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John Salter

Founder @ Overcome
1730 karmaJoined Working (0-5 years)London, UKwww.overcome.org.uk

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Founder of Overcome, an EA-aligned mental health charity

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I think there's a ton of obvious things that people neglect because they're not glamorous enough:

1. Unofficially beta-test new EA stuff e.g. if someone announces something new, use it and give helpful feedback regularly
2. Volunteer to do boring stuff for impactful organisations e.g. admin
3. Deeply fact-check popular EA forum posts
4. Be a good friend to people doing things you think are awesome
5. Investigate EA aligned charities on the ground, check that they are being honest in their reporting
6. Openly criticise grifters who people fear to speak out against for fear of reprisal 
7.  Stay up-to-date on the needs of different people and orgs, and connect people who need connecting

In generally, looking for the most anxiety provoking, boring, and lowest social status work is a good way of finding impactful opportunities. 

1. Get a pilot up and running NOW, even if it's extremely small. 

You will cringe at this suggestion, and think that it's impossible to test your vision without a budget. Everyone does this at first, before realizing that it's extremely difficult to stand out from the crowd without one. For you, maybe this is a single class delivered in a communal area. 30 students attending regularly, demonstrating a good rate of progress, is a really compelling piece of evidence that you can run a school. 

- Do you have the resilience and organisation skills it takes to independently run a project?
- Will people actually use it?
- Can you keep your staff?
- Can you cost-effectively produce results? 

It can compelling prove the above, whilst having a ton of other benefits.

2. YOU need to be talking to funders NOW

Don't fall into the trap of trying to read their minds. Get conversations with them. Get their take on your idea. Ask what their biggest concerns would be. Go address them. Repeat. Build relationships with them and get feedback on your grant proposals before submitting them.

As the founder, its YOUR job to raise money. Don't delegate it. It'll take forever to get them to understand your organisation well enough, they won't be as sufficiently motivated to perform, and you won't learn. This is going to be a long-term battle that you face every year. You need to build the network, skills & knowledge to do it well. 

3. Be lean AF

The best way to have money is not to spend it. Both you and your charity may go without funding for months or years. Spend what little money you have, as a person and as a charity, very slowly. The longer you've been actively serving users, the easier fundraising gets. It's about surviving until that point.

4. Funders will stalk your website, LinkedIn, and social media if they can

As much as possible, make sure that they all tell the same story as your grant application - especially the facts and figures. 

5. When writing your proposals, focus on clarity and concreteness above all else

Bear the curse-of-knowledge in mind when writing. Never submit anything without first verifying other people can understand it clearly. Write as though you're trying to inform, not persuade. 

- Avoid abstractions 
- State exact values ("few" -> "four", "lots" -> "nine", "soon" -> "by the 15th March 2024")
- Avoid adjectives and qualifiers. Nobody cares about your opinions.
- Use language that paints a clear, unambiguous image to the readers mind

OLD:  mean student satisfaction ratings have increased greatly increased since programs began and we believe it's quite reasonable to extrapolate due to our other student-engagement enhancements underway and thus forecast an even greater increase by the end of the year" 

NEW: When students were asked to rate their lessons out of 10, the average response was 5. Now, just three months later, the average is 7/10. Our goal is to hit 9/10 by 2025 by [X,Y,Z].


Good luck!

I think schlep blindness is everywhere in EA. I think the work activities of the average EA suspiciously align with activities nerds enjoy and very few roles strike me as antithetical. This makes me suspicious that a lot of EA activity is justified by motivated reasoning, as EAs are massive nerds.

It'd be very kind of an otherwise callous universe to make the most impactful activities things that we'd naturally enjoy to do.

If you're interested in funding other cost-effective psychotherapy interventions, you might find this post helpful. If you're interested in supporting people in Latin America specifically, check out Vida Plena. Philippines - check out Phlourish. If India, check out Kaya Guides.

 

I think this post would be more compelling if you shared more data (e.g. cost per participant, leading indicators of impact), how much money you got from EAIF etc

Thank you for thinking critically about my work! You're right, it is not a direct comparison.

It shows an effect size of just over 0.6. The typical for most psychotherapies is 0.8. (see the Perplexity.ai summary below of the PTSD meta-analyses in the literature)

 


I did 0.6 / 0.8, which is 0.75. That equates to 75%. 

As this is pretty approximate, especially given that it didn't directly compare the same groups against one and other. I included the ~ before 75% to show that it shouldn't be used as a precise figure.  In hindsight, I regret not making this more explicit. 

That being said, the near equivalency between laypersons and trained therapists is widely accepted. Every single EA mental health charity uses laypersons rather than professional therapists for this reason

and maybe newcomer?

I am! Just under two years delivering psychotherapy interventions, ~5 years in mental health more generally

Could you tell me more about the length, intensity, and duration of a typical treatment program?

We offer a minimum of six weeks, with no arbitrary cap. It's once (or rarely twice) a week for ~1 hour at a time. I'd suggest that six weeks is the most cost-effective if you are limited by supply, but in practice it tends to be longer because often you have spare capacity.
 

Less sessions is a reliable way to reduce cost, but my understanding is there’s a U-shaped curve to cost-effectiveness here. 1 session doesn't have enough benefits but 100 sessions costs too much and doesn't add more benefit.

That sounds about right. 

 

Also, are you targeting specific conditions? I see improvement in insomnia but that can arise from a sleep intervention or a general CBT course too

Depends on the client. Mostly our counselling is bespoke, but we have some programmes for more specialised issues (e.g. chronic insomnia, addiction, phobia)
 

I'm going to assume you mean comparison not experiment as we did no experiment comparing the two demographics. 

The comparison was to show how much easier it is to treat high-functioning western demographics than it is to treat lower-functioning LMIC demographics. One common misconception I run into a lot is that treating people in LMICs is easier because there's still "lower-hanging fruit" yet to be treated. I wanted to show some statistics illustrating that this was not the case by comparing two similar pilots with different demographics

The higher income, higher functioning demographic was easier to recruit, triage, maintain and got comparable results. I think this violates most funder's expectations.

IMO, if the content is good we shouldn't bring it up. If an author is producing bad content more than once a month and it seems generated by LLMs they should be warned then banned if it continues.

I suspect any comment threads about whether content is LLM-generated aren't worth reading and thus aren't worthwhile writing.

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