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In this edition of digital innovations I will briefly discuss online therapy/counselling.

The online environment can offer a safe space for many individuals to seek support. The virtual world affords many features the offline world does not.

In this and the next digital innovations feature I want to look at this online support and how people provide, as well as, seek support virtually.

In this edition I will briefly look at online counselling with a focus on young people, who are a client group, research has found, often prefer to access mental health services online.

This study is exploratory research which aims to understand how users gain support from the online mental health community (OMHC) 18 percent and whether engagement with this community may possibly lead to increased self-efficacy.

In total, 128 users of an OMHC, 18 percent, completed an online questionnaire that asked open-ended questions about the community and how users engaged with it. The results were analysed using quantitative and qualitative methods.

Based on the construct of self-efficacy within social cognitive theory, it is evident that the platform provides users with increased self-efficacy and encourages further support seeking in a professional capacity, either via an online or offline platform.

OMHCs provide a therapeutic, peer-to-peer space for users in times of crisis which have the possibility to increase self-efficacy when engaged with. However, users must acknowledge that although the online platform is an efficacious resource, it cannot be used as a principal proxy for offline treatment.

Stress and burnout are continuous concerns in clinical settings. This has been exacerbated due to the recent COVID-19 pandemic which has impacted health-care professionals globally. Supervision can support staff in clinical setting and help prevent stress and burnout. The purpose of this review is to consider the efficacy of mobile apps for reducing stress and burnout in clinical settings and supervisions.

A comprehensive literature search was carried out using online databases such as Scopus, PubMed, CINAHL, PsychINFO, PsychARTICLES, MEDLINE and SAGE. From the searches, nine studies were included in the review after meeting the inclusion criteria.

Of the nine studies, eight related to stress and/or burnout and one related to work engagement. There were no specific studies which related directly to the use of mobile health (mHealth) for clinical supervision.

Through a focus on the efficacy of mHealth for stress and burnout in clinical settings and supervisions, the review highlights the efficacy of mHealth apps used in for stress and burnout in clinical settings and the importance of engagement of clinical staff. This will not only provide a higher quality of empirical evidence, but it will also lead to more positive outcomes for the mental health of clinical staff.

This review focussed upon the efficacy of mHealth for stress and burnout in clinical settings and supervisions. In comparison to previous reviews, this review differs because it combines both stress and burnout and clinical supervisions as the focal areas for improvement via the use of mHealth.

The ever increasing prevalence of mental health disorders is subsequently resulting in an ever increasing burden on mental health services globally. Due to need outweighing capacity, many turn to, or are signposted to, online resources. Online mental health chatrooms are chat-based services that users can frequent to discuss their mental health, often with individuals experiencing similar issues. Most of these are moderated by volunteers. The purpose of this study was to explore the motivations for moderating, the positive and negative effects of the role and to identifying current and required pathways of support.

This study used an online questionnaire design, disseminated via the online mental health community, 18percent. An open ended interview schedule was disseminated to eight volunteer moderators. Qualitative data was analysed using NVivo software and reflexive thematic analysis.

Moderators were motivated to engage in this role due to past experiences and to help others. The positive effects of moderating were engaging in digital altruism and improving one’s personal mental health. The negative effects were personal triggers and role specific issues such as harassment and being unable to help people in crisis situations. For further support, moderators would benefit from refresher training sessions and further professional training in which they can proactively help when a user is experiencing suicidal ideation/behaviours.

The research highlighted the motivations for, positive and negative effects of and the current and further pathways of support required by volunteer moderators and proffers recommendations within the discussion.

The SMILE study (social media as informal support for people with mental illness: an exploratory study) aimed to explore how people with mental health issues use and value social media as a support mechanism.

A systematic search of Facebook and Twitter identified groups and pages relating to mental health issues. In total, 203 users over the age of 18 were recruited via Facebook and Twitter. Any user who considered themselves to experience mental health problems could opt to participate and no exclusion criteria were applied. A mixed-methods online survey retrieved demographic and qualitative data by asking users to describe their personal experiences when using social media for mental health support.

Users perceive Facebook and Twitter as useful online resources to gain informational and emotional support and to share experiences. The benefits were; ease of access, anonymity and personal control over engagement levels. Users had subjective experiences of engagement, however, overall these were deemed positive. Using Facebook and Twitter for mental health provided users with a sense of connectedness and reduced feelings of isolation.

The qualitative methodology allowed participants to share their experiences and views, with positive implications for services. Social media was discussed as a prospective tool for raising awareness and reducing stigma. The study highlights the scope for mental health service providers to tap into the social media consumer market and provide quality online support provision.