HOW CAN EDUCATORS BE FIRST RESPONDERS? Presented by: Catherine Bancroft, MSW, RSW Coordinator of Mental Health and Wellbeing Toronto District School Board Table of Contents • Mental Health Literacy • The Role of Educators in Mental Health Literacy • Identify Symptoms Early and Refer • The Link with Mental Health Distress and Trauma Table of Contents • Symptoms as Adaptations • The Link between Oppression(s), Trauma and Mental Health • Social Emotional Literacy • Linking Social Emotional Literacy and Academics TDSB Board Strategic Directions • Identify Disadvantage and Intervene Early • Make Every School an Effective school • Build Leadership within a Culture of Adaptability, Openness and Resilience • Form Effective Relationships and Partnerships • Build Environmentally Sustainable Schools that Inspire Teaching and Learning Mental Health for All • There is No Health without Mental Health • Mental Health for ALL MENTAL HEALTH LITERACY Created by: Ian Manion Despina Papadopoulos Kathy Short Stigma 63% of youth indicated that embarrassment, fear, peer pressure, and/or stigma are the major barriers to young people seeking help for mental health problems. Others would not recognize if they had a problem (19%) or would not know where to get help (12%). Davidson & Manion, 1996 Levels of Literacy Mental Health Awareness Strategies for providing basic mental health information, tailored for different audiences Mental Health Literacy Mental Health Expertise Strategies for ensuring Strategies for ensuring that deeper working knowledge MH professionals possess for those who have a role in the skills and knowledge to supporting child and youth effectively provide evidencemental health based MH promotion, prevention, and intervention The right information, to the right people, in the right way, at the right time Ontario Ministry of Education Why Child and Youth Mental Health? • It’s very common (13-25%) • Not everyone gets help (only 1 in 6 access services) • 70% of adults with a mental illness indicate that it started before they were 18 (50% before 14) • Suicide is the 2nd leading cause of death in ages 16-24 (Statistics Canada, 2002) • If one mental health disorder is present, more than likely there will be other problems present (45% have more than 1) Mental Health Is A Continuum Mental health Mental health problem • Strengths • Stresses at school, home and/or work • Resiliency • Attachment Mental illness / disorder •Internalizing (mood/anxiety disorders) •Externalizing •Psychoses •Substance use The Stress Curve Area Of Best Performance Stress Ear Ache • • • • • • • • • • Pain (inside) Dizzy Hard to concentrate Irritable Can’t sleep No appetite Stay home Less social Physical symptoms Go for help right away Psych Ache ? (Peggy Austen, 2005) Signs and Symptoms Look for changes (behaviours, appearance, mood) • School performance, (concentration, motivation) • Interactions with friends and family • Extreme mood swings and/or emotional outbursts of anger and rage • Eating and sleeping • Dealing with authority • Risk taking behaviour • not doing the things he or she used to enjoy • damaging other people's property • worrying constantly • obsessed with his or her weight • lacking energy or motivation • Aggression to others or self When To Be Concerned? May be signs of an underlying mental health disorder if they are: • intense; • persist over long periods of time; • inappropriate for the child's age; and • interfere with the child's life. Identify Symptoms Early and Refer Identify early signs of mental health distress/concern Refer to TDSB Team Members: Professional Support Services Staff Guidance SST Team Meetings Work as a team to find appropriate Mental Health Expertise Support What is the link with Trauma? A definition of Trauma “ A unique individual experience, associated with an event or enduring conditions, in which: • The individual’s ability to integrate the experience is overwhelmed • The individual experiences a threat to one’s emotional, mental, or physical self or bodily injury. Adapted from L.A. Pearlman and K. Saakvitne Types of Trauma include • • • • • • • • • Emotional/Verbal abuse Physical abuse Sexual abuse Witnessing abuse – secondary Death Divorce/Separation Political/War Neglect – attachment disruptions Suicide/Parasuicidal Symptoms as Adaptations • Severe stress reactions can elicit a range of reactions from humans • Symptoms are normal human adaptations • People are not symptoms • Common stress reactions include: - Physical - Cognitive - Emotional - Existential 6 Realms Affected by Traumatic Events 1) 2) 3) 4) 5) 6) Feelings Judgment Beliefs Frame of reference Memory & Perception Body/Brain Pearlman The Pain of Trauma HOPELESSNESS HIGH EMOTIONALITY DEFENSES PAIN DEFENSES DEFENSES ANXIETY DEFENSES DEPRESSION EMOTIONAL CONSTRUCTION BODY RESPONSES Zlodre, Natalie Protective Factors Problem solving, life & communication skills Access to other caring & supportive adults Sociability Pro-social peers A sense of belonging (school, community) Appropriate discipline, limit setting & structure Secure attachment to positive parent/family Opportunities to develop self-esteem Resilient Personality A healthy lifestyle Social Emotional Literacy Social and emotional learning is the process by which social and emotional literacy is achieved Social and emotional literacy is complementary to reading literacy. –Social and emotional literacy is NOT the intelligence quotient (IQ) or academic achievement. Social and emotional literacy is acquired. –Social and emotional literacy is NOT personality or character traits. Dodge, Kenneth Components of Social Emotional Literacy Emotional Competence –Emotion knowledge and expression, emotional and behavioral regulation, empathy/perspective taking Social Competence –Understanding social cues, conflict resolution/social problem solving, prosocial and cooperative behavior Self-Regulation/Executive Functions –Attention and impulse control, working memory and planning skills, inhibitory control, cognitive flexibility Dodge, Kenneth New Developmental Science Findings 1. Academic and social and emotional literacy independently predict success in important life outcomes. 2. Social literacy is acquired: in family, peer, cultural experiences beginning at birth; or directly through intervention. 3. Early social and emotional literacy development has major cascading effects. Dodge, Kenneth A Developmental Framework for Social and Emotional Literacy Dodge, Kenneth Ways to Promote Social Emotional Literacy Dodge, Kenneth Linking Social and Emotional Literacy and Academics Social-emotional and mental health problems and poor academic gains co-occur. Programs that intentionally target both are likely to maximize positive outcomes. Skills tied to social and emotional literacy are universal and developmental. Effective instruction reaches its limits when children face substantial social-emotional problems. Addressing SEL could enhance the effect of an academic intervention. Jones, Stephanie “School systems are not responsible for meeting every need of their students. But when the need directly affects learning, the school must meet the challenge.” Carnagie Council Task Force on Education of Young Adolescents, 1989 Working together, we will contribute to the creation of caring and supportive environments that maximize learning and well-being and strengthen young people, families, schools, and communities…