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BeyondProfessionalsYoungpeoplesupportingeachother
Sophie Potter Community Manager
Gail Phelps Peer Moderator
Jordan Hammond Peer Moderator
Online Youth Engagement and
Participation Conference: 9th May 2013
OurmissionTohelpyoung
peopleleadhappierlives
1992 19981996
2000 - 2008
Inspire Foundation
1997
2009 - 2012
15years
of
It‟s always been about young people
helping themselves…
1998
1999
2001
2006
2009
2009
Butin2010,wetooka
long,hardlookat
whichyoung people
wewantedtofocus
on,andhowwe
neededtoposition
ourselvestoachieve
this.
Soweinvitedover100young peopletomeetour“users”,
mapouttheirneeds,andhelpusredesigntheservice…
And we ended up with…
Guidingprinciples:Focus on the benefits to me and my friends; Be
relevant to me and my life; Reach out to me in places where I am –
both online & offline
Userexperiencegoals:RO helps me understand my experience; RO
gives me a range of actionable help options; RO shows me results; RO
connects me to others; RO helps me help others; RO gives me a range
of options to get involved
BrandValues:Authentic; Trustworthy; Positive; Encouraging; Friendly;
Inclusive
DesignPrinciples:clean and simple; quick and easy; flexibility in
information delivery; flexibility in engagement; creative; consistency
Userbenefits:Accepted; Confident; Happy; Reassured; Hopeful;
Relieved; Motivated; Better than before; More aware of myself
Brandvoice:ReachOut is a 25 year old male. He's a good friend and a
casual expert. He's easy to understand; Friendly; Honest; Not pushy;
Optimistic; Respectful; Empathetic; Fun
Suicideratesaren‟tacceleratinglikethey
oncewere,butthementalhealthsystem
stillstrugglestomeettheneedsofyoung
people
The policy context
“Areal challenge exists withour mental health services
at the moment. They're not easily accessible and we
don't have enough professionals, particularly inour
regional, rural, remote communities. Technologies
provide us withaway of connecting anyone anywhere
withaperson whocan help them.”
AssocProfJaneBurns
CEOYoungandWellCooperative
ResearchCentre(2012)
How can we bridge the gap?
• Reducetheburdenon
limitedservices
• Extendaccessibilityof
mentalhealthservices
• Improveunderstandingof
mentalhealthdifficulties
• Decreasestigmaand
improvemotivationto
accessservices
“Because you can't see it, it's not
real. Unless I'm in physical pain,
there's no reason to go seek help.”
- ReachOut.com focus group participant
ReachOut.com is:
Anonlinementalhealth
communitywhereyoung
peoplecanconnect,grow
andthrive
Accessible24/7,
wherevertheyneedit
ReachOut.comtargets…
1. Mental Health Promotion and Universal Prevention;
2. Selective and Indicated Prevention; and
3. Early intervention.
The theory bit
Protectivefactors,suchas:
• Sense of belonging
• Adaptive coping strategies
• Help-seeking behaviour
• Mental health literacy
How we help: Universal audience
thathelpyoungpeopleconnecttheir
experiencestothoseofothers
Personal stories
thatprovideinformationandknowledge
neededtopositivelymanagewellbeing
Articles + fact
sheets
thatshareandbuildknowledge/skillsfor
building+managingwellbeing
Conversations
whereyoungpeopleparticipatein
campaignsandrelatedactivitiesthatraise
awareness+increaseunderstanding
aboutmentalhealth
Campaigns +
participation
How we help: Selected / indicated audiences
thathelpyoungpeoplerecognisetheir
problem+increasetheirunderstanding
Personal stories +
fact sheets
thatincreasepositiveattitudestowards
help-seekingandthebeliefthattimely/
appropriatesupportcanbeeffective
Stories
thatincreasesparticipationinapositive
socialsupportnetwork,leadingtoimproved
selfesteemandresilience
Community
participation
thathelpsyoungpeopleincreaseself
awareness,selfmonitoringandproblem
solvingskills
How we help: Early intervention
thathelpyoungpeoplerecognise
symptoms+provideactionablehelp
Personal stories +
fact sheets
thatincreasepositiveattitudestowards
help-seekingandthebeliefthattimely/
appropriatesupportcanbeeffective
Stories
thatconnectyoungpeoplewithasocial
supportnetwork+linkyoungpeople
seekinghelptoinformationandservices
Online forums
Weknowthisbecause…
ReachOut.comhelps
1.4millionuniquevisitorstoReachOut.comin2011/2012,&664,332
engagedusers=27%increaseontheprevious year
Almost50%ofyoungpeopleweinteractwithonsocialchannelsare
youngmen,thosewhoneedusmost.
50%ofthesevisitstakeplaceafter5pmandbefore9am
77%ofyoungpeoplewhouseReachOut.comregisterhighorveryhigh
levelsofpsychologicaldistress.
75%ofyoungpeoplewhousedReachOut.comin2011reportedthatit
helpedthemtobetterunderstandmentalhealthissues
Nearlyhalf(46%)saidithelpedthem„quiteabit‟or„alot‟toaska
professionalforhelp.
Where we are:
*
ReachOut.com
Community
forums
Social media
• Flagship service
• 14-25 years
• 1.4 million unique
visitors (2011/12)
• Facts sheets,
personal stories,
tools, tips, peer
support
• Topics from
wellbeing to
tough times
• Component of
ReachOut.com
• 1255 active
members
• Anonymous and
private
• Peer support
• Discussions
range from
wellbeing to
tough times
• 17,396 facebook
followers
• 5581 twitter
followers
• 276 YouTube
subscribers
(149k views)
• Focus on
wellbeing and
engagement
IT‟S
RISKY!!!!!
These conversations
are happening with
or without us.
For us, the
biggest risk
is not being
there.
Online forums and risk management
• Anonymity and privacy
• Peer-to-peer support
• Clear boundaries re. extent of service
• (Post) moderation by youth moderators
and professionals
• Three risk management strategies:
• Technical
• Self-moderation
• Staff moderation
Community risk management strategies
TECHNICAL
• Register/sign to post
• Member accounts display no
person info
• Automatic ”alert words or
phrases” notifications
• Clear announcements around
extent of service
SELF MODERATION
• Community guidelines – outline
positive behaviours and extent
of service
• Culture
• Feedback from moderators if
guidelines breached
• Reporting function for forum
users
PEER/PRO MODs
• Trained peer moderators model
positive behaviours
• proactively hide or report
Professional moderators respond
to distressed young people or
difficult content
• Sensitive discussions/topics
facilitated by youth workers or
mental health professionals
• Clear escalation procedures
Governance/Risk Management Structures
Peer & Pro Mods
Staff Moderators
Support Group
Clinical Advisory
Group
CEO
Youth
Moderators
ReachOut.com
Who are youth moderators, anyway?
• Currently 16 youth
moderators across
Australia
• All from different
backgrounds
• All with a desire to
contribute to the youth
mental health community
• Each volunteers two
hours per week
So, what do youth moderators
actually do?
• Contribute to the forums
• Listen to users
• Moderate content and manage risk
• Maintain a positive help seeking culture
But how does having youth
moderators actually help?
• Promotes individual experience, but a shared
understanding of that experience
• Places young people as the experts
• Provides peer based empathy and support
• Generates positive and constructive
conversations
How do youth moderators
promote healthy help seeking?
• By providing examples of their own help
seeking behaviours
• Using empathy and support to encourage
and promote the importance of help seeking
• Providing links to relevant and trustworthy
information
• Being community role models
Youth Involvement (YI) at Inspire
• From the beginning, young people were at
the centre of everything Inspire does
• Youth mods are part of a wider YI program
• 120 people: RO Film Crew, Youth Editorial
Board, ROMP, RO Speakers Bureau etc
• Private online community forum for all
involved with our YI programs
Cool stuff that‟s happened!
- RUOK? Day
- LIFE Awards
- ACARA consult
- 315 YP
- Mark Butler MP,
Minister for Mental
Health
- Two consultations
- Second: 260
replies over 90,000
and 15,000
- First: let’s watch
Young people tell us
“I never thought that a silly post
about my feelings on an internet
forum could end up being the start
to a new change. I have realized that
I can recover from this and I thank
you so much for pushing me in the
right direction.
I feel that I will get through this.”
“Veronica”, 19yo, 15th March 2013

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Sophie Potter: Beyond Professionals - Young people supporting each other

Notas do Editor

  1. Introduce me, mybackground. Overview of what I’ll talk about
  2. Includes
  3. 1992 – Jack’s cousin suicides, 1996 Inspire is born, 1998 the first version of Reach Out is launched, 2000 – 2008 Act Now, Bean Bag, Teachers Network and ReachOut Pro launched. Strategic decision made to stop running Act Now and Beanbag programs etc. 2009 – 2012 – lots of research into young men. Young mens fund developed. EY Report goes live. WorkOut Pilot launched.
  4. Includes
  5. Access is a primary goal of government policy in rural and regional health service improvements.The National Strategic Framework for Rural and Remote Health recognisesthat for physical and mental health outcomes in rural, regional and remote areas to improve, there needs to be:Funding mechanisms and incentives to support the use of information communications technology in the delivery of health servicesCommunity engagement and education strategies that promote preventive health and early interventionWork with consumers and health professionals to promote understanding of how the health system works
  6. Decrease stigma and increase motivation.The literature identifies key barriers to seeking help.Stigma and embarrassmentProblems recognising symptomsPreference for self-relianceConfidentiality and trustHopelessness(Gulliver, Griffiths, Christensen, 2010)
  7. HOW WE HELP/WHAT WE DOHow:Re-iterate that other people have gone through similar experiencesSuggest readingstories about what others have been through, + what helpedGet them to browse through the tough times andwellbeing sections for relevant fact sheets / storiesShow them the ReachOut.com forums, and the threads on sharing tips / strategiesAsk them to explore the site, and to report back
  8. ReachOut aims to prevent and delay onset of mental health disorders, andreduce their incidence and their severity, duration, frequencyReachOut.com is particularly focused on mental health quality of life and and global quality of life. The mental health promotion and intervention spectrumThe spectrum identifies 5 types of program focus areas: (promotion, prevention, early intervention, treatment and continuing care) that can be delivered across 8 audience segments - ranging from universal through to young people in long term treatment or care.By virtue of the open-access nature of the service, ReachOut.com engages young people across the spectrum. Specifically however, ReachOut.com targets 3 areas of the Spectrum:Mental Health Promotion and Universal Prevention;Selective and Indicated Prevention; andEarly intervention.
  9. Particularly, ReachOut.com targets protective factors that reduce or ameliorate the risk of developing mental health difficulties, and assists young people to understand and use self-help and formal help to address emerging mental health difficulties.Some of the protective factors we target:A sense of belongingAdaptive coping strategiesCommunication skillsMental health literacyHelp-seeking behaviourProblem solving skillsResilienceSelf-efficacy
  10. The universal audience… includes all young people in the general population with no identification for those at risk of mental health disorders.For this audience ReachOut.comaims to prevent mental illness, and improve or maintain quality of life and wellbeing.
  11. Selective and indicated… includes young people who are at risk of mental health disorders because they belong to specific population sub groups that are known to have increased risk (family history, sexuality and gender diverse young people, young carers etc); andThose experiencing tough times due to transient or ongoing life stressors.For this audience ReachOut.comaims to decrease psychological distress and increase resilience
  12. The early intervention audience… specifically targets young people experiencing early signs and symptoms of a mental health disorder, with a specific emphasis on those not seeking help.For this audience ReachOut.comaims to intercept the progression of illness, decrease the severity and duration of mental illness, ideally resulting in recovery