Crisis Management Using Asynchronous Telehealth and Apps for People with Serious Mental Illness-handout: slides

handout: slides_s4212502-2

Pdf Summary

This document discusses the use of asynchronous telehealth and mobile apps for crisis management in individuals with serious mental illness (SMI). It is part of the Clinical Support System for Serious Mental Illness (CSS-SMI) initiative funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) and implemented by the American Psychiatric Association (APA).<br /><br />The document identifies factors impacting suicidal ideation in people with SMI, including hallucinations, social cognitive deficits, interpersonal constructs related to suicide, and minority stress. It highlights the need for better understanding of suicidal ideation and behavior in psychotic disorders.<br /><br />The document also discusses the use of mobile phones and apps in individuals with SMI, noting that a high percentage of people with psychosis own a mobile phone, presenting an opportunity for digital health interventions.<br /><br />The evaluation of crisis policies in general mental health mobile apps reveals inconsistent crisis language and policies, with most apps not providing direct access to crisis resources. The document suggests using app evaluation tools, such as the APA framework, before recommending or using mental health apps in treatment.<br /><br />Several mobile apps for crisis management are discussed, including the Stanley-Brown Safety Plan, Suicide Safety Plan, and Virtual Hope Box. The empirical evidence, overall evaluation, and usage considerations for each app are provided.<br /><br />The document emphasizes the importance of client education, shared decision-making, and reviewing privacy policies and technical aspects of apps when incorporating them into treatment.<br /><br />In conclusion, the document highlights the increased suicide risk in individuals with SMI, the inconsistent crisis policies in mental health apps, and the need for caution when using mobile interventions. It recommends using evaluation tools, considering diverse populations, and problem-solving with clients around app engagement.

Keywords

asynchronous telehealth

mobile apps

crisis management

serious mental illness

suicidal ideation

psychotic disorders

digital health interventions

crisis policies

app evaluation tools

client education