Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
skip to main content
research-article
Open access

Learning to Become a Volunteer Counselor: Lessons from a Peer-to-Peer Mental Health Community

Published: 11 November 2022 Publication History
  • Get Citation Alerts
  • Abstract

    Online peer-to-peer therapy sessions can be effective in improving people's mental well-being. However, online volunteer counselors may lack the expertise and necessary training to provide high-quality sessions, and these low-quality sessions may negatively impact volunteers' motivations as well as clients' well-being. This paper uses interviews with 20 senior online volunteer counselors to examine how they addressed challenges and acquired skills when volunteering in a large, mental-health support community - 7Cups.com. Although volunteers in this community received some training based on principles of active listening and motivational interviewing, results indicate that the training was insufficient and that volunteer counselors had to independently develop strategies to deal with specific challenges that they encountered in their volunteer work. Their strategies, however, might deviate from standard practice since they generally lacked systematic feedback from mentors or clients and, instead, relied on their personal experiences. Additionally, volunteer counselors reported having difficulty maintaining their professional boundaries with the clients. Even though training and support resources were available, they were underutilized. The results of this study have uncovered new design spaces for HCI practitioners and researchers, including social computing and artificial intelligence approaches that may provide better support to volunteer counselors in online mental health communities.

    References

    [1]
    Kathina Ali, Louise Farrer, Amelia Gulliver, and Kathleen M Griffiths. 2015. Online peer-to-peer support for young people with mental health problems: a systematic review. JMIR mental health 2, 2 (2015), e4418.
    [2]
    Tim Althoff, Kevin Clark, and Jure Leskovec. 2016. Large-scale analysis of counseling conversations: An application of natural language processing to mental health. Transactions of the Association for Computational Linguistics 4 (2016), 463--476.
    [3]
    Samuel B Bacharach, Peter Bamberger, and Valerie McKinney. 2000. Boundary management tactics and logics of action: The case of peer-support providers. Administrative Science Quarterly 45, 4 (2000), 704--736.
    [4]
    Azy Barak and Nili Bloch. 2006. Factors related to perceived helpfulness in supporting highly distressed individuals through an online support chat. CyberPsychology & Behavior 9, 1 (2006), 60--68.
    [5]
    Amit Baumel. 2015. Online emotional support delivered by trained volunteers: users' satisfaction and their perception of the service compared to psychotherapy. Journal of Mental Health 24, 5 (2015), 313--320.
    [6]
    James Bennett-Levy. 2006. Therapist skills: A cognitive model of their acquisition and refinement. Behavioural and Cognitive Psychotherapy 34, 1 (2006), 57--78.
    [7]
    Jeffrey L Binder. 1999. Issues in teaching and learning time-limited psychodynamic psychotherapy. Clinical Psychology Review 19, 6 (1999), 705--719.
    [8]
    David A Brent and David J Kolko. 1998. Psychotherapy: Definitions, mechanisms of action, and relationship to etiological models. Journal of Abnormal Child Psychology 26, 1 (1998), 17--25.
    [9]
    Amy Bruckman. 2006. Learning in online communities. na.
    [10]
    Tara Capel, Bernd Ploderer, Margot Brereton, and Meg O'Connor Solly. 2021. The Making of Women: Creating Trajectories for Women's Participation in Makerspaces. Proceedings of the ACM on Human-Computer Interaction 5, CSCW1 (2021), 1--38.
    [11]
    Maxine Capner and Marie Louise Caltabiano. 1993. Factors affecting the progression towards burnout: A comparison of professional and volunteer counsellors. Psychological Reports 73, 2 (1993), 555--561.
    [12]
    Prerna Chikersal, Danielle Belgrave, Gavin Doherty, Angel Enrique, Jorge E Palacios, Derek Richards, and Anja Thieme. 2020. Understanding client support strategies to improve clinical outcomes in an online mental health intervention. In Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems. 1--16.
    [13]
    Boreum Choi, Kira Alexander, Robert E Kraut, and John M Levine. 2010. Socialization tactics in wikipedia and their effects. In Proceedings of the 2010 ACM conference on Computer supported cooperative work. 107--116.
    [14]
    Victoria Clarke, Virginia Braun, and Nikki Hayfield. 2015. Thematic analysis. Qualitative psychology: A practical guide to research methods (2015), 222--248.
    [15]
    Joe Curran, Glenys Dean Parry, Gillian Hardy, Jennifer Darling, Ann-Marie Mason, and Eleni Chambers. 2019. How does therapy harm? A model of adverse process using task analysis in the synthesis of service users' experience. Frontiers in Psychology 10 (2019), 347.
    [16]
    Michael Eraut*. 2004. Informal learning in the workplace. Studies in continuing education 26, 2 (2004), 247--273.
    [17]
    Casey Fiesler, Shannon Morrison, R Benjamin Shapiro, and Amy S Bruckman. 2017. Growing their own: Legitimate peripheral participation for computational learning in an online fandom community. In Proceedings of the 2017 ACM conference on computer supported cooperative work and social computing. 1375--1386.
    [18]
    Andrea Forte and Amy Bruckman. 2006. From Wikipedia to the classroom: Exploring online publication and learning. (2006).
    [19]
    Neil Foster. 2007. "Why Can't We Be Friends?" An Exploration of the Concept of "Friendship'within Client-Music Therapist Relationships. British Journal of Music Therapy 21, 1 (2007), 12--22.
    [20]
    Ruben Fukkink. 2011. Peer counseling in an online chat service: A content analysis of social support. Cyberpsychology, behavior, and social networking 14, 4 (2011), 247--251.
    [21]
    Madelyn S Gould, Wendi Cross, Anthony R Pisani, Jimmie Lou Munfakh, and Marjorie Kleinman. 2013. Impact of applied suicide intervention skills training on the national suicide prevention lifeline. Suicide and Life-Threatening Behavior 43, 6 (2013), 676--691.
    [22]
    Betty Gray. 2005. Informal learning in an online community of practice. International Journal of E-Learning & Distance Education/Revue internationale du e-learning et la formation à distance 19, 1 (2005).
    [23]
    Aaron Halfaker, Os Keyes, and Dario Taraborelli. 2013. Making peripheral participation legitimate: reader engagement experiments in wikipedia. In Proceedings of the 2013 conference on Computer supported cooperative work. 849--860.
    [24]
    Aaron Halfaker, Aniket Kittur, and John Riedl. 2011. Don't bite the newbies: how reverts affect the quantity and quality of Wikipedia work. In Proceedings of the 7th international symposium on wikis and open collaboration. 163--172.
    [25]
    Karen Handley, Andrew Sturdy, Robin Fincham, and Timothy Clark. 2006. Within and beyond communities of practice: Making sense of learning through participation, identity and practice. Journal of management studies 43, 3 (2006), 641--653.
    [26]
    Christoph Hannebauer and Volker Gruhn. 2016. Motivation of newcomers to FLOSS projects. In Proceedings of the 12th International Symposium on Open Collaboration. 1--10.
    [27]
    Jeffrey A Hayes, Charles J Gelso, and Ann M Hummel. 2011. Managing countertransference. Psychotherapy 48, 1 (2011), 88.
    [28]
    Jeffrey A Hayes, Janet E McCracken, Mary K McClanahan, Clara E Hill, Jennifer S Harp, and Paul Carozzoni. 1998. Therapist perspectives on countertransference: Qualitative data in search of a theory. Journal of Counseling Psychology 45, 4 (1998), 468.
    [29]
    Amy R Hesse. 2002. Secondary trauma: How working with trauma survivors affects therapists. Clinical social work journal 30, 3 (2002), 293--309.
    [30]
    Clara E Hill. 2009. Helping skills: Facilitating, exploration, insight, and action. American Psychological Association.
    [31]
    Clara E Hill, Catherine Sullivan, Sarah Knox, and Lewis Z Schlosser. 2007. Becoming psychotherapists: Experiences of novice trainees in a beginning graduate class. Psychotherapy: Theory, Research, Practice, Training 44, 4 (2007), 434.
    [32]
    Azra Ismail and Neha Kumar. 2019. Empowerment on the margins: The online experiences of community health workers. In Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems. 1--15.
    [33]
    Corey Jackson, Carsten Østerlund, Veronica Maidel, Kevin Crowston, and Gabriel Mugar. 2016. Which way did they go? Newcomer movement through the Zooniverse. In Proceedings of the 19th ACM conference on computer-supported cooperative work & social computing. 624--635.
    [34]
    Thomas M Kirchberg and Robert A Neimeyer. 1991. Reactions of beginning counselors to situations involving death and dying. Death Studies 15, 6 (1991), 603--610.
    [35]
    Paula Klemm, Dyane Bunnell, Maureen Cullen, Rachna Soneji, Patricia Gibbons, and Andrea Holecek. 2003. Online cancer support groups: a review of the research literature. CIN: Computers, Informatics, Nursing 21, 3 (2003), 136--142.
    [36]
    Robert Kraut, Moira Burke, John Riedl, and Paul Resnick. 2010. Dealing with newcomers. Evidencebased Social Design Mining the Social Sciences to Build Online Communities 1 (2010), 42.
    [37]
    Jean Lave and Etienne Wenger. 1991. Situated learning: Legitimate peripheral participation. Cambridge university press.
    [38]
    Ang Li, Zheng Yao, Diyi Yang, Chinmay Kulkarni, Rosta Farzan, and Robert E Kraut. 2020. Successful Online Socialization: Lessons from the Wikipedia Education Program. Proceedings of the ACM on Human-Computer Interaction 4, CSCW1 (2020), 1--24.
    [39]
    Haiwei Ma, Sunny Parawala, and Svetlana Yarosh. 2021. Detecting Expressive Writing in Online Health Communities by Modeling Aggregated Empirical Data. Proceedings of the ACM on Human-Computer Interaction 5, CSCW1 (2021), 1--32.
    [40]
    Brent Mallinckrodt. 2010. The psychotherapy relationship as attachment: Evidence and implications. Journal of Social and Personal Relationships 27, 2 (2010), 262--270.
    [41]
    Victoria J Marsick and Karen E Watkins. 2001. Informal and incidental learning. New directions for adult and continuing education 2001, 89 (2001), 25--34.
    [42]
    Michael Massimi, Jackie L Bender, Holly O Witteman, and Osman H Ahmed. 2014. Life transitions and online health communities: reflecting on adoption, use, and disengagement. In Proceedings of the 17th ACM conference on Computer supported cooperative work & social computing. ACM, 1491--1501.
    [43]
    William R Miller and Gary S Rose. 2009. Toward a theory of motivational interviewing. American psychologist 64, 6 (2009), 527.
    [44]
    Jonathan T Morgan, Siko Bouterse, Heather Walls, and Sarah Stierch. 2013. Tea and sympathy: crafting positive new user experiences on wikipedia. In Proceedings of the 2013 conference on Computer supported cooperative work. 839--848.
    [45]
    Sneha Narayan, Jake Orlowitz, Jonathan T Morgan, and Aaron Shaw. 2015. Effects of a Wikipedia Orientation Game on New User Edits. In Proceedings of the 18th ACM Conference Companion on Computer Supported Cooperative Work & Social Computing. 263--266.
    [46]
    Judith K Ockene. 1987. Physician-delivered interventions for smoking cessation: strategies for increasing effectiveness. Preventive medicine 16, 5 (1987), 723--737.
    [47]
    Kathleen O'Leary, Arpita Bhattacharya, Sean A Munson, Jacob O Wobbrock, and Wanda Pratt. 2017. Design opportunities for mental health peer support technologies. In Proceedings of the 2017 ACM conference on computer supported cooperative work and social computing. 1470--1484.
    [48]
    Allen M Omoto and Mark Snyder. 1995. Sustained helping without obligation: motivation, longevity of service, and perceived attitude change among AIDS volunteers. Journal of personality and social psychology 68, 4 (1995), 671.
    [49]
    Antonio Pascual-Leone, Beatriz Rodriguez-Rubio, and Samantha Metler. 2013. What else are psychotherapy trainees learning? A qualitative model of students' personal experiences based on two populations. Psychotherapy Research 23, 5 (2013), 578--591.
    [50]
    Sachin R Pendse, Faisal M Lalani, Munmun De Choudhury, Amit Sharma, and Neha Kumar. 2020. " Like Shock Absorbers": Understanding the Human Infrastructures of Technology-Mediated Mental Health Support. In Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems. 1--14.
    [51]
    Zhenhui Peng, Qingyu Guo, Ka Wing Tsang, and Xiaojuan Ma. 2020. Exploring the Effects of Technological Writing Assistance for Support Providers in Online Mental Health Community. In Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems. 1--15.
    [52]
    William E Piper. 2004. Implications of psychotherapy research for psychotherapy training. The Canadian Journal of Psychiatry 49, 4 (2004), 221--229.
    [53]
    Yada Pruksachatkun, Sachin R Pendse, and Amit Sharma. 2019. Moments of Change: Analyzing Peer-Based Cognitive Support in Online Mental Health Forums. In Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems. 1--13.
    [54]
    Frederic G Reamer. 2003. Boundary issues in social work: Managing dual relationships. Social work 48, 1 (2003), 121--133.
    [55]
    Greg M Reger, Aaron M Norr, Michael A Gramlich, and Jennifer M Buchman. 2021. Virtual Standardized Patients for Mental Health Education. Current Psychiatry Reports 23, 9 (2021), 1--7.
    [56]
    Philip L Rodgers. 2010. Review of the applied suicide intervention skills training program (ASIST): rationale, evaluation results, and directions for future research. LivingWorks Education Incorporated Calgary, Alberta, Canada.
    [57]
    Alexander Rozental. 2016. Negative effects of Internet-based cognitive behavior therapy: Monitoring and reporting deterioration and adverse and unwanted events. Ph.D. Dissertation. Department of Psychology, Stockholm University.
    [58]
    Hans H Strupp. 1995. The psychotherapist's skills revisited. Clinical Psychology: Science and Practice 2, 1 (1995), 70--74.
    [59]
    Michael B Twidale. 2005. Over the shoulder learning: supporting brief informal learning. Computer supported cooperative work (CSCW) 14, 6 (2005), 505--547.
    [60]
    Louise Van Aswegen. 2009. The effect the experiences of volunteer HIV counsellors have on their own well--being: a case study. Ph.D. Dissertation. North-West University.
    [61]
    Yi-Chia Wang, Robert E. Kraut, and John. M. Levine. 2015. Eliciting and Receiving Online Support: Using Computer-Aided Content Analysis to Examine the Dynamics of Online Social Support. Journal of Medical Internet Research 17, 4 (2015), e99.
    [62]
    C Edward Watkins Jr and Douglas J Scaturo. 2013. Toward an integrative, learning-based model of psychotherapy supervision: Supervisory alliance, educational interventions, and supervisee learning/relearning. Journal of Psychotherapy Integration 23, 1 (2013), 75.
    [63]
    Galit Ventura Yanay and Niza Yanay. 2008. The decline of motivation?: From commitment to dropping out of volunteering. Nonprofit management and Leadership 19, 1 (2008), 65--78.
    [64]
    Mary F Ziegler, Trena Paulus, and Marianne Woodside. 2014. Understanding informal group learning in online communities through discourse analysis. Adult Education Quarterly 64, 1 (2014), 60--78.

    Cited By

    View all
    • (2024)What Makes Digital Support Effective? How Therapeutic Skills Affect Clinical Well-BeingProceedings of the ACM on Human-Computer Interaction10.1145/36410298:CSCW1(1-29)Online publication date: 26-Apr-2024
    • (2023)Metrics for Peer Counseling: Triangulating Success Outcomes for Online Therapy PlatformsProceedings of the 2023 CHI Conference on Human Factors in Computing Systems10.1145/3544548.3581372(1-17)Online publication date: 19-Apr-2023

    Index Terms

    1. Learning to Become a Volunteer Counselor: Lessons from a Peer-to-Peer Mental Health Community

      Recommendations

      Comments

      Information & Contributors

      Information

      Published In

      cover image Proceedings of the ACM on Human-Computer Interaction
      Proceedings of the ACM on Human-Computer Interaction  Volume 6, Issue CSCW2
      CSCW
      November 2022
      8205 pages
      EISSN:2573-0142
      DOI:10.1145/3571154
      Issue’s Table of Contents
      This work is licensed under a Creative Commons Attribution International 4.0 License.

      Publisher

      Association for Computing Machinery

      New York, NY, United States

      Publication History

      Published: 11 November 2022
      Published in PACMHCI Volume 6, Issue CSCW2

      Check for updates

      Author Tags

      1. mental health
      2. online health community
      3. peer support
      4. volunteer

      Qualifiers

      • Research-article

      Contributors

      Other Metrics

      Bibliometrics & Citations

      Bibliometrics

      Article Metrics

      • Downloads (Last 12 months)358
      • Downloads (Last 6 weeks)41
      Reflects downloads up to 26 Jul 2024

      Other Metrics

      Citations

      Cited By

      View all
      • (2024)What Makes Digital Support Effective? How Therapeutic Skills Affect Clinical Well-BeingProceedings of the ACM on Human-Computer Interaction10.1145/36410298:CSCW1(1-29)Online publication date: 26-Apr-2024
      • (2023)Metrics for Peer Counseling: Triangulating Success Outcomes for Online Therapy PlatformsProceedings of the 2023 CHI Conference on Human Factors in Computing Systems10.1145/3544548.3581372(1-17)Online publication date: 19-Apr-2023

      View Options

      View options

      PDF

      View or Download as a PDF file.

      PDF

      eReader

      View online with eReader.

      eReader

      Get Access

      Login options

      Full Access

      Media

      Figures

      Other

      Tables

      Share

      Share

      Share this Publication link

      Share on social media