Student Distress and Identify two mental health concerns facing - - PDF document

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Student Distress and Identify two mental health concerns facing - - PDF document

9/30/2019 Objectives Student Distress and Identify two mental health concerns facing students attending international schools. Relationships for Wellbeing With a focus on pastoral care, identify strategies to support students. Christopher T.


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Student Distress and Relationships for Wellbeing

Christopher T. H. Liang, PhD Lehigh University

* with support Gabrielle Rochinno, Teresa Rosenberger, and Brooke Kohler

Objectives

Identify two mental health concerns facing students attending international schools. With a focus on pastoral care, identify strategies to support students.

Plan

9:00 - 10:30 - Introductions and Foundations Break 11:00 - 12:15 - Stress and Health Lunch 13:00 - 14:30 - Depression and Stigma Break 15:15 - 16:30 - Anxiety and Academic Pressure

Guidelines for Weekend

  • “Try On”
  • It’s okay to disagree
  • It is not okay to blame, shame, or attack self or others
  • Practice “self-focus”
  • Practice “both/and” thinking
  • Notice both process and content
  • Be aware of intent and impact
  • **Confidentiality

*adapted from Visions, Inc. 2011

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Activity - “I am From”

The purpose of this is activity is to share pieces of ourselves. Spend the next 10 or so minutes completing the stem, “I am From” as many times as you feel is necessary to describe the important things about your experiences in life. These need not be physical locations but about family, your passions, experiences, etc., We will share these as small groups and discuss.

Processing

What was it like to write the poem? What was it like for you to recite the poem? What was it like for you listen to poems? In ways do you build connection with students? What is the role of empathy?

Empathy & Connection

Think, Pair, and Share

In what ways have you attempted to demonstrate empathy for others (failures and successes)? In what ways will you show empathy? How will you give yourself empathy?

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Break About Here Stress and Health

  • Psychological Distress is multiply determined.
  • Most people are able to handle everyday stressors; a good number will grow from

stress, especially when they have support and have internal resources.

  • Chronic Stress (including poor sleep hygiene) as well as Complex Trauma trigger

physiological responses (e.g., Autonomic Nervous System: Cortisol levels - Flight, Fight, Freeze) that is demonstrated to be associated with greater risks for mental health problems as well as chronic health problems later in life.

  • Insecure attachments, as well as lack of emotional awareness and social

relationships, may exacerbate the effects of stress.

  • Importantly, one positive relationship with an adult or peer can reduce the risk

associated with exposure to stress.

Stress Responses and the Brain

The chronic release of adrenaline and cortisol, which are physiological responses to stress and trauma (fight, flight, or freeze response), is harmful to the development of the brain. As a result, students may have difficulty regulating emotions, behaviors,

  • r have problems using language to problem-solve.

In the context of the classroom, these problems have been implicated in problems with memory and inattention (hippocampus - shrinks), as well as difficulty trusting adults and peers (in/out of school), behavioral problems, aggression, and dysregulated mood (amygdala – increases in size is aroused to protect self) and planning/decision making (prefrontal cortex - shrinks). *Surviving is more critical than learning.

Anxiety and Depression

Anxiety and Depression on the Rise since 2012

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Anxiety and Depression

Anxiety and Depression on the Rise since 2012

Identity-Related Stress Economics Grades Career-Related Pressure Socio-Political Stressors Relationships Family Stress Attachments Mobility Competition Isolation Hyperconnection University Enrichment Activities Sleep Hygiene Cultural Identity Social Media

From Invisible to Visible: Naming the Issue Stories from your Schools

In your work groups, what are your reactions to the video? How does invisibility contribute to stigma and deepening of problems? How “visible” are Mental Health problems in your school? How comfortable are you in identifying and talking about Mental Health?

Lunch Break about Here

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Post-It!

Write on separate post-it notes, the things you see when someone is experiencing anxiety and/or depression. Place notes for anxiety to the right and depression to the left. When all have placed there post-it notes up, scan what you notice under anxiety and depression.

Depression Depression

Major depressive episode includes depressed mood nearly every day for a 2-week period For kids, you are more likely to see irritability. Watch for these other symptoms:

  • Irritable, sad, withdrawn, or bored most
  • f the time
  • Does not take pleasure in usual activities
  • Sleeping too much or too little
  • Weight gain or weight loss
  • Feeling hopeless or helpless
  • Difficulty concentrating or making

decisions

  • Fatigue
  • Thoughts of death or suicide

Four other symptoms also must be present for adolescents:

  • Anger or hostility
  • Changes in eating or sleeping habits
  • Fatigue or lack of energy
  • Hopelessness
  • Feelings of guilt or worthlessness
  • Poor school performance
  • Lack of motivation
  • Difficulty concentrating
  • Tearfulness or frequent crying
  • Restlessness
  • Agitation
  • Unexplained aches or pains
  • Thoughts of death or suicide (with or

without a plan)

Prevalence of Diagnosed Clinical Depression

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Depression among Students in International Schools

Pair Up - Share Up *What trends in depression among students in your schools have you notice over your career? *What keeps depression hidden?

Anxiety

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Common Symptoms of Anxiety among Youth

@ Home:

* Trouble falling asleep * Fear of being alone * Picking at skin * Nail biting * Strong startle response * Being overly self-critical * OCD-like behaviors (e.g. checking and rechecking the door to make sure it is locked or arranging objects “just so”) * Suddenly avoiding social contact * Frequent urination

@ School:

*Refusing to go to school/having a hard time at drop-offs

*Difficulty participating in class and interacting with peers *Excessive worry about everyday things *Trouble answering questions when called on by the teacher *Disruptive behavior *Squirming *Frequent trips to the nurse (with complaints of headaches, nausea, stomachaches, or even vomiting) *Avoiding socializing or group work *Not turning in homework

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Where Do We Go From Here?

Need to Understand Pathways, with particular focus on risk and protective factors.

Break About Here Risk & Protective Factors for Mental Health

Risk Factors Presences of ACEs Bullying Discrimination High Levels of Social Stress Academic/Career Pressure Isolation Poor Social Skills Protective Factors Self-Regulation Skills, Positive Adult Relationships Bullying Policy that is Followed Cross-Group Interpersonal Contact Coping Strategies Good Sleep Hygiene Social Connection through Engagement Social Emotional Learning Program

Risk Factor: Academic Pressure

Think/Pair/Share *What messages resonate? *What strategies have you/your peers/your schools used to mitigate the effects

  • f this pressure?
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Risk Factor: Bullying

Defined: Repeated, intentional use of aggression, exclusion, or intimidation against a target with whom there is a clear power differential (e.g., status) Bullying shifts from physical and overt forms to relational or social bullying when children move into adolescents (Craig et al., 2009) Outcomes: Problems with psychological and social adjustment, and academic outcomes (Craig et al., 2011)

Bullying: A Snapshot

Prevalence: About 35% of adolescent youth experience bullying as a perpetrator, victim, or both (Modecki et al., 2014). Hidden but More Common Relational bullying: 27.2% to 37.4%

  • f youth (Wang et al., 2009)

Bullying: The Actors

Bully Bully Target Bully Bystander (through acts omission or commission) Defender/Upstander Educators?

Bullying: The Actors

Bully Bully Target Bully Bystander (through acts omission or commission) Defender/Upstander Educators?

What are costs of labels? PBIS recommends shift from labels to

  • behavior. Why?
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Pair and Share

What is your own experience with bullying? as a student and as a teacher? What feelings (anger, sadness, guilt) do you have? What strategies have you used that are helpful? Not-so helpful?

Set Policy

For a Guide:

https://www.stopbullying.gov/prevention/at-school/rules/index.html

Policies should be developed by involving relevant stakeholders. Here is a sample:

http://www.bullypolice.org/bullying_policy.pdf

Discuss in groups: If your school has a policy, discuss how it operates. If not, discuss how your school addresses bullying. All should discuss the strengths and limitations of the policy.

Teachers: To Do’s

Stop the bullying immediately. Stand between the bullied student and the bully(ies), blocking eye contact. Don't send any bystanders away. To avoid escalating the tension, wait until later to sort out the facts. Talk to the parties involved separately once they are calm. Refer to school rules regarding bullying. Speak in a matter-of-fact tone of voice to describe what you heard or saw. Let all students know bullying is always unacceptable. Support the bullied child - without compromising their dignity. Check in later. Increase supervision to assure bullying is not repeated.

Teachers: To Do II

Impose immediate consequences. The consequences should be logical and connected to the offense. Notify colleagues and parents. Let the “bully” know he or she is being watched. Follow up and intervene as necessary.

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Schools: Don’t Dos

Do not confuse bullying with conflict. Do not use peer mediation. Do not use group treatment for bullies.

Recommendations for Addressing Bullying

Recommended:

Parent training activities, meetings, and information; High levels of playground/hallway/cafeteria supervision; The use of consistent disciplinary methods and PBIS; Classroom management strategies; Classroom and school-wide rules related to bullying; and Building teachers awareness and skills to intervene.

Not recommended:

Zero-tolerance policies; Grouping bullies together; and Brief awareness campaigns.

School-wide Change: Teaching Positive Behaviors

  • School wide PBIS reduces bullying by focusing attention on teaching behaviors

that are desired as opposed to discipline.

  • Expectations for desired behaviors need to be established.
  • Behaviors, including those of defenders, must be taught and reinforced.
  • Students also can be taught how to respond when aggressive behaviors occur (e.g.,

stop, walk, talk)

Systems Need to Continue to Change to Support Health

  • SEL Programs, PBIS, and TSRs result in less bullying, less aggression, less

behavioral problems, and better mental health, social skills, and academic performance.

  • Programs like Second Step are available and have lesson plans that are grade

appropriate for K-6.

  • Reduction of Stigma of Mental Distress and Help-Seeking Needed (how so?)
  • Increased Awareness of Vocation and Education
  • Reframing of Education and Achievement to Parents
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End Day 1 about Here

Tomorrow We Will: Address Specific Factors in Relationships Practice LIstening, Attending, and Validating Revisit Emotions and the Meaning of Emotions Discuss Strategies for Teaching Children/Adolescents about Stress and the Brain Wrap Up with Discussion

End of Day Day 2

9:00 - 10:30 Back to Basics 10:30 - 11:00 Break 11:00 - 12:15 Mental Health First Aid, Helping, and Practice 12:15 - 13:00 Lunch Break 13:00 - 14:30 Emotional Awareness and Labeling Feelings 14:30 - 15:00 Reflection and Closure

An Ounce of Prevention is Worth a Pound of Cure

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Risk and Protective Factors

Incidence = Risk/Protective Factors Teaching about the Brain? Vocational Options? Shifting Cultures of Achievement to Include Health?

Back to Basics: The Problems can be Big, Let’s Start with Relationships Basic Helpful Environments & Helping Relationships

Fostering Relationships with Peers and Educators Where are Relationships Built? How do we facilitate attunement? Beyond Relationships What else do your schools do to promote mental health?

Basic Helpful Environments & Helping Relationships

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Responsive Classrooms: 7 Essential Principles

  • 1. Equal emphasis on the social and academic curriculum;
  • 2. Focus on how children learn as much as what they learn;
  • 3. View that social interaction facilitates cognitive growth;
  • 4. Emphasis on cooperation, assertion, responsibility, empathy, and self-

control as critical social skills for children to learn;

  • 5. Emphasis on teachers’ knowledge of children’s individual, cultural, and

developmental characteristics;

  • 6. Focus on understanding of children’s families; and
  • 7. Attention to the way in which adults work together within a school

(Northeast Foundation for Children [NEFC], 2003).

Responsive Classroom Practices

(1) Morning Meeting—a daily meeting to create a sense of community in the classroom with time for sharing, games, and planning for the day; (2) Rules and Logical Consequences—consequences that follow logically from the misdeed (e.g., “You break it, you fix it”), that are developmentally and individually relevant to the child, and that rely on a trusting and positive relationship between the teacher and the child for their effectiveness; (3) Co-creation of rules and expectations— specifically, teachers and students develop several, positively worded rules in the beginning of the year; and (4) Shift in teacher language from “praise” to “encouragement” such that teachers comment on children’s effort and learning process, not only products

Teacher Student Relationships are Central

TSRs that are structured and positive are associated with increased school engagement (Roorda et al., 2017), executive functioning (Vandenbroucke et al., 2018), overall mental health (Wang et al., 2013), use of active coping strategies (Zimmer-Gembeck & Locke, 2007) TSRs are also associated with lower levels of externalizing behavior problems (Lei et al., 2016) and can reduce the effects of bullying (Elledge et al., 2016). These outcomes are particularly strong for youth at-risk (e.g., those who have experienced adversity and who are emotionally vulnerable.

Discuss

How do you define a “relationship” with a student? How are positive affective relationships developed and fostered? How do you develop relationships with harder to reach students?

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Break About Here Mental Health First Aid

SAFE Scan for Self Assess and Attend Facts Empower and Encourage

Starting with Self

Having awareness of our emotions, scars, and traumas allows us to better “sit and support” others through their own problems. Practicing mindfulness and heartfulness should facilitate positive support of students. Take Home Message: Be aware of your own triggers and unresolved issues, including denied grief.

Primer I : What does it mean to Help?

Note: The Tyranny of Me

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Attending and Listening

Skill Building

Sounding Boards to be Heard

Practice

Break About Here Validating Feelings

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Facilitating Emotional Awareness

Aside from validating feelings we notice in our students (which facilitates connection), we can grow this awareness in them so that students can live more authentically and have a better understanding of their states and behaviors. With a new label and understanding, students can create new ways of being. Share Out: How do you feel about difficult emotions? How have you facilitated emotional growth? What might you try?

Labeling Emotions is Validation

Skill Building and Practice

On Beliefs, Feelings, And Connection

This I Believe Thirty Things I Believe : NPR

Reflections and Closure

Appreciations and Regrets

Christopher T. H. Liang, PhD christopher.liang@lehigh.edu