Integrating smartwatches in community mental health services for severe mental illness for detecting relapse and informing future intervention : A case series

Journal article

Johnston, David, Foord, Rachael, Casties, Achim, Viaphay, Nola, Tohamy, Ahmed, Van Leeuwen, Naomi, Sinclair, Jodie, Talbot, Daniel and Harris, Anthony. (2024). Integrating smartwatches in community mental health services for severe mental illness for detecting relapse and informing future intervention : A case series. Early Intervention in Psychiatry. 18(6), pp. 471-477. https://doi.org/10.1111/eip.13529
AuthorsJohnston, David, Foord, Rachael, Casties, Achim, Viaphay, Nola, Tohamy, Ahmed, Van Leeuwen, Naomi, Sinclair, Jodie, Talbot, Daniel and Harris, Anthony
Abstract

Objective
This case series explored the integration of smartwatches in a community mental health service to support severe mental illness (SMI) management and intervention. We examined whether biometric data provided by smartwatches could help to predict relapse and inform treatment decisions.

Method
Four Australian SMI outpatients of mixed diagnoses (age range = 19–24) were selected from a prior study. Clinicians accessed patients' biometric data (activity, sleep, heart rate, and electrodermal activity) through smartwatches.

Results
Changes in circadian rhythm and electrodermal activity preceded hospitalization in two cases. Additionally, smartwatch data was effectively used to guide targeted interventions, improving patient treatment outcomes.

Conclusion
Integrating smartwatches in community mental health services offers promise as adjunct tools for SMI management. However, ethical considerations on data privacy and technology reliance require further evaluation. Additionally, as this is a small case series, randomized controlled trials with larger sample sizes are required to provide evidence for generalisability of results.

Keywordscommunity mental health; electrodermal activity; severe mental illness; smart devices; treatment
Year2024
JournalEarly Intervention in Psychiatry
Journal citation18 (6), pp. 471-477
PublisherJohn Wiley & Sons Australia, Ltd
ISSN1751-7885
Digital Object Identifier (DOI)https://doi.org/10.1111/eip.13529
PubMed ID38624074
Scopus EID2-s2.0-85191003101
Open accessPublished as ‘gold’ (paid) open access
Page range471-477
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online16 Apr 2024
Publication process dates
Accepted08 Apr 2024
Deposited13 Jun 2025
Additional information

© 2024 The Authors. Early Intervention in Psychiatry published by John Wiley & Sons Australia, Ltd.

This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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