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www.thelowdown.co.nz Using ICT to target depression and save young lives Dr Martin Orr -  Psychiatrist,  Clinical Director...
WWW.thelowdown.co.nz <ul><li>MOH E-health initiative that is designed to assist young people in the process of seeking app...
Agenda <ul><li>Intro:  Martin Orr   (Psychiatrist, Clinical Director IS WDHB, Clinical Director  NIHI)   </li></ul><ul><ul...
A New Zealand MOH E-Health initiative that aims to target depression <ul><li>What is E-Health? </li></ul><ul><li>“ E-healt...
What are the perceived advantages of E-mental health? <ul><li>“ E-mental health in Australia-Implications of the internet ...
www.thelowdown.co.nz <ul><li>National Depression Initiative </li></ul><ul><li>Targeting the 13-24 year age group  </li></u...
Social Marketing applied to self/support identification and management <ul><li>Social Marketing: Draft FCB, Phoenix Resear...
Social Marketing applied to www.thelowdown.co.nz  <ul><li>As well as usual </li></ul><ul><ul><li>Factual Information/knowl...
NDI Campaign Goal To reduce the impact of depression on the lives of New Zealanders Objectives To strengthen individual, f...
Stakeholder Engagement NDI website Lowdown website Lifeline  Depression Line DRAFTFCB Primary care Mental health Public he...
Stepped Care model  Early identification of vulnerability Primary health care services Specialist mental health services E...
Early intervention Primary Care Secondary MH services Public Health Primary MH  pilots Intended shared care services Speci...
Work is currently underway to integrate the NDI into the electronic Clinical Decision Support tool for the Depression Guid...
NDI Stakeholder Engagement aims <ul><li>To bridge the gap between clinical treatment and depression support services such ...
Lifeline High use of ICT to support multiple services  <ul><li>Lifeline Auckland </li></ul><ul><li>24/7 Telephone Counsell...
 
 
 
The National Depression Line Started:   October 2006 Operating Hours:   8am – Midnight, 7 days/week Number of Staff:   11 ...
The Lowdown  <ul><li>Started:   December 2007 </li></ul><ul><li>Operating Hours:   Noon – Midnight, 7 days/week </li></ul>...
Thank You <ul><li>Questions and Answers </li></ul>
Site traffic and service usage June - Online Banner Advertising July – School DM Pack Dec Launch Campaign
Main website, helpline and ad spend
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www.thelowdown.co.nz - Using ICT to target depression and save young lives

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Anil Thapliyal
Lifeline Aotearoa
(P02, 17/10/08, Consumers and the Internet stream, 11.10am)

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

  1. 1. 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
  2. 2. WWW.thelowdown.co.nz <ul><li>MOH E-health initiative that is designed to assist young people in the process of seeking appropriate help for depression. </li></ul><ul><li>It forms part of the National Depression Initiative. </li></ul><ul><li>ICT is central to a range of mental health initiatives. </li></ul><ul><li>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. </li></ul><ul><li>It utilises a range of social marketing techniques and the latest multimedia web technologies (flash built on Actionscript 3, LowRa, Sandy 3D engine). </li></ul><ul><li>Provides some insights and inspiration as to how ICT can be leveraged to reach an important at risk community. </li></ul>
  3. 3. Agenda <ul><li>Intro: Martin Orr (Psychiatrist, Clinical Director IS WDHB, Clinical Director NIHI) </li></ul><ul><ul><li>Very briefly cover </li></ul></ul><ul><ul><ul><li>What is E-Health? </li></ul></ul></ul><ul><ul><ul><li>What are perceived advantages of E (Mental) Health? </li></ul></ul></ul><ul><ul><ul><li>Structure of the website </li></ul></ul></ul><ul><ul><ul><li>Some of Social Marketing techniques used to target youth. </li></ul></ul></ul><ul><li>National Depression Initiative context: Bram Kukler ( NDI Sector Relationship Manager) </li></ul><ul><li>Further overview/Demo of Site and initial findings: Anil Thapliyal (General Manager, Lifeline Aotearoa) </li></ul><ul><li>Questions </li></ul>
  4. 4. A New Zealand MOH E-Health initiative that aims to target depression <ul><li>What is E-Health? </li></ul><ul><li>“ 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 </li></ul><ul><li>Many individuals and organisations committed to the ongoing development and success of this service </li></ul>
  5. 5. What are the perceived advantages of E-mental health? <ul><li>“ E-mental health in Australia-Implications of the internet and related technologies for policy” </li></ul><ul><li>Centre for mental health research-Australian commonwealth government commissioned expert workshop and subsequent report </li></ul><ul><li>5 main advantages of the internet in Mental health (CIFADE) </li></ul><ul><ul><li>Cost efficiency </li></ul></ul><ul><ul><ul><li>Reach of wide audience, prevention, self management </li></ul></ul></ul><ul><ul><li>Facilitation of conventional service delivery </li></ul></ul><ul><ul><ul><li>Partnerships, online support groups </li></ul></ul></ul><ul><ul><li>Introduction of Innovative Services </li></ul></ul><ul><ul><ul><li>New networks/partnerships/24hr info access and self management service delivery </li></ul></ul></ul><ul><ul><li>Improved access </li></ul></ul><ul><ul><ul><li>Providing for unmet need disadvantaged groups/remote areas </li></ul></ul></ul><ul><ul><li>Democratisation of health care and facilitation of consumer empowerment </li></ul></ul><ul><ul><ul><li>Better information for both individual and community/self help </li></ul></ul></ul>
  6. 6. www.thelowdown.co.nz <ul><li>National Depression Initiative </li></ul><ul><li>Targeting the 13-24 year age group </li></ul><ul><li>Multimedia Information that will allow users to identify/understand depression in themselves and others </li></ul><ul><li>Welcoming community environment, high profile Kiwi role-models, guides </li></ul><ul><li>Expert advice from qualified counsellors and online problem solving </li></ul><ul><li>Community Chat and Peer Support </li></ul>
  7. 7. Social Marketing applied to self/support identification and management <ul><li>Social Marketing: Draft FCB, Phoenix Research </li></ul><ul><li>What increases empowerment or motivation to Change/Act for the target audience? </li></ul><ul><li>What helps define young people’s sense of </li></ul><ul><ul><li>Control </li></ul></ul><ul><ul><li>Competency </li></ul></ul><ul><ul><li>Connectedness </li></ul></ul><ul><ul><li>Concept of self </li></ul></ul>
  8. 8. Social Marketing applied to www.thelowdown.co.nz <ul><li>As well as usual </li></ul><ul><ul><li>Factual Information/knowledge/advice on contacts </li></ul></ul><ul><li>Aims to leverage the power of social networking and the group effect facilitating change </li></ul><ul><ul><li>particularly through integrated use of Cell phone/voice/Text/Web/chat </li></ul></ul><ul><li>Also recognises importance of the messenger and the media </li></ul><ul><ul><li>Use of personalities can identify with as navigators </li></ul></ul><ul><ul><li>Use of personal narrative/stories </li></ul></ul><ul><ul><li>Multimedia –songs/video that can identify/connect with </li></ul></ul><ul><li>Online rating/diagnostic scale: Provides an indication of severity; a tangible context for a complex concept </li></ul>
  9. 9. 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.
  10. 10. 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
  11. 11. 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
  12. 12. 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
  13. 13. 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
  14. 14. NDI Stakeholder Engagement aims <ul><li>To bridge the gap between clinical treatment and depression support services such as Depression Line and Lowdown website. </li></ul><ul><li>Create a “triage”/ link between primary care and the NDI services/ resources to enable the alignment of clinical treatment and self management tools. </li></ul>
  15. 15. Lifeline High use of ICT to support multiple services <ul><li>Lifeline Auckland </li></ul><ul><li>24/7 Telephone Counselling </li></ul><ul><li>Kidsline </li></ul><ul><li>Mensline </li></ul><ul><li>Chinese Lifeline </li></ul><ul><li>Refugee Lifeline </li></ul><ul><li>NZQA TC Training </li></ul><ul><li>Lifeline Aotearoa </li></ul><ul><li>Suicide Prevention Training </li></ul><ul><li>Like Minds Like Mine </li></ul><ul><li>National Depression Initiative </li></ul><ul><li>The Lowdown </li></ul><ul><li>Warmline </li></ul><ul><li>Information & Referral Resource Line </li></ul><ul><ul><li>211 Community database </li></ul></ul><ul><ul><li>Family Violence </li></ul></ul><ul><ul><li>Victims of Crime </li></ul></ul>
  16. 19. 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)
  17. 20. The Lowdown <ul><li>Started: December 2007 </li></ul><ul><li>Operating Hours: Noon – Midnight, 7 days/week </li></ul><ul><li>Number of Staff: 16 </li></ul><ul><li>Total Contacts: Text: 66227 Email: 4567 </li></ul><ul><li>Monthly Average: Text: 6623 Email: 457 </li></ul><ul><li>Forum Moderation: 40 topics + 80 posts </li></ul><ul><li>Peak Contacts: Text: 10786 (Sept 08) Email: 1243 (Dec 07) </li></ul><ul><li>Online Video/Voice </li></ul><ul><li>Structured problem solving via online video/voice module </li></ul><ul><li>Pilot due to start by early December 2007 </li></ul>
  18. 21. Thank You <ul><li>Questions and Answers </li></ul>
  19. 22. Site traffic and service usage June - Online Banner Advertising July – School DM Pack Dec Launch Campaign
  20. 23. Main website, helpline and ad spend

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