Our work

We have helped thousands of young people and adults towards better mental health and emotional wellbeing. Today, more than 46,000 children, young people, students and adults log-in to our support services every month.

Our clients

Load More

What people say

"The number of under-18s using Kooth, a free online counselling service, has shot up from 20,000 in 2015 to 65,000 last year, and is forecast to rise further to 100,000 this year." The Guardian, 2018
"Kooth provides genuine choice and flexibility for young people who need support with their mental health and well-being." Cornwall Council
“XenZone has been an exciting team to work with. They are clearly very committed to improving support services and outcomes for young people.” Cheshire County Council

Featured case studies

Helping Beryl, 14, Explore her Mental Health Issues

A case study showing how Kooth supported Beryl, 14, in exploring mental health issues related to body image, sexuality, eating and anxiety.

Safeguarding Young People Online: Beth’s Story

This is a summary of how we worked with Beth; there were further disclosures and many more stages where we provided support.

University of the West of England

Last December, the University of the West of England set out a new mental health strategy, trailblazing the way towards better support for students.

Lincolnshire County Council

Lincolnshire County Council commissioned Kooth for its 11-18 year olds, as part of its focus on early intervention and prevention.

Research & evidence

XenZone Alliance

XenZone’s strategic research arm, XenZone Alliance, has a primary role to help develop an evidence base for digital therapeutic support and early help models in therapeutic support, with digital embedded within this model.

XenZone Alliance executes research and evaluation into current XenZone service delivery tools and models, which extends from purely digital services in Kooth and Qwell, to blended/integrated models of support within a wider commissioner-led model.

Working with academic partners and key players in the field of mental health is crucial. Our research is conducted in collaboration with external partners to ensure the research and evaluation remains independent.

Advisory Group

We established an Advisory Group in 2018 to establish themes for future research and evaluation projects. The aim was to bring experts together to scope out a research programme to assess the contribution of Kooth as an online counselling and support service.




The group discussed research questions that need answering, such as:

  • What are the gaps in the evidence base?
  • What are the pressing issues in services?
  • What are the issues that policy-makers are wrestling with?
  • What might make most difference to children & young people?

If you’re interested in finding out more about the Advisory Group or would like to collaborate on a future project, please get in touch.

Developing an evidence base for online counselling and support

XenZone has been involved in various research projects that have been published in peer-reviewed journals over recent years. The first was with Dr Terry Hanley (Programme Lead for the PhD in Counselling Psychology and a highly renowned researcher), specifically in the field of online counselling for young people. He has gone on to help develop and supervise other research projects on Kooth.

Dr Hanley’s research investigated and identified the presence of a Therapeutic Alliance (a key factor in good outcomes for therapy) in online counselling, using Kooth. Read more.

Other research into outcomes of online counselling on Kooth include an investigation into the appropriate use of routine evaluation measures such as YP-CORE in online services. This was published in the international journal, Pastoral Care in Education. Read more.

Kooth: A Year in Review

The Kooth Year in Review sets out the achievements of our online service for Children and Young People from 2018. Acknowledging the benefits and ways in which Kooth online is used by children and young people, we also explore offline projects such as PSHE sessions, the Kooth Ambassador Programme and the work being done in our blended services. A key takeaway from the report is our intentions for research and evaluation over the coming months with a specific nod to the work we are doing around digital outcomes.

Download whitepaper

Online Mental Health Support for Young People

The Education Policy Institute’s 2017 report offers a fascinating insight into the efficacy of online counselling for children and young people. The report focuses exclusively on Kooth online counselling, our user data and feedback from Kooth users and commissioners.

Download whitepaper

Scaling Mental Health Services Through Digital Innovation

The urgent need for mental health services in the UK has never been greater. Delays in care mean low-level issues are escalating. We are in a high-pressure situation where people at one end of the spectrum are in acute need of support and those at the other risk heading in the same direction. Our founder Elaine Bousfield looks to the solutions needed to address this crisis.

Download whitepaper