Impacting Youth: Mental Health Awareness to …...Health Education High School Health Education...
Transcript of Impacting Youth: Mental Health Awareness to …...Health Education High School Health Education...
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Impacting Youth: Mental Health Awareness to Treatment
Jeannie Von Stultz, Ph.D
Director of Mental Health Services
Bexar County Juvenile Probation
Danielle Housley, MPH
Northside ISD Health & PE Department
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My Son and Bipolar Disorder.
Where is My Casserole?
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Everyday Challenges
13-20% of children present with mental health issues (CDC - 2013)
419,070 children in Texas suffered mental illness which impaired school, home, and/or community (2002-MHA)
26% of eligible at-risk children in Texas received services (2002-MHAT)
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Everyday Challenges
82% of TDFPS children, where parents relinquished custody, are there because parents had no way to access mental health services (2002-MHAT)
48-50% of children referred to TYC or Juvenile Probation had mental illness (2002-MHAT)
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DSM-5
Diagnostic and Statistical Manual of Mental Disorders
Published by American Psychiatric Association
Diagnostic Categories are proposed and determined by work groups of mental health professionals (MD and PhD)
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Difficult to Diagnose Children
Ongoing development
“Normal” behavior varies – Influenced by culture and/or trends
Symptoms present differently in children and adolescents
Childhood diagnoses share many symptoms
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Factors Influencing Diagnosis
Psychological testing – “Snap shot”
Psychiatric Evaluation – “Snap shot””
Behaviors occur in specific circumstances
– “No problems at home”
– “No problems at school”
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Factors Influencing Diagnosis
Symptoms not observed
– Sleeping Habits
– Eating Habits
– Undiagnosed Medical Problems
– Undiagnosed Learning Problems
– Medication/Drug Side Effects
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Factors Influencing Diagnosis
Collateral information is helpful
– Professionals who observe child regularly
– Professionals who witness particular symptoms
Diagnoses change as clinician gains knowledge
– List of rule-out possibilities
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Causes are Complicated
Biology– Genetics
– Chemical imbalances in the body
– Damage to the central nervous system
Environment– Loss of important relationships (divorce, death)
– Exposure to violence
– Stress related to chronic conditions (poverty, discrimination)
– Exposure to environmental toxins
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Prevalent Diagnostic Categories
Oppositional Defiant
Conduct Disorder
Major Depressive Disorder
Bipolar Disorder
Disruptive Mood Dysregulation Disorder
Attention Deficit Hyperactivity Disorder
Post-traumatic Stress Disorder
Substance Abuse/Dependence
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Shared Symptoms
Irritability
Aggressiveness
Inattentiveness
Fatigue
Sleep disturbance
Eating disturbance
Blaming Others
Distractibility
Talkativeness
Hyperactivity
Unable to follow instructions
Argumentative
Impulsivity
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What Can Community Do?
Educate
Communicate
Advocate
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Northside ISD Health Education
High School Health Education requirement: State says NO, NISD says YES
Semester class (.5 unit)
– Typically sophomore/junior
– Mental Health Awareness Lesson 1: Mental Health Basics
Lesson 2: Mental Health Disorders
Lesson 3: Suicide Prevention
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Texas Essential Knowledge and Skills (TEKS) for Health Education
Current TEKS specific to Mental Health:– Describe the causes, symptoms, and treatment of eating
disorders;
– Examine issues related to death and grieving;
– Analyze strategies to prevent suicides;
– Examine causes and effects of stress and develop strategies for managing stress and coping with anxiety and depression;
– Analyze the harmful effects of alcohol, tobacco, drugs and other substances such as physical, mental, social, and legal consequences;
– Evaluate positive and negative effects of various relationships on physical and emotional health such as peers, family, and friends
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Northside ISDMental Health Awareness
Lesson 1: Mental Health Basics
– What does it mean to be in a state of mental well-being
– Defining mental illness
– Mental illness can affect any persons of any age, race, religion, or income
– Myths and stigmas
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Northside ISDMental Health Awareness
Lesson 2: Characteristics of Mental Health Disorders
– Classifications of mental illness: Anxiety Disorders
Childhood Disorders
Cognitive Disorders
Eating Disorders*
Mood Disorders
Personality Disorders
Psychotic Disorders
Substance Use Disorders
Suicidal Thoughts and Behaviors*
– Getting help
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Northside ISDMental Health Awareness
Lesson 3: Suicide Prevention
– Defining self-directed violence
– Risk factors
– Myth vs Fact
– Getting help
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Northside ISDPreparing our Health Teachers
IST attended 8hr Mental Health Education for Students and Teachers training
All teachers required to attend 3 hour training titled: Addressing Mental Health for NISD Health Teachers
– Establishing a safe and caring culture
– Identifying Student Needs
– Communicating with campus counselors, parents
– Effective strategies
District Suicide Prevention Guidelines
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Northside ISDPartners and More
Alamo Area Teen Suicide Prevention Coalition
Collaboration with NISD Psychological Services (Counseling Department) – Mental Health First Aid Course: learn risk factors and
warning signs for mental health and addiction concerns, strategies for how to help someone in both crisis and non-crisis situations, and where to turn for help
HB 2186 – suicide prevention training for all educators
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Northside ISDFuture
New Health Education TEKS?
Webinars, Conferences, Professional Development, Literature, etc.
Implementation of evidence-based Suicide Prevention Program
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2013: Suicide was the 3rd
Leading Cause of Death
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Updated Unit = Tremendous Impact
Addition of Disclaimer
Feedback:
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Exit Ticket
VideoTEEN LINE Suicide Prevention -Shortened Version (YouTube)
www.teenlineonline.org
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Contact Information
Jeannie Von Stultz, Ph.D.
210-335-7515
Danielle Housley, MPH