Digital psychiatry: implications for patients and services

Br J Hosp Med (Lond). 2021 Dec 2;82(12):1-10. doi: 10.12968/hmed.2021.0382. Epub 2021 Dec 20.

Abstract

The COVID-19 pandemic has resulted in an increased burden on all medical services and healthcare professionals are applying new strategies to cope with the added demands. During the pandemic mental healthcare services in many parts of the world have been reorganised to incorporate modern technology and maintain efficient service delivery. Mental health professionals are playing a major role in alleviating the suffering resulting from this pandemic. A selective survey of the literature, including narrative reviews, was carried out to study the implications of digital psychiatry. Historically, epidemics have had a substantial effect on mental health and general health services. Telehealth appears to be the right solution to the present mental health crisis, but technology cannot substitute for human presence and proximity in mental health services, so the newer interventions have advantages and disadvantages. Remote methods of therapy are likely to continue to be used and proper assessment of these new ways of working in psychiatry is required. In the post-pandemic period, the challenge will be to combine digital and in-person therapies. Discussions about digital revolution in the field of psychiatry should be modified to digital evolution.

Keywords: COVID-19; Ethics; Human closeness; Mental health; Telepsychiatry; Therapeutic alliance.

MeSH terms

  • COVID-19*
  • Humans
  • Pandemics
  • Psychiatry*
  • SARS-CoV-2
  • Telemedicine*