Healthier together – The EU Non-Communicable Diseases Initiative

Healthier together – The EU Non-Communicable Diseases Initiative

Did you know that every year, 41 million people die from non-communicable diseases (71% of all deaths worldwide) and that over 15 million people out of those are only aged 30-69 [1]?

Non-communicable diseases (NCDs) are defined as chronic health conditions that have “genetic, lifestyle, or environmental causes rather than viral or bacterial” ones [2]. NCDs are not contagious, but they do result in long-term health issues and often require long-term treatment and care [2]. Apart from diseases such as cancer or diabetes, mental disorders also fall into the category of non-communicable diseases [1]. 

In a previous blog post, we explored approaches taken to improve mental health in Denmark. But what are we actually doing on an EU level to ease the burden of mental illness on our international societies?

The  EU Non-Communicable Diseases Initiative
In order to fight non-communicable diseases and support the people suffering from them, the European Commission has launched the Healthier together – EU Non-Communicable Diseases Initiative (EU NCD Initiative), aimed at covering the period from 2022 to 2027. The main objective of this initiative is “to support EU countries in identifying and implementing effective policies and actions to reduce the burden of major non-communicable diseases (NCDs) and improve citizens’ health and well-being.” [3].

One of the five strands covered by the initiative is mental health and neurological disorders.
The EU NCD Initiative aims at mental health and well-being promotion, improved prevention and treatment of mental disorders, and better support for individuals suffering from mental health problems. In order to accomplish this, a need for setting up improved “supportive structures, mechanisms and processes for integrated policies and actions to support mental health” has been defined [3].

Collaborative action on mental health and neurological disorders
The European Commission has suggested several “work packages” on mental health and neurological disorders, with the goal to reduce the burden of mental illness on our international society. Possible priority areas defined include:

  • Adopting a mental health-in-all-policies approach: Overall creation of favourable conditions addressing environmental and social determinants for better mental health 
  • Focusing on mental health promotion and mental illness prevention, e.g. by supporting “the development of social and emotional skills in childhood” [3] and by preventing burnout and stress at the workplace
  • Improving the provision of access to high-quality mental health services, e.g. by increasing the capacity in order to meet the growing need for mental health support
  • Tackling stigma against mental health conditions and enhancing the social inclusion of individuals suffering from poor mental health

Digitalization needs to become a priority
According to Dr Hans Henri P. Kluge, WHO Regional Director for Europe, “personnel shortages [and] insufficient recruitment and retention […] are blighting health systems” [4].

While the need to hire more trained professionals is undoubtedly critical to improve mental health services, this may also be an opportunity for scalable technologies to improve the reach of the current workforce to serve the needs of patients waiting to receive care.

Surprisingly, when being asked to indicate overall priority areas across the different strands covered by the NCD initiative, only two EU countries (specify which) endorsed “digital tools to support health promotion, disease prevention and management” as a priority area [3].

In contrast, a large study by Elsevier Health (2022) shows that 77% of international clinicians expect tech companies to become “key stakeholders in managing healthcare systems in 10 years”, and that the majority of clinicians (70%) believe an increased use of digital technologies will transform healthcare positively [5].

The use of digital technology offers the potential to address challenges in European mental health services. In particular, the use of digital platforms for remote patient monitoring and health assessment could improve access and speed to care, and real-time patient analytics could enable personalised treatment and improved quality of care [5]. 

In summary, the EU Non-Communicable Diseases Initiative has ambitious goals to provide better mental health services to more people. However, with the majority of EU countries not endorsing “digital tools to support health promotion, disease prevention and management” [3] as a priority area, raising awareness about the potential of digital health is highly important if these goals are to be achieved.
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About Monsenso
Monsenso is an innovative technology company offering a digital health solution used for decentralised trials, remote patient monitoring and treatment support. Our mission is to contribute to improved health for more people at lower costs by supporting treatment digitally and leveraging patient-reported outcomes data. Our solution helps optimise the treatment and gives a detailed overview of an individual’s health through the collection of outcome, adherence, and behavioural data. It connects individuals, carers, and health care providers to enable personalised treatment, remote care, and early intervention. We collaborate with health and social care, pharmaceuticals, and leading researcher worldwide in our endevaours to deliver solutions that fit into the life of patients and health care professionals. To learn more visit  www.monsenso.com.

References:
[1] World Health Organization (2021). Noncommunicable diseases. 
https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

[2] WebMD (n.d.). What Is Non-Communicable Disease?
https://www.webmd.com/a-to-z-guides/what-is-non-communicable-disease

[3] European Commission (2022). Healthier Together – EU non-Communicable Disease Initiative.
https://health.ec.europa.eu/non-communicable-diseases/healthier-together-eu-non-communicable-diseases-initiative_en

[4] World Health Organization (2022). Ticking timebomb: Without immediate action, health and care workforce gaps in the European Region could spell disaster.
https://www.who.int/europe/news/item/14-09-2022-ticking-timebomb–without-immediate-action–health-and-care-workforce-gaps-in-the-european-region-could-spell-disaster

[5] Elsevier Health (2022). Clinician of the Future Report 2022.
https://www.elsevier.com/connect/clinician-of-the-future

Digital health as a support tool for waiting lists in mental health services

Digital health as a support tool for waiting lists in mental health services

The need for mental health support is growing in Europe, and waiting lists are becoming longer as mental health services struggle to meet the demand. But are additional human resources really the answer to these problems, or do we maybe need to search for new solutions?

In Denmark, over 500.000 Danish citizens currently live with one or multiple mental health disorders [1] and approximately half of the Danish population will suffer from a mental illness at least once in their lifetime [2]. 

The need for mental health support is thus at an all-time high. However, the average waiting time to see a psychologist in Denmark is around 16 weeks, and in many cases, patients easily wait up to 20 weeks before their first treatment [3]. 

New studies have found that every 10th person needing psychological support in Denmark decides not to seek help due to the long waiting lists. Amongst young people, this number is even higher: In the last three years, every 5th young person who needed psychological treatment decided not to seek help due to long waiting times [4].

In the UK, waiting times for psychological help are almost equally as long as in Denmark. According to research by the Royal College of Psychiatrists, almost a quarter (23%) of adults suffering from mental illness in the UK face waiting times of over 12 weeks before receiving treatment. Recently, it has thus been reported that individuals with mental illness waiting for treatment increasingly turn to the A&E or even dial 999 in desperate need of help [5].

Research has found waiting lists in mental health services to be “associated with negative psychological and physiological responses such as anxiety and stress”, which usually worsen the longer an individual suffering from mental illness needs to wait for treatment [6]. 

The lack of resources in mental health services is hence a problem that needs to be tackled urgently [2] – but it is unlikely that enough healthcare professionals can be hired in the short term to address this problem. 

This is where digital technologies can play an important role in supporting people waiting for mental health treatment. Digital health solutions for mental health, for instance, offer the potential to screen individuals while they are still on the waiting list. Additionally, digital health solutions can provide individuals with useful tools and psychoeducational material to better manage their mental health while they are waiting to receive care. 

Everyone deserves access to mental healthcare. The integration of digital solutions in healthcare bears huge potential, and it needs to happen timely. There is never a better time to act.
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About Monsenso
Monsenso is an innovative technology company offering a digital health solution used for decentralised trials, remote patient monitoring and treatment support. Our mission is to contribute to improved health for more people at lower costs by supporting treatment digitally and leveraging patient-reported outcomes data. Our solution helps optimise the treatment and gives a detailed overview of an individual’s health through the collection of outcome, adherence, and behavioural data. It connects individuals, carers, and health care providers to enable personalised treatment, remote care, and early intervention. We collaborate with health and social care, pharmaceuticals, and leading researcher worldwide in our endevaours to deliver solutions that fit into the life of patients and health care professionals. To learn more visit  www.monsenso.com.

References:
[1] EN AF OS (n.d.). About EN AF OS. Sundhedsstyrelsen.
http://www.en-af-os.dk/da/English/About-us#:~:text=Statistically%2C%201%20in%205%20Danes,they%20will%20get%20well%20again.

[2] Sundhedsstyrelsen (2022). Fagligt oplæg til en 10-årsplan.
https://www.sst.dk/da/Udgivelser/2022/Fagligt-oplaeg-til-en-10-aarsplan

[3] Kofoed et al. (2022). Millioner til psykologhjælp forbliver ubrugte trods rekordlange ventetider. DR.
https://www.dr.dk/nyheder/politik/kommunalvalg/millioner-til-psykologhjaelp-forbliver-ubrugte-trods-rekordlange

[4] Gjensidige Forsikring (2022). Lang ventetid får mange til at droppe besøg hos læge, tandlæge og psykolog. Ritzau.
https://via.ritzau.dk/pressemeddelelse/lang-ventetid-far-mange-til-at-droppe-besog-hos-laege-tandlaege-og-psykolog?publisherId=9709319&releaseId=13657774

[5] Gregory, A. (2022). Patients turning to A&E as wait times for NHS mental health treatment spiral. The Guardian.
https://www.theguardian.com/society/2022/oct/10/nhs-mental-health-patients-wait-times

[6] Punton, G., Dodd, A.L. & McNeill, A. (2022). ‘You’re on the waiting list’: An interpretive phenomenological analysis of young adults’ experiences of waiting lists within mental health services in the UK. PLoS ONE, 17(3).
https://doi.org/10.1371/journal.pone.0265542​​

World Mental Health Day 2022

World Mental Health Day 2022

October 10th is World Mental Health Day, aiming at shining light on the prevalence of mental ill health globally and the need to “strengthen mental health care so that the full spectrum of mental health needs is met” [1].

How common are mental illnesses?
970 million individuals worldwide, or 1 in every 8 people, had a mental illness in 2019 [2]. Due to the COVID-19 pandemic, these numbers have been even more on the rise during the past two years [1]. Anxiety and depression disorders, for example, are estimated to have increased by more than 25% among the global population during the first year of the pandemic [1].

Economic costs of mental disorders
Statistics show that in 2010, mental diseases cost the global economy US$2.5 trillion in direct and indirect costs, and mental and drug use disorders made up 10.4% of the total global illness burden [3]. By 2030, it is anticipated that the direct and indirect costs of mental illnesses will have doubled – without taking into account expenses related to mental problems that originate outside of the healthcare system, such as legal expenses brought on by the consumption of illegal drugs [3].

Stigmatization of ill mental health
More than half of those suffering from mental illness do not obtain treatment. People often put off or postpone getting therapy out of fear of being treated “differently or […] losing their jobs and livelihood” [4]. This is due to the fact that stigma, discrimination, and prejudice toward those who have mental illnesses are still major issues in today’s global society.
Often, experiencing external stigmatization can lead to greater self-stigma for individuals, which was linked to worse recovery from mental illness in scientific studies [4].

The growing treatment gap
The COVID-19 pandemic has sparked a global mental health crisis, causing millions of people to experience short- and long-term stress and jeopardizing their mental health. During COVID-19, the gap in treatment for mental health disorders has expanded significantly, while mental health services have been severely disrupted at the same time [1]. Resources in mental health services are thus limited and often not sufficient to meet the treatment needs for poor mental health [5].

What needs to change?
Mental disorders are more common than one might think, and prejudices surrounding poor mental health unfortunately only further increase the burden of the diseases on people suffering from them. It is therefore important to raise awareness about mental health problems, destigmatize mental illness, and help to ensure that individuals struggling with their mental health are not facing discrimination.
Given the high economic costs of mental disorders, it is also important to continuously work on improving the treatment support provided. Especially with lacking resources in mental health services and a growing treatment gap, this includes seeking new ways to help individuals suffering from mental health conditions.

How digital solutions for mental health can help
The use of digital platforms for remote patient monitoring and health assessment, as well as real-time patient analytics, could enable personalised treatment and improved quality of care [6]. Digital solutions for mental health could therefore offer the potential to empower and engage individuals with mental disorders to better manage their mental health, facilitating treatment for clinical professionals and empowering family caregivers to help drive down economic costs and increase productivity.
At Monsenso, we have worked with a variety of mental health disorders in both research and clinical settings. Our digital mental health solution has helped many individuals struggling with their mental health to better understand their conditions and live a more independent life, as well as helped clinicians to better support their patients. We are proud to support the World Mental Health Day and will continue to spread knowledge about mental health conditions and offer our support to individuals affected and clinicians providing treatment for mental illness.

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About Monsenso
Monsenso is a digital health company that enables better outcomes for patients and clinicians through data-driven decisions. We are focused on mental health and user-centred in designing our solutions for patients and clinicians. Our cloud-based platform is a CE-marked medical device (Class 1, pending Class 2a and MDR certification) that is HIPAA compliant, with certifications in ISO 13485, ISO 27001, Cyber Essentials and TGA. Our solution has been clinically and scientifically validated by over 70+ peer-reviewed studies and can be configured for applications across mental health conditions. We work with healthcare systems, life sciences and research organisations globally. Book a demo to learn more.

References:
[1] World Health Organization (n.d.). World Mental Health Day 2022.
https://www.who.int/campaigns/world-mental-health-day/2022

[2] World Health Organization (2022). Mental disorders.
https://www.who.int/news-room/fact-sheets/detail/mental-disorders

[3] Trautmann, S., Rehm, J. & Wittchen, H. (2016).  The economic costs of mental disorders. EMBO reports 17(9).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5007565/

[4] American Psychiatric Association (n.d.). Stigma, Prejudice and Discrimination Against People with Mental Illness.
https://www.psychiatry.org/patients-families/stigma-and-discrimination#:~:text=Public%20stigma%20involves%20the%20negative,have%20about%20their%20own%20condition.

[5] Saraceno, B. (2004). Mental health: scarce resources need new paradigms. World Psychiatry 3(1): 3–5.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1414651/

[6] Elsevier Health (2022). Clinician of the Future Report 2022.
https://www.elsevier.com/connect/clinician-of-the-future

Our future tech-savvy clinicians: What can we expect and how do we get there?

Our future tech-savvy clinicians: What can we expect and how do we get there?

It is no secret that our world is constantly changing towards becoming more digitized, and so is healthcare. Earlier, we discussed the top pain points in the delivery of mental healthcare and how digital technology can help. Now, we want to look at the clinicians of the future – how tech-savvy will they need to be, and what are the main benefits and challenges they expect to face in relation to digital solutions?

Where are we today?
The digital era has arrived in today’s healthcare settings. A large study by Elsevier Health (2022), involving over 2800 clinicians and nurses from 111 markets, found that 88% of clinicians acknowledge the significantly growing importance of being technologically literate compared to 10 years ago [1].

Today’s electronic medical records (EMRs) can store large amounts of patient information. However, they also cause frustrations among clinicians. Many healthcare professionals report that contemporary EMR systems are too time-consuming due to the need for frequent manual data inputting, significantly adding to their already heavy caseloads [1]. Additionally, it has been found that as many as 69% of clinicians record feeling overwhelmed with handling the “growing volume of patient data” [1].

What are the drivers of change?
Covid-19 has particularly shown the relevance and benefits of real-world data (RWD) collected in real-time. During the pandemic, “data took center stage”, and many patients became more comfortable with their data being utilized “in informing decisions” [1]. In addition, patients are becoming more empowered globally, and many are utilizing digital health applications to better manage their own health [1].

What can we expect in the future?
The Elsevier Health study (2022) shows that 77% of clinicians expect tech companies to become “key stakeholders in managing healthcare systems in 10 years”, and that the majority of clinicians (70%) believe an increased use of digital technologies will transform healthcare positively [1].
Most clinicians (79%) therefore also expect future EMRs to integrate a variety of data sources, such as “patient consumer health app data” [1]. The integration of digital solutions in future EMRs is expected to be beneficial for its potential to help clinicians communicate with their patients more effectively and make more informed clinical decisions. Importantly, healthcare professionals believe digital technologies and remote monitoring tools could help them to handle the growing patient data volumes they are currently feeling overwhelmed with [1].

How do we get there?
67% of clinicians agree “they will need to become experts in the use of [digital technologies] in the future” [1]. However, many clinicians (83%) do not feel sufficiently tech-savvy currently. Thus, they will need the right access, support, and education. One of the key focus points, therefore, needs to be giving clinicians training and confidence in their ability to use digital technologies [1], as these will only be effective in healthcare if clinicians are adept at using them.

How Monsenso enables clinicians on the path to digitalization
Monsenso is a digital health company that enables better outcomes for patients and clinicians through data-driven decisions. We are focused on mental health and user-centred in designing our solutions for patients and clinicians. Easing clinicians’ workloads by providing them with a better overview of their patients’ data and conditions is one of our priorities when working with healthcare professionals. When clinicians use our solution, they are not being left alone. In-depth workshops during the planning and implementation phase ensure clinicians will feel 100% comfortable and confident in using the Monsenso solution, and our friendly support team provides help whenever needed. Our cloud-based platform is a CE-marked medical device (Class 1, pending Class 2a and MDR certification) that is HIPAA compliant, with certifications in ISO 13485, ISO 27001, Cyber Essentials and TGA. Our solution has been clinically and scientifically validated by over 70+ peer-reviewed studies and can be configured for applications across mental health conditions. We work with healthcare systems, life sciences and research organisations globally. Book a demo to learn more.

References:
[1] Elsevier Health (2022). Clinician of the Future Report 2022.
https://www.elsevier.com/connect/clinician-of-the-future

UK National Schizophrenia Awareness Day 2022 – A mental illness in need of destigmatization

UK National Schizophrenia Awareness Day 2022 – A mental illness in need of destigmatization

July 25th is National Schizophrenia Awareness Day in the UK, aiming at shining light on “what it means to live with this much misunderstood and often stigmatized mental health condition”, fighting prejudice surrounding it, as well as seeking to raise awareness of and support for its treatment [1].

What is schizophrenia?
Individuals with schizophrenia experience disruptions in their thought processes and perceptions, as well as in social interactions and emotional responsiveness. The mental illness, usually including psychotic symptoms such as delusions and hallucinations, can be highly disabling to people suffering from it [2].

Economic costs of schizophrenia
Worldwide, around 24 million people are currently diagnosed with schizophrenia [3] – in the UK it is over 685.000 people (approximately 1% of the population) [4].
Schizophrenia has a large economic cost. It accounts for approximately “30% of all spending on adult mental health in the NHS” [5], estimated at 11.8 million GBP in England alone in 2012 [6]. Generally, it costs around 6 times as much to treat an individual with schizophrenia over its lifetime than it costs to treat a heart disease patient [5].

Stigmatization of schizophrenia
Schizophrenia affects all genders and individuals from all social backgrounds, and onsets most often in the late teenage years or in the early twenties [5]. The mental illness severely impacts affected peoples’ quality of life. In the UK, only around 13% of individuals suffering from schizophrenia are working [5], and it has been found that affected people are “2 to 3 times more likely to die early than the general population” [3]. Schizophrenia is also a significant burden that impacts productivity of family caregivers, who on average spend 22 hours a week for 15 years of their life taking care of their relative with schizophrenia.
Additionally, stigma against people suffering from the condition is still “intense and widespread” today [3]. Individuals with schizophrenia oftentimes experience social exclusion, and/or discrimination due to the disease, and some even experience limited “access to general health care, education, housing, and employment” [3]. According to the World Health Organization (2022), these issues often only exacerbate the suffering peoples’ symptoms [3].

What needs to change?
Schizophrenia is not as rare as one might think, and prejudices surrounding the illness unfortunately only further increase the burden of the disease on people suffering from it. It is therefore important to raise awareness about schizophrenia, destigmatize the mental illness, and help to ensure that individuals with schizophrenia are not facing discrimination. Given the high economic costs of schizophrenia, it is also important to continuously work on improving the treatment support provided. This includes seeking for new ways to help individuals suffering from the mental health condition.

How digital solutions for mental health can help
The use of digital platforms for remote patient monitoring and health assessment, as well as real-time patient analytics, could enable personalised treatment and improved quality of care [7]. Digital solutions for mental health could therefore offer the potential to empower and engage individuals with schizophrenia to better manage their mental health, facilitating treatment for clinical professionals and empowering family caregivers to help drive down economic costs and increase productivity.
At Monsenso, we have worked with schizophrenia in both research and clinical settings. Our digital mental health solution has helped many individuals with schizophrenia to better understand their conditions and live a more independent life, as well as helped clinicians to better support their patients. We are proud to support the National Schizophrenia Awareness Day in the UK and will continue to spread knowledge about the mental health condition and offer our support to individuals affected and clinicians providing treatment for the mental illness.
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About Monsenso
Monsenso is a digital health company that enables better outcomes for patients and clinicians through data-driven decisions. We are focused on mental health and user-centred in designing our solutions for patients and clinicians. Our cloud-based platform is a CE-marked medical device (Class 1, pending Class 2a and MDR certification) that is HIPAA compliant, with certifications in ISO 13485, ISO 27001, Cyber Essentials and TGA. Our solution has been clinically and scientifically validated by over 70+ peer-reviewed studies and can be configured for applications across mental health conditions. We work with healthcare systems, life sciences and research organisations globally. Book a demo to learn more.

References:
[1] Awareness Days (n.d.). National Schizophrenia Awareness Day 2022.
https://www.awarenessdays.com/awareness-days-calendar/national-schizophrenia-awareness-day-2022/#:~:text=National%20Schizophrenia%20Awareness%20Day%2C%20marked,with%20a%20diagnosis%20of%20schizophrenia.

[2] National Institute of Mental Health (n.d.). Schizophrenia.
https://www.nimh.nih.gov/health/statistics/schizophrenia#:~:text=Schizophrenia-,Definition,be%20both%20severe%20and%20disabling.

[3] World Health Organization (2022). Schizophrenia.
https://www.who.int/news-room/fact-sheets/detail/schizophrenia#:~:text=Schizophrenia%20affects%20approximately%2024%20million,%25

[4] Royal College of Psychiatrists (2015). Schizophrenia.
https://www.rcpsych.ac.uk/mental-health/problems-disorders/schizophrenia

[5] Living With Schizophrenia (2017). Facts and Figures.
https://livingwithschizophreniauk.org/facts-and-figures/

[6] Ride, J., Kasteridis, P., Gutacker, N., Aragon Aragon, MJ., Jacobs, R. (2020). Healthcare Costs for People with Serious Mental Illness in England: An Analysis of Costs Across Primary Care, Hospital Care, and Specialist Mental Healthcare. Appl Health Econ Health Policy 18(2):177-188.
doi: 10.1007/s40258-019-00530-2.

[7] Elsevier Health (2022). Clinician of the Future Report 2022.
https://www.elsevier.com/connect/clinician-of-the-future

Top pain points in the delivery of mental healthcare and how digital technology can help

Top pain points in the delivery of mental healthcare and how digital technology can help

Close to 1 in 7 people suffer from a mental health condition [1], a leading cause of disability globally [2].
However, 75% of people with mental illnesses do not receive any treatment [3], highlighting the issue of access to mental healthcare, which has only been exacerbated by Covid.

The shortage of trained professionals in mental healthcare is a key contributor to the issue of access [4]. Patients are faced with long waiting queues to receive care [5], with no promise of quality care, given clinicians’ heavy caseload [4]. It is not uncommon that patients only receive 5 mins of clinicians’ time after months of waiting for the appointment [6]. Indeed, a large study by Elsevier Health (2022), involving over 2800 clinicians and nurses from 111 markets, found that almost 1 in 2 of clinicians globally (69% in Europe) admit that time they are able to devote to each individual patient is insufficient “to give them good care” [4].

Clearly, there are plenty of opportunities to improve patients’ access, speed to, and quality of care globally. Promisingly, the same study found that over half of the clinicians (56%) state that patients have become more empowered to manage their own conditions, and that clinicians (62%) expect a change in role towards being more in partnership with patients over the next decade. Given that mental health costs a whopping $16 trillion to the global economy by 2030 [7] and growing, there is an urgent need for solutions that are designed to tackle these issues in a scalable and cost-effective way.

The use of digital technology offers the potential to address this matter. In particular, the use of digital platforms for remote patient monitoring and health assessment could improve access and speed to care, and real-time patient analytics could enable personalised treatment and improved quality of care [4]. Ultimately, to fully benefit from such technology, patient data needs to be managed securely, the design of the solution should focus on the needs of its users, and it should be continually assessed on its ability to deliver value to patients and clinicians.

About Monsenso:
Monsenso is a digital health company that enables better outcomes for patients and clinicians through data-driven decisions. We are focused on mental health and user-centred in designing our solutions for patients and clinicians. Our cloud-based platform is a CE-marked medical device (Class 1, pending Class 2a and MDR certification) that is HIPAA compliant, with certifications in ISO 13485, ISO 27001, Cyber Essentials, and TGA. Our solution has been clinically and scientifically validated by over 70+ peer-reviewed studies and can be configured for applications across mental health conditions. We work with healthcare systems, life sciences, and research organisations globally. To learn more, visit www.monsenso.com

References:
[1] World Health Organization (2020). World Mental Health Day: an opportunity to kick-start a massive scale-up in investment in mental health.
https://www.who.int/news/item/27-08-2020-world-mental-health-day-an-opportunity-to-kick-start-a-massive-scale-up-in-investment-in-mental-health#:~:text=Mental%20health%20is%20one%20of,every%2040%20seconds%20by%20suicide.

[2] Wainberg, M. L., Scorza, P., Shultz, J. M., Helpman, L., Mootz, J. J., Johnson, K. A., Neria, Y., Bradford, J. E., Oquendo, M. A., & Arbuckle, M. R. (2017). Challenges and Opportunities in Global Mental Health: a Research-to-Practice Perspective. Current psychiatry reports 19(5): 28. https://doi.org/10.1007/s11920-017-0780-z.

[3] Marchildon, J. (2020). 4 Barriers to Accessing Mental Health Services Around the World.
https://www.globalcitizen.org/en/content/barriers-to-mental-health-around-the-world/.

[4] Elsevier Health (2022). Clinician of the Future Report 2022.
https://www.elsevier.com/connect/clinician-of-the-future.

[5] Royal College of Psychiatrist (2020). Two-fifths of patients waiting for mental health treatment forced to resort to emergency or crisis services.
https://www.rcpsych.ac.uk/news-and-features/latest-news/detail/2020/10/06/two-fifths-of-patients-waiting-for-mental-health-treatment-forced-to-resort-to-emergency-or-crisis-services.

[6]. Becker, G., Kempf, D.E., Xander, C.J. et al. (2010). Four minutes for a patient, twenty seconds for a relative – an observational study at a university hospital. BMC Health Serv Res 10(94).
https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-10-94.

[7] Lancet Commission. (2018). Report: Mental illness will cost the world $16 trillion (USD) by 2030. Mental Health Weekly 28(39): 1–8. https://doi.org/10.1002/mhw.31630.