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BACKGROUND: Even before COVID-19, there has been an urgent need to expand access to and quality of mental healthcare. This paper introduces an eight-week treatment protocol to realize that vision- Technology Enabled Clinical Care (TECC). TECC offers innovation in clinical assessment, monitoring, and interventions for mental health. TECC uses the mindLAMP app to enable digital phenotyping, clinical communication, and smartphone-based exercises that will augment in-person or telehealth-virtual visits. TECC exposes participants to an array of evidence-based treatments (CBT, DBT, ACT) introduced through clinical sessions and then practiced through interactive activities provided through a smartphone app called mindLAMP. OBJECTIVE: TECC will test the feasibility of providing technology enabled mental health care within an outpatient clinic; explore the practicality for providing this care to individuals with Limited English Proficiency; track anxiety, depression and mood symptoms for participants in order to measure the effectiveness of the TECC design. METHODS: The TECC study will assess the acceptability and efficacy of this model of care in 50 participants as compared to an age and gender matched cohort of patients presenting with similar clinical severity of depression, anxiety, or psychotic symptoms. Participants will be recruited from clinics in the metro Boston area. Aspects of TECC will be conducted in both Spanish and English, in order to ensure wide access to care for multiple populations. RESULTS: The results of the TECC study will be used to support or adapt this model of care and create training resources to ensure its dissemination. The study results will be posted on ClincialTrails.gov with primary outcomes related to changes in mood, anxiety, and stress and secondary related to engagement, alliance, and satisfaction. CONCLUSIONS: TECC combines new digital mental health technology with updated clinical protocols and workflows designed to ensure patients can benefit from innovation in digital mental health. Supporting multiple language, TECC is designed to ensure digital health equity and highlight how mobile health can bridge, not expand, gaps in care for underserved populations. INTERNATIONAL REGISTERED REPORT: PRR1-10.2196/23771.
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