Online Treatment and Virtual Therapists in Child and Adolescent Psychiatry

Schueller, Stephen M.; Stiles‐Shields, Colleen; Yarosh, Lana

doi:10.1016/j.chc.2016.07.011

Cited by 25 publications

(24 citation statements)

References 45 publications

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“…This was the lowest reported utilization frequency, but it does not suggest a lack of interest or use in the technology intervention as it is comparable to the frequency most patients are able to see their mental health therapist in face-to-face intervention. It is worth noting that this usage differs considerably from the expected use for most mobile mental health interventions for youth and adolescents that follow a modular, weekly interaction style based on lessons and didactic content (see Schueller, Stiles-Shields, & Yarosh, in press). Instead, this pattern of interaction is more akin to other forms of mobile applications that contain features for small, frequent interactions, especially with a particular goal in mind (e.g., Morris, Schueller, & Picard, 2015; Birney, Gunn, Russell, & Ary, 2016; Lattie et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Exploring the potential of technology-based mental health services for homeless youth: A qualitative study.

Adkins¹,

Zalta²,

Boley³

et al. 2017

Psychological Services

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Homelessness has serious consequences for youth that heighten the need for mental health services; however, these individuals face significant barriers to access. New models of intervention delivery are required to improve the dissemination of mental health interventions that tailor these services to the unique challenges faced by homeless youth. The purpose of this study was to better understand homeless youths’ use of technology, mental health experiences and needs, and willingness to engage with technology-supported mental health interventions to help guide the development of future youth-facing technology-supported interventions. Five focus groups were conducted with 24 homeless youth (62.5% female) in an urban shelter. Youth were 18 to 20 years old with current periods of homelessness ranging from six days to four years. Transcripts of these focus groups were coded to identify themes. Homeless youth reported using mobile phones frequently for communication, music, and social media. They indicated a lack of trust and a history of poor relationships with mental health providers despite recognizing the need for general support as well as help for specific mental health problems. Although initial feelings towards technology that share information with a provider were mixed, they reported an acceptance of tracking and sharing information under certain circumstances. Based on these results, we provide recommendations for the development of mental health interventions for this population focusing on technology-based treatment options.

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Section: Discussionmentioning

confidence: 99%

Exploring the potential of technology-based mental health services for homeless youth: A qualitative study.

Adkins¹,

Zalta²,

Boley³

et al. 2017

Psychological Services

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View full text Add to dashboard Cite

show abstract

“…Online digital interventions and mobile applications for support, collaborative care, and treatment are utilized increasingly and successfully for mental health advantages (Andersson et al 2014;Feather et al 2016;Schueller et al 2017). A wide range of information is conveniently available to the general public and can be accessed using a variety of digital products and platforms (Barlow et al 2005;Huguet et al 2016;Zhao et al 2017).…”

Section: Introductionmentioning

confidence: 99%

Combining e‐mental health intervention development with human computer interaction (HCI) design to enhance technology‐facilitated recovery for people with depression and/or anxiety conditions: An integrative literature review

Neilsen

Wilson

2018

Int J Mental Health Nurs

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Computer scientists contend that understanding human computer interaction (HCI) is an important factor in developing successful computer user experiences. Mental health professionals across a range of disciplines are increasingly developing and implementing Internet-based treatments for people with a variety of mental health conditions. Many therapeutic and economic benefits are associated with technology-enabled treatments for a range of mental health disorders. Despite this, the role of HCI and associated design elements remains poorly understood in regard to the impact on patient safety, effectiveness, and to adherence of treatment for computer users who engage with e-mental health interventions. An integrative literature review was conducted to investigate how adequately HCI and user-centred design is incorporated in the development of e-mental health interventions for depression and anxiety, and subsequently reported in literature to inform evidence-based practice. The PRISMA model was used to locate, select, and include 30 relevant articles. The main finding of this review is that Internet-based e-mental health interventions are routinely implemented without sufficiently describing the relevant HCI design features applied. This is a limitation that in turn jeopardizes the assessment validity of e-mental interventions generally, leaving those who administer the interventions with incomplete evidence to support the safe, reliable, dependable, credible, and trustworthy implementation of the interventions. The recommendation arising from this review is that human computer interaction should be carefully considered when mental health nurses and other practitioners adopt e-mental health interventions for therapeutic purposes to assure the quality and safety of e-mental health interventions on offer to patients.

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“…However, to successfully design technologies to promote children’s well-being, two types of tailoring are necessary. First, these technologies need to employ design principles that are developed for children to ensure that interaction styles are tailored to children’s interests and capacities (eg, [ 8 ]). Second, positive psychological interventions need to align with children’s understanding of the underlying conceptual principles rather than simply adapting language and examples to be age appropriate.…”

Section: Introductionmentioning

confidence: 99%

“Happiness Inventors”: Informing Positive Computing Technologies Through Participatory Design With Children

Yarosh¹,

Schueller²

2017

J Med Internet Res

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BackgroundPositive psychological interventions for children have typically focused on direct adaptations of interventions developed for adults. As the community moves toward designing positive computing technologies to support child well-being, it is important to use a more participatory process that directly engages children’s voices.ObjectiveOur objectives were, through a participatory design study, to understand children’s interpretations of positive psychology concepts, as well as their perspectives on technologies that are best suited to enhance their engagement with practice of well-being skills.MethodsWe addressed these questions through a content analysis of 434 design ideas, 51 sketches, and 8 prototype and videos, which emerged from a 14-session cooperative inquiry study with 12 child “happiness inventors.” The study was part of a summer learning camp held at the children’s middle school, which focused on teaching the invention process, teaching well-being skills drawn from positive psychology and related areas (gratitude, mindfulness, and problem solving), and iterating design ideas for technologies to support these skills.ResultsThe children’s ideas and prototypes revealed specific facets of how they interpreted gratitude (as thanking, being positive, and doing good things), mindfulness (as externally representing thought and emotions, controlling those thoughts and emotions, getting through unpleasant things, and avoiding forgetting something), and problem solving (as preventing bad decisions, seeking alternative solutions, and not dwelling on unproductive thoughts). This process also revealed that children emphasized particular technologies in their solutions. While desktop or laptop solutions were notably lacking, other ideas were roughly evenly distributed between mobile apps and embodied computing technologies (toys, wearables, etc). We also report on desired functionalities and approaches to engagement in the children’s ideas, such as a notable emphasis on representing and responding to internal states.ConclusionsOur findings point to promising directions for the design of positive computing technologies targeted at children, with particular emphases on the perspectives, technologies, engagement approaches, and functionalities that appealed to the children in our study. The dual focus of the study on teaching skills while designing technologies is a novel methodology in the design of positive computing technologies intended to increase child well-being.

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Online Treatment and Virtual Therapists in Child and Adolescent Psychiatry

Cited by 25 publications

References 45 publications

Exploring the potential of technology-based mental health services for homeless youth: A qualitative study.

Exploring the potential of technology-based mental health services for homeless youth: A qualitative study.

Combining e‐mental health intervention development with human computer interaction (HCI) design to enhance technology‐facilitated recovery for people with depression and/or anxiety conditions: An integrative literature review

“Happiness Inventors”: Informing Positive Computing Technologies Through Participatory Design With Children

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