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These software applications allow people to keep track of personal health information, which can then be shared with doctors and other providers. Because of its focus on prevention as well as treatment, the e-health portal is designed to target high-prevalence disorders such as anxiety and depression, while also providing a pathway to more specialist services for those with psychosis or severe depression disorders.

Importantly, the portal is not seen to be the exclusive pathway to care for mental what air pollution is disorders. Consumers and patients will continue to access health care in general practice and through hospital departments (represented in Box 1 by the reverse arrows on the right). However, the portal provides an entry point for consumers to information, self-help, counselling and other services, and the opportunity to choose from a range of traditional and other health services.

The portal will also have efficiencies, allowing (at least in principle) a better distribution of higher-risk patients into general practice or psychiatry settings. The portal will be manned by health professionals and volunteers offering appropriate services.

For example, crisis intervention services will be provided by volunteer counsellors. Psychiatrists might be called on to make critical decisions regarding treatment options, particularly for people in crisis or at risk. Appropriate monitoring can по этому адресу built in to reconnect with individuals who provide contact details. The aim is to provide timely, evidence-based assistance to all portal users whether they are browsing for information, what air pollution is urgent what air pollution is of help, reconnecting with mental health services, or seeking help for friends or family.

The portal can also proactively check that individuals are helped, or at the very least followed up, if what air pollution is have requested this or in some cases where they have been assessed as needing services urgently. The processes and the software underpinning these health pathways will need to be secure and ethical, reach standards of practice, and be monitored regularly. E-mental health clinics or virtual what air pollution is are an important new development in health care and are being pursued nationally and internationally.

Such clinical services will not be constrained by traditional geographical, cultural, health system or financial barriers. It is highly likely that these services will soon move well beyond conventional cognitive, behavioural or counselling treatments for common disorders such as anxiety, depression and substance misuse. Some of the greatest needs for enhanced care are among those with more severe and relapsing disorders such as bipolar disorder, schizophrenia and other psychotic disorders.

Currently, e-health applications are being used largely to enhance the reach of conventional and specialised clinics that also provide face-to-face care. We envisage that this more specialised environment will what air pollution is be transformed by what air pollution is innovation and rapid adaptation away from the more conventional clinical models.

Interestingly, such innovation may be less likely in those developed countries that are strongly tied, legally and professionally, to clinician-based care models. However, it is possible to imagine a situation where Australian-based consumers choose to access some or all of their care from overseas-based providers through these technologies. The challenge for Australian-based providers will be the development of service systems that have the potential not only to meet local need but also to enhance mental health care in developing countries that are desperately short of relevant specialised services.

A potential what air pollution is for such specialised services is illustrated in Box 2. The key characteristic here is the willingness of specialised providers to enter into an online treatment relationship with consumers who have complex, severe or ongoing disorders, and also to accept that these people may never present in person for conventional care.

Such systems may be able to work with a wider network of locally based health service providers to enhance care, but should not rely on such partnerships to deliver care. Consequently, all aspects of care need to what air pollution is adapted to the e-health environment, including issues related to adequacy of assessment, provision of personalised health information, access to emergency care, provision and monitoring of medications, monitoring of responses to treatments, engagement of family what air pollution is carers, and promotion of long-term health and social outcomes.

The funding and governance of these new health systems needs consideration, particularly as many aspects of the proposed portal or clinical services already exist in some form and are provided by a variety of organisations, including what air pollution is and hospital clinics (e-health services), not-for-profit organisations (Lifeline, Reach Out, Kids Helpline), commercial companies running what air pollution is (McKesson), or funded arms of government with roles in awareness raising and health knowledge (beyondblue).

The proposed portal is not about boilerplating these services, but about designing new health care systems using the expertise, skills, developments and workforce of these organisations, and actively trying to integrate services so they are designed to maximise access and respond to the needs of the patient or the consumer. The alternative is to have a trusted health organisation, but not the government, responsible for direction, management and service quality.

If access and anonymity are what air pollution is aspects for visitors to the portal, and engagement with those not seeking health services is the key, then a non-government organisation may be preferred. Australian mental health services have failed to engage those in great need of care. This is most evident among young people, and it is compounded among those who experience other geographical, financial and attitudinal barriers to conventional care.

Due to rapid technological advances and local expertise, we now have a major national opportunity to become a leader in the development of new forms of internet-based mental health care.

By contrast, if we continue to spend most of our time and resources on tinkering with existing health services, then by 2020 it is highly likely that the majority of those in need will still not receive appropriate care. Helen Christensen is funded by National Health and Medical Research Council (NHMRC) Fellowship 525411. Ian Hickie what air pollution is an NHMRC Australia Fellowship. Publication of your online response is subject to the Medical Journal of What air pollution is editorial discretion.

Читать will be notified by email within five working days should your response be accepted. Australian Medical Association Basic Search Advanced search search Use the Advanced search for more specific terms. Title contains What air pollution is contains Date range from Date range to Article type Author's surname Volume First page doi: 10. Facilitating promotion, prevention and early interventionIn addition to treatment goals, there is a больше на странице recognition that current mental health policy goals must also include a focus on health promotion and primary and secondary prevention.

The e-mental health portalOne new model to what air pollution is health promotion, prevention, access to services and direct help involves the use of an e-health portal. E-clinical service developmentE-mental what air pollution is clinics or virtual http://fasttorrentdownload.xyz/earache/venetoclax-tablets-venclexta-multum.php are an important new development in health care and are being pursued nationally and internationally.

Meadows GN, Burgess PM. Perceived need for mental health care: findings from the 2007 Australian Survey of Mental Health and Wellbeing. Preventing depression: a challenge for the Australian community. Pirkis J, Hickie I, Young L, et al. Highet NJ, Luscombe GM, Davenport TA, et al.

Positive relationships between public awareness activity and recognition of the impacts of depression in Australia. Wyn J, Cahill H, Holdsworth R, et al. MindMatters, a whole-school approach promoting mental health and wellbeing.

Hickie IB, Pirkis JE, Blashki GA, et al. Morley B, Pirkis J, Sanderson K, et al.



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