Latest / The Trauma Therapist / Meeting Young People Where They’re At with Rob Morris
Transcript
- 0:00Speaker 1: Trauma Theverist podcast Plus listeners can listen to episodes early
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- 0:07Speaker 1: going to Apple Podcasts searching for the Trauma Theverist podcast
- 0:11Speaker 1: and signing up today. Welcome to the Trauma Nevers Podcast,
- 0:18Speaker 1: a show about the incredible people dedicated to helping those
- 0:21Speaker 1: who experienced trauma. My name is got macpherson and my
- 0:24Speaker 1: mission is to raise awareness of trauma and to inspire
- 0:27Speaker 1: each of us to help those around us. All right,
- 0:37Speaker 1: here we go, so five four, three, two and one,
- 0:41Speaker 1: our folks, welcome back to the podcast. Very excited to
- 0:44Speaker 1: happens to my guest today, Rob Morris. Rob, welcome, great
- 0:48Speaker 1: to be here. Thank you, You're welcome. So. Rob is
- 0:51Speaker 1: a co founder and CEO of Coco, whose mission is
- 0:55Speaker 1: to combat the youth mental health crisis by meeting young
- 0:58Speaker 1: people where they're at online. Rob's journey with Coco began
- 1:02Speaker 1: during his graduate studies at MIT, a period marked by
- 1:05Speaker 1: personal struggles with mental health. It was out of this
- 1:08Speaker 1: challenging experience that the seeds of Cocoa were planted. Rob, again,
- 1:13Speaker 1: thanks for being here before we could going share with
- 1:15Speaker 1: our listeners where you're from originally and where you are currently. Yeah.
- 1:20Speaker 2: I grew up in the Bay Area, in Silicon Valley
- 1:23Speaker 2: and kind of the heart beating heart of technology. Interestingly,
- 1:28Speaker 2: I had nothing to do with it when I was
- 1:30Speaker 2: a kid. I didn't want to be part of it
- 1:32Speaker 2: at all. I was kind of a bookish person. Fast forward,
- 1:36Speaker 2: you know, thirty years or so, and now I'm deep
- 1:39Speaker 2: in the heart of technology. I'm right outside of San Francisco.
- 1:43Speaker 1: Okay, awesome, So let's let's dive into this. I love
- 1:47Speaker 1: what you guys are doing. Your story is what's the
- 1:53Speaker 1: word incredible maybe, but amazing, really inspiring. How did this
- 1:58Speaker 1: start for you?
- 2:00Speaker 2: Yeah, so, I've struggled with depression all my life. My
- 2:04Speaker 2: first episode was when I was quite young, and I've
- 2:09Speaker 2: had them every couple of years. I've been fortunate enough
- 2:12Speaker 2: to have elevated mood periods. I'm on the bipolar spectrum.
- 2:18Speaker 2: But all of this personal experience led me to pursue
- 2:21Speaker 2: a career in psychology. So I did my undergraduate work
- 2:25Speaker 2: in psychology at Princeton and then did some postgraduate work
- 2:29Speaker 2: in Boston. My intention was then to go and do
- 2:34Speaker 2: a PhD in clinical neuroscience, but every time I showed
- 2:39Speaker 2: up to office hours with my advisors. I would always
- 2:43Speaker 2: come bringing some weird gadget. I would bring something you
- 2:46Speaker 2: could wear on your wrists that would detect your heartbeat
- 2:49Speaker 2: or your skin conductance, all these things that kind of
- 2:52Speaker 2: predated fitbit and those devices. And they said, okay, we're
- 2:56Speaker 2: going to send you off to MIT. And that's where
- 2:59Speaker 2: my career really got started.
- 3:01Speaker 1: So okay, so initially because of what you were experiencing,
- 3:07Speaker 1: your depression, you said, I want to learn more about
- 3:10Speaker 1: this and get into psychology. Okay, And why were you
- 3:16Speaker 1: showing up with these things on your wrisk and so forth,
- 3:19Speaker 1: just for your own edification?
- 3:21Speaker 2: And I think there was an engineer hiding inside me
- 3:26Speaker 2: this whole time. I was never very math focused. I
- 3:30Speaker 2: was always kind of looking for a literature degree. I
- 3:34Speaker 2: majored in psychology. But I think there's a designer and
- 3:39Speaker 2: an engineer that just needed to come out. And I
- 3:41Speaker 2: really wanted to pursue interventions that actually help people. I
- 3:47Speaker 2: was too impatient to spend six years studying some sub
- 3:51Speaker 2: nuclei of the amygdala that would hopefully generate knowledge that
- 3:56Speaker 2: could help inform clinical interventions years and years down the line.
- 4:00Speaker 2: I wanted to build things that I could put in
- 4:01Speaker 2: the hands of real people as quickly as possible.
- 4:05Speaker 1: All right, let's go back just a little bit. So
- 4:08Speaker 1: when did you first realize that something was going on?
- 4:11Speaker 1: I e. Depression or anything else.
- 4:16Speaker 2: Yeah, it started for me when I was really young.
- 4:19Speaker 2: I think my first episode was maybe nine or ten,
- 4:23Speaker 2: And of course, at that age, I had no vocabulary
- 4:26Speaker 2: for that. I just remembered an overwhelming and developing darkness
- 4:34Speaker 2: covering me. I found it hard to speak or move.
- 4:38Speaker 2: Things that I would normally enjoy weren't bringing me any happiness.
- 4:43Speaker 2: So I kind of had that experience, but it took
- 4:46Speaker 2: a while for me to present it as such to
- 4:50Speaker 2: my parents and get help in a meaningful way.
- 4:54Speaker 1: Were there others in your family who were experiencing similar things?
- 4:58Speaker 2: Yeah, depression runs through my family line for sure.
- 5:03Speaker 1: Okay, so you tell your parents what's going on, what
- 5:07Speaker 1: happens next?
- 5:09Speaker 2: So I think it took about It took a while.
- 5:13Speaker 2: I was in maybe middle school, early high school when
- 5:18Speaker 2: we decided to do a more thorough neuro psych evaluation
- 5:23Speaker 2: just to rule out all sorts of things. I think
- 5:27Speaker 2: what's interesting is it took a long time for me
- 5:33Speaker 2: to realize that I was more on the bipolar spectrum,
- 5:37Speaker 2: so typical SSRIs which I was prescribed, weren't effective. Then
- 5:42Speaker 2: the fact that made me pretty agitated, and because I
- 5:45Speaker 2: never had a manic phase, I had elevated mood, periods
- 5:50Speaker 2: of creativity, hyper productivity. I just felt like that was
- 5:53Speaker 2: a kind of normal fluctuation and human experience. So it
- 5:58Speaker 2: took a while before that that diagnosis to emerge for me,
- 6:02Speaker 2: but once it did, it was very helpful.
- 6:04Speaker 1: Okay, So were you seeing therapists at a point? Yeah.
- 6:10Speaker 2: I started seeing therapists in college and I've pretty continually
- 6:14Speaker 2: seen them since.
- 6:15Speaker 1: Okay, Okay, So from also from what it sounds like
- 6:18Speaker 1: you were, interest in what you were going to do
- 6:23Speaker 1: professionally kind of shifted a little bit from maybe doing
- 6:27Speaker 1: research to actually quote unquote helping people in a more
- 6:31Speaker 1: what angible way, immediate way. How did that manifest for you?
- 6:35Speaker 1: What did you start to do?
- 6:38Speaker 2: Yeah, So when I came to MIT, the first work
- 6:43Speaker 2: I pursued was building assistive technologies for people on the
- 6:47Speaker 2: autism spectrum, so it really focused on that population. I
- 6:51Speaker 2: was looking at building tools to help individuals manage sound
- 6:56Speaker 2: sensitivity in particular, which is often overlooked problem area for
- 7:01Speaker 2: people on the spectrum. But meanwhile, I was still struggling
- 7:05Speaker 2: tremendously with my own mental health. I was very fortunate
- 7:09Speaker 2: to have university health services, but even then waitless were long,
- 7:14Speaker 2: it was hard to find time to get appointments. So
- 7:17Speaker 2: I did what any good MIT student would do, which
- 7:21Speaker 2: is I started hacking together some solutions for myself and
- 7:24Speaker 2: I started to build a digital self help platform that
- 7:29Speaker 2: could kind of help me during those interim phases between
- 7:34Speaker 2: seeing therapists.
- 7:36Speaker 1: Okay, now, when you say you were struggling, what did
- 7:40Speaker 1: that look like for you? What did that mean for you? Yeah?
- 7:44Speaker 2: At MIT, it was quite hard for me because I
- 7:47Speaker 2: joined with a psychology background, as we discussed, and I
- 7:51Speaker 2: didn't have any formal training in math, or engineering or
- 7:55Speaker 2: computer science. So I don't recommend going to MIT with
- 7:59Speaker 2: that kind of prerequisite knowledge.
- 8:02Speaker 1: Which people associate with MIT, right, Yeah, I think. Yeah.
- 8:08Speaker 2: I ended up in a lab that really needed this
- 8:12Speaker 2: kind of dual expertise, a builder and someone with a
- 8:15Speaker 2: deep fundamental research psychology training. So that's that's how I
- 8:21Speaker 2: ended up there. And yeah, it was really hard. I
- 8:26Speaker 2: had to teach myself how to code while sitting in
- 8:29Speaker 2: a small, cramped office space with classmates who had been
- 8:33Speaker 2: taking apart computers since they were six years old. So,
- 8:37Speaker 2: you know, I even attended the undergrad classes to try
- 8:41Speaker 2: and keep up, and those were incredibly difficult for me.
- 8:44Speaker 2: So I had a lot of negative thoughts, distorted thoughts
- 8:48Speaker 2: about not being well suited for MIT, failing, dropping out,
- 8:52Speaker 2: not knowing what could happen, just kind of the typical
- 8:56Speaker 2: catastrophic thinking pattern that can happen.
- 9:01Speaker 1: Let me ask you something personal here, and of course
- 9:05Speaker 1: you'll feel free to answer you whatever you want in
- 9:09Speaker 1: whatever depth you feel comfortable. But was there a point
- 9:13Speaker 1: at which you were suicidal at all?
- 9:16Speaker 2: I've had suicidal ideation for sure.
- 9:19Speaker 1: Yeah. Okay, so you're struggling, you're in these classes, and
- 9:24Speaker 1: you said you began to develop something to help yourself.
- 9:27Speaker 1: Talk more about that. What did that look like?
- 9:30Speaker 2: Okay, So, as a novice computer programmer, there was one
- 9:35Speaker 2: website that saved me. It was called stack overflow, and
- 9:40Speaker 2: it's basically a website where you can go and you
- 9:43Speaker 2: can describe any problem you're having with your code. So
- 9:47Speaker 2: my code's not working, I can post on it, and magically,
- 9:50Speaker 2: all these humans for free, will come and help me
- 9:53Speaker 2: fix my code. It's kind of a beautiful era of
- 9:55Speaker 2: the Internet where you can leverage collective intelligence and a
- 9:58Speaker 2: really productive and non toxic way. As I was doing this, though,
- 10:04Speaker 2: the problems weren't so much the bugs in my code,
- 10:08Speaker 2: but rather the bugs in my thinking about how I
- 10:11Speaker 2: was coding. So you know, I can't write this code,
- 10:14Speaker 2: It's not working. I'm terrible.
- 10:17Speaker 1: So I wanted to.
- 10:18Speaker 2: Build a stack overflow for the mind, essentially a way
- 10:22Speaker 2: to leverage source crowdsourced version, you know, a loosely designed
- 10:28Speaker 2: crowdsource version of cognitive therapy. So you know, I've been
- 10:34Speaker 2: doing all sorts of different therapeutic modalities for myself over
- 10:38Speaker 2: the years. I think CBT was pretty big for me
- 10:42Speaker 2: and that era. And what I found frustrating with doing
- 10:45Speaker 2: thought records and those kinds of things was when my
- 10:51Speaker 2: mind and my mood were stressed, my brain's ability to
- 10:55Speaker 2: think flexibly and creatively was impaired, so it made it
- 10:59Speaker 2: really difficult to think about how to reframe a negative situation.
- 11:03Speaker 2: And I was building this platform where you know, strangers
- 11:07Speaker 2: on the Internet would come through and look at whatever
- 11:10Speaker 2: I was describing as a negative thought and they could
- 11:13Speaker 2: help me find distortions in my thinking or reframe it.
- 11:17Speaker 2: And they weren't trained therapists. I gave them just you know,
- 11:20Speaker 2: one little task like, hey, is this something like all
- 11:23Speaker 2: or nothing thinking? Here's how we define that, and you know,
- 11:26Speaker 2: I'd have like ten people respond to me in different ways.
- 11:30Speaker 2: I was super compelling. My classmates started using it and
- 11:34Speaker 2: it started to blossom into a more fully fledged platform.
- 11:40Speaker 2: But the thing that was really exciting was when people
- 11:46Speaker 2: were helping me. I would often give them the option
- 11:49Speaker 2: to give me feedback on you know, what I was
- 11:50Speaker 2: asking them to do, and people would say, hey, doing
- 11:53Speaker 2: this exercise actually helped me. Helping you was helping me,
- 11:57Speaker 2: And so we re redesigned the platform so it was
- 12:01Speaker 2: completely bidirectional. So while I'm getting help from a crowd,
- 12:04Speaker 2: I was incentivizing myself to go help other people. And
- 12:08Speaker 2: I found that that actually was more therapeutic, more beneficial,
- 12:12Speaker 2: and you know, years later, we have empirical data and
- 12:16Speaker 2: research papers to support that idea. So that's when it
- 12:20Speaker 2: really gathered steam, when we started to find ways to
- 12:25Speaker 2: leverage the power of helping others to help yourself.
- 12:28Speaker 1: So help me understand what this platform looked like, was
- 12:32Speaker 1: it like a journal type thing? You would go online
- 12:35Speaker 1: and just type what was going on for you, and
- 12:37Speaker 1: you would ask people, yo, this is what's happening. Can
- 12:41Speaker 1: you help me or what? Yeah?
- 12:44Speaker 2: Essentially essentially that it was frankly way over complicated at
- 12:51Speaker 2: the start, since evolved into something quite a bit different,
- 12:56Speaker 2: which we can talk about. But it was basically writing
- 13:00Speaker 2: a small, a short thought record, so describing a situation
- 13:04Speaker 2: and your negative thoughts that accompany it. And it was
- 13:07Speaker 2: character account constrained, so you know, you can't write like
- 13:10Speaker 2: a five paragraph essay which would overlet wellm anyone trying
- 13:13Speaker 2: to respond to it. And then you get messages and
- 13:17Speaker 2: the people who were responding were responding with a very
- 13:21Speaker 2: simple task. They weren't kind of faced with this paragraph
- 13:25Speaker 2: of text and asked to just do their best. We
- 13:28Speaker 2: would have very specific tasks that they could work on
- 13:34Speaker 2: for each each block of texts they were approaching.
- 13:37Speaker 1: And you put it online. How what does that mean?
- 13:42Speaker 1: You put it online? How did people find this? Yeah?
- 13:46Speaker 2: So that's an interesting story. It's always really hard to
- 13:49Speaker 2: bootstrap platforms like this, Like how do you get a
- 13:52Speaker 2: supply of people willing and interested in doing this. To start,
- 13:58Speaker 2: I used a service on Amazon that allowed me to
- 14:03Speaker 2: pay people for doing really small online jobs. A lot
- 14:07Speaker 2: of that platform was used to help label images clean
- 14:12Speaker 2: up data, so I was using in a very atypical way.
- 14:16Speaker 2: So someone working on this Amazon platform would make some
- 14:19Speaker 2: you know, spare spare money just doing random things like
- 14:24Speaker 2: labeling images or cleaning up data, and then all of
- 14:26Speaker 2: a sudden they see this task that's like, here's a
- 14:29Speaker 2: here's a small uh post from a grad student who's
- 14:34Speaker 2: saying like they're struggling with their relationship. Here's here's what
- 14:39Speaker 2: we want you to do.
- 14:42Speaker 1: There's something. I mean, one of the things that's so
- 14:45Speaker 1: interesting to me about this rob is there's the obvious
- 14:49Speaker 1: component of ingenuity and the technical aspect that's required here.
- 14:57Speaker 1: But on the other side of that is is there's
- 15:02Speaker 1: I mean, it takes a lot of courage to put
- 15:04Speaker 1: yourself out there. How did you have any hesitation in that?
- 15:09Speaker 1: Or really, yeah, I need freaking help this, I gotta
- 15:13Speaker 1: do this.
- 15:13Speaker 2: There's a little a little bit of both. I think
- 15:16Speaker 2: what was really interesting was there wasn't just the nerves
- 15:21Speaker 2: and anxiety related to putting myself out there and disclosing
- 15:24Speaker 2: things for anonymous anonymous group of strangers to respond to
- 15:28Speaker 2: and and all of that, But there was this other
- 15:31Speaker 2: element of the quality and nature of the response is
- 15:37Speaker 2: was relevant to what I was building. So if the
- 15:40Speaker 2: output that came back wasn't working right, then I would
- 15:45Speaker 2: and then I would have another wave of stress wash
- 15:48Speaker 2: over me. So at some point a lot of my
- 15:51Speaker 2: posts into the system. We're very meta. I would say,
- 15:55Speaker 2: I'm trying to build this platform where people come and
- 15:58Speaker 2: help each other think more hope about the world. But
- 16:00Speaker 2: it's not working because this is this It's going to
- 16:02Speaker 2: be a failure. I've wasted all this time. And so
- 16:05Speaker 2: I'd used the very platform I was stressed out about
- 16:08Speaker 2: to help manage the stress about building the platform.
- 16:13Speaker 1: So how did this evolve? Let's bring us up to
- 16:17Speaker 1: date in a sense.
- 16:18Speaker 2: Yeah, So eventually it evolved into a clinical trial. So
- 16:25Speaker 2: we partnered with Northwestern and MIT, had a lot of
- 16:29Speaker 2: support from advisors at Harvard and Stanford, and we ran
- 16:35Speaker 2: a randomized controlled trial where we randomly assigned people to
- 16:40Speaker 2: use this platform I had built, or to do a
- 16:45Speaker 2: therapeutic expressive writing. So it was a really nicely designed
- 16:50Speaker 2: study because everything looked the same the platform looked the same,
- 16:54Speaker 2: the logo looked the same, except in one case you're
- 16:58Speaker 2: just writing and journaling. In the other case, you're writing
- 17:01Speaker 2: and journaling, but you have this crowdsourced cognitive re appraisal
- 17:05Speaker 2: and this ability to help other people. So we're looking
- 17:09Speaker 2: at the difference between those two after about three weeks
- 17:13Speaker 2: of usage and looking and monitoring changes in depression symptoms
- 17:18Speaker 2: over time, and we had a few other outcome measures.
- 17:20Speaker 2: It's about ten years ago, so I don't remember all
- 17:23Speaker 2: of them, but.
- 17:25Speaker 1: We did that.
- 17:25Speaker 2: We had about one hundred and sixty six people in
- 17:28Speaker 2: that trial, and we found the platform outperformed the control
- 17:34Speaker 2: or the active control task on all measures. And more interesting,
- 17:39Speaker 2: we found people were really engaged. They loved this social
- 17:45Speaker 2: way to engage with these kinds of coping skills and strategies.
- 17:49Speaker 2: And we ended up having a couple people from that
- 17:52Speaker 2: trial stay on the platform for several years later, still
- 17:57Speaker 2: very very active in our community and using it. Since then,
- 18:01Speaker 2: we've evolved the platform a fair bit, but it went
- 18:04Speaker 2: from one hundred and sixty six people to now reaching
- 18:07Speaker 2: over five million people.
- 18:10Speaker 1: Well, so initially, where did you get the respondents? Who
- 18:14Speaker 1: are they? Yeah?
- 18:17Speaker 2: I like any study done in Boston. It was universities
- 18:21Speaker 2: in that area mostly, but we also posted on Craigslist,
- 18:25Speaker 2: so I think we had a variety of ages, but
- 18:28Speaker 2: it wasn't the target age that Coco eventually grew to
- 18:33Speaker 2: target over time. So it was more college aid students,
- 18:37Speaker 2: some middle aged folks as well.
- 18:39Speaker 1: And the instruction to them was what, gosh, well, just
- 18:45Speaker 1: generally you're going to be reading X type of text,
- 18:49Speaker 1: respond however you like or because as you're talking, in
- 18:55Speaker 1: one sense, it almost sounded like a microcosm of social media.
- 19:00Speaker 1: Sometimes people put themselves out there, but you know, we
- 19:03Speaker 1: all know sometimes there's a lot of hate comes back, right,
- 19:07Speaker 1: So you're not expressing that at all.
- 19:10Speaker 2: Yeah, were there were a lot of ways we managed
- 19:13Speaker 2: all of those. We would train people kind of on
- 19:18Speaker 2: the fly to do simple, simple jobs as I described,
- 19:23Speaker 2: and then everything was moderated. So at that time we
- 19:26Speaker 2: had multiple humans reviewing every piece of text that was
- 19:30Speaker 2: created and before it was surfaced on the platform.
- 19:34Speaker 1: So here we are twenty twenty four. You said, there's
- 19:38Speaker 1: a huge amount of people now on the platform. Talk
- 19:42Speaker 1: to us about COCA. What does it do? How do
- 19:44Speaker 1: people come who you're helping.
- 19:47Speaker 2: Yeah, so it's evolved quite a bit. There's still this
- 19:52Speaker 2: community moderated social support platform that functions pretty similar to
- 19:58Speaker 2: what I built. But we also have what we call
- 20:02Speaker 2: single session interventions. These are self guided short interventions that
- 20:08Speaker 2: tea teach coping skills related to self harm, body image,
- 20:13Speaker 2: that kind of thing. And we also have a crisis
- 20:17Speaker 2: triage component, so anyone coming on, we simply ask you know,
- 20:22Speaker 2: how are you doing, what are you struggling with? And
- 20:24Speaker 2: we're able to identify people who are struggling with suicidal
- 20:27Speaker 2: thoughts or self harm or disordered eating and route them
- 20:31Speaker 2: to various resources. I think the thing that is most
- 20:37Speaker 2: different is how we reach people, and this is the
- 20:42Speaker 2: biggest innovation we pursued over the last you know, eight
- 20:47Speaker 2: years or so, and we continue to do now as
- 20:51Speaker 2: a nonprofit entity. So when I was scaling this and
- 20:58Speaker 2: building it for more and more people, one of the
- 21:00Speaker 2: things I would do is I would try to interview
- 21:03Speaker 2: people and talk to as many people as possible. And
- 21:06Speaker 2: the most convenient way for me to do that at
- 21:08Speaker 2: the time was to simply go on platforms like Twitter
- 21:12Speaker 2: and search I feel depressed or I'm depressed, or I
- 21:16Speaker 2: can't get an appointment with my therapist, and I'd be
- 21:18Speaker 2: able to find people posting that and kind of ask them, hey,
- 21:21Speaker 2: would you mind talking to me a little bit, so
- 21:24Speaker 2: I'd try to see, you know, if we could design
- 21:27Speaker 2: this platform to help those individuals. But what was really
- 21:31Speaker 2: clear to me was there's a huge opportunity to bring
- 21:36Speaker 2: digital interventions directly into platforms people use every day. So
- 21:41Speaker 2: rather than you know, hiding something in an app store,
- 21:45Speaker 2: which is really hard to find, can we find ways
- 21:48Speaker 2: to service these types of interventions directly to people on
- 21:52Speaker 2: the platforms and ideally at the moments they most need them.
- 21:57Speaker 2: So over the years, we started partnering with some of
- 22:00Speaker 2: these platforms, and the way it looks today, if you
- 22:05Speaker 2: imagine a young person, maybe they're fifteen, and they go
- 22:10Speaker 2: on a social media platform and they search for let's say,
- 22:14Speaker 2: pro anorexia, they might see videos of young people starving
- 22:18Speaker 2: themselves sharing dangerous weight loss strategies. We're trying to flip
- 22:23Speaker 2: this around, so if you imagine that same person searching
- 22:26Speaker 2: for this, we help the platforms identify those videos that
- 22:31Speaker 2: harmful content, and we help suppress that so they don't
- 22:34Speaker 2: see it, and then we divert that person to our
- 22:39Speaker 2: resources online, so that same person, instead of going down
- 22:43Speaker 2: a rabbit hole and seeing more and more videos and
- 22:46Speaker 2: having something that started as a concern transition into a
- 22:50Speaker 2: crisis to a life saving a life threatening situation, can
- 22:55Speaker 2: we quickly redirect them to resources related to eating disorder
- 23:00Speaker 2: through that handoff.
- 23:02Speaker 1: So let's say the cut that person, the young person
- 23:05Speaker 1: comes to COCO specifically, what are they going to do
- 23:10Speaker 1: when they go online? And you talked about the triage.
- 23:12Speaker 1: Let's say they're not suicidal, so they're not going down there,
- 23:15Speaker 1: but where do they go? I want to get a
- 23:18Speaker 1: clear picture of what it looks like when someone comes
- 23:20Speaker 1: to your site.
- 23:21Speaker 2: Yeah, it really depends. So we do have a higher
- 23:24Speaker 2: risk bucket as we described, and we've done a lot
- 23:28Speaker 2: of innovation with research partners at Harvard and elsewhere to
- 23:32Speaker 2: really understand how can we get someone who is at
- 23:36Speaker 2: high risk to actually utilize lifelines and help services like that.
- 23:42Speaker 2: So we spend a lot of time innovating in that regard.
- 23:46Speaker 2: Then for the remaining population, it kind of depends. If
- 23:51Speaker 2: someone's struggling with disordered eating, we will certainly send them
- 23:55Speaker 2: to NIDA or other resources in the US, but we
- 24:00Speaker 2: also have self guided courses they can take that maybe
- 24:06Speaker 2: help them with body image, perception or other other kinds
- 24:10Speaker 2: of issues. And then another set of people can access
- 24:15Speaker 2: our peer support, which is essentially that very constrained, precision
- 24:20Speaker 2: based crowdsourced cognitive therapy, whatever you want to call it,
- 24:24Speaker 2: but it's a lot more simple now. It's really a
- 24:27Speaker 2: place where people can help each other feel more hopeful
- 24:31Speaker 2: about the.
- 24:31Speaker 1: What does it look like? Specifically? So let's say they
- 24:34Speaker 1: go online and they are they prompted to stow people.
- 24:39Speaker 1: What's going on? What does it look like?
- 24:42Speaker 2: Yeah, so if they go down that branch, we ask them,
- 24:46Speaker 2: you know, hey, what are you struggling with? And it's
- 24:49Speaker 2: it's character can't constrained. We use various AI technologies to
- 24:55Speaker 2: help understand. You know, is this a high risk situation?
- 24:58Speaker 2: Are they talking about something civic or is this kind
- 25:01Speaker 2: of everyday depression, anxiety, school stress, that kind of thing.
- 25:07Speaker 2: If it's the latter, after they make a post, assuming
- 25:11Speaker 2: that it passes all our moderation checks, they'll get a
- 25:15Speaker 2: message that says, okay, you know, the community is taking
- 25:19Speaker 2: a look. While you wait, why don't you try helping
- 25:21Speaker 2: other people? And they go down that flow. And what's
- 25:25Speaker 2: beautiful about that is most people go on to help
- 25:29Speaker 2: multiple other people. So if you have one person coming
- 25:32Speaker 2: in and asking for help, they go in to help
- 25:35Speaker 2: two or three other people. We now have this beautiful
- 25:38Speaker 2: situation where our network is balanced. I don't know if
- 25:41Speaker 2: any other crisis line or peer support line where there's
- 25:45Speaker 2: not a problem with supply, we never have that problem.
- 25:48Speaker 2: If we get ten thousand people in an hour, all
- 25:51Speaker 2: of our performance metrics go up, the time to response
- 25:55Speaker 2: gets faster, outcomes get better. So it's really all that
- 26:00Speaker 2: whole part of our platform is all hinged around this
- 26:03Speaker 2: idea of empowering people to help each other.
- 26:08Speaker 1: We talk a little bit about the work you're doing
- 26:11Speaker 1: to reach it's no way, I say kids, who are
- 26:17Speaker 1: your target audience?
- 26:18Speaker 2: In a sense we are thirteen and up and the
- 26:22Speaker 2: average age is fifteen point seven last time we checked.
- 26:27Speaker 2: We collect no personal data whatsoever. People are basically a
- 26:31Speaker 2: random user ID on our platform. We don't know where
- 26:33Speaker 2: they are in the world. We don't have IP address, username, email,
- 26:38Speaker 2: so we do have to ask them these questions, and
- 26:41Speaker 2: we usually do that in the context of a research study.
- 26:45Speaker 2: So our platform might say, hey, do you want to
- 26:47Speaker 2: participate in a study with Northwestern, they go off the
- 26:51Speaker 2: platform and that's when we can get that kind of
- 26:54Speaker 2: demographic information related to age, gender, sexual identity, race, ethnicity,
- 27:00Speaker 2: all those variables.
- 27:02Speaker 1: And just I know we're kind of winding down here,
- 27:06Speaker 1: but how are you getting these kids? I mean more specifically,
- 27:10Speaker 1: I mean this kind of that age is kind of notorious.
- 27:14Speaker 1: We're not wanting to talk, but obviously this is this
- 27:16Speaker 1: is anonymous, But how are you reaching those kids?
- 27:21Speaker 2: Yeah, It's always been amazing to me how engaged kids
- 27:25Speaker 2: are on this platform. We have the direct, undivided attention
- 27:29Speaker 2: of young people, which is like the most rare element
- 27:32Speaker 2: in the universe, and they're getting help, they want to
- 27:37Speaker 2: engage in this type of content. Of course, we spend
- 27:41Speaker 2: a lot of time doing user research and talking to
- 27:45Speaker 2: young people to adapt and refine our services so they
- 27:49Speaker 2: meet them on their level. But ever since I started
- 27:54Speaker 2: doing this, I've I've always been surprised at how willing
- 27:57Speaker 2: young people are to start exploring and these types of
- 28:00Speaker 2: services online.
- 28:02Speaker 1: So they are they are you reaching them through ads?
- 28:05Speaker 1: Are you reaching them just online through specific avenues or what?
- 28:10Speaker 2: It really depends. It's different for every platform, but we
- 28:14Speaker 2: try to reach them on platforms like Discord and TikTok
- 28:18Speaker 2: and Tumbler, and we're partnered with Giffee of all Things too.
- 28:23Speaker 2: If you're searching for different gifts will come up, and
- 28:27Speaker 2: it kind of depends on if they're looking for content
- 28:31Speaker 2: that suggests they might need some mental health support. We
- 28:36Speaker 2: also get generous funding from the platforms themselves, which allow
- 28:40Speaker 2: us to serve ads. We are nonprofits, so everything is
- 28:44Speaker 2: free and we don't have any business models that you know,
- 28:49Speaker 2: incentivize us to retain people or collect information or data,
- 28:55Speaker 2: so we're able to get these really nice partnerships with
- 28:57Speaker 2: the platforms as well.
- 28:59Speaker 1: Awesome, awesome, all right, Rob, Uh, the website or the
- 29:05Speaker 1: name of what you're doing is coco. What's the best
- 29:07Speaker 1: way for people to learn more about that?
- 29:09Speaker 2: Yeah, our website is ww dot cococars dot org. Okay,
- 29:16Speaker 2: and there's a try now button you can try our
- 29:18Speaker 2: services there. And uh, we're really excited to be partnering
- 29:23Speaker 2: with the Cocoa Gorilla Foundation pretty soon here. Our name
- 29:27Speaker 2: was not inspired by the gorilla directly, but keep keep
- 29:30Speaker 2: an eye out for that for some great, wonderful gorilla
- 29:34Speaker 2: themed ven It's.
- 29:36Speaker 1: Awesome awesome, Rob, super inspiring man. I'm really looking forward
- 29:41Speaker 1: to getting this out there. Therapists obviously listening to this,
- 29:44Speaker 1: people in the mental health space, and I think this
- 29:46Speaker 1: is a really something that they can offer to their
- 29:52Speaker 1: clients and up.
- 29:54Speaker 2: Yeah, I definitely, I definitely know therapists who use it.
- 29:57Speaker 2: I think they're also opportunities to weave this into different
- 30:03Speaker 2: therapeutic experiences.
- 30:05Speaker 1: Well, look, thanks for joining me. I love to have
- 30:07Speaker 1: you back later date to appreciate it.
- 30:09Speaker 2: Yeah, my pleasure.
- 30:10Speaker 1: All right, man, thank you