Abstract

BackgroundThe COVID-19 pandemic has required psychiatric and mental health professionals to change their practices to reduce the risk of transmission of SARS-CoV-2, in particular by favoring remote monitoring and assessment via digital technologies.ObjectiveAs part of a research project that was cofunded by the French National Research Agency (ARN) and the Centre-Val de Loire Region, the aim of this systematic literature review was to investigate how such uses of digital technologies have been developing.MethodsThis systematic review was conducted following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The search was carried out in the MEDLINE (ie, PubMed) and Cairn databases, as well as in a platform specializing in mental health, Ascodocpsy. The search yielded 558 results for the year 2020. After applying inclusion and exclusion criteria, first on titles and abstracts and then on full texts, 61 articles were included.ResultsThe analysis of the literature revealed a heterogeneous integration of digital technologies, not only depending on countries, contexts, and local regulations, but also depending on the modalities of care. Notwithstanding these variations, the use of videoconferencing has developed significantly, affecting working conditions and therapeutic relationships. For many psychiatric and mental health professionals, the pandemic has been an opportunity to build up their experience of remote care and, thus, better identify the possibilities and limits of these digital technologies.ConclusionsNew uses of such technologies essentially consist of a transition from the classic consultation model toward teleconsultation and make less use of the specific potential of artificial intelligence. As professionals were not prepared for these uses, they were confronted with practical difficulties and ethical questions, such as the place of digital technology in care, confidentiality and protection of personal data, and equity in access to care. The COVID-19 health crisis questions how the organization of health care integrates the possibilities offered by digital technology, in particular to promote the autonomy and empowerment of mental health service users.

Highlights

  • The spread of digital technology in health systems is a major and irreversible phenomenon, a source of changes that are only just beginning

  • As professionals were not prepared for these uses, they were confronted with practical difficulties and ethical questions, such as the place of digital technology in care, https://humanfactors.jmir.org/2022/1/e30359

  • This literature review shows that, in the context of the current crisis and as professional practices need to adapt, publications have been produced at a rapid rate

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Summary

Introduction

The spread of digital technology in health systems is a major and irreversible phenomenon, a source of changes that are only just beginning. Initiated several decades ago in the field of psychiatry and mental health care, the development of digital technologies has been increasing for several years [1,2,3]. Intelligent applications are able to detect changes in individual behavior and analyze this data to assist in screening and monitoring mental illnesses. Do such technologies open up new possibilities, but they might bring about decisive changes to enhance the overall efficiency of mental health services [1,3]. The COVID-19 pandemic has required psychiatric and mental health professionals to change their practices to reduce the risk of transmission of SARS-CoV-2, in particular by favoring remote monitoring and assessment via digital technologies

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