MOST builds on more than 12 years of research, clinical expertise and digital innovation and recognises that digital technology is part of the future of youth mental health care.

It meets young people where they're at. Technology is an integral part of their lives and it presents opportunities to connect, engage and support young people who are experiencing mental ill-health.

MOST has been designed with reliable, evidence-based resources and online support to help young people navigate their mental health challenges safely, without judgement, and on their own terms.

It's been adapted and enhanced based on feedback from young people and on usage data to ensure it stays relevant to their daily lives.

Trials have demonstrated that using MOST in treatment plans can*:

  • reduce visits to emergency services and relapse rates
  • improve vocational outcomes and social connection
  • improve support for clinicians to engage young people before, between and after their sessions
  • provide greater access for young people to high-quality, engaging, and evidence-based support when they step away from care.

Two large randomised control trials and 10 pilot studies have shown MOST to be safe, effective and engaging for young people at all stages of treatment, and across diagnostic and severity spectrums.

In a foundation study, 170 young people used MOST while recovering from first episode psychosis. The Horyzons study, which MOST has been developed from, found those using the online therapy had a five-and-a-half times greater increase in their likelihood of finding employment or enrolling in education compared to those receiving treatment as usual.

They were also 50 per cent less likely to visit emergency departments or be admitted to hospital.


MOST has been recognised for its contribution to addressing ill-mental health in Australia. This year, Orygen Digital won a Technology Innovator of the Year award at the ConnectingUp, Infoxchange Group not-for-profit technology awards. In 2021, MOST won TheMHS’s Mental Health Service award for excellence, innovation and best practice in therapeutic and clinical services.


* Based on the Horyzons study - see more here.