Evidence has yet to identify ideal candidates for e-mental health.30 As a primary treatment pathway, e-mental health interventions are likely to be an appropriate option for people who have an increased risk of developing mental illness or mild to moderate symptoms of mental illness.24,31
here is less evidence for the use of e-mental health for certain populations, in part because research protocols typically exclude higher-risk groups from clinical trials. Alternatives or adjunctive treatment pathways should be considered for people who have:15,21,31,32
- complex and/or severe mental illness
- comorbid personality disorders and/or substance dependence
- an elevated risk of self-harm or suicide and require urgent clinical management.
Although patients will need to have adequate literacy skills to use e-mental health interventions, various international programs are offered in a range of languages other than English.