scholarly journals Online counselling and goal achievement: Exploring meaningful change and the types of goals progressed by young people

Author(s):  
Jenna Jacob ◽  
Luís Costa da Silva ◽  
Aaron Sefi ◽  
Julian Edbrooke‐Childs
2020 ◽  
Author(s):  
Jenna Jacob ◽  
Luís Costa da Silva ◽  
Aaron Sefi ◽  
Julian Edbrooke-Childs

BACKGROUND Background: Youths are increasingly looking towards the internet for mental health support. There has been little research on the impact of online counselling, as captured in Routine Outcome Measures. OBJECTIVE This research aims to explore an online counselling service, using the first application of the meaningful change calculation; to consider how this links to service use; and to explore the associations between goal type and goal outcome. METHODS A routinely collected dataset obtained from an online youth counselling and support service was analysed (n=4218). ‘Meaningful change’ was calculated to determine change over time, consisting of the application of the reliable change index to goal-based outcome data. A series of t-tests were conducted to explore associations with those who had meaningfully improved and their contact with the service. Logistic regression explored the association between goal type and meaningful change. RESULTS Results: 55.6% of youths reported meaningful goal improvement. Those who meaningfully improved spent significantly more time engaged than those who did not. Goal types most likely to meaningfully improve were ‘getting professional help’ and ‘self-help–self-care’. CONCLUSIONS Most young people made significant movement towards their collaboratively-agreed goals, which is a good indication that the service is helping to address important areas of change. The findings, linked to earlier research, may indicate that those who report improvements in goals may engage with services more. The high proportion of ‘getting help’ goals may be attributable to the online setting, which young people may use as a first point of contact for help seeking, to gather information to access further support. With the increased uptake of online support services associated with the current global pandemic, future research should consider the present findings as a baseline of goal progress and service utilization.


2009 ◽  
Vol 9 (2) ◽  
pp. 93-100 ◽  
Author(s):  
Robert Williams ◽  
Matthew Bambling ◽  
Robert King ◽  
Quentin Abbott

2008 ◽  
Vol 8 (2) ◽  
pp. 110-116 ◽  
Author(s):  
Matthew Bambling ◽  
Robert King ◽  
Wendy Reid ◽  
Karly Wegner

2006 ◽  
Vol 118 (1) ◽  
pp. 43-52 ◽  
Author(s):  
Debra Beattie ◽  
Stuart Cunningham ◽  
Richard Jones ◽  
Oksana Zelenko

This article reviews a project which has produced creative design solutions for the development of online counselling in collaboration with Australia's largest youth telephone counselling service, Kids Helpline (KHL). Our discussion focuses on the shape of interaction design research conducted against the dual background of young people's multi-literacies and professional counselling practice. Existing text-based communication tools already available for Kids Helpline's clients were integrated with graphical image-based tools, while engaging young people in problem-solving and empowerment during online counselling sessions. The paper considers the fashioning of a conducive design and interactive communication environment for distressed young people and the independent evaluation of the new site design. Preliminary results are that young people report a greater sense of control and comfort in their net-based interaction with a counsellor.


2020 ◽  
pp. 030802262097393
Author(s):  
Roslyn W Livingstone ◽  
Debra A Field

Introduction This pre-post study explored the effect of children’s 6 months’ experience in one of four early power mobility devices. Method Satisfaction with parent-selected goal achievement was measured using the wheelchair outcome measure for young people and compared with the assessment of learning powered mobility use, as well as device expectation fulfilment ratings. Results Forty-six children with mobility limitations, aged 13–68 months (mean 40.40; SD 15.60) participated. The most common condition was cerebral palsy ( n = 33; 71.74%). The Wilcoxon signed rank test measured the positive change in goal achievement ( z = 4.90; P<0.001; r = 0.51). Fair to good statistically significant Spearman’s correlations were observed between power mobility skill and goal achievement, as well as parent and therapist device expectation scores ( rs = 0.48, 0.46 and 0.66, respectively; P<0.001). Parent and therapist ratings did not differ significantly. No statistically significant associations were found between goal achievement and child (age, diagnosis, abilities) or environmental factors (device, access method, loan length). Conclusion Children at all phases of power mobility skill, using various devices and access methods, can demonstrate activity and participation change following power mobility experience. This study adds validity evidence supporting the use of the wheelchair outcome measure for young people with young children by parent-proxy rating.


Author(s):  
Marilyn Anne Campbell ◽  
Kevin Glasheen

A substantial group of young people experience mental health problems, which impact their educational development and subsequent wellbeing. Of those who do suffer from mental health issues, a minority of these seek appropriate professional assistance. This paucity of help seeking behaviours among young people is a challenge for counsellors. Whereas adults who suffer mental health issues have increasingly turned to the internet for assistance, it is interesting that when young people, whose social lives are increasingly dependent on the communication technologies, are not catered to as much as adults by online counselling. One small online counselling pilot program conducted at a Queensland secondary school for three years (from 2005-2007) (Glasheen & Campbell, 2009) offered anonymous live-time counselling from the school counsellor (via a secure chat room) to students through the school’s website. Findings indicated that boys were more likely to use the service than girls. All participants transitioned to face-to-face counselling, and all reported it was beneficial. This pilot study attested to the potential of online counselling. However, school counselors, as a professional group, have been hesitant to utilise online counselling as part of their service delivery to young people in schools. This chapter concludes by identifying reasons for this reluctance and possible initiatives to increase online support for young people in schools.


2020 ◽  
Vol 45 (4) ◽  
pp. 266-278
Author(s):  
Mary Jo McVeigh ◽  
Susan Heward-Belle

AbstractThe World Health Organization categorised the Corona virus as a public health emergency of international concern. As a result of this declaration, a raft of procedures to stem the spread of the virus to safeguard the health and safety of its citizens was enacted by the Australian Government. The promotion of social isolation and distancing were among these measures. The governmental social distancing measures put in place in Australia resulted in a curtailing of face-to-face work and moving to online service delivery for many agencies who provide counselling for children/young people who have experienced maltreatment. This article presents the findings of a review of the literature on the pertinent ethical issues in relation to online counselling. The results of the review highlighted common ethical issues discussed across the literature, with a major gap in the literature focusing on issues for children and young people and a continued privileging of the adult voice over children and young people’s needs.


Author(s):  
Charlotte Mindel ◽  
Crystal Oppong ◽  
Emily Rothwell ◽  
Aaron Sefi ◽  
Jenna Jacob

2016 ◽  
Vol 27 (1) ◽  
pp. 37-54 ◽  
Author(s):  
Terry Hanley ◽  
Zehra Ersahin ◽  
Aaron Sefi ◽  
Judith Hebron

Online counselling is increasingly being used as an alternative to face-to-face student counselling. Using an exploratory mixed methods design, this project investigated the practice by examining the types of therapeutic goals that 11- to 25-year-olds identify online in routine practice. These goals were then compared to goals identified in equivalent school and community-based counselling services; 1,137 online goals (expressed by 504 young people) and 221 face-to-face goals (expressed by 220 young people) were analysed for key themes using grounded theory techniques. This analysis identified three core categories: (1) Intrapersonal Goals, (2) Interpersonal Goals, and (3) Intrapersonal Goals Directly Related to Others. Further statistical analysis of these themes indicated that online and face-to-face services appear to be used in different ways by students. These differences are discussed alongside the implications for professionals working in educational settings.


Sign in / Sign up

Export Citation Format

Share Document