Somewhere not too far from where you’re reading this, there’s a teenager at a hospital emergency department navigating a mental health crisis. Most likely, they’ll be released after sitting in the emergency room for several hours. According to guidelines, they are supposed to be seen by a mental health professional within seven days after being discharged from the emergency department. In reality, less than one in three young people get any follow up, and one in four will return to the emergency department within six months (Hoffman et al, 2023).
The teen and their parents will leave the hospital and try to figure out next steps. They will likely struggle to find a therapist that has free appointments, is affordable and can relate to the teen. Many just give up.
“Youth mental health is the defining public health crisis of our time.”
— Dr. Vivek Murphy, U.S. Surgeon General
The United States is in the midst of a mental health crisis, with a severe shortage of mental health providers. The US has just over half a million therapists. We would need to more than double the number of providers to ensure everyone can access the care they deserve, and demand is growing faster than new therapists are being trained. The gap between need and care is most pronounced among young adults. 46% of young adults experienced substance abuse or mental illness in 2021, and 55% of those received no care (SAMHSA National Survey 2021). Youth is a critical time for intervention, in 75% of cases the first onset of mental illness is before the age of 24 (Kessler et al, 2005). U.S. Surgeon General Dr. Vivek Murphy has called youth mental health the defining public health crisis of our time.
Professional peer support is our answer to the youth mental health crisis
My cofounder Dr. Kim Newell Green practiced as a pediatrician at Kaiser Permanente in San Francisco for over a decade and saw first hand how her teen and young adult patients struggled to access timely, age-appropriate mental health care. I first experienced the power of peer support two decades ago when my boyfriend was diagnosed with bipolar disorder. Peer support is backed by evidence and rooted in human connection, but has not yet been scaled. Mental Health America estimates that there are under 25,000 Peer Support Specialists who do peer support as a job.
What was lacking was a way to scale training to bring more people into the peer support workforce, and a robust and secure telehealth offering that fits within the healthcare system and can reach youth anywhere, not just in urban centers. We founded Flourish Labs to do just that.
“We’re on a mission to scale professional peer support with the help of technology to address the mental health crisis.”
We expand the mental health workforce by hiring and training young adults with diverse backgrounds and past experience of mental health challenges to become certified Peer Support Specialists. Our proprietary online training fulfills state and national certification standards and was developed together with experienced peer supporters, online learning experts, and young adults.
On Peers.net, our HIPAA-compliant telehealth platform, youth can book a 1-on-1 session with a professional peer supporter of their choice, on demand. Our professional peer supporters provide emotional support, teach skills, and share their knowledge and personal experiences dealing with depression, anxiety, trauma, stress, body image issues, LGBTQ+ questions, and more.
Many studies showed that peer support is effective to help people reach recovery and live fulfilling lives. Perhaps more surprisingly, it can also help the supporter stay in recovery (Johnson et al, 2019). By offering training and jobs to people in recovery, we create a virtuous cycle and turn a huge problem into a huge opportunity: 58 million adults have a mental health diagnosis in the US today. If we can help even a fraction of them to reach recovery and train them to work as Peer Support Specialists, we will dramatically expand the mental health workforce.
We’re not alone in our belief that professional peer support can bridge the gap in mental health care. Mental Health America, the Biden Administration, and the US Governors Association among others have all made it a priority.
We were fortunate to be backed by great investors at Gradient Ventures, Collaborative Fund, Learn Capital, WGU, Tiny VC and One Mind, as well as operator angels from healthcare companies who are helping us build our vision.
Built for young adults – and now teens!
We launched an early version of Peers.net in late February 2023 and have been learning from hundreds of young adults who tested our service and gave us feedback in our user research studies.
We learned that they love being able to choose their peer supporter along dimensions that matter to them. Many therapists look like my cofounder Kim and I: middle-aged cisgender straight white women.
Gen Z and Millenials are more diverse than any other generation before, and they want to connect with someone closer to them in age who shares their identity and life experiences. Our Peers.net supporters are young adults aged 18 to 35; more than half of them identify as LGBTQ+ and/or BIPOC.
Here is what our beta users have said:
“I highly enjoyed the session. Overall, I felt supported, heard, and appreciated. More importantly, I shared common ground and felt a sense of belonging with my Peer Supporter.”
“My peer supporter was lovely and an absolute joy to interact with. I felt that my issues were heard and that the intersectional factors that impact my well-being was seen. She created a wonderful list [of tools] with me that I look forward to applying moving forward.”
“I am very blown away at how effective it was for me to just talk to someone about my troubles. I have recently stopped therapy due to financial constraints, but after going through today’s session I decided to continue on with the peer supporter I chose in the coming future because I found it so helpful.”
We learned that not all of them want to be on video, so we’re allowing sessions to be off video/audio only, and are working on adding text-based messaging.
We also got one question over and over again:
“When are you opening up to teens?”
We’re excited to launch the official version of Peers.net today, and open up to teenagers for the first time. This means we’re now providing Peers.net support to everyone between the ages of 13 and 30.
Built for healthcare: Announcing our partnership with Sutter Health
As we expand, our goal is to make professional peer support part of the standard of care in mental health. To do this, we chose to work within the healthcare system and to healthcare standards, including our HIPAA-compliant platform. We ensure quality, manage risk and measure outcomes via a combination of experienced supervisors and AI.
For provider groups, schools and health plans, Peers.net unlocks rapid access to 1-on-1 support across the spectrum of mental health needs. This might be a youth leaving the emergency room or an eating disorder intensive outpatient program, or a first generation student looking for support during stressful exam times. Our first healthcare partner is Sutter Health, who are today announcing the launch of their Scout mental health app for teens and young adults. Scout by Sutter Health™ offers evidence-based tools, exercises and resources for self-care. While designing Scout, the Sutter Health team found that some users were looking for rapid access to 1-on-1 human support in addition to the app, and chose to partner with Flourish Labs to provide this. As of today, Scout users can access Peers.net with one click from the resources page within the app.
To celebrate the launch, we’re offering Scout users a free Peers.net session, for a limited time only. Peers.net users will get a free Scout app membership.
Join the peer support revolution
We hope this will be the first of many partnerships where we work with health systems and provider groups to integrate our peer support into their care model. Our goal is to partner with Medicaid and commercial insurance plans to make peer support routinely reimbursed like other mental health services.
While we work on getting our health plan partnerships in place, we made Peers.net affordable at $65 for a 50 minute session – about half the cost of therapy. If you are a parent, fairy godmother, thoughtful older sibling or just looking out for a friend, you can buy a gift card and save up to 20% on a bundle of sessions.
We’ll also be working with community organizations to make discounted or free sessions available to their teen and young adult members; we will announce this later this year. Please get in touch if your organization would like to be included in this program.
With partners like Sutter Health, Flourish Labs is helping to bring about a future where affordable, quality mental health support is available to everyone who needs it. A future where teens, young adults and their parents no longer have to face these challenges alone.
By addressing the workforce gap and offering a scalable solution to the youth mental health crisis, we are rewriting the story from one of crisis to one of empowerment, where youth who experienced mental health challenges first-hand become part of the mental health workforce, help others, and help themselves stay in recovery.
If you recognize yourself or someone you love in this story – as someone who needs support or could provide support, as a community organization who wants to provide support to your members, as a provider group or health plan who wants to expand access and lower costs – please join us at Peers.net and be part of the revolution.