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Psychiatr Serv. 2018 Sep 26:appips201800193. doi: 10.1176/ [Epub ahead of print]

Dichotomies in the Development and Implementation of Digital Mental Health Tools.

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Dr. Torous is with the Department of Psychiatry, Division of Digital Psychiatry, Beth Israel Deaconess Medical Center, and Harvard Medical School, Boston. Dr. Haim is with the Division of Division of Services and Intervention Research, National Institute of Mental Health, Bethesda, Maryland.


The uptake and clinical adoption of digital mental health tools, such as smartphone apps, remain limited. Although some technology barriers remain, the greatest challenges are no longer technical. Instead, dichotomous directions and efforts divide the space and limit the potential of digital tools. This column focuses on six of these dichotomies, including randomized trials versus pragmatic studies, precision medicine versus population health, free market versus regulation, consumer versus clinical uses, big data versus privacy, and open versus proprietary software. Because no panacea exists, the authors suggest a more flexible approach to the uptake and clinical adoption of digital mental health tools-an approach that offers a pragmatic solution to better appreciate the landscape and pave the way toward progress.


Digital Health; Mental health; Psychiatry; Smartphones App; mHealth


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