Why are mental health services underutilized and how can creative approaches change the situation?

In order to live a balanced and healthy life, one must not only take care of one’s physical health but also of one’s mental health. The problem in our society is that mental health is still a taboo subject and therefore too few people receive or claim the help they need.

A topic that has received more and more attention in the last few years, at least in my generation, but is still not talked about enough is Mental Health. The Awareness for mental health grew over all but during the corona crises, mental health issues in young adults grew as well.

My motivation stems from having taken therapeutic support myself, which has helped me in many areas and improved my quality of life overall. I believe that many people would feel the same way and that they would benefit from getting help. I have been an advocate for mental health since I started claiming mental health services myself and try to incorporate this into my community. However, I noticed in the discourse with my friends and family that even though they also suffered mentally, they did not want to seek the necessary support.

In my following research, I would like to prove the relevance of this topic, find out what reasons prevent people from seeking the help they need, where the biggest hurdles lie, and look into mental health Apps and services. I also would like to take a look at the possible solutions like destigmatizing mental health issues.

Quellen

Jacobi, F., Höfler, M., Strehle, J., Mack, S., Gerschler, A., Scholl, L., … Wittchen, H.-U. (2014). Psychische Störungen in der Allgemeinbevölkerung. Der Nervenarzt, 85(1), 77–87. doi:10.1007/s00115-013-3961-y 

Richter, D., & Berger, K. (2013). Nehmen psychische Störungen zu? Psychiatrische Praxis, 40(04), 176–182. doi:10.1055/s-0032-1333060 

Hofmann, FH., Sperth, M. & Holm-Hadulla, R.M. Psychische Belastungen und Probleme Studierender. Psychotherapeut 62, 395–402 (2017). https://doi.org/10.1007

Deciding a on a topic between two opposites

For my first talk with Mr. Fabry we mainly talked about the topic of designing a digital tool as an aid before and during therapy agains depression. This is clearly an interaction design project and could be very interesting. Still, I have a passion project of designing more instrumental and lovable outerwear for winter. This is a project I know I want to execute at some point, but to me it does not scream interaction design. We still took the time to talk about it for five minutes, but that was not enough to decide what to do research on for a whole semester and if it would make sense in our field. Therefore I present both here as a way to process what I would prefer to do this semester.

Topic option 1 – Designing a digital tool for assistance before and during therapy against depression

Depression is one of the leading health struggles in the world. Even though there are good ways to effectively treat this condition for many cases, people with depression often find them self in a vacuum waiting for treatment. How can we make this waiting time more manageable and less likely to create worse mental struggles? Can a digital tool help a depressed person start their treatment before they receive traditional therapy? What does the tool need to consist of to be effective and manageable for someone who is already struggling to be productive in their everyday life? These are the questions I want to answer in this project.

Many people who experience depression also experience extreme waiting times before they are able to get the help that they need. There is clearly a gap between the demand and the supply of traditional therapy. For example, WHO has created a Mental Health Gap Action Programme (mhGAP) to aid countries to increase services for people with mental […] disorders from non-specialist in mental health. I want to research if we can also help and train loved ones to better help their family member, partner or friend who struggle with depression before they get professional help.

There are many recognized methods depressed people can use as part of their journey to a healthier mind. To get started with these methods is often one of the first thing a therapist will help the patient with to make their life more manageable to deal with quite quickly. If a digital tool was successful in teaching people with depression about these methods this would have a dual positiv effect: the waiting time before therapy would be less destructive and more manageable, and the patient would already have startet their treatment when they arrive at their first therapy session. This could result in a more effective start of therapy, thereby shorter treatments and less waiting time for the next patient.

In this research there will be multiple answers that need answering:

  1. Does this type of tool already exist and why is it not more successful?
  2. What methods could/should or should not be used by a patient without professional supervision?
  3. How should a digital tool present these methods to make them accessible and manageable for a depressed person to deal with?
  4. How do other digital tools used for observation/follow-ups of other groups by professionals and non-professionals work? For example in relationships between athlete-trainer, patient-doctor or parent-teacher.
  5. Can this type of digital tool also be used during therapy or will it interfere with the therapist?

It is estimated by WHO that 5% of adults suffer from depression at any point globally. In some countries the number is even higher. Between 6% and 12% of the population is depressed at any point. There every sixth person is expected to experience depression in their lifetime. The tool would therefore be very impactful if it creates just a slight net positive.

Topic 2 – Designing outerwear for a more pleasurable experience in winter commuting

As the winter creeps upon us, so does the conversations about how horrible it is with all the layers and all the clothing we need to put on. Going to, being on and walking from a bus can leave you sweaty yet cold. If you have a car, would you be more likely to drive in the winter because of this uncomfortableness? Do you buy a new clothes every year in hopes of finding slightly less uncomfortable outerwear? I want to research how our winter clothing affects us and our decisions to find out whether or not I should put effort in making a perfect outerwear clothing line or if this would just be yet another empty promise in the name of the environment and wellness.

There are indications that uncomfortable clothing can lead to temporary increased stress and blood pressure (American Heart Association) and clothing we associate with smart people can lead us to solve difficult tasks better (Social Psychological and Personality Science). Personally I have both experienced and heard about others experiences of clumpy, ugly, wrongly tempered clothing when the colder weather comes. I can’t help but wonder how this makes ut feel and if our outerwear could help us make better decisions for ourselves and the environment.

In this research it will be relevant to explore:

  1. What do we already know about psychology and clothing/fashion? Does our clothing affect or mood or behavior?
  2. How do people experience their own outerwear? Are there some similarities between the clothing items that are experienced as successful/comfortable or the ones that are not?
  3. What characteristics is needed for someone to buy an item vs. to keep them and repair/perceive/love them for a long time?