ArticleJournal of medical Internet research2021
The Impact of Technology-Enabled Care Coordination in a Complex Mental Health System: A Local System Dynamics Model.
Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Dynamic Simulation Models of Suicide and Suicide-Related Behaviors: Systematic Review.JMIR public health and surveillance · 2024Pooled it
- Young People's Experiences Using a Digital Mental Health Tool to Support Their Care in a Real-World Service: Lived Experience-Led Qualitative Study.JMIR mental health · 2025Trial
- Clinical characteristics linked to persistent and emerging eating disorder risk trajectories in young people seeking mental health care.European child & adolescent psychiatry · 2026Article
- Improving frequency and content of referral correspondence between general practitioners and psychiatrists: a cross-sectional descriptive study.Primary health care research & development · 2025Observational
- Digital Tools to Support Post-Secondary Student Mental Health and Wellbeing.Early intervention in psychiatry · 2025Article
- Personalized and collaborative use of digital measurement-based care tools enhances engagement among young adults: a mixed-methods study.BMC health services research · 2025Article
- Implementation of Clinical Services for Adults with Obesity in Different Health Systems: A Scoping Review and Causal Loop Diagram.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025Review
- Evaluating the tailored implementation of a multisite care navigation service for mental health in rural and remote Australia (The Bridging Study): protocol for a community-engaged hybrid effectiveness-implementation study.Implementation science : IS · 2024Article
- Unpeeling the onion: Digital triage and monitoring of general practice, private psychiatry, and psychology.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2024Article
- Digital Application of Clinical Staging to Support Stratification in Youth Mental Health Services: Validity and Reliability Study.JMIR formative research · 2023Article
- The temporal dependencies between social, emotional and physical health factors in young people receiving mental healthcare: a dynamic Bayesian network analysis.Epidemiology and psychiatric sciences · 2023Article
- Premature mortality in young people accessing early intervention youth mental healthcare: data-linkage cohort study.BJPsych open · 2023Article
- An e-Mental Health Resource for COVID-19-Associated Stress Reduction: Mixed Methods Study of Reach, Usability, and User Perceptions.JMIR mental health · 2022Article
- iHealth: The ethics of artificial intelligence and big data in mental healthcare.Internet interventions · 2022Article
- Informing the Future of Integrated Digital and Clinical Mental Health Care: Synthesis of the Outcomes From Project Synergy.JMIR mental health · 2022Article
- Integrated Health and Social Services for People With Chronic Mental Health Problems: People Are More Important Than Processes. Insights From a Multiple Case Study in Swedish Psychiatry.Frontiers in public health · 2022Article
- Using Digital Technologies to Facilitate Care Coordination Between Youth Mental Health Services: A Guide for Implementation.Frontiers in health services · 2021Article
- The Potential Impact of Adjunct Digital Tools and Technology to Help Distressed and Suicidal Men: An Integrative Review.Frontiers in psychology · 2021Review
- AI-Based Prediction and Prevention of Psychological and Behavioral Changes in Ex-COVID-19 Patients.Frontiers in psychology · 2021Review
- Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrior to the COVID-19 pandemic, major shortcomings in the way mental health care systems were organized were impairing the delivery of effective care. The mental health impacts of the pandemic, the recession, and the resulting social dislocation will depend on the extent to which care systems will become overwhelmed and on the strategic investments made across the system to effectively respond.
objectiveThis study aimed to explore the impact of strengthening the mental health system through technology-enabled care coordination on mental health and suicide outcomes.
methodsA system dynamics model for the regional population catchment of North Coast New South Wales, Australia, was developed that incorporated defined pathways from social determinants of mental health to psychological distress, mental health care, and suicidal behavior. The model reproduced historic time series data across a range of outcomes and was used to evaluate the relative impact of a set of scenarios on attempted suicide (ie, self-harm hospitalizations), suicide deaths, mental health-related emergency department (ED) presentations, and psychological distress over the period from 2021 to 2030. These scenarios include (1) business as usual, (2) increase in service capacity growth rate by 20%, (3) standard telehealth, and (4) technology-enabled care coordination. Each scenario was tested using both pre- and post-COVID-19 social and economic conditions.
resultsTechnology-enabled care coordination was forecast to deliver a reduction in self-harm hospitalizations and suicide deaths by 6.71% (95% interval 5.63%-7.87%), mental health-related ED presentations by 10.33% (95% interval 8.58%-12.19%), and the prevalence of high psychological distress by 1.76 percentage points (95% interval 1.35-2.32 percentage points). Scenario testing demonstrated that increasing service capacity growth rate by 20% or standard telehealth had substantially lower impacts. This pattern of results was replicated under post-COVID-19 conditions with technology-enabled care coordination being the only tested scenario, which was forecast to reduce the negative impact of the pandemic on mental health and suicide.
conclusionsThe use of technology-enabled care coordination is likely to improve mental health and suicide outcomes. The substantially lower effectiveness of targeting individual components of the mental health system (ie, increasing service capacity growth rate by 20% or standard telehealth) reiterates that strengthening the whole system has the greatest impact on patient outcomes. Investments into more of the same types of programs and services alone will not be enough to improve outcomes; instead, new models of care and the digital infrastructure to support them and their integration are needed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.