Giovanni Rubeis1, Florian Steger2. 1. Institut für Geschichte, Theorie und Ethik der Medizin, Universität Ulm, Parkstraße 11, 89073, Ulm, Deutschland. giovanni.rubeis@uni-ulm.de. 2. Institut für Geschichte, Theorie und Ethik der Medizin, Universität Ulm, Parkstraße 11, 89073, Ulm, Deutschland.
Abstract
BACKGROUND: Internet and mobile-based interventions (IMIs) for mental disorders are seen by some authors as a step forward to narrow the treatment gap in mental health; however, especially in Germany professionals voice ethical concerns against the implementation of IMIs. The fact that there is broad evidence in favor of IMIs and that IMIs have already been implemented in several countries requires an ethical analysis to answer these concerns. OBJECTIVE: The objective is to tackle ethical issues connected to a possible implementation of IMIs for mental disorders in Germany and to point out possible solutions. MATERIAL AND METHODS: We conducted an ethical analysis using the criteria of well-being of patients, non-maleficence, justice, and patient autonomy, based on the empirical evidence. RESULTS AND CONCLUSION: The ethical analysis showed that IMIs for mental disorders principally have a positive effect on the well-being of patients and have a low risk of impairment. Additionally, IMIs can minimize risk, improve justice, and strengthen autonomy of mentally ill patients. Despite the broad evidence, there are still research desiderates with respect to ethical aspects, e. g. patient information for mentally ill patients.
BACKGROUND: Internet and mobile-based interventions (IMIs) for mental disorders are seen by some authors as a step forward to narrow the treatment gap in mental health; however, especially in Germany professionals voice ethical concerns against the implementation of IMIs. The fact that there is broad evidence in favor of IMIs and that IMIs have already been implemented in several countries requires an ethical analysis to answer these concerns. OBJECTIVE: The objective is to tackle ethical issues connected to a possible implementation of IMIs for mental disorders in Germany and to point out possible solutions. MATERIAL AND METHODS: We conducted an ethical analysis using the criteria of well-being of patients, non-maleficence, justice, and patient autonomy, based on the empirical evidence. RESULTS AND CONCLUSION: The ethical analysis showed that IMIs for mental disorders principally have a positive effect on the well-being of patients and have a low risk of impairment. Additionally, IMIs can minimize risk, improve justice, and strengthen autonomy of mentally illpatients. Despite the broad evidence, there are still research desiderates with respect to ethical aspects, e. g. patient information for mentally illpatients.
Entities:
Keywords:
Autonomy; Ethics; Internet-based interventions for mental health; Justice; Mobile-based interventions for mental health; Non-maleficence; Well-being of patients