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Upscaling e-mental health in Europe: a six-country qualitative analysis and policy recommendations from the eMEN project.
European Archives of Psychiatry and Clinical Neuroscience ( IF 4.7 ) Pub Date : 2020-05-11 , DOI: 10.1007/s00406-020-01133-y
Wolfgang Gaebel 1, 2, 3 , R Lukies 3 , A Kerst 1, 2 , J Stricker 1, 2 , J Zielasek 3 , S Diekmann 3 , N Trost 3 , E Gouzoulis-Mayfrank 3 , B Bonroy 4 , K Cullen 5 , K Desie 6 , A P Ewalds Mulliez 7 , G Gerlinger 8 , K Günther 8 , H J Hiemstra 9 , S McDaid 5 , C Murphy 10 , J Sander 8 , D Sebbane 7, 9 , J L Roelandt 7, 9 , L Thorpe 10 , D Topolska 5 , E Van Assche 4 , T Van Daele 4 , L Van den Broeck 6 , C Versluis 11 , O Vlijter 11
Affiliation  

E-mental health (eMH) encompasses the use of digital technologies to deliver, support, or enhance mental health services. Despite the growing evidence for the effectiveness of eMH interventions, the process of implementation of eMH solutions in healthcare remains slow throughout Europe. To address this issue, the e-Mental Health Innovation and Transnational Implementation Platform North-West Europe (eMEN) project was initiated to increase the dissemination and quality of eMH services in Europe. In this project, status analyses regarding eMH in the six participating countries (i.e., Belgium, France, Germany, Ireland, The Netherlands, and the UK) were conducted and eight recommendations for eMH were developed. Expert teams from the six participating countries conducted status analyses regarding the uptake of eMH based on a narrative literature review and stakeholder interviews. Based on these status analyses, the eMEN consortium developed eight policy recommendations to further support the implementation of eMH in Europe. The status analyses showed that the participating countries are in different stages of implementing eMH into mental healthcare. Some barriers to implementing eMH were common among countries (e.g., a limited legal and regulatory framework), while others were country-specific (e.g., fragmented, federal policies). The policy recommendations included fostering awareness, creating strong political commitment, and setting reliable standards related to ethics and data security. The eMEN project has provided the initial recommendations to guide political and regulatory processes regarding eMH. Further research is needed to establish well-tailored implementation strategies and to assess the generalizability of the recommendations beyond the countries involved in the eMEN project.

中文翻译:

提升欧洲的电子心理健康:eMEN 项目的六国定性分析和政策建议。

电子心理健康 (eMH) 包括使用数字技术来提供、支持或加强心理健康服务。尽管越来越多的证据表明 eMH 干预措施的有效性,但整个欧洲在医疗保健中实施 eMH 解决方案的过程仍然缓慢。为了解决这个问题,启动了西北欧电子心理健康创新和跨国实施平台 (eMEN) 项目,以提高欧洲 eMH 服务的传播和质量。在该项目中,对六个参与国(即比利时、法国、德国、爱尔兰、荷兰和英国)的 eMH 现状进行了分析,并针对 eMH 提出了八项建议。来自六个参与国的专家团队根据叙述性文献回顾和利益相关者访谈,对 eMH 的吸收情况进行了分析。基于这些现状分析,eMEN 联盟制定了八项政策建议,以进一步支持在欧洲实施 eMH。现状分析表明,参与国处于将 eMH 实施到精神卫生保健中的不同阶段。实施 eMH 的一些障碍在国家中很常见(例如,有限的法律和监管框架),而其他障碍则因国家而异(例如,分散的联邦政策)。政策建议包括提高认识、建立强有力的政治承诺以及制定与道德和数据安全相关的可靠标准。eMEN 项目为指导有关 eMH 的政治和监管过程提供了初步建议。需要进一步研究以建立量身定制的实施战略,并评估这些建议在 eMEN 项目所涉国家之外的普遍性。
更新日期:2020-05-11
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