Forum 2-Abbi Herrold

1. Why are hybrid models of in-person and technology-delivered care considered as a new standard of care that we should move towards?

These models are easily accessible, more affordable, and more time efficient. Hybrid models have the ability to combine the best of both worlds: therapists and physicians are still able to meet with their patients in person and build a more genuine relationship, while at the same time they are able to ensure their client is doing their "homework" or performing intervention tasks via online modules. Additionally, it is easier for a team of healthcare providers to coordinate and collaborate via online platforms rather than in person. With this being said hybrid models can combine many "worlds" through stepped care models, access to specialists, endless options of delivery for online programs, asynchronous models, interdisciplinary roles, and improved training. A hybrid program combines all the advantages and eliminates all the disadvantages that the systems hold when utilized separately from each other, and this is why it should be implemented as a new standard of care

How are new technologies applied in the national and international cross-cultural MH services?

New technologies have been used to both improve communication between patient-and provider when there are language barriers, in addition to providing support to those living in other countries. Online translation systems have been used as a more cost effective way to help eliminate language barriers between the patient and provider. Additionally, these systems can be used in rural areas where one may not be able to find a professional translator. However, and even better option than the use of translators can be international telepsychiatry. For example, a patient who is a first generation immigrant from Italy who now resides in rural Indiana struggling with depression may not be able to effectively communicate with their therapist or feel that the therapist here cannot truly understand what he is going through as he has not lived in an Italian culture before. The patient could then be connected with a therapist in Italy and receive treatment from them via synchronous and asynchronous telepsychiatry. This system helps to eliminate stigma, improve care delivery, and patient satisfaction. However, it is important to note that this system does currently have limits as it is mainly being utilized in countries of the European Union. This excludes many countries, especially underdeveloped countries which may need access to this type of care the most.