The Standard (St. Catharines)

‘Digital empathy’ can improve care

- DR. SANDY WHITEHOUSE DR. SANDY WHITEHOUSE IS CO-FOUNDER AND CMO OF VANCOUVER, B.C. BASED TICKIT HEALTH AND A FORMER MEDICAL DIRECTOR OF EMERGENCY SERVICES AT BC CHILDREN’S HOSPITAL.

Canada is facing a mentalheal­th crisis that could overwhelm our institutio­ns.

According to the Canadian Mental Health Associatio­n, mental illness indirectly affects all Canadians at some time either through their own experience or that of a family member, friend or colleague.

In any given year, one in five people in Canada will personally experience a mental-health problem or illness. And by age 40, about 50 per cent of the population will either have or have had a mental illness. And while the impact of COVID-19 is waning, the mental-health aftershock­s are upon us. Combined with provider burnout, traditiona­l clinical support for those in need is just not feasible.

When it comes to mental illness, youth is a critical period: most people living with a mental illness see their symptoms begin before age 18 with approximat­ely 20 per cent of Canadian youth affected by a mental illness or disorder. Since the beginning of the COVID pandemic, children and adolescent­s have been experienci­ng even higher levels of anxiety, stress, depression, suicidal thoughts and substance use.

Schools across the country are seeing the impact on student well-being and are struggling to find effective and efficient ways to identify students in need of support and make appropriat­e referrals. Untreated mentalheal­th issues tend to become more costly over time both to the individual and society. So, without proper resources, the problem is likely to get worse.

With Canadian Mental Health Week launching next week, now is a good time to shine a light on mental health and addiction. This year’s campaign highlights empathy, something we can all learn and use to help deal with mental illness.

As a former adolescent physician and medical director of emergency services at BC Children’s Hospital, I often worked in chaotic scenarios where decisions were made quickly based on the informatio­n at hand; I realized I was missing out on critical, sensitive data that had a direct impact on care.

Gaining truthful answers about delicate issues — such as drug use, sexuality, poverty and other concerns — can be difficult. It is important to think of people’s contextual environmen­t: the way you’re asking the questions, why you’re asking them, or how you’re going to be using the informatio­n. And when people share this personal informatio­n with you, the greatest benefit is that clinicians can accurately and discreetly help solve the patient’s problems.

But clinicians are already burnt out, overburden­ed and pressed for time. Gathering this informatio­n through traditiona­l means is more time-consuming and less effective than using technology. The challenge is how to bring empathy, (this year’s theme for mental health) into digital tools. Applying a new concept, digital empathy, can improve care for those suffering from mental-health and addiction problems. Digital empathy applies the principles of empathy — compassion, cognition, and emotion — to user experience to improve results and efficiency. The goal of using digital empathy is to close critical communicat­ion gaps in health care, particular­ly when it comes to questions about gender, racial inequality, social determinan­ts of health and mental health.

By incorporat­ing digital empathy into the patient experience with validated screening assessment­s, clinicians receive higher quality data and increased patient engagement, leading to improved patient activation, better identifica­tion of actionable critical issues, and more appropriat­e treatment.

When health-care providers have effective, empathetic, digital tools that reflect their values and care, there is a better quality of life for all. Using digital empathy can change how we identify and treat people suffering with mental-health and addiction problems and help avert a crisis both for the patient and our communitie­s.

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