Author Archives: Flavia

About Flavia

Hi there! I am an MSc student at the University of Southampton, doing a degree in Web Science. I have a Bachelor in sociology from the same university (although my dissertation was in criminology - about cybercrime).

Social and ethical considerations of TrustPal

Due to the potential sensitive nature of the data and overall purpose of TrustPal, there are several serious social and ethical points which must be considered carefully.

Application name and purpose: we chose the name TrustPal for the application as it signifies a means of talking to someone in an informal manner about problems, issues or concerns, in a safe environment. We feel it promotes both a positive outlook, as both trust and pal bring up positive ideas, and it is a simple and specific description of what the service offers. Since the application gives individuals a chance to talk about personal troubles, or other type of information that can be sensitive, establishing the fact that it is a safe and trustworthy application is very important. We chose ā€˜trustā€™ over ā€˜safeā€™ because trust also refers to being able to trust the volunteers or individuals behind the application, not just the technical aspect, such as the anonymity protocols. Furthermore, trust has a more reassuring quality than safe, which can sound more severe. We avoided words such as mental or counseling in order to not give the impression of a formal service (such as the counseling service at the university or NHS provided services) which would be misleading, sinceĀ  TrustPal would be operated by volunteers and not by paid experts. The application intends to be a form of informal support, not a formalized service. We have also avoided references to mental healthy or mental problems, since they are generally socially stigmatized. Such stigma could prevent individuals from using the service and avoid seeking help. Furthermore, it can limit the scope of the application: since it is meant to help people with any type of difficulties, it might be interpreted or advertised in the wrong way.

Privacy:

  • Personal and sensitive data: TrustPal is an application where people can chat anonymously. Because of the potential exchange of sensitive or personal information, both the identity of users and the safety of the data must be guaranteed. Anonymization protocols are considered in a separate post. This main feature helps protect the userā€™s identity, so people can feel safe communicating about things they struggle with, without the concern of being exposed or stigmatized. By keeping the usersā€™ identity secret from the public, the use of disclosed information for the purpose of harassment or bullying is minimized. Nevertheless, the design has to allow the possibility of moderating or banning users who attempt to cause disturbance or harm to other users or the volunteers, or act in any inappropriate way. We propose that the service has one or two admins who can identify individual users only in exceptional circumstances. This would either be done by a system of unique identification or by being able to see which student account is being used. This will not only allow them to manage inappropriate behaviour, but in cases where an individualā€™s health and safety or the health and safety of people around them are deemed to be in danger (instances of self-harm for example), there is a way of identifying the user and delivering appropriate help. This is a policy maintained by all similar services, both university based and NHS based. Another point of concern is the disclosure of information from group chats by other users.Ā  However, the anonymity of users should help in minimizing the damage, and can also prevent malicious use of information from group chats. Because of this, the personal gain from disclosing such information is rather low, so the likelihood of it happening is consequently low. Nevertheless, users casually mentioning things from the group chat in personal conversations with friends for example cannot be prevented. In order to improve on this point, a clause can be added to the user agreement that users agree to not share information from group chats for a malicious purpose or in any way that might harm or affect the safety and integrity of other users, volunteers, or the application itself.
  • Employees/Volunteers: one other point of concern is the reliability and professionalism of the volunteers operating the application service. One way of tackling this concern is by selecting the volunteers based on their previous experience and training them before they are allowed to work in the service and interact with users. This allows for the security that they have the appropriate knowledge and skills to be effective and not cause any damage. Additionally, volunteers must not disclose or share in any way information from within the service, such as what users talk about. They can be asked to sign a type of non-disclosure agreement specifically tailored for their position. This will also help to further reassure users that their information is treated appropriately. Volunteersā€™ identity should also be kept anonymous, as is the protocol with other similar services such as Nightline. This helps protect volunteers from any form of social stigma which might arise, but more importantly it will not discourage individuals to use the service out of fear of their friends or acquaintances finding out about their problems.
  • Scenarios involving suicidal issues bring with them social and ethical issues regarding TrustPals responsibilities. Such scenarios could call for TrustPal employees to remove anonymity and escalate to relevant university welfare personnel and/or national charities. This is not something we have agreed upon with the TrustPal application but it should be noted as a social and ethical consideration.

Trust: the issue of trust arises at every step for TrustPal, from the very name, to the infrastructure, and the volunteers and user community. Due to the nature and purpose of the application, trust becomes even more important than in other circumstances, since users would expose sensitive information which can potentially cause damage if misused or compromised. The use of ‘trust’ as part of the application name is aimed at establishing the trustworthiness of the service from the start. The user agreement which would include the clause regarding forbidding users to share information from the group chat and the volunteer non-disclosure type of agreement are also steps to ensure the integrity of the service and thus improve the users’ trust. Furthermore, the build of the application has to be very well done, in order to insure that there are no technical dangers or risks from this side (such as the appropriate protocols being implemented correctly). Looking at trust between users and volunteers, a rating system for volunteers can be proposed, where users who have interacted with a volunteer can rate him/her, either overall or rate according to various categories of problems/issues (such as a volunteer can have a high rating for emotional issues, medium for educational problems, and fairly low for personal relations etc.). This will allow other users to choose the volunteers best suited for their needs, but it will also provide feedback on how well a volunteer is performing, which will in turn help improve the quality of the service. Since TrustPal is initially aimed only at students from the University of Southampton, having the approval of the University or the Students Union will further help validate the service and increase users’ trust in it.

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Mental Health and Wellbeing Services at the University of Southampton

Since our project is aimed at University of Southampton students (with the possibility of extending to other universities in the future), looking at what services are already provided by the University help understand what students already have access to, and what might be lacking.

 

The University of Southampton provides a variety of services for students meant to help with a wide variety of issues and concerns [1]:

Enabling services: this is the counseling service provided on campus which has a professional team of qualified individuals trained in a variety of areas; besides classic individual counseling, it provides drop-in sessions between 1PM and 3PM every day during term time, and on Monday, Wednesday and Friday during holidays; groups and workshops on wellbeing, stress management, mindfulness etc.; self-help materials and support webpags [2]

Nighline: part of the national Nighline project, it is a calling service where students can talk to volunteers about their problems; the Nighline volunteers are also students who have been trained for the position, but are not professionals; students can call between 8pm and 8am, and they can call for free from halls of residence; this service is intended for students. [3]

– The Advice Centre: free, independent and confidential advice; students can come in to talk about their problems; semi-qualified staff. [4]

Residence Support: available for students living in halls of residence; offers general guidance for new students, such as help with halls life, university life, exams help, but also support with issues and other difficulties; since they have no training for health or emergency problems they will contact the relevant services on behalf of the student; they can be reached though email, phone or in person since there is someone from Residence support at every halls, between 6pm and 8am every day throughout term-time. [5]

Peer Support: similar to Nighline, but students can arrange to meet volunteers in person (who are also students); they can meet anywhere on campus at any time, generally for one session but there is no restriction to continuing for several sessions; it provides an informal opportunity to talk abut issues and concerns. [6]

 

Besides the university provided services, on the official university mental health and wellbeing website [1] there are several external resources provided:
Steps 2 Wellbeing, a group counseling service provided by NHS; it also provides an E-Clinic for all participants where they can get individual counseling online (either video call or message) [7] [8]

italk: an Improving Access to Psychological Therapies (IAPT) service, sponsored in part by NHS, together with [9]

Solent Mind: Hampshireā€™s largest volunteering organization for mental health support, which is available to Hampshire residents; it provided telephone counseling [10]

SAM app: a mobile application which helps people track and manage their anxiety [11]

NHS 111, a service for when you need immediate help but it is not a life-threatening situation [12]

Accident and Emergency department, which should be visited is the person has any intentions for self-harm or suicide or cause harm to others [13]

– The Samaritans [14]

Out of all the services provided and recommended by the university, only three of them provide methods of getting in contact without calling or going in person: Residence support which can be emailed, the E-Clinic provided by NHS within Steps to Wellbeing and the SAM app. Furthermore, neither the emails to Residence support or E-Clinic guarantee a fast reply. Services are also limited outside term-time. Some points which should be considered when looking into ways of improving the services for students are:

– phone calls cost (except if a student calls Nightline from a halls of residence);

– some individuals might not feel comfortable calling; verbally expressing oneā€™s concerns can be challenging;

– it can be difficult to get the correct phone number for a service without internet access or on mobile devices;

– provide suitable support outside term-time.

 

Application to TrustPal

There is a gap in the services provided by the university, namely the lack of any services where students can write (text, message) rather than call or physically go to. A writing-based wellbeing application such as TrustPal, whether mobile or as a website, would eliminate the costs of phone calls, would provide more anonymity, and would make students who are not comfortable calling or going in person to a service more likely to use it and get help or support. Additionally, it will remain on their device, while phone numbers can be easily lost unless they are saved. A mobile application or website can also remain functional outside term-time, or throughout the day, which would improve on the poor accessibility of services outside term-time, and it has the added benefit that it can be used regardless of location as long as there is some form of Internet connection (such as from other countries, in which case calling can cost more).

 

 

Resources:

[1] University of Southampton Mental Health and Wellbeing website, http://www.southampton.ac.uk/edusupport/mental_health_and_wellbeing/index.page

[2] Enabling Services website, http://www.southampton.ac.uk/edusupport/index.page?

[3] Nightline, http://nightline.susu.org/

[4] SUSU Advice Centre, https://www.susu.org/help-and-support/advice-centre/2015/index.html

[5] Residence Support, https://www.southampton.ac.uk/accommodation/halls/supportingyou.html

[6] Peer Support, https://www.susu.org/help-and-support/peer-support/2013/index.html

[7] Steps 2 Wellbeing, http://www.steps2wellbeing.co.uk/

[8] Talking Sense, E-Clinic part of Steps 2 Wellbeing, http://dorset.talkingsense.org/

[9] iTalk, https://www.italk.org.uk/

[10] Solent Mind, http://www.solentmind.org.uk/

[11] SAM mobile application, http://sam-app.org.uk/

[12] NHS 111, http://www.nhs.uk/nhsengland/aboutnhsservices/emergencyandurgentcareservices/pages/nhs-111.aspx

[13] NHS Accident and Emergency Department, http://www.nhs.uk/NHSEngland/AboutNHSservices/Emergencyandurgentcareservices/Pages/AE.aspx

[14] The Samaritans, http://www.samaritans.org/

 

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