Demographics Are Changing RAPIDLY!

Big News!  According to Pew Internet Research, Americans under 55 now text more than they make voice calls and email. Helplines, hotlines, crisis centers and many other gateway agencies are turning to text as their call volumes decline despite a continuous rise in individuals seeking help with personal issues. 

Americans under 55 now text more than they make voice calls and email.

Americans under 55 now text more than they make voice calls and email.

So, where are they going for help?  Early adopters provisioned text lines for youth and as we all know, use rates among this group have been very high.  In fact, helplines that had 2-3 calls per month from youth were suddenly responding to several text encounters per day.  The data is also showing that adult texters will try to contact youth text lines to get help via their preferred channel.  The age range went from primarily teens in 2010, to an equal distribution of youth and adult texters by 2014.  And the preference for text is very strong - 9 out of 10 texters refuse to be converted to a call.

This group is expanding everyday as more and more individuals (who grew up texting their friends and family) are entering adulthood and facing a dismal job market, massive student loan debt and a disproportionately high cost of living. And it's this group that's seeking social services with the expectation they can text for help.

Preference

According to practicalecommerce.com there are 4.3 billion people carrying SMS-enabled devices, and of those 96 percent send text messages on a regular basis. In fact, text messaging is the most common activity done on mobile devices (Source: Portio Research). Those who have used text Information and Referral (I&R) support as opposed to the phone-based alternative prefer to text. Over 50% of those who text for I&R once have returned for additional support. And that's over a relatively short period of time. Text message I&R has only been an option for the past 2-3 years. 

Privacy

Individuals love the fact that they can receive support in a loud or crowded place through texting and not worry about trying to hear the specialist. And it makes sense. Who really wants to embarrass themselves in public as they discuss personal information about themselves and their families? When people have to talk on the phone in a public space they will often balk at audibly giving or receiving private information. They may not want those around them to hear about their personal needs, what troubles they are having financially, emotionally. Several studies on the behaviors around texting now confirm the belief that it's easier to ask for help by text message.

Quality

I&R demand is only increasing as more Americans continue to struggle. Texting allows the specialist to provide a quality experience for the client by easily and accurately evaluating their needs and texting the referrals (rather than dictating them back over voice). And because automated triage already collected critical information, the specialist can either solve the problem in the moment or take a few minutes for more thorough research. In the end, the client will appreciate the encounter more because they have a record of it, and the referrals are now actionable resources on their mobile phone (addresses with links to their maps and phone numbers that are a click away from help). When referrals are texted instead of written down on a piece of paper that can be lost or destroyed, they are many times more likely to be utilized. 

Efficiency

It is more efficient for clients to use text rather than phone, freeing up more time for specialists and increasing productivity. Our platform allows clients to navigate through your I&R service via texting very quickly. A triage enabled opt-in will help clients provide information about their issue in advance (before they have any contact with a specialist) making the process both faster and simpler for the specialist and client alike. And now, with our Express Text Triage Tools, high use issues can be fully-automated utilities where end user receives their referrals for their zip code and the specialist never has to be involved. Plus, an I&R specialist can help multiple people at once on the PreventionPays Text platform while it would be impossible to help more than one client over the phone at the same time.

Cost

There is an initial cost when adding text due to technology upgrades and training. However, the learning curve will be vastly overshadowed by the timeliness and accuracy of support being delivered (recidivism due to misplaced or forgotten information is extremely low). However, among sites currently offering I&R text, there is over 50% return rate for more help with other issues! They appreciate getting help by text. It is also important to consider the average response time to a text message is 90 seconds. How long does the average call take at your contact center?

Everyday, we see texts from zip codes that are not yet supported by text. Folks will find information about 898211 on the internet from 2-1-1 websites already supporting text I&R, but when they try to text their zip code to opt in, they will get an auto-response stating that text is not currently available in their region and they should make a voice call to 2-1-1.

Text enable your 2-1-1 Contact Center today!  Our platform is easily integrated into any call center environment. Hotlines, helplines and 2-1-1s of all sizes have already done so and one of the most common comments we hear is, that was much easier than we thought it would be.

The demographics of the texter is expanding rapidly.  Data supports that adults are texting for help just as frequently as youth.  "TextChat" is changing the Contact Center paradigm.  PreventionPays Text will help your contact center reach more people and recapture your audience by opening your door to the next generation of help-seekers.

How long does an I&R encounter take by phone? 

AIRS Conference 2014: Creating a Paradigm Shift with Text I&R and Community SMS Alerts

Big News! PreventionPays Text will be highlighted again this year at AIRS 2015 during the 2-1-1 General Assembly! Whether you're a 2-1-1 or other I&R, there will be something for everyone!

We are so pleased to have been a part of the AIRS conference over the last two years!  We want to thank those who contributed to a very successful and enlightening session in the Technology Track:  "Use Enterprise Texting and Create a Paradigm Shift"  A huge thank you to United Way Heart of Florida 2-1-1 for helping pull the proposal together.  Caree Jewell and Larry Olness were instrumental in creating a thought-provoking, and comprehensive study on texting and 2-1-1.  

You can download the full PowerPoint here

Over the past two and half years they have done tremendous work in implementing PreventionPays 898211 across several community programs, in addition to their I&R text support (which operates 24/7 with live texting providing access to social services and assisting members of their community through personal and family crises).  Their highly innovative programs push the envelope on texting by creating enriching and educational alert programs that target very specific segments of their population. The tax assistance program helps educate citizens about free tax help and how they can maximize their return and avoid falling victim to tax scams and advance return programs that unfairly target the poor.  Additionally, they have partnered with state universities and colleges to help educate high school juniors and seniors about the critical life-choice of "going2college". The program sends tailored content to subscribers that helps them meet application deadlines to their chosen institution as well as FAFSA, the two most critical pieces in the process.  Thank you, Larry and Caree for having the insight, creativity and drive to build these programs and see them through!

Additionally, we want to thank Mark Kuppe and Canvas Health for sharing their experience with Txt4LIfe, an award-winning program that led to the unprecedented decision by the state of Minnesota to include the service as part of their annual budget for suicide prevention. Their protocols helped inform a nation on how to provide crisis support via text! Many agencies have used their strategies to inform burgeoning work in their state/region. In fact, CONTACT USA has used their protocols to help inform hotlines in their network on how to implement and operate a text line.  Canvas Health is a thought leader and innovator in suicide prevention.  Txt4Life continues to prosper under a new short code, 61222, provisioned (by Educational Message Services on the PreventionPays Text Platform) to help build awareness about mental health services and prevent suicide throughout Minnesota across all ages, demographics. 

2-1-1 Idaho Careline also shared their experience with obtaining a 3-year contract for PreventionPays Text on 898211.  Much of their funding comes from the state health department. Therefore, they had to investigate several text services.  Eventually, they sole sourced PreventionPays Text, stating, "There’s nothing even close to this product on the market." 

Alex Zamora and Judd Reynolds have deployed text I&R statewide and they are now working on adding the Phone2Text referral tool for calls, and a highly innovative "Text4Lunch Program" using the Triage Tools. Individuals are able to text their zip code and receive referrals for lunch programs in their area. A very simple, yet elegant use of texting!

Other 2-1-1s have implemented fire alerts within moments of a statewide status update to "high alert". A California 2-1-1 provides incoming college students with time-sensitive education about the issues of alcohol and campus violence. Texts with facts, tips and resources are sent on the weekends just as students are keying up for a big night of partying. And during the tremendous storms of 2014, multiple 2-1-1s created text info exchanges that provided automated information about the shifting schedules of shelters (which was a huge lift off their already over-burdened phones).  They have also shared their protocols with each other in an effort to improve response during disasters and create best practice. Text offers new ways to educate communities about services offered by 2-1-1 and make them lifelong advocates and users of your services. Getting tips about going2college can lead to tips about finding a job, which may lead to an I&R encounter on how to find local public transportation which leads to alerts about parenting and so on and so forth. 

At its core, 2-1-1 is about people helping people.  And 898211 is helping 2-1-1s open their door to a new generation of help-seekers.  At our core, we are about helping nonprofits endear themselves to their communities by empowering and enriching the lives of individuals and their families. Text offers many exciting and new ways to accomplish that.  

You can download the full PowerPoint here

PreventionPays Text To Be Highlighted at APHA 2014 Conference!

PreventionPays Text will be presented at APHA 2014. Our system was selected over several other text message products and we are very happy that our capacity met the rigorous needs of this research project.

This project clearly demonstrates just how critical this communication can be.  There are parts of the Gulf (post oil spill and Katrina) that are similar to a third world country; communication infrastructure is almost non-existent. PreventionPays Text enables their staff and research team to reach low income moms and their families with critical and, in some cases, life-saving information. 

We are very pleased to be working with such great researchers, responders, agencies, universities, and policy advocates!  The work completed under IRB at Tulane University was selected by APHA (American Public Health Association) to be presented at their national conference on public health innovation. It's an honor to be a part of this amazing work. A big thanks to Anna Hassan, program director and author of the abstract, as well as the entire research team at Department of Global Environmental Health Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA.

Project Title: Methods and Successes in Health Promotion for Low-income, First-time Mothers in the Louisiana Gulf Coast: Community Health Workers Add the Human Element in Maternal Child Health Mobile Technology

ABSTRACT:

Technology has an ever-evolving role in maternal child health, particularly in disaster-prone and low-resource settings such as the Louisiana Gulf Coast. The Transdisciplinary Research Consortium for Gulf Resilience on Women’s Health (GROWH) supported a community-based participatory research project to strengthen resilience and improve birth outcomes. The program recruited WIC-eligible, first-time pregnant women living in vulnerable Gulf Coast areas. The innovative two-fold intervention equipped frontline community health workers (CHWs) with mobile technology uniquely designed for public health. The hybrid text messaging portal combined both efficient one-way educational message tracks, as well as two-way individualized conversational texting capacity in real-time.  Bi-directional texting infused a human element into the project, enabling constructive and meaningful information exchange. Throughout each woman’s pregnancy and postpartum, CHWs conducted psychosocial assessments, utilizing mobile technology to collect data and interact with participants. The CHWs, in collaboration with WIC Clinics, created a message library tailored to high-risk Gulf Coast mothers for each trimester. Topics included breastfeeding, proper nutrition, stress-reduction and effects of controlled substances. This novel approach empowered CHWs and created messages that were both culturally-competent and region-specific, including a disaster-preparedness message series dispatched throughout hurricane season. In six months, the portal enrolled 200 participants; predominately African American (67%), annual family income <$20,000 (77.9%), 18-29 years old (98%), never married (56%) and enrolled in Medicaid (62%). Thousands of outgoing group and individualized messages were sent and kept 75% of participants actively engaged and responsive. Preliminary analyses showed high levels of satisfaction among enrolled participants.

 

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Communication and informatics
Environmental health sciences
Implementation of health education strategies, interventions and programs
Public health or related research

The first platform was a disaster. Then we found PreventionPays and everything started to click. We had a program!
— Program Director, Tulane School of Public Health

Sending Text Referrals From Your I&R Database Now Easier Than Ever!

PreventionPays text box is now smarter than ever!  Entering prefabricated content like referrals, links, canned, ready-made phrases can be copied and pasted into the text box and the text box now auto-cleans and strips, making it text message ready. For example, if you are copying and pasting from a resource management tool or web-based service, whether it's crisis counseling by text or 211 I&R by text, you can copy and paste that directly into the text box and the system will auto-format the message so that your clients get referrals in the fewest texts and without line breaks or html tags (that are often part of the referral when copying directly from your online resource management software).  Most referral management tools (I&R resource management software/tools) were not designed for sending referrals by text message. Many were developed before text based I&R was a concept. Instead they were built for telephone voice support, where a resource specialist or crisis counselor dictates the referral back to their client over the phone which can lead to countless errors and misinterpretation.  So, we have adapted your text box on the PreventionPays Text Platform to auto-format non-conforming content so that sending referrals in PreventionPays Text has never been easier or more efficient.

The screenshot below shows a resource that was copied directly from an I&R AIRs certified web-based database management service and pasted into the text box. Then, just below that, it shows the message auto-formatted and delivered to the end user as a single text. 

We have also deployed the auto-segmentation of messages that exceed the character limit.  So, if you are sending multiple referrals, you can now send them at the same time and your text box will properly format those into separate texts (in the most economic and pleasing way for your clients). 

So whether you're texting referrals during a live text encounter or during a phone conversation, your clients will absolutely love what you text them!

For more information about text counseling and text I&R, email info@preventionpaystext.com or click the link in our website header!

Educational Message Services is a boutique mhealth agency specializing in secure, web-based tools to increase human connections in public health since 1994. As APHA and AIRS members, we are hyper-sensitive to the needs of our clients. Our best advocates and collaborators will always be our clients. They use our services every day and have dedicated their lives to helping others achieve better health outcomes. We want to celebrate and honor their work first and foremost.