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Navigating the ethics of Internet-guided self-help interventions.

A Maya Borgueta1, Clare K Purvis1, Michelle G Newman2

  • 1Lantern, San Francisco, CA, USA.

Clinical Psychology : a Publication of the Division of Clinical Psychology of the American Psychological Association
|March 5, 2021
PubMed
Summary

Internet-guided self-help (IGSH) programs offer accessible mental health treatment but face ethical challenges. Ensuring competent guidance and appropriate user screening is crucial for safe and effective online mental healthcare delivery.

Keywords:
digital healthethicsguided self helpinternetinterventionstelepsychology

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Area of Science:

  • Mental Health Technology
  • Digital Therapeutics
  • Clinical Ethics

Background:

  • Internet-guided self-help (IGSH) programs are increasingly used for anxiety and depression.
  • Technological advancements in digital mental health have outpaced ethical guideline development.
  • Ethical considerations for online interventions require examination.

Purpose of the Study:

  • To identify and analyze ethical challenges in IGSH program delivery.
  • To define the roles of "guides" in online mental health treatment.
  • To explore requirements for safe and ethical IGSH program implementation.

Main Methods:

  • Ethical analysis of IGSH program components.
  • Review of current practices in digital mental healthcare.
  • Examination of challenges in user selection, screening, and crisis management.

Main Results:

  • Key ethical challenges include defining "guide" roles, managing crises, and user screening.
  • Safe and ethical IGSH care requires coordinated systems, competent guidance, and appropriate user education.
  • Jurisdictional constraints and outdated guidelines hinder IGSH program performance and scalability.

Conclusions:

  • IGSH programs require robust ethical frameworks to ensure safe and effective mental healthcare.
  • Updated regulations and ethical guidelines are needed to support the growth of digital mental health.
  • Addressing ethical challenges is vital for the responsible dissemination of online mental health interventions.