If you are in distress, you can call or text 988 at any time. If it is an emergency, call 9-1-1 or go to your local emergency department.

Assessment Framework for Mental Health Apps

1. App Overview

This assessment framework begins with the app overview. The criteria listed below (grouped into distinct areas) aim to understand an application’s core purpose and functionality. These include the target audience, the type of data the app collects, and the app’s primary functions and features. Because these criteria do not have scoring implications, the application will not be scored based on its functionality. Instead, the criteria will effectively set the scene and inform the standards criteria that need to be posed for that specific application.

 

Criteria

Criteria Origin 

1a — Q1 Is the application mental health focused? MHCC

 

Criteria

Criteria Origin

1b — Q1

Does the application collect data?

ORCHA

1b — Q2

What type of data is collected by the app?

ORCHA

1b — Q3

Are users required to sign up/register to use the service?

ORCHA

1b — Q4

Is data collected through cookies?

ORCHA

1b — Q5

What type of cookies are used?

ORCHA

1b — Q6

Is the data (cookie and/or none cookie) collected sensitive, personal, and/or non-personal?

ORCHA

1b — Q7

How is none cookie data collected?

ORCHA

1b — Q8

What other apps is the application connected to?

ORCHA

1b — Q9

What device(s) does the application connect to?

ORCHA

1b — Q10

Can the user prevent cookie data from being collected and still use the app?

ORCHA

1b — Q11

Does the disabling of cookies impact the use of the application in any way?

ORCHA

1b — Q12

Can/is data shared (excluding cookies)?

ORCHA

1b — Q13

Can data be shared through a direct, manual action by the user (e.g., by sending data via email or manually choosing to post/share something within the application)?

ORCHA

1b — Q14

How is the user able to manually share their data?

ORCHA

1b — Q15

Is data only shareable through a direct, manual action by the user (excluding cookies)?

ORCHA

1b — Q16

Can the user control any automatic data sharing, through setting individual sharing preferences in the app (excluding cookies)?

ORCHA

1b — Q17

Where/with whom can the user share data automatically by manually setting sharing preferences in the app?

ORCHA

1b — Q18

Is any data (excluding cookie data) shared automatically as soon as the application is accessed — based only on agreement to relevant terms and conditions (T&Cs) or privacy policy?

ORCHA

1b — Q19

Where/with whom is data automatically shared — based only on user agreement to the developer’s privacy policy and/or T&Cs?

ORCHA

1b — Q20

What data is automatically shared with the developer?

ORCHA

1b — Q21

What data is automatically shared with clinicians/health-care professionals?

ORCHA

1b — Q22

What data is automatically shared with other users?

ORCHA

1b — Q23

What data is automatically shared with third parties?

ORCHA

1b — Q24

What data is automatically shared with other devices?

ORCHA

1b — Q25

Is the service/provider a federal government organization listed with Canada’s Privacy Act?

MHCC

1b — Q26

Is the service/provider a provincial or territorial government or an agent of a provincial or territorial government?

MHCC

1b — Q27

Is the service/provider a charity?

MHCC

1b — Q28

Is the organization a not-for-profit group that does not engage in any commercial activities (e.g., sports associations, professional associations, clubs)?

MHCC

1b — Q29

Is the product aimed at or likely to be used by Indigenous people in Canada?

MHCC

1b — Q30

Will the organization collect and process personal information from Indigenous users?

MHCC

 

Criteria

Criteria Origin

1c — Q1

Does the application contain algorithms?

ORCHA

1c — Q2

How does the application use the algorithm?

ORCHA

1c — Q3

Does the application appear to use artificial intelligence (AI)?

ORCHA

1c — Q4

What AI technique is used in the app?

ORCHA

1c — Q5

Is the AI monitored/maintained?

ORCHA

 

Criteria

Criteria Origin

1d — Q1

Is the application designed to provide information or guidance?

ORCHA

1d — Q2

Does the application provide information that is personalized to an end-user’s specific circumstances?

ORCHA

1d — Q3

Does the application provide users with information regarding where they are able to find local or suitable support services?

ORCHA

1d — Q4

Does the application provide information, resources, or activities to the public or clinicians, either about a specific mental health problem or general health and lifestyle?

ORCHA

 

Criteria

Criteria Origin

1e — Q1 Is the data the application collects automatically assessed for the purposes of evaluating
  • risk or
  • providing diagnostic support?
ORCHA
1e — Q2 Does the application provide an assessment (of the risk) to an individual based on data input or collected by the application of
  • living with a mental health problem
  • the impact on their lifestyle and health indicators
  • no risk assessment provided?
ORCHA
1e — Q3 Does the application provide an assessment (of the risk) to a health-care professional based on data input or collected by the application of
  • living with a mental health problem
  • the impact on their lifestyle and health indicators
  • no risk assessment provided?
ORCHA
1e — Q4 Does the application provide the option for further assessment or analysis by a health-care professional? ORCHA
1e — Q5 Is the app/does the application include a symptom checker? ORCHA
1e — Q6 Does the application discuss suicidal ideation? Guidance: The CDC (Centers for Disease Control and Prevention) defines suicidal ideation as thinking about, considering, or planning suicide. Machine learning techniques that feature engineering or deep learning for automatic detection (based on online social contents) is one means for detecting suicidal ideation. MHCC
1e — Q7 Does the application indicate likelihood of a match for the listed mental health problems? ORCHA
1e — Q8 Can users filter results to display by highest risk/likelihood/severity? ORCHA
1e — Q9 Does the application provide treatment recommendations for the listed mental health problems? ORCHA
1e — Q10 Does the application only signpost the user to suitable care or recommend seeking further advice (e.g., Go to A&E, book an appointment with your family doctor, call 911)? ORCHA
1e — Q11 Does the application contain a clinical calculator? ORCHA
1e — Q12 What type of clinical calculator does the application contain? ORCHA
1e — Q13 How does the application prevent disease? ORCHA
1e — Q14 What treatment does the application provide? ORCHA
1e — Q15 Does the application guide the treatment of a mental health problem? ORCHA
1e — Q16 How does the application guide the treatment of the mental health problem? ORCHA
1e — Q17 Who does the application provide the treatment guidance to? ORCHA
1e — Q18 Is the treatment provided independently of a health-care professional? ORCHA
1e — Q19 Does the application support health-care professionals’ decisions about treatments? ORCHA
1e — Q20 Does the application follow the path of a procedure/treatment without making any decisions? ORCHA
1e — Q21 Does a health-care professional make the final decision regarding treatment based on advice and/or options displayed? ORCHA
1e — Q22 Does the application automate the treatment pathway for an individual user? ORCHA
1e — Q23 Is the application intended to (or does the developer claim it can be used to) compensate a mental health problem? ORCHA
1e — Q24 Does the application predict the fertile window? ORCHA
1e — Q25 Does the application claim to be used to prevent pregnancy or to conceive? ORCHA
1e — Q26 Does the application use body basal temperature (BBT), recorded through an externally connected thermometer? ORCHA
1e — Q27 Does the application use rhythm, BBT and cervical mucus methods to prevent pregnancy or to conceive? ORCHA
1e — Q28 Does the developer claim that the application can be used as a natural method of birth control? ORCHA
1e — Q29 Is the application intended to be used for the control of conception? ORCHA
1e — Q30 Is the application used in combination with drugs or medication (e.g., medication reminders)? ORCHA
1e — Q31 Is the application a companion of the device, as opposed to having been designed to connect with a third-party manufacturer’s device? ORCHA

 

Criteria

Criteria Origin

1f — Q1

Does the application allow the monitoring of key health information?

ORCHA

1f — Q2

Does the application involve the recording of relevant data over time for the user to access and review (with no “intelligent” manipulation of that data by the app)?

ORCHA

1f — Q3

Does the application involve the automated assessment or interpretation of relevant data to deliver alerts, insights, reminders, or adjustments regarding the management of a specific mental health problem?

ORCHA

1f — Q4

Is the application simple self-management, enhanced self-management, or advanced self-management?

ORCHA

1f — Q5

Is the output of the application’s monitoring intended to affect the treatment of an individual?

ORCHA

1f — Q6

Does the application allow others (i.e., not the user) to monitor or view the health data captured?

ORCHA

1f — Q7

Does the application automatically measure and/or record data about a user’s specified mental health problem and transmit the data to a professional, carer, or third-party organization without any input from the user?

ORCHA

1f — Q8

Does the application generate any alarms or alerts from the data recorded by the application or a connected device?

ORCHA

1f — Q9

Are the alarms generated by user-defined filtering rules?

ORCHA

1f — Q10

What type of intervention or treatment does the application provide?

ORCHA

 

Criteria

Criteria Origin

1g — Q1

Can the application be used by users to have online consultations, conversations, or related health-care services with a health-care professional?

ORCHA

1g — Q2

Is this through video consultation?

ORCHA

1g — Q3

Does the application allow health-care professionals to provide clinical advice, as opposed to the application providing advice itself?

ORCHA

1g — Q4

If the application allows health-care professionals to provide clinical advice through the app, rather than the application providing the advice itself, how does it do this?

ORCHA

1g — Q5

Are licensed health-care professionals involved in the delivery of the app?

MHCC

 

Criteria

Criteria Origin

1h — Q1

Is this an administrative application which does not directly impact user care?

ORCHA

1h — Q2

What administrative functions does the application provide?

ORCHA

1h — Q3

Is the application used to facilitate communication between health-care professionals other than for consultation or the delivery of advice?

ORCHA

1h — Q4

Does the application allow users to book appointments with a health-care professional?

ORCHA

 

Criteria

Criteria Origin

1i — Q1

Does the application allow users to order and request prescriptions?

ORCHA

1i — Q2

Does the application constitute a pharmacy service?

ORCHA

 

Criteria

Criteria Origin

1j — Q1

Does the application send push notifications?

ORCHA

1j — Q2

Does the application send email notifications?

ORCHA

 

Criteria

Criteria Origin

1k — Q1

Is the application’s main functionality dependent on the user having one of the devices to connect with the app?

ORCHA

1k — Q2

Do any of the features or functions of the application appear to allow it to be used to control a device?

ORCHA

 

Criteria

Criteria Origin

1l — Q1

Are there opportunities to link with other users (buddying, forums, or group education)?

ORCHA

1l — Q2

Does the application provide an internally hosted forum or online community for their users?

ORCHA

1l — Q3

Does the application link to a third-party service to host a forum or online community for their users?

ORCHA

1l — Q4

Does the application allow two-way communication between citizens or health-care professionals?

ORCHA

 

Criteria

Criteria Origin

1m — Q1

Does the application provide gamification or goal-setting features for the user?

ORCHA

1m — Q2

Does the application set goals for the user?

ORCHA

1m — Q3

Does the application allow the user to set goals for themselves?

ORCHA

 

Criteria

Criteria Origin

1n — Q1

Can the application presentation be customized by the user?

ORCHA

1n — Q2

Does the application respond to preferences in the device?

ORCHA

 

Criteria

Criteria Origin

1o — Q1

Is the application totally free?

ORCHA

1o — Q2

How is the application funded?

ORCHA

1o — Q3

Does the application contain advertisements?

ORCHA

 

Criteria

Criteria Origin

1p — Q1

Are the objectives clearly stated by the app/developer?

MHCC

1p — Q2

What are the claimed or implied benefits of the app?

  • cost savings to the health-care system
  • increased access to care
  • improved diagnostic or risk assessment
  • improved quality of treatment
  • improved recovery
  • reduced readmission or re-referral
  • improved management of a mental health problem
  • preventive behaviour change
  • improved mental well-being
  • improved physical well-being
  • improved system/process efficiency

ORCHA

1p — Q3

Has the developer clearly stated the application’s target audience?

MHCC

1p — Q4

If the developer has clearly stated the application’s target audience, who is the target audience?

 MHCC