Transforming Youth Mental Health Treatment Through Digital Technology

A pointed look at the state of tech-based mental healthcare and what we must do to change it Proponents of technology trumpet it as the solution to the massive increase in the mental distress that confronts our nation. They herald the arrival of algorithms, intelligent chatbots, smartphone applications, telemental healthcare services, and more—but are these technological fixes really as good as they seem? In Therapy Tech, Emma Bedor Hiland presents the first comprehensive study of how technology has transformed mental healthcare, showing that this revolution can’t deliver what it promises. Far from providing a solution, technological mental healthcare perpetuates preexisting disparities while relying on the same failed focus on personal responsibility that has let us down before. Through vivid, in-depth case studies, Therapy Tech reveals these problems, covering issues including psychosurveillance on websites like Facebook and 7 Cups of Tea, shortcomings of popular AI “doctors on demand” like Woebot, Wysa, and Joy, and even how therapists are being conscripted into the gig economy. Featuring a vital coda that brings Therapy Tech up to date for the COVID era, this book is the first to give readers a large-scale analysis of mental health technologies and the cultural changes they have enabled. Both a sobering dissection of the current state of mental health and a necessary warning of where things are headed, Therapy Tech makes an important assertion about how to help those in need of mental health services today.

Young people experience one of the highest rates of mental health problems of any group, but make the least use of the support available to them. To reach young people in distress, we need to understand what this digital generation want from mental health professionals and services. Based on interviews with nearly 400 young people, this book offers a vision of youth mental health issues and services through the eyes of young people themselves. It offers professionals important insights into the meaning of identity and agency for this generation and explores how these issues play out in young people’s expectations of mental health support. It shows how, despite young people’s immersion in digital technology, genuine and trusting relationships remain a key ingredient in their priorities for support. It considers what access to mental health support means for a generation who have grown up with the immediacy enabled by digital technology. Young people’s accounts also provide crucial insights into how they are using digital resources to manage their own mental health – in ways often not appreciated by professionals who design internet interventions. What Young People Want From Mental Health Services offers clear guidance to counsellors, psychologists, psychiatrists, youth workers, social workers, service providers and policymakers about how to work with youth and design their services so they are a better match for young people today. It contributes to a growing movement calling for a ‘Youth Informed Approach’ to mental health to address the needs of young people.

Practitioners need to know the evidence behind using digital mental health approaches and tools, including telemental health visits. This accessible book provides that help, as the authors guide the reader through the rationale, options, and strategies for incorporating digital tools into children's mental health care, drawing on their extensive knowledge of both current research and clinical practice. They outline the leading theoretical approaches that highlight mechanisms involved in digital tools increasing access to, engagement in, and outcomes of evidence-based mental health services for children and families. Through clinical vignettes and hands-on exercises included in this Advances in Psychotherapy series volume, mental health providers will gain insight into how to select a digital tool and identify its various uses. The reader is also given the opportunity to explore their own attitudes and comfort with incorporating digital tools into practice with their young clients and their families. Numerous downloadable handouts and forms for clinical use are provided in the appendix.

Technology and Adolescent Health: In Schools and Beyond discusses how today's adolescents are digital natives, using technology at home and in school to access information, for entertainment, to socialize and do schoolwork. This book summarizes research on how technology use impacts adolescent mental health, sleep, physical activity and eating habits. In addition, it identifies monitoring and screening technology-based tools for use with adolescents.

Digital technology covers digital information in every form. The world lives in an information age in which massive amounts of data are being produced to improve our daily lives. This intelligent digital network incorporates interconnected people, robots, gadgets, content, and services all determined by digital transformation. The role of digital technologies in children’s, adolescent’s, and young adult’s lives is significantly increasing across the world. New and emerging devices and services promise to make their lives easier as they create new ways of connecting, creating, and relaxing. They also promise to support learning at home and school by enabling ready access to information and new and exciting pathways for young people to follow their interests. Yet, alongside these conveniences come trade-offs with implications for privacy, safety, health, and well-being. Impact and Role of Digital Technologies in Adolescent Lives provides a deeper understanding of how digital technologies impact the lives of children, adolescents, and young adults; this includes the navigation of developmental tasks and the issues faced when utilizing these technologies. Covering topics such as adolescent stress, cyberbullying, intellectual disabilities, mental health, obesity, social media, and mindfulness practices, this text is essential for sociologists, psychologists, media analysts, technologists, academicians, researchers, students, non-government and government organizations, and professors.

Shaping the Future of Child and Adolescent Mental Health: Towards Technological Advances and Service Innovations coincides with the 25th International Association for Child and Adolescent Psychiatry and Allied Professions (IACAPAP) Congress in Dubai from December 5–9, 2022. There are three overarching themes of this book. Firstly, the impact of the Internet and digital technologies on the mental health and well-being of children and adolescents, including computerized therapies, and the fundamental role of technologies to advance knowledge in the field. Secondly, a theme on harnessing the expansion of knowledge on psychiatric disorders and their treatment for children and adolescents, exemplified by chapters on different kinds of adversity in child and adolescent mental health and a chapter on precision therapeutics. Given the location of the IACAPAP Congress, the third theme focuses on aspects of child and adolescent mental health in the Eastern Mediterranean Region. Chapters provide insights into a broad range of contemporary technology- and service innovation–related topics in child and adolescent psychiatry and mental health. These include growing up in the digital age, cyberbullying, clinical applications of big data and machine learning, computerized cognitive behavioral therapy, technology- enhanced learning, lessons from COVID-19, new understanding of the consequences of psychological trauma, autoimmune encephalitis, and precision therapeutics in depression. Acknowledging the global challenge of child and adolescent psychiatry and mental health, readers will find an emphasis on contextual challenges in the field, including innovations for scaling up of mental health intervention in low- and middle-income countries, and research and training in the Eastern Mediterranean Region. Emphasizes digital influences and applications in child and adolescent mental health research, psychiatric treatments, and training Highlights children and adolescents in adversity including COVID-19 and psychological trauma Appraises new approaches to understanding selected psychiatric disorders in children and adolescents Addresses the research in child and adolescent psychiatry and mental health across the Eastern Mediterranean Region and training in the Gulf Region

Experts discuss the potential of early intervention to transform outcomes for people with mental disorders. Mental illness represents one of the largest disease burdens worldwide, yet treatments have been largely ineffective in improving the quality of life for millions of affected individuals—in part because approaches taken have focused on late-stage disorders in adulthood. This volume shifts the focus by placing the developmental stage of “youth” at the center of mental health. The contributors challenge current nosology, explore mechanisms that underlie the emergence of mental disorders, and propose a framework to guide early intervention. Offering recommendations for the future, the book holds that early intervention in youth has the potential to transform outcomes for people with mental disorders and to reconfigure the landscape of mental health. The contributors discuss epidemiology, classification, and diagnostic issues, including the benefits of clinical staging; the context for emerging mental disorders, including both biological and sociocultural processes; biological mechanisms underlying risk for psychopathology, including aspects of neural circuitry; and developing and implementing prevention and early intervention, including assessment and intervention modalities and knowledge translation in early treatment of schizophrenia. Contributors Nicholas B. Allen, Mario Alvarez-Jimenez, G. Paul Amminger, Shelli Avenevoli, Hannah F. Behrendt, Tolulope Bella-Awusah, Maximus Berger, Byron K. Y. Bitanihirwe, Drew Blasco, John D. Cahill, Joanne S. Carpenter, Andrew M. Chanen, Eric Y. H. Chen, Shane D. Colombo, Christoph U. Correll, Christopher G. Davey, Kim Q. Do, Damien A. Fair, Helen L. Fisher, Sophia Frangou, John Gleeson, Robert K. Heinssen, Ian B. Hickie, Frank Iorfino,Matcheri S. Keshavan, Kerstin Konrad, Phuong Thao D. Le, Francis Lee, Leslie D. Leve, Sarah A. Lieff, Cindy H. Liu, Beatriz Luna, Patrick D. McGorry, Urvakhsh Meherwan Mehta, Andreas Meyer-Lindenberg, Shreya V. Nallur, Cristopher Niell, Merete Nordentoft, Dost Öngür, George C. Patton, Tomáš Paus, Ulrich Reininghaus, Bernalyn Ruiz, Fred Sabb, Akira Sawa, Michael Schoenbaum, Gunter Schumann, Elizabeth M. Scott, Jai Shah, Vinod H. Srihari, Ezra Susser, John Torous, Peter J. Uhlhaas, Swapna K. Verma, T. Wilson Woo, Stephen J. Wood, Lawrence H. Yang, Alison R. Yung