MENTAL HEALTH MATTERS STUDENT MENTAL HEALTH TEAM MENTAL

MENTAL HEALTH MATTERS! STUDENT MENTAL HEALTH, TEAM MENTAL HEALTH AND INDIVIDUAL MENTAL HEALTH

Welcome! Mental health matters

Table talk 1. What is Mental Health? 1. Why is there a stigma around mental health? 1. How do we deal with mental health in our schools?

Definition of Mental Health Mental health is “a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community. ” 1. It is estimated that only about 17% of U. S adults are considered to be in a state of optimal mental health. 2. There is emerging evidence that positive mental health is associated with improved health outcomes. 3. Psychoanalyst Sigmund Freud's definition: the capacity "to work and to love" considered to be a simple and more accurate definition of mental health.

Definition of mental illness 1. “Collectively all diagnosable mental disorders” or “health conditions that are characterized by alterations in thinking, mood, or behavior (or some combination thereof) associated with distress and/or impaired functioning. ” 2. Clinical depression is the most common type of mental illness, affecting more than 26% of the U. S. adult population. It has been estimated that by the year 2020, depression will be the second leading cause of disability throughout the world, trailing only ischemic heart disease. Evidence has shown that mental disorders, especially depressive disorders, are strongly related to the occurrence, successful treatment, and course of many chronic diseases including diabetes, cancer, cardiovascular disease, asthma, and obesity and many risk behaviors for chronic disease; such as, physical inactivity, smoking, excessive drinking, and insufficient sleep.

The Statistics. . . Mental Illness

There is more emphasis and resources devoted to screening, diagnosis, and treatment of mental illness than mental health. Little has been done to protect the mental health of those free of mental illness. Researchers found there are three domains of mental health: ○ Emotional well-being ■ ○ Psychological well-being ■ ○ such as perceived life satisfaction, happiness, cheerfulness, peacefulness. such as self-acceptance, personal growth including openness to new experiences, optimism, hopefulness, purpose in life, control of one’s environment, spirituality, self-direction, and positive relationships. Social well-being ■ social acceptance, beliefs in the potential of people and society as a whole, personal self-worth and usefulness to society, sense of community. There are social determinants of mental health and general health that need to be in place to support mental health. These include: adequate Mental health indicators housing, safe neighborhoods, equitable jobs and wages, quality education, and equity in access to quality health care.

TOP 4 IMPACTING SCHOOLS STUDENTS AND YOUTH CLINICAL DEPRESSION: LASTS 2 OR MORE WEEKS AND AFFECTS PERSON'S ABILITY TO CARRY OUT WORK, DAILY ACTIVITIES, AND ABILITY TO HAVE SATISFYING RELATIONSHIPS - 9% OF YOUTHS 12 -17 ANXIETY: STRESSED, WOUND UP, NERVOUS, ON EDGE, WORRIED, TENSE, OR HASSLED - 13% FOR YOUTHS AGE 9 -17 DISRUPTIVE DISORDERS (ADD/ADHD, OPPOSITIONAL DEFIANT DISORDER, CONDUCT DISORDER): 19. 1% FOR YOUTHS AGE 13 -18 SUBSTANCE ABUSE: USED TO SELF-MEDICATE AND ELEVATE FEELINGS OF PLEASURE OR DECREASE FEELINGS OF DISTRESS 43% OF YOUTH HAVE A CO-OCCURRING MENTAL HEALTH ISSUE; 5495% HAVE CONDUCT DISORDER OR OPPOSITIONAL DEFIANT DISORDER; 50% MOOD DISORDER; 15 -42% ANXIETY DISORDER

Colorado Statistics The Healthy Kids Colorado Survey (has replaced the Youth Risk Behavior Survey) Many of Colorado’s teens struggle with their mental health. In 2013: 1. Nearly one in four said they felt so sad for two consecutive weeks in the past year that they stopped their usual activities, an increase from 2011. 2. More than 6. 5 percent said they had attempted suicide in the past year. Among Hispanic teens, the rate was 7. 8 percent. 3. Physical activity can be improved. While Colorado teens rank 13 th on this indicator, only about half of teens participated in vigorous exercise for an hour or more at least five times a week.

TABLE TALK Share your reactions to the Mental Health statistics.

DEPRESSION: SIGNS AND SYMPTOMS OF DEPRESSION IN TEENS Sadness or hopelessness Irritability, anger, or hostility Tearfulness or frequent crying Withdrawal from friends and family Loss of interest in activities Poor school performance Changes in eating and sleeping habits Feelings of worthlessness and guilt Lack of enthusiasm and motivation Fatigue or lack of energy Difficulty concentrating Unexplained aches and pains Thoughts of death or suicide

What should you do? COLORADO IS A MANDATORY REPORT STATE! YOU MUST ALERT PROPER PERSONNEL. ASSESS FOR RISK OF SUICIDE OR HARM: “Are you thinking about harming yourself or others? ” “Are you engaging in self-injury? ” “Are you having thoughts of suicide? ” LISTEN NON-JUDGMENTALLY: Set your own beliefs aside and focus on the needs of the person: to be heard, understood and helped. REASSURE AND GIVE INFORMATION: Be patient, persistent and encouraging. Give hope and emotional support by providing resources. ENCOURAGE APPROPRIATE PROFESSIONAL HELP: Everyone has ups and downs, but help should be sought when depression lasts for weeks or interferes with daily life. Encourage professional services and family involvement. ENCOURAGE SELF-HELP AND OTHER SUPPORT STRATEGIES: Exercise. Relaxation training, proper nutrition and sleep as well as avoiding alcohol, tobacco and drugs

SUICIDE Talking or joking about committing suicide Saying things like, “I’d be better off dead, ” “I wish I could disappear forever, ” or “There’s no way out. ” Speaking positively about death or romanticizing dying (“If I died, people might love me more”) Writing stories and poems about death, dying, or suicide Engaging in reckless behavior or having a lot of accidents resulting in injury Giving away prized possessions Saying goodbye to friends and family as if for the last time

Get help for a suicidal teen HELP If you suspect that a teenager you know is suicidal, take immediate action! For 24 -hour suicide prevention and support in the U. S. , call the National Suicide Prevention Lifeline at 1 -800 -273 -TALK.

ANXIETY SIGNS: Excessive worry most days of the week Trouble sleeping Restlessness or fatigue during day hours Trouble concentrating Irritability, anger, confusion, on edge

WHAT YOU CAN DO! Assess for Panic Attack: Pounding heart, rapid shallow breathing and shortness of breath, dizziness, headache, muscle aches especially neck, shoulders, and back, stomach pains, detached from oneself, fear of losing control Teach relaxation techniques and allow for breaks Talk to parents to learn what works at home Allow extra time on assignments Check planner or help with planner to ensure accuracy Give daily schedule

Disruptive disorders Behavioral Symptoms: Antisocial behaviors Makes deliberate attempts to annoy others Sociopathic tendencies that cause serious harm to others Bullying Often loses temper with others Revenge-seeking behaviors Argues with adults Lying Actively defies or refuses to comply with Stealing requests or rules

DISRUPTIVE DISORDERS Cognitive Symptoms: Lack of problem-solving skills Physical Symptoms: Physical abuse of others Psychosocial Symptoms: Child frightens and alienates friends, family, and peers Intensely rigid and touchy Lack of remorse Easily annoyed Loneliness

SUBSTANCE ABUSE School work has declined; grades suddenly slipping or dropping dramatically Missing school (skipping secretly or too “tired” or “sick” to go) Mood changes (irritable, crying jags) Dropping out of usual activities (music, sports, hobbies) Physical appearance changing (poor hygiene, unusual style changes) Friends suddenly change; doesn’t introduce new friends Money or valuables missing from parents’ purse, from home Furtive or secretive behavior (e. g. , bedroom door locked and takes long time to answer) Hostile, aggressive outbursts Seems to have “lost” motivation Forgetfulness Unusual sleeping habits (changing over time or dramatic change) Depressed Anxious My child just doesn’t seem “right”

STEPS COLORADO IS A MANDATORY REPORT STATE! YOU MUST ALERT PROPER PERSONNEL. ● Assess for harm ● Express concern, interact in supportive way, do not criticize or label, after listening repeat what you heard ● Reassure and give information ● Encourage student and family to seek help from counselors and treatment ● Encourage self help through positive talk, reinforcement of positive

schools

Commonly found needs in schools and youth Youth with At Least One Past Year Major Depressive Episode (MDE) Youth with Dependence or Abuse of Illicit Drugs or Alcohol Students Identified with Emotional Disturbance for an Individualized Education Program

In our schools. . . What can we do?

What can you do in your schools? ● Promote self help skills - Teach Coping Skills ● Yoga ● Brain Gym Activities ● Replacement Behaviors ● Planned Sensory breaks

Teach Coping Skills and coping behaviors Create an environment rich in Self Coping Skills!

MOOD METER The Mood Meter: a tool for developing greater selfawareness and awareness of others The Mood Meter is designed to help us learn to recognize emotions, in ourselves and others, with increasing subtlety and to develop strategies for regulating (or managing) those emotions. It provides us with a “language” to talk about our feelings.

Elementary ideas Craft for mood identification and how to change mood…

Labeling feelings

Small group activity

Steps to Success

More coping strategy ideas - older students Mental: ● ● Reach out for support Positive daily readings Watch a movie Complete a thought record Emotional: ● Seek counseling ● Cook ● Meditate ● Breath Physical: ● Deep Breathing ● Meditative yoga ● Garden ● Gentle stretching Spiritual: ● ● ● Do yoga Guided meditation Be in nature Listen to music Affirmations Working toward the benefit of others through service to others

yoga Teach awareness Shoulder roll, shrug, chin down and up, poses

yoga

What is brain gym? Brain Gym is a series of exercises designed to help learners coordinate their brains and their bodies better. This holistic approach to learning also enables students to find an equilibrium between both sides of the brain and body. When well learned it is a tool for life-long learning.

Teach Calming strategies Practice with your gift!

TEAM MENTAL HEALTH

Collaboration - share the load

Team building activities

Brighten Your Teammates Day with kind words, actions and support!

INDIVIDUAL MENTAL HEALTH

do:

do!

MENTAL HEALTH MATTERS! STUDENT MENTAL HEALTH, TEAM MENTAL HEALTH AND INDIVIDUAL MENTAL HEALTH

It’s time to talk! Time to Talk Day…is everyday! is

References http: //www. nami. org/Learn-More/Mental-Health-Conditions https: //www. cdc. gov/mentalhealth/basics. htm World Health Organization. Strengthening Mental Health Promotion. Geneva, World Health Organization (Fact sheet no. 220), 2001. U. S. Department of Health and Human Services. Mental Health: A Report of the Surgeon General. Rockville, MD: U. S. Department of Health and Human Services; Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, 1999. Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, severity, and comorbidity of 12 -month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2005; 62: 617– 627.

References Continued World Health Organization. Strengthening Mental Health Promotion. Geneva, World Health Organization (Fact sheet no. 220), 2001. Murray CJL, Lopez AD. The Global Burden of Disease: A Comprehensive Assessment of Mortality and Disability from Diseases, Injuries and Risk Factors in 1990 and Projected to 2020. Geneva, Switzerland; World Health Organization, 1996. Chapman DP, Perry GS, Strine TW. The vital link between chronic disease and depressive disorders. Prev Chronic Dis 2005; 2(1): A 14. Ryff CD, Keyes CLM. The structure of psychological well–being revisited. J Pers Soc Psychol 1995; 69: 719– 727. Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well–being. J Pers Soc Psychol 1989; 57: 1069– 1081. Keyes CLM. Social well–being. Soc Psychol Quart 1998; 61: 121– 140. http: //www. helpguide. org/articles/depression/teen-depression-signs-help. htm

Reaching our youth. . . How do WE support our youth?