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The Need to Adapt the Psychiatric Clinical Assessment to the Digital Age: A Practical Approach
Marcos A Moreno1, Lisa B Dixon1, Samantha Jankowski1
1Department of Psychiatry, Yale School of Medicine, New Haven (Moreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, and New York State Psychiatric Institute, New York City (Dixon, Jankowski, Erlich, First); Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston (Adler); Canyon Manor Mental Health Rehabilitation Center, Novato, California (Berlant); Geisel School of Medicine, Hanover, and Dartmouth Institute, Lebanon, New Hampshire (Brunette); Department of Psychiatry, Jane and Terry Semel Institute for Neuroscience and Human Behavior, and David Geffen School of Medicine, Center for Social Medicine and Humanities, University of California Los Angeles, Los Angeles (Castillo); Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California (Edwards); Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto (Kozloff); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Oslin, Talley); U.S. Department of Veterans Affairs, Corporal Michael J. Crescenz Medical Center, Philadelphia (Oslin); Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Siris).
Psychiatric assessments should include digital media use, focusing on its quality and emotional impact, not just duration. Understanding technology habits is crucial for evaluating a patient
Area of Science:
- Psychiatry
- Digital Health
- Mental Health Technology
Background:
- Digital media and electronic device usage are pervasive in modern life.
- Current psychiatric assessments often overlook the significance of patients' digital habits.
- Evaluating technology use is as vital as assessing occupation and general functioning for understanding patient lifestyle.
Purpose of the Study:
- To highlight the importance of incorporating digital media use into routine psychiatric evaluations.
- To propose a framework for assessing patients' digital technology engagement.
- To shift focus from the quantity to the quality of digital media consumption.
Main Methods:
- Review of current psychiatric assessment practices.
- Development of a framework for inquiry into digital media use.
- Emphasis on qualitative aspects of technology engagement.
Main Results:
- Digital media use is a relevant factor in understanding patient lifestyle and activities.
- Current assessments lack a systematic approach to evaluating digital technology use.
- A qualitative focus is recommended over a quantitative one.
Conclusions:
- Integrating digital media use assessment into psychiatric practice is essential.
- The proposed framework guides inquiry into the quality of digital media use and its consequences.
- This approach enhances the comprehensiveness of psychiatric evaluations.
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