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The power of mobile phone support groups in improving mental health outcomes
- 1. The power of mobile phone support groups in improving mental health outcomes Anna Kydd 26 January, 2016
- 2. The scale of the global mental health problem
- 3. The scale of the global mental health problem 0 1.5 3 4.5 6 2010 2030 A recent publication by the World Economic Forum shows that mental illness cost the global economy $2.5 trillion in 2010 and is estimated to rise to at least $6.0 trillion by 2030.
- 4. The scale of the global mental health problem ‘No Health Without Mental Health’ - World Health Organisation
- 5. Low-Cost Accessible Scalable Mechanisms The scale of the global mental health problem Providing psychosocial support for those facing chronic, stigmatised and often social isolating conditions $
- 6. The power of support groups
- 7. The power of support groups The SHM Foundation’s extensive research with those living with HIV in Mexico, UK and South Africa showed the need that many had to be connected to others living with the same condition to help them navigate living with their condition and deal with the impact of social isolation
- 8. The power of support groups There were however barriers that were preventing them from taking part in a support group: stigma and discrimination, finding the time to attend, finding a group that met their needs and having the necessary funds to attend
- 9. The power of support groups Accessible Immediate Tailored Khuluma was set up by the SHM Foundation to address these barriers to taking part in a support group by developing a mobile phone support group model that is:
- 10. The power of support groups
- 11. Mental health and HIV positive adolescents
- 12. Mental health and HIV positive adolescents Aged 15-24 in South Africa are infected with HIV (UNAIDS, 2010) 15% Young Women 5% Young Men
- 13. Mental health and HIV positive adolescents ‘HIV positive adolescents are at increased risk of mental health problems’ - Abdallah S. Daar, 2014
- 14. HIV positive adolescents require counselling and other psychosocial services but in many instances the services are overburdened Mental health and HIV positive adolescents
- 15. Mental health and HIV positive adolescents Hospitals and clinics that are keen to provide the support are faced with the following challenges: Finding an appropriate space Trained staff onsite
- 17. How does Khuluma work? Khuluma provides facilitated and interactive support to closed groups of 10-15 participants. Participants are able to communicate amongst themselves and with a facilitator via mobile phone about any topic that they deem important to discuss
- 18. How does Khuluma work? The support groups run for a period of three months, each day after school hours, the facilitator will bring up a ‘topic of the day’ to generate a conversation within the group
- 19. How does Khuluma work? 1. Adolescents are recruited at different clinics 2. They are then assigned a support group with 10-15 other members and a facilitator 3. The support groups run for three months and in that time 6. The adolescents meet in person and find ways to continue to stay in touch 4. Conversation topics such as careers advice, sexual health or medication 5. Guest speakers such as a nutritionist, psychologist or careers advisor join the talk. 3Months
- 21. What we’ve found out Our participants send a large volume of messages a day, uptake has been very successful averaging 6 text messages a day per person
- 22. Results from an evaluation conducted with our university partners Yale School of Medicine and the University of Pretoria with 99 HIV positive adolescents have found the following outcomes: Increase in social support What we’ve found out Decrease in feelings of internalised stigma Increased levels of knowledge
- 23. What next?
- 24. We would love to continue to see this model expand to provide the mental health support that these HIV positive adolescents need but also to apply this model to other global health conditions that feature the following characteristics: Social isolation What next? Chronic health condition Affected by stigma
- 25. The scale of the global mental health problem ‘We would love to see a time when those affected by a health condition who are in need of regular support will have access to their own tailored support group via mobile phone so that they can receive the support that they desperately need.’
- 26. Questions So wat get AIDS in our body? I sometimes find it difficult to drink medicine when I am angry I feel like I dnt deserv to live I feel more comfortable talking to people in this group because we call have HIV – I am not the only one Guys I am HIV and eat with my friends my frnd going to be HIV too? The hard part about living with hiv is the fact that us have it and u r scared that some day people might hate u because u have hiv and ur also scared that u might say it and then be ashamed. When am with my frendz and we are having so much fun I cant disappoint them They were making me vomit so I stopped but now I drink them. I didn’t take them for two months..I was then admitted into hospital … I am dirkg them with yogurt now.