Attitudes informing the use of technologies by the youth health workforce to improve young people's wellbeing: Understanding the nature of the "digital disconnect" Using a mixed-method approach, this study investigated: 1. the current role of technologies in improving young people's mental health; 2. the youth health workforce's attitudes towards the use of technologies to improve young people's mental health; and 3. how this workforce currently employs these technologies. Many participants believed that technologies play a considerable role in the lives of most young people and have the potential to influence mental health and wellbeing. Despite this potential, they are poorly understood and under-utilised in mental health promotion and the prevention, early intervention and treatment of mental ill-health. Participants commented that this situation could be improved if barriers to their use of technologies were overcome. Further research and investment is necessary to secure appropriate technological infrastructure in mental health services and in training staff to better understand young people's technology use and the range of technological strategies available to them. 15 Understanding the nature of the "digital disconnect" ver a quarter of all young Australians aged 16 to 24 experience a mental health difficulty in any one year (Australian Bureau of Statistics (ABS) 2010). Suicide rates remain high, with suicide one of the foremost causes of death in the 15-to 24-year-old age group (ABS 2011). Mental ill-health has enormous economic implications. It is estimated that in 2009 the direct costs of untreated mental illness in Australian young people totalled $10.6 billion (Access Economics 2009). Unless addressed, the effects of mental ill-health can persist over an individual's lifetime (Costello, Foley & Angold 2006) and lead to further occupational, economic and interpersonal difficulties. Presently, only 29% of young Australians with a mental health difficulty seek help when they need it (Burns et al. 2010; Slade et al. 2009) and timely and evidence-based treatments are only encountered by a small proportion of those young people who do receive care (Libby et al. 2007; Andrews et al. 2000). For many young Australians, information communication technologies are an integral part of their everyday lives, with over 95% of Australian young people using the internet (Ewing, Thomas & Schiessi 2008). Good evidence exists that technologies can be used effectively to improve mental health and wellbeing (Griffiths, Farrer & Christenssen 2010; Spek et al. 2007), especially among young people (Ryan, Schochet & Stallman 2010; Christensen & Hickie 2010; Burns et al. 2010). For those experiencing mental ill-health, the strategic use of technologies can help to overcome barriers to help-seeking such as physical access, confidentiality concerns and stigma (Gould et al. 2002). Acceptance of the use of technologies for improved mental health is high, as many young people have an affinity with mobile phones and the online environment (Iafusco, Ingenito & Prisco 2000). For those wishing to improve their overall wellbeing, technologies can assist in promoting social inclusion, access to material resources and freedom from discrimination and violence (Burns & Blanchard 2009; Burns et al. 2009). While positive results are seen from the use of self-directed eHealth interventions, there is some evidence that these are most effective if used as part of a stepped care model (Van Straten et al. 2010), with the support of a trained professional (Perini, Titov & Andrews 2009; Titov et al. 2009) or as an adjunct to face-to-face treatment (Hickie et al. 2010). Little is known about the attitudes of the youth health workforce towards the role that technologies play in young people's lives and their potential impact, both positive and negative, on mental health and wellbeing (Blanchard et al. 2008; Burns et al. 2009; Metcalf et al. 2008). Similarly, the way that members of the youth health workforce use these technologies in practice, or to access education and training, is not well understood. In light of this evidence on the usefulness of technologies, it is timely to investigate whether the youth health workforce has the capacity to support young people's engagement with technologies in ways that benefit their wellbeing. By the "youth health workforce"we mean those practitioners working in a range of roles across mental health promotion and the prevention, early intervention and treatment of mental ill-health, such as youth workers, social workers, psychologists, occupational therapists, mental health or psychiatric nurses, community development and arts practitioners, general practitioners and psychiatrists.