There is a lot of blame put on technology for the increase in teen bullying and isolation. Because of this, the American Academy of Pediatrics has issued updated guidelines recommending all youths ages 12 and older undergo depression screening at least once a year. It is recommended that teens privately use a self-reported questionnaire that teens fill out themselves, either on an electronic device or on paper. Kaiser Permanente has also started a campaign hoping to reduce the stigma of reporting or suffering from mental health issues called Find Your Words.