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Testing Calls in Australia:

  Plague or Purpose?
Prankster or Prank Star?
Definitions

  Counselling contacts and Non-Counselling contacts

    Non-counselling contacts (Support calls):
      Positive call:
        • Information about counselling process
        • Good news, happiness, positive events
        • Positive reflection/ sharing successes
        • Positive feedback about KHL

       Soft call
        • Asks for counsellor
        • Bored/chat/ joked, but not lonely
        • Requests for information (including about KHL)
Definitions:


    Hard call
     • Loud noises-screaming, whistles, etc
     • Swearing
     • General abuse
     • Abuse of a personal/sexual nature



    Testing/Prank call
     • Playing the fool, making noises, etc
     • Silent call (eg caller stays on)
     • Hang-up (eg instant silence)
How many calls?!

         2007 Telephone calls <26 years

282, 268 calls answered by counsellors

40,953 counselling calls

241,318 non-counselling calls (85%)

   21,116 Hard calls (9%)

   148,002 Testing calls (61%)

   70,996 Softcalls (29%)

   1,204 Positive calls <1%)
But how much time?



                                  Call Type Duration

             30
                                                       Median (most frequent
             25
                                                       no. of mins) Counselling
             20                                        calls
   Minutes




                                                       Mean (average number
             15
                                                       of mins) Counselling
             10                                        calls

             5                                         Mean (average number
                                                       of mins) Non-Counselling
             0                                         calls
                  2001 2002 2003 2004 2005 2006 2007
How much??



 Average Hard call lasts about 20 seconds

 Average Testing call lasts less than 10 seconds

 Non-counselling calls account for less than 15% of total time
 spent on phones

 Testing and Hard calls account for just 2% of time on the
 phone
So how have calls changed?
                                                                               All           All
Year          All Calls     All         All         All          All Support   Counselling   Testing
               Attempts     Answered    Answered    Counsellin   Calls <26     and           and
              (Cyphone)     Calls       Calls <26   g                          Support       Hard
                            Cyphone)    AS400       Calls <26                  Calls <26     Calls <26
       1999     1,527,892     354,861     331,284     95,109         64,358      159,467 171,817
       2000     1,412,091     417,352     413,991     93,176         81,893       175069 238,922
       2001     1,280,899     410,336     390,916     86,528         76,967      163,495 227,421
       2002     1,053,141     429,982     415,392     77,308         92,933      170,241 245,151
       2003     1,110,821     523,825     509,378     78,088       100,463       178,551 330,827
       2004       907,569     447,367     430,605     65,274         90,544      155,818 274,787
       2005       643,102     332,820     296,951     44,853         61,494      106,311 190,581
       2006       573,639     307,813     275,011     44,646         62,659      107,305 167,706
       2007       542,081     289,276     282,272     40,953         72,201      113,154 169,118
Say what??

                                         Call Type x Year


 1,800,000


 1,600,000


 1,400,000                                                                       All Call Attempts
                                                                                 (Cyphone)

 1,200,000                                                                       All Answered Calls
                                                                                 (Cyphone)
 1,000,000
                                                                                 All Answered Calls
                                                                                 <26 AS400
  800,000
                                                                                 All Counselling Calls
                                                                                 <26
  600,000
                                                                                 All Support Calls
                                                                                 <26
  400,000
                                                                                 All Counselling and
  200,000                                                                        Support Calls <26

                                                                                 All Testing and Hard
         0                                                                       Calls <26
             1999   2000   2001   2002       2003   2004    2005   2006   2007

                                         Year
What happens when we increase our response
                  rate?



                                        Proportional Call Trends

                                                                                        Call response rate
                                                                                        (Cy)
                  70


                  60
 % of all calls




                  50
                                                                                        Csllg calls as % of all
                                                                                        answered
                  40                                                                    (AS400)<26


                  30
                                                                                        Csllg and support calls
                  20                                                                    as % of all answered
                  10
                                                                                        calls (AS400)<26

                                                                                        Testing and hard
                       1999   2000   2001   2002     2003   2004   2005   2006   2007   calls as % of all
                                                                                        answered calls
                                                                                        (AS400)
                                                   Year
Who are our Prank Stars- Testing calls?


Age               Female        Male      Total


5 TO 9             2.0%         1.4%      3.3%


10 TO 14          32.8%        32.2%      65.0%


15 TO 18          12.9%        16.9%      29.8%


19 TO 25           0.8%         1.0%      1.8%


Total             48.5%        51.5%      100%
Who are our Prank Stars? Hard calls



Age              Female        Male   Total

5 TO 9            0.7%         1.1%   1.8%


10 TO 14         15.0%        34.2%   49.2%


15 TO 18          8.6%        36.0%   44.6%


19 TO 25          0.4%         4.0%   4.3%

Adult             0.0%         0.1%   0.1%

Total            24.7%        75.3%   100%
Themes in Hard and Testing Calls
                5 to 9                10 to 14                    15 to 18



 Males      Button Pushing              Bullying              Sex-Gratification
                 Noises          Sexual, Physical Abuse         Masturbation
                Bullying               Drug Use                 Relationships
             Sexual Abuse          Counsellor Abuse          Abuse and Penises
               Swearing           Family Relationships            Drug Use
                                      Pregnancy               Counsellor Abuse
                                        Smoking           Smoking and Physical Abuse
                                 Sex and Masturbation         STD’s, Pregnancy
                                                               Sexual Identity
                                                                   Suicide
                                                                    Drugs
                                                                   Violence

Females         Bullying                Bullying               Counsellor Abuse
            Physical Abuse        Family Relationships             Partners
             Sexual Abuse        Sexual/Physical Abuse        Concern for others
          Family Relationships    Partners, Friendships            Bullying
            Button Pushing          Counsellor Abuse         Family Relationships
                 Noises            Drug Use, Sex and         Contact Relationships
               Sexuality,           Pregnancy, STD’s                Suicide
             Masturbation            Sexual Identity             Friendships
               Swearing                  Weight                      Drugs
              Friendships
How does Kids Helpline respond?



  All callers are treated with respect

  Ongoing counselling with same counsellor

  Decision-making and case management is transparent

  Child-centred approach

  Policy of Duty of Care
Service framework for Testing and Hard calls


  Acknowledging developmental stages of childhood and adolescence
      Natural energy outlet
      Boundary testing
      Need for guidance
      Theme and issue exploration- “out of the closet”


  Teaching help-seeking behaviours
      Awareness raising relating to counselling process, particularly for males
      Modelling help-giving behaviours
      Silent and “hang-up calls

  Early intervention
      Identification of and relationship building with at-risk youth
      Case management


  Modelling healthy interactions between adults and children
      Use of humour
      Time given to child-driven agendas
      Respectful responses
      Call-back to same counsellor
Hard calls –generally young adults


  Assertive interventions

  Partnering with Telecommunications and Police services

  Use of “Malicious Call Trace” technology

  Use of “Nuisance Caller” line
Counsellor Training

“   What’s going on here?”
      Four hour interactive training as part of Probationary training program

      Training objectives:
          ‘To increase counsellor resources and efficacy in providing a respectful and
          helpful response to all callers including those who “test” out the service’
          To provide literature leading to a discussion about what types of issues may
          underlie the motivation to test out a service such as KHL?
          To ensure there is consistency amongst counsellors in logging testing and
          hard calls in the KHL call database’

      Review developmental stages and gender differences in children and adolescents

      Exploration of themes

      Review call data

      Small group sharing of enjoyable and challenging testing calls

      Identify counsellor’s needs and feelings, before and after consideration of caller’s motivation

      Final role-play
Supervision and Debriefing


Matrix of supervision:

      Real-time shift supervision with immediate debriefing

      Real-time computer based case consultation (AS400 messaging)

      Clinical Practice supervision once per month for professional development
      and career planning

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Test Calls at Child Hhelplines - Australia

  • 1. Testing Calls in Australia: Plague or Purpose? Prankster or Prank Star?
  • 2. Definitions Counselling contacts and Non-Counselling contacts Non-counselling contacts (Support calls): Positive call: • Information about counselling process • Good news, happiness, positive events • Positive reflection/ sharing successes • Positive feedback about KHL Soft call • Asks for counsellor • Bored/chat/ joked, but not lonely • Requests for information (including about KHL)
  • 3. Definitions: Hard call • Loud noises-screaming, whistles, etc • Swearing • General abuse • Abuse of a personal/sexual nature Testing/Prank call • Playing the fool, making noises, etc • Silent call (eg caller stays on) • Hang-up (eg instant silence)
  • 4. How many calls?! 2007 Telephone calls <26 years 282, 268 calls answered by counsellors 40,953 counselling calls 241,318 non-counselling calls (85%) 21,116 Hard calls (9%) 148,002 Testing calls (61%) 70,996 Softcalls (29%) 1,204 Positive calls <1%)
  • 5. But how much time? Call Type Duration 30 Median (most frequent 25 no. of mins) Counselling 20 calls Minutes Mean (average number 15 of mins) Counselling 10 calls 5 Mean (average number of mins) Non-Counselling 0 calls 2001 2002 2003 2004 2005 2006 2007
  • 6. How much?? Average Hard call lasts about 20 seconds Average Testing call lasts less than 10 seconds Non-counselling calls account for less than 15% of total time spent on phones Testing and Hard calls account for just 2% of time on the phone
  • 7. So how have calls changed? All All Year All Calls All All All All Support Counselling Testing Attempts Answered Answered Counsellin Calls <26 and and (Cyphone) Calls Calls <26 g Support Hard Cyphone) AS400 Calls <26 Calls <26 Calls <26 1999 1,527,892 354,861 331,284 95,109 64,358 159,467 171,817 2000 1,412,091 417,352 413,991 93,176 81,893 175069 238,922 2001 1,280,899 410,336 390,916 86,528 76,967 163,495 227,421 2002 1,053,141 429,982 415,392 77,308 92,933 170,241 245,151 2003 1,110,821 523,825 509,378 78,088 100,463 178,551 330,827 2004 907,569 447,367 430,605 65,274 90,544 155,818 274,787 2005 643,102 332,820 296,951 44,853 61,494 106,311 190,581 2006 573,639 307,813 275,011 44,646 62,659 107,305 167,706 2007 542,081 289,276 282,272 40,953 72,201 113,154 169,118
  • 8. Say what?? Call Type x Year 1,800,000 1,600,000 1,400,000 All Call Attempts (Cyphone) 1,200,000 All Answered Calls (Cyphone) 1,000,000 All Answered Calls <26 AS400 800,000 All Counselling Calls <26 600,000 All Support Calls <26 400,000 All Counselling and 200,000 Support Calls <26 All Testing and Hard 0 Calls <26 1999 2000 2001 2002 2003 2004 2005 2006 2007 Year
  • 9. What happens when we increase our response rate? Proportional Call Trends Call response rate (Cy) 70 60 % of all calls 50 Csllg calls as % of all answered 40 (AS400)<26 30 Csllg and support calls 20 as % of all answered 10 calls (AS400)<26 Testing and hard 1999 2000 2001 2002 2003 2004 2005 2006 2007 calls as % of all answered calls (AS400) Year
  • 10. Who are our Prank Stars- Testing calls? Age Female Male Total 5 TO 9 2.0% 1.4% 3.3% 10 TO 14 32.8% 32.2% 65.0% 15 TO 18 12.9% 16.9% 29.8% 19 TO 25 0.8% 1.0% 1.8% Total 48.5% 51.5% 100%
  • 11. Who are our Prank Stars? Hard calls Age Female Male Total 5 TO 9 0.7% 1.1% 1.8% 10 TO 14 15.0% 34.2% 49.2% 15 TO 18 8.6% 36.0% 44.6% 19 TO 25 0.4% 4.0% 4.3% Adult 0.0% 0.1% 0.1% Total 24.7% 75.3% 100%
  • 12. Themes in Hard and Testing Calls 5 to 9 10 to 14 15 to 18 Males Button Pushing Bullying Sex-Gratification Noises Sexual, Physical Abuse Masturbation Bullying Drug Use Relationships Sexual Abuse Counsellor Abuse Abuse and Penises Swearing Family Relationships Drug Use Pregnancy Counsellor Abuse Smoking Smoking and Physical Abuse Sex and Masturbation STD’s, Pregnancy Sexual Identity Suicide Drugs Violence Females Bullying Bullying Counsellor Abuse Physical Abuse Family Relationships Partners Sexual Abuse Sexual/Physical Abuse Concern for others Family Relationships Partners, Friendships Bullying Button Pushing Counsellor Abuse Family Relationships Noises Drug Use, Sex and Contact Relationships Sexuality, Pregnancy, STD’s Suicide Masturbation Sexual Identity Friendships Swearing Weight Drugs Friendships
  • 13. How does Kids Helpline respond? All callers are treated with respect Ongoing counselling with same counsellor Decision-making and case management is transparent Child-centred approach Policy of Duty of Care
  • 14. Service framework for Testing and Hard calls Acknowledging developmental stages of childhood and adolescence Natural energy outlet Boundary testing Need for guidance Theme and issue exploration- “out of the closet” Teaching help-seeking behaviours Awareness raising relating to counselling process, particularly for males Modelling help-giving behaviours Silent and “hang-up calls Early intervention Identification of and relationship building with at-risk youth Case management Modelling healthy interactions between adults and children Use of humour Time given to child-driven agendas Respectful responses Call-back to same counsellor
  • 15. Hard calls –generally young adults Assertive interventions Partnering with Telecommunications and Police services Use of “Malicious Call Trace” technology Use of “Nuisance Caller” line
  • 16. Counsellor Training “ What’s going on here?” Four hour interactive training as part of Probationary training program Training objectives: ‘To increase counsellor resources and efficacy in providing a respectful and helpful response to all callers including those who “test” out the service’ To provide literature leading to a discussion about what types of issues may underlie the motivation to test out a service such as KHL? To ensure there is consistency amongst counsellors in logging testing and hard calls in the KHL call database’ Review developmental stages and gender differences in children and adolescents Exploration of themes Review call data Small group sharing of enjoyable and challenging testing calls Identify counsellor’s needs and feelings, before and after consideration of caller’s motivation Final role-play
  • 17. Supervision and Debriefing Matrix of supervision: Real-time shift supervision with immediate debriefing Real-time computer based case consultation (AS400 messaging) Clinical Practice supervision once per month for professional development and career planning