Using Technology to Optimize Child Mental Health Care In Real World Settings

明尼苏达健康解决方案（MHS）与罗切斯特的梅奥诊所联合提出了当前的项目，以解决NIMH DSIR的优先事项，开发用于传播和实施循证治疗（EBT）的新工具。我们建议开发一个基于网络和移动的平台，eChildPsych，它集成了评估，治疗工具，进度监测和报告。这种可持续和新颖的技术解决方案将通过互动工具提高儿童心理健康评估和治疗的质量，以a)支持初始和持续的评估和记录，b)促进选择关键的、与诊断相关的EBT组成部分，c)通过自动收集有关保真度、参与度、治疗进展和结果的实时患者数据来实施进度监测。d)通过提供综合保真度和评估数据来促进组织决策。精神障碍是致残的主要原因，往往始于儿童时期。在任何时候，大约每8个儿童中就有1个患有严重到足以损害健康的精神疾病，其中大多数得不到治疗。尽管对大多数精神疾病存在有效的评估和治疗方案，但在现实世界（非研究）环境中提供的绝大多数治疗与最佳实践并不一致。该项目旨在通过建立一个系统来解决临床医生使用循证实践的障碍，并将潜在的用户基础扩大到其他卫生服务提供者（如初级保健）和家庭，从而扩大儿童获得循证精神卫生保健的机会，以获得最常见的精神疾病诊断。

Minnesota HealthSolutions (MHS) in conjunction with Mayo Clinic of Rochester proposes the current project to address the NIMH DSIR priority to develop novel tools for the dissemination and implementation of evidence-based treatment (EBT). We propose to develop a web- and mobile-based platform, eChildPsych, which integrates assessment, treatment tools, progress monitoring, and reporting. This sustainable and novel technological solution will improve the quality of mental health assessment and treatment for children through interactive tools to a) support initial and ongoing assessment and documentation, b) facilitate selection of key, diagnosis-relevant EBT components, c) implement progress monitoring by automatically collecting real-time patient-level data on fidelity, engagement, therapeutic progress and outcome, and d) facilitate organizational decision-making by providing aggregate fidelity and assessment data. Mental disorders are a leading cause of disability and often begin in childhood. At any given time approximately one in eight children suffers from a psychiatric disorder of sufficient severity to be impairing, the majority of which go untreated. Although effective assessment and treatment protocols exist for the majority of psychiatric conditions, the vast majority of treatment offered in real-world (non-research) settings is not consistent with best practices. This project aims to expand child access to evidence-based mental health care for the most common psychiatric diagnoses by building a system that addresses barriers to clinician use of evidence-based practices and broadens the potential base of users to other health providers (e.g., primary care) and families for self-help.