Digital Strategies to Accelerate Help-Seeking in Youth With Psychiatric Concerns in New York State
BackgroundMental illness in transition age youth is common and treatment initiation is often delayed. Youth overwhelmingly report utilizing the Internet to gather information while psychiatric symptoms emerge, however, most are not yet ready to receive a referral to care, forestalling the establishe...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.889602/full |
| _version_ | 1818009176351178752 |
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| author | Michael L. Birnbaum Michael L. Birnbaum Michael L. Birnbaum Chantel Garrett Amit Baumel Nicole T. Germano Cynthia Lee Danny Sosa Danny Sosa Hong Ngo Kira H. Fox Lisa Dixon John M. Kane John M. Kane John M. Kane |
| author_facet | Michael L. Birnbaum Michael L. Birnbaum Michael L. Birnbaum Chantel Garrett Amit Baumel Nicole T. Germano Cynthia Lee Danny Sosa Danny Sosa Hong Ngo Kira H. Fox Lisa Dixon John M. Kane John M. Kane John M. Kane |
| author_sort | Michael L. Birnbaum |
| collection | DOAJ |
| description | BackgroundMental illness in transition age youth is common and treatment initiation is often delayed. Youth overwhelmingly report utilizing the Internet to gather information while psychiatric symptoms emerge, however, most are not yet ready to receive a referral to care, forestalling the established benefit of early intervention.MethodsA digital outreach campaign and interactive online care navigation platform was developed and deployed in New York State on October 22, 2020. The campaign offers live connection to a peer or counselor, a self-assessment mental health quiz, and educational material all designed to promote help-seeking in youth and their allies.ResultsBetween October 22, 2020 and July 31, 2021, the campaign resulted in 581,981 ad impressions, 16,665 (2.9%) clicks, and 13,717 (2.4%) unique website visitors. A third (4,562, 33.2%) completed the quiz and 793 (0.1%) left contact information. Of those, 173 (21.8%) completed a virtual assessment and 155 (19.5%) resulted in a referral to care. The median age of those referred was 21 years (IQR = 11) and 40% were considered to be from low-income areas. Among quiz completers, youth endorsing symptoms of depression or anxiety were more likely to leave contact information (OR = 2.18, 95% CI [1.39, 3.41] and OR = 1.69, 95% CI [1.31, 2.19], respectively) compared to those not reporting symptoms of depression or anxiety. Youth endorsing symptoms of psychosis were less likely to report a desire to receive a referral to care (OR = 0.58, 95% CI [0.43, 0.80]) compared to those who did not endorse symptoms of psychosis.ConclusionSelf-reported symptomatology impact trajectories to care, even at the earliest stages of help-seeking, while youth and their allies are searching for information online. An online care navigation team could serve as an important resource for individuals with emerging behavioral health concerns and help to guide the transition between online information seeking at baseline to care. |
| first_indexed | 2024-04-14T05:39:36Z |
| format | Article |
| id | doaj.art-b2a52ba2eb9a4181930933dee16ce0b3 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-14T05:39:36Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-b2a52ba2eb9a4181930933dee16ce0b32022-12-22T02:09:31ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-05-011310.3389/fpsyt.2022.889602889602Digital Strategies to Accelerate Help-Seeking in Youth With Psychiatric Concerns in New York StateMichael L. Birnbaum0Michael L. Birnbaum1Michael L. Birnbaum2Chantel Garrett3Amit Baumel4Nicole T. Germano5Cynthia Lee6Danny Sosa7Danny Sosa8Hong Ngo9Kira H. Fox10Lisa Dixon11John M. Kane12John M. Kane13John M. Kane14The Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, United StatesThe Feinstein Institutes for Medical Research, Manhasset, NY, United StatesThe Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United StatesDepartment of Health Systems and Population Health, University of Washington, Seattle, WA, United StatesDepartment of Community Mental Health, University of Haifa, Haifa, IsraelThe Feinstein Institutes for Medical Research, Manhasset, NY, United StatesThe Feinstein Institutes for Medical Research, Manhasset, NY, United StatesThe Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, United StatesThe Feinstein Institutes for Medical Research, Manhasset, NY, United StatesDepartment of Psychiatry, New York State Psychiatric Institute, New York, NY, United StatesDepartment of Psychology, Barnard College, Columbia University, New York, NY, United StatesDepartment of Psychiatry, New York State Psychiatric Institute, New York, NY, United StatesThe Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, United StatesThe Feinstein Institutes for Medical Research, Manhasset, NY, United StatesThe Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United StatesBackgroundMental illness in transition age youth is common and treatment initiation is often delayed. Youth overwhelmingly report utilizing the Internet to gather information while psychiatric symptoms emerge, however, most are not yet ready to receive a referral to care, forestalling the established benefit of early intervention.MethodsA digital outreach campaign and interactive online care navigation platform was developed and deployed in New York State on October 22, 2020. The campaign offers live connection to a peer or counselor, a self-assessment mental health quiz, and educational material all designed to promote help-seeking in youth and their allies.ResultsBetween October 22, 2020 and July 31, 2021, the campaign resulted in 581,981 ad impressions, 16,665 (2.9%) clicks, and 13,717 (2.4%) unique website visitors. A third (4,562, 33.2%) completed the quiz and 793 (0.1%) left contact information. Of those, 173 (21.8%) completed a virtual assessment and 155 (19.5%) resulted in a referral to care. The median age of those referred was 21 years (IQR = 11) and 40% were considered to be from low-income areas. Among quiz completers, youth endorsing symptoms of depression or anxiety were more likely to leave contact information (OR = 2.18, 95% CI [1.39, 3.41] and OR = 1.69, 95% CI [1.31, 2.19], respectively) compared to those not reporting symptoms of depression or anxiety. Youth endorsing symptoms of psychosis were less likely to report a desire to receive a referral to care (OR = 0.58, 95% CI [0.43, 0.80]) compared to those who did not endorse symptoms of psychosis.ConclusionSelf-reported symptomatology impact trajectories to care, even at the earliest stages of help-seeking, while youth and their allies are searching for information online. An online care navigation team could serve as an important resource for individuals with emerging behavioral health concerns and help to guide the transition between online information seeking at baseline to care.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.889602/fulldigital advertisementsearly interventionyouth mental healthhelp-seekingsocial mediapathways to care |
| spellingShingle | Michael L. Birnbaum Michael L. Birnbaum Michael L. Birnbaum Chantel Garrett Amit Baumel Nicole T. Germano Cynthia Lee Danny Sosa Danny Sosa Hong Ngo Kira H. Fox Lisa Dixon John M. Kane John M. Kane John M. Kane Digital Strategies to Accelerate Help-Seeking in Youth With Psychiatric Concerns in New York State Frontiers in Psychiatry digital advertisements early intervention youth mental health help-seeking social media pathways to care |
| title | Digital Strategies to Accelerate Help-Seeking in Youth With Psychiatric Concerns in New York State |
| title_full | Digital Strategies to Accelerate Help-Seeking in Youth With Psychiatric Concerns in New York State |
| title_fullStr | Digital Strategies to Accelerate Help-Seeking in Youth With Psychiatric Concerns in New York State |
| title_full_unstemmed | Digital Strategies to Accelerate Help-Seeking in Youth With Psychiatric Concerns in New York State |
| title_short | Digital Strategies to Accelerate Help-Seeking in Youth With Psychiatric Concerns in New York State |
| title_sort | digital strategies to accelerate help seeking in youth with psychiatric concerns in new york state |
| topic | digital advertisements early intervention youth mental health help-seeking social media pathways to care |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.889602/full |
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