Needs, gaps and opportunities for standard and e-mental health care among at-risk populations in the Asia Pacific in the context of COVID-19: a rapid scoping review.
Asia Pacific
At-risk populations
COVID-19
E-mental health
Equity
Mental health
Journal
International journal for equity in health
ISSN: 1475-9276
Titre abrégé: Int J Equity Health
Pays: England
ID NLM: 101147692
Informations de publication
Date de publication:
12 07 2021
12 07 2021
Historique:
received:
07
04
2021
accepted:
28
05
2021
entrez:
13
7
2021
pubmed:
14
7
2021
medline:
16
7
2021
Statut:
epublish
Résumé
The COVID-19 pandemic is expected to have profound mental health impact, including in the Asia Pacific Economic Cooperation (APEC) region. Some populations might be at higher risk of experiencing negative mental health impacts and may encounter increased barriers to accessing mental health care. The pandemic and related restrictions have led to changes in care delivery, including a rapid shift to the use of e-mental health and digital technologies. It is therefore essential to consider needs and opportunities for equitable mental health care delivery to the most at-risk populations. This rapid scoping review: 1) identifies populations in the APEC region that are at higher risk of the negative mental health impacts of COVID-19, 2) identifies needs and gaps in access to standard and e-mental health care among these populations, and 3) explores the potential of e-mental health to address these needs. We conducted a rapid scoping review following the PRISMA Extension for Scoping Reviews (PRISMA-ScR). We searched Medline, Embase and PsychInfo databases and Google Scholar using a search strategy developed in consultation with a biomedical librarian. We included records related to mental health or psychosocial risk factors and COVID-19 among at-risk groups; that referred to one or more APEC member economies or had a global, thus generalizable, scope; English language papers, and papers with full text available. A total of 132 records published between December 2019 and August 2020 were included in the final analysis. Several priority at-risk populations, risk factors, challenges and recommendations for standard and e-mental health care were identified. Results demonstrate that e-mental health care can be a viable option for care delivery but that specific accessibility and acceptability considerations must be considered. Options for in-person, hybrid or "low-tech" care must also remain available. The COVID-19 pandemic has highlighted the urgent need for equitable standard and e-mental health care. It has also highlighted the persistent social and structural inequities that contribute to poor mental health. The APEC region is vast and diverse; findings from the region can guide policy and practice in the delivery of equitable mental health care in the region and beyond.
Sections du résumé
BACKGROUND
The COVID-19 pandemic is expected to have profound mental health impact, including in the Asia Pacific Economic Cooperation (APEC) region. Some populations might be at higher risk of experiencing negative mental health impacts and may encounter increased barriers to accessing mental health care. The pandemic and related restrictions have led to changes in care delivery, including a rapid shift to the use of e-mental health and digital technologies. It is therefore essential to consider needs and opportunities for equitable mental health care delivery to the most at-risk populations. This rapid scoping review: 1) identifies populations in the APEC region that are at higher risk of the negative mental health impacts of COVID-19, 2) identifies needs and gaps in access to standard and e-mental health care among these populations, and 3) explores the potential of e-mental health to address these needs.
METHODS
We conducted a rapid scoping review following the PRISMA Extension for Scoping Reviews (PRISMA-ScR). We searched Medline, Embase and PsychInfo databases and Google Scholar using a search strategy developed in consultation with a biomedical librarian. We included records related to mental health or psychosocial risk factors and COVID-19 among at-risk groups; that referred to one or more APEC member economies or had a global, thus generalizable, scope; English language papers, and papers with full text available.
RESULTS
A total of 132 records published between December 2019 and August 2020 were included in the final analysis. Several priority at-risk populations, risk factors, challenges and recommendations for standard and e-mental health care were identified. Results demonstrate that e-mental health care can be a viable option for care delivery but that specific accessibility and acceptability considerations must be considered. Options for in-person, hybrid or "low-tech" care must also remain available.
CONCLUSIONS
The COVID-19 pandemic has highlighted the urgent need for equitable standard and e-mental health care. It has also highlighted the persistent social and structural inequities that contribute to poor mental health. The APEC region is vast and diverse; findings from the region can guide policy and practice in the delivery of equitable mental health care in the region and beyond.
Identifiants
pubmed: 34253198
doi: 10.1186/s12939-021-01484-5
pii: 10.1186/s12939-021-01484-5
pmc: PMC8274266
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
161Subventions
Organisme : CIHR
ID : CIHR-IRSC:0613002092
Pays : Canada
Informations de copyright
© 2021. The Author(s).
Références
Int J Eat Disord. 2020 Jul;53(7):1155-1157
pubmed: 32449523
BJPsych Open. 2020 Apr 06;6(3):e48
pubmed: 32250235
Lancet Psychiatry. 2020 Apr;7(4):e21
pubmed: 32199510
Asian J Psychiatr. 2020 Dec;54:102305
pubmed: 32668388
Asian J Psychiatr. 2020 Jun;51:102051
pubmed: 32298968
J Family Med Prim Care. 2019 Oct 31;8(10):3090-3095
pubmed: 31742125
Int J Soc Psychiatry. 2021 Mar;67(2):120-127
pubmed: 32643510
Psychiatry Clin Neurosci. 2020 Apr;74(4):281-282
pubmed: 32034840
J Adolesc Health. 2020 Sep;67(3):453-455
pubmed: 32684437
Lancet Psychiatry. 2021 Jun;8(6):535-550
pubmed: 33639109
J Adolesc Health. 2020 Sep;67(3):354-361
pubmed: 32693983
Gen Psychiatr. 2020 Apr 1;33(2):e100216
pubmed: 32363326
JAMA Intern Med. 2020 Jun 1;180(6):817-818
pubmed: 32275292
Front Psychiatry. 2020 May 13;11:459
pubmed: 32574242
PLoS One. 2020 May 19;15(5):e0233145
pubmed: 32428041
J Am Geriatr Soc. 2020 May;68(5):947-949
pubmed: 32277467
Lancet Public Health. 2020 Apr;5(4):e186-e187
pubmed: 32171054
Adm Policy Ment Health. 2020 Jul;47(4):489-491
pubmed: 32333227
Int Psychogeriatr. 2020 Oct;32(10):1135-1141
pubmed: 32393404
J Affect Disord. 2021 Feb 15;281:91-98
pubmed: 33310451
Eur Eat Disord Rev. 2020 May;28(3):239-245
pubmed: 32346977
Am Psychol. 2020 Jul-Aug;75(5):607-617
pubmed: 32673008
Arch Acad Emerg Med. 2020 Mar 16;8(1):e21
pubmed: 32185371
Psychol Trauma. 2020 Jul;12(5):439-442
pubmed: 32551756
Lancet Psychiatry. 2020 Apr;7(4):e19
pubmed: 32085843
Psychol Trauma. 2020 Jul;12(5):455-456
pubmed: 32567874
J Adolesc Health. 2020 Jul;67(1):131-134
pubmed: 32381385
Int J Environ Res Public Health. 2020 May 25;17(10):
pubmed: 32466164
Br J Psychiatry. 2020 Oct;217(4):537-539
pubmed: 32423523
Lancet Psychiatry. 2020 Jun;7(6):468-471
pubmed: 32330430
Asian J Psychiatr. 2020 Jun;51:102128
pubmed: 32380441
J Adolesc Health. 2020 Sep;67(3):450-452
pubmed: 32591304
JAMA Netw Open. 2020 Jun 1;3(6):e2010705
pubmed: 32478846
Psychol Trauma. 2020 Jul;12(5):443-445
pubmed: 32478545
Med Sci Monit Basic Res. 2020 May 11;26:e924085
pubmed: 32389999
Lancet Psychiatry. 2017 Jun;4(6):486-500
pubmed: 28433615
Psychol Trauma. 2020 Jul;12(5):457-460
pubmed: 32551751
Ir J Psychol Med. 2020 Sep;37(3):231-236
pubmed: 32404232
Brain Behav Immun. 2020 Aug;88:60-65
pubmed: 32512134
AIDS Behav. 2020 Aug;24(8):2244-2249
pubmed: 32303925
Int J Soc Psychiatry. 2020 Dec;66(8):821-826
pubmed: 32586205
Aust N Z J Psychiatry. 2020 Jul;54(7):657-658
pubmed: 32597262
Psychiatry Res. 2020 Oct;292:113297
pubmed: 32707218
Psychol Trauma. 2020 Jul;12(5):461-464
pubmed: 32525390
Psychol Trauma. 2020 Jul;12(5):449-451
pubmed: 32525370
Maturitas. 2020 Jun;136:38-41
pubmed: 32386664
Australas Psychiatry. 2020 Oct;28(5):492-499
pubmed: 32729320
JAMA Psychiatry. 2020 Sep 1;77(9):891-892
pubmed: 32242888
Anesth Analg. 2020 Jul;131(1):43-54
pubmed: 32345861
Epilepsia. 2020 Jun;61(6):1166-1173
pubmed: 32353184
Lancet Psychiatry. 2020 Apr;7(4):e20
pubmed: 32085842
JMIR Ment Health. 2021 Mar 2;8(3):e26550
pubmed: 33650985
JAMA Pediatr. 2020 Sep 1;174(9):819-820
pubmed: 32286618
Int J Ment Health Nurs. 2020 Aug;29(4):549-552
pubmed: 32314526
Riv Psichiatr. 2020 May-Jun;55(3):137-144
pubmed: 32489190
Int Psychogeriatr. 2020 Oct;32(10):1129-1133
pubmed: 32349826
Biol Psychiatry. 2020 Jul 15;88(2):130-131
pubmed: 32425206
Eur Child Adolesc Psychiatry. 2020 Jun;29(6):743-748
pubmed: 32394092
Gen Psychiatr. 2020 Jun 09;33(3):e100231
pubmed: 32574346
Psychiatry Res. 2020 May;287:112915
pubmed: 32199182
Clin Psychol Psychother. 2020 May;27(3):384-395
pubmed: 32415733
Lancet Psychiatry. 2020 May;7(5):390-391
pubmed: 32353270
Psychol Trauma. 2020 Jul;12(5):446-448
pubmed: 32525371
Lancet Psychiatry. 2020 Jun;7(6):547-560
pubmed: 32304649
CJEM. 2020 Sep;22(5):603-607
pubmed: 32576321
J Gerontol Soc Work. 2020 Aug-Oct;63(6-7):659-661
pubmed: 32412361
Psychiatry Clin Neurosci. 2020 Oct;74(10):564-565
pubmed: 32686896
J Contemp Psychother. 2020;50(4):275-283
pubmed: 32836379
Lancet Psychiatry. 2020 Sep;7(9):813-824
pubmed: 32682460
Psychol Trauma. 2020 Jul;12(5):521-523
pubmed: 32551750
Am J Crim Justice. 2020;45(4):668-679
pubmed: 32837152
J Psychiatr Res. 2020 Oct;129:1-7
pubmed: 32526513
Medicine (Baltimore). 2020 Jun 26;99(26):e20769
pubmed: 32590755
Int J Eat Disord. 2020 Jul;53(7):1166-1170
pubmed: 32476175
Int J Ment Health Addict. 2022;20(1):362-379
pubmed: 32837444
Am J Geriatr Psychiatry. 2020 Sep;28(9):924-932
pubmed: 32682619
Psychol Trauma. 2020 May;12(4):331-335
pubmed: 32271070
Psychosomatics. 2020 Sep - Oct;61(5):538-543
pubmed: 32660876
Lancet Psychiatry. 2020 Mar;7(3):e14
pubmed: 32035030
JMIR Form Res. 2021 Apr 5;5(4):e23233
pubmed: 33739931
Int J Environ Res Public Health. 2020 Jul 14;17(14):
pubmed: 32674285
AIDS Behav. 2021 Feb;25(2):311-321
pubmed: 32654021
Int J Psychiatry Clin Pract. 2021 Jun;25(2):109-114
pubmed: 32662692
Aust N Z J Psychiatry. 2020 Jul;54(7):759
pubmed: 32375506
Lancet Psychiatry. 2020 Jul;7(7):568-570
pubmed: 32563298
J Med Internet Res. 2020 Jun 2;22(6):e19361
pubmed: 32452816
J Affect Disord. 2020 Oct 1;275:112-118
pubmed: 32658812
Ann Intern Med. 2018 Oct 2;169(7):467-473
pubmed: 30178033
Psychiatry Res. 2020 Jun;288:112945
pubmed: 32302813
Med J Aust. 2020 May;212(8):384-384.e1
pubmed: 32266965
J Behav Addict. 2020 Jun 06;9(2):187-189
pubmed: 32634111
Lancet Psychiatry. 2020 Apr;7(4):e22
pubmed: 32199511
J Public Health (Oxf). 2018 Dec 1;40(suppl_2):ii1-ii5
pubmed: 30329082
BMJ. 2020 Nov 12;371:m4352
pubmed: 33184048
Psychiatr Serv. 2021 Oct 1;72(10):1193-1198
pubmed: 33622042
Psychother Psychosom. 2020;89(4):242-250
pubmed: 32272480
Lancet. 2021 Feb 13;397(10274):562-564
pubmed: 33516284
J Gerontol Soc Work. 2020 Aug-Oct;63(6-7):602-606
pubmed: 32730192
J Affect Disord. 2020 Oct 1;275:69-77
pubmed: 32658826
EClinicalMedicine. 2020 Jun 27;24:100424
pubmed: 32766539
Lancet Psychiatry. 2018 Oct;5(10):845-854
pubmed: 30170964
Psychiatry Res. 2020 May;287:112934
pubmed: 32229390
Int J Public Health. 2020 Jul;65(6):717-718
pubmed: 32651593
Int J Clin Pract. 2020 Sep;74(9):e13559
pubmed: 32460433
Int J Environ Res Public Health. 2020 May 25;17(10):
pubmed: 32466163
JMIR Ment Health. 2020 Dec 22;7(12):e23776
pubmed: 33156811
Psychiatry Res. 2020 Jun;288:113000
pubmed: 32353696
Psychol Trauma. 2020 Aug;12(S1):S177-S179
pubmed: 32584101
Psychiatr Q. 2020 Sep;91(3):841-852
pubmed: 32319041
Psychol Trauma. 2020 Jul;12(5):452-454
pubmed: 32525364
JAMA Pediatr. 2020 Sep 1;174(9):898-900
pubmed: 32329784
J Adolesc Health. 2020 Jul;67(1):16-17
pubmed: 32402796
Med J Aust. 2020 Aug;213(4):151-152.e1
pubmed: 32691433
AIDS Behav. 2020 Oct;24(10):2764-2765
pubmed: 32382824
Indian J Psychol Med. 2015 Jul-Sep;37(3):261-71
pubmed: 26664073
Ir J Psychol Med. 2020 Sep;37(3):237-242
pubmed: 32406358
J Child Psychol Psychiatry. 2020 Jul;61(7):757-759
pubmed: 32474941
Ir J Psychol Med. 2020 Sep;37(3):198-203
pubmed: 32434603
Am J Obstet Gynecol. 2020 Aug;223(2):240.e1-240.e9
pubmed: 32437665
Med Sci Monit. 2020 Jul 25;26:e926008
pubmed: 32710536
Brain Behav Immun. 2020 Jul;87:4-5
pubmed: 32234338
JMIR Public Health Surveill. 2020 Jul 30;6(3):e19831
pubmed: 32678797
JMIR Ment Health. 2020 Mar 26;7(3):e18848
pubmed: 32213476
Suicide Life Threat Behav. 2020 Dec;50(6):1241-1249
pubmed: 32589799
Internet Interv. 2020 Sep;21:100330
pubmed: 32542180
Lancet. 2020 Mar 21;395(10228):945-947
pubmed: 32145186
Psychiatry Res. 2020 Jun;288:112955
pubmed: 32302815
Lancet Psychiatry. 2020 May;7(5):390
pubmed: 32353271
Community Ment Health J. 2021 Jan;57(1):57-63
pubmed: 32681409
Am Psychol. 2020 Jul-Aug;75(5):631-643
pubmed: 32437181
Epidemiol Infect. 2020 May 20;148:e98
pubmed: 32430088
JAMA Netw Open. 2020 Mar 2;3(3):e203976
pubmed: 32202646
Psychol Trauma. 2020 Aug;12(S1):S6-S14
pubmed: 32551764
NASN Sch Nurse. 2020 Sep;35(5):269-275
pubmed: 32546120
N Engl J Med. 2020 Oct 8;383(15):1479-1480
pubmed: 33027574
Sci Total Environ. 2020 Sep 1;733:139357
pubmed: 32416536
BMJ. 2021 Feb 15;372:m4752
pubmed: 33593813
J Inj Violence Res. 2020 May 03;12(2):
pubmed: 32361706
Lancet Psychiatry. 2020 Mar;7(3):228-229
pubmed: 32032543
J Nurs Scholarsh. 2020 Sep;52(5):564-573
pubmed: 32652884
Lancet Psychiatry. 2020 Apr;7(4):e15-e16
pubmed: 32085839
Am J Psychiatry. 2020 Jul 1;177(7):635-636
pubmed: 32605443
J Affect Disord. 2020 Sep 1;274:1-7
pubmed: 32405111
J Clin Nurs. 2020 Aug;29(15-16):2734-2736
pubmed: 32472591
Behav Res Ther. 2017 Jan;88:19-25
pubmed: 28110672
JMIR Mhealth Uhealth. 2020 Jan 14;8(1):e14512
pubmed: 31934874