Mental Health Literacy Workshop Resources for Facilitators Ontario Centre of Excellence for Child and Youth Mental Health Role Plays: ENGAGEMENT -- PROFESSIONAL AND PARENT Professional is meeting with a parent. The professional is concerned that the parent’s child has a problem, specifically, that the child appears to have symptoms of ADHD. Part 1: How NOT to engage with a parent Professional Thank you so much for coming in today. I’m the new principal this year, and I apologize we have to meet like this. Parent (shaking his legs, and being fidgety) No problems. What would you like to talk about? Professional We’ve been a bit worried about how your son has been behaving. He’s been very oppositional towards his teachers. He doesn’t respect their authority. Were you aware of this? Parent Well, I’m really sorry that my son hasn’t been behaving. He’s been telling us that he’s bored in class. We’ve always taught our son to stand up for himself. After all, he did get along with his teacher last year. Professional I hate to have to be the one telling you this, but the fact is, your son is disruptive in class, and its causing problems. Furthermore, he’s very distractible, and can’t sit still. We think that you should take him to see a professional, like a psychologist, or his doctor. He might have a condition like ADHD. Parent I’m sorry that you feel this way, but there is absolutely nothing wrong with my son. He’s bored in class, and he just needs things to be more challenging. No one said anything to me in previous years! Besides, I was the same way in school, and I turned out okay. Professional I’m sorry that you don’t agree, but we have to think about the other students as well. We’d like to have your son seen by one of our school psychologists. Parent No way! You just want to diagnose him with ADHD or something and then drug him out. You teachers are all the same! (storms out angrily) 1 Mental Health Literacy Workshop Resources for Facilitators Ontario Centre of Excellence for Child and Youth Mental Health Debrief questions: Q. Why did this not turn out? A. Because there were no mutual goals established. A. The professional jumped to telling the parent what to do, before there was agreement on goals. A. There was no trust built. 2 Mental Health Literacy Workshop Resources for Facilitators Ontario Centre of Excellence for Child and Youth Mental Health Part 2: How TO engage with a parent Professional Thank you so much for coming in today. I’m the new principal this year, and I apologize we have to meet like this. Parent (shaking his legs, and being fidgety) No problems. What would you like to talk about? Professional First, I’d like to start by saying how much we’ve appreciated getting to know your son this year. He is extremely creative; I was very impressed with his artwork. Even those doodles that he draws in class are works of art. Parent Thanks, that’s really nice to hear. Professional The next part is not so easy for me, however. Some of the teachers have had some concerns. Many of them report that he is very distractible and hyperactive. Parent Well, I really don’t see a problem with that. School’s boring for an active kid like him. Besides, I found school pretty boring myself too. Professional I hear you. I agree that all kids get distractible and hyperactive from time to time, but with your son, its much more severe than the other students in the class. And I’m worried that its getting in the way of his full potential. Parent Well, I don’t think there’s a problem. Professional Well, how about this – I could be wrong, but I want to make sure that we’re not missing anything. I hear you – your son isn’t really causing any severe problems, but I want to make sure that he doesn’t fall through the cracks. Parent Well, I guess I do appreciate that you want to be sure that you’re not missing something, and I do appreciate your concerns about my son. So what do you want to do about it? Professional Well, I’m going to recommend that we just continue to gather more information for now. How about I’ll continue to speak to his teachers, and we’ll get more information. And then perhaps we can touch base a week or two from now. If there are concerns from his teachers, there are a few options. You could take him to see his family doctor -given that you probably take him anyways for his yearly checkup, it’d just be having a checkup earlier than usual. And our school board also has psychologists who can do more detailed testing of a student’s learning. If there is something, the good news is that there are strategies we could try. I like your son a lot, he’s a great kid, and I just want to make sure we help him reach his full potential. How’s that sound to you? 3 Mental Health Literacy Workshop Resources for Facilitators Ontario Centre of Excellence for Child and Youth Mental Health Q. Why did this turn out better? A. Because the professional did not jump to telling the parent what to do. A. Because the professional tried to first establish some mutual goals. A. The professional also used some positive attachment type strategies, such as starting with praise / positives. A. The professional did not immediately recommend a counselor, but rather sought to first build a trusting, working relationship… 4 Mental Health Literacy Workshop Resources for Facilitators Ontario Centre of Excellence for Child and Youth Mental Health ENGAGEMENT -- PROFESSIONAL AND YOUTH Professional is meeting with a youth. The professional is concerned that the youth has a problem with self-cutting. Example of how not to engage with a student Professional Thanks for coming in today. I wanted to start off by saying how many of your teachers have noticed how artistic you are. Those doodles that you do in class, they are just works of art. Student Yeah, well, thanks… Professional The reason I called you in today, is because we’ve been very concerned about you. We’ve noticed cuts on your arms, and how you try to cover up your arms. Can you tell me what’s going on? Student Its nothing. Lots of people cut themselves. Professional I hear you. But I’m really worried about you. I’m going to call your parents and let them know that I’m worried about you. I think you need help, maybe see a counselor. Student What a stupid idea. I’ve seen tons of shrinks already and its never helped! Cutting is the only thing that ever works! (storms out of the office) Q. Why did this not turn out? A. Because there were no mutual goals established. A. The professional jumped to telling the youth what to do, before there was agreement on goals. A. There was no trust built. 5 Mental Health Literacy Workshop Resources for Facilitators Ontario Centre of Excellence for Child and Youth Mental Health Example of how TO engage with a student Guidance counselor Thanks for coming in today. Before we get started, I just wanted to mention something -- many of your teachers have noticed how artistic you are. Those doodles that you do in class, they are just works of art. Student Yeah, well, thanks… Guidance counselor The reason I called you in today, is because we’ve been very concerned about you. We’ve noticed cuts on your arms, and how you try to cover up your arms. Can you tell me what’s going on? Student Its nothing. Lots of people cut themselves. Guidance counselor You’re right, a lot of people do experiment with cutting themselves. Usually when people do cut themselves, they’re trying to cope with some stress, like a stress at home, at school, or with friends. What’s the stress that you’re trying to cope with? Student Nothing. Guidance counselor Everyone has some stresses. For example, at home, maybe its your parents, or siblings. Or at school, maybe it’s the teachers, the work, or your classmates… So how are things at home these days? Student Well, things are pretty stressful at home, I guess. My parents are fighting all the time. I’m worried that if it gets any worse, they’ll just split up. And then I’d probably have to move, and then I’d be away from all my friends here. Guidance counselor Okay, that definitely sounds like a big stress. Any other big stresses that you’re under? Student Math class is really stressful. I’ve never been good at math; I try to focus, but I just can’t. I really don’t understand what’s going on. Guidance counselor Okay, so you’ve definitely got a lot of stresses that you’re dealing with. I respect that you’re trying to cope with things. So what does the cutting do for you? Student It distracts me, gives me something else to focus on other than all the crap going on in my life. Guidance counselor Okay, I hear you. A lot of people use cutting as a way to cope. But a lot of people notice that the cutting causes problems too… So what sorts of problems does it cause you? Student Well, I guess I do feel guilty after it. And I don’t want to tell my friends about it because otherwise they’ll think I’m emo or something. Please don’t tell my parents – they’’ll just get upset, and it’ll make things worse. 6 Mental Health Literacy Workshop Resources for Facilitators Ontario Centre of Excellence for Child and Youth Mental Health Guidance counselor So it sounds like things have been really stressful, with 1) your parents, and 2) math class. So we need to come up with a plan to help you cope with those things. If we could find a way to help you cope, that doesn’t leave you feeling guilty or worried that others are going to find out, what would that be like? Student Yeah, that’d be good, I guess… Guidance counselor Okay, let’s talk some more and see what we can come up with… Q. Why did this turn out better? A. Because the professional did not jump to telling the parent what to do. A. Because the professional tried to first establish some mutual goals. A. The professional also used some positive attachment type strategies, such as starting with praise / positives. A. The professional did not immediately recommend a counselor, but rather sought to first build a trusting, working relationship… 7