How Google's 'ten Things We Know To Be True' could guide the development of mental health mobile apps.

From 2011 to 2030, mental health conditions are projected to cost the global economy $16 trillion through lost labor and capital output. The gold standard of psychological interventions, one-on-one therapy, is too costly and too labor-intensive to keep up with the projected growth in demand for mental health services. Therefore, new solutions are needed to improve the efficiency of mental health care delivery and to increase patient self-care. Because 85 percent of the world's population has wireless signal coverage, there is an unprecedented opportunity for mobile technologies to incorporate psychological self-care into people's daily lives and relieve workforce shortages. In this article, we suggest that policy makers look to technology innovators for guidance. For example, Google's principles, called "Ten Things We Know To Be True," are useful for understanding the drivers of success in mobile technologies. For principles such as "focus on the user and all else will follow," we identify examples of how evidence-based mobile mental health technologies could increase patient self-care and reduce the demand for one-on-one psychological intervention.

[1]  Scott W. Campbell,et al.  Social Implications of Mobile Telephony: The Rise of Personal Communication Society , 2008 .

[2]  R. Layard.  Mental health: the new frontier for labour economics , 2013, IZA Journal of Labor Policy.

[3]  C. Depp,et al.  Mobile Interventions for Severe Mental Illness: Design and Preliminary Data From Three Approaches , 2010, The Journal of nervous and mental disease.

[4]  A. Haines,et al.  The Effectiveness of Mobile-Health Technologies to Improve Health Care Service Delivery Processes: A Systematic Review and Meta-Analysis , 2013, PLoS medicine.

[5]  C. B. Taylor,et al.  A comparison of delivery methods of cognitive-behavioral therapy for panic disorder: an international multicenter trial. , 2003, Journal of consulting and clinical psychology.

[6]  Christopher Williams,et al.  A national survey of the infrastructure and IT policies required to deliver computerised cognitive behavioural therapy in the English NHS , 2013, BMJ Open.

[7]  A. Jensen-Doss,et al.  Computer-assisted therapies: examination of therapist-level barriers to their use. , 2013, Behavior therapy.

[8]  V. Patel,et al.  Lay health worker led intervention for depressive and anxiety disorders in India: impact on clinical and disability outcomes over 12 months , 2011, British Journal of Psychiatry.

[9]  D. McLoughlin,et al.  Six-months outcomes of a randomised trial of supportive text messaging for depression and comorbid alcohol use disorder. , 2013, Journal of affective disorders.

[10]  A. Beekman,et al.  Patients' preferences in the treatment of depressive disorder in primary care. , 2004, General hospital psychiatry.

[11]  G. Parker,et al.  Mobile mental health: Review of the emerging field and proof of concept study , 2011, Journal of mental health.

[12]  T. Richardson,et al.  Clinicians' Attitudes Towards the Use of Computerized Cognitive Behaviour Therapy (cCBT) with Children and Adolescents , 2010, Behavioural and Cognitive Psychotherapy.

[13]  G. Parker,et al.  Community Attitudes to the Appropriation of Mobile Phones for Monitoring and Managing Depression, Anxiety, and Stress , 2010, Journal of medical Internet research.

[14]  G. Mayraz,et al.  Cost-benefit analysis of psychological therapy , 2007, National Institute Economic Review.

[15]  Shantanu Nundy,et al.  Mobile phone diabetes project led to improved glycemic control and net savings for Chicago plan participants. , 2014, Health affairs.

[16]  R. McHugh,et al.  The Dissemination of Computer-Based Psychological Treatment: A Preliminary Analysis of Patient and Clinician Perceptions , 2013, Administration and Policy in Mental Health and Mental Health Services Research.

[17]  Christina Synowiec,et al.  E-health in low- and middle-income countries: findings from the Center for Health Market Innovations. , 2012, Bulletin of the World Health Organization.

[18]  Patel,et al.  Transforming Lives, Enhancing Communities: Innovations in Mental Health , 2013 .

[19]  Caroline O. Buckee,et al.  Heterogeneous Mobile Phone Ownership and Usage Patterns in Kenya , 2012, PloS one.

[20]  J. Tidd,et al.  Innovation and Entrepreneurship , 2007 .

[21]  J. Proudfoot.  The future is in our hands: The role of mobile phones in the prevention and management of mental disorders , 2013, The Australian and New Zealand journal of psychiatry.

[22]  Jeff Jarvis,et al.  What Would Google Do , 2009 .

[23]  D. McLoughlin,et al.  Supportive text messaging for depression and comorbid alcohol use disorder: single-blind randomised trial. , 2012, Journal of affective disorders.