School bullying – What it is and Why it hurts The image of the class bully lording over weaker students goes back as far as the one-room schoolhouse. The class bully hasn't disappeared from our schools' classrooms, playgrounds, hallways, bathrooms, cafeterias, stairways, and school buses. In fact, children today have to put up with not only physical and verbal threats and intimidations, but also new forms of bullying. These new forms include spreading rumors through emails and cell phones, or using the Internet to cause distress. Today's children aren't any more likely than their parents to place an encounter with a bully among their fondest memories of childhood. Those who argue otherwise might try explaining why so many adults can instantly recall not just the first, but also the last names of the individuals involved in childhood bullying incidents. Bullying is repeated physical, verbal, sexual, or psychological attacks or intimidation. At one time, school bullying may have been viewed as a "rite of passage" that built "character." Today, however, it's no longer regarded as just something that happens during playground routines. Educators, health and mental health practitioners, parents, and community members are realizing that it is a serious problem that can lead to more severe long-term problems for individuals and communities. Some experts believe that bullying should be considered a special form of child abuse-sometimes called "peer abuse," the cruelty of children to each other.ref Federal researchers have found that bullying is related to more serious forms of violenceboth for the victims and for the bullies-including frequent fighting and the carrying of weapons. Bullying is also associated with a higher risk of substance abuse.ref Not all aggressive behavior among children and youth should be considered "bullying." Bullying is generally defined as repeated physical, verbal, sexual, or psychological attacks or intimidation by one individual who is perceived as being physically or psychologically stronger than another. In a general sense, a student is being bullied or victimized when he or she is exposed, repeatedly and over time, to negative actions on the part of one or more other students.ref How serious is the problem? Many students fail to report bullying to teachers and other adults, making bullying an underreported problem. As researchers probe more deeply into what goes on among school-aged children, however, alarming statistics are surfacing: According to the results of a nationwide survey funded by the National Institute of Child Health and Human Development, ref bullying affects nearly one out of every three U.S. children in grades 6-10. One third of high school students polled about issues related to school size said their schools had serious problems with bullying.ref A review of 1999 data collected by the Federal government on school safety among 12- to 18-year-old students found that approximately 36 percent of students reported seeing hate-related graffiti at school.ref Fifty-five percent of 8- to 11-year-olds and 68 percent of 12- to 15-year-olds say bullying is a big problem.ref A nationwide survey highlighted by the Centers for Disease Control and Prevention (CDC) found that 6.6 percent of students in grades 9-12 had missed at least one day of school during the 30 days preceding the survey because they felt unsafe at school or on their way to or from school.ref A survey by the American Association of University Women found that although students today are likely to be aware of school sexual harassment policies, 8 in 10 students -- both boys and girls -- said they experienced some type of sexual harassment in school. The results were the same among urban, suburban, or rural schools.ref There are signs that bullying is on the rise. According to the National Education Association (NEA), in recent years, "bullying has become more lethal and has occurred more frequently" than in the previous two decades.ref The National Association of School Psychologists (NASP) has called bullying "the most common form of violence in society".ref Groups such as the NEA, NASP, American Medical Association, and the American Bar Association have launched major initiatives to draw attention to the issue. Partly in response to several highly publicized school shootings across the country in recent years, several State legislatures have passed laws requiring schools to adopt antibullying policies. The U.S. Department of Health and Human Services also has launched a major antibullying effort using prime-time television, public service messages, and bullying educational materials to bring the message directly to the children, parents, and schools affected by these issues. Involved agencies include SAMHSA's Center for Mental Health Services and the Health Resources and Services Administration. Adults have a responsibility to understand-and intervene-when antisocial behavior crosses the line and becomes bullying used to gain control or power over another individual. Intervention also means empowering children, particularly the victims and those who are witnesses to bullying, to be part of the solution. Recognizing bullying for what it is shouldn't lead to the conclusion that schools are dangerous breeding grounds for crime and violence. The CDC notes that the majority of injuries that occur at schools are unintentional and not violent. Less than 1 percent of all homicides among children and adolescents are school related.ref However, there is no doubt that bullying can increase the "fear factor" in school environments. The Consequences of Bullying Research on bullying is still in the embryonic stages in this country. However, available figures indicate that school bullying can have major social, educational, health, and other consequences for the children who bully, the children who are bullied, the witnesses of violence, and their communities: Youth who are bullied have higher rates of suicide, depression, post-traumatic stress disorder, and substance abuse.ref Hostile kids who mistrust others are much more likely than their peers to develop physical symptoms linked to diabetes and heart attacks in the future.ref Youth who bully others frequently behave badly in school and are more likely to smoke and drink alcohol.ref According to the latest Secret Service Safe School Initiative, almost 75 percent of students who used violent weapons at school (e.g., guns or knives) to attack others felt persecuted, bullied, threatened, attacked, or injured by others prior to the incident.ref In one State, half of all reported hate crimes were committed by juveniles-the most severe and violent of these were nearly always preceded by years of bullying. Bullying and Violence A groundbreaking report published in the Archives of Pediatrics and Adolescent Medicine in 2003ref found that bullying at home or at school may lead to more aggressive behavior as the child gets older. The report analyzed information from a 1998 survey of more than 15,000 students in grades 6-10 in public and private schools across the United States. The report identified bullying as a strong risk factor for possible violence in the future. Among those who pose the greatest risk for violence are bullies who often feel threatened themselves. The study found that both children who bully and those who are bullied carry weapons to schools: About 50 percent of boys and 30 percent of girls who had bullied others in school reported carrying a weapon. Thirty-six percent of boys and 15 percent of girls who had been bullied carried a weapon. Youth who are bullied and who also bully others away from school were nearly 16 times more likely to carry a weapon. The short-term consequences of bullying for the victim are more than a black eye from a fight or a damaged reputation from an e-mail message. Those who are bullied feel tense and afraid and unable to concentrate on their studies. However, available figures indicate that bullying is coming at tremendous health, educational, and other costs to society. Impact on Learning Bullying can distract bullies, victims, and witnesses from learning. Bullies who are plotting their next attack or victims who are consumed with anxiety and fear about their next encounter with a bully will have difficulty focusing on the lesson at hand. Witnesses may:ref Be afraid of associating with the victim for fear of lowing their social status among their peers, or fear retribution from the bully and becoming victims themselves; Fear reporting bullying incidents because they do not want to be considered a "snitch," "tattler," or "informer"; Experience guilt or helplessness for not standing up to the bully on behalf of their classmate; Be drawn into bullying behavior by peer pressure; Feel unsafe, a loss of control, or unable to take action. Truancy Bullying is having tremendous health, educational, and other costs on society. Truancy has been labeled one of the top ten major problems in schools in the United States and identified as one of the most powerful predictors of delinquency. Many students stay home from school because they are afraid of being bullied.ref Students who are not in schools learning may find other, less acceptable ways to occupy their time. About half of serious violent juvenile victimizations occur between noon and 6 p.m.ref Decreased school attendance hurts the individual and society. Absence from school affects a student's achievement, promotion, graduation, self-esteem, and employment potential. Independent of the lost educational opportunities, truancy comes with other societal costs. Bullying's Long-Term Effects The effects of bullying extend beyond the school years. Bullying may lead to criminal behavior for those who bully and future health and mental health problems for both the bully and the victims: Six out of 10 kids identified as bullies in middle school are convicted of a crime by the time they reach age 24.ref Years after experiencing bullying, adults who were bullied as teens have higher levels of depression and poorer self-esteem than other adults.ref Children exposed to violence either at home or at school often suffer long-term problems such as anxiety, depression, post-traumatic stress, low self-esteem, anger, and self-destructive behaviors.ref Yet, despite its prevalence, bullying often is overlooked or downplayed as a problem among parents and educators. Many bullying activities take place out of the view of adults. But even those activities that occur within plain sight are frequently ignored: As many as one-fourth of elementary and middle school teachers don't understand the seriousness of bullying or putdowns and, therefore, intervene in only 4 percent of bullying incidents.ref More than two-thirds of middle school students believe that schools respond poorly to bullying.ref Most school bullying doesn't lead to headline-grabbing incidents of students brandishing guns in mass attacks against their perceived enemies. The consequences of bullying are often less obvious, yet nonetheless damaging and lasting. Left unchecked, bullying creates an atmosphere of intimidation and fear that can send a message to students that aggressive and violent behavior is accepted. Environmental Factors Bullying exists within an environment of other forms of violence and aggression by and toward youth: The U.S. child homicide rate (2.6 per 100,000 for children younger than 15 years) is five times higher than the rate of 25 other industrialized countries combined, according to the CDC.ref Suicide is the third leading cause of death for adolescents. The rate of suicide among adolescents increased 128 percent between 1960 and 2000.ref According to a 2001 National Household Survey on Drug Abuse (NHSDA) Report, 28 percent of the nation's youth have participated in a serious fight either at school or at work, have taken part in a group-against-group fight, or have attacked others with the intent of seriously hurting them.ref The U.S. Department of Justice reports that juveniles are twice as likely as adults to be victims of serious violent crime and three times as likely to be victims of assault.ref In one-third of the sexual assaults reported to law enforcement, the victim is under the age of 12.ref According to a comprehensive 1995 study of the prevalence of violence among youth, approximately 8.8 million youths indicated that they had seen someone else being shot, stabbed, sexually assaulted, physically assaulted, or threatened with a weapon.ref An estimated one in eight 17-year-olds have experienced post-traumatic stress disorder at some point in their lifetimes, according to the same study cited above.ref The average child sees 16,000 murders on television by age 18. Although homicide rates have decreased, network news coverage of homicides has ballooned.ref Cost of Violence The annual cost of the violence affecting young people and others in society is estimated at a staggering $425 billion in direct and indirect costs relating to the criminal justice system, security, treatment, and lost productivity and quality of life.ref Putting aside the larger questions about the degree of violence in society, however, parents, teachers, students, and communities can do something about school bullying. The time to start is now. Myths and Facts Despite increasing research and publicity about bullying, several myths still exist. See if you can separate the myths from the facts below: Instructions: Read the statement and then click on the "Myth" or "Fact" button to choose which you think it is. You may also view all the answers on one page (with references). You will need a Javascript enabled browser to score this form. How To Use offers help enabling javascript. Children who bully are loners. Is this a Myth or a Fact? "Sticks and stones may break your bones, but names can never hurt you." Is this a Myth or a Fact? All children can get bullied, even if they look "normal." Is this a Myth or a Fact? Most adults think bullying is the same as normal peer conflict. Is this a Myth or a Fact? Only a small number of children are affected by bullying. Is this a Myth or a Fact? Parents can help prevent bullying by becoming involved in their child's schooling. Is this a Myth or a Fact? Bullying happens mostly in plain sight of others. Is this a Myth or a Fact? Summary Bullying is a major problem, particularly in elementary and middle schools, and comes with major costs for the individual and society. Bullying can lead to more serious problems, including substance abuse, depression, and criminal behavior. Intervention programs, adults, and in fact, the whole community must respond to bullies, victims, and children who are witnesses. Several myths about bullying persist. These myths can affect the prevention and intervention efforts to stop bullying. Objectives At the end of this module, readers will be able to: Identify three types of children who bully and children who are bullied. Recognize three methods of bullying. Recognize three general characteristics of a bully and a victim. Differentiate the impact bullying has on the bully, victim, and witness. Peer-Peer Aggression "In a 2001 survey commissioned by the Kaiser Family Foundation, more 8- to 15-yearolds picked teasing and bullying as 'big problems' than those who picked drugs or alcohol, racism, AIDS, or pressure to have sex." Fight Crime: Invest in Kids, 2003ref Bullying is "exposure, repeatedly and over time, to negative actions on the part of one or more other students."ref It is an imbalance of power. This definition is based on work by the Norwegian researcher Dan Olweus, who pioneered the field of bullying research in the 1970s. After three young boys committed suicide in Norway in the early 1980s, efforts by Olweus and others resulted in a nationwide bullying prevention campaign in Norway. The program has become the international standard for bullying prevention.ref Bullying encompasses more than physical acts; it can take the form of: Name calling Threats Verbal or other forms of shunning.ref Most bullying shares the following characteristics: It is aggressive behavior or intentional "harm-doing"; It is carried out repeatedly and over time; and It occurs within an interpersonal relationship characterized by an imbalance of power.ref When Does Bullying Happen? Research on bullying and bullying prevention efforts is more recent in the United States than in Europe, where there has been public awareness of bullying for 20 years. Although children are less likely to be bullied as they get older, research indicates that bullying behavior tends to peak in late middle school or early high school. Older bullies just tend to pick on younger victims.ref, ref Bullies also tend to encourage others to help in the bullying or to carry out intimidating acts.ref The Role of the Peer Group Early adolescence is a particularly vulnerable time for students because it is a time when their peer groups are becoming more and more important. As children begin to yearn for independence from their parents, they turn to their peers for assurance, identity, and comfort.ref Part of that assurance or acceptance comes in the form of stratified groups among boys and girls. These groups reflect status. Elevated standing for boys is frequently based on being tough, aggressive, and athletic. For girls, physical attractiveness is a central determinant of social status.ref The transition from elementary to middle school, which usually requires children to adjust to new facilities and the presence of older children, can cause some children a lot of stress. Changing from one school to another can often lead to an increase in emotional and academic difficulties, such as dropping grades, loneliness, and anxiety.ref Some researchers speculate that the process of attempting to define a place in a new social structure may promote bullying behavior. If bullying pervades the social norm of the middle school, then children entering middle school who want to "fit in" start to copy the behaviors of those kids they see as popular. Recent studies have supported this theory. In one study of 452 fourth- through sixthgrade boys, 13 percent were rated as aggressive and popular by their teachers.ref The peer group in particular, and the school's social climate in general, therefore support the bullying activity. The challenge then becomes how to teach children to handle the stressors of a new environment and pressures to belong without practicing hurtful behaviors. Children Who Bully Boys and girls who engage in bullying behavior tend to have a need to feel powerful and in control. They seem to get satisfaction from inflicting pain or hurting their peers, both physically and emotionally. They also tend to show little sympathy or empathy for others and to defend their actions by claiming the victim provoked them.ref, ref Most of the research has been done on boys who bully. Generally, children who bully:ref, ref Are aggressive with others (including parents and teachers) Frequently hit or push other children Are physically strong and socially dominant Have a positive view of aggression Have trouble following rules Show little empathy for others Are emotionally immature Are irresponsible Show inadequate social skills (also true for bully/victims) Seek attention (think fear equals respect) Are often contemptuous of both children and adults Are often academically below average Cannot and will not accept responsibility for their actions The Role of Self-Esteem Most bullies' friendships are based on fear, not respect. There are conflicting data regarding the self-esteem of bullies. Dr. Mona O'Moore studied more than 8,000 children and found children who have been bullied, children who bully others, and children who were both bullied and who bullied others had significantly lower global self-esteem than did children who had neither bullied or been bullied. The children who both bullied and were bullied had the lowest self-esteem of all.ref There are bullies who appear to have self-esteem, but in truth are self-centered, narcissistic, and impressed with the power showered upon them. Ervin Stuab, Ph.D., professor of Psychology at the University of Massachusetts, says that "the self-esteem of aggressive boys appears to be very vulnerable, very fragile. Its maintenance requires specific circumstances and behaviors on their part. This raises the question whether we can consider it a genuine positive self-esteem."ref Popularity is often only skin deep, because most bullies' friendships are based on fear, not respect.ref Traits of Children Who Bully Bullies often share the following traits:ref Gender. More boys report bullying than girls. When researchers directly observe girls interacting on the playground, however discrepancies between genders are not as great. Boys report more physical forms of bullying; girls tend to bully in indirect ways, such as gossiping and excluding. Age. International studies have shown the highest rates of bullying among 11- and 12-year-olds, although bullying among younger kids is becoming more common. Temperament. Bullies tend to have low thresholds for frustration. Aggression. Bullies tend to be aggressive not only toward their peers, but also toward their teachers and family. They have positive attitudes about aggression and can easily be provoked. Physical Strength. Boys who bully tend to be physically stronger and have a need to dominate others. Girls who bully are not necessarily stronger than other girls in their class. They often are smaller in size. Lack of Empathy. Bullies have little empathy and show little remorse for their actions. "For 2 years, Sam, a quiet 13-year-old, was a human plaything for some of his classmates. The teenagers badgered Sam for money, forced him to swallow weeds and drink sour milk. When Sam's torturers were asked about the bullying, they said they pursued their victim because 'it was fun.'"ref Although general characteristics tend to show up for those kids who are bullies, bullying is really a continuum of behaviors. In other words, no one characteristic will define bullying, but rather, a combination of several traits and characteristics shape the behavior. It is natural to want to label a kid either a bully or a victim, but researchers have discovered that it is more accurate to look at specific instances of bullying behavior because some kids can be both bullies and victims.ref Moreover, children often fail to identify obvious bullying behaviors as such. In one study, adolescents reported practicing bullying behaviors or reported being victims of bullies, but these same children did not associate the actions as "bullying".ref Why Children Bully There are many reasons why a child may bully others or display behaviors that are hurtful and intimidating. These include:ref, ref Frustration. A child feels impaired or out of control and has not learned adequate ways to deal constructively with this frustration. The bully may have an undiagnosed learning problem, or may have an unresolved emotional problem. Rewarded. The bully is rewarded for his/her behavior and feels a sense of power. Victim of abuse. The child is being abused at home and is expressing his or her anger at younger or smaller children at school. Victim of neglect. The child's emotional, spiritual, and developmental needs are not being adequately met. The child is being bullied. If responsible adults have repeatedly failed to address the child's victimization, the child learns that exhibiting aggressive behavior may be the only way to avoid the bullying environment. Influence of others. The child may have fallen in with the wrong crowd (e.g., one that supports and practices violence, as well as drugs and alcohol). Poor or no role model. If the child does not have a positive role model at home to reflect proper means of expressing anger and/or frustration, the child then learns destructive behaviors. Conduct disorder. A bully may have a conduct disorder. If left undiagnosed, the disorder may lead to other personality disorders. Children Who Are Bullied Just as there is no one definitive profile of a bully, there is no one profile of a child who gets bullied. The reasons a child becomes bullied may include:ref Being fat or thin Being tall or short Being quiet or creative Having big ears or small ears Being from a different culture or having a different religion or ethnicity Having different tastes or likes Having the "wrong" clothes (wearing clothes that are not "cool" at the time) Wearing glasses or braces Being homosexual-or believed to be gay or lesbian Being unwilling to use strength to defend him or herself Any imaginative "excuse" "A high school boy originally from Turkey said that when he first moved to the United States, he wore the same clothes he'd worn back home and found that he was taunted as 'gay'"ref In short, the list of possible reasons for being bullied is endless. To some extent, the reasons also are irrelevant because they are merely excuses for the bully to continue his or her behavior. The child who is bullied becomes the useful object for the bully to displace his or her anger, frustration, or aggression. Traits of Children Who Are Bullied Although there is no single type of victim, for some children, the following characteristics may be present before the bullying occurs; for others, they may appear as a result of the victimization:ref Gender. Boys and girls are equally likely to report being victimized. Age. Victimization decreases as children get older. Research has shown that almost one-fourth of victims are children in grades 1-3, whereas it drops to 12 percent in grades 7-8. Younger children are more likely to be bullied by older children; children in higher grades are more likely to be bullied by their peers. Temperament. Many bullied children tend to be anxious and withdrawn. This is more indicated in preschool children than older school-age children. Physical Appearance. Research has not supported the popular misconception that victims must have some unusual physical trait or be considered ugly by the bully. Many children who are bullied have no discernable physical trait that is unusual, yet still get picked on. Self-esteem. Children who are bullied often report low self-esteem, though it is likely that in many cases, the low self-esteem is the result of the victimization. Anxiety. Boys and girls who are bullied report symptoms of anxiety, such as tenseness and fearfulness. Experts tend to characterize children as either "passive victims" or "bully-victims". Bully-victims also are sometimes called "provocative victims".ref Passive victims tend to comprise the many children who are bullied. Did You Know? Boys and girls are equally likely to report being victimized. Passive Victims Children who can be characterized as passive victims or submissive victimsref share certain qualities. Often, these children are:ref Cautious Sensitive Insecure-unable to assert themselves among their peers Socially isolated Lonely "If you treat people like dirt, like nothing, that's how you're going to feel." -quote from a bullyref Other characteristics often found in passive victims include:ref, ref Being physically weaker than their peers (particularly boys) Displaying "body anxiety" when scared of being hurt, having poor physical coordination, and not being athletic Having difficulty making friends Having poor social skills Crying or getting upset easily Having difficulty standing up for themselves in peer groups Relating better to adults than to peers Passive victims represent roughly 80-85 percent of all victims.ref It is worth noting that some of the characteristics of passive victims may be seen as contributing factors as well as consequences of victimization.ref For example, if a child feels and acts insecure, his or her behavior may signal to others that he or she is an easy victim for bullying. The insecurity may therefore be viewed as contributing to the abuse. However, a child who is bullied regularly also is likely to experience insecurity because of the bullying behavior. Bullies often engage in a "shopping process" to find students who will become their preferred victims, according to Gary Ladd, Ph.D., professor at the University of Illinois. They look for students who reward them by showing distress, who relinquish tangible resources, and who are less likely to retaliate or report them. Bullies may pick any excuse to justify their intimidating and hurtful behavior, but research indicates that children with disabilities have a higher likelihood of becoming victims of bullying. These disabilities may include muscular dystrophy, cerebral palsy, or stuttering.ref Children With Disabilities As noted earlier, bullying behavior is a problem that schools nationwide face. Most bullying research has focused on children as a whole. There is not as much research looking at bullying within subgroups of children, such as those with any form of disability. Bullies tend to focus on peers who seem vulnerable, and having a noticeable disability adds risk to a student's safety. Schools tend to label and separate students based on athletic or academic aptitude. This provides an atmosphere ripe for bullying and teasing.ref In addition, many children with disabilities do not participate in general education classes, mainstream clubs, or athletic programs-they are instead placed in special education, an additional "label." This separation perpetuates a lack of understanding and interaction among students with and without disabilities, as well as among staff outside of special education.ref With severe bullying, equal access to educational opportunities and benefits for youth with disabilities can be eroded, including denial of rights under the Individuals with Disabilities Education Act (IDEA), and provisions of a Free Appropriate Public Education (FAPE).ref Bully-Victims Bully-victims, also called provocative or aggressive victims,ref display many of the same characteristics as passive victims, except they tend to be hyperactive (though not always formally diagnosed with Attention Deficit Hyperactivity Disorder) and have trouble concentrating. This particular type of victim is not as prevalent as the passive victim, comprising just 5 percent of those children who are bullied.ref However, these children tend to be quick tempered and try to fight back if they feel they have been insulted or attacked. They are more likely to alienate their peers and teachers.ref When they are bullied, they tend to be bullied by many students or the entire class. Provocative victims also tend to bully those people who are younger or weaker than themselves.ref, ref In particular, most provocative victims:ref Have difficulty concentrating Are restless, hyperactive, impulsive, and create tension Are clumsy, immature, and exhibit irritating habits Are sometimes disliked by adults, including teachers Bully-victims or provocative victims often create problems for the entire school community and are more likely than passive victims to be referred to special education services. Unfortunately, special education placement, while often necessary, often exacerbates the bullying because students who receive special education services are more likely than students in regular classes to be bullied.ref Complaining about the community's reputation for racial harassment at sporting events, one student said, "Other schools don't want to come here to play us. Even their cheerleaders get taunted."ref Recent research has shown that these types of victims should be monitored carefully, as they frequently display not only the social-emotional problems of victims, but also the behavioral anti-social problems of bullies.ref, ref Provocative victims also were shown to have poorly modulated affect and behavior. Their impulsivity, hyperactivity, and emotional dysregulation (e.g., emotional outbursts) were very reactive, quite likely a main reason they emerge as likely targets of bullying.ref Although provocative victims often have inappropriate outbursts of emotion, they seem to internalize their emotional distress. In self-reports, they acknowledge feelings of depression and anxiety, possibly related to their difficulties coping with negative feelings.ref Among all types of bullies and victims, provocative victims are the most disliked by their peers, being the most highly rejected group or subgroup.ref Knowing the correlation between victimization and poor psychosocial functioning, this subgroup of children who are bullied and bully seem particularly at risk. Children Who Witness Bullying Witnesses and bystanders also play important roles in the dynamic of bullying. Witnesses display different attitudes and reactions towards a direct bullying situation.ref Olweus developed categories of witnesses and bystanders to help understand the complex dynamics of bullying. Besides the bully and victim, there are:ref, ref Followers or "henchmen." They take an active part, but do not start the bullying. Supporters/passive bullies. They support the bullying, but do not take an active part. Passive supporters/possible bullies. They like the bullying, but do not display open support. Disengaged onlookers. They watch what happens, but do not take a stand. Possible defenders. They dislike the bullying and think they ought to help, but do not. Defenders of the victim. They dislike the bullying and help, or try to help, the victim. Multiple studies have shown that peers are present in more than 85 percent of bullying incidents.ref, ref Peers who do not see the bully suffer negative consequences for his or her behavior are more likely to copy the behavior themselves. Two recent studies, one from Canada and the other from Finland, found that in most instances, peers were involved in or witnesses to a bullying incident, as opposed to having the bully and target alone. In fact, in the Canadian study, peers were involved in 85 percent of the bullying incidents.ref When children are interviewed, they tend to align themselves with the bully, not the victim. Children who witness or participate in repeated bullying may become desensitized and lose the ability to recognize the detriments to aggressive behavior. They only see the positive rewards from someone who wields power. Children who have a proclivity for aggressive behavior and are more impulsive are more likely to copy the bullying behavior. Research has shown that children's empathy for victims decreases as they get older,ref which affects whether they are likely to intervene in a bullying situation. When bullying occurs on the playground, peers may play a large role in encouraging the aggressive behavior by gathering around and watching. Research consistently shows that a majority of peers do not intervene, and in fact, act in ways that maintain the behavior.ref, ref When children are interviewed, they tend to align themselves with the bully, not the victim. It is important to note that there are children who do try to intervene, either directly (with the bully) or indirectly (by telling a teacher or another adult). These children, research has found, tend to have a higher social status in general. Their status as class or group leaders enables them to take some of the power away from the bully and therefore establishes more balance.ref The Importance of Witnesses Studies indicate that roughly 30 percent of students are either bullies or victims or both (within a school term). That makes 70 percent of the student population potential witnesses. Some researchers believe that the witnesses to bullying are the key to eliminating bullying because they are the sizable majority in any school.ref Although this student population wields the most power and has the most opportunity to change a school, they are not a homogeneous group. Of course, the entire school community must support system change to support any bullying prevention effort. In the book "Bullies, Witnesses & Targets: Helping Children Break the Chain," SuEllen and Paula Fried describe six categories of witnesses: "Tattling is when you are trying to get someone in trouble. Reporting is when you are trying to get someone out of trouble. Inactive. These children are somewhat aware of the bullying, but try to avoid incidents and shield themselves from dealing with the bullying. Angry. They become angry at the victims for not deflecting the bullying. They blame the victim for their inaction, which forces the witness to be an audience to the continued abuse. Fearful. These witnesses confess that it hurts them to see their classmates being victimized. They think about doing something to stop the bullying, either by intervening themselves or telling a teacher, but fear the potential wrath of the bully. Voyeur. These kids get pleasure from watching others get taunted and bullied or are relieved they are not the victim. Accomplice. They cause the most harm because of their collusion. They laugh at the bullying and join him/her in the behavior as a way of ingratiating themselves with the bully. Accomplice witnesses give the bully more power, status, and popularity because they join in the act, which would not get as much attention if the bully acted alone. Helpful. These children actually try to help the victim either by directly intervening or getting an adult to stop the incident. Helpful witnesses understand the difference between tattling and reporting. Methods of Bullying Children and adolescents may use a variety of methods to hurt one another. The most well known form of bullying is physical aggression. This may include hitting, kicking, punching, or destruction of property. Verbal bullying may include teasing, name-calling, and taunting a child to make him or her angry. Physical and verbal bullying are both considered direct forms of bullying. There also are indirect forms of bullying. Examples include spreading rumors, excluding others from a group, and enlisting someone else to assault someone for the bully. Role of Gender Researchers are still examining the role of gender in bullying and aggression. When it comes to bullying, both girls and boys bully, although the methods may differ. Research has suggested that males are more likely than females to be violent and to physically bully both other boys and girls.ref, ref Some research has shown that boys tend to be physically aggressive and are more easily provoked by physical behavior. Girls, however, tend to be relationally aggressive with other girls and are provoked by that behavior, not physical behavior.ref Males Aggression Females Place your mouse over either of the figures to see what their bullying tendancies are. Relational aggression involves attacking the relationships of people and hurting people's self-esteem. It is subtler and involves behaviors such as spreading rumors, withholding friendships, ignoring, gossiping, or excluding a child from a small group of friends.ref, ref More focused research is needed to investigate the impact of gender on school bullying and youth violence. Traditionally, aggression has been accepted by society for boys and men. In school, aggression may be rewarded for boys. As reflected by the social status of peer groups for boys in middle and high school, aggressive boys tend to hold higher status among their peers. Aggression in girls, however, is not as accepted or as well studied as aggression in boys. Overall, physical aggression has received the greatest attention from researchers, educators, and parents when examining the consequences of bullying. Most females engage in comparatively low levels of aggression, thereby popularizing the notion that females are less aggressive than males.ref With closer study, however, it appears that the nature of the aggression differs from that of their male peers. Female youth practice what has been called "relational" aggression.ref This covers behaviors such as:ref Manipulating one's relationships with peers; Purposefully ignoring someone when angry (giving the "silent treatment"); Spreading hurtful rumors or talking about someone; and Telling others not to play with or talk to a certain classmate as a means of retaliation. In each of the above examples, social relationships are used as the vehicle for harming a peer, not physical acts. Both physical and relational victimization have been found to predict certain social and psychological adjustment problems (e.g., peer rejection, loneliness) beyond aggression.ref This could be described as using a more indirect approach to bullying. Sexual Bullying/Homophobic Bullying In addition to verbal, physical, and psychological bullying, there also is sexual bullying. Homophobic bullying is included in this category. Sexual bullying occurs when one student is harassed by another student(s) with unwanted words or actions. Examples of sexual bullying include:ref, ref A recent survey found that 9 out of 10 teens hear other kids at school or in their community use words such as "fag," "homo," "dyke," "queer," or "gay" at least once in a while. Unwanted jokes, comments, or taunts about sexual body parts Teasing about sexual orientation or starting rumors about sexual activities Passing unwanted notes or pictures about sex Physically intrusive behaviors, such as brushing up against or grabbing someone in a sexual way or forcing someone to engage in unwanted sexual behaviors Spreading sexual rumors Pulling at clothing in a sexual way or pulling clothing down or off "Flashing" or "mooning" A recent survey by the National Mental Health Association found that more than 75 percent of teens report that peers who are gay or thought to be gay are teased or bullied in their schools and communities. Nine out of 10 teens hear other kids at school or in their community use words such as "fag," "homo," "dyke," "queer," or "gay" at least once in a while, with 51 percent hearing them every day.ref Another study found that lesbian/gay/bisexual/transgender (LGBT) youth heard slurs about 26 times a day, or one every 14 minutes.ref Hearing derogatory and hurtful words and becoming victim to physical aggression can severely affect a LGBT youth's education, and mental and physical health. These students are more apt to skip school due to the fear, threats, and property vandalism directed at them.ref Using Technology To Bully Technological advances have created new ways for one child to bully another. Some adolescents use cell phones to bully others. Abusive phone calls can range from silent "breather" calls to swearing, shouting, or making threats.ref Another common form of cell phone bullying is using text (txt) messaging to send threats or abuse. Bullies often find a way to hide their phone numbers from the victim. Many teenagers use the Internet to create Web logs or "blogs," which are online journals or diaries. Blogs can be easily accessed by anyone on the Internet and are easy to set up and maintain. One survey found that 10 million blogs are expected to be up and running by the end of 2004.ref The vast majority of bloggers are teens and young adults; 90 percent of them are between 13 and 29 years old. Although adolescence is a turbulent time when peer relations dominate, some teenagers use personal information gathered from another person's blog in hurtful ways such as spreading rumors or gossip.ref In Great Britain, making anonymous, or abusive phone calls or electronic messages is a criminal offense. The definition covers anyone who uses a public telecommunication system:ref To send a message or other matter that is grossly offensive or of an indecent, obscene, or menacing character; or To cause annoyance, inconvenience, or needless anxiety to another, or to Summary Bullying affects most children, either directly or indirectly, and takes many forms. There are several types of victims and players in the complex process of bullying. Witnesses to bullying comprise the largest percentage of children in a school. All forms of technology can be used by a student to bully or intimidate another student. persistently send a message that the person knows to be false. Objectives At the end of this module, readers will be able to: Understand bullying within the larger context of a child's school and family environment. Recognize the factors that contribute to aggressive behavior, including bullying. Identify three protective factors that can reduce the likelihood of aggressive behavior. List two strategies for promoting resiliency. Youth Violence and Aggression "It appears that bullying is not an isolated behavior, but a sign that children may be involved in more violent behaviors." -Duane Alexander, M.D., Director of the National Institute of Child Health and Human Developmentref The deaths of 12 students and 1 teacher in a suburban Colorado school by two troubledand bullied-youth, who then committed suicide, etched the word "Columbine" in the American psyche. Columbine and other highly publicized school shootings garnered countless media reports and public commentary, including a report by the Surgeon Generalref and antibullying efforts by State legislatures and the U.S. Government. Rarely does bullying reach the level of violence that erupted at Columbine. Even lowlevel bullying, however, has the potential to escalate into mental health, substance abuse, or other problems. For many students, bullying may be just one manifestation of other problems present in the home, at school, or in the community. Because experts now know that bullying may increase the level of fear in schools, as well as violence outside of schools, substance abuse, and other problems, parents, educators, policymakers, and others must understand the factors contributing to the problem to design effective responses. Risk and Protective Factors Children do not live in a vacuum. Their behavior may result from the interaction of multiple factors, some specific to the individual and others that are situational, familial, or societal. The presence of "risk factors" puts an individual at higher risk of aggressive behavior, such as bullying. Conversely, the presence of "protective factors" may ward off bullying behaviors. Examples of protective factors include parent supervision and participation at school, peaceful conflict resolution in the home, and parental discouragement of aggression. Decreasing risk while increasing protective factors is the goal of bullying prevention. Risk factors usually do not exist independently. That is, several risk factors may be present in one child. One study found that a 10-year-old exposed to six or more risk factors is 10 times more likely to be violent by age 18 as a 10-year-old exposed to only one factor.ref Risk Factor Timing The timing of the occurrence of risk factors also determines whether a child has an increased risk of violence. Effective prevention programs must not only consider the range of risk factors present (in the individual as well as the environment), but that in the developmental process, these factors are more likely to be significant. The fact that risk factors are present does not mean that a child is predetermined to commit bullying and other aggressive acts. No single risk factor or combination of factors can predict with certainty that violence will occur, nor does the presence of protective factors ensure that violence will not occur. Recognizing risk and protective factors serve the purpose of predicting the likelihood of bullying and violence and identifying points of prevention at the individual and community levels. It is interesting to note, however, that when third-grade students were asked to identify classmates who were bullies, 25 percent of the 8- and 9-year-olds they identified as bullies had a criminal record by the age of 30.ref Individual Factors Individual factors affecting bullying and aggression include: Behavioral characteristics Biological influences, such as the chemical makeup of the brain or developmental problems A child's personality and interpersonal behaviors often play a role in determining the likelihood that he or she will become a bully or a bullying victim. Examples of personality traits include shyness, outgoingness, contentedness, irritability, patience, resourcefulness, and determination. Children who are more impulsive and active, with dominant personalities, may be more inclined to bully.ref Children who are anxious, insecure, cautious, socially isolated, or who lack social skills may be more inclined to be victims.ref A child's temperament, or the way he or she interacts with others, can be affected by his or her physical characteristics, such as height or weight, attractiveness, health problems, or the presence of a physical, emotional, or other kind of disability. Individual risk factors may include HIV, fetal alcohol syndrome, or retardation.ref Although the presence of any one of these risk factors does not mean a child will be overly aggressive or become a victim, each plays a role in how the child interacts with those around him or her. Many children and youth who behave violently may have a long history of emotional and behavioral problems. Although it is important to avoid stereotyping or labeling of individuals with certain personality traits, it is nonetheless worth noting that experts have identified certain behavioral patterns that may be warning signs. Warning Signs for Violence The Commission for the Prevention of Youth Violence has identified warning signs of youth violence and recommends consultation with a mental health professional for youth who demonstrate any of the following:ref Frequent loss of temper Frequent physical fighting Significant vandalism or property damage Making serious threats Extreme impulsiveness Alcohol and other drug abuse Easily frustrated Hurting animals Preoccupation with violent or morbid themes or fantasies in schoolwork, artwork, or choice of entertainment Carrying a weapon Name calling, abusive language Bullying or being bullied Truancy Excessive feelings of rejection, isolation, or persecution Gang affiliation Depression, despair Low self-esteem Threatening or attempting suicide Extreme mood swings Deteriorating school performance Being witness to or the subject of domestic abuse Setting fires Preoccupation with weapons and explosive devices History of discipline problems Social withdrawal Blaming others for difficulties and problems The Surgeon General's Report on Youth Violence lists a number of risk factors that may be present in the individual that can help predict the onset, continuity, or escalation of violence either at a young age (ages 6 to 11) or later (ages 12 to 14):ref General offenses Physical violence Substance use Being male Aggression (among males) Hyperactivity, restlessness Difficulty concentrating (among males) Risk taking Crimes against persons Antisocial behavior Exposure to television Medical or physical condition Low IQ Dishonesty (among males) Substance Abuse by the Student Substance use is a major risk factor in increasing the probability of youth violence in both the early onset and late onset of violence. Statistics bear out this link between alcohol and violence. For example: According to one study, 40 percent of students who drank alcohol at school also carried a weapon at school, compared with 4.4 percent of those who did not drink.ref High school girls who smoke, drink, or use marijuana are more than twice as likely to report having been in a physical fight in the past 30 days as those who have never smoked, according to a study looking at the effects of substance abuse among girls and young women.ref Children who drink alcohol by seventh grade are more likely to commit criminal and violent acts and have other problems, according to a RAND Health study.ref The American Medical Association found that compared with adolescents who were nondrinkers, adolescents who were drinkers:ref Scored worse on vocabulary, general information, memory, memory retrieval, and at least three other tests. Experienced a 10-percent decrease in verbal and nonverbal information recall performance in a year's period. Indicated "significant" neuropsychological deficits in youth ages 15 and 16 with histories of extensive alcohol use. Performed worse in school and were more likely to fall behind and have an increased risk of social problems, depression, suicidal thoughts, and violenc Familial Factors Familial factors contributing to bullying and aggression include: ref Substance or alcohol abuse by someone in the family Certain kinds of parenting behaviors toward the child Family violence Lack of warmth and involvement on the part of the parents Overly permissive parenting Lack of setting clear limits for child Lack of or inadequate parental supervision Harsh, corporal punishment Child maltreatment, such as sexual or physical abuse As every parent knows, one of the best ways to teach a young child a new skill is to show by doing. Unfortunately, the technique is all too effective when it comes to behaviors that adults may not want children to emulate. Children who experience violence either as victims or as witnesses "are at increased risk of becoming violent themselves," according to the U.S. Department of Justice's Office of Juvenile Justice and Delinquency Prevention (OJJDP).ref These children: Begin committing crimes at a younger age; Commit nearly twice as many offenses as non-abused children; and Are arrested more frequently than non-abused children. Children need not experience the abuse themselves to be harmed. OJJDP notes that children who have viewed or heard violent acts often have the same lasting effects as those children who are direct victims. Research continues to show that, among some children, parental permissiveness toward aggression and harsh, punitive parenting both may lead to aggression and therefore bullying.ref, ref More specifically, some parents may encourage their kids to be tough and aggressive. Many boys from these types of families end up being not only aggressive, but angry, argumentative, and disruptive.ref Children need not experience the abuse themselves to be harmed. These aggressive boys learn that their self-esteem or self-image should be based on their strength, power, and physical superiority over others. They do not learn that a positive image includes competence, good performance in school, and good relations with family and peers. Parents who use coercive parenting instill fear very early in their children. They often do this by using techniques that create an inequality of power such as physical punishment, yelling, and name-calling.ref, ref Lack of Support Disciplinary practices vary widely from family to family. Whatever the style, if the parent is not consistent, the child suffers. For example, if a parent overlooks misbehavior one day yet severely punishes the child the next day for the same behavior, the child does not learn right from wrong. Mixed messages from the parents where one says one thing and the other says something different also can confuse a child. Familial behaviors have the potential to strengthen or weaken a school-aged child's ability to relate to peers and behave appropriately. Compared with past generations, new mothers today often do not have the social supports of family and community that help provide positive models of child rearing and discipline. They often feel overwhelmed, isolated, and unprepared. When a mother is unable to care for her child early in the child's life, that child does not bond securely with the mother. This often leads to deficiencies that may show up in the child as a lack of empathy, trust, and reciprocity of feelings. Parents also may have problems such as alcoholism or drug abuse and mental illness. Socioeconomic factors can serve as risk factors for children and youth. Many families need to work more than one job to make ends meet. Often, kids are left for long periods of time after school with little or no adult supervision. The impact can range from a parent being unable to provide homework help to a lack of recreational and cultural opportunities in a violent neighborhood. Limited social and economic resources also contribute to parental stress, child abuse, and family breakups.ref Substance Abuse by Family Members Alcohol and substance abuse-whether by the student or by family members-increases the likelihood that the student will turn to violence. According to the National Association for Children of Alcoholics (NACOA), families affected by alcoholism report higher levels of conflict than do families with no alcoholism.ref Alcohol abuse also is linked to domestic violence. Most welfare professionals cite substance abuse as a cause of or contributor to at least half of child maltreatment cases.ref Children of addicted parents may indicate problems that make them susceptible to bullying. In general, children of parents who abuse alcohol have higher rates of school absenteeism and are more likely to leave school, or be referred to the school psychologists than are children of non-alcohol-abusing parents. Societal and Community Factors Societal and community factors affecting bullying and violence include: Bigotry Poverty Easy access to alcohol and weapons Poor schools The prevalence of violence in the media and popular cultureref Outside of the family, one of the major factors contributing to youth violence is the impact of peers.ref Many adolescents spend up to 40 percent of their non-sleeping time alone or with peers (or adults) who might negatively influence their behavior.ref Another study has put the figure even higher, noting that adolescents spend only 4.8 percent of their time with the parents and 2 percent with adults who are not their parents.ref A particular school's climate also plays a significant role in influencing the dynamics of peer relationships. School Factors "Again and again in our listening conferences, young people said, 'It's up to us.'" Schools with a high incidence of bullying tend to have a lack of adequate adult supervision (especially during breaks) and an overall indifferent or accepting attitude toward bullying.ref What this often means is that less noticeable verbal attacks aimed at another student may not get corrected. If a child is verbally attacked on a regular basis, his or her view of school and peers is tainted and often negative. A child's attitude toward and performance in school may influence whether he or she turns to bullying and violence. Many factors contribute to school performance, including peer group and family dynamics. Gang membership is identified as a high risk factor among youth who experience a late onset of violence, along with neighborhood influences, such as crime, drugs, and disorganization. For many children and youth in the throes of adolescence, the peer group replaces the family in holding the most influence. As a result, efforts to create an antibullying culture among schools must incorporate the role of the peer group. Violence in the Media American children are bombarded by information and images from television, movies, music videos, video games, the Internet, and other mass-media outlets. Most of the research on the impact of the media and its connection to aggressive behavior in children has been limited to television. The body of research indicates that exposure to media violence increases children's aggressive behavior in the short term and encourages aggressive attitudes and emotions, which may in turn lead to aggressive or violent behavior.ref Research on new media forms, such as cable television programs, video games, and the Internet, is in the initial stages of development. The Surgeon General's report noted that some experts have hypothesized that the hands-on nature of some of the new media may result in dramatically different behavioral outcomes than the more passive forms of entertainment from movies and television. Not only do many American children spend hours a day being entertained by a television or a computer game, but much of the content and programming they are exposed to is violent. A National Television Violence Survey that examined the content and amount of violence on American television found that:ref Mouse-Over the Buttons to Change Stations Forty-four percent of the violent interactions on television involve perpetrators who have some attractive qualities. Sixty-one percent of television programs contain some violence, and only 4 percent of television programs with violent content feature an anti-violence theme. Nearly 75 percent of violent scenes of television feature no immediate punishment for or condemnation of violence. The debate over the extent and impact of media violence raises numerous issues relating to government and/or self-regulating of the media industry, as well as educational efforts and technological advances that can help parents monitor children's access to media. As research unfolds and the debate continues, the best approach is for families to be proactive in determining what their children are exposed to and how often. In addition to questions about its impact on children's behavior, the prevalence of new media raises concerns about how children are adapting technological advances to bully their peers. Many parents, educators, and others are just waking up to the realization that children and youth are posting messages on Web sites and using cell phones and the internet to spread rumors and to harass or abuse their peers. (See Module 2, Methods of Bullying, for more information.) Protective Factors For Bullying and Violence Schools, parents, and communities have a responsibility to eliminate risk factors that make children and youth vulnerable to bullying and violence. Combined with the effort to eliminate or reduce risk factors affecting behaviors, communities also may increase the factors that increase the resilience among students to stay clear of risky behaviors. Many youth, including those who are subject to multiple risk factors, have the personal strength and resilience to help them avoid problems such as alcohol, drugs, and school violence. American culture is peppered with stories of how individuals have achieved the highest levels of success against all odds. As with risk factors, some characteristics of resilient children are at the individual level; others are at the family or peer level. "No student should be afraid to go to school because of bullying, and no parent should be worried that their child may be bullied." -from Make Time to Listen, Take Time to Talk brochure Whether at the individual, family, school, and peer group level, protective factors can help moderate the effect of negative influences. Researchers are increasingly aware of the importance these protective factors play in improving public health. Protective factors that may help buffer the risk of youth violence include:ref Having a positive outlook on social situations Being aware of consequences for bad behavior Enjoying warm, supportive relationships with parents or other adults Having friends that parents approve of Being supervised by parents Being committed to school Winning recognition for involvement in positive activities Living in a neighborhood free of crime, drugs, or other symptoms of community disorganizations What Makes Resilience? The capacity to withstand hardship requires several strengths. These include:ref Insight: learning how things and people work Independence: knowing when a relationship is unhealthy and how to set boundaries Relationships: learning how to make and maintain healthy relationships Initiative: generating constructive activities and creatively solving problems Creativity and humor: using creativity and humor to express complex emotions or to reduce tension Morality: knowing right from wrong and standing up for those beliefs Developmental Assets The Search Institute, which supports practical research for healthy development, has identified 40 developmental "assets" that can help build resiliency in an individual, children, groups of children, and communities. The Institute has surveyed more than 2 million youth across the United States and Canada since 1989 and found a "strong and consistent relationship between the number of assets present in young people's lives and the degree to which they develop in positive and healthful ways".ref Some of the assets may be manifested externally in the family or community. These external assets include: Family and community support; Caring adult relationships; The setting of boundaries and expectations; and Constructive use of time. Other assets are present internally, including: Having an enjoyment of learning; Reading for pleasure; Having positive values and a caring attitude; Having a sense of equality and social justice; Having a healthy lifestyle and healthy attitude toward sex; and Possessing social competencies and having a positive identity. The fewer assets a youth has, the more likely he or she is to engage in risky behaviors. A Search Institute survey conducted during the 1999-2000 school year of more than 200,000 youth in grades 6-12 in more than 300 communities across the United States found that young people from all racial/ethnic groups who engaged in high-risk behaviors reported, on average, only six to nine of the 40 developmental assets. The same survey found that youth who did not engage in high-risk behaviors, had, on average, 23 or 24 assets. Clearly, there is a need for what the Search Institute calls "asset-building." The Search Institute found that overall, the average youth in grades 6-12 has fewer than 20 of the 40 assets. Most successful programs to address school violence and bullying aim to build protective assets among children and youth so that they can develop in positive and healthful ways. Understanding the role protective factors play in school violence does not preclude addressing systemic problems that contribute to school violence, such as poverty, drugs, and crime. Notwithstanding the need to help individual students at risk, addressing the causes of bullying and school violence also requires a consideration of the broader public policy issues present in the home, school, and community. Strategies for Promoting Resiliency To prevent your child from being bullied:ref Instill self-confidence in your child. Help your child establish good social skills. Teach your child to speak out for himself or herself. Teach your child to seek help, if harassed, from you and other caring adults. To prevent your child from bullying:ref Present yourself as a model of nonviolent behavior. Clearly state that violence is not acceptable. Assist your child in finding nonviolent strategies for anger management and conflict resolution. Seek help from mental health/school counselors to help stop bullying and aggressive behavior. Practitioners also can help youth develop resiliency. Some strategies include:ref Identify the youth's assets. Identify the family's assets. Role model positive behavior. Encourage learning and participation in extracurricular activities. Encourage the youth to explore and identify his or her values and beliefs. Teach communication skills, problem solving skills, and decisionmaking skills. Promote community involvement. Help youth to identify goals and find the resources to help achieve these goals. Set clear expectations with the youth. Encourage the youth to develop a positive sense of self. Summary The presence of risk factors within the individual, family, or community can help predict the likelihood of violence. Protective factors at the individual, family, school, and peer group level can help moderate the effects of negative influences. Substance abuse, either by the individual or by a family member, is a major risk factor for youth violence. Youth who have inner strength and resilience may avoid problems, such as alcohol, other drugs, bullying, and school violence. Objectives At the end of this module, readers will be able to: Recognize two reasons why assessment is important in elementary school. List two methods used to facilitate talking with kids. Describe three of the most common issues mental health professionals face when working with kids in late elementary and middle school years. Mental Health Counselors "Having a child who is bullied means seeing your child become an outcast, frozen out, and completely isolated... 'I wouldn't wish the grief and helplessness I feel on any parents, but I wish you and your children could actually feel just for a short time what my daughter and our family have had to live with for the last 6 months or so. Then perhaps you would understand."-Mother of a victim of bullying.ref The mental health field is filled with varying and often overlapping professions. These include mental health counseling, psychology, social work, marriage and family counseling, professional counseling, psychiatry, and school counseling.ref Many, if not all, of these professions work with children, either in private practice, community-based clinics, or schools. All mental health professionals benefit from an understanding of the complexity of bullying and school-based violence. The knowledge is bound to enhance the quality of clinical work with children. School-based mental health professionals need to work within the framework of the larger school system, paying attention to family and community concerns at the same time. This framework includes a recognition and respect for the increasingly diverse populations within our schools, including many students who may be using English as a second language. It is important for school professionals to remember that formal interviews with a student about psychosocial/mental health concerns require the signed informed consent from a parent or legal guardian. If possible, students also should provide informed consent. Further legal and confidentiality concerns are addressed in Module 7. Cultural Competencies There are certain cultural competencies that counselors should have in the fight to combat violence and bullying in the schools. These include:ref Becoming aware of and changing any of their own "dominator" attitudes toward racial, cultural, and religious differences. This refers to beliefs about a person being better than another or more deserving than another based on his or her race, culture, or religion. Modeling how to live using partnership values. Teaching students about the role fear and lack of understanding of cultural, racial, and religious differences play in bullying incidents. Conducting in-service trainings with teachers and other school staff about the causes and effects of bullying and how to intervene, including those situations that involve racial or cultural overtones. Helping to create a positive school climate that involves everyone and designing interventions that ensure that no one is marginalized for any reason. Structuring small counseling and cultural awareness groups for students to explore the stereotypes and cultural ignorance to discover what they have in common. Becoming part of the proactive process to prevent bullying, such as helping to establish antibullying policies. Reaching out to those students who appear marginalized, stigmatized, or victimized, and those who are bullies. Assessment/Screening Nearly every student encounters distractions in the home or in the peer group that can make learning difficult. Some students, however, face more serious barriers on a daily basis that may prevent them from learning, interacting with peers, and growing emotionally. Being a victim of bullying falls under this category. School staff and mental health professionals are confronted with children daily who are doing poorly in school as a result of emotional and/or psychosocial problems. To provide an environment in which students can learn and succeed, school professionals need effective tools to assess the nature of the problems and resources for change.ref This module discusses assessment and screening of general behavioral and/or emotional problems, as well as those directly related to bullying behavior. Professionals should consider a number of clinical issues with children and adolescents before addressing and diagnosing children. Definitions Assessment is a broad-based concept that includes diagnosis, screening, and diagnostic testing. In practice, the overall aim of assessment is to collect information about the client and make judgments as an aid to decisionmaking. In practice, the overall aim of assessment is to describe information about the client and make judgments as an aid to decisionmaking. The judgments may refer to what happened in the past (what caused the problem), the present (how severe is the problem), or the future (how the problem may improve with a certain intervention). There is some controversy in the field regarding the approaches used in assessment because even when objective data are used, decisions often are made subjectively.ref However, assessment still remains an important step in beginning to identify a student's problem. Because young children do not always fall neatly into specific mental health categories, mental health professionals need specialized skills and training to do the assessment. The National Association of School Psychologists (NASP) promotes early childhood assessment practices that are: Developmentally appropriate, ecological, comprehensive, skills based, and family focused. Conducted by a multidisciplinary team. Linked to intervention strategies designed for young children, rather than to categorical classification. Based on comprehensive, educational and/or behavioral concerns, rather than isolated deficits identified by individual assessment. Nondiscriminatory in terms of gender, ethnicity, native language, family composition, and/or socioeconomic status. Technically adequate and validated for the purpose(s) for which they are used, including the provision of norms for minority children and children with physical disabilities.ref Functions of Assessment The major purposes of assessment can be grouped into four functional categories. These include:ref Identification. Data are used to help find and label the focus of interest. This focus may be a child's problem or behavior, as well as a particular strength. Selection. Data are used to help make decisions about general changes in status. These changes usually revolve around decisions about the general nature and form of intervention needed (e.g., educational, psychological, or medically necessary treatments). Planning for specific change. Data are used to determine immediate and shortterm objectives and procedures for accomplishing long-term goals. Examples are specific plans or prescriptions for a given day's intervention. Evaluation of intervention. Data are used to decide whether the intervention was effective based on positive and negative outcomes. Functional Behavioral Assessment Almost all professionals in the field agree on one thing: No one knows exactly what causes problem behavior. Schools have frequently reacted to bad behavior by suspending problem students. However, if the underlying causes are not addressed, the behavior will repeat itself and possibly get worse after students are suspended. Functional behavioral assessment is an approach that diagnoses the causes of problem behavior (such as bullying) and identifies likely interventions. Functional behavioral assessment looks beyond the behavior itself and focuses on the underlying biological, social, affective, and environmental factors that initiate, sustain, or end the behavior.ref Research has shown that focusing on "why" the student behaves badly, or the underlying motivation, is more effective than focusing on the behavior alone. Behavioral Problem Before a functional behavioral assessment can be effectively implemented, it is necessary to pinpoint the behavior causing discipline problems. Many factors play a role in a student's inability to behave appropriately or to learn. These include:ref Deficiencies in basic living and opportunities for development: 1. Lack of food in the home 2. Inadequate clothing-substandard housing (also being homeless) 3. Lack of transportation 4. Family income at or below the poverty line 5. Immigrant-related concerns (e.g., limited English, legal status) Observable problems: 1. School adjustment problems 2. Relational difficulties (insensitivity to others, dysfunctional family situation) 3. Substance abuse 4. Abuse by others (physical, sexual) 5. Emotional upset-delinquency General stressors and underlying psychological problems associated with them: 1. External stressors (perceived) and deficits in support system 2. Competence deficits (low self-efficacy/self-esteem, skill deficits) 3. Threats to self-determination/autonomy/control 4. Perceiving threats to valued relationships 5. Psychopathology Crises and emergencies: 1. Personal/familial (such as domestic violence) 2. Subgroup (such as the death of a classmate) 3. School-wide (such as a shooting on campus) Difficult transitions: 1. Associated with stages of schooling (entering or leaving middle school) 2. Associated with stages of life (puberty) 3. Associated with changes in life circumstances (moving, death in the family) Behavioral Causes Because problem behavior stems from a variety of causes, it is best to examine the behavior from as many different perspectives as possible. It is best for the student when schools have teams of teachers, mental health professionals, and school nurses to examine problems. This allows the entire team to reflect on what purposes are being served when the student engages in the bullying behavior. Questions that can help the team decide on appropriate intervention include:ref Is the problem behavior linked to a skill deficit? Does the student understand what behavior is expected of him or her? Does the student realize that he or she is engaging in unacceptable behavior, or has that behavior simply become a habit? Does the student have the skill (or knowledge), but for some reason not the desire, to change his or her behavior? Sometimes a student can perform a skill or behavior, but does not behave consistently or in all school settings. This is often called a "performance deficit." In some cases, the student's behavior is being rewarded by attention from teachers or peers. In this case, the team may need to ask additional questions when developing an assessment plan. These may include: 1. Is there value to the student acting in this particular way? 2. Is the problem associated with certain social or environmental conditions? 3. What current rules or routines does the student consider irrelevant? If the problem is both skill- and performance-based, what supports does the student need to help him or her adapt the behavior (e.g., disrupting classroom, not listening) more appropriately? These supports may be school or mental health supports as well as skill-based supports (e.g., anger management, relaxation, communication skills). Behavioral Plan Whatever the approach, the behavior plan should be inclusive and proactive. The assessment plan should be linked to a behavior plan. Positive behavioral interventions may include:ref Whatever the approach, the behavior plan should be inclusive and proactive. Replacing problem behavior with appropriate behaviors that serve the same function as the inappropriate ones (e.g., getting attention). Increasing the appropriate behaviors. Making necessary changes to the environment to encourage acceptable behavior rather than reward inappropriate behavior. Providing necessary supports for each child. Assessment Techniques There are two main techniques that can be used in an assessment: the indirect assessment and the direct assessment. Indirect Assessment This is sometimes referred to as an "informant" assessment. It relies heavily on structured interviews (mostly in the form of a questionnaire) with students, teachers, parents, guardians, or other adults who have direct responsibility for the student.ref The Inventory of Wrongful Activity is another example of a questionnaire. There are many commercially available assessments and questionnaires that can help a school or mental health professional conduct an indirect assessment. Questionnaires also may be given to teachers to conduct a school-wide assessment of problems such as bullying, substance abuse, and violence. One example is Handling Bullying: A Staff Questionnaire. The National School Safety Center has developed a short checklist of characteristics of youth who may be at risk for causing school violence. These characteristics serve to alert school administrators, teachers, and other support staff of the needs of students, especially those with emotional or behavioral issues. Direct Assessment Direct assessment involves observing and recording situational factors surrounding a problem behavior (e.g., antecedent and consequent events). The observer, usually an evaluator, examines the student in the setting where the problem behavior is most likely to occur. The evaluator records this data using an Antecedent-Behavior-Consequence (ABC) approachref and creates a matrix or scatter diagram to identify patterns of relationship among variables. Direct assessment requires observation over a longer period. Understanding the Nature and Scope of Problems What specific areas and topics should be addressed in an assessment? The answer depends on the current status of various aspects of a student's daily life. One approach to the interview has been developed by Dr. Henry Berman of the University of California, Los Angeles (UCLA) Department of Psychology. It is known as HEADS (Home, Education, Activities, Drugs, Sexuality).ref HEADS provides a way to start the interview or assessment; it is not a diagnostic tool. It gives a mental health professional a place to start in an interview. Problem areas discovered can be explored in more detail. The interview examines questions such as: Home/Health Education Activities Drugs Sexuality Home/Health Place of residence: Where does the student live and with whom? Physical conditions at the home? Family status, relationships, and problems (separation, loss, conflict, abuse, lack of supervision, victimization)? Physical health: Developmental problems? Somatic complaints? Accident proneness? Indications of physical or sexual abuse? Indications of an eating disorder? Recent physical injury/trauma? Emotional health: Anxieties? Fears? Anger? Frustration? Frequent and extreme mood swings? Self-image (degree of perceived sense of competence, self-worth, control over daily events, gender concern, self-acceptance)? Isolation or recent loss? Hopes and expectations for the future? If unhappy, is he/she depressed? If depressed, is he/she suicidal? Back to top Education School functioning: Grade, special placement? Learning (level of skills)? Performance (daily effort and functioning, grades)? Motivation (interests, attendance)? Relationships at school: Behavior (cooperation and responsiveness to demands and limits)? Special relationships with any school staff? Plans for future education? Activities Types of interests: How does the student spend time? Interest or involvement in music? Art? Sports? Religion? Culture? Gang membership? Responsibilities: Caring for siblings? Chores? Job? Relationships with peers: Any close friends? Separation/loss? Conflict? Abuse? Neglect? Victimization? Alienation? Relationships with other adults: Positive role models? Supportive community? Supportive home? Back to top The following categories also should be included for students in upper middle school and high school: Drugs Substance use or abuse? Back to top Sexuality Active sexually? Considering becoming active sexually? Is, has been, or wants to be pregnant? Problems with identity? Back to top Other Indicators The mental health professional interviewing the student and/or his or her family also should be alert to indicators of psychological and mental health problems of the student, including:ref The student and family should always be asked for input in developing strategies for problem solving. Appearance: Dress, grooming, or unusual physical characteristics. Behavior: Activity level, mannerisms, eye contact, manner of relating to therapist/parent, motor behavior, aggression, or impulsivity. Expressive Speech: Fluency, pressure, impediment, and volume. Thought Content: Fears, worries, preoccupations, obsessions, or delusions. Cognition: Orientation, vocabulary, abstraction, and intelligence. Mood/Affect: Depression, agitation, anxiety, hostility, or irritability. Suicidality/Homicidality: Thoughts, behavior, stated intent, or risks to self and others. Attitude/Insight/Strengths: Adaptive capacity, strengths and assets, cooperation, insight, judgment, and motivation for treatment. Other general questions include: What is going well? What is going not so well? How pervasive and serious are the problems? What seems to be the causes of the problems? What could be done to make things better? The student and family should always be asked for input in developing strategies for problem solving. By involving the student, the professional helps him or her to identify the problem and begin to process the underlying factors influencing the problem. It also allows the mental health professional to assess the student and family commitment to change.ref Talking With Kids According to the Center for Mental Health in Schools at the UCLA Department of Psychology, there are specific communication skills that will help promote an effective and open dialogue with kids. In general, effective communication involves being able to talk with, not at, others. An active listener avoids prying or judging. Rather, he or she understands when it is appropriate to share information and relate one's own experiences. Some suggestions include:ref Creating the context for dialogue: 1. Create a private space and a climate where the youngster can feel it is safe to talk. 2. Clarify the value of keeping things confidential. 3. Explore dialogues when the time or condition is right -- do not push if it isn't. 4. Utilize methods other than just conversations, such as working together on a project while talking. Establishing credibility as a listener: 1. Respond with empathy, warmth, and understanding (express appropriate reassurance and praise, minimize criticism and confrontation). 2. Show genuine regard and respect (the ability to transmit real interest and acceptance of the other's feelings). 3. Use active and undistracted listening. 4. Validate and affirm a student's observation whenever appropriate. 5. Keep in mind that you want the student to feel more competent as a result of the interchange. Facilitating talk: An active listener avoids prying or judging. 1. 2. 3. 4. Avoid interrupting. Start slowly, avoid asking questions, and minimize pressure to talk. Encourage the child to take the lead. Humor can open the dialogue -- sarcasm has the opposite effect. 5. Give the child your undivided attention. Show that what the child is saying is important, which helps develop positive attitudes and skills for oral communication. 6. Ask open-ended questions, not yes or no questions. 7. Include another child or small group if a child is reluctant to talk alone. 8. Help a child find the words to describe feelings by sharing your own observations about his or her behavior (i.e., "It looks like something made you angry" or "You seem sad today"). 9. Be sure to make positive interactions outweigh the negative interactions when a child has an emotional, behavioral, or learning problem. 10. Respect the need for short periods of silence -- the silence is part of the process and allows a child to think about the issue without the pressure to talk. Referring Students to a Mental Health Professional The following guidelines can be used when working with students who have repeatedly been victimized by bullying, are victims of domestic violence, or have been subject to an incident of school violence. In making a referral, teachers need to stress that it is not a sign of parents' failure if they are not able to help the child themselves. It also is important to realize that early action will help the child resume his or her normal school activities faster. A child's ability to deal with the stress may depend on the form of victimization or the nature of the crisis. A child who is abused at home will likely suffer additional trauma if bullied at school. That child may have insufficient coping skills to handle the stress both at home and at school.ref Preschool and Elementary School Consider referring the student/family for professional help if the child: Seems excessively withdrawn and depressed Does not respond to special attention and attempts to draw him/her out Begins to display regressive behaviors (thumb sucking, soiling clothes) for extended periods of time Exhibits extreme signs of anxiety, such as excessive clinging, irritability, eating or sleeping problems, for more than 1 month Middle and High School Consider referral to a mental health professional if the student: Is consistently unfocused and disoriented Is severely depressed or despondent or shows agitation, restlessness, or pacing Shows signs of self-mutilation Seems unable to take care of his or her appearance (bathing, changing clothes, eating, etc.) Repeats ritualistic acts Uses drugs or alcohol Is unable to make simple decisions or carry out everyday functions Shows excessive preoccupation with one idea or thought -- especially one that is violent to self or others Warning Signs of Bullying/Victimization Children may exhibit warning signs of being a victim of bullying. A child may be a victim of bullying if he or she:ref Returns from school with torn, missing, or damaged clothing, books, or belongings Has unexplained cuts, bruises, and/or scratches Has few, if any, friends Appears afraid to go to school Has lost interest in school work Complains of stomachaches or headaches Has trouble sleeping and/or has frequent nightmares Appears sad, depressed, or moody Appears anxious and/or has low self-esteem Is quiet, sensitive, or passive If any of the above characteristics are present, a teacher, school personnel, or parent should follow up with the student first to explore what may be going on, then contact the appropriate mental health professional. The problems may or may not be related to bullying. Bullying Characteristics In the specific context of bullying, it is important for a teacher to differentiate between bullying behavior and normal peer conflict, particularly when other behavioral, emotional, or mental health issues may be present. There are three defining characteristics of bullying:ref, ref 1. Intent to harm. The bully finds pleasure in taunting or trying to dominate the victim and continues even after the victim is in distress. 2. Intensity and duration. The bullying continues over a long period of time, and the effect is damaging to the victim's self-esteem. 3. Power of the bully. The bully uses age, strength, or size to overpower the target. Other defining aspects of bullying have to do with the effects on the victim: 1. Vulnerability of the victim or target. The target is sensitive to teasing and cannot adequately defend him or herself. Physical or psychological qualities also may play a role in being bullied. 2. Lack of support. The target feels isolated and vulnerable. Often, the target does not report the incident due to fear of retaliation. 3. Long-term consequences. The damage to the victim's self-esteem is often long lasting and may lead the student to withdraw from school and peers or makes them more aggressive. Peer Conflict In contrast, a normal peer conflict will not contain any of those elements found in a bullying-target relationship. Peer conflicts involve the following five factors:ref 1. 2. 3. 4. 5. Freedom of expression. Peers do not insist on getting their own way. Willingness to communicate. Peers give reasons when they disagree. The relationship is valued. Peers apologize or try to find win-win situations. Negotiation is an option. Peers will bargain and negotiate to get their needs met. Disengagement is an option. Peers can change the topic or walk away. Depression It is increasingly important for all school personnel and administrators to be aware of possible depression in children who are targets of bullying. Olweus found in his research that being bullied in middle school is predictive of low self-esteem 10 years later. He also found that by age 23, children who were bullied in middle school were more depressed and had lower self-esteem than their peers who had not been bullied.ref In the general population, roughly 2.5 percent of children and up to 8.3 percent of adolescents suffer from depression.ref Research is showing that the onset of depression is occurring earlier than in past decades. Not only is depression occurring earlier, it seems to persist and recur through adolescence and into adulthood.ref Awareness of depression is critical when working with elementary and middle school children because children's behavior and the factors that affect their behavior will determine their success later in life. Depression in children may have a hereditary link, but the school environment plays a big role in shaping a child's mental health as well. For example: Students receive an average of 213 verbal put-downs per week, or 30 per day.ref Ten percent of students who drop out of school do so because of repeated bullying.ref Ninety percent of all students felt that bullying caused social, emotional, or academic problems for those students who were bullied.ref The diagnostic criteria and key defining features of major depressive disorder in children and adolescents are the same as for adults. However, depression in children is often harder to recognize and diagnose, and symptoms differ depending on developmental stages.ref, ref Children have a harder time verbally expressing how they are feeling and describing their moods. Unless parents are aware of some of the signs of depression in children, they are often unable to see a child's behavior for what it is. Signs of Depression in Children and Adolescents Mood disorders, such as depression or dysthymia, substantially increase the risk of suicide. The incidence of suicide attempts reaches a peak during the midadolescent years. More than 90 percent of children and adolescents who commit suicide have a mental disorder.ref Depression often is present in these children. Research has shown that at any one time, between 10 and 15 percent of the child and adolescent population have some symptoms of depression.ref Between 10 and 15 percent of the child and adolescent population have some symptoms of depression. Symptoms of depression in children and adolescents may include:ref Frequent vague, nonspecific physical complaints such as headaches, muscle aches, stomachaches, or tiredness Frequent absences from school or poor performance in school Talk of or efforts to run away from home Outbursts of shouting, complaining, unexplained irritability, or crying Being bored Lack of interest in playing with friends Alcohol or substance abuse Social isolation, poor communication Fear of death Extreme sensitivity to rejection or failure Increased irritability, anger, or hostility Reckless behavior Difficulty with relationships Anxiety Disorders In childhood and adolescence, the presence of anxiety disorders (which includes separation anxiety disorder, generalized, social phobia, obsessive-compulsive disorder) is higher than any other mental disorder. In fact, researchers estimate that 13 percent of children and adolescents in the United States have some anxiety disorder.ref A child who manifests excessive anxiety behavior is likely to worry about all aspects of his or her environment, including:ref Academic performance Sporting activities Being on time Natural disasters Peer relationships Appearance Research has shown that children who are the victims of bullying have a higher rate of anxiety disorders (mostly social anxiety) and loneliness.ref, ref In one study, recurrent victimization was a strong predictor of self-reported symptoms of anxiety and depression for girls, but not for boys.ref Children who are anxious often become overly conformist, perfectionist, or unsure of themselves. Their anxiety limits their ability to achieve self-fulfillment; they seek approval and reassurance from those around them. With social phobia, worries branch out also to include: Fear of being embarrassed in any social setting Fear of speaking in front of a class or in public Fear of eating, drinking, or writing in public Physical manifestations of social phobia include:ref Heart palpitations Tremors Sweating Diarrhea Blushing Muscle tension Panic attack (in severe cases) Anxiety disorders tend to be long lasting, often remaining through adulthood, although they may become less severe. Often, the child adapts by hiding the anxiety better. Life events may either reassure the child or exacerbate the anxiety and disorder. Conduct Disorder in Children and Adolescents Conduct disorder is a component of the disruptive disorders that also includes oppositional defiant disorder (ODD) and attention-deficit hyperactivity disorder (ADHD).ref These classifications seem to be a collection of behaviors rather than a coherent pattern of mental dysfunction.ref General characteristic behaviors of the disruptive disorders include:ref, ref Children with conduct disorder rarely respond to punishment or any reward system for good behavior. Aggressively fighting Bullying Intimidation Physically assaulting another Sexually coercing another Being cruel to people and/or animals Easily losing temper Deliberately refusing to comply with requests Blaming others for their own mistakes Continually being angry and resentful Vandalism, setting fires, and smashing windows (in high school) Theft, truancy, and early substance use (late middle school and high school) Precocious sexual activity (i.e., in late middle school and high school) In preschool boys, high reactivity, difficulty being soothed, and high motor activity may indicate risk for ODD. Often, ODD is a precursor of conduct disorder in the middle and high school years. Depending on how it is defined, as many as 1 to 4 percent of all 9- to 17-year-olds have a conduct disorder. Children with an early onset of the disorder (before age 10) are usually male.ref Conduct disorder is hard to diagnose and hard to treat. Generally, diagnosis is contingent on the presence of three or more of the above behaviors over a year's period, with at least one behavior within 6 months of the evaluation.ref Bullying others is common with children with conduct disorder. However, conduct disorder is not based on one incident of misconduct, but rather, behavior that permeates all aspects of a child's life, both in school and at home. Unfortunately, children with conduct disorder rarely respond to punishment or any reward system for good behavior.ref Children with conduct disorders tend to come from families with excessive amounts of dysfunction and chaos. This often includes lack of supervision, frequent changes in caregivers, poverty, neglect, and alcoholism. Alcohol Use Disorders (Mainly in Adolescents) Most assessment and diagnostic criteria for alcohol use disorders (AUD) have been conducted on adults, as defined by the The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). However, as more research is conducted on adolescents, there have been screening tools developed to help compensate for certain limitations. The DSM-IV describes two primary AUDs: alcohol abuse and alcohol dependence. Adolescents tend to have alcohol abuse because they haven't had the time to develop a long-term dependence. Alcohol abuse is a type of drinking that is accompanied by one or more of the following behaviors within a 12-month period:ref Failure to fulfill major work, school, or home responsibilities. Drinking in situations that are physically dangerous, such as while driving a car or operating machinery. Recurring alcohol-related legal problems, such as being arrested while under the influence of alcohol or physically hurting someone while drunk. Continuing to drink despite ongoing relationship problems caused or worsened by the effects of alcohol. Alcohol dependence can include all of the signs of alcohol abuse, but is more serious. The person may be unable to stop or control his or her drinking, even after trying. He or she may exhibit tolerance of alcohol or show withdrawal symptoms with the absence of alcohol.ref This person is said to be addicted to alcohol. DSM-IV is used by most professionals who work in addiction to help diagnose anxiety disorders, affective disorders, psychotic disorders, and substance abuse disorders. Approximately 11 million youth in the United States under the age of 21 drink alcohol. In the DSM-IV, substance abuse is defined as "a maladaptive pattern of substance use characterized by hazardous or compulsive use or the presence of role impairment or recurrent legal problems, but without evidence of tolerance or withdrawal." Most people who meet the criteria for substance abuse eventually will meet the criteria for dependence if they continue to use (American Psychiatric Association, 1994). Approximately 11 million youth in the United States under the age of 21 drink alcohol.ref Nearly half of them drink to excess, consuming five or more drinks in a row. This pattern of excessive underage drinking does not stop once the person reaches legal age. The pattern of alcohol abuse often continues into adulthood. Warning Signs of Alcohol Abuse Sometimes it is difficult to tell if a teenager or young adult has a drinking problem. Most teenagers and young adults will not walk up to someone they are close to and ask for help. There are signs that alcohol or other drugs are taking control of someone's life. Some of these signs are easy to see. Others are not. If a child has one or more of the warning signs listed below, he or she may have a problem with alcohol or other drugs: Getting drunk or high on a regular basis Lying about things (like where or with whom the child hangs out) or about how much alcohol or other drugs he or she is using Avoiding his or her parents to get drunk or high Giving up activities he or she used to do, such as sports or homework Hanging out with friends who drink or use drugs Having to drink more to get the same high Believing that he or she needs to drink or use other drugs to have fun Pressuring others to drink or use drugs Drinking and driving Taking risks, including sexual risks Having frequent hangovers Feeling rundown, hopeless, depressed, or suicidal Getting in trouble with the law Being suspended from school for an alcohol- or drug-related incident Objectives At the end of this module, readers will be able to: Identify two theoretical perspectives for bullying/victimization. Describe two clinical interventions used with children and adolescents affected by bullying and victimization. Why Do Some Children Become Bullies? Teasing makes me feel so sad. Watching teasing makes me mad. Teasing just is not right So stand against it with all your might --from a poem by a third-grade student There are several theoretical perspectives that aim to describe why certain kids bully and others are bullied. Not all have received strong empirical support, but are nonetheless found in the research. Some possible explanations include: ref, ref How a child reacts to the bullying can often determine how long bullying continues. 1. Maternal-Child Relationship. This theory, which examines a child's early relationship with his/her mother, states that children in preschool and early school years who are sheltered from social interactions are ill equipped for normal interactions later. These children do not know how to handle conflicts that arise. When there is a conflict with a peer, these children exhibit inappropriate behavior that makes them different from their peers. They therefore become targets for bullying and victimization. These children are often timid, lack independent conflict resolution skills, and lack age-appropriate social skills. 2. Victim Hypothesis. This theory posits that bullies are attracted to the demeanor of overly anxious children and youth -- that there is something about that particular child that seems to be more vulnerable than his or her peers. 3. Difference Hypothesis. This attributes bullying victimization to external attributes of the child or youth. This could include obesity, vision impairments, braces, poor motor skills, cerebral palsy, disabilities, learning disabilities, sexual orientation, etc. 4. Social Identity Theory. A person's social identity is shaped by the school environment (including peers) and his or her interactions with it. If identification with the school is strong, then the school becomes a positive reference group for the student. For some bullies, evidence shows that the school community may not be so positive. As a student drifts towards a delinquent identity, the school environment becomes a negative reference. 5. Reintegrative Shaming Theory. At some level, many bullies feel shame for their behavior (though they may not consciously recognize it). Feeling shame can act as a barrier to positive identification with a school. Youth learn either adaptive or maladaptive shame management as they age. Youth who can recognize their wrongful behavior, take responsibility, and make amends can let go of the shame. For those students who do not know how to do this, their shame can be turned into anger, therefore pulling them away from their peers and a positive identification with the school. ref Yet not all children who fit into one of the above categories falls prey to bullying. How a child reacts to the bullying can often determine how long bullying continues. Children with good coping skills, as well as those able to use a sense of humor, are less likely to become continued targets of bullies. Clinicians can consider the above theoretical perspectives as they examine bullying in the context of the increasing importance of the peer group during late elementary and middle school. Early adolescents, seeking autonomy from their parents, turn to their peers to discuss problems, feelings, fears, and doubts. However, this reliance on peers exists concurrently with the need for status. ref It is during this time that peer groups become distinct, and issues of acceptance and popularity become highly important. Discuss two benefits of play therapy for students. Social-Interactional or Social-Ecological Perspective In most instances, peers were involved in or witnesses to a bullying incident. International research supports the view that the peer group and other outside factors influence bullying. This framework is called the social-interactional or social-ecological perspective. This perspective considers bullying behaviors to be the result of complex interaction between a person's internal characteristics (e.g., impulsivity) and the social environment (e.g., peer group behaviors/attitudes, school social system). ref Bullying is not just the result of two individuals having characteristics that make them prone to becoming a bully or a victim of bullying, but rather is a process that unfolds within the larger social environment. This environment includes influences of peers, teachers, administrators, the playground and classroom environments, and family. Stress Perspective When children transition from elementary school to middle school, they often experience stress. Although this area hasn't been extensively studied, there is some evidence that this transitional stress may cause bullying behavior. A child may feel the need to quickly establish his or her status in the new social structure. ref Education studies have shown that changing from one school to another often leads to an increase in emotional and academic problems that are not present with kids who stay in the same school. Bullying may be the way some kids deal with this new, more stressful environment. ref Social Learning Theory Researchers who have examined behaviors of kids just entering middle school have found that bullying incidents increase during the first year of the transition. ref Researchers have speculated that if bullying is part of the larger school culture (in middle school), then those kids just entering the school are trying to assimilate. People-and kids are no exception-easily learn behaviors from those around them. Learned behavior theory demonstrates that people -- and kids are no exception -- easily learn behaviors from those around them. Clearly, some of the behaviors are not appropriate or healthy. Many kids who have learned bullying behavior have not yet learned how to interact positively in the social structure of the school. Sixth graders who want to fit in, for example, may adopt behaviors such as teasing and bullying, modeling those older kids who have been in the school longer and have more power. ref In the 1970s, Albert Bandura, a researcher and psychologist, created and pioneered the social learning theory. This approach examined the phenomenon that people (and especially children) will model behavior usually considered outside the norm. Through hundreds of studies with children, Bandura identified three conditions that influence the likelihood of modeling. Children are more likely to imitate a model when:ref The model is a powerful figure. The model is rewarded rather than punished for the behavior. The model shares similar characteristics with the child. In the context of bullying, the bully clearly holds a position of power and often suffers no negative consequences for his or her actions. Reinforcement often comes from a bully's peers who either join in the bullying, gather to watch, or silently condone the behavior by not offering to help the victim or stop the bullying. ref Yet not all children who fit into one of the above categories falls prey to bullying. How a child reacts to the bullying can often determine how long bullying continues. Children with good coping skills, as well as those able to use a sense of humor, are less likely to become continued targets of bullies. Clinicians can consider the above theoretical perspectives as they examine bullying in the context of the increasing importance of the peer group during late elementary and middle school. Early adolescents, seeking autonomy from their parents, turn to their peers to discuss problems, feelings, fears, and doubts. However, this reliance on peers exists concurrently with the need for status. ref It is during this time that peer groups become distinct, and issues of acceptance and popularity become highly important. Clinical Interventions With Children Increasingly, schools are beginning to adopt approaches to school bullying and violence that involve all relevant players in a child's life. The supplement From Primary Prevention to Treatment of Serious Problems highlights what collaborations are needed to support the goal of helping a child learn and be safe. ref Although the most successful bullying prevention approaches involve the entire school ref, sometimes children need individual attention with a mental health professional. Specifically, when working with a child who bullies (or is a bully/victim), the professional can ask specific questions, with the answers sometimes determining the course of intervention. These questions include:ref Did you plan to (add specific incident: e.g., take the other boy's lunch money) beforehand, or was it a sudden urge? Why did you pick on that particular person? What were you thinking when you did it? (Example: "I need the money," "I'll look cool.") How did you feel when you did it? (Example: excited, thrilled, frightened, powerful) How do you think the other boy felt? What's happening in your life or in your family that may be upsetting you? When the professional understands the details of what happened, they can determine how to help the child. Using the example of stealing another boy's money, if the child stole the money because he saw it sitting on a lunch tray and had a sudden urge to grab it, he will need to learn to recognize his impulses and to stop them when they are inappropriate. If he planned to steal the money, pre-selected a victim, and stole because he wanted to look important, he will need to learn positive ways to make friends and gain peer acceptance. ref Mental health professionals use a variety of therapeutic approaches with children depending on the age of the child and the nature of the problem(s). At times, a combination of different psychotherapeutic approaches may be helpful. In some cases, a combination of psychotherapy and medication may be necessary. Cognitive-Behavioral Therapy Cognitive-behavioral therapy (CBT) is a behavioral approach that has been used in treating a variety of anxiety disorders and mood disorders in adults as well as in children and adolescents. CBT has been found to be most effective with mild depression and anxiety disorders such as social phobia. ref The CBT approach asks a person to examine his or her thought process, which then leads to reflection on emotions and feelings. This approach is based on the theory that thoughts, beliefs, and attitudes determine emotion and behavior. ref CBT involves teaching youth about the thought-emotion-behavior link and working with them to modify their thinking patterns. This will lead to better, more adaptive behavior, especially in stressful situations. ref Many children have not been taught adequate coping skills. They have internalized negative thoughts about their self-worth. Using CBT, the therapist works to identify the underlying thinking that is causing unwanted or painful feelings. The therapist then helps the child replace this distorted thinking with thoughts that enable healthier and more appropriate behavior. ref CBT is helpful to use when working with children who have been involved in bullying or any other victimization because many suffer from anxiety and/or depression. In practice, the mental health professional can work with the child to teach him or her to recognize the way they talk to themselves before and/or after an incident. Thoughts affect how a child will feel, which then will determine ways a child will act. In a bullying situation, a child who is bullied may be telling him/herself, "I am not good enough to be treated well" or "My feelings are not as important as others are." These thoughts can often lead to lower self-esteem and depression. If that child can learn to change their self-talk, then they can learn positive ways to address the bullying while raising their self-esteem. Even aside from the context of bullying, research shows that depression is increasing among children, and children are being affected by depression at an earlier age. Almost 20 percent of adolescents may experience at least one episode of depression by the time they reach 18. ref Adolescents in particular may have a multitude of symptoms, including depression, suicidality, impulsivity, and behavior problems. r Applying Cognitive-Behavioral Techniques in a Classroom Cognitive-behavioral interventions (CBI) can be effective in helping teachers provide students with the tools necessary to control their behavior. It involves teaching the use of their self-talk to make them aware of how their thoughts affect their resulting feelings and emotions. Researchers consider the internalization of self-statements fundamental in developing self-control, so those children whose self-statements are negative have negative beliefs about themselves. This can contribute to behavior problems, including aggression and victimization. ref By using rewards, modeling, role-plays, and self-evaluation, teachers or other school staff can use the CBI approach with all students or those who have demonstrated higher risk for behavior and emotional problems. The following is an example of this approach: ref A boy gets teased and wants to push the peer back. This behavior can be mediated by inner speech such as "That makes me mad, but first I need to calm down and think about this." In this example, as in all cognitive-behavioral interventions, the overt behavior (hitting or pushing) is mediated by cognition ("I'm going to let him have it.") The premise is that if a child can change his or her thoughts (cognition), the child can learn to change his or her behavior. Modeling from the teacher is crucial for students to develop their own techniques for changing thoughts. A teacher may walk a class through the process by sharing comments with the class, such as, "What she said just now makes me really angry, but I won't say anything now. I'll talk to her later." The teacher should be sure to also share the outcome: "I'm glad I didn't say anything. It turned out to be just a misunderstanding." As a result, teachers are helping students think about their thinking. ref In a CBI classroom, students would use the following sequential strategy when approaching a problem: ref Stop and think before acting. They are taught to restrain aggressive responses through the use of inner speak. Identify the problem. Students are required to distinguish the specific aspects of a situation that may elicit aggressive responses. Develop alternative solutions. Each student generates at least two alternative solutions to aggressive behavior. These could include thinking about something else until he or she is able to relax, or moving to another location. Evaluate the consequences of possible solutions. Select and implement a solution. Objectives At the end of this module, readers will be able to: Identify three strategies for schools to use to decrease and/or prevent bullying. Illustrate two ways in which parents can help their children combat bullying. List three ways in which the entire school community (including health and mental health professionals, and students) can provide a climate of learning and eliminate the "fear factor." Prevention Is Everybody's Business All students need to feel safe and secure to learn, and learning entails much more than academics. One of the most damaging aspects of bullying in schools is that it poisons the atmosphere of learning for everyone. All students need to feel safe and secure in order to learn, and learning entails much more than the academics. Middle school students, in particular, are focused at that age on peer acceptance and vulnerable to messages about what is acceptable behavior for "fitting in." Prevention efforts must recognize the role of the peer group, as well as the relationship between the person who bullies and the person who is bullied. Promoting this environment of health and safety is a community-wide responsibility. Lack of adult supervision, acceptance of bullying behavior, and inconsistent enforcement of rules provide fertile conditions for the propagation of bullying activities. Many children who are bullied can't always handle the problem on their own. Adults must play a significant role. Studies have shown that the most effective programs aren't those that rely on negative, punitive measures. Effective prevention programs promote positive and just practices, while also setting firm limits to unacceptable behavior. Some schools and communities have created exemplary programs to reduce bullying and its detrimental effects on children. Replicating these programs and creating new responses can reduce the "fear factor" in the nation's schools. Comprehensive Prevention Strategies Research and experience suggest comprehensive efforts that involve administrators, teachers and other school staff, students, and parents who are concerned about school violence and bullying are more likely to be successful than those based solely in the classroom.ref,ref Comprehensive intervention encompasses clearly worded policies and stated codes of behaviors with consistent and supportive follow-through. Many resources needed come from the existing school community, including all school staff (including hall monitors, cafeteria workers, janitors), administrators, and parents. It takes time to change attitudes and behaviors. But a community that perseveres can be successful.ref More than 10 years ago, Harvard University convened international experts on school violence and bullying to study prevention strategies. Sponsored by the National School Safety Center and the Federal Office of Juvenile Justice, Delinquency and Prevention, the practicum included prominent researchers, mental health professionals, and school and law enforcement personnel. This effort resulted in the development of a list of services, strategies, and suggested training classes for addressing bullying. It also led to the recommendation that schools provide:ref Rules against bullying that are publicized, posted school-wide, and accompanied by consistent sanctions Student and adult mentors who assist victims to build self-esteem and to foster mutual understanding of and appreciation for differences in others A "buddy system" that pairs students with a particular friend or an older student who is aware of the buddy's class schedule and is available if help is needed An on-campus parents' center to recruit parents to participate in the educational process, volunteer, and assist in school projects and activities Parenting and anger management classes for adults Behavior contracts signed by students and parents, and written behavior codes for students, teachers, and staff members Discipline policies that emphasize positive behaviors rather than punishments for wrong behaviors Training for all adult supervisors in cafeterias, playgrounds, or other "hot spots" where bullying is known to occur Classroom and school-wide activities designed to build self-esteem (for those who are bullied) by spotlighting special talents, hobbies, interests, and abilities of all students What Can Schools/Administrators Do? All staff at a school should be aware of what steps are necessary to help prevent and stop bullying. As a first step, school staff should be aware of the purposes bullying may serve for the children who bully. These include:ref Attention, recognition, prestige, or acceptance in a peer group. (Creating a climate that does not tolerate bullying removes the social power of bullies.) Access to an activity or item. Some students use bullying as an excuse to get what they want (e.g., extortion, intimidation). A lack of understanding of social, cultural, psychological, or physical differences. Planning for Safe Schools A safe school is the result of careful planning and research, and a thorough understanding of the school's environment and community is critical to its success. Many schools have found it helpful to begin by creating an antibullying planning worksheet to ensure all avenues have been considered. This multisystem approach sends a clear and consistent message to bullies and victims alike that bullies are not in charge and all children deserve to be safe.ref The Olweus Bullying Prevention Program created by Dan Olweus has been identified as one of the Substance Abuse and Mental Health Services Administration's Model Programs (http://modelprograms.samhsa.gov/) as well as one of 10 model violence prevention programs by the Center for the Study and Prevention of Violence (www.cspv.org). The core elements for school-level interventions in this program include:ref, ref Assessing school needs and goals by using an anonymous questionnaire to poll the student body on the nature and extent of bullying problems Forming a bullying prevention coordinating committee Providing in-service days for teachers to review findings of the questionnaire, discuss the problem, and plan the prevention efforts Holding school-wide events to launch the program and incorporating antibullying themes and activities into the curriculum Increasing supervision in areas that are known "hotspots" for bullying, including the cafeteria and playground Developing school-wide rules and consistent consequences for violations against bullying Developing a system to reinforce positive behaviors Holding staff discussion groups to enhance understanding and motivation Involving parents in school activities and ensuring parents and schools are aware of available resources in the community The Olweus program also involves class-level interventions (e.g., class meetings about bullying) and individual-level interventions. If adults do not provide the intervention students need, then students will take matters into their own hands. ref The Maine Project Against Bullying has designed a tool called the Grade 3 Survey. This survey was given at 165 schools in Maine to establish some baseline data on bullying in that state. Counselors can adapt this survey to help assess the bullying problem at their particular school, or it can be used at multiple schools in a given county to provide a broader picture of the problem. The purpose of the survey is to help school teams make a brief assessment about: The nature and extent of bullying How children have reacted to bullying and what the consequences have been (in terms of their feelings of safety and well-being) Whether they have informed others, and if so, what were the outcomes? Students' perceptions of their own aggressive behaviors at school Gender differences in all of the above Choosing the correct bullying prevention program for a particular school can be confusing and overwhelming. Olweus's Bullying Prevention Program has been incorporated into many school systems nationwide. However, other programs may better fit the needs of a particular school. Schools can start the process of choosing a bullying prevention program by asking the right questions. A condensed version of this page is available as a Fact Sheet in HTML and PDF formats. Antibullying Policies When trying to reduce bullying in a school, the entire school administration should agree on and develop its own policy and procedures for dealing with discipline, which is followed by all school staff. In addition to implementing consistent discipline, all adults should model respectful and appropriate behavior. Procedures may include:ref, ref Intervene immediately. Stop the bullying behavior as soon as you see it or hear about it. Talk to the bully and the victim separately. If more than one child is involved, talk to each of them individually, in quick succession. If a peer mediation program is already in place, be careful with referrals where bullying is involved because of the power imbalance between bully and victim. The target may feel additional intimidation and/or may not have the communication or assertiveness skills necessary for successful mediation. Consult with other school personnel to understand the wider implication of the new policies within the larger school community. Expect the bully to minimize or deny his or her actions. Inform all bullies of the school policy and rules, class codes, the school sanctions, and the expectations for behavior. Reassure the victim. He or she needs to know that measures will be taken to address the bullying behavior. Inform the parents immediately about the incident. Follow up until the situation is resolved. For students who are the victims of bullying:ref Involve them in groups and situations to make friends and develop social skills (e.g., peer support group, new student orientation, or cooperative learning group). Encourage them to participate in assertiveness training. For students who bully:ref Reeducate them as to their behavior, its impact, and resulting consequences. Determine what situations require sanctions, such as removing privileges, detention, etc. Some schools mandate that aggressive children must complete social skills modules designed to reduce aggression and build empathy during detention. For students who are witnesses:ref Educate witnesses on the difference between tattling and reporting. Encourage witnesses to support victims rather than bullies. What About Teachers? Teachers are the single most effective deterrent to bullying. Schools that have actively reduced bullying have teachers that are committed, can recognize bullying, and know how to safeguard their students against it.ref Teachers need to use their influence to get curricula to implement that promotes kindness, communication, cooperation, and empathy.ref Teachers can also: Discuss and post rules as to how to behave. Increase student ownership of rules by soliciting input from students. Implement immediate consequences for aggressive behavior and immediate rewards for inclusive behavior. Possible sanctions include having the bully:ref 1. Discuss the incident with the teacher, principal, and/or parents. 2. Pay for damaged belongings. 3. Spend time in the office or another classroom. 4. Forfeit recess or other privileges. Conduct class meetings to discuss bullying and what to do about it. Model respect for individual differences and develop empathy. Explain that "reporting" and "tattling" are not the same. Acknowledge improved behavior by those who bully. Institute a "bully box" for students to report bullying instances confidentially. Teach bystanders to make friends with the victims of bullying. Keep a log of bullying incidents to identify patterns in bullying behavior.ref Do not expect students to resolve things themselves. Mediation between victim and bully has been shown to be ineffective. ref, re What Can Parents Do? Parents are an essential element in the school's effort to create a safe and orderly learning environment. Parents can do the following:ref, ref, ref Set standards of behavior, limits, and clear expectations for their child, in and out of school. Provide a secure attachment for their child. Be as positive as possible with the child. The goal for parents is to provide five positive comments for every negative one directed at a child.ref Monitor their own behavior and aggression. Demonstrate behavior at home between adults that is not bullying or aggressive. Children copy parents' behaviors--good or bad.ref Provide appropriate models of conflict resolution. Model empathetic behavior. Offer suggestions/advice for dealing with problematic peers. Encourage children who are bystanders to bullying to act appropriately. Be concerned and responsive regardless of whether their child is the reported bully or the victim. Offer support, but do not encourage dependence.ref Become involved in their child's school life by reviewing homework, meeting teachers, reading with their child, and attending school functions. Build a network of other adults, parents, and students to discuss school safety and other issues. Give children the social skills they need to navigate through their own school experience. Teach children to have respect for differences. Explain the difference between an assertive and an aggressive response. Be an advocate for bullying prevention in brownie and scout groups, athletic programs, and other youth activities. Share stories about their own childhood experiences with bullying. For the Child Being Bullied Children who are bullied tend to be scared and fragile and should never be blamed for the incident. The behavior of parents will differ depending on whether their child is being bullied or is the child who is bullying. Children who are bullied tend to be scared and fragile and should never be blamed for the incident. All children deserve to be treated with respect and courtesy.ref If a child has been a victim of a bully, parents should:ref, ref Find out in detail what happened. Listen to the child and do not interrupt until he or she is finished. Contact the child's teacher, school counselor, and school administrator to alert them to the incident and ask for their cooperation. Avoid blaming anyone, especially the victim. Refrain from encouraging the child to be aggressive or strike back. Discuss assertive alternatives to responding to bullies and role-play responses with the child (see What Students Can Do). Be prepared to contact an attorney if the bullying continues and if the school does not take appropriate action for the child. Encourage the school to work collaboratively with you and others to take the bullying seriously and investigate the facts. Keep a log book (with the child if possible) describing the incidents of harassment or bullying, when they occurred, who took part, and what was said and done. This can strengthen a parent's case when contacting the school principal and/or teachers. Be patient. If often takes time for someone to change negative behaviors and interactions. For the Child Who Bullies Parents of children who bully must work closely with the school to resolve the situation. Although it is difficult for most parents to hear something negative about their child's behavior, it is very important in a bullying situation for the parents to act immediately. Children who are aggressive toward their peers are at high risk for other anti-social behaviors such as criminality and misuse of alcohol. Parents need to remember that, as noted earlier, children who are aggressive towards their peers are at high risk for other anti-social behaviors such as criminality and misuse of alcohol, tobacco, and illegal drugs.ref Steps parents can take include:ref, ref Find out in detail why your child is bullying. Listen. It is hard to listen to criticism of your child, but remember, the well-being of your child is at stake. Spend more quality time getting to know who your child's friends are and what he or she does with them. Children need to feel their parents listen to them. Do not blame others for your child's behavior. Point out that bullying behavior is not acceptable in the family. Try to model appropriate methods for handling issues of power or the inequality of power. Specify the consequences if the bullying persists. Teach and role-play appropriate behavior. Follow up with the teacher and administration and track improvements. Try to channel the aggressive behavior toward something positive like sports, where teammates need to play by the rules. Explore other talents the child may have and help him or her develop them. What Can Students Do? Students play a very important role in helping a school eradicate bullying. Students may not know what to do if they witness a bullying incident or become the target of bullying themselves. Students can:ref, ref, ref Seek immediate help from an adult. If adults do not hear about the incidents, they cannot act to disrupt and stop the behavior. Report bullying/victimization incidents to school personnel. Speak up and/or offer support for the victim. Participate in the development of school safety planning through committees and organizations. Encourage their parents to become involved in school activities. Become a buddy for a younger or quieter student. What Victims/Bully Victims Can Do It is important that students learn appropriate tools to address bullying. Any adult, including teachers, school counselors, and parents, can help provide students with the skills necessary to deal with bullying. Students can be taught to:ref Ignore the bully's behavior whenever possible. Use social skills, such as assertiveness, negotiating, sharing, taking turns, inviting others to participate, assisting others, and asking for permission instead of using aggression and intimidation (when the victim is also a bully). Leave the situation. Rebuff in a firm manner. Protect themselves emotionally and physically (without using retaliation). Request that the bully stop, and then walk away; if this does not work, then tell the teacher. Use humor. Agree with the bully (this takes the power away from the bully). Spend time in groups. Practice what to say in front of a mirror or with friends. What Victims Should NOT Do These children can be taught, through role-playing, specific ways to help them NOT to:ref Cry or act hurt in front of the bully. Lose their temper. Escalate the situation. Return the aggression. Get others to gang up on the bully. Tease back. Call the bully names. Bring weapons to school. A condensed version of this page is available as a Fact Sheet in HTML and PDF formats. << Previous Page Next Page >> Home | Courses | How For Children who Bully Children who bully should be:ref Monitored and rewarded for appropriate behavior and for improvements (e.g., reduced incidents of bullying and increasingly longer periods of no bullying). Given clear sanctions for acts of bullying. (Punishing bullying behavior without acknowledging the experience of the victim can foster frustration and more aggression. Support bullies when they are victims.) For Witnesses and Bystanders Witnesses and bystanders can play a large role in stopping bullying at a school. They can be taught to:ref, ref Request that the bully stop. Seek immediate adult help if the bully does not stop. Speak up and/or offer support to the victim (e.g., pick up his or her books, offer words of kindness). Privately support those being hurt with words of kindness. Take the bully aside and ask him or her to "cool it." Express disapproval of the bullying behavior by not joining in the laughter, teasing, or spreading rumors or gossip