Digital Health and Serious Mental Illness

Any mental health practice can use digital health and digital literacy to enhance care for serious mental illness.

There are steps you can take right now

Let us show you how. Where do you want to start?

Put Digital Health Ideas Into Action

Use this simple tool to identify digital health solutions that can help support recovery goals for people who have serious mental illness (SMI). Get practical solutions that help foster independence, promote self-care, reduce stress, and more.

Create a Safety Plan

Work with individuals to create a journal using the Notes app

Have an individual open the Notes app (or other note-taking apps, such as Google Keep) on their Apple or Android device. Talk with them about how to record their thoughts, ideas, and plans using the app. Show them how to use the native sharing functionality to share their notes with others.

How to use the Notes app on Apple iOS

How to create notes using Google Keep

Use the Health app on Apple devices to make their health information accessible

Have an individual open the Settings app on their Apple device. Scroll to the Medical Details section and select Medical ID. Show them how to input information on their medications, conditions, allergies, and more. They can also choose to enable sharing of this information on their phone lock screen and during an emergency call.

How to set up your Medical ID on Apple iOS

Learn about the Medical ID app for Android devices

Create a Self-Care Regimen

Use the Calendar app to create self-care reminders

Have an individual open the Calendar app on their device. Set up daily, recurring reminders for self-care activities like meditation or exercise. You can also place these reminders or Calendar apps as widgets on the device's home screen.

How to use Calendar on Apple iOS

How to create events in Google Calendar

Keep My Home or Apartment Clean

Use the Calendar app to create household reminders

Have an individual open the Calendar app on their device. Set up a daily, recurring reminder for activities related to their household, such as chores, paying bills, grocery shopping, and more. You can also place these reminders or Calendar apps as widgets on the device's home screen. At the end of each activity, they can take a photo of what they completed, such as an area they cleaned. This can be useful as they can look at the photos and reflect back on their progress.

How to use Calendar on Apple iOS

How to create events in Google Calendar

Use an app to create a cleaning schedule and reminders

Have an individual open their app store. Help them search for and download an app that tracks their hoursehold chores. This may include a third-party app on any device such as Sweepy, HomeRoutines, BrightNest, Tody, and many more. Show them how to create a profile, enter and organize their chorse, and create reminders to alert them when they need to make time for cleaning. Note: many of these apps are not free and may have subscription pricing.

See a list and review of housekeeping apps

Engage My Family in My Care

Set up data sharing in the Health app on Apple devices

Have an individual open the Health app on their Apple device. Select the Sharing tab and follow the prompts to enable data sharing with family members.

How to set up data sharing in Health on Apple iOS

Set up sharing in the Calendar app

Have an individual open the Calendar app on their device. Share the calendar with family members so they can see any events, reminders, and other health-related information.

How to share iCloud calendars on Apple iOS

How to share a Google Calendar

Track My Own Finances

Show them how to use apps that help track their budget and spending

Have an individual open their app store. Help them search for and download an app that tracks their budget and spending. This may include a third-party app on any device such as Mint, Goodbudget, Empower, YNAB, and many more. Show them how to create a profile, connect their bank account(s), and create reminders to alert them when they need to pay a bill. Note: many of these apps are not free and may have subscription pricing.

See a list and review of budgeting apps

Use the Calendar app to create bill reminders

Have an individual open the Calendar app on their device. Set up a recurring reminder that identifies the medication the person should take. Schedule the reminder to repeat on the days and times when they need to take the medication. You can also place this reminder or Calendar app as a widget on the device's home screen.

How to use Calendar on Apple iOS

How to create events in Google Calendar

Show them how to use banking websites and apps to pay bills

Have an individual open their banking website. They can also open their app store and you can help them search for and download an app for their bank. Show them how to create a profile, log in to their bank account(s), pay bills, and set up automatic payments for important weekly or monthly bills. Note: many of these apps are not free and may have subscription pricing.

Read an overview about using banking websites and apps

Use the Wallet app to organize important information like credit cards

Have an individual open the Apple Wallet app on their iOS device or Google Wallet on their Android device. Show them how to add, access, and use credit and debit cards, identification, tickets, and more. Explain how this helps ensure that they always have their payment information on hand and accessible.

How to use Apple Wallet

How to use Google Wallet

Improve My Physical Health

Use the Calendar app to create self-care reminders

Have an individual open the Calendar app on their device. Set up daily, recurring reminders for self-care activities like meditation or exercise. You can also place these reminders or Calendar apps as widgets on the device's home screen.

How to use Calendar on Apple iOS

How to create events in Google Calendar

Take Medication As Indicated

Set up alarms that serve as medication reminders

Have an individual open the Clock app on their device. Set up a recurring alarm with a label that identifies the medication the person should take. Schedule the alarm to repeat on the days and times when they need to take the medication.

How to set up an alarm on Apple iOS

How to set up an alarm on Android devices

Use the Calendar app to create medication reminders

Have an individual open the Calendar app on their device. Set up a recurring reminder that identifies the medication the person should take. Schedule the reminder to repeat on the days and times when they need to take the medication. You can also place this reminder or Calendar app as a widget on the device's home screen.

How to use Calendar on Apple iOS

How to create events in Google Calendar

Work with individuals to track adherence using the Notes app

Have an individual open the Notes app (or other note-taking apps, such as Google Keep) on their Apple or Android device. Talk with them about how to record and track when they take their medication(s). Show them how to use the native sharing functionality to share their notes with others.

How to use the Notes app on Apple iOS

How to create notes using Google Keep

Show individuals how to research the benefits on their medications

Open a browser on the person's device and show them how and where to search for information on their medication(s). You can start with a Google search and explain how to identify sources that they can trust. Point out where to find any relevant details that may be helpful for them to know about their medication(s).

Helpful sources of information on medications:

Drugs.com

Mayo Clinic

MedlinePlus

National Institute of Mental Health

U.S. Food and Drug Administration

WebMD

Obtain a Phone

Enroll the person in the Lifeline program

The Lifeline program provides a discount on phone service for qualifying low-income consumers. It is available to eligible low-income consumers in every state, territory, commonwealth, and on Tribal lands. The Lifeline program is administered by the Universal Service Administrative Company (USAC). USAC is responsible for data collection and maintenance, support calculation, and disbursement for the low-income program.

Learn about Lifeline and the program requirements

Enroll the person in the Affordable Connectivity Program

The Affordable Connectivity Program is an FCC benefit program that helps ensure that households can afford the broadband they need for work, school, healthcare and more. The benefit provides a monthly discount of up to $30 per month toward internet service for eligible households and up to $75 per month for households on qualifying Tribal lands. Eligible households can also receive a one-time discount of up to $100 to purchase a laptop, desktop computer, or tablet from participating providers if they contribute more than $10 and less than $50 toward the purchase price.

Learn about the program and its requirements

Direct the person to use internet access at a public library

Virtually all libraries offer free public Wi-Fi access. This provides a way for individuals to access email, record and share information, and more. You can help them locate the library nearest to where they live and prepare them for what to do there.

Find libraries in any state

Raise My Overall Motivation

Add a photo widget to their device home screen

Work with the person to edit the home screen on their device to add a photo widget. This widget can display a photo gallery of family members, pets, positive interactions, events, people, or other things that help them feel encouraged and positive.

Add a photo widget on Apple iOS

Ways to add picture widgets on Android devices

Change the wallpaper on their device home screen

Have an individual open the Settings app on their Apple device. Scroll to the Wallpaper section and explain how they can choose their own photo to display. It can be a photo gallery of family members, pets, positive interactions, events, people, or other things that help them feel encouraged and positive.

Change the wallpaper on Apple iOS

Change the wallpaper on Android devices

Show them how to use podcasts

Have the person open the podcast app on their device. Show them how to search for, subscribe to, and listen to podcasts on topics that focus on motivational conent and other positive topics.

How to listen to podcasts on Apple iOS

How to listen to podcasts on Android devices

Show them how to use music apps

Have the person open the music app on their device. This may be the Music app on Apple iOS, the YouTube Music app on Android devices, or a third-party app on any device such as Spotify, Pandora, and many others. Show them how to search for music, listen to songs, and create playlists that may help them feel motivated and positive.

How to use the Apple Music app

How to use the YouTube Music app

Track My Mood and Symptoms

Show them how to use apps that help track their moods

Have an individual open their app store. Help them search for and download an app that tracks their daily moods. This may include a third-party app on any device such as Daylio, Moodfit, MoodTools, eMoods, MoodKit, and many more. Show them how to create a profile, input details on their mood, and create reminders to alert them when they need to track their mood. Note: many of these apps are not free and may have subscription pricing.

See a list and review of hydration apps

Increase Resilience Against Negative Triggers

Set up location-based reminders with motivational messages

Have an individual open the Reminders app on their Apple device. Set up a location-based reminder that delivers a motivational message if the person goes to specific locations or social settings that usually involve substance use. Schedule the reminder to repeat any time they arrive at the location(s). You can also use this kind of reminder to deliver a positive affirmation when they leave a location after they attend a group meeting, for example.

How to use location-based reminders on Apple iOS

How to use location-based reminders using Google Keep

Lose Weight

Use the Health app to track data on nutrition and fitness

Have an individual open the Health app on their Apple or Android device. Locate the areas where you can enter and track data on physical activity, nutrition, medications, mindfulness, sleep, and more -- in the Health app in Apple iOS, for example, this is on the Browse tab. You can explain and show them how to enter any relevant details that may be helpful to managing weight gain. You can also show them how to enable sharing so they can send you their data.

Learn about the Health app on Apple iOS

Learn about Health Connect on Android devices

Create an individualized exercise plan and make sure tracking is enabled

You can create an exercise plan with a person that fits their individual goals, treatment plans, and devices. If they have a wearable device like a smart watch, for example, you can easily make sure that their watch syncs data with the Health app on their phone. You can also enable any other sensors or settings to make sure their device captures and shares any relevant data.

How to manage data and sharing in the Health app on Apple iOS

Learn about Health Connect on Android devices

Track food intake using the camera on their device

Any time a person has a meal, have them take a picture of their food and send it to you via email or text. You can show them how to create an album in the Photos app on their device. You can also show them how to use native sharing functionality to send phoos via text or email.

How to use the Photos app on Apple iOS

How to use Google Photos on Android devices

Show them how to use apps that track water consumption

Have an individual open their app store. Help them search for and download an app that tracks daily water consumption. This may include a third-party app on any device such as My Water, WaterMinder, Aqualert, Hydro Coach, and many more. Show them how to create a profile, input their water consumption, and create reminders to alert them when they need to drink water. Note: many of these apps are not free and may have subscription pricing.

See a list and review of hydration apps

Plan Ahead for a Crisis

Use the Health app on Apple devices to identify emergency contacts

Have an individual open the Settings app on their Apple device. Scroll to the Medical Details section and select Medical ID. Show them how to input information in this section for emergency contacts. If they ever have a physcial or mental health crisis and call 911 or 988, the Health app will automatically send their current location to these emergency contacts.

How to set up your Medical ID on Apple iOS

Learn how to add emergency contacts to Android devices

Use the My Mental Health Crisis Plan app to create a crisis plan

My Mental Health Crisis plan is a free app from SMI Adviser. It provides an easy step-by-step process for individuals to create and share a crisis plan. It also walks through the steps a person has to take to turn their crisis plan into a a psychiatric advance directive (PAD). A PAD is a legal document that includes a list of instructions and preferences that a person wishes to be followed in case of a mental health crisis. My Mental Health Crisis Plan allows anyone to easily share their crisis plans or PADs via QR codes and native sharing functionality.

Download My Mental Health Crisis Plan

Use the Health app on Apple devices to make their health information accessible

Have an individual open the Settings app on their Apple device. Scroll to the Medical Details section and select Medical ID. Show them how to input information on their medications, conditions, allergies, and more. They can also choose to enable sharing of this information on their phone lock screen and during an emergency call.

How to set up your Medical ID on Apple iOS

Learn about the Medical ID app for Android devices

Feel Connected to Other People

Show them how to use phone, video, and text apps

Have the person open their apps for phone calls, video calls, and texts. Explain what each app does and show them how to use the features in each app to contact other people.

How to use FaceTime on Apple iOS

How to use Google Meet on Android devices

Use the Calendar app to create reminders for social events

Have an individual open the Calendar app on their device. Set up recurring reminders for social events that the person should attend to connect with other people. You can also place these reminders or Calendar app as a widget on the device's home screen.

How to use Calendar on Apple iOS

How to create events in Google Calendar

Add a photo widget to their device home screen

Work with the person to edit the home screen on their device to add a photo widget. This widget can display a photo gallery of family photos, positive interactions, or other events and people that help them feel connected.

Add a photo widget on Apple iOS

Ways to add picture widgets on Android devices

Use a voice memo app to record and save audio messages from loved ones

Work with family members to record and save positive audio messages on the individual's device. On Apple iOS, for example, this can be done using the Voice Memo app. Simply open the app and hit the Record button. These audio messages are available for playback at any time.

How to use the Voice Memo app on Apple iOS

How to record audio on Android devices

Use the Camera app to record and save video messages from loved ones

Work with family members to record and save positive video messages on the individual's device. Simply open the Camera app and hit the Record button. These video messages are available for playback at any time.

How to use the Camera app on Apple iOS

How to use the Camera app on Android devices

Show them how to create a group text chat

Have the person open their app for texts. Show them how to add multiple people to a text message and start a group conversation.

How to create a group conversation on Apple iOS

How to create group messages on Android devices

Show them how to use Facebook Groups

Have the person download and open the Facebook app on their Apple or Android device. Show them how to search for and find Facebook Groups that have people with similar interests, conditions, recovery goals, and more. Explain how they can use these groups to comment, post, and interact with people.

Learn more about Facebook Groups

Reduce Stress

Show them how to use podcasts

Have the person open the podcast app on their device. Show them how to search for, subscribe to, and listen to podcasts on topics that focus on motivational content and other positive topics.

How to listen to podcasts on Apple iOS

How to listen to podcasts on Android devices

Show them how to use music apps

Have the person open the music app on their device. This may be the Music app on Apple iOS, the YouTube Music app on Android devices, or a third-party app on any device such as Spotify, Pandora, and many others. Show them how to search for music, listen to songs, and create playlists that may help them feel motivated and positive.

How to use the Apple Music app

How to use the YouTube Music app

Show them how to use guided meditation apps

Have an individual open their app store. Help them search for and download a meditation app that fits their needs. This may include a third-party app on any device such as Calm, Headspace, Insight Timer, Breathwrk, Smiling Mind, and many more. Show them how to find and complete guided meditation exercises that may help them reduce stress. Note: many of these apps are not free and may have subscription pricing.

See a list and review of meditation apps

Use a voice memo app to record a guided meditation

You can use the voice memo app to record and save a guided meditation on the individual's device. On Apple iOS, for example, this can be done using the Voice Memo app. Simply open the app and hit the Record button. These audio messages are available for playback at any time.

How to use the Voice Memo app on Apple iOS

How to record audio on Android devices

Use a voice memo app to record reminders about their own calming techniques

Have the person use the voice memo app to record and save an audio reminder about calming techniques that are effective for them. On Apple iOS, for example, this can be done using the Voice Memo app. Simply open the app and hit the Record button. These audio messages are available for playback at any time during moments of anxiety.

How to use the Voice Memo app on Apple iOS

How to record audio on Android devices

Show them how to use the Do Not Disturb setting

Have the person open their settings. Show them how to use the Do Not Disturb setting to silence calls, alerts, and notifications. This can be helpful to ensure that individuals take a break from screen time.

How to use Do Not Disturb on Apple iOS

How to create group messages on Android devices

Improve Sleep

Show them how to use guided meditation apps

Have an individual open their app store. Help them search for and download a meditation app that fits their needs. This may include a third-party app on any device such as Calm, Headspace, Insight Timer, Breathwrk, Smiling Mind, and many more. Show them how to find and complete guided meditation exercises that may help them get better and higher-quality sleep. Note: many of these apps are not free and may have subscription pricing.

See a list and review of meditation apps

Show them how to use the Sleep Focus setting

Have the person open their settings. Show them how to use the Sleep Focus setting to reduce distractions before and during bedtime.

How to use Sleep Focus on Apple iOS

How to set a bedtime schedule on Android devices

Show them how to use the Night Shift setting

Have the person open their settings. Show them how to use the Night Shift setting to make viewing the screen easier on their eyes at night.

How to use Night Shifts on Apple iOS

How to enable Dark Mode on Android devices

Show them how to use white noise apps

Have an individual open their app store. Help them search for and download a white noise app that fits their needs. This may include a third-party app on any device such as Sleep Sounds, White Noise Lite, BetterSleep, and many more. Show them how to find and select from the sound options, as many people find that listening to these sounds helps them relax and lessens the disruption from unexpected noises. Note: many of these apps are not free and may have subscription pricing.

See a list and review of white noise apps

What goals are you looking to achieve with a person?

Select an option to see more information

Digital Health and Digital Literacy — Keys to Better Mental Health Outcomes

It is a person's ability to find, evaluate, navigate, understand, and use technology.

Why is digital health a powerful concept for mental health clinicians to embrace?

Because there are digital ways to directly connect with and support the mental health of every person.

96%
Pew Research Center (2021). Internet/Broadband Fact Sheet. Retrieved from here.

of U.S. adults own
a mobile phone

43%
National Institutes of Health. Health Information National Trends Survey. HINTS 5, Cycle 3, 2019. Retrieved from here.

of Americans have used digital devices or the internet to communicate with a doctor or doctor's office

*In the last 12 months

Do you know what digital literacy means?

Here are a few examples of digital literacy at work in mental health settings. Can an individual who receives care:

  • Follow instructions on how to register for an online patient portal
  • Send a clinician a new message without difficulty
  • Download and register for a mental health self-care ap
  • Find and understand the privacy policy of an app
  • Connect to a telehealth appointment without difficulty
  • Activate, use, and share data from a wearable device, like a smart watch
37%
National Institutes of Health. Health Information National Trends Survey. HINTS 5, Cycle 3, 2019. Retrieved from here.

of Americans agree that it look a lot of effort to get what they needed from their most recent search for information about health or medical topics

80%
National Institutes of Health. Health Information National Trends Survey. HINTS 5, Cycle 3, 2019. Retrieved from here.

of Americans would be willing to share health data from wearables devices with their health care providers

Telehealth helps overcome barriers

Substance Abuse and Mental Health Services Administration (SAMHSA). Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders. SAMHSA Publication No. PEP21-06-02-001 Rockville, MD: National Mental Health and Substance Use Policy Laboratory. Substance Abuse and Mental Health Services Administration, 2021.

Digital literacy skills can help address health disparities. When people who have SMI have better digital skills, you can use more digital health solutions to support their care and recovery.

Think about telehealth, for example. Mental health clinicians can use telehealth to deliver care and help individuals overcome barriers such as...

  • Hearing, Physical, and Visual Impairments
  • Isolation
  • Stigma
  • Geographic Distance
  • Employment Status
15.6%
Substance Abuse and Mental Health Services Administration (SAMHSA). Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders. SAMHSA Publication No. PEP21-06-02-001 Rockville, MD: National Mental Health and Substance Use Policy Laboratory. Substance Abuse and Mental Health Services Administration, 2021.

of people who have SMI live in rural areas

43%
Substance Abuse and Mental Health Services Administration (SAMHSA). Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders. SAMHSA Publication No. PEP21-06-02-001 Rockville, MD: National Mental Health and Substance Use Policy Laboratory. Substance Abuse and Mental Health Services Administration, 2021.

43% of people who have SMI are unemployed or out of the workforce

How can you use digital literacy to improve a person's mental health if they have SMI?

It's simple. If someone has better digital literacy skills, you can use digital health tools to engage them in their own care.

Here are a few examples on how digital literacy skills lead to better engagement.

  • Recovery support:

    People can access online resources, self-care apps, digital communities, and more

  • Treatment adherence:

    Individuals use medication reminders, virtual appointments, and other technology that supports their care plan

  • Privacy and security:

    People know how to keep their personal information safe

37.5%
Johnson C, Richwine C, & Patel V. Individuals’ Access and Use of Patient Portals and Smartphone Health Apps. ONC Data Brief, no.57. Office of the National Coordinator for Health Information Technology: Washington DC. September 2021.

of those people say they used a health app in the last year

50%
Johnson C, Richwine C, & Patel V. Individuals’ Access and Use of Patient Portals and Smartphone Health Apps. ONC Data Brief, no.57. Office of the National Coordinator for Health Information Technology: Washington DC. September 2021.

of Americans say they have a mobile health app on their device

Myths and Facts About Digital Health

Busting some myths about digital health.

Myth

People who have SMI do not have devices to access digital health solutions

Fact
Young AS, Cohen AN, Niv N, Nowlin-Finch N, Oberman RS, Olmos-Ochoa TT, Goldberg RW, Whelan F. Mobile Phone and Smartphone Use by People With Serious Mental Illness. Psychiatr Serv. 2020 Mar 1;71(3):280-283. doi: 10.1176/appi.ps.201900203. Epub 2019 Nov 20. PMID: 31744429; PMCID: PMC7054173.

86% of people who have SMI use a mobile phone

Debunk More Myths
Myth

People who receive care via telehealth think that it is not effective or prefer in-person care

Fact
Substance Abuse and Mental Health Services Administration (SAMHSA). Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders. SAMHSA Publication No. PEP21-06-02-001 Rockville, MD: National Mental Health and Substance Use Policy Laboratory. Substance Abuse and Mental Health Services Administration, 2021.

Individuals often report comparable satisfaction between telehealth and in-person care

See More On Telehealth
Myth

People who have SMI are not interested and do not benefit from inclusion in digital communities

Fact
Shpigelman CN, Tal A, Zisman-Ilani Y. Digital Community Inclusion of Individuals With Serious Mental Illness: A National Survey to Map Digital Technology Use and Community Participation Patterns in the Digital Era. JMIR Ment Health. 2021 Sep 21;8(9):e28123. doi: 10.2196/28123. PMID: 34546177; PMCID: PMC8493452.

Virtual communities can have a positive impact on emotions and recovery for individuals who have SMI

Review Study Data
Myth

People who have SMI do not benefit from digital literacy training

Fact
Shpigelman CN, Tal A, Zisman-Ilani Y. Digital Community Inclusion of Individuals With Serious Mental Illness: A National Survey to Map Digital Technology Use and Community Participation Patterns in the Digital Era. JMIR Ment Health. 2021 Sep 21;8(9):e28123. doi: 10.2196/28123. PMID: 34546177; PMCID: PMC8493452.

Digital literacy training can improve functional digital skills for people who have SMI

Review Study Data

Who Owns Digital Literacy?

Digital literacy skills are important for clinicians, practice support staff, and individuals who receive care. This helps align digital tools, data, processes, and systems to optimize care and support. So who can teach all those groups all the skills they need?

Answer: The Digital Health Navigator (DHN)

What is a Digital Health Navigator?

A team member who is able to facilitate and implement technology into care.

DHN

Experienced or early-career clinician

Who Fills the Role of Digital Health Navigator?

Medical assistant

Nurse case manager

Office staff member

Peer specialist

New, entry-level hire

How Does a Digital Health Navigator Support Clinical Practice?

Interpret and summarize data from apps and wearables

Train and educate patients on digital literacy skills

Maintain processes for data privacy and security

Troubleshoot technology

View and assess data from a population perspective

Review quality of digital data

How Does Your Practice Benefit in Terms of Cost and Time Saved?

Free up clinicians from troubleshooting problems at the start of telehealth and video appointments

Have patients miss fewer telehealth and video appointments due to technology issues

Make investments in technology with ease of use, scalability, and interconnectivity as clear priorities

Integrate app and wearable data to support clinical decisions

Provide more ways for people to engage in their own recovery goals via technology

Did You Know?

There is published evidence on how Digital Health Navigators can help promote clinical care and integrate technology into practice.

Read more about the DHN Role

How Does Someone Become a Digital Health Navigator?

There is an easy-to-use online curriculum from SMI Adviser that teaches all the basic tools and skills needed in the Digital Health Navigator role.

Learn About the Digital Health Navigator Training

Digital Health Navigator Training

Support Digital Literacy to Advance Clinical Care, Health Equity, and Recovery

This training helps your practice embrace technology as a tool to support mental health recovery. Anyone can complete the online training whenever their schedule allows.

  • Self-paced
  • Easy to use
  • Six modules
  • Skills quizzes
See the Curriculum
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