scholarly journals Hi, Can I Help? Exploring How to Design a Mental Health Chatbot for Youths

Author(s):  
Camilla Gudmundsen Høiland ◽  
Asbjørn Følstad ◽  
Amela Karahasanovic

Chatbots represent new opportunities for low-threshold preventive mental health support to youths. To provide needed knowledge regarding how to design chatbots for this purpose, we present an exploratory design study where we designed and evaluated a prototype chatbot to complement the work of school nurses in the school health service. The prototype was designed with particular regard for preventive mental health support. The design process involved school nurses, digital health workers, and youths. Through user insight activities, we identified four types of support to be provided through the chatbot: informational, relational, processual, and referral. We explored these four types of support through concept development and prototyping. These results are discussed as a potential basis for a framework for understanding youths’ needs regarding chatbots for preventive mental health support. When discussing the study findings, we point out how the study contributes to theory and practice and suggest avenues for future research.

2020 ◽  
Vol 17 ◽  
Author(s):  
Kelly Mackinnon ◽  
Timothy Everett ◽  
Lisa Holmes ◽  
Erin Smith ◽  
Brennen Mills

IntroductionParamedics are exposed to significant and cumulative stressors that contribute to poor mental health. The provision of effective and engaging mental health support is essential in improving overall wellbeing. Many ambulance services have adapted their available support services to reflect this need. However, there remains limited research into the perceived efficacy of these services and barriers that limit uptake from paramedics.MethodsParamedics and ambulance volunteers from Australia and New Zealand were invited to complete an online survey consisting of a series of Likert-scale and open-ended response questions. The well-validated Kessler Psychological Distress Scale was also incorporated into the online survey.ResultsA total of 184 participants completed the survey. A total of 50 (27%) participants reported high/very high levels of psychological distress. Participants exposed to at least one adverse event while working reported higher psychological distress scores than those that had not. Just over half (51%) of all participants disagreed/strongly disagreed there was no stigma associated with seeking mental health support from paramedic colleagues and 54% of participants disagreed/strongly disagreed there was no stigma from managerial staff.ConclusionThese findings suggest paramedics are at a greater risk of psychological distress than the general population. This is particularly problematic given there is a clear perception of ongoing stigma among paramedics associated with the utilisation of mental health support services. Future research should explore methods for reducing stigma and encouraging help-seeking behaviours in this vulnerable population throughout all phases of an emergency service workers career.


2020 ◽  
Vol 4 (1) ◽  
pp. 161-164
Author(s):  
Arif Nurma Etika ◽  
Endang Mei Yunalia ◽  
Erik Irham Lutfi ◽  
Wiwin Sulisyawati

Background: Covid - 19 is a disease that has a high virulence so it is easily transmitted, even now it has become a pandemic. Because the impact is mainly for people who have comorbid and also the mortality rate in patients and misleading media, so many people who give stigma to patients and their families. The stigma given to patients suffering from Covid-19 is thought to have a significant impact on the patient. Purpose: Aim of this study to analyze the impact of stigma on patients with Covid-19 Methods: the method used in writing this article is literature review. By using the google scholar search engine, Pubmed, DOAJ, Science Dirrect, Research Gate, with the keywords Covid, impact and Stigma, in 2020, the articles that meet the criteria are 6 articles. Results: Based on the existing analysis, it was found that stigma, both internal stigma and external stigma can affect the mental health of patients with co-19, in addition to other impacts also caused among them are socioeconomic problems Conclusion: It is recommended for health workers to provide mental health support for patients with Covid-19, in addition it is also necessary to have a policy that minimizes the negative impact caused


2002 ◽  
Vol 8 (2) ◽  
pp. 114-126 ◽  
Author(s):  
Niall Morrison ◽  
Kevin Ronan

The present study explored the current competency status of New Zealand residential mental health support workers (n = 121). Competency was assessed through the domains of skills, attitudes and perception of the work environment. Consistent with a recovery model, the National Mental Health Workforce Development Coordinating Committee (1999) put forward 10 basic core competencies that they recommended that all mental health workers should be able to demonstrate in their work practice. Skills and attitudes self-report measures were developed to assess participant performance on these competencies. In addition, a standard measure, the Ward Atmosphere Scale (Moos, 1996), was utilised to evaluate the perceived atmosphere of the participants' work environment. The aggregated results of this study appeared to show that participants were generally competent in a number of areas of work practice. However, deficiencies in critical areas of client support were identified on closer examination of the data. While superior education and training did appear to influence performance on certain competencies, some deficiencies were nevertheless reported by the more highly educated and trained participants. In addition, participants generally characterised their work settings in a negative manner such that it appears that many settings are not adhering to the philosophies of rehabilitation and recovery. Despite the identification of specific deficiencies, many participants did demonstrate a number of competencies combined with an encouraging commitment to professional growth.


BJPsych Open ◽  
2018 ◽  
Vol 4 (4) ◽  
pp. 302-306 ◽  
Author(s):  
Rebecca Grist ◽  
Bethany Cliffe ◽  
Megan Denne ◽  
Abigail Croker ◽  
Paul Stallard

BackgroundAdolescents are digital natives, with the majority now owning their own smartphones and having internet access. Although the internet and smartphone applications (apps) can provide mental health support, little is known about how young adolescents use digital technology for mental health purposes. There are many digital health resources available for young people, but the assumption that they will be open to use them has been largely untested.AimsWe aimed to explore how adolescents with and without raised symptoms of anxiety, depression and problematic eating use the internet on smartphones/tablets and mental health apps.MethodThe Bristol Online Survey tool was used to deliver an online survey to 775 girls aged 11–16 years, attending a state-funded secondary school in the south-west of England. The survey was completed in class during the winter term of 2017.ResultsA total of 98.7 and 97.4% used the internet and apps, respectively, although only 6% had used any mental health apps. Of those with raised mental health symptoms, 15–17% used or were using a mental health app, with 48.5% reporting that they would not use a mental health app.ConclusionsYoung female adolescents are avid users of the internet and apps but are not using digital technology for mental health purposes. Addressing concerns about digital technology are necessary to maximise the effect it can have on child and adolescent mental health.Declaration of interestNone.


10.28945/4813 ◽  
2021 ◽  
Vol 16 ◽  
pp. 513-531
Author(s):  
Panchali Guha ◽  
Devyani Pande

Aim/Purpose: This article explores the content of PhD student tweets. It has three main aims: (a) to examine what is discussed regarding the PhD process, (b) to evaluate whether tweets express primarily positive or negative sentiments, and (c) to uncover the key themes discussed in both positive and negative tweets. Background: Recent surveys of PhD students have raised concerns about their wellbeing by pointing to high prevalence rates of adverse mental health conditions. However, our understanding of which factors pose the highest risks is still evolving. Self-selection into surveys also raises the possibility of discounting positive aspects of the PhD experience. We use a different data source (Twitter) to explore both these issues. Methodology: Using 16,928 tweets with the Twitter hashtags #phdlife and #phdchat, we first conduct dictionary-based sentiment analysis in R to determine whether tweets are dominated by positive or negative sentiment. We then hand-code the dominant sentiment of a randomly selected subset of 1,994 tweets and qualitatively analyse positive and negative tweets separately to uncover the key themes in each category. Contribution: This article contributes to the emerging literature on the wellbeing and mental health of PhD students by using a novel data source (tweets). It highlights both positive and negative aspects of the PhD student experience. Findings: We find that most tweets express positive rather than negative sentiment, indicating that PhD students do enjoy many aspects of their experience. Negative tweets are dominated by mental health concerns. They also highlight problems with academic culture (especially the normalization of overwork) and the effects of the pandemic on students. Recommendations for Practitioners: Our results indicate that there is a need to change the academic culture of normalizing overwork, ensure adequate institutional provision of mental health support and ability to spot signs of emotional distress, devise strategies to combat the imposter phenomenon, and respond to the particular challenges that the pandemic has created for PhD students. Recommendation for Researchers: The authors recommend that future research explore the specific challenges and opportunities faced by PhD students in different disciplines and geographical locations. As the data used here were collected during the pandemic, it would be useful to track post-pandemic sentiments to observe changes. Impact on Society: Improving the graduate experience of PhD students and providing them adequate mental health support will help to ensure their continued productivity and wellbeing. Future Research: Future research in this area should focus on the efficacy of different interventions to address key problems, such as the imposter phenomenon, stress, anxiety, depression, and isolation.


2021 ◽  
Vol 16 (6) ◽  
pp. 914-921
Author(s):  
Junko Okuyama ◽  
Shunichi Funakoshi ◽  
Shuji Seto ◽  
Yu Fukuda ◽  
Kiyoshi Ito ◽  
...  

Introduction: Adolescents affected by disasters need mental health support because they tend to be at risk of developing psychiatric disorders and stress as grown-ups. However, it is difficult to develop and validate a support system for adolescents affected by disasters because it is unknown when and where disasters occur, and there is inadequate data related to this in Japan. Methods: To address these issues, we present a mental health support system for high school students affected by the Great East Japan Earthquake. We hypothesized that mental health support could be provided by classroom teachers and school nurses, who are familiar with high school students. We investigated the psychological state of the affected high school students for three years after the earthquake, and the students in psychological crises received interventions from their class teachers and school nurses. Results: The intervention resulted in improvements in depression and post-traumatic stress reaction (PTSR). Conclusion: These results suggest that our high school-based intervention is a feasible solution for mental health support for adolescents affected by the disaster.


BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e041371
Author(s):  
Alyssa Howren ◽  
J Antonio Aviña-Zubieta ◽  
Deborah Da Costa ◽  
Joseph H Puyat ◽  
Hui Xie ◽  
...  

ObjectiveTo evaluate the association between having arthritis and the perceived need for mental healthcare and use of mental health support among individuals with mental disorders.DesignA cross-sectional analysis using data from Canadian Community Health Survey—Mental Health (2012).SettingThe survey was administered across Canada’s 10 provinces using multistage cluster sampling.ParticipantsThe study sample consisted of individuals reporting depression, anxiety or bipolar disorder.Study variables and analysisThe explanatory variable was self-reported doctor-diagnosed arthritis, and outcomes were perceived need for mental healthcare and use of mental health support. We computed overall and gender-stratified multivariable binomial logistic regression models adjusted for age, gender, race/ethnicity, income and geographical region.ResultsAmong 1774 individuals with a mental disorder in the study sample, 436 (20.4%) reported having arthritis. Arthritis was associated with increased odds of having a perceived need for mental healthcare (adjusted OR (aOR) 1.71, 95% CI 1.06 to 2.77). In the gender-stratified models, this association was increased among men (aOR 2.69, 95% CI 1.32 to 5.49) but not women (aOR 1.48, 95% CI 0.78 to 2.82). Evaluation of the association between arthritis and use of mental health support resulted in an aOR of 1.50 (95% CI 0.89 to 2.51). Individuals with arthritis tended to use medications and professional services as opposed to non-professional support.ConclusionComorbid arthritis among individuals with a mental disorder was associated with an increased perceived need for mental healthcare, especially in men, underscoring the importance of understanding the role of masculinity in health seeking. Assessing the mental health of patients with arthritis continues to be essential for clinical care.


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