Can't surf, won't surf: the digital divide in mental health.
BACKGROUND
New health information technology (HIT) increasingly plays a role in health care as technology becomes cheaper and more widespread. However, there is a danger that those who do not use or have access to technology will not benefit from HIT innovations, thus creating a "digital divide".


OBJECTIVE
To assess the extent to which mental health service users have access to, skills in using and appetite for various technologies.


METHODS
A cross-sectional survey was used to assess technology use and access patterns of 121 people from community mental health services. Data were analysed using logistic regression.


RESULTS
Technology use and access were very similar to that of the general population with older individuals reporting less familiarity, access and confidence across a range of technologies. Black, minority and ethnic (BME) groups were more likely to access computers outside of their own homes than white individuals. Older participants experiencing psychosis indicated a desire to increase their computer use.


CONCLUSIONS
The findings reported here contrast with recent evidence suggesting that those who do not engage with technology are "self-excluders". Furthermore, BME groups may need extra support regarding provision of technology in order to engage with HIT.
Health Services and Population Research Department, Institute of Psychiatry, London, UK. liam.ennis@kcl.ac.uk
Liam
L
Ennis
Diana
D
Rose
Mike
M
Denis
Ninjeri
N
Pandit
Til
T
Wykes
D000293:Adolescent; D000328:Adult; D000368:Aged; D001292:Attitude to Computers; D003156:Community Mental Health Services; D003430:Cross-Sectional Studies; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012959:Socioeconomic Factors; D017216:Telemedicine; D006113:United Kingdom