Background It has often been reported that young people are at high risk of mental health concerns, more so than at any other time in development over their life span. The situational factors that young people report as impacting their well-being are not addressed as often: specifically, family discord. Kids Helpline, a national service in Australia that provides free counseling online and by telephone to young people in distress, report that family discord and well-being issues are one of the major concerns reported by clients. In order to meet the preferences that young people seek when accessing counseling support, Kids Helpline has designed and trialed a custom-built social network platform for group counseling of young people experiencing family discord that impacts their well-being. Objective In this exploratory study, we communicate the findings of Phase 1 of an innovative study in user and online counselor experience. This will lead to an iterative design for a world-first, purpose-built social network that will do the following: (1) increase reach and quality of service by utilizing a digital tool of preference for youth to receive peer-to-peer and counselor-to-peer support in a safe online environment and (2) provide the evidence base to document the best practice for online group counseling in a social network environment. Methods The study utilized a participatory action research design. Young people aged 13-25 years (N=105) with mild-to-moderate depression or anxiety (not high risk) who contacted Kids Helpline were asked if they would like to trial the social networking site (SNS) for peer-to-peer and counselor-to-peer group support. Subjects were grouped into age cohorts of no more than one year above or below their reported age and assigned to groups of no more than 36 participants, in order to create a community of familiarity around age and problems experienced. Each group entered into an 8-week group counseling support program guided by counselors making regular posts and providing topic-specific content for psychoeducation and discussion. Counselors provided a weekly log of events to researchers; at 2-week intervals, subjects provided qualitative and quantitative feedback through open-ended questions and specific psychometric measures. Results Qualitative results provided evidence of user support and benefits of the online group counseling environment. Counselors also reported benefits of the modality of therapy delivery. Psychometric scales did not report significance in changes of mood or affect. Counselors and users suggested improvements to the platform to increase user engagement. Conclusions Phase 1 provided proof of concept for this mode of online counseling delivery. Users and counselors saw value in the model and innovation of the service. Phase 2 will address platform issues with changes to a new social network platform. Phase 2 will focus more broadly on mental health concerns raised by users and permit inclusion of a clinical population of young people experiencing depression and anxiety. Trial Registration Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12616000518460; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=370381
Counselling helplines or hotlines are key support services for young people with mental health concerns or in suicide and self-harm crises. We aimed to describe young peoples’ use of a national youth helpline (Kids Helpline, Australia, KHL) to understand how usage changed over time. A descriptive analysis was conducted on 1,415,228 answered contacts between 2012–2018. We described the trend of service usage over the observed period, the types of youth who used the service, and the problems young people contacted the service about. Phone (APC = −9.1, KHL: −10.4 to −7.8, p < 0.001) and email (APC = −13.7, 95%CI: −17.1 to −10.2, p < 0.001) contacts decreased over time whereas webchat contacts increased (APC = 16.7, 95%CI: 11.7 to 22.0, p < 0.001). With this increase in webchat contacts, there was an associated increase in total webchat contact duration. Concerns raised in contacts to the service were primarily related to emotional wellbeing and mental health concerns (53.2% phone, 57.3% webchat, 58.2% email) followed by social relationship issues (20.4% phone, 20.3% webchat, 16.8% email) and family relationships (19.4% phone, 17.2% webchat, 21.8% email). The increased preference for online text-based information and counselling services can help inform development of services for young people and allocation of staff/service training and resources.
An increasing number of technology apps for managing wellbeing and mental health are permeating young people’s use of digital spaces. There are a range of online wellbeing tools which have been developed to promote self-tracking and build young people’s wellbeing and mental health, for example, Optimism, My Mood Tracker and Strava. Tracking outcomes of support with highly transient young people is, more broadly, a particular challenge for youth workers, evaluators and social researchers. Using digital apps to promote as well as monitor wellbeing with tech-savvy young people is an enticing prospect for youth support services, particularly with young people whose engagement with support is sporadic and unpredictable during periods of homelessness or other crisis situations. The use of purpose-designed digital apps may have the potential to not only benefit young people’s mental health and wellbeing, but also enhance the consistency and quality of their connection with support services. In principle, putting wellbeing digital tools directly into the hands, and phones, of young people who are accessing support services seems to make good sense. A great number of online resources have, however, relatively limited uptake in highly vulnerable youth populations. The design starting point must therefore be, what would they use and how would they use it? How can digital apps help to promote stronger support engagement, be aligned with young people’s perspectives and priorities of wellbeing, and enable better outcomes evaluation? This article shares learnings from a consultation with more than 400 young youth service users to build better understanding of their relationships with digital technologies, what they would use and how they would use it to better connect with support as well as to promote and record changes in wellbeing over time. Exploring the young people’s perspectives on wellbeing, service delivery and use of digital technologies has broad implications for the integration of digital technology into both service delivery and evaluation of youth programmes. The findings suggest that digital platforms can play a role in evaluating youth wellbeing over time. The prerequisites, are however, that young people’s autonomy and individuality must be supported. We need to start from a place that facilitates agency and creativity, and focuses on capturing qualitative data that meet young people in their world – even when this is challenging for us.
We used a mixed-methods online survey to recruit 616 young Australians whose parents had separated, to understand their experiences and how to better support them throughout the separation process. Persistent themes included conflict, lack of communication and agency, mental health concerns, and feelings of confusion, frustration, loss, and grief. Some suggested it would have been useful to talk about reasons for the separation, their rights, opinions and feelings, with some indicating the separation process affected their ongoing mental health and relationships. There was a general preference for face-to-face counseling, closely followed by online counseling and online peer-to-peer support, indicating that a “one size fits all” approach is not suitable for young people. Young people should be offered services early in the separation process that can be extended in content to other issues such as new partners, school life and mental health, and continued beyond the timeframe of the separation process.
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