{"id":5457,"date":"2012-07-30T14:30:24","date_gmt":"2012-07-30T18:30:24","guid":{"rendered":"http:\/\/ccpa.scottbuckingham.ca\/blog\/?p=2293"},"modified":"2012-07-30T14:30:24","modified_gmt":"2012-07-30T18:30:24","slug":"textish-counselling-part-2","status":"publish","type":"post","link":"https:\/\/www.ccpa-accp.ca\/fr\/textish-counselling-part-2\/","title":{"rendered":"Textish Counselling – Part 2"},"content":{"rendered":"

As I mentioned in my last posting I am sharing a number of studies or projects where text messaging is being used in counselling.<\/p>\n

One interesting application was Project O, based in Singapore.\u00a0 This project was designed for students doing their \u201cO\u201d level exams and was launched to 40,000 O-level students through 163 secondary schools. The aim of the project was to assist students in coping with exam anxiety.\u00a0 \u00a0Social Workers and educational psychologists provided email counselling and an SMS buddy support service.\u00a0 \u00a0As students were preparing for their exams they could send text message to Project O and receive immediate support. \u00a0<\/p>\n

Youthline, a New Zealand helpline for young people, starting using text-based counselling in December 2004.\u00a0 As mobile phones and text-messaging became more widely accepted they found youth increasingly requesting text-messaging as an option for discussing their concerns. Early on Youthline\u2019s suggestion to counsellors was to encourage youth to phone in after 5-6 text message exchanges.\u00a0\u00a0 These are a few of the responses from youth.<\/p>\n

<\/p>\n

Cn I jus txt, coz I don wan 2b heard
\nCan u plz jst txt me s0 i d0nt feel al0ne
\nIl neva b abl 2 talk bwt it. S0ri 4 bthrn u
\nIm sori i dnt thnk i cn cal. i jst feel 2 stupid[1]<\/a><\/p>\n

Youthline reports their service has grown and has been reshaped based on what youth said they wanted.\u00a0\u00a0<\/p>\n

In Australia a youth mental health outreach team undertook an observational study to address concerns that providing clients with direct mobile phone access to their therapists would open therapists to \u201cexcessive and inappropriate levels of client contact\u201d.\u00a0 The observed 7 months worth of text messages between therapists and youth.\u00a0\u00a0 Contrary to expectations only 2% were considered inappropriate. The study showed \u201ctherapists have reported that it has helped improve initial engagement and retention, provided a less confrontational way to monitor clients between contacts, and is particularly useful for scheduling contacts such as telephone calls, home visits, and appointments.\u201d[2]<\/a><\/p>\n

In Ireland[3]<\/a> the use of text-messaging was proposed as a means of lowering barriers to help-seeking in students with depression.\u00a0 A parenting intervention program ran a pilot study that incorporated text-messaging in between sessions.\u00a0 The messages focussed on tips and support for completing the \u2018homework\u2019.\u00a0 A Danish harm-reduction program sent pre-programmed messages to client\u2019s phones twice a day.\u00a0 Again, the client\u2019s received tips, information and support as they worked on reducing their drug usage.<\/p>\n

Finally, a CBT depression program ran a pilot program on using text-messaging as an adjunct to therapy. \u00a0One of their conclusions was, \u201cThe use of text messaging as part of mental health care may help maximize the resources needed to provide services in a cost-effective manner.\u201d[4]<\/a><\/p>\n

Text messaging has potential. \u00a0As the observational study in Australia concluded that using text messaging \u201ccould play a role in connecting with youth in a more accessible and responsive way\u201d.\u00a0 \u00a0<\/p>\n

\ufffd
\nWhat work needs to be done?
\nDrafting policies for use of SMS in clinical practice
\nDetermining how to deal with issues of privacy and confidentiality
\nFurther study into how SMS could potentially enhance the process of engagement and communication with clients<\/p>\n

What do you think?<\/p>\n

\u00a0Dawn Schell, MA, CCC, CCDP is an affiliate counsellor with Worldwide Therapy Online Inc.\u00a0 http:\/\/www.therapyonline.ca<\/a><\/p>\n

 <\/p>\n

\n
\n
\n

[1]<\/a> Haxell, A. (2008). Cn I jus txt, coz I don wan 2b heard: Mobile technologies and youth counseling. In Hello! Where are you in the landscape of educational technology? Proceedings ascilite<\/em>\u00a0Melbourne 2008 <\/em>\u00a0http:\/\/www.ascilite.org.au\/conferences\/melbourne08\/procs\/haxell.pdf<\/a> <\/em><\/p>\n<\/div>\n

\n

[2]<\/a> \u00a0<\/em>Furber, G.V., Crago, A., Meehan, K., Sheppard, T. D., Hooper, K., Abbot, D. T., Allison, S. & Skene, C (2011). How Adolescents use SMS to micro-coordinate contact with Youth Mental Health Outreach Services. \u00a0Journal of Adolescent Health, <\/em>48, 113\u2013115.<\/p>\n<\/div>\n

\n

[3]<\/a> Joyce, D. & Weibelzahl, S. (2006). Text-messaging as a means to lowering barriers to help seeking in students with depression. <\/em>National College of Ireland. Retrieved from http:\/\/www.iadis.net\/dl\/final_uploads\/200604S110.pdf<\/a> <\/em><\/p>\n<\/div>\n

\n

[4]<\/a> Aguilera, A. & Munoz, R. F. (2011) Text-Messaging as an adjunct to CBT in Low-Income Populations: A Usability and Feasibility Pilot Study. Professional Psychology: Research and Practice<\/em>\u00a0 Vol. 42, No. 6, 472\u2013478<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

As I mentioned in my last posting I am sharing a number of studies or projects where text messaging is being used in counselling. One interesting application was Project O, based in Singapore.\u00a0 This project was designed for students doing their \u201cO\u201d level exams and was launched to 40,000 O-level students through 163 secondary schools. 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