Disability Support Service Educational Guidelines for Students with Mental Health Conditions Students with mental health problems The term ‘mental health problems’ encapsulates a range of often unobservable or 'hidden' disorders grouped into three broad areas: Conduct = behavioural disorders, distractibility, impulsivity Feeling = anxiety, panic or phobias eg. fear of open spaces (agoraphobia) Thinking = schizophrenias or bi-polar disorder (previously known as manic-depressive disorder) Generally, mental health problems also include a fourth group of disorders arising from substance abuse (alcohol or drugs - illicit or prescription). Mental health problems are regarded as the most disabling and least understood or tolerated in tertiary education and training. Although quite often gifted academically, people with mental health problems usually underachieve due to their illness and/or medication causing short term memory and motivational difficulties. They also may not have the same resilience as their peers to deal with unhelpful staff, complicated procedures, confusing or non-existent directions, inflexible programs or uncomfortable/ depressing physical environments. Notwithstanding this, it is important to remember that most students with mental health problems are generally stable and interesting people. Some will have the following sorts of difficulties: Restlessness Lack of confidence (and difficulty making decisions) Low self-esteem (and difficulty making commitments/plans) Susceptibility to stress Anxiety and/or panic attacks Further Information For further information about reasonable adjustments for students with episodic conditions or other disabilities contact the Disability Support Service. Disability Support Services TAFE Higher Ed Telephone 9210 1181 Telephone 9214 8500 Email slowe@swin.edu.au Email lpeimer@swin.edu.au http://www.swin.edu.au/stuserv/disability/index.htm Emergency Plans Most of these difficulties are controlled by medication. However, as with any student, an emergency situation may arise. It is wise to ensure that people working with these students have an understanding of any emergency plan developed by the Disability Liaison Officer with the particular client. Such a plan includes a clear procedure and contact numbers for: the client's general practitioner and/or psychiatrist; the regional psychiatric services team; family members; community support groups; and campus security services. Crisis Management Emergency plans should be available from the Disability Support Service. Please contact the service if you have not received such a plan and believe that the student will require one. Teachers may assist a student to manage after an episode by offering: Study/course materials for classes missed or while in hospital. Professional development activities where student behaving in a problematic manner. Case management type meeting to discuss strategies. Reduce course load or tutorial support. Teachers to notify the Disability Support Service of warning signs. If a student experiences an episode, assess whether they are still in a position to successfully continue with their course. Sometimes a reduced load is required. The students should be eligible to apply for deferral or withdrawal without prejudice. Discipline Swinburne has a detailed discipline policy (regulation 16) which is applied to all students. If students engage in inappropriate behavior because of a psychotic episode and are excluded, a doctor’s certificate is required certifying that they are in a stable condition before they can return. Disability Support Services Educational Guidelines for Students with Mental Health Conditions Teaching Strategies In addition, some clients with mental health problems may have difficulty getting to and from classes, concentrating, remaining motivated, working alone, getting along with others or, sometimes, behaving in a socially acceptable manner. In such circumstances the following may be helpful: Stay positive, consistent and understanding; Whenever possible, ignore inappropriate or odd behaviour (and encourage others to do the same); Treat the client as though they are able to make choices about their behaviour; Reinforce appropriate behaviours; Proceed with a clear set of guidelines (ie. when to continue after an interruption or when to implement an emergency plan) Behavioural Guidelines Specify required behaviour for class participation and on campus. Manic behaviour or anxiety – allocate a contact teacher or counselor for the student to talk to. Get student to write questions down and direct them to a teacher after the class. Teaching Program Support It is useful to allocate a staff member in the department to meet with student every fortnight to check that they are on top of their course work and any problems they may be encountering. Where the student is demonstrating memory difficulties a tape recorder can be useful to record classes particularly in tutorials and for the student to note questions. Study Support Basic academic and study skills may need to be developed: Computer tutorials, public speaking and study skills groups. Specific subject tutorials on an as needs basis. Computer access in accessible and quiet location. Further Information For further information about reasonable adjustments for students with episodic conditions or other disabilities contact the Disability Support Service. Disability Support Services TAFE Higher Ed Telephone 9210 1181 Telephone 9214 8500 Email slowe@swin.edu.au Email lpeimer@swin.edu.au http://www.swin.edu.au/stuserv/disability/index.htm Course Selection Course Selection is particularly crucial for students with mental health conditions who may have a disrupted study history: Generally better outcomes for students who study parttime. Advise students to commence at lower level where necessary to consolidate skills and knowledge. TAFE appropriateness Is the person TAFE ready? Course co-ordinators may need to discuss this with the Disability Liaison Officer, Case Manager and/or student to assess whether the student is ready to enter the course. This may depend on: time since last hospitalisation severity of prior episode stability on medication time since change of medication acceptance of illness period since in formal education realistic choice of study Initial interviews may need to advise the student to take part-time or lower level course and progress through course levels with achievement of outcomes at each progressive level. These meetings may also give the student options on different courses available and alternative course delivery. Full-time courses are not an option for many students. Support and guidance as to the level of course entering at may also be required.