Reaching Young People Through Texting-Based Crisis Counseling
Process, Benefits, and Challenges
DOI:
https://doi.org/10.18060/21590Keywords:
crisis intervention, technology, at-risk youth, suicide prevention, texting counseling servicesAbstract
Texting-based crisis intervention counseling reaches young people who suffer from mental health issues at high rates yet hesitate to seek help. As a new interface, it is neither well-researched nor well-understood. This study examined 49 randomly selected text counseling transcripts and key informant interviews with two counselors to identify unique characteristics of the text counseling process and learn texter reactions to the sessions. Texters presented problems that were similar to those reported in voice-based hotlines. Texters valued the privacy and flexibility of texting that permitted them to receive help immediately rather than delaying. Counselors reported that they must be brief and direct with questions and avoid assigning emphasis to words. The written format required that both parties must be explicit and clear to convey their messages accurately. Both texters and counselors suggested that the texting option might lead young people to seek help that they might otherwise avoid. Recommendations include specialized training on strategies to assess and connect with texters using only the written word and research to develop best practices for texting-based crisis intervention services.
References
Bowers, H., Manion, I., Papadopoulos, D., & Gauvreau E. (2013). Child and Adolescent Mental Health, 18(3), 165-170. doi: https://doi.org/10.1111/j.1475-3588.2012.00673.x
The Bridge for Youth. (n.d.). TEXT4 help. Text SAFE. Minneapolis, MN. Retrieved from http://www.bridgeforyouth.org/contact/
Canvas Health. (2011). Annual report. Minneapolis, Minnesota: Canvas Health.
Centers for Disease Control. (2014). Suicide prevention: Youth suicide. Retrieved from www.cdc.gov/violenceprevention/pub/youth_suicide.html
Corbin, J., & Strauss, A. (2008). Basics of qualitative research. Thousand Oaks, CA: Sage.
Creswell, J. W., Hanson, W. E., Clark, V. L. P., & Morales, A. (2007). Qualitative research designs: Selection and implementation. The Counseling Psychologist, 35(2), 236-264. doi: https://doi.org/10.1177/0011000006287390
Crisis Text Line. (2018). How does crisis text line work? [Text HOME to 741741]. Retrieved from https://www.crisistextline.org/
Crisis Trends. (2016, December). Crisis Text Line. Retrieved from www.crisistrends.org
Dubus, N. (2015). Texting: The third client in the room. Clinical Social Work Journal, 43, 209-214. doi: https://doi.org/10.1007/s10615-014-0504-3
Evans, W. P., Davidson, L., & Sicafuse, L. (2013). Someone to listen: Increasing youth help-seeking behavior through a text-based crisis line for youth. Journal of Community Psychology, 41(4), 471-487. doi: https://doi.org/10.1002/jcop.21551
Gibson, K., Cartwright, C., Kerrisk, K., Campbell, J., & Seymour, F. (2016). What young people want: A qualitative study of adolescents’ priorities for engagement across psychological services. Journal of Child and Families Studies, 25, 1057-1065. doi: https://doi.org/10.1007/s10826-015-0292-6
Gould, M. S., Greenberg, T., Munfakh, J. L., Kleinman, M., & Lubell, K. (2006). Teenagers’ Attitudes about seeking help from telephone crisis services. Suicide and Life-Threatening Behavior, 36(6), 601-613. doi: https://doi.org/10.1521/suli.2006.36.6.601
Haight, W. L., & Bidwell, L. N. (2016). Mixed methods research for social work: Integrating methodologies to strengthen practice and policy. Chicago, IL: Lyceum.
Haxell, A. J. (2013). On becoming textually active at Youthline, New Zealand. British Journal of Guidance & Counselling, 43(1), 144-155. doi: https://doi.org/10.1080/03069885.2014.922163
Kaufman, L. (2014, February 4). In texting era, crisis hotlines put help at youths’ fingertips. New York Times. Retrieved from http://www.nytimes.com
Kitchingman, T. A., Wilson, C. J., Caputi, P., Woodward, A., & Hunt, T. (2015). Development and evaluation of the Telephone Crisis Support Skills Scale. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 36(6), 407-415. doi: https://doi.org/10.1027/0227-5910/a000341
Koltz, R. L., & Tarabochia, D. S. (2014). Technology: Using it as a means to creatively connect with adolescents. Journal of Creativity in Mental Health, 9, 380-398. doi: https://doi.org/10.1080/15401383.2014.899481
Krysinska, K. E., & DeLeo, D. (2007). Telecommunication and suicide prevention: Hopes and challenges for the new century. OMEGA, 55(3), 237-253. doi: https://doi.org/10.2190/OM.55.3.e
Lenhart, A., Smith, A., Anderson, M., Duggan, M., & Perrin, A. (2015, August). Teens, Technology and Friendships. Pew Research Center. http://assets.pewresearch.org/wp-content/uploads/sites/14/2015/08/Teens-and-Friendships-FINAL2.pdf
Lipmann, A. D. P. (2010). The current status and impact of US national policy on the help-seeking behavior of adolescents. Children and Youth Services Review, 32, 822-828. doi: https://doi.org/10.1016/j.childyouth.2010.01.020
Martin, S., Sutcliffe, P., Griffiths, F., Sturt, J., Powell, J., Adams, A., & Dale, J. (2011). Effectiveness and impact of networked communication interventions in young people with mental health conditions: A systematic review. Patient Education and Counseling, 85, e108-e119. doi: https://doi.org/10.1016/j.pec.2010.11.014
Miles, M. B., Huberman, M. A., & Saldana, J. (2014). Qualitative data analysis: A methods sourcebook. Los Angeles: Sage.
Mokkenstorm, J. K., Eikelenboom, M., Huisman, A., Wiebenga, J., Gilessen, R., Kerkhof, J. F. M., & Smit, J. H. (2017). Evaluation of the 113 online suicide prevention crisis chat service: Outcomes, helper behaviors and comparison to telephone hotlines. Suicide and Life-Threatening Behavior, 47(3), 282-296. doi: https://doi.org/10.1111/sltb.12286
Newport, F. (2014, November). The new era of communication among Americans. Retrieved from http://www.gallup.com/poll/179288/new-era-communication-americans.aspx
Ramchand, R.; Jaycox, L.; Ebener, P; Gilbert, M; Barnes-Proby, D., & Goutam, P. (2017). Characteristics and proximal outcomes of calls made to suicide crisis hotlines in California: Variability across centers, Crisis: The Journal of Crisis Intervention and Suicide Prevention, 38(1), 26-35. doi: https://doi.org/10.1027/0227-5910/a000401
Safe Place. (n.d.). Txt 4 Help. Chicago, IL. Retrieved from http://nationalsafeplace.org/safe-place-teens/
Santor, D., Poulin, C., LeBlanc, J., & Kusumakar, V. (2007). Facilitating help seeking behavior and referrals for mental health difficulties in school aged boys and girls: A school-based intervention. Journal of Youth & Adolescence, 36(6), 741-752. doi: doi: https://doi.org/10.1007/s10964-006-9092-z
Saunders, S. M., Resnick, M. D., Hoberman, H. M., & Blum, R. W. (1994). Formal help-seeking behavior of adolescents identifying themselves as having mental health problems. Journal of the American Academy of Child & Adolescent Psychiatry, 33(5), 718-728. doi: https://doi.org/10.1097/00004583-199406000-00013
Sawyer, M. G., Sawyer, A. C. P., & La Greca, A. M. (2012). Help-seeking by young people with depressive disorders. Prevention Researcher, 19(4), 11-14.
Stevens, B.A. & Ellerbrock, L.S. (1995). Crisis intervention: An opportunity to change. ERIC Digest EDO-CG-95-34 . Retrieved from https://www.counseling.org/resources/library/ERIC%20Digests/95-034.pdf
Substance Abuse and Mental Health Services Administration. (n.d.). National suicide prevention lifeline [1-800-273-8255]. Retrieved from https://suicidepreventionlifeline.org/
Suler, J. (2004). The online disinhibition effect. Cyberpsychology & Behavior, 7(3), 321-325. doi: https://doi.org/10.1089/1094931041291295
Teen Line. (n.d.). Teen Line. Text TEEN. Los Angeles, CA. Retrieved from https://teenlineonline.org/
TXT4Life. (2013). Annual progress report for 2012. Minneapolis, MN: Canvas Health.
TXT4Life. (2015). Statewide expansion utilization report. Minneapolis, MN: Canvas Health.
