Interviews with field leaders

Helping young people with depression-Lowdown NZ

Inteview with Simon Siewert, digital strategist and Dylan Norton, Manager, National Depression Initiative Services, Lifeline Aotearoa, about the Lowdown NZ service.

As many as one in five people experience depression in New Zealand, with eight percent of teenagers expected to be impacted by the mental illness at any given time. As a part of the country's national depression initiative, Dylan Norton is the manager of a service called 'Lowdown', a service that aims to be a contributor to the reduction of suicide rates in New Zealand. Simon Siewert also worked as a digital strategist and was involved with the creative development of the Lowdown, and will play a pivotal rule in its future development.
The Lowdown was launched three years ago following what could be described as a lack of utilization of mainstream help-seeking services for depression, with less than ten percent of overall call volumes coming from the 14-24 demographic. These findings and figures established the need for a service that would not only see increased help-seeking from young people, but also the requirement of a service that engages with young people on levels that are most relevant to them as well as having a presence at the spaces where they currently interact. The Lowdown is an "early intervention service, set up to accommodate those with mild to medium levels of depression". The spectrum of users typically ranges from those who may not recognise that they are experiencing depression, to those who are identified as having high levels of the mental illness. Siewert's research also found that "from a marketing and service delivery perspective, traditional perspectives weren't going to work".
As is the story in Australia, the number of people who commit suicide in New Zealand in each year (more than 100) is higher than the countries road toll. The country also has the second highest rates of suicide in the world. Norton said that depression "plays a part in a majority of suicide attempts", and through doing this emphasized the importance of having a campaign that is specifically focused at depression. Results from the campaign appear to be driving results, with almost 3,000 young people utilising the Lowdown through text or e-mail in the six months to June 2010, the most successful period of the campaign yet. The figure is likely to increase as the service moves into new territories and avenues over coming months.
How that campaign is executed though needs to be continually assessed, as Norton advised of research findings showing that media coverage can have a negative impact, which subsequently provides challenges on how issues associated with suicide can be communicated. Siewert said that the key message for users of the Lowdown was for them to realise that depression "wasn't just a part of their personality, their make-up" and that "there actually is a medical condition that causes this". Research has also found that young people who were experiencing symptoms of depression were likely to speak with a family member or friend first, before heading online and engaging with a service such as the Lowdown. Such research met Norton's expectations, as he explained that it supported the thinking process behind the development of the Lowdown.
One of the faces of the campaign is John Kirwan, a former All Black rugby union player of a decade and now international coach. Kirwan has openly spoken of his previous experiences with depression, including authoring the book All Blacks Don't Cry, and has since become a Member of the Order of the British Empire for his work in mental health. Kirwan's contribution to the campaign, along with prominent contributors to the entertainment industry Sonia Gray, Dave Gibson, Jane Yee and Awa has been found to be beneficial for young people who utilise the service, with Norton indicating that their involvement "can normalise people's experiences".  With New Zealand being the only country in the world that experienced growth in viewership in 2010, Siewert recognised the powerful medium of the channel when using recognizable faces, describing their role as "crucial in the early stages for any campaign for public awareness".
Utilising SMS technology has reaped benefits for the Lowdown, with Norton stating that feedback received from 14-24 year olds indicating the communication channel is quite beneficial, finding texts useful and private. As pointed out however, SMS can only provide limited support, and increased levels of support (such as a referral to a helpline), is recommended when required. Norton said that a partial role that SMS communication plays is to "identify the extended resources that users require", and how to "encourage users to take that step to begin engaging those services". Siewert also provided the personal perspective that a "high cultural barrier" exists on what would typically be deemed in Australia as 'traditional face-to-face support', with referrals from GPs typically required.
Describing awareness and research on mental health and depression as a quickly developing area, Norton said that more research is required to ensure that engagement with young people is most effective. Needing to be reviewed according to Norton is the effectiveness of online programs and their contribution to combatting depression, while acknowledging that research is starting to take place. "Technology will change over time, but it's very important to keep up with the changes as best as you can, in the safest way possible," Norton said.
Future actions for the Lowdown are to not only continue to provide a quality service, but also to develop youth practice guidelines, develop partnerships with the increasing number of service providers that are beginning to use similar technologies, and explore channels such as social media (in particular social networking) to re-assess their presence amongst young people and ensuring the most effective channels for current and future users.
When asked to provide one piece of advice to health care professionals on working with young people and utilising technology, Norton said "keeping with young people with where they're at and the technology that they use as best as you can… meeting people where they're at will provide the best services". For Siewert, emphasis was placed on putting the user of the service first. "More work needs to be done to make it [services] approachable and respectable".
Sources:
http://www.headspace.org.nz/young-people/depression.htm
http://en.wikipedia.org/wiki/John_Kirwan_(rugby)


As many as one in five people experience depression in New Zealand, with eight percent of teenagers expected to be impacted by the mental illness at any given time. As a part of the country's national depression initiative, Dylan Norton is the manager of a service called 'Lowdown', a service that aims to be a contributor to the reduction of suicide rates in New Zealand. Simon Siewert also worked as a digital strategist and was involved with the creative development of the Lowdown, and will play a pivotal rule in its future development.

The Lowdown was launched three years ago following what could be described as a lack of utilization of mainstream help-seeking services for depression, with less than ten percent of overall call volumes coming from the 14-24 demographic. These findings and figures established the need for a service that would not only see increased help-seeking from young people, but also the requirement of a service that engages with young people on levels that are most relevant to them as well as having a presence at the spaces where they currently interact. The Lowdown is an "early intervention service, set up to accommodate those with mild to medium levels of depression". The spectrum of users typically ranges from those who may not recognise that they are experiencing depression, to those who are identified as having high levels of the mental illness. Siewert's research also found that "from a marketing and service delivery perspective, traditional perspectives weren't going to work".

As is the story in Australia, the number of people who commit suicide in New Zealand in each year (more than 100) is higher than the countries road toll. The country also has the second highest rates of suicide in the world. Norton said that depression "plays a part in a majority of suicide attempts", and through doing this emphasized the importance of having a campaign that is specifically focused at depression. Results from the campaign appear to be driving results, with almost 3,000 young people utilising the Lowdown through text or e-mail in the six months to June 2010, the most successful period of the campaign yet. The figure is likely to increase as the service moves into new territories and avenues over coming months.

How that campaign is executed though needs to be continually assessed, as Norton advised of research findings showing that media coverage can have a negative impact, which subsequently provides challenges on how issues associated with suicide can be communicated. Siewert said that the key message for users of the Lowdown was for them to realise that depression "wasn't just a part of their personality, their make-up" and that "there actually is a medical condition that causes this". Research has also found that young people who were experiencing symptoms of depression were likely to speak with a family member or friend first, before heading online and engaging with a service such as the Lowdown. Such research met Norton's expectations, as he explained that it supported the thinking process behind the development of the Lowdown.

One of the faces of the campaign is John Kirwan, a former All Black rugby union player of a decade and now international coach. Kirwan has openly spoken of his previous experiences with depression, including authoring the book All Blacks Don't Cry, and has since become a Member of the Order of the British Empire for his work in mental health. Kirwan's contribution to the campaign, along with prominent contributors to the entertainment industry Sonia Gray, Dave Gibson, Jane Yee and Awa has been found to be beneficial for young people who utilise the service, with Norton indicating that their involvement "can normalise people's experiences".  With New Zealand being the only country in the world that experienced growth in viewership in 2010, Siewert recognised the powerful medium of the channel when using recognizable faces, describing their role as "crucial in the early stages for any campaign for public awareness".

Utilising SMS technology has reaped benefits for the Lowdown, with Norton stating that feedback received from 14-24 year olds indicating the communication channel is quite beneficial, finding texts useful and private. As pointed out however, SMS can only provide limited support, and increased levels of support (such as a referral to a helpline), is recommended when required. Norton said that a partial role that SMS communication plays is to "identify the extended resources that users require", and how to "encourage users to take that step to begin engaging those services". Siewert also provided the personal perspective that a "high cultural barrier" exists on what would typically be deemed in Australia as 'traditional face-to-face support', with referrals from GPs typically required.

Describing awareness and research on mental health and depression as a quickly developing area, Norton said that more research is required to ensure that engagement with young people is most effective. Needing to be reviewed according to Norton is the effectiveness of online programs and their contribution to combatting depression, while acknowledging that research is starting to take place. "Technology will change over time, but it's very important to keep up with the changes as best as you can, in the safest way possible," Norton said.

Future actions for the Lowdown are to not only continue to provide a quality service, but also to develop youth practice guidelines, develop partnerships with the increasing number of service providers that are beginning to use similar technologies, and explore channels such as social media (in particular social networking) to re-assess their presence amongst young people and ensuring the most effective channels for current and future users.

When asked to provide one piece of advice to health care professionals on working with young people and utilising technology, Norton said "keeping with young people with where they're at and the technology that they use as best as you can… meeting people where they're at will provide the best services". For Siewert, emphasis was placed on putting the user of the service first. "More work needs to be done to make it [services] approachable and respectable".

 

Sources:

http://www.headspace.org.nz/young-people/depression.htm

http://en.wikipedia.org/wiki/John_Kirwan_(rugby)

 

Interview conducted by ReachOut.com Youth Ambassador, Chris Pycroft

 

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Advice from young people + health professionals

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