Category: Disaster Mental Health
Debra Kaysen, ABPP, Ph.D.
Professor
Stanford University
Palo Alto, California
Katherine van Stolk Cooke, Ph.D.
Stanford University
Pacifica, California
Candice Monson, Ph.D.
Professor
Ryerson University
Toronto, Ontario, Canada
Debra Kaysen, ABPP, Ph.D.
Professor
Stanford University
Palo Alto, California
Shannon Wiltsey Stirman, Ph.D.
Associate Professor/Acting Deputy Director
Stanford University
Menlo Park, California
Skye Fitzpatrick, Ph.D.
Professor
York University
Toronto, Ontario, Canada
Kathryn Trottier, Ph.D.
University Health Network
Toronto, Ontario, Canada
The COVID-19 pandemic has had a profound, yet uneven impact on mental health both at a population level in increasing rates of depression, anxiety, and PTSD globally (Bourmistrova et al., 2022). A growing longitudinal literature suggests that COVID has time-limited effects that differ greatly across samples (Robinson et al., 2022). Among the most affected have been frontline healthcare workers, first responders, women, and vulnerable groups (Wirkner et al., 2022). The pandemic has also highlighted structural weaknesses in the mental health delivery system that predated the pandemic. As a result, COVID-19 precipitated the development of novel approaches to treatment delivery and treatment models to increase access to mental healthcare. mHealth and telehealth approaches have been key tools in the push to adapt and expand access to mental healthcare care over the course of the pandemic for several reasons. First, they offer just-in-time opportunities to reach individuals in the moments where they might need help the most (Muench, 2014). Second, have the capacity to expand the reach of evidence-based care to those who might not otherwise access treatment or tools (Price et al., 2018). At the same time, mHealth has challenges in terms of maintaining user engagement long enough to yield improvements, and in balancing the benefits of human augmentation against those of entirely computerized tools (Mohr et al., 2021). Thus, questions remain about what level of mHealth intervention are likely to be optimal for what populations in the context of COVID-19. This collection of talks highlight the development and testing of various transdiagnostic technology-based approaches to provide mental health interventions to address COVID-19-related mental health concerns. These studies vary the use of human augmentation to mHealth, with some using mental health professionals or paraprofessional coaches, and others being entirely computer guided. Studies also ranged in terms of use of evidence-based interventions adapted to telehealth versus evidence-informed strategies delivered via mHealth. This symposium will explore the feasibility, acceptability and efficacy of these approaches as well challenges in the use of mHealth. The first paper presents the results of a large randomized effectiveness-implementation trial comparing two different text-based therapies for PTSD and engagement strategies. The second paper presents the results of a randomized clinical trial of an an online guided self-help adaptation of Cognitive Behavioural Conjoint Therapy for PTSD (CBCT) for couples wherein one member has PTSD. The third paper reports on the development and early testing of an online guided transdiagnostic intervention for healthcare workers adapted from Cognitive Processing Therapy and Behavioral Activation. The final paper describes the implementation of a solely automated transdiagnostic platform designed to address common mental health concerns among healthcare workers. Our discussant is a renowned expert in treatment of trauma-related mental health concerns. She will address larger scale implications for the field of mental health care, especially in the context of disaster mental health.
Presenter: Debra Kaysen, ABPP, Ph.D. – Stanford University
Co-author: Eric Kuhn, Ph.D. – VA Palo Alto Health Care System/Stanford
Co-author: Janice Kuo, Ph.D. – Palo Alto University
Co-author: Szu-Chi Huang, PhD – Stanford Graduate School of Business
Co-author: Shannon Wiltsey Stirman, Ph.D. – Stanford University
Presenter: Shannon Wiltsey Stirman, Ph.D. – Stanford University
Co-author: Stefanie LoSavio, PhD – Duke University Medical Center
Co-author: Amber Calloway, Ph.D. – The Penn Collaborative for CBT and Implementation Science, Perelman School of Medicine, University of Pennsylvania
Co-author: Derrick Hull, PhD – Talkspace
Co-author: Katherine Dondanville, ph.D. – University of Texas Health Science Center at San Antonio
Presenter: Skye Fitzpatrick, Ph.D. – York University
Co-author: Alexander O. Crenshaw, Ph.D. – Ryerson University
Co-author: Robert Valela, BCom – Ryerson University
Co-author: Kristen M. Whitfield, PhD – Ryerson University
Co-author: sonya Varma, BSc – York University
Co-author: Alexis Collins, B.S. – Ryerson University
Co-author: Desiree H. Mensah, B.S. – York University
Co-author: Elizabeth A. Earle, PhD – York University
Co-author: Victoria L. Donkin, PhD – Ryerson University
Co-author: Christina Samonas, PhD – Ryerson University
Co-author: Sophie Goss, MA – York University
Co-author: Caitlin Martin-Newnham, MJ – York University
Co-author: Meredith Landy, Ph.D., Psy.D. – Ryerson University
Co-author: Ashley N. Siegel, Other – York University
Co-author: Jennifer Ip, M.A. – Ryerson University
Co-author: Julianne Bushe, None – Ryerson University
Co-author: Angela Xiang, PhD – Ryerson University
Co-author: Jeremiah Schumm, PhD – wright State Univeristy
Co-author: Leslie Morland, PsyD – University of California-San Diego/San Diego VA
Co-author: Brian Doss, Ph.D. – University of Miami
Co-author: Anne C. Wagner, Ph.D. – Remedy + Remedy Institute
Co-author: Candice M. Monson, Ph.D. – Ryerson University
Presenter: Kathryn Trottier, Ph.D. – University Health Network
Co-author: Susan E Abbey, MD – University Health Network
Co-author: Candice M. Monson, Ph.D. – Ryerson University
Co-author: Debra Kaysen, ABPP, Ph.D. – Stanford University
Co-author: Anne C Wagner, PhD – Remedy
Co-author: Rachel Liebman, PhD – University Health Network