Review of Use of Asynchronous Technologies Incorporated in Mental Health Care

Steven Chan ¹, Luming Li ², John Torous ³, David Gratzer ⁴, Peter M Yellowlees ⁵

Affiliations

¹ Division of Hospital Medicine, Clinical Informatics, University of California, San Francisco, San Francisco, CA, USA. steven.chan@ucsf.edu.
² Department of Psychiatry, Yale School of Medicine, Yale University, New Haven, CT, USA.
³ Beth Israel Deaconess Medical Center, Boston, MA, USA.
⁴ Centre for Addiction and Mental Health, Toronto, ON, Canada.
⁵ Department of Psychiatry, University of California, Davis, Davis, CA, USA.

PMID: 30155593
75 References
15 citations

Abstract

Purpose Of Review: Mental health clinicians should understand how technologies augment, enhance, and provide alternate means for the delivery of mental healthcare. These technologies can be used asynchronously, in which the patient and the clinician need not be communicating at the same time. This contrasts with synchronous technologies, in which patient and clinician must communicate at the same time.

Recent Findings: The review is based on research literature and the authors' clinical and healthcare administration experiences. Asynchronous technologies can exist between a single clinician and a single patient, such as patient portal e-mail and messaging, in-app messaging, asynchronous telepsychiatry via store-and-forward video, and specialty patient-to-provider mobile apps. Asynchronous technologies have already been used in different countries with success, and can alleviate the psychiatric workforce shortage and improve barriers to access. Multiple studies referred to in this review demonstrate good retention and acceptability of asynchronous psychotherapy interventions by patients. Asynchronous technologies can alleviate access barriers, such as geographical, scheduling, administrative, and financial issues. It is important for clinicians to understand the efficacy, assess the ethics, and manage privacy and legal concerns that may arise from using asynchronous technologies.

Keywords: Asynchronous telepsychiatry; Clinical informatics; Mental health service delivery; Messaging and communication technology; Smartphone apps; Telemedicine.

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References
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