202202171123 Blended Approach EMIs #EMI #hope-s Source [[An overview of and recommendations for more accessible digital mental health services]] "Blended approaches involve delivering DMHIs as part of face-to-face mental health interventions82,83. ==For example, a digital intervention could be used to facilitate self-monitoring (for example, symptom assessments) to guide treatment decisions, support skill practice between sessions (for example, as an alternative to worksheets) and/or enable additional communication streams between the therapist and the patient (for example, text messaging).== Therapists have favourable perceptions of blended treatments, and the use of blended treatments is increasing84. In 2014, sur- veys revealed that mental health service stakeholders were more interested in implementing blended treatment than stand-alone Internet-based interventions85; a subse- quent survey of therapists in 2019 showed that blended treatments were perceived to have fewer disadvantages than stand-alone Internet-based interventions84. Trials testing blended approaches have been conducted. For example, ==two trials have demonstrated the efficacy of iCBT combined with synchronous chat with a therapist compared with a minimal-attention control (in which participants completed weekly mood assessments that were reviewed by a therapist) for depression in adolescents86,87. However, among people with psychosis, blended treatment for paranoia (comprising face-to-face sessions, a mobile app and usual care) did not outper- form usual care alone (which typically involved antipsy- chotic therapy, contact with a me"