Optimizing delivery of recovery-oriented online self-management strategies for bipolar disorder: a review

Bipolar Disord. 2015 Mar;17(2):115-27. doi: 10.1111/bdi.12258. Epub 2014 Sep 19.

Abstract

Objectives: Self-management is emerging as a viable alternative to difficult-to-access psychosocial treatments for bipolar disorder (BD), and has particular relevance to recovery-related goals around empowerment and personal meaning. This review examines data and theory on BD self-management from a recovery-oriented perspective, with a particular focus on optimizing low-intensity delivery of self-management tools via the web.

Methods: A critical evaluation of various literatures was undertaken. Literatures on recovery, online platforms, and self-management in mental health and BD are reviewed.

Results: The literature suggests that the self-management approach aligns with the recovery framework. However, studies have identified a number of potential barriers to the utilization of self-management programs for BD and it has been suggested that utilizing an online environment may be an effective way to surmount many of these barriers.

Conclusions: Online self-management programs for BD are rapidly developing, and in parallel the recovery perspective is becoming the dominant paradigm for mental health services worldwide, so research is urgently required to assess the efficacy and safety of optimization methods such as professional and/or peer support, tailoring and the development of 'online communities'.

Keywords: bipolar disorder; internet; online psychoeducation; psychotherapy; recovery model; self-help; self-management; support.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Bipolar Disorder / psychology
  • Bipolar Disorder / rehabilitation*
  • Delivery of Health Care
  • Humans
  • Internet*
  • Mental Health Services
  • Psychiatric Rehabilitation / methods*
  • Recovery of Function
  • Self Care / methods*
  • Therapy, Computer-Assisted / methods*