Connect with us

International

Is digital mental health the key to tackling a deepening crisis?

British Liberal Democrat politician, solicitor and mental health campaigner Sir Norman Lamb discusses why digital mental health services
The post Is digital mental health the key to tackling a deepening crisis? appeared first on .

Published

on

British Liberal Democrat politician, solicitor and mental health campaigner Sir Norman Lamb discusses why digital mental health services can help tackle the escalating mental health crisis.

The COVID-19 pandemic has had a severe negative effect on the population’s mental health across the globe. We know that government measures like social distancing and working from home were essential, but a lack of social interaction, restricted access to open spaces, confined living conditions with young children and elderly relatives and anxiety associated with working from home, furloughing or redundancy, has had an detrimental impact on the wellbeing of citizens.

Data from digital mental health platform Kooth has shown self-harm tendencies have increased in adults using the platform by 23% during 2020¹. 17% of adults accessing mental health support say that they think about hurting themselves or feel suicidal nearly every day, a 40% increase on the previous year. Kooth data also showed a significant rise in the proportion of male service users presenting with issues related to self-harm in 2020 – up 61% in November, and up 32% in December.

I’ve been advocating for greater mental health support for as long as I can remember. I’m alarmed by the trends we see in the lead indicators. Many children and young people feel a loss of motivation without structure and the daily routine of school or work. Some people are discussing feelings of loneliness and worry about not being able to see friends and family – and the impact this will have on their wellbeing longer term. Even more concerning, these symptoms have led to a worsening of disorders such as depression. Kooth data revealed that 52% of adult service users have presented with issues of anxiety or stress, a 12% increase from last year. Kooth also saw a 39% increase in suicidal thoughts among young people on its platform. When looking at young people specifically, we saw a 54% increase in suicidal thoughts among 10-13 year olds, which is a frightening trend.

More than a year on from the first lockdown, it’s time to ask questions about how children and young people, often seen as the “forgotten victims” of the crisis, have coped. Kooth has seen a 27% increase in children and young people presenting with self-harm issues and a 106% increase in university students struggling with anxiety among its users. This trend was already growing pre-pandemic, but it has now been exacerbated and requires immediate attention from public services, employers, families, schools, and other support systems.

Black, South Asian and Non-White communities have also shown high levels of loneliness and stress. Kooth saw an 83% increase in sleep difficulties and 40% increase in suicide thoughts among young people from ethnic minorities on the platform. Sadly, Black, South Asian and Non-White communities are less likely to access mental health support than white communities for several reasons including, language barriers, racism, discrimination and bias in treatment settings, mental health stigma, and lack of availability in their area.

This is just one of the reasons why digital, anonymous, and easily accessible mental health services are so critical. The pandemic has widened socio-economic gaps in UK society with entire communities being disadvantaged. This must stop.

With the growing demand for mental health services over the past year, people have increasingly been relying on digital services because they can access anonymous and unbiased help online during lockdowns. Digital mental health support will also have an important role to play post-pandemic, as it is safe, easily accessible, and affordable. As we move to a more home-based living style, we rely more heavily on tech in our daily lives, which is also accelerating the switch towards more digitally-based mental health support. This is an area where digital platforms can play a significant role in expanding access to mental health support, providing access to high-quality professional counselling and self-help tools, delivering critical early intervention, prevention, and ongoing support for individuals with mental health problems.

“Therapeutic support and early intervention through digital mental health services is critical to the overall wellbeing of our population”

Now that we’re slowly entering the “new normal”, digital mental health platforms find themselves being a vital tool to support the NHS after increasingly supporting people during lockdowns when they couldn’t reach traditional services. Digital mental health services were already working with the NHS pre-pandemic, but they’ve been progressively expanding during the pandemic. Therapeutic support and early intervention through digital mental health services is critical to the overall wellbeing of our population.

I’m a strong proponent of early intervention. I’ve seen the impact during my political career and in my personal life. I lost my older sister from suicide and our oldest son, Archie, experienced Obsessive Compulsive Disorder as a teenager. Two very different experiences that have impacted my life and affected me more than anyone could imagine. It also made me realise the importance of early intervention to help our loved ones and make sure they receive the support they need to go through their own challenges. With early interventions, some of the worst outcomes can potentially be avoided, and they will be, as we develop digital services further.

For many people, their first confrontation with mental health comes in a time of crisis: be it a pandemic, a heartbreak, a bereavement, the loss of a job or simply just excess, sustained stress. It is for this reason, that when individuals reach their breaking point, the effort to reach out and ask for help can sometimes feel an impossible task. This is why routine ‘mental health hygiene’ is crucial in the conversation around mental health. This is where early intervention comes it. See it as your own lives. Just as parents teach their children to look after their bodies: brushing your teeth, physical exercise, eating good food to fuel your body, it’s imperative to also teach ourselves and our children how to look after our minds and our mental wellbeing from a young age. Early intervention to guide us not only reduces the societal stigma surrounding mental health, but also means that we can learn to identify developing issues earlier and reach out for support before things start to snowball.

As we bring early intervention and digital mental health services together to tackle mental health issues, we can develop a stronger response the current crisis without failing our society.

¹Kooth Pulse 2021: The State of the Nation’s Mental Health report. Kooth data from April 2020 to March 2021 (NHS Fiscal Year 2020) covered 192,000 people with mental health issues.

About the author

Sir Norman Lamb is a British Liberal Democrat politician and solicitor. He was the Member of Parliament for North Norfolk from 2001 to 2019 and chair of the Science and Technology Select Committee from 2017 to 2019. He is currently Chair of an NHS Trust.

The post Is digital mental health the key to tackling a deepening crisis? appeared first on .

Read More

Continue Reading

International

There will soon be one million seats on this popular Amtrak route

“More people are taking the train than ever before,” says Amtrak’s Executive Vice President.

Published

on

While the size of the United States makes it hard for it to compete with the inter-city train access available in places like Japan and many European countries, Amtrak trains are a very popular transportation option in certain pockets of the country — so much so that the country’s national railway company is expanding its Northeast Corridor by more than one million seats.

Related: This is what it's like to take a 19-hour train from New York to Chicago

Running from Boston all the way south to Washington, D.C., the route is one of the most popular as it passes through the most densely populated part of the country and serves as a commuter train for those who need to go between East Coast cities such as New York and Philadelphia for business.

Veronika Bondarenko captured this photo of New York’s Moynihan Train Hall. 

Veronika Bondarenko

Amtrak launches new routes, promises travelers ‘additional travel options’

Earlier this month, Amtrak announced that it was adding four additional Northeastern routes to its schedule — two more routes between New York’s Penn Station and Union Station in Washington, D.C. on the weekend, a new early-morning weekday route between New York and Philadelphia’s William H. Gray III 30th Street Station and a weekend route between Philadelphia and Boston’s South Station.

More Travel:

According to Amtrak, these additions will increase Northeast Corridor’s service by 20% on the weekdays and 10% on the weekends for a total of one million additional seats when counted by how many will ride the corridor over the year.

“More people are taking the train than ever before and we’re proud to offer our customers additional travel options when they ride with us on the Northeast Regional,” Amtrak Executive Vice President and Chief Commercial Officer Eliot Hamlisch said in a statement on the new routes. “The Northeast Regional gets you where you want to go comfortably, conveniently and sustainably as you breeze past traffic on I-95 for a more enjoyable travel experience.”

Here are some of the other Amtrak changes you can expect to see

Amtrak also said that, in the 2023 financial year, the Northeast Corridor had nearly 9.2 million riders — 8% more than it had pre-pandemic and a 29% increase from 2022. The higher demand, particularly during both off-peak hours and the time when many business travelers use to get to work, is pushing Amtrak to invest into this corridor in particular.

To reach more customers, Amtrak has also made several changes to both its routes and pricing system. In the fall of 2023, it introduced a type of new “Night Owl Fare” — if traveling during very late or very early hours, one can go between cities like New York and Philadelphia or Philadelphia and Washington. D.C. for $5 to $15.

As travel on the same routes during peak hours can reach as much as $300, this was a deliberate move to reach those who have the flexibility of time and might have otherwise preferred more affordable methods of transportation such as the bus. After seeing strong uptake, Amtrak added this type of fare to more Boston routes.

The largest distances, such as the ones between Boston and New York or New York and Washington, are available at the lowest rate for $20.

Read More

Continue Reading

International

The next pandemic? It’s already here for Earth’s wildlife

Bird flu is decimating species already threatened by climate change and habitat loss.

I am a conservation biologist who studies emerging infectious diseases. When people ask me what I think the next pandemic will be I often say that we are in the midst of one – it’s just afflicting a great many species more than ours.

I am referring to the highly pathogenic strain of avian influenza H5N1 (HPAI H5N1), otherwise known as bird flu, which has killed millions of birds and unknown numbers of mammals, particularly during the past three years.

This is the strain that emerged in domestic geese in China in 1997 and quickly jumped to humans in south-east Asia with a mortality rate of around 40-50%. My research group encountered the virus when it killed a mammal, an endangered Owston’s palm civet, in a captive breeding programme in Cuc Phuong National Park Vietnam in 2005.

How these animals caught bird flu was never confirmed. Their diet is mainly earthworms, so they had not been infected by eating diseased poultry like many captive tigers in the region.

This discovery prompted us to collate all confirmed reports of fatal infection with bird flu to assess just how broad a threat to wildlife this virus might pose.

This is how a newly discovered virus in Chinese poultry came to threaten so much of the world’s biodiversity.

H5N1 originated on a Chinese poultry farm in 1997. ChameleonsEye/Shutterstock

The first signs

Until December 2005, most confirmed infections had been found in a few zoos and rescue centres in Thailand and Cambodia. Our analysis in 2006 showed that nearly half (48%) of all the different groups of birds (known to taxonomists as “orders”) contained a species in which a fatal infection of bird flu had been reported. These 13 orders comprised 84% of all bird species.

We reasoned 20 years ago that the strains of H5N1 circulating were probably highly pathogenic to all bird orders. We also showed that the list of confirmed infected species included those that were globally threatened and that important habitats, such as Vietnam’s Mekong delta, lay close to reported poultry outbreaks.

Mammals known to be susceptible to bird flu during the early 2000s included primates, rodents, pigs and rabbits. Large carnivores such as Bengal tigers and clouded leopards were reported to have been killed, as well as domestic cats.

Our 2006 paper showed the ease with which this virus crossed species barriers and suggested it might one day produce a pandemic-scale threat to global biodiversity.

Unfortunately, our warnings were correct.

A roving sickness

Two decades on, bird flu is killing species from the high Arctic to mainland Antarctica.

In the past couple of years, bird flu has spread rapidly across Europe and infiltrated North and South America, killing millions of poultry and a variety of bird and mammal species. A recent paper found that 26 countries have reported at least 48 mammal species that have died from the virus since 2020, when the latest increase in reported infections started.

Not even the ocean is safe. Since 2020, 13 species of aquatic mammal have succumbed, including American sea lions, porpoises and dolphins, often dying in their thousands in South America. A wide range of scavenging and predatory mammals that live on land are now also confirmed to be susceptible, including mountain lions, lynx, brown, black and polar bears.

The UK alone has lost over 75% of its great skuas and seen a 25% decline in northern gannets. Recent declines in sandwich terns (35%) and common terns (42%) were also largely driven by the virus.

Scientists haven’t managed to completely sequence the virus in all affected species. Research and continuous surveillance could tell us how adaptable it ultimately becomes, and whether it can jump to even more species. We know it can already infect humans – one or more genetic mutations may make it more infectious.

At the crossroads

Between January 1 2003 and December 21 2023, 882 cases of human infection with the H5N1 virus were reported from 23 countries, of which 461 (52%) were fatal.

Of these fatal cases, more than half were in Vietnam, China, Cambodia and Laos. Poultry-to-human infections were first recorded in Cambodia in December 2003. Intermittent cases were reported until 2014, followed by a gap until 2023, yielding 41 deaths from 64 cases. The subtype of H5N1 virus responsible has been detected in poultry in Cambodia since 2014. In the early 2000s, the H5N1 virus circulating had a high human mortality rate, so it is worrying that we are now starting to see people dying after contact with poultry again.

It’s not just H5 subtypes of bird flu that concern humans. The H10N1 virus was originally isolated from wild birds in South Korea, but has also been reported in samples from China and Mongolia.

Recent research found that these particular virus subtypes may be able to jump to humans after they were found to be pathogenic in laboratory mice and ferrets. The first person who was confirmed to be infected with H10N5 died in China on January 27 2024, but this patient was also suffering from seasonal flu (H3N2). They had been exposed to live poultry which also tested positive for H10N5.

Species already threatened with extinction are among those which have died due to bird flu in the past three years. The first deaths from the virus in mainland Antarctica have just been confirmed in skuas, highlighting a looming threat to penguin colonies whose eggs and chicks skuas prey on. Humboldt penguins have already been killed by the virus in Chile.

A colony of king penguins.
Remote penguin colonies are already threatened by climate change. AndreAnita/Shutterstock

How can we stem this tsunami of H5N1 and other avian influenzas? Completely overhaul poultry production on a global scale. Make farms self-sufficient in rearing eggs and chicks instead of exporting them internationally. The trend towards megafarms containing over a million birds must be stopped in its tracks.

To prevent the worst outcomes for this virus, we must revisit its primary source: the incubator of intensive poultry farms.

Diana Bell does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

Read More

Continue Reading

International

This is the biggest money mistake you’re making during travel

A retail expert talks of some common money mistakes travelers make on their trips.

Published

on

Travel is expensive. Despite the explosion of travel demand in the two years since the world opened up from the pandemic, survey after survey shows that financial reasons are the biggest factor keeping some from taking their desired trips.

Airfare, accommodation as well as food and entertainment during the trip have all outpaced inflation over the last four years.

Related: This is why we're still spending an insane amount of money on travel

But while there are multiple tricks and “travel hacks” for finding cheaper plane tickets and accommodation, the biggest financial mistake that leads to blown travel budgets is much smaller and more insidious.

A traveler watches a plane takeoff at an airport gate.

Jeshoots on Unsplash

This is what you should (and shouldn’t) spend your money on while abroad

“When it comes to traveling, it's hard to resist buying items so you can have a piece of that memory at home,” Kristen Gall, a retail expert who heads the financial planning section at points-back platform Rakuten, told Travel + Leisure in an interview. “However, it's important to remember that you don't need every souvenir that catches your eye.”

More Travel:

According to Gall, souvenirs not only have a tendency to add up in price but also weight which can in turn require one to pay for extra weight or even another suitcase at the airport — over the last two months, airlines like Delta  (DAL) , American Airlines  (AAL)  and JetBlue Airways  (JBLU)  have all followed each other in increasing baggage prices to in some cases as much as $60 for a first bag and $100 for a second one.

While such extras may not seem like a lot compared to the thousands one might have spent on the hotel and ticket, they all have what is sometimes known as a “coffee” or “takeout effect” in which small expenses can lead one to overspend by a large amount.

‘Save up for one special thing rather than a bunch of trinkets…’

“When traveling abroad, I recommend only purchasing items that you can't get back at home, or that are small enough to not impact your luggage weight,” Gall said. “If you’re set on bringing home a souvenir, save up for one special thing, rather than wasting your money on a bunch of trinkets you may not think twice about once you return home.”

Along with the immediate costs, there is also the risk of purchasing things that go to waste when returning home from an international vacation. Alcohol is subject to airlines’ liquid rules while certain types of foods, particularly meat and other animal products, can be confiscated by customs. 

While one incident of losing an expensive bottle of liquor or cheese brought back from a country like France will often make travelers forever careful, those who travel internationally less frequently will often be unaware of specific rules and be forced to part with something they spent money on at the airport.

“It's important to keep in mind that you're going to have to travel back with everything you purchased,” Gall continued. “[…] Be careful when buying food or wine, as it may not make it through customs. Foods like chocolate are typically fine, but items like meat and produce are likely prohibited to come back into the country.

Related: Veteran fund manager picks favorite stocks for 2024

Read More

Continue Reading

Trending