Bell Foundation®
Supporting Mental Health Research
  • ABOUT
    • OUR MISSION
    • OUR TEAM
    • IN THE PRESS
    • FAQ
  • GET INVOLVED
  • SEMINARS
  • BLOG
  • CONTACT
  • DONATE
  • VOLUNTEER
  • ABOUT
    • OUR MISSION
    • OUR TEAM
    • IN THE PRESS
    • FAQ
  • GET INVOLVED
  • SEMINARS
  • BLOG
  • CONTACT
  • DONATE
  • VOLUNTEER
In Mental Health

Online therapies can improve mental health, and there are no barriers to accessing them

online therapy
Share this story

Digital approaches mean people can access therapies from their own home. From shutterstock.com


In recent weeks, the Medicare Benefits Schedule Review Tasforce’s Mental Health Reference Group published its report and recommendations, part of a wide-ranging review of services subsidised by Medicare.

They recommended a massive expansion of the $1.5 billion Better Access program, which enables Medicare-subsidised visits to psychologists and other health professionals.

But simply striving to get more people into face-to-face care with health professionals is a limited and expensive strategy.

If we’re serious about improving access to mental health care, we need to look to online therapies. The evidence says they can be effective instead of, or as well as, seeing someone face-to-face.


Read more: For people at risk of mental illness, having access to treatment early can help


Digital approaches to mental health care

Some studies have found online therapy to be as effective in reducing symptoms as therapy delivered face-to-face by a clinician. This evidence is strongest in relation to depression, stress and anxiety.

One meta-analysis of data from 3,876 adults found those who underwent internet-based cognitive behavioural therapy to treat symptoms of depression had better outcomes than those who didn’t use online therapies. They were also more likely to stick to their treatment.

So self-guided internet-based cognitive behavioural therapy is a viable alternative to current first-step treatment approaches for symptoms of depression and anxiety.

Online approaches vary, but they commonly present a course of psychological therapy structured so the participant can track their progress over time and seek further assistance if their situation deteriorates.

As an example, Mindspot offers a three step online process of therapy, beginning with information, followed by assessment, and finally, treatment.

Treatment consists of online courses across several areas, depending on the user’s needs. These courses might cover mood issues, obsessive compulsive disorder, and post-traumatic stress disorder.

People can elect to do a course independently, or could be referred by a health care professional, such as their GP. When health practitioners refer their patients into Mindspot they receive patient progress reports.

Mindspot takes users through a three step process which starts with learning about mental health. Screenshot, Author provided

These online therapies can be critical for reaching traditionally under-serviced groups, such as young people and people living in rural areas.

Other key advantages of these stand-alone digital approaches include 24/7 availability of care, and the absence of the fees that would otherwise be paid out-of-pocket for a face-to-face consultation.


Read more: Is online therapy as good as talking face-to-face with a clinician?


The range of online mental health tools available has expanded enormously over recent years. This has spawned review sites that help users navigate to online mental health therapies that best meet their needs.

And new research is looking at how digital technologies can be used for the prevention of mental illness as well as its treatment. The Black Dog Institute’s Future Proofing Study will engage 20,000 year 8 students to see how they can use their smartphones to prevent anxiety and depression.

We can facilitate team-based care online

Perhaps the greatest opportunity for enhanced mental health service delivery is to start to use digital technologies to drive new models of care specifically designed to meet the needs of each individual.

For people with more complex, disabling and persisting conditions, the international evidence clearly indicates bringing together a team of professionals is best practice.

For example, a person with an eating disorder is likely to benefit from integrated, multidisciplinary care provided by a GP, a nurse, a dietitian, a psychologist, a peer worker, and so on.

There are already some efforts to foster this online. An example of this can be found in the InnoWell platform, which service providers can use to bring together different professionals and resources tailored to suit each patient’s needs.

As well as online therapies, there are a variety of mobile apps that target mental health and well-being. From shutterstock.com

Using online assessment tools at the point of service request, those with milder needs are connected to a range of evidence-based apps and e-tools matched to their needs. Meanwhile, those with more complex needs are connected to care which will benefit them, including face-to-face services.


Read more: Does more mental health treatment and less stigma produce better mental health?


As a proportion of the total, new clients into Better Access were 68% in 2008, 57% in 2009, and just 32.6% in 2016-17. This increase in repeat customers suggests two things. First, perhaps people did not get the help they needed or had problems too complex to be managed within the program. And second, there may be limits on the extent to which the program can continue to meet its stated goal of increasing access to mental health services.

While the Medicare review relegated online therapies to “longer-term” reform, new digital and team-based approaches are key to driving improved models of increased access, at relatively low individual cost, to high quality mental health care.

Australia’s e-Mental health strategy needs action. The Medicare review into mental health represents a significant opportunity to get future investments right.

This means shifting from a focus just on access to instead considering how best to provide high quality, individualised services at scale – particularly to those who are disadvantaged economically, socially or geographically.


Sebastian Rosenberg, Fellow, Centre for Mental Health Research, Australian National University and Ian Hickie, Professor of Psychiatry, University of Sydney

This article is republished from The Conversation under a Creative Commons license. Read the original article.


Share this story

Want our blog delivered directly to your email?

Subscribe
Subscribe to our email list now.
mental health online therapy
Previous StoryIf you’re coming off antidepressants, withdrawals and setbacks may be part of the process
Next StoryLoneliness is a health issue, and needs targeted solutions

Related Articles

  • missing person
    'No one is truly there to help': why so little is known about the reasons people go missing
  • social skills
    How parents can help their young children develop healthy social skills

Leave your comment Cancel Reply

(will not be shared)

Archives

  • September 2020
  • August 2020
  • July 2020
  • June 2020
  • May 2020
  • April 2020
  • November 2019
  • September 2019
  • August 2019
  • July 2019
  • June 2019
  • May 2019
  • April 2019
  • March 2019
  • February 2019
  • January 2019
  • December 2018
  • November 2018

Categories

Tags

antidepressant anxiety bipolar disorder borderline personality disorder cancer children clean eaters coronavirus covid-19 depression early sign eating disorders fatigue guide series help series homeless housing inspiring story lockdown loneliness mental health missing person myth vs fact online therapy panic attack personality disorder postnatal poverty research study schizophrenia sleep problems social skills stroke suicide telehealth telehealth care work from home young adults

WHO WE ARE

  • OUR TEAM
  • PRESS
  • CONTACT
  • FAQ

WHAT WE DO

  • OUR MISSION
  • GET INVOLVED
  • DONATE
  • BLOG

FIND US ELSEWHERE

                   

ACCREDITATION

2021 © The Bell Foundation ABN 67 180 805 426 *All donations of $2 and over are tax deductible. •Sitemap •Refund & Privacy Policy •Accessibility

Subscribe to Email Newsletter

You have successfully subscribed to the newsletter

There was an error while trying to send your request. Please try again.

Bell Foundation® will use the information you provide on this form to be in touch with you and to provide updates and marketing.