Innovative web services can overcome the barriers that block access to mental health care
A range of factors have come together rapidly over the past decade to create a health services environment in which web-based technologies now offer one of the most promising opportunities for earlier and better management of common mental health problems. These factors include international recognition of the health burden attributable to anxiety, depression and substance misuse;1 epidemiological evidence that mental disorders largely commence before the age of 25 years;2,3 the development of highly interactive web-based technologies, and their widespread use in Australia (particularly among young people); and rapidly changing community attitudes towards help seeking for mental health problems.4-6
- 1. Murray CJ, Lopez AD. Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet 1997; 349: 1436-1442.
- 2. Kessler RC, Berglund P, Demler O, et al. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2005; 62: 593-602
- 3. Kim-Cohen J, Caspi A, Moffitt TE, et al. Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatry 2003; 60: 709-717
- 4. Highet NJ, Luscombe GM, Davenport TA, et al. Positive relationships between public awareness activity and recognition of the impacts of depression in Australia. Aust N Z J Psychiatry 2006; 40: 55-58
- 5. Jorm AF, Christensen H, Griffiths KM. Changes in depression awareness and attitudes in Australia: the impact of beyondblue: the national depression initiative. Aust N Z J Psychiatry 2006; 40: 42-46.
- 6. Pirkis J, Hickie I, Young L, et al. An evaluation of beyondblue, Australia’s national depression initiative. Int J Ment Health Promot 2005; 7: 35-53.
- 7. Australian Bureau of Statistics. National Survey of Mental Health and Wellbeing: summary of results, 2007. Canberra: ABS, 2008. (ABS Cat. No. 4326.0.)
- 8. Hickie IB. Reducing the burden of depression: are we making progress in Australia? Med J Aust 2004; 181 (7 Suppl): S4-S5.
- 9. Hickie IB, Pirkis JE, Blashki GA, et al. General practitioners’ response to depression and anxiety in the Australian community: a preliminary analysis. Med J Aust 2004; 181 (7 Suppl): S15-S20.
- 10. Hickie IB, McGorry PD. Increased access to evidence-based primary mental health care: will the implementation match the rhetoric? Med J Aust 2007; 187: 100-103.
- 11. Hickie IB, Fogarty AS, Davenport TA, et al. Responding to experiences of young people with common mental health problems attending Australian general practice. Med J Aust 2007; 187 (7 Suppl): S47-S52.
- 12. Hickie IB, Luscombe GM, Davenport TA, Burns JM. Perspectives of young people on depression: awareness, experiences, attitudes and treatment preferences. Early Interv Psychiatry 2007; 1: 333-339.
- 13. Christensen H, Griffiths K. APHCRI Linkage and Exchange Travelling Fellowship report. Stream four report: models of mental health delivery: efficacy, support & policy. Canberra: Australian Primary Health Care Research Institute. http://www.anu.edu.au/aphcri/Spokes_Research_Program/Documents/Christensen_final_bookestract.pdf (accessed May 2010).
- 14. Council of Australian Governments. National Action Plan on Mental Health 2006–2011. 14 July 2006. http://www.coag.gov.au/coag_meeting_outcomes/2006-07-14/docs/nap_mental_health.pdf (accessed May 2010).
- 15. Fourth National Mental Health Plan Working Group. Fourth National Mental Health Plan: an agenda for collaborative government action in mental health 2009–2014. Canberra: Commonwealth of Australia, 2009. http://www.health.gov.au/internet/main/publishing.nsf/Content/mental-pubs-f-plan09 (accessed May 2010).
- 16. Christensen H, Proudfoot J, Andrews G, et al. E-mental health: a 2020 vision and strategy for Australia. http://www.ehub.anu.edu.au/workshop2009_presentations/Emental_Health_2020_Vision_and_Strategy_for_Australia.pdf (accessed May 2010).
- 17. Hickie IB, Groom GL, McGorry PD, et al. Australian mental health reform: time for real outcomes. Med J Aust 2005; 182: 401-406.
- 18. Rosenberg S, Hickie IB, Mendoza J. National mental health reform: less talk, more action. Med J Aust 2009; 190: 193-195.
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