Prevention of adolescent mental health conditions: is technology a possible source for good?

In 2021, in a bid to explore the transformative potential of technology in adolescent mental health, the Data for Children Collaborative with UNICEF embarked on a groundbreaking project with Outsight International, in collaboration with UCIPT and ElevateU. The first phase of this initiative, divided into seven investigative areas, laid the groundwork for understanding existing systems and landscapes crucial for developing effective programs. These areas were:

  1. Systems View of Digital Health Ecosystems (Outsight International)
    This work package delved into the complex digital health ecosystem, creating system models that serve as tools to identify relationships and patterns. By adopting a holistic approach, the team aimed to avoid narrow solutions and recognize the diverse elements of a digital health solution.

  2. Overview of Available Data Types (UCIPT)
    The project explored a myriad of public and private data resources, from social and health data to consumer and satellite data. This early exploration provided insights into the possibilities for moving towards an implementable project.

  3. Review of Digital MHPSS Tools Literature (ElevateU)
    Recognizing the growing importance of adolescent mental health, a literature review was conducted to understand the impact of technological interventions. The review, encompassing 38 articles and 14 from grey literature, highlighted the overwhelmingly positive impact (98%) of technology on adolescent mental health.

  4. Technology Landscaping of MHPSS Digital Tools (Outsight International)
    An effort to understand relevant digital health solutions was initiated to act as a reference point for ongoing evaluation and context-specific needs.

  5. Data Landscaping and Key Informant Interviews (Outsight International)
    Interviews with mental health researchers, funders, and service providers revealed a broad consensus that technology's impact on adolescent mental health is nuanced and context-dependent.

  6. Workshop Sessions (Outsight International)
    Two workshops focused on compounding factors influencing mental health outcomes, leading to the identification of three key research questions. These questions aimed to understand platform usage, adolescent interactions with online technologies, and the potential for existing platforms to adapt for better services.

  7. Phase 2 Conception
    Integrating UNICEF's Measurement of Mental Health Among Adolescents at the Population Level (MMAP) approach with digital mental health interventions was proposed for Phase 2. This approach offers an opportunity for a multi-cohort longitudinal study in Jamaica, testing the effectiveness of digital tools and improving data collection methods.

In conclusion, the collaborative and human-centered approach of the project, grounded in a systems perspective, has paved the way for a comprehensive Phase 2. This ambitious next step aims to improve access to services, enhance data collection systems, and provide valuable insights for UNICEF's programming not only in Jamaica but also as a comparative study across other focus countries. As the project advances, collaboration between the Data for Children Collaborative and UNICEF will define the scope, identify partners, and secure funding, marking a significant stride towards better adolescent mental health worldwide.