You can see it, OK. The assessment will evaluate individual characteristic, it will also assess the family and community resource related. A lot of time, seeking for services also depends on what’s your immediate context. We call that social determinants.

This is also the concept. We’re using the opportunity to educate parents as well. The figure also gives you a sense in terms of.., I don’t know if you can see it.

Here is an example for the mSELF contents (shows “what does a toolkit session look like” slide), this is all in English.

Like committing to it, like acceptance and commitments, right? Acceptance first and then commitment.

Yeah. Assistance, once you make decision…

Based on the consumers’ decision, the digital tool also prioritizes what advices/information should be given. The decisions are based on not only our clinical experience, but also based on families’ preference. We based on these to provid health literacy information. This is also the place that we adapt the material ...

Taxonomy. Yes. The piece is very different. We think about the context and also personal characteristic. After we ask people question, we give them the results, advice. We share with them their strengths and weaknesses, and also give them the reason why they are making change. They could assess what ...

The existing service is more focusing on problem assessments, which is not very helpful.

That’s right. A lot of…

This figure shows a digital approach that is combined multiple functions and major service steps. Our approach is an integrated health behavior intervention model, including “ask, advice, access, assist, and arrange” to help people learn about information and chang behavior all at the same time. The first step is that ...

That’s great. The tool that we are focusing on in this digital tool combined with a lot of functions, and I’ll explain a little bit more later. After people using the tool, we can help them decide what resources they need to use, and help them get access. The last ...

We also develop the community health worker implementation approach to support participants who have low literacy. We are not using hospital resources, more on using community resources. Taiwan has a lot of volunteers, which is nice and can be used to support mSELF digital tool implemenation.

In faith-based setting, we work with the leader to announce that the digital tool exists for people to use, and then depends on the literacy level of the targeted population, we give them needed support.

One example that we have targeted is in faith-based organizations. I will illustrate this here (point to slide), just to give you a sense of how that [mSELF] is implemented, but similar approach can be applied to healthcare settings.

That’s right. That’s the exactly the same problem. [laughs] The digital solution that we’re thinking, it uses an integrated approach. We focus on not just getting the data, but also use the data to help families to make decision before problems developed. This is the process that we have tested ...

Scale of problems for the three issues that we just discussed are pretty high in taiwan. We know the same workforce challenge in Taiwan: low pay, not enough professionals and accessible services. It has exactly the same problems as many other countries.

School, it’s also a good system to target on children’s mental health, but usually is not that well implemented. The approach that we developed is, we bring in the evidence-based interventions that we tested using face-to-face approaching, and modify it to a digital appraoch and see how it works in ...

This Figure is to gives you a sense of the global health diseases burden. Mental health burden is in top three, it’s an issue that hasn’t been paid a lot of attention. We know parents constantly complain about kids’ problems, and parents don’t have a place to get effective parenting ...

That’s a little bit higher than the rate in the US, we know for Asians, we have higher rates of anxiety and depression. We also know that most of the mental health problems developed by the age of 14. [laughs] The majority of the problems are anxiety, depression and conduct ...

We know that in Taiwan, the suicide rate and depression in young people is pretty high.

That’s right. That’s right. It’s better to have a good life habit. Also, lack of professional resource is another common issue (point to the slides for 3 common service issues). What are the consequences of not setting up the service in the right way? We know,high prevalence of mental health ...

That’s right.

When you have a larger population that needs wellness promotion or mental health problem prevention, you need to put more resource into the prevention.

There’s also intervention design issues in the service area. A lot of mental health intervention resources have been put into treatment, but not in public health prevention. This pyramid (point to the WHO’s service Pyramid model) with the wider bottom shows the need for a more self-care service model. The ...

Even for parents to recognize kids’ behavior issues, that could be a problem, and so, parents tend to overlook child mental health issue. It depends on the culture, we need to find a way to help parents recognize the issue. The approaches need to fit into the culture, and develop ...

Yes, you’re not the norm. [laughs]

Enjoy. The digital tool that we’re thinking is using a personalized/precision medicine approach. Precision medicine is also a new field in mental health in the US context. Just to give you a sense what are some common global mental health service challenges first (showing the slides). We know cultural norm, ...

I will take about 10-15 minutes to present the concept.

I’m sorry. I got too excited.

The digital tool that I named, it’s called mSELF (mHealth Toolkit for Screening & Empowering Lives of Families). It’s an empowerment tool for screening and empower life of family. I’m interested in focusing on family-centered approach. Sorry, I forgot to introduce you (colleague Chia Ying).

I don’t know if you want to see that or hear it in the way.

My background is in multiple areas, I have multi-disciplinary training. Originally, I had clinical psychology training in Taiwan; and in US, I did public health, and also the mental health implementation research. I have background both in intervention and service development research and am thinking about adapting some of those ...

The reason I’m here is to share a little bit about what I’m doing, but also to get your input on where I might be able to connect. The model that I’m doing is not to create a new structure, but to integrate into the existing structure. I am thinking ...

This is my Chinese (point to the name on the slide). [laughs] I’m still doing global mental health work and a lot of the degital solutions are primary developed for Africa, because of the low resource. Some of the work, now, I’m testing in the US context, both in community ...

It’s easy. It’s closer to me too.

[laughs] I could also choose…

Right now I’m still like…(setting up the presentaiton equipment)

It’s working.

Both for community and also for health facilities as well.

Both.

The reason I’m here is also because I’ve been doing a lot of global mental health work, and some of these can be applied in Taiwan. I see a lot of similar challenges in Taiwan, it’s very consistent with what I saw in the global world. Some of the digital ...

Just introduce myself. [laughs] I’m a faculty associate professor at NYU School of Medicine. I am still a Taiwanese.

I’m going to tell you a little bit about why we’re here. [laughs]

Do you want to use the projector?

OK, great. Thank you.

Oh, OK. I want to meet you in-person.