Youth Mental Health First Aid: How Adults Can Help Youth in Need

Transcription

1 Youth Mental Health First Aid: How Adults Can Help Youth in Need Hilva Chan, MSW California Department of Education 1

2 What is YMHFA? Signs and Symptoms Risk and Protective Factors Fact and Fiction: Self Injury and Suicide Action Plan: ALGEE Free Trainings from Project Cal-Well Resources for School 2

3 Mental Health Quiz 3

4 What is YMHFA? Australian based public education program Based on the concept of medical first aid Helps identify, understand, and respond to signs of mental distress or illness Eight-hour interactive course 4

5 Why Mental Health First Aid for Those who Work with Youth? Mental health problems are common Mental health problems often develop during adolescence Youth and young adults may experience mental health problems differently than adults Youth may not be well informed The sooner an individual gets help, the more likely they are to have a positive outcome Misunderstanding and discrimination are often associated with mental health problems Professional help is not always on hand 5

6 The Journey 6

7 What are Some of the Disorders we Might Hear About Among Youth? ADD/ADHD/ODD Anxiety Disorders Bipolar Disorder Depression Eating Disorders Psychosis Substance Use Disorders 7

8 35 Report of Chronic Sadness and Suicide Ideation by Student, CHKS 30 Percentage of students Grade 7 Grade 9 Grade 11 Chronic Sadness Suicide Ideation During the past 12 months, did you ever feel so sad or hopeless almost every day for two weeks or more that you stopped doing some usual activities? During the past 12 months, did you ever seriously consider attempting suicide? 8

9 Adolescent Changes 9

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11 Signs & Symptoms: Physical Cardiovascular: pounding heart, chest pain, rapid heartbeat, blushing Respiratory: fast breathing, shortness of breath Neurological: dizziness, headache, sweating, tingling, numbness Gastrointestinal: choking, dry mouth, stomach pains, nausea, vomiting, diarrhea Musculoskeletal: muscle aches and pains, restlessness, tremors and shaking, inability to relax 11

12 Signs & Symptoms: Physical Hormonal: irregular menstrual cycle, loss of nocturnal emissions, loss of sexual desire Changes in normal patterns: overeating or not eating at all, sleeping much more or much less Appearance: Change in hygiene, unkempt Eyes bloodshot or glassy Weight gain or loss 12 19

13 Signs & Symptoms: Emotions Depressed mood and/or mood swings Unrealistic or excessive anxiety or guilt Excessive irritability or anger Lack of inhibition Lack of emotion or emotional response Helplessness or hopelessness Oversensitivity to comments/criticism Low self-esteem 20 13

14 Signs & Symptoms: Thoughts Frequent self-criticism or self-blame Pessimism Difficulty concentrating or remembering Indecisiveness or confusion Rigid thinking Racing thoughts Tendency to believe others see one in a negative light Altered sense of self Delusions or hallucinations Odd ideas; lack of insight Suspiciousness Thoughts of death and suicide 14

15 Signs & Symptoms: Behaviors Crying spells Withdrawal from others Neglect of responsibilities Loss of interest in personal appearance Loss of motivation Slow movement Use of drugs and alcohol Changes in energy level Obsessive or compulsive behavior Avoidance or phobic behavior Showing distress Talking rapidly 15

16 Risk Factors Stressful events, abuse or trauma. Learned behavior. Chemical imbalance. Substance misuse and sensitivity. Seasonal changes. Previous episode of mental illness or presence of another mental illness. Ongoing stress and anxiety. Medical conditions and hormonal changes. Side effects of medication. Illness that is life threatening, chronic, or associated with pain. Brain injury. 16

17 Protective Factors Healthy practices. High self-esteem. Good problem solving skills. Feeling of control in their own life. Spirituality. Avoiding alcohol, tobacco and other drugs. Consistent home routine. Parental/familial support. Monitoring of youth s activities. Regular school attendance and academic performance. Good social support system. Economic security. Constructive recreation. Community bonding. Feeling close to at least one adult. 17

18 How Stress Affects Your Brain 18

19 Self Injury Fact or Fiction? Self harm is a mental illness Self harm is more than just cutting, burning and things we can see Self harm can be a good thing Self harm is a suicide attempt 19

20 WHY? To manage painful feelings To show control of their body To end feelings of being detached from themselves To punish themselves To seek attention To avoid or combat suicidal thoughts 20

21 Suicide Fact or Fiction? If you ask a young person about his or her suicidal intentions, you will encourage the person to kill themselves A young person who attempts suicide will always be suicidal Suicide happens without warning Suicide occurs across all classes of young people 21

22 Warning Signs Talk about: Killing themselves. Having no reason to live. Being a burden to others. Feeling trapped. Unbearable pain. 22

23 Warning Signs Behavior (new or increased; after a recent loss or event) Increased use of alcohol or drugs. Looking for a way to kill themselves, such as searching online for materials or means. Acting recklessly. Withdrawing from activities. Isolating from family and friends. Sleeping too much or too little. Visiting or calling people to say goodbye. Giving away prized possessions. Aggression. 23

24 Warning Signs Moods Depression. Loss of interest. Rage. Irritability. Humiliation. Anxiety. 24

25 Proper Terminology DO say: Died by Suicide Survived a Suicide Attempt DO NOT say: Committed Suicide Completed Suicide Successful or Failed Suicide Attempt 25

26 Get Help National Suicide Prevention Lifeline at TALK ( ) My3 Know the Signs 26

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28 Leap of Faith 28

29 Passage of AB 2246 Mandates LEAs that serves pupils in grades 7 to 12 to adopt a board policy on pupil suicide prevention in the beginning of the school year CDE will develop model policy and provide implementation resources by March

30 Youth Mental Health First Aid Action Plan 5 Steps Assess for risk of suicide or harm Listen nonjudgmentally Give reassurance and information Encourage appropriate professional help Encourage self-help and other support strategies 30

31 Free Training through Project Cal-Well One of 20 states that received the NITT-AWARE-SEA grant Five year grant: Now is the Time: The President s plan to protect our children and our communities by reducing gun violence, released on January 16,

32 Project Cal-Well is a 5-year ( ) Now Is The Time Project Advancing Wellness and Resilience Education grant funded by the Substance Abuse and Mental Health Services Administration. Through the California Department of Education, Project Cal-Well is implementing programs statewide and in partnership with ABC Unified School District, Garden Grove Unified School District, and San Diego County Office of Education. School Climate: Create school climates that promote healthy social-emotional development and well-being School-Based Services: Increase access to and availability of school-based mental health (SBMH) services for students and their families Community Partnerships: Build partnerships and crosssystem collaborations to promote youth well-being and access to community-based services Overall Mission: Increased awareness of and improved mental health and wellness of K-12 students. Goals Activities Outcomes Implement research-based school-wide interventions (i.e., PBIS, Restorative Practices, NAMI on Campus High School, Second Step, etc.) Provide professional development to district and school staff Build partnerships to expand SBMH interns/staff Provide SBMH services, including early intervention and treatment Provide family member/caretaker mental health awareness activities Improve tracking of referrals to SBMH services Enhance relationships with and improve tracking of referrals to community-based mental health organizations Participate in cross-system collaboration activities Provide professional development to community-based organizations and partners # Schools implementing SBMH interventions # Professional development opportunities Awareness of mental health and wellness among students and district and school staff # SBMH providers (i.e., school psychologists, school counselors, social workers, interns) # Students served by SBMH interventions and supports* # Students receiving SBMH services* # School-based and family counseling hours % Schools with waitlists for SBMH services % Students referred for and received communitybased mental health services* Student feelings of sadness, hopelessness, or suicidal ideation Student suspension rates YMHFA: Implement Youth Mental Health First Aid (YMHFA) trainings to school staff, community members and other professionals at the state and local levels Train instructors to provide YMHFA trainings Train participants to identify, understand, and respond to signs of student emotional distress and/or mental illness Train participants to engage in ALGEE: Assess for risk of suicide or self harm Listen non judgmentally Give reassurance and information Encourage appropriate professional help Encourage self-help # Individuals trained as YMHFA First Aiders and Instructors* Use of ALGEE by participants to support the mental health needs of youth Capacity throughout the state by partnering with existing YMHFA Instructors to deliver free trainings in their areas # School-aged youth referred to mental health services* 32 * Mandatory government reporting measures

33 Target Audience Non- mental health school staff administrators teachers, nurses, coaches, secretaries, registrars, lunch staff, bus drivers, campus monitors, yard supervisors, teacher s aids college/university interns parents youth employers, leaders of faith-based communities, law enforcement, and other youth-serving adults. 33

34 Request a Free Training One 8-hour day or two 4-hour days (consecutive) Be the host Recruit participants (up to 35) Provide light morning refreshments and/or coordinate lunch 34

35 Why YMHFA for your school/district? Training is FREE Training content support preparation of your Local Control and Accountability Plan Priority Area: Student Engagement and School Climate Training content supports PBIS/MTSS/SEL 35

36 Upcoming YMHFA trainings Feb 11: Colusa COE (Spanish) Mar 1: Pajaro Valley USD (Spanish) Mar 8: Contra Costa COE Mar 24 and Apr 28: Santa Clara COE Mar 30: Tulare COE 36

37 (916) or (916)

38 Existing California Resources Student Mental Health Policy Workgroup 38

39 CDE Project Cal-Well Web page 39

40 Project Cal-Well Facebook Page 40

41 California Healthy Kids Survey Project Cal-Well Module 41

42 Directing Change Due March 1, 2017 Open to California youth ages Student videos Suicide prevention Mental health Need Judges 42

43 NAMI on Campus High School Upcoming Workshops January 30th San Diego County Office of Education January 31st Garden Grove USD m/watch?v=hyss1_vc Zr4 43

44 California Mental Health Advocates for Children and Youth 37 th Annual CMHACY Conference May 17-19, 2017 Asilomar Campgrounds Moving Beyond Coordination and Collaboration Strategies for Engagement Juvenile Justice Programs Access to Behavioral Health Services Affordable Care Act (Federal and State Reforms) Primary Care Health Reform California s Continuum of Care Reform Commercial Sexual Exploitation of Children Accountability - Transparency in Data and Outcomes Effective Practices Legislation, Propositions, Regulations, Policy issues Education Empowering Youth and Families for Self-Advocacy Attention to the Workforce 44

45 Join Our K-12 MH Listserv Over 8,000 subscribed members Platform to reach educators, school, and community staff throughout the state 45

46 Hilva Chan Education Programs Consultant, CDE