A new online program targeted at 18-25 years olds with parents with mental health and/or substance issues in rural Victoria led to a 25% reduction in their anxiety as well as significant falls in scores on depression and improvements in emotional wellbeing.

Almost one in four Australian young adults aged 18-25 live with a parent with a mental health condition or substance use problem, and these children are four times more likely to have their own mental health issues, compared to children whose parents are free of issues like depression and anxiety.

Aware that children and young adults in rural areas are at an even greater risk of mental health issues, Professor Darryl Maybery at Monash Rural Health, and colleagues from the University’s Faculty of Education, have developed and trialled an online tool for young people who come from homes where mental health issues exist. The results of the trial have just been published in the Early Intervention in Psychiatry journal.

m.i.spot is a six-week online intervention that allows participants to talk online with Master of Psychology students based on the Monash University Clayton campus. Over the six-week course, the participants discuss issues like: will I get mental health issues myself/stress and coping/ relationships/ do I care too much (with a numerical rating) and self-care followed by a final session.

The intervention was tested on 41 participants from the Gippsland region, recruited from the general community aged between 18 and 25. They participated in a controlled trial where 22 participants were randomised to undertake the six-week m.i.spot program and 19 were in a wait-list control group. Both groups were assessed at baseline, immediately after intervention and at six weeks post-intervention, with the researchers measuring issues such as depression, anxiety and stress, wellbeing coping, general self-efficacy, help-seeking and social connectedness.

Of the 41 participants, 13 had mothers and two had fathers with a mental illness and/or substance use issues, while 26 indicated both parents had a mental illness or substance use issue.

According to co-lead researcher, Professor Andrea Reupert, Director of Professional Psychology Programs in Education at Monash University’s Krongold Clinic, both groups showed positive changes in help-seeking, social connectedness, positive reframing, active coping and self blame. Those in m.i.spot program showed strong improvements.

“Importantly the participants in the intervention reported a reduced anxiety of 25 per cent as well as significant falls in scores on depression and improvements in emotional wellbeing, increased help-seeking from others and reductions in levels of self-blame,” she said.

Professor Maybery said there is a paucity of support for people aged 18-25.

“This group of young adults is already an at-risk group with changes in social networks, education, employment and living situations. In those with a patent with a mental illness and or substance use issues this is an added risk factor,” he explained.

“If you add in living in a rural or regional environment with less access to services such as counselling, the problems multiply. This study shows that mi.spot shows promise as a safe, acceptable and effective online intervention to improve the mental health and wellbeing of this at-risk group of young adults.”

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