E-santé mentale: définitions, enjeux, expériences Paris, 13 Juin 2017
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1 E-santé mentale: définitions, enjeux, expériences Paris, 13 Juin 2017 Questions éthiques en e-santé mentale Kyriaki G. Giota, Chercheuse en psychologie Université de Thessaly, Grèce
2 Dr. Kyriaki Giota, Psychologist University of Thessaly, Volos, Greece
3 Topics of discussion Innovations in ehealth & mhealth Concerns and barriers on using E-mental health Ethical dilemmas To download or not to download? Privacy & Security Reliability & Validity of apps What to do?
4 Innovations in Mental Health: E-Health & the power of Mobile Technologies
5 E-mental Health initiatives Information quality Screening & assessment tools for professionals and individuals in general Social support Interventions Promotion, prevention, detection, treatment Care delivery Therapy modalities
6 Wearable tech
7 Concerns and barriers on using E-mental health Costly to develop, deploy, and evaluate. Possible replacement of important and needed conventional services Minimize improvements or funding Marginalization of individuals with physical, financial, or cognitive barriers in terms of access Financial interests of developers and researchers: publication bias
8 Concerns and barriers on using Legal issues E-mental health confidentiality, obtaining consent, licensing, record keeping Professional issues privacy and maintaining professional boundaries Competence and level of technology usage skills Crisis risk management
9 Concerns and barriers on using E-mental health Therapeutic relationships online Appropriateness of the service for the client Inappropriate or harmful care when there is insufficient quality control over content Online treatment for certain population groups e.g., patients with chronic illness, severe depression, psychosis Possibility of postponement in seeking the needed conventional care
10 Technology limitations Problematic devices Battery, memory Telecommunication technologies Internet connection Theft, loss, malfunction
11 Personally identifiable data name, phone number, address, age, gender, photos History ip addresses, call logs, browser history, texts, location Lifestyle, daily routine & practices diet, exercise, pregnancy & menstrual cycle, appointments
12 Professional information Electronic folders with history intakes, patient records, therapy session notes, contact numbers & addresses of clients Medical information diagnoses, treatments, medication refills, insurance
13 Privacy & Security Permissions, informed consent, confidentiality Storage and transmission of data Tracking location and movements Unencrypted data & cybercrime
14 Are free apps really free? Hidden behaviors of free and paid mobile apps Advertising Malicious content
15 Reliability and Validity Lack of extended research evidence Sampling, existence of control group, repeated measurements systematic reviews, peer-reviewed articles Small number of evidence-based mhealth applications designed and inspected by healthcare professionals or mental health institutions
16 Certifications Importance of measures and certifications (from federal or other third-party institutions) Creation of universal guidelines Regulatory jurisdiction Quality control Ethical guidance
17 It seems that the technology is advancing so fast that research is unable to keep up with every new development
18 What to do? Screen before recommend Read user reviews Search the privacy policy in the developer s website Learn about the app or the developer Delete the app after no longer using it
19 What to do? Download security software Always look at the permissions that an app requires before downloading it. Carefully consider whether the app actually needs to do whatever it's asking.
20 Digital natives vs. Digital immigrants technophobia : professionals may be unfamiliar with technology and anxious about its use in healthcare
21 The future of e-health and m-health Adapting mental health practices to the new digital reality Creating specific policies Training courses Supervision Respect and protection of clients
22 Dr. Kyriaki G. Giota, Psychologist
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