Mental health issues affect approximately 13% of people aged 10-24 years old worldwide. In Western countries (e.g. USA, UK, Australia), mental health issues are particularly prominent in Culturally and Linguistically Diverse (CALD) individuals, yet they are disproportionately affected in relation to service provision. Despite demand, there is a significant lack of literature explicitly exploring the design of digital mental health tools for CALD populations. Our study engaged five professionals working in CALD mental health, to gain insights into challenges for service access and provision, and then engaged 41 CALD young people to explore their experiences. We contribute a set of unique insights into the barriers that CALD young people face when seeking help, and their needs for future digital mental health tools. We also provide design recommendations for future researchers on how they might better support the inclusion of CALD communities in the design of digital health tools.

Depression is an affective disorder with distinctive autobiographical memory impairments, including negative bias, overgeneralization and reduced positivity. Several clinical therapies address these impairments, and there is an opportunity to develop new supports for treatment by considering depression-associated memory impairments within design. We report on interviews with ten experts in treating depression, with expertise in both neuropsychology and cognitive behavioral therapies. The interviews explore approaches for addressing each of these memory impairments. We found consistent use of positive memories for treating all memory impairments, the challenge of direct retrieval, and the need to support the experience of positive memories. We aim to sensitize HCI researchers to the limitations of memory technologies, broaden their awareness of memory impairments beyond episodic memory recall, and inspire them to engage with this less explored design space. Our findings open up new design opportunities for memory technologies for depression, including positive memory banks for active encoding and selective retrieval, novel cues for supporting generative retrieval, and novel interfaces to strengthen the reliving of positive memories.

In the last decade, the number of articles on HCI and health has increased dramatically. We extracted 139 papers on depression, anxiety and bipolar health issues from 10 years of SIGCHI conference proceedings. 72 of these were published in the last two years. A systematic analysis of this growing body of literature revealed that most innovation happens in automated diagnosis, and self-tracking, although there are innovative ideas in tangible interfaces. We noted an overemphasis on data production without consideration of how it leads to fruitful interventions. Moreover, we see a need to promote ethical practices for involvement of people living with affective disorders. Finally, although only 16 studies evaluate technologies in a clinical context, several forms of support and intervention illustrate how rich insights are gained from evaluations with real patients. Our findings highlight potential for growth in the design space of affective health technologies.