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Banbury Forum Consensus Statement on the Path Forward for Digital Mental Health Treatment
David C Mohr1, Francisca Azocar1, Andrew Bertagnolli1
1Department of Preventive Medicine, Center for Behavioral Intervention Technologies, Northwestern University, Chicago (Mohr); Optum, Eden Prairie, Minnesota (Azocar); One Medical and Alliant International University, San Francisco (Bertagnolli); Information Science, Cornell Tech, New York City (Choudhury); National Institute for Health and Care Excellence, Manchester, England (Chrisp); Department of Health Care Policy (Frank) and Department of Psychiatry (Torous), Harvard Medical School, Boston; health care consultant, Baltimore (Harbin); Care Management Institute, Kaiser Permanente, Oakland, California (Histon); Department of Psychiatry and Behavioral Sciences, Stanford University, and National Center for PTSD, Veterans Affairs Palo Alto Health Care System, Palo Alto, California (Kaysen); Department of Family Medicine and Public Health, University of California, San Diego (Nebeker); E-Mental Health Research Group, School of Psychology, Trinity College, University of Dublin, Dublin, and Department of Clinical Research and Innovation, SilverCloud Health, Boston (Richards); Department of Psychological Science, University of California, Irvine (Schueller); MindSpot Clinic, Department of Psychology, Macquarie University, Sydney, New South Wales, Australia (Titov); Department of Psychiatry, University of Washington, Seattle (Areán).
Digital mental health treatments (DMHTs) can improve access to care for common mental disorders. Recommendations include broader offering, reimbursement, and developing evidence standards for DMHTs in the U.S. healthcare system.
Area of Science:
- Healthcare accessibility
- Digital health interventions
- Mental health services
Background:
- The U.S. faces a shortage of mental health providers, creating accessibility barriers.
- Digital mental health treatments (DMHTs) are effective but underutilized in U.S. healthcare.
- Federally designated shortage areas highlight the need for innovative solutions.
Purpose of the Study:
- To review evidence for DMHTs effectiveness.
- To identify challenges and facilitators for DMHT implementation.
- To develop recommendations for integrating DMHTs into U.S. healthcare.
Main Methods:
- Convened national and international expert stakeholders.
- Held two Banbury Forum meetings to discuss DMHTs.
- Reviewed evidence, implementation challenges, and international best practices.
Main Results:
- DMHTs are effective for common mental disorders.
- Key challenges to adoption include reimbursement and integration.
- International examples offer insights into successful implementation.
Conclusions:
- Guided DMHTs should be widely offered for common mental disorders.
- Reimbursement for DMHT products and services is crucial for integration.
- An evidence standards framework is needed to guide DMHT evaluation.
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