www.thelowdown.co.nz - Using ICT to target depression and save young lives

www.thelowdown.co.nz Using ICT to target depression and save young lives Dr Martin Orr - Psychiatrist, Clinical Director IS WDHB, Clinical Director NIHI Anil Thapliyal - General Manager, Lifeline Aotearoa Bram Kukler - NDI Sector Relationship Manager, Ministry of Health HINZ 7 th Annual Conference Rotorua, New Zealand 11.10am, Friday 17 October 2008 Health Informatics: Improving and Exploiting our Information

WWW.thelowdown.co.nz

MOH E-health initiative that is designed to assist young people in the process of seeking appropriate help for depression.

It forms part of the National Depression Initiative.

ICT is central to a range of mental health initiatives.

NZ high rates of depression and suicide among its youth; approximately 1 in 4 of all deaths among 15-24 yr olds is attributable to suicide.

It utilises a range of social marketing techniques and the latest multimedia web technologies (flash built on Actionscript 3, LowRa, Sandy 3D engine).

Provides some insights and inspiration as to how ICT can be leveraged to reach an important at risk community.

Agenda

Intro: Martin Orr (Psychiatrist, Clinical Director IS WDHB, Clinical Director NIHI)

Very briefly cover

What is E-Health?

What are perceived advantages of E (Mental) Health?

Structure of the website

Some of Social Marketing techniques used to target youth.

National Depression Initiative context: Bram Kukler ( NDI Sector Relationship Manager)

Further overview/Demo of Site and initial findings: Anil Thapliyal (General Manager, Lifeline Aotearoa)

Questions

A New Zealand MOH E-Health initiative that aims to target depression

What is E-Health?

“ E-health is an emerging field in the intersection of medical informatics, public health and business, referring to health services and information delivered or enhanced through the Internet and related technologies. In a broader sense, the term characterizes not only a technical development, but also a state-of-mind, a way of thinking, an attitude, and a commitment for networked, global thinking, to improve health care..” Med Internet Res 2001;3(2):e20, Gunther Eysenbach

Many individuals and organisations committed to the ongoing development and success of this service

What are the perceived advantages of E-mental health?

“ E-mental health in Australia-Implications of the internet and related technologies for policy”

Centre for mental health research-Australian commonwealth government commissioned expert workshop and subsequent report

5 main advantages of the internet in Mental health (CIFADE)

Cost efficiency

Reach of wide audience, prevention, self management

Facilitation of conventional service delivery

Partnerships, online support groups

Introduction of Innovative Services

New networks/partnerships/24hr info access and self management service delivery

Improved access

Providing for unmet need disadvantaged groups/remote areas

Democratisation of health care and facilitation of consumer empowerment

Better information for both individual and community/self help

www.thelowdown.co.nz

National Depression Initiative

Targeting the 13-24 year age group

Multimedia Information that will allow users to identify/understand depression in themselves and others

Welcoming community environment, high profile Kiwi role-models, guides

Expert advice from qualified counsellors and online problem solving

Community Chat and Peer Support

Social Marketing applied to self/support identification and management

Social Marketing: Draft FCB, Phoenix Research

What increases empowerment or motivation to Change/Act for the target audience?

What helps define young people’s sense of

Control

Competency

Connectedness

Concept of self

Social Marketing applied to www.thelowdown.co.nz

As well as usual

Factual Information/knowledge/advice on contacts

Aims to leverage the power of social networking and the group effect facilitating change

particularly through integrated use of Cell phone/voice/Text/Web/chat

Also recognises importance of the messenger and the media

Use of personalities can identify with as navigators

Use of personal narrative/stories

Multimedia –songs/video that can identify/connect with

Online rating/diagnostic scale: Provides an indication of severity; a tangible context for a complex concept

NDI Campaign Goal To reduce the impact of depression on the lives of New Zealanders Objectives To strengthen individual, family and social factors that protect against depression; and To improve community and professional responsiveness to depression. The NDI website www.depression.co.nz was launched alongside the TVC to provide information and links to help services. The website for young people, www.thelowdown.co.nz was launched in December 2007, and is backed up by new online and text-based support services delivered by Lifeline Aotearoa.

Stakeholder Engagement NDI website Lowdown website Lifeline Depression Line DRAFTFCB Primary care Mental health Public health MOH Depression guidelines Suicide prevention Phoenix Research Web design PR marketing 10/10/08 stakeholder map NDI NDI providers map

Stepped Care model Early identification of vulnerability Primary health care services Specialist mental health services Extended GP consultations; monitoring; green prescriptions; e-tools; self-help books Assessment by pmhc coordinator; POC; SSRI Psychotherapy; behavioural family interventions Interface with secondary care First point of contact Supportive environment & health promotion eg, NDI; Like Minds; self care Housing; employ-ment; education; social network

Early intervention Primary Care Secondary MH services Public Health Primary MH pilots Intended shared care services Specialist MH services Self help and support First point of contact Interface secondary care MH promotion

Work is currently underway to integrate the NDI into the electronic Clinical Decision Support tool for the Depression Guidelines. This will provide a linkage for primary care through the PMS systems of each GP to the online NDI self-help/ self management resources NDI linkage to Primary Care and Mental Health

NDI Stakeholder Engagement aims

To bridge the gap between clinical treatment and depression support services such as Depression Line and Lowdown website.

Create a “triage”/ link between primary care and the NDI services/ resources to enable the alignment of clinical treatment and self management tools.

Lifeline High use of ICT to support multiple services

Lifeline Auckland

24/7 Telephone Counselling

Kidsline

Mensline

Chinese Lifeline

Refugee Lifeline

NZQA TC Training

Lifeline Aotearoa

Suicide Prevention Training

Like Minds Like Mine

National Depression Initiative

The Lowdown

Warmline

Information & Referral Resource Line

211 Community database

Family Violence

Victims of Crime

The National Depression Line Started: October 2006 Operating Hours: 8am – Midnight, 7 days/week Number of Staff: 11 Total Calls: 42,029 (+ approx 23,100 call-backs) Monthly Average: 1200 Recent Months: August 08: 1278 Sept 08: 937 Peak Calls: 350 (Tuesday of the second week after Go Live)

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