://doi.org/10.2196/27404.Search in Google Scholar PubMed PubMed Central

14. Smahel, D, Wright, MF, Cernikova, M. The impact of digital media on health: children’s perspectives. Int J Publ Health 2015;60:131–7. https://doi.org/10.1007/s00038-015-0649-z.Search in Google Scholar PubMed

15. Sagui-Henson, SJ, Welcome Chamberlain, CE, Smith, BJ, Li, EJ, Castro Sweet, C, Altman, M. Understanding components of therapeutic alliance and well-being from use of a global digital mental health benefit during the COVID-19 pandemic: longitudinal observational study. Psychosom Med 2022;7:439–50. https://doi.org/10.1007/s41347-022-00263-5.Search in Google Scholar PubMed PubMed Central

16. Wood, HJ, Gannon, JM, Chengappa, KR, Sarpal, DK. Group teletherapy for first-episode psychosis: piloting its integration with coordinated specialty care during the COVID-19 pandemic. Psychol Psychother Theor Res Pract 2021;94:382–9. https://doi.org/10.1111/papt.12310.Search in Google Scholar PubMed

17. Smith, JD, McConville, K, Tiner, MK, Baldner, EF, Rosenberg, M, Kupfer, RA, et al.. Examining use and effectiveness of teletherapy for patients with dysphonia. J Voice 2023. https://doi.org/10.1016/j.jvoice.2023.01.034.Search in Google Scholar PubMed

18. Mistry, SK, Shaw, M, Raffan, F, Johnson, G, Perren, K, Shoko, S, et al.. Inequity in access and delivery of virtual care interventions: a scoping review. Int J Environ Res Publ Health 2022;19:9411. https://doi.org/10.3390/ijerph19159411.Search in Google Scholar PubMed PubMed Central

19. Balcombe, L, De Leo, D. Evaluation of the use of digital mental health platforms and interventions: scoping review. Int J Environ Res Publ Health 2022;20:362. https://doi.org/10.3390/ijerph20010362.Search in Google Scholar PubMed PubMed Central

20. Lattie, EG, Stiles-Shields, C, Graham, AK. An overview of and recommendations for more accessible digital mental health services. Rev Psychology 2022;1:87–100. https://doi.org/10.1038/s44159-021-00003-1.Search in Google Scholar

21. Mandryk, RL, Birk, MV. Toward game-based digital mental health interventions: player habits and preferences. J Med Internet Res 2017;19:e6906. https://doi.org/10.2196/jmir.6906.Search in Google Scholar PubMed PubMed Central

22. Ye, J. Advancing mental health and psychological support for health care workers using digital technologies and platforms. JMIR Form Res 2021;5:e22075. https://doi.org/10.2196/22075.Search in Google Scholar PubMed PubMed Central

23. Carlo, AD, Hosseini Ghomi, R, Renn, BN, Areán, PA. By the numbers: ratings and utilization of behavioral health mobile applications. NPJ Digit Med 2019;2:54. https://doi.org/10.1038/s41746-019-0129-6.Search in Google Scholar PubMed PubMed Central

24. Chandrashekar, P. Do mental health mobile apps work: evidence and recommendations for designing high-efficacy mental health mobile apps. mHealth 2018;4. https://doi.org/10.21037/mhealth.2018.03.02.Search in Google Scholar PubMed PubMed Central

25. Grist, R, Porter, J, Stallard, PJ. Mental health mobile apps for preadolescents and adolescents: a systematic review. J Med Internet Res 2017;19:e176. https://doi.org/10.2196/jmir.7332.Search in Google Scholar PubMed PubMed Central

26. Atallah, N, Khalifa, M, El Metwally, A, Househ, M. The prevalence and usage of mobile health applications among mental health patients in Saudi Arabia. Comput Methods Progr Biomed 2018;156:163–8. https://doi.org/10.1016/j.cmpb.2017.12.002.Search in Google Scholar PubMed

27. Khan, S, Parkinson, S, Grant, L, Liu, N, Mcguire, S. Biometric systems utilising health data from wearable devices: applications and future challenges in computer security. ACM Comput Surv 2020;53:1–29. https://doi.org/10.1145/3400030.Search in Google Scholar

28. Blasco, J, Chen, TM, Tapiador, J, Peris-Lopez, P. A survey of wearable biometric recognition systems. ACM Comput Surv 2016;49:1–35. https://doi.org/10.1145/2968215.Search in Google Scholar

29. Maiorana, E. A survey on biometric recognition using wearable devices. Pattern Recogn Lett 2022;156:29–37. https://doi.org/10.1016/j.patrec.2022.03.002.Search in Google Scholar

30. Das, AK, Wazid, M, Kumar, N, Khan, MK, Choo, KK, Park, Y. Design of secure and lightweight authentication protocol for wearable devices environment. IEEE J Biomed Health Inform 2017;22:1310–22. https://doi.org/10.1109/jbhi.2017.2753464.Search in Google Scholar

31. Goergen, CJ, Tweardy, MJ, Steinhubl, SR, Wegerich, SW, Singh, K, Mieloszyk, RJ, et al.. Detection and monitoring of viral infections via wearable devices and biometric data. Annu Rev Biomed Eng 2022;24:1–27. https://doi.org/10.1146/annurev-bioeng-103020-040136.Search in Google Scholar PubMed PubMed Central

32. Cornelius, C, Gutierrez, CN. A survey of biometrics for wearable devices. Intel Technol J 2014;18.Search in Google Scholar

33. Ross, A, Banerjee, S, Chen, C, Chowdhury, A, Mirjalili, V, Sharma, R, et al.. Some research problems in biometrics: the future beckons. In: 2019 international conference on biometrics (ICB). IEEE; 2019:1–8 pp.10.1109/ICB45273.2019.8987307Search in Google Scholar

34. Choi, H-S, Lee, B, Yoon, S. Biometric authentication using noisy electrocardiograms acquired by mobile sensors. IEEE Access 2016;4:1266–73. https://doi.org/10.1109/access.2016.2548519.Search in Google Scholar

35. Kip, H, Oberschmidt, K, Bierbooms, JJ. eHealth technology in forensic mental healthcare: recommendations for achieving benefits and overcoming barriers. Int J Forensic Ment Health 2020;20:31–47. https://doi.org/10.1080/14999013.2020.1808914.Search in Google Scholar

36. Luxton, DD, McCann, RA, Bush, NE, Mishkind, MC, Reger, GM. mHealth for mental health: integrating smartphone technology in behavioral healthcare. Prof Psychol 2011;42:505. https://doi.org/10.1037/a0024485.Search in Google Scholar

37. Naslund, JA, Aschbrenner, KA, Marsch, LA, Bartels, S. The future of mental health care: peer-to-peer support and social media. Epidemiol Psychiatr Sci 2016;25:113–22. https://doi.org/10.1017/s2045796015001067.Search in Google Scholar

38. Mohr, DC, Burns, MN, Schueller, SM, Clarke, G, Klinkman, M. Behavioral intervention technologies: evidence review and recommendations for future research in mental health. Gen Hosp Psychiatr 2013;35:332–8. https://doi.org/10.1016/j.genhosppsych.2013.03.008.Search in Google Scholar PubMed PubMed Central

39. Naslund, JA, Bondre, A, Torous, J, Aschbrenner, KA. Social media and mental health: benefits, risks, and opportunities for research and practice. J Technol Behav Sci 2020;5:245–57. https://doi.org/10.1007/s41347-020-00134-x.Search in Google Scholar PubMed PubMed Central

40. Richards, D. Features and benefits of online counselling: trinity College online mental health community. Br J Guid Counsell 2009;37:231–42. https://doi.org/10.1080/03069880902956975.Search in Google Scholar

41. Christensen, H, Petrie, K. Information technology as the key to accelerating advances in mental health care. Aust N Z J Psychiatr 2013;47:114–16. https://doi.org/10.1177/0004867412471088.Search in Google Scholar PubMed

42. Chopik, W. The benefits of social technology use among older adults are mediated by reduced loneliness. Cyberpsychol, Behav Soc Netw 2016;19:551–6. https://doi.org/10.1089/cyber.2016.0151.Search in Google Scholar PubMed PubMed Central

43. Paquin, V, Ferrari, M, Sekhon, H, Rej, S. Time to think “Meta”: a critical viewpoint on the risks and benefits of virtual worlds for mental health. JMIR Serious Game 2023;11:e43388. https://doi.org/10.2196/43388.Search in Google Scholar PubMed PubMed Central

44. Prescott, J, Hanley, T, Ujhelyi Gomez, K. Why do young people use online forums for mental health and emotional support? Benefits and challenges. Br J Guid Counsell 2019;47:317–27. https://doi.org/10.1080/03069885.2019.1619169.Search in Google Scholar

45. Moock, J. Support from the internet for individuals with mental disorders: advantages and disadvantages of e-mental health service delivery. Front Public Health 2014;2:65. https://doi.org/10.3389/fpubh.2014.00065.Search in Google Scholar PubMed PubMed Central

46. Skibins, JC, Das, BM, Schuler, G. Digital modalities, nature, and quality of life: mental health and conservation benefits of watching bear cams. Hum Dimens Wildl 2023;28:218–32. https://doi.org/10.1080/10871209.2021.2024629.Search in Google Scholar

47. Sheikh, Y, Ali, A, Khasati, A, Hasanic, A, Bihani, U, Ohri, R, et al.. Benefits and challenges of video consulting for mental health diagnosis and follow-up: a qualitative study in community care. Int J Environ Res Publ Health 2023;20:2595. https://doi.org/10.3390/ijerph20032595.Search in Google Scholar PubMed PubMed Central

48. Rahsepar Meadi, M, Batelaan, N, van Balkom, AJ, Metselaar, S. Giving digital mental health technologies the benefit of the doubt, rather than doubting the benefits. AJOB Neurosci. 2022;13:206–8. https://doi.org/10.1080/21507740.2022.2082589.Search in Google Scholar PubMed

49. Pot, AM, Willemse, BM, Horjus, S. A pilot study on the use of tracking technology: feasibility, acceptability, and benefits for people in early stages of dementia and their informal caregivers. Aging Ment Health 2012;16:127–34. https://doi.org/10.1080/13607863.2011.596810.Search in Google Scholar PubMed

50. Kellogg, KC, Sadeh-Sharvit, S. Pragmatic AI-augmentation in mental healthcare: key technologies, potential benefits, and real-world challenges and solutions for frontline clinicians. Front Psychiatr 2022:2057. https://doi.org/10.3389/fpsyt.2022.990370.Search in Google Scholar PubMed PubMed Central

51. Prentice, JL, Dobson, KS. A review of the risks and benefits associated with mobile phone applications for psychological interventions. Can Psychol/Psychol Canad 2014;55:282. https://doi.org/10.1037/a0038113.Search in Google Scholar

52. Saxena, S, Van Ommeren, M, Tang, K, Armstrong, T. Mental health benefits of physical activity. J Ment Health 2005;14:445–51. https://doi.org/10.1080/09638230500270776.Search in Google Scholar

53. Akhther, N, Sopory, P. Seeking and sharing mental health information on social media during COVID-19: role of depression and anxiety, peer support, and health benefits. J Technol Behav Sci 2022;7:211–26. https://doi.org/10.1007/s41347-021-00239-x.Search in Google Scholar PubMed PubMed Central

54. Midkiff, DM, Joseph Wyatt, W. Ethical issues in the provision of online mental health services (etherapy). J Technol Hum Serv 2008;26:310–32. https://doi.org/10.1080/15228830802096994.Search in Google Scholar

55. Skorburg, JA, Yam, J. Is there an app for that? ethical issues in the digital mental health response to COVID-19. AJOB Neurosci 2022;13:177–90. https://doi.org/10.1080/21507740.2021.1918284.Search in Google Scholar PubMed

56. Wies, B, Landers, C, Ienca, M. Digital mental health for young people: a scoping review of ethical promises and challenges. Front Psychiatr 2021;3:697072. https://doi.org/10.3389/fdgth.2021.697072.Search in Google Scholar PubMed PubMed Central

57. Stoll, J, Müller, JA, Trachsel, M. Ethical issues in online psychotherapy: a narrative review. Front Psychiatr 2020;10:993. https://doi.org/10.3389/fpsyt.2019.00993.Search in Google Scholar PubMed PubMed Central

58. Coghlan, S, Leins, K, Sheldrick, S, Cheong, M, Gooding, P, D’Alfonso, S. To chat or bot to chat: ethical issues with using chatbots in mental health. Digit Health 2023;9:20552076231183542. https://doi.org/10.1177/20552076231183542.Search in Google Scholar PubMed PubMed Central

59. Fiske, A, Henningsen, P, Buyx, A. Your robot therapist will see you now: ethical implications of embodied artificial intelligence in psychiatry, psychology, and psychotherapy. J Med Internet Res 2019;21:e13216. https://doi.org/10.2196/13216.Search in Google Scholar PubMed PubMed Central

60. Hofmann, BM. Why ethics should be part of health technology assessment. In: The ethical challenges of emerging medical technologies; 2008, vol 24:423–9 pp.10.1017/S0266462308080550Search in Google Scholar PubMed

61. Giota, KG, Kleftaras, G. Mental health apps: innovations, risks and ethical considerations. In: E-Health telecommunication systems and networks; 2014:2014 p.10.4236/etsn.2014.33003Search in Google Scholar

62. Artal, R, Rubenfeld, S. Ethical issues in research. Best Pract Res Clin Obstet Gynaecol 2017;43:107–14. https://doi.org/10.1016/j.bpobgyn.2016.12.006.Search in Google Scholar PubMed

63. Bauer, M, Glenn, T, Monteith, S, Bauer, R, Whybrow, PC, Geddes, J. Ethical perspectives on recommending digital technology for patients with mental illness. Int J Behav Dev 2017;5:1–14. https://doi.org/10.1186/s40345-017-0073-9.Search in Google Scholar PubMed PubMed Central

64. Baker, DC, Bufka, LF. Preparing for the telehealth world: navigating legal, regulatory, reimbursement, and ethical issues in an electronic age. Prof Psychol Res Pract 2011;42:405. https://doi.org/10.1037/a0025037.Search in Google Scholar

65. Lattie, EG, Lipson, SK, Eisenberg, D. Technology and college student mental health: challenges and opportunities. Front Psychiatr 2019;10:246. https://doi.org/10.3389/fpsyt.2019.00246.Search in Google Scholar PubMed PubMed Central

66. Perez Vallejos, E, Koene, A, Carter, CJ, Hunt, D, Woodard, C, Urquhart, L, et al.. Accessing online data for youth mental health research: meeting the ethical challenges. Philos Technol 2019;32:87–110. https://doi.org/10.1007/s13347-017-0286-y.Search in Google Scholar

Received: 2023-08-02
Accepted: 2023-08-13
Published Online: 2023-08-22

© 2023 Walter de Gruyter GmbH, Berlin/Boston

Downloaded on 6.10.2025 from https://www.degruyterbrill.com/document/doi/10.1515/ijamh-2023-0113/html
Scroll to top button