title: mHealth: a mechanism to deliver more accessible, more effective mental health care.
abstract: The increased popularity and functionality of mobile devices has a number of implications for the delivery of mental health services. Effective use of mobile applications has the potential to (a) increase access to evidence-based care; (b) better inform consumers of care and more actively engage them in treatment; (c) increase the use of evidence-based practices; and (d) enhance care after formal treatment has concluded. The current paper presents an overview of the many potential uses of mobile applications as a means to facilitate ongoing care at various stages of treatment. Examples of current mobile applications in behavioural treatment and research are described, and the implications of such uses are discussed. Finally, we provide recommendations for methods to include mobile applications into current treatment and outline future directions for evaluation.
  
  
  CONCLUSIONS
  Mobile devices are becoming increasingly common among the adult population and have tremendous potential to advance clinical care. Mobile applications have the potential to enhance clinical care at stages of treatment-from engaging patients in clinical care to facilitating adherence to practices and in maintaining treatment gains. Research is needed to validate the efficacy and effectiveness of mobile applications in clinical practice. Research on such devices must incorporate assessments of usability and adherence in addition to their incremental benefit to treatment.
authors.affiliation: University of Vermont, Burlington, VT, USA.
authors.forename: Matthew
authors.initials: M
authors.lastname: Price
authors.forename: Erica K
authors.initials: EK
authors.lastname: Yuen
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Goetter
authors.forename: James D
authors.initials: JD
authors.lastname: Herbert
authors.forename: Evan M
authors.initials: EM
authors.lastname: Forman
authors.forename: Ron
authors.initials: R
authors.lastname: Acierno
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Ruggiero
mesh_terms: D040421:Cell Phone; D006297:Health Services Accessibility; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services; D017216:Telemedicine / Q000379:methods*; D016896:Treatment Outcome
keywords: access to care; mHealth; mobile phone; technology-based care
references.citation: Cogn Behav Ther. 2009;38(2):66-82
references.pmid: 20183688
references.citation: Perspect Psychol Sci. 2011 Jan;6(1):21-37
references.pmid: 26162113
references.citation: Clin Psychol Rev. 2003 Oct;23(5):699-717
references.pmid: 12971906
references.citation: Am J Psychiatry. 2000 Apr;157(4):521-7
references.pmid: 10739410
references.citation: J Anxiety Disord. 2008;22(2):301-9
references.pmid: 17391911
references.citation: Behav Ther. 2006 Mar;37(1):80-90
references.pmid: 16942963
references.citation: Telemed J E Health. 2009 Jul-Aug;15(6):525-30
references.pmid: 19566397
references.citation: Schizophr Bull. 2009 Jul;35(4):696-703
references.pmid: 19491314
references.citation: Perspect Psychol Sci. 2011 Sep;6(5):503-6
references.pmid: 26168203
references.citation: J Med Internet Res. 2010 Nov 29;12(4):e55
references.pmid: 21115435
references.citation: Aust N Z J Psychiatry. 2009 Jul;43(7):615-23
references.pmid: 19530018
references.citation: Behav Ther. 2011 Dec;42(4):589-600
references.pmid: 22035988
references.citation: J Med Internet Res. 2009 Apr 24;11(2):e13
references.pmid: 19403466
references.citation: Behav Ther. 2008 Dec;39(4):398-405
references.pmid: 19027436
references.citation: J Consult Clin Psychol. 2012 Aug;80(4):700-6
references.pmid: 22545736
references.citation: Int J Med Inform. 2013 May;82(5):467-9
references.pmid: 23279850
references.citation: Clin Psychol Rev. 2009 Jul;29(5):410-20
references.pmid: 19403215
references.citation: Br J Health Psychol. 2010 Feb;15(Pt 1):1-39
references.pmid: 19646331
references.citation: Behav Res Ther. 2011 Feb;49(2):132-7
references.pmid: 21159328
references.citation: Technol Health Care. 2010;18(4-5):275-84
references.pmid: 21209476
references.citation: Behav Res Ther. 2002 May;40(5):509-16
references.pmid: 12038644
references.citation: J Med Internet Res. 2011 Aug 12;13(3):e55
references.pmid: 21840837
references.citation: Ann Behav Med. 2011 Apr;41(2):208-26
references.pmid: 21132416
references.citation: J Trauma Stress. 2010 Feb;23(1):116-23
references.pmid: 20135675
references.citation: Psychiatry. 2011 Fall;74(3):207-23
references.pmid: 21916628
references.citation: J Nerv Ment Dis. 2011 Nov;199(11):886-91
references.pmid: 22048142
references.citation: Behav Res Ther. 2009 Jul;47(7):628-35
references.pmid: 19446793
references.citation: J Anxiety Disord. 2009 Jun;23(5):563-74
references.pmid: 19282142
references.citation: Arch Gen Psychiatry. 1992 Oct;49(10):769-73
references.pmid: 1417428
references.citation: Prof Psychol Res Pr. 2011 Dec 1;42(6):472-478
references.pmid: 25525292
references.citation: Clin Psychol Rev. 2006 Oct;26(6):657-78
references.pmid: 15908088
references.citation: J Telemed Telecare. 2013 Feb;19(2):70-4
references.pmid: 23514936
references.citation: Cognit Ther Res. 2010 Oct;34(5):429-438
references.pmid: 20930925
references.citation: Curr Psychiatry Rep. 2010 Dec;12(6):547-52
references.pmid: 20872100
references.citation: PLoS One. 2010 Oct 13;5(10):e13196
references.pmid: 20967242
references.citation: Am Psychol. 2004 Oct;59(7):614-625
references.pmid: 15491256
references.citation: Depress Anxiety. 2005;22(3):156-8
references.pmid: 16231290
references.citation: BMC Med Inform Decis Mak. 2010 Nov 23;10:73
references.pmid: 21092275
references.citation: J Clin Psychol. 2010 Sep;66(9):965-77
references.pmid: 20694960
references.citation: J Am Med Inform Assoc. 2003 Jan-Feb;10(1):16-20
references.pmid: 12509354
references.citation: J Med Internet Res. 2011 Aug 05;13(3):e52
references.pmid: 21821503
references.citation: J Consult Clin Psychol. 1997 Feb;65(1):178-83
references.pmid: 9103747
references.citation: Psychotherapy (Chic). 2012 Jun;49(2):173-9
references.pmid: 21967073
references.citation: Anesth Analg. 2005 Oct;101(4):1075-1080
references.pmid: 16192524
references.citation: Psychiatry. 2012 Fall;75(3):267-84
references.pmid: 22913502
references.citation: J Consult Clin Psychol. 1997 Apr;65(2):292-300
references.pmid: 9086693
references.citation: J Clin Psychol Med Settings. 2011 Jun;18(2):176-87
references.pmid: 21553133
references.citation: Am J Psychiatry. 2007 Nov;164(11):1676-83
references.pmid: 17974932
references.citation: J Med Internet Res. 2013 Mar 30;15(4):e76
references.pmid: 23624105
references.citation: Drug Alcohol Depend. 2009 Jan 1;99(1-3):37-46
references.pmid: 18775606
references.citation: Psychiatr Serv. 2009 Mar;60(3):337-43
references.pmid: 19252046
references.citation: Br J Gen Pract. 2000 Apr;50(453):307-8
references.pmid: 10897516
references.citation: Stat Med. 2005 May 30;24(10):1455-81
references.pmid: 15586395
references.citation: Annu Rev Clin Psychol. 2008;4:1-32
references.pmid: 18509902