A roadmap to computer-based psychotherapy in the United States.
Computers can be used to deliver self-guided interventions and to provide access to live therapists at remote locations. These treatment modalities could help overcome barriers to treatment, including cost, availability of therapists, logistics of scheduling and traveling to appointments, stigma, and lack of therapist training in evidence-based treatments (EBTs). EBTs could be delivered at any time in any place to individuals who might otherwise not have access to them, improving public mental health across the United States. In order to fully exploit the opportunities to use computers for mental health care delivery, however, advances need to be made in four domains: (1) research, (2) training, (3) policy, and (4) industry. This article discusses specific challenges (and some possible solutions) to implementing computer-based distance therapy and self-guided treatments in the United States. It lays out both a roadmap and, in each of the four domains, the milestones that need to be met to reach the goal of making EBTs for behavioral health problems available to all Americans.
Harvard Medical School, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA. jacarter@caregroup.harvard.edu
James A
JA
Cartreine
David K
DK
Ahern
Steven E
SE
Locke
D015928:Cognitive Behavioral Therapy / Q000295:instrumentation*; D019317:Evidence-Based Medicine / Q000379:methods; D006801:Humans; D011613:Psychotherapy / Q000295:instrumentation*; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology / Q000628:therapy; D017216:Telemedicine / Q000295:instrumentation; D013813:Therapy, Computer-Assisted / Q000379:methods*; D014481:United States