The next gen of therapy in mental health


mental illness
Credit: CC0 Public Domain

In the U.S., it is estimated that approximately 19 percent of all adults have a diagnosable mental illness. Clinic-based services for mental health may fall short of meeting patient needs for many reasons including limited hours, difficulty accessing care and cost. In the first randomized controlled trial of its kind, a research team investigated the impact of a texting intervention as an add-on to a mental health treatment program versus one without texting. A text-messaging-based intervention can be a safe, clinically promising and feasible tool to augment care for people with serious mental illness, according to a new study published in Psychiatric Services.

Ninety-one percent of participants found the text-messaging acceptable, 94 percent indicated that it made them feel better and 87 percent said they would recommend it to a friend.

“This study is very exciting because we saw real improvement in those who utilized the text messaging-based intervention on top of normal care. This was true for individuals with some of the most serious forms of mental illness,” explained co-author, William J. Hudenko, a research assistant professor in the department of psychological and brain sciences at Dartmouth, and an adjunct assistant professor of clinical psychology in Dartmouth’s Geisel School of Medicine. “The results are promising, and we anticipate that people with less severe psychopathology may even do better with this type of mobile intervention.”

With the COVID-19 pandemic, many people’s schedules have been upended, which may prevent individuals with mental illness from having routine access to a therapist, such as parents who have children at home. “Texting can help bridge this gap, by providing a means for services to be continuously delivered. A text-messaging psychotherapy is an excellent match for the current environment, as it provides asynchronous contact with a mental health therapist while increasing the amount of contact that an individual can have,” explained Hudenko.

For the study, the research team examined the impact of text-messaging as an add-on to an assertive community treatment program versus the latter alone. Through an assertive community treatment program, those with serious mental illness have a designated team who helps them with , such as finding a job and housing, managing medications, as well as providing daily, in-person clinic-based services. People with are likely though to experience symptoms each day for which they may need additional therapy. The study was a three-month pilot, which was assessor blind. There were 49 participants: 62 percent had schizophrenia/schizoaffective disorder, 24 percent had bipolar disorder and 14 percent had depression. Assessments were conducted at baseline, post-trial (three months later) and during a follow-up six months later.

Licensed mental health clinicians served as the mobile interventionists. They received a standard training program on how to engage effectively and in a personal way with participants. The mobile interventionists were monitored on a weekly basis to ensure that they were adhering to the treatment protocol. Throughout the trial, over 12,000 messages were sent, and every message was encoded, monitored and discussed with a clinician.

The results demonstrated that 95 percent initiated the intervention and texted 69 percent of possible days with an average of four texts per day. On average, participants sent roughly 165 or more text messages and received 158 or more messages. The intervention was found to be safe, as there were zero adverse events reported.

Today, there are more than 575,000 mental health therapists in the U.S. By 2025, the U.S. Department of Health and Human Services estimates that the country will be over 250,000 therapists short. “A messaging-based intervention is an incredibly scalable, cost-effective way to help manage the enormous shortage of mental health capability in the U.S.,” added Hudenko.

The researchers are planning to study the impact of a messaging in mental on a much larger scale.


mHealth as effective as clinic-based intervention for people with serious mental illness


More information:
Dror Ben-Zeev et al, Augmenting Evidence-Based Care With a Texting Mobile Interventionist: A Pilot Randomized Controlled Trial, Psychiatric Services (2020). DOI: 10.1176/appi.ps.202000239

Provided by
Dartmouth College


Citation:
Text messaging: The next gen of therapy in mental health (2020, July 28)
retrieved 28 July 2020
from https://medicalxpress.com/news/2020-07-text-messaging-gen-therapy-mental.html

This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no
part may be reproduced without the written permission. The content is provided for information purposes only.



Related posts:

Brazil makes grim milestone—100,000 deaths from COVID-19
New Zealand marks 100 days of virus elimination
US passes 5 million confirmed coronavirus cases
Masks in class? Many questions as Germans go back to school
Beirut protestors call for fall of government on second day of demonstrations
Protesters in Poland denounce arrests of LGBT activists
Six French tourists among eight killed by gunmen in Niger, local governor says
Brazil Reaches Milestone of More Than 100,000 Covid-19 Deaths and 3 Million Cases
Following One Contact Tracer on the Trail of the Virus
Europe swelters under a heatwave complicated by Covid-19 restrictions
Belarus opposition figures detained as Lukashenko faces challenge in presidential vote
Nagasaki marks 75th anniversary of atomic bombing
Afghanistan to release 400 'hard-core' Taliban as precondition to peace talks
Video of Uighur handcuffed to bed in quarantine centre refocuses attention on Chinese persecution
Lukashenko faces challenge in Belarus presidential vote, opposition figures detained
Trump signs orders extending economic relief for Americans amid pandemic
Brazil's coronavirus death toll surpasses 100,000
Macron hosts Trump for UN-backed virtual donor conference on Lebanon
Addition of sintilimab to pemetrexed and platinum improved progression-free survival
Phase 3 eXalt3 study shows significantly longer progression-free survival
CheckMate 743 shows that dual immunotherapy, nivolumab + ipilimumab
Brazil near 100,000 deaths from COVID-19
South Africa coronavirus deaths top 10,000: government
Schools face big virus test as students return to classroom
Bayern and Barcelona win places in the Champions League quarter-finals
Paris makes masks mandatory as virus toll crosses 722,000
NSD2 enzyme appears to prevent cellular senescence
Potentially predictive humoral immune response markers in COVID-19 patients
A Birthday at the Cemetery
Scientists look beyond antibodies in virus immunity hunt
Parents of College Students Worry, Should They Stay or Go?
Paris makes masks compulsory outdoors in busy areas from Monday
What to do when anxiety affects your sleep
C.D.C. Closes Some Offices Over Bacteria Discovery
Belarus opposition candidate's campaign manager detained before presidential vote
Venezuela sentences two American ex-soldiers to 20 years over failed ‘invasion’
Novel approach reduces SCA1 symptoms in animal model
Investigators recover 'black box' flight recorders from Air India crash
New test better predicts which babies will develop type 1 diabetes
Treatment option improves chances of survival for babies with rare cerebrovascular disorder
Beirut blast deals fresh blow to a government struggling with popular discontent
Modifying BACTRAC protocol provides first chance to study local leukocyte populations during stroke
UK calls on France to help crack down on migrants crossing English Channel
Big jump in Italy's daily new cases driven by travel
Deadly blast rocks military base in Somali capital Mogadishu
Second person dies from plague in China's Inner Mongolia
Lebanese to protest political leadership in aftermath of Beirut explosion
Coronavirus deaths in Latin America hit global high
Lyon hold off surging Ronaldo to beat Juventus, reach Champions League quarter-finals
Chinese fishing fleet raises fears on protected Galapagos Islands
Pinpointing the cells that keep the body's master circadian clock ticking
Genetic cause of congenital malformation discovered
Belarus opposition leader sees ‘longing for change’, but predicts rigged presidential vote
Three major scientific controversies about coronavirus
International probe into Beirut blast would ‘dilute the truth’
Children reveal what they really think of adults – in their own research paper
Mauritius in ‘environmental crisis’ as oil leak from grounded ship threatens coastline
New neural network helps doctors explain relapses of heart failure patients
Vaccines through microneedle skin patches
Sugar-based signature identifies T cells where HIV hides despite antiretroviral therapy
US schools reopen in virus hotspots
Latin America is now region with most COVID-19 deaths
Ireland announces local lockdowns as virus cases rise
A New Hampshire Poet Laureate Lifts Her City’s Covid-19 Advisories
Preston becomes latest UK city to face virus lockdown
Fewer Hip Fractures May Reflect a Drop in Smoking Rates
The governor of Beirut Marwan Abboud: 'This is like a genocide against the Lebanese people'
Cuomo clears New York schools statewide to open, carefully
Why the Coronavirus is More Likely to ‘Superspread’ Than the Flu
Forced evacuations as glacier the size of a football pitch threatens Italian valley
US reports show racial disparities in kids with COVID-19
Unidentified gunmen kill about 20 in attack on cattle market in eastern Burkina Faso
Need to Take the MCAT? You'll Still Have to Do It in Person
Indian serum institute to make 100 million virus vaccine doses
Covid-19 Live Updates: Global Tracker
Intranasal vaccine platform has potential for more effective vaccines, fewer side effects
At least 14 killed as Air India Express plane skids off runway in India
US imposes sanctions on Hong Kong leader Lam and other Chinese authorities
Newly discovered mutation could point to heart disease therapeutic target
Misinformation spreads after Lebanon blast: Missile, drone, nuclear warhead?
What's the difference between quarantine and isolation?
Lebanon's Hezbollah leader 'categorically denies' storing arms at Beirut blast site
Ukraine’s prisons go up for sale
New reporter mouse strain offers powerful genetic tool to identify P2X2-expressing cells
Cochlea-Implantate: Erhalt des Restgehörs - Biermann Medizin
Is Your Child an Orchid, a Tulip or a Dandelion?
Study finds parents can help kids eat healthier by knowing their own sense of self-control
Protein PPP1R1B: Neues Wirkstoffziel beim Pankreaskarzinom entdeckt
Five-Minute Coronavirus Stress Resets - The New York Times
Humans use the visual part of their brain when hearing sounds in the dark, even if they were born wi...
Ältestes Enzym der Zellatmung isoliert
The strange history of the cargo that caused the Beirut blast
‘Godspell’ in 2020: Masks, Partitions and a Contactless Crucifixion
Belarus police arrest Deutsche Welle correspondent before vote
Hong Kong offers universal virus testing, with Beijing's help
Wissenschaftsminister an Spahn: Uni-Kliniken brauchen mehr Geld
Africa passes 1M confirmed virus cases; true number far more
Herzschädigung bei Covid-19: Kann SARS-CoV-2 eine Myokarditis verursachen?
Rescuers comb through rubble of Beirut blast site as first arrests made
Transgender and gender-diverse individuals more likely to be autistic: study

Leave a Reply

Your email address will not be published. Required fields are marked *

Next Post

With Eating Disorders, Looks Can Be Deceiving

Wed Jul 29 , 2020
Among the boys in the study, those most at risk worried that their bodies were puny — too small, too skinny or insufficiently muscular, prompting them to consume unbalanced diets, exercise obsessively and take supplements or steroids that are a hazard to their health. When overly fixated on building their […]