Huang_mSELF_Presentation_March17_2021

mSELF mHealth Toolkit for Screening & Empowering Lives of Families (Digital Solutions for Personalized Mental Health Preventive Care)

黄耿妍, PhD 1. 李佳穎, PhD 2.

1. Department of Population Health, NYU School of Medicine 2. Department of Linguistic Lab for Brian & Language 中央研究院

Global Mental Health Service Challenges Cultural Norms Socio-cultural contexts hinders opportunities to engage in screening and intervention

Communication Deficiencies

Intervention & Service Barriers

Mental health knowledge dissemination is not delivered using appropriate channels

Lack of tailored/ personalized evidencebased interventions [EBIs]; Lack of access to EBIs; Lack of professionals resources

Public Health Consequences: Young People’s Wellbeing and Quality of Home & Service

Youth & Yong Adults Mental Health Needs • 10-20% of CA have emotional and behavioral challenges • > 50% of mental health problems develop by age 14 • Anxiety, Depression and Conduct problem contribute to 75% of the total mental health burden (or Top 5 global health burden)

(Rumi Kato Price, 2016)

Parental Concerns and Needs • Parents consistently report that dealing with child behavior problems is one of their biggest challenges • Parents and caregivers do not have access to needed knowledge and information about alternative effective parenting strategies

Public Health Intervention & Service Needs • Service gaps: Health providers or schools do not provide sufficient support to parents/families • Many EBIs can address the needs, but there are problems in integrating into services

Scale of Problems in Taiwan Service Access Barriers • 兒童及青少年的憂鬱症：社會和家庭的溝通、同 理、以及污名化 • 爸爸媽媽不來看醫生，只好我自己來看呀！ • 求助不僅需要勇氣，更需要常識！

Workforce challenges • 大學預約諮商 等近一個月 • 薪水不到三萬 血汗雜務多

• 160,000 <30 years old is using anti-depression • &輔導之門大開 • 800-1000 students suicide every year (adolescents young adults) 卻無人把關 http://newmedia.udn.com.tw/2021/teenage_depression/?utm_campai gn=udnweb_BN&utm_medium=BN&utm_source=udnweb

What’s Needed?

How Does an Integrated Digital Tool + Family-Centered Mental Health Care Look?

1. Media Parenting & Youth MH Program Campaign

5. External Resources Access (Counseling line; Pediatric behavioral Health professional)

4. Resources Access (Social Emotion Learning Toolbox; Support groups)

2. Sign-up for mSELF use in Primary Care, Schools, Community Care, Web)

3. Family-Centered Digital MH & Parenting (Screen Understand strengths & weakness  Knowledge & strategies discussion)

mSELF Integrates 5 Major Steps to Behavioral Intervention

Ask (identify risk areas/RDoC )

Assist Advise (Share Weakness Results & (provide/sharing strategies and Inform Reasons to Make resources to Change) support change; Assess Intervention (willingness/readiness/plans Target Risk to make changes) Domains)

1. Parent Answer Assessment Questions

2. Review Family Strengths/ Weakness Results & Discuss Report Card

3.

Knowledge and Strategy Sharing

**5 A’s from AHRQ: https://www.ahrq.gov/professionals/cliniciansproviders/guidelines-recommendations/tobacco/5steps.html

Arrange (use community & Provider resources & schedule followup contacts to ensure change) 4.

Additional Resources Access

What does a Toolkit Session Look Like?

Part 1: Assessment 1. Parent Answer Assessment Questions

2. Review Family Strengths/ Weakness Results & Discuss Report Card

Assess Multiple domains and Use data to inform service decisions

3. Knowledge and Strategy Sharing

4. Additional Resources Access

Part 2. Report Card & Discuss Results

1. Parent Answer Assessment Questions

2. Review Family Strengths/ Weakness Results (Report Card Discussion)

3. Knowledge and Strategy Sharing

4. Additional Resources Access

Part 3. Knowledge and Strategy Sharing

1. Parent Answer Assessment Questions

2. Review Family Strengths/ Weakness Results & Discuss Report Card

3. Knowledge and Strategy Sharing

Sharing EBI Strategies & Resources for Improving CA Mental Health & Parenting • Parents share their ideas for improvement • CHWs share strategies generated in the Toolkit • Additional Strategies (when needed)

4. Additional Resources Access

Part 4. Additional Resources

1. Parent Answer Assessment Questions

2. Review Family Strengths/ Weakness Results & Discuss Report Card



Resources within Service Providers   



3. Knowledge and Strategy Sharing

Social Emotion Learning Toy box Children’s group?

Parents’ Group?

External resources   

Parenting information line/Hotline?

Professional Services Mental Health EBIs

4. Additional Resources Access

Toolkit Examples • Adolescent & Young Adult Version • https://openredcap.nyumc.org/apps/redcap/surveys/?s=Y744XT3R9C

• Childhood/ Parent Version • https://openredcap.nyumc.org/apps/redcap/surveys/?s=7DMC8DWDFN

More Example: Adolescent & Young Adult SelfManagement Version

My Results (Strengths and Areas to Improve or Get Support)

Self-Appraisal

Uganda (LMIC)

Distribution Channel Disseminate US Ethnic Taiwan & to Other Minotiry Asia LMICs (Gov.Collaboration AcademicService Partnership)

•

Adaptation: US Asian American College Students (Currently Adapting……)

Timeline: (1) 1 year develop, user-center testing, & Pilot  (2) RCT/Trial Evaluation  (3) Scale & AI Version Develop)

•

Target Service Settings, Implementation Models, & Funding Sources Target Existing Structure

US Child & Adolescent Versions (CBO & Social Services)

• Health Care System • Social Service System • Primary Care Settings

Kenya Adolescent/Young Adults & Parent Versions Adults Wellness Version (for Ugandan School Teachers)

Machine Learning/ AI Methodology Development Uganda (in Partnership with MOE/MOH) (Young Children Version- for Parents & Health Workers)

Process Testing in Pediatric Care 2020 2018

• School System • Youth Service/Community Based Services (CBOs/FBOs) • Adult Wellness • Web Platforms

2021

2024

Youth & Community Empowerment Implementation Models

Time to Launch

Development & Dissemination Strategies and Timeline 16

Qs & As Keng-Yen Huang, PhD, MPH NYU School of Medicine Keng-yen.huang@nyulangone.org