Interviews with field leaders

Why use technology in mental health treatment?

Interview with Michelle Blanchard, Head of Projects and Partnerships, Young and Well CRC


Everywhere we look these days, young people seem to becoming more and more engaged in the use of technology. There are social networking sites such as Facebook, entertainment sites such as Youtube, and school and university research seems to be done primarily online. If this engagement with technology can be utilised within the youth mental health workforce, we may be able to increase the mental health wellbeing of young people.

There are many benefits to using technology in the youth mental health workforce, not least that it is extremely cost effective. Head of Projects and Partnerships for the Young and Well CRC Michelle Blanchard talks of the $10 billion spent on untreated mental illness and $17.5 billion spent on suicide each year, with "large amounts of money spent on treating mental ill-health and the costs of not treating mental health". By utilising technology, we are able to disseminate interventions to larger groups of people and introduce stepped care, or low-intensity intervention during the early stages of mental health problems. If there is no difference after utilising these, more intensive assistance can be given if required. There is also an appeal for young people in the confidentiality afforded online if they are not yet comfortable speaking to someone face-to-face about their problems.

In saying this, though, we need to understand the unique experience of groups that may not have easy access to technology. Blanchard tells of the young people involved in the Inspire Foundationʼs (where Blanchard previously worked as Senior Research Officer) 2006 Bridging the Digital Divide study. These young people came from backgrounds of drug and alcohol abuse, homelessness and refugees, overestimated their use of technology. For many of these young people, challenges could be something that seems simple to us, like setting up an email address, because of literacy problems, and Blanchard places an importance on evaluating "the capacity for young people to access different technology". So too do we need to look at barriers stopping the youth health workforce from using technology, such as infrastructure (bad internet connections, computers without USB ports and similar) and bans on using the internet during work hours and on sending emails and SMS to clients.

The CRC, led by the Inspire Foundation, will develop "tech-savvy tools to support the wellbeing of our young Australians". Blanchard is no stranger to this area, with her PhD study focused on understanding the use of information communication technologies by the youth health workforce to improve young people's mental health and wellbeing. Blanchard chose this topic after working on the Bridging the Digital Divide report. "There was a disconnect between young people and how professionals perceived young peoplesʼ experience," says Blanchard, who saw that the need for youth health workers to better understand how young people engage in technology was not being responded to. In her research, Blanchard looked at previously collected data from the Inspire Foundation and designed research based on methods previously used and what was appropriate to research in this sector. Online diaries, for instance, were not as successful, as "the youth health workforce are very time poor".

Find out more about the Young and Well CRC: http://youngandwellcrc.org.au/

Blanchard also engaged with thought leaders in the field, such as Pat McGorry, Helen Christiensen, Ian Hickie and others, whose work is very influential in terms of mental health and wellbeing. Blanchard found that "there is a disconnect between the workers, who are really enthusiastic about implementing new technology, and the thought leaders, who are enthusiastic about technology, and the middle management who are  apprehensive about using it." These apprehensions, such as concerns about young peoplesʼ safety online, particularly in regard to cyber bullying, and duty of care if using technology in practices - for example, what if a client sends their counsellor an SMS at three A.M.? Is it then their duty of care to respond to this immediately? - are not necessarily unfounded, says Blanchard.

"Some of these concerns are founded, and young people do experience crises outside of office hours." However, "research has shown that that cyber bullying affects 14 to 19 per cent of young people, whereas the statistics for face to face bullying are significantly higher", so this must be viewed in context. So too can steps be taken to minimise risk for workers being held responsible for their clients outside of office hours, with auto-reply messages on email and SMS letting the client know places they can call to get help such as Lifeline or Kids Help Line.

So if we are to start implementing technology in the workplace, where to start? Blanchard has some introductory suggestions. "Make use of online resources such as ReachOut Pro and Beacon; these are a good starting point if you are looking to increase use of technology". She also advises speaking to young people about what technology they find useful. "Facebook can be used to do assessments, and this can be as simple as looking at their Facebook profile with the young person and saying ʻThis person posts on your wall a lot, can you tell me about your relationship?ʼ". Interactive online resources can also be used, such as MoodGym, eCouch and Reach Out Central, to provide some assistance between appointments that can be followed up in subsequent meetings with the young person.

Stay in touch with the Young and Well CRC:
Website http://youngandwellcrc.org.au
Facebook http://facebook.com/yawcrc
Twitter http://twitter.com/yawcrc

Online resources mentioned in this article:

 

Interview conducted by ReachOut.com YA, Emily Lloyd