Digital mental health treatment implementation playbook: successful practices from implementation experiences in American healthcare organizations

IntroductionDigital mental health treatments (DMHTs) have begun to be implemented in some healthcare systems across the United States. These implementations are conducted as business arrangements. Thus, information on successful or unsuccessful implementations is not published or disseminated. This...

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Main Authors: David C. Mohr, Alexandra L. Silverman, Soo Jeong Youn, Patricia Areán, Andrew Bertagnolli, Jenna Carl, Tarolyn Carlton, Neha Chaudhary, David Cooper, Shelly DeVito, Stephanie Eaneff, Megan Flom, Valerie L. Forman-Hoffman, Leanna Fortunato, Karen Franchino, Andrea K. Graham, Heidi Greenberger, Jessica Hauflaire, Benjamin Kaveladze, Rachel Kornfield, Kaylee P. Kruzan, Eric Kuhn, Carolyn MacIver, Frederick Muench, Regina Misch, Adrian Ortega, Lisa Palko, Derek Richards, Louisa Salhi, Jonathan Schremp, Eva Szigethy, Nathan Tatro, Bethany A. Teachman, Trina Histon
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Digital Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fdgth.2025.1509387/full
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author David C. Mohr
David C. Mohr
Alexandra L. Silverman
Alexandra L. Silverman
Soo Jeong Youn
Soo Jeong Youn
Soo Jeong Youn
Patricia Areán
Andrew Bertagnolli
Jenna Carl
Tarolyn Carlton
Neha Chaudhary
David Cooper
Shelly DeVito
Stephanie Eaneff
Megan Flom
Valerie L. Forman-Hoffman
Leanna Fortunato
Karen Franchino
Andrea K. Graham
Heidi Greenberger
Jessica Hauflaire
Benjamin Kaveladze
Rachel Kornfield
Kaylee P. Kruzan
Eric Kuhn
Eric Kuhn
Carolyn MacIver
Frederick Muench
Regina Misch
Adrian Ortega
Lisa Palko
Derek Richards
Derek Richards
Louisa Salhi
Jonathan Schremp
Eva Szigethy
Eva Szigethy
Nathan Tatro
Bethany A. Teachman
Bethany A. Teachman
Trina Histon
author_facet David C. Mohr
David C. Mohr
Alexandra L. Silverman
Alexandra L. Silverman
Soo Jeong Youn
Soo Jeong Youn
Soo Jeong Youn
Patricia Areán
Andrew Bertagnolli
Jenna Carl
Tarolyn Carlton
Neha Chaudhary
David Cooper
Shelly DeVito
Stephanie Eaneff
Megan Flom
Valerie L. Forman-Hoffman
Leanna Fortunato
Karen Franchino
Andrea K. Graham
Heidi Greenberger
Jessica Hauflaire
Benjamin Kaveladze
Rachel Kornfield
Kaylee P. Kruzan
Eric Kuhn
Eric Kuhn
Carolyn MacIver
Frederick Muench
Regina Misch
Adrian Ortega
Lisa Palko
Derek Richards
Derek Richards
Louisa Salhi
Jonathan Schremp
Eva Szigethy
Eva Szigethy
Nathan Tatro
Bethany A. Teachman
Bethany A. Teachman
Trina Histon
author_sort David C. Mohr
collection DOAJ
description IntroductionDigital mental health treatments (DMHTs) have begun to be implemented in some healthcare systems across the United States. These implementations are conducted as business arrangements. Thus, information on successful or unsuccessful implementations is not published or disseminated. This slows progress, as experiences and learnings are siloed within each organization, hindering or preventing learning across implementations and slowing the progress. To address this, the Society for Digital Mental Health established a DMHT Implementation Workgroup, with the goal of developing a DMHT Playbook that describes current best practices in DMHT implementation in American healthcare settings.MethodsThe workgroup was comprised of representatives from 7 healthcare systems and 10 DMHT companies that have conducted implementations, along with other stakeholders and technical experts. The workgroup met virtually to discuss implementation of effective DMHT implementation processes and inform the development of an interview guide, which was then administered to another 20 key opinion leaders with DMHT implementation experience. Concepts and thematic constructs were extracted by experts in qualitative data analysis. These findings were discussed and refined by the Workgroup based on the Workgroup's experience.ResultsThe resulting playbook includes detailed methods, processes and procedures, representing practices that have been successful for implementing DMHTs in healthcare settings.DiscussionThe workgroup recognizes that DMHT implementation is a rapidly evolving field. The successful practices for DMHT implementation described in this playbook may be useful for improving the efficiency of future DMHT implementations in American healthcare systems. However, the authors caution that as the field rapidly evolves, successful implementation practices will likely evolve as well.
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spelling doaj-art-72e84d4d6f294253a89e75554bfdf80b2025-02-11T06:59:59ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2025-02-01710.3389/fdgth.2025.15093871509387Digital mental health treatment implementation playbook: successful practices from implementation experiences in American healthcare organizationsDavid C. Mohr0David C. Mohr1Alexandra L. Silverman2Alexandra L. Silverman3Soo Jeong Youn4Soo Jeong Youn5Soo Jeong Youn6Patricia Areán7Andrew Bertagnolli8Jenna Carl9Tarolyn Carlton10Neha Chaudhary11David Cooper12Shelly DeVito13Stephanie Eaneff14Megan Flom15Valerie L. Forman-Hoffman16Leanna Fortunato17Karen Franchino18Andrea K. Graham19Heidi Greenberger20Jessica Hauflaire21Benjamin Kaveladze22Rachel Kornfield23Kaylee P. Kruzan24Eric Kuhn25Eric Kuhn26Carolyn MacIver27Frederick Muench28Regina Misch29Adrian Ortega30Lisa Palko31Derek Richards32Derek Richards33Louisa Salhi34Jonathan Schremp35Eva Szigethy36Eva Szigethy37Nathan Tatro38Bethany A. Teachman39Bethany A. Teachman40Trina Histon41Department of Preventive Medicine, Center for Behavioral Intervention Technologies, Northwestern University, Chicago, IL, United StatesSociety for Digital Mental Health, Irvine, CA, United StatesSociety for Digital Mental Health, Irvine, CA, United StatesDepartment of Psychiatry, Harvard Medical School, Boston, MA, United StatesSociety for Digital Mental Health, Irvine, CA, United StatesDepartment of Psychiatry, Harvard Medical School, Boston, MA, United StatesReliant Medical Group, OptumCare, Worcester, MA, United StatesDivision of Services and Intervention Research, National Institute of Mental Health, Bethesda, MD, United StatesOne Medical, Alliant University-San Francisco Bay, California School of Professional Psychology, San Francisco, CA, United StatesBig Health, San Francisco, CA, United StatesDevelopment & Commercialization, Otsuka Pharmaceutical Inc, Princeton, NJ, United StatesModern Health, San Francsico, CA, United States0TelaDoc, Purchase, NY, United StatesModern Health, San Francsico, CA, United States1Woebot Health, San Francisco, CA, United States1Woebot Health, San Francisco, CA, United States1Woebot Health, San Francisco, CA, United States2American Psychological Association, Washington, DC, United States3Care Management Institute, Mental Health and Wellness, Kaiser Permanente, Oakland, CA, United StatesDepartment of Preventive Medicine, Center for Behavioral Intervention Technologies, Northwestern University, Chicago, IL, United States4AbleTo Inc., New York, NY, United States5Digital Therapeutics Alliance, Arlington, VA, United StatesDepartment of Preventive Medicine, Center for Behavioral Intervention Technologies, Northwestern University, Chicago, IL, United StatesDepartment of Preventive Medicine, Center for Behavioral Intervention Technologies, Northwestern University, Chicago, IL, United StatesDepartment of Preventive Medicine, Center for Behavioral Intervention Technologies, Northwestern University, Chicago, IL, United States6National Center for PTSD, U.S. Department of Veterans Affairs, Palo Alto, CA, United States7Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, United States8Adaptive Health, Chicago, IL, United States9Feinstein Institutes for Medical Research, Manhasset, NY, United States0Kooth Digital Health Services, Chicago, IL, United StatesDepartment of Preventive Medicine, Center for Behavioral Intervention Technologies, Northwestern University, Chicago, IL, United StatesSociety for Digital Mental Health, Irvine, CA, United States1SilverCloud by Amwell, Dublin, Ireland2School of Psychology, Trinity College Dublin, Dublin, Ireland0Kooth Digital Health Services, Chicago, IL, United States3Digital Health and Engagement, Banner Health, Phoenix, AZ, United States4Pediatric Psychology and Psychiatry, Akron Children’s Hospital, Akron, OH, United States5Department of Psychiatry and Medicine, University of Pittsburgh, Pittsburgh, PA, United States6Mental Health America, Alexandria, VA, United StatesSociety for Digital Mental Health, Irvine, CA, United States7Department of Psychology, University of Virginia, Charlottesville, VA, United States1Woebot Health, San Francisco, CA, United StatesIntroductionDigital mental health treatments (DMHTs) have begun to be implemented in some healthcare systems across the United States. These implementations are conducted as business arrangements. Thus, information on successful or unsuccessful implementations is not published or disseminated. This slows progress, as experiences and learnings are siloed within each organization, hindering or preventing learning across implementations and slowing the progress. To address this, the Society for Digital Mental Health established a DMHT Implementation Workgroup, with the goal of developing a DMHT Playbook that describes current best practices in DMHT implementation in American healthcare settings.MethodsThe workgroup was comprised of representatives from 7 healthcare systems and 10 DMHT companies that have conducted implementations, along with other stakeholders and technical experts. The workgroup met virtually to discuss implementation of effective DMHT implementation processes and inform the development of an interview guide, which was then administered to another 20 key opinion leaders with DMHT implementation experience. Concepts and thematic constructs were extracted by experts in qualitative data analysis. These findings were discussed and refined by the Workgroup based on the Workgroup's experience.ResultsThe resulting playbook includes detailed methods, processes and procedures, representing practices that have been successful for implementing DMHTs in healthcare settings.DiscussionThe workgroup recognizes that DMHT implementation is a rapidly evolving field. The successful practices for DMHT implementation described in this playbook may be useful for improving the efficiency of future DMHT implementations in American healthcare systems. However, the authors caution that as the field rapidly evolves, successful implementation practices will likely evolve as well.https://www.frontiersin.org/articles/10.3389/fdgth.2025.1509387/fulldigital mental healthdigital therapeuticsimplementation scienceclinical workflow integrationkey performance indicators
spellingShingle David C. Mohr
David C. Mohr
Alexandra L. Silverman
Alexandra L. Silverman
Soo Jeong Youn
Soo Jeong Youn
Soo Jeong Youn
Patricia Areán
Andrew Bertagnolli
Jenna Carl
Tarolyn Carlton
Neha Chaudhary
David Cooper
Shelly DeVito
Stephanie Eaneff
Megan Flom
Valerie L. Forman-Hoffman
Leanna Fortunato
Karen Franchino
Andrea K. Graham
Heidi Greenberger
Jessica Hauflaire
Benjamin Kaveladze
Rachel Kornfield
Kaylee P. Kruzan
Eric Kuhn
Eric Kuhn
Carolyn MacIver
Frederick Muench
Regina Misch
Adrian Ortega
Lisa Palko
Derek Richards
Derek Richards
Louisa Salhi
Jonathan Schremp
Eva Szigethy
Eva Szigethy
Nathan Tatro
Bethany A. Teachman
Bethany A. Teachman
Trina Histon
Digital mental health treatment implementation playbook: successful practices from implementation experiences in American healthcare organizations
Frontiers in Digital Health
digital mental health
digital therapeutics
implementation science
clinical workflow integration
key performance indicators
title Digital mental health treatment implementation playbook: successful practices from implementation experiences in American healthcare organizations
title_full Digital mental health treatment implementation playbook: successful practices from implementation experiences in American healthcare organizations
title_fullStr Digital mental health treatment implementation playbook: successful practices from implementation experiences in American healthcare organizations
title_full_unstemmed Digital mental health treatment implementation playbook: successful practices from implementation experiences in American healthcare organizations
title_short Digital mental health treatment implementation playbook: successful practices from implementation experiences in American healthcare organizations
title_sort digital mental health treatment implementation playbook successful practices from implementation experiences in american healthcare organizations
topic digital mental health
digital therapeutics
implementation science
clinical workflow integration
key performance indicators
url https://www.frontiersin.org/articles/10.3389/fdgth.2025.1509387/full
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