You’ve likely heard the statistic that one-in-five Canadians experience some form of mental illness or mental health problem every year (1). Mood disorders—like depression—are especially prevalent, with over 2.9 million Canadians experiencing a mood disorder in 2022 (2). Amongst older adults, depression is the most common mental illness (3;4). However, technology may offer some help when it comes to keeping us connected with much needed health services. A rapid review has placed the spotlight on technology by investigating the effect of telemedicine as a treatment for older adults with depressive symptoms or disorders who live in the community (3).
What the research tells us
In the case of this review, telemedicine interventions generally referred to telephone-based strategies employed by counselors, social workers, nurses, or psychologists and internet-based cognitive behavioural therapy (CBT) that was sometimes self-guided and other times self-guided with additional feedback from a clinician (3). Although more comprehensive research is needed to further solidify the results, the review found that internet-based CBT may reduce depressive symptoms in community-dwelling older adults who experience depressive symptoms or depressive disorders, compared to usual care.
CBT stands out as a good candidate for improving mental well-being within a virtual setting due to its adaptability (3;5). Another check mark for CBT is that various health care providers are trained to administer it. In terms of telephone-based strategies, only two of six studies that looked at this strategy showed a positive result (3). However, in times of limited access to services, telephone support may still be a worthwhile option.
Taken all together, the use of telemedicine as a way to provide and access mental health resources seems like a valuable strategy to try. Generally, such services could come at a cost depending on factors such as the individual’s personal or provincial insurance plan, etc. However, there’s good news! Canada’s provincial and territorial governments have already moved forward with this strategy, providing a variety of generally free or affordable online, telephone, and mobile application-based resources. This removes barriers to access like cost, transportation, and mobility issues.
Mental health resources in Canada
- Government of Canada: On this page you’ll find access to mental health resources across all provinces and territories. Services and resources may vary by location—they include: internet-CBT, CBT applications, telephone support, referrals to other resources, and more.
- Connect with your general practitioner: Your GP or someone on their team may be trained to provide CBT or other mental health services. They may also make referrals to other mental health professionals, resources, or services. There could be costs associated with such referrals.
- In immediate crisis: Call 911.
