de Ossorno Garcia S, Salhi L, Sefi A and Hanley T

This report provides an outcome-based framework based on the theory of change methodology for Kooth adult services. This research explores the different pathways of engagement in the platform through a collaborative multimethod approach using qualitative and quantitative data to inform the intended impacts, outcomes, mechanisms and inputs of the service.

The defining features to date of Kooth for adults are described as a positive virtual ecosystem, humanistic, anonymous and accessible, used by people in need of mental health support. It provides an integrative view of the service as an ecosystem with shared impacts across self-directed, reactive, structured and ongoing pathways of engagement.