CHATogether: a novel digital program to promote Asian American Pacific Islander mental health in response to the COVID-19 pandemic

Song, Jae Eun; Ngo, Nealie T.; Vigneron, Jessica G.; Lee, Alan; Sust, Steve; Martin, Andrés; Yuen, Eunice Y.

doi:10.1186/s13034-022-00508-4

Cited by 3 publications

(2 citation statements)

References 58 publications

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“…The “one person–one case–one team” intervention model achieved satisfactory intervention results, and provided a “Compassionate Home” for those at high risk. Our crisis intervention model may be used in other similar contexts (Song et al, 2022).…”

Section: Intervention Programme and Discussionmentioning

confidence: 99%

Psychological crisis intervention for students during COVID‐19 lockdown in China

Fan

Yang

et al. 2023

Couns and Psychother Res

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ObjectivesThis study aims to describe the experience and practice of an intervention process for mental health crisis with 14,093 students living in a suddenly quarantined campus during the COVID‐19 pandemic.MethodsAn expert committee of psychiatrists, psychologists and student counsellors was formed to manage the psychological crisis experienced by students. The committee provided online and onsite support, disclosed timely information, attended various online courses and facilitated various activities. Using the PHQ‐9, GAD‐7 and ISI scales, psychological weekly reports, student files and emergencies, students who were likely to have a crisis event were screened, and their degree of crisis was evaluated. A “one person–one case–one team” intervention was conducted for high‐risk students.ResultsOf the 14,093 students, 11,121 finished all three online questionnaires. Based on the results of the screening tests, 732 students were placed in the prioritised attention group, 293 in the crisis group and 33 (10 [3.41%] male and 23 [7.85%] female) showed severe suicidal intentions. In total, 186 (3.26%) students declared poor sleep quality, while 610 (10.05%) students were found to have depression. The number of students affected with generalised anxiety was 650 (10.77%). Clinical intervention was successful with no untoward incidents.ConclusionsWith strong support from the government, and the cooperation between multidisciplinary experts and the comprehensive intervention programme, the study obtained positive results. However, the limitations include the partial online survey responses and incomplete records of intervention. Nevertheless, the findings of this study could provide a foundation for further research.

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Section: Intervention Programme and Discussionmentioning

confidence: 99%

Psychological crisis intervention for students during COVID‐19 lockdown in China

Fan

Yang

et al. 2023

Couns and Psychother Res

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“…The program consisted of six core arms that include: digital interactive theater, public mental health education, research, peer support and community outreach, collaboration, and mentorship. These arms aimed to provide a feasible and successful family wellness initiative in response to the COVID-19 pandemic [ 12 ]. Through this community effort, we have witnessed the dire clinical need to address familial mental health as a one-unit system during the post-pandemic era.…”

Section: Introductionmentioning

confidence: 99%

Novel CHATogether family-centered mental health care in the post-pandemic era: a pilot case and evaluation

Bookman,

Nunes,

Ngo

et al. 2024

Child Adolesc Psychiatry Ment Health

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Background The COVID-19 pandemic impacted children, adolescents, and their families, with significant psychosocial consequences. The prevalence of anxiety, depression, and self-injurious behaviors increased in our youth, as well as the number of suicide attempts and hospitalizations related to suicidal ideation. Additionally, parents’ mental health saw increasing rates of depression, irritability, and alcohol use combined with worsening family function, child-parent connectedness, positive family expressiveness, and increases in family conflict. In light of these statistics, we created CHATogether (Compassionate Home, Action Together), a pilot family-centered intervention using multi-faceted psychotherapeutic approaches to improve familial communication and relational health between adolescents and their parents. This paper discusses the implementation of the CHATogether intervention at the Adolescent Intensive Outpatient Program (IOP), providing an example of the intervention through an in-depth pilot case, and evaluation of the program’s acceptability and feasibility. Methods This paper describes a case in detail and evaluation from a total of 30 families that completed CHATogether in the initial pilot. Each family had 4–6 one-hour CHATogether sessions during their 6-week treatment course at the IOP. Before and after CHATogether, adolescents and their parents separately completed a questionnaire designed to explore their perceived family conflicts. After completion of the program, participants completed a brief quality improvement survey to assess their overall experience with CHATogether. In the reported case, the family completed Patient-Reported Outcomes Measurement Information System (PROMIS) depressive and anxiety symptoms scales, Conflict Behavior Questionnaires (CBQ), 9-item Concise Health Risk Tracking Self-Report (CHRT-SR9), and help-seeking attitude from adults during distress and suicide concerns. Results The pilot case showed a trend of improvement in reported depressive and anxiety symptoms, child-parent conflicts, subfactors of suicide risk including pessimism, helplessness, and despair, help-seeking acceptability from parents for suicide concerns, and the establishment of individualized family relationship goals. Preliminary feedback from participating families demonstrated positive effects on intra-family communication and improvement in the overall family dynamic. Adolescents (n = 30/30) and their parents (n = 30/30) rated “strongly agree” or “agree” that their families had benefited from CHATogether and welcomed participation in future program development. Conclusion This study presents CHATogether as a novel family-centered intervention to address post-pandemic family mental health stress, especially when a family system was disrupted and negatively affected the mental health of children and adolescents. The intervention facilitated positive child-parent communication on a variety of topics, through tools such as emotional expression and help-seeking behavior. The reported pilot case and evaluation suggested CHATogether’s acceptability and feasibility in a clinical context. We also provided quality improvement feedback to guide future studies in establishing the efficacy of CHATogether and other similar models of clinical family interventions.

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CHATogether Skit Development and Healing of Asian American Generation Z’s Unspoken Agonies: A Qualitative Study

Wong,

Deng,

Benhayoun

et al. 2024

Journal of Creativity in Mental Health

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CHATogether: a novel digital program to promote Asian American Pacific Islander mental health in response to the COVID-19 pandemic

Cited by 3 publications

References 58 publications

Psychological crisis intervention for students during COVID‐19 lockdown in China

Psychological crisis intervention for students during COVID‐19 lockdown in China

Novel CHATogether family-centered mental health care in the post-pandemic era: a pilot case and evaluation

CHATogether Skit Development and Healing of Asian American Generation Z’s Unspoken Agonies: A Qualitative Study

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