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SUGGESTIONS FOR SUPPORTING STUDENT MENTAL HEALTH AND WELL-BEING Mental Health Awareness in Ontario School Boards 1 DRAFT School Mental Health ASSIST Webinar.

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Presentation on theme: "SUGGESTIONS FOR SUPPORTING STUDENT MENTAL HEALTH AND WELL-BEING Mental Health Awareness in Ontario School Boards 1 DRAFT School Mental Health ASSIST Webinar."— Presentation transcript:

1 SUGGESTIONS FOR SUPPORTING STUDENT MENTAL HEALTH AND WELL-BEING Mental Health Awareness in Ontario School Boards 1 DRAFT School Mental Health ASSIST Webinar Series School Mental Health ASSIST

2 2 is a provincial team designed to help Ontario school boards to support student mental health and well-being School Mental Health ASSIST Équipe d’appui en santé mentale pour les écoles School Mental Health ASSIST

3 1.Organizational Conditions for Effective School Mental Health 2.Mental Health Capacity- Building for Educators 3.Implementation of Evidence- Based Mental Health Promotion and Prevention Programming Three Areas of Focus 3

4 School Mental Health ASSIST will help ALL school boards to support student mental health & well-being By providing hands-on resources to build Mental Health Awareness and to support effective decision- making in school mental health School Mental Health ASSIST 4

5 5 It is part of Ontario’s Mental Health and Addictions Strategy Open Minds, Healthy Minds is the comprehensive, 10-year strategy designed to address mental health and addictions needs in Ontario School Mental Health ASSIST

6 Strategy Priorities for the Next 3 Years Close Critical Service Gaps Increase availability of culturally appropriate services and serve more children and youth in Aboriginal, remote and underserved communities With complex mental health needs At the key transition point from secondary to post-secondary education Identify & Intervene Early Provide tools and support to those in contact with children and youth so they can identify mental health issues sooner Provide resources for effective responses to mental health issues Build mental health literacy and local leadership Fast Access to High Quality Services Build capacity in the community-based sector Reduce wait times Meet community needs Link education, child and youth mental health, youth justice, health care, and the community Support System Change Support development of an effective and accountable service system for all Ontarians Build on efforts that promote evidence-informed practice, collaboration, and efficiencies Develop standards and tools to better measure outcomes for children and youth School Mental Health ASSIST 6

7 7 Starting with Child and Youth Mental Health Our Vision: An Ontario in which children and youth mental health is recognized as a key determinant of overall health and well-being, and where children and youth reach their full potential. 7 Provide fast access to high quality service Kids and families will know where to go to get what they need and services will be available to respond in a timely way. Identify and intervene in kids’ mental health needs early Professionals in community-based child and youth mental health agencies and teachers will learn how to identify and respond to the mental health needs of kids. Close critical service gaps for vulnerable kids, kids in key transitions, and those in remote communities Kids will receive the type of specialized service they need and it will be culturally appropriate THEMES INDICATORS Reduced child and youth suicides/suicide attempts Educational progress (EQAO) Fewer school suspensions and/or expulsions Decrease in severity of mental health issues through treatment Decrease in inpatient admission rates for child and youth mental health Higher graduation rates More professionals trained to identify kids’ mental health needs Higher parent satisfaction in services received Fewer hospital (ER) admissions and readmissions for child and youth mental health Reduced Wait Times OVERVIEW OF THE MENTAL HEALTH & ADDICTIONS STRATEGY - FIRST 3 YEARS INITIATIVES Provide designated mental health workers in schools Implement Working Together for Kids’ Mental Health Hire Nurse Practitioners for eating disorders program Improve service coordination for high needs kids, youth and families Implement standardized tools for outcomes and needs assessment Amend education curriculum to cover mental health promotion and address stigma Develop K-12 resource guide for educators Implement school mental health ASSIST program &mental health literacy provincially Enhance and expand Telepsychiatry model and services Provide support at key transition points Hire new Aboriginal workers Implement Aboriginal Mental Health Worker Training Program Create 18 service collaboratives Expand inpatient/outpatient services for child and youth eating disorders Reduce wait times for service, revise service contracting, standards, and reporting Funding to increase supply of child and youth mental health professionals Improve public access to service information Pilot Family Support Navigator model Y1 pilot Increase Youth Mental Health Court Workers Provide nurses in schools to support mental health services Implement Mental Health Leaders in selected School Boards Outcomes, indicators and development of scorecard Strategy Evaluation

8 Interconnected Initiatives School Boards Health care settings Community settings MOHLTC Nurse Leaders MHA Nurses in DSB program Service Collaboratives SSLI MCYS MH Workers with Schools Working Together SSLI EDU SMH ASSIST SSLI 8 School Mental Health ASSIST

9  Resources to support mental health awareness  Web space related to School Mental Health in Ontario  Decision-making tools  Support for Local Planning  Presentations and Workshops  An Educator Guide to Student Mental Health  access to MyHealth Magazine  Interministerial Coordination of Initiatives What Can School Boards Expect? 9 School Mental Health ASSIST

10 Mental Health Awareness in Ontario School Boards Webinar Series – Session 1 10 School Mental Health ASSIST

11 Webinar Series Overview 1.Mental Health Awareness in Ontario School Boards  Audiences: All Education Sector Audiences 2.Building and Sustaining District Conditions for Effective School Mental Health  Audiences: Trustees, Directors, Superintendents, Chief Social Workers / Psychologists 3.Building and Sustaining School Conditions for Effective School Mental Health  Audiences: Superintendents, School Administrators, School Mental Health Professionals, Guidance, Student Success, Special Educators 4.Building and Sustaining Classroom Conditions for Effective School Mental Health  Audiences: Teachers, Educational Assistants 11 School Mental Health ASSIST

12 Suggested Uses for Webinar Series School Mental Health ASSIST  Designed to be a flexible resource for educators  Could be used as part of a visioning meeting, a professional development session, or self-study  Select the Webinar that is right for you! Ontario Ministry of Education Deliver as a Webinar OR Use/Tailor the Slide Deck Draw on the Facilitation Guide for Ideas for Creating an Engaging Staff Development Session

13 Mental Health Awareness Webinars Mental Health Awareness is Not an Event  It is an iterative deepening of knowledge that is embedded within school board life  The tools in the School Mental Health ASSIST Webinar Series can be a helpful start, or an enhancement, to board initiatives in this area  The Mental Health Awareness session can be offered in isolation, or as a precursor to any of the sessions in the Series School Mental Health ASSIST

14 The Mental Health Capacity Continuum School Mental Health ASSIST 14  The right information, to the right people, in the right way, at the right time Mental Health Awareness Mental Health LiteracyMental Health Expertise Strategies for providing basic mental health information, tailored for different school board audiences Strategies for ensuring deeper working knowledge for those who have a role in supporting student mental health Strategies for ensuring that SMH professionals possess the skills and knowledge to effectively provide evidence- based SMH promotion, prevention, and intervention ALLSOME FEW

15  Child and Youth Mental Health – The Basics  The Role of School Boards  The Role of Community  Recommendations and Next Steps Mental Health Awareness Session Overview School Mental Health ASSIST 15

16 School Mental Health ASSIST 16 Child and Youth Mental Health

17 “A state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity” World Health Organization Mental Health is… School Mental Health ASSIST 17

18 Mental Health… Exists on a Continuum 18 School Mental Health ASSIST

19 Much of what we do in school boards, every day – teaching, caring, helping – is foundational to good mental health Our goal is to enhance the health and well-being of all children and youth, and to minimize the burden of mental illness for those students who struggle. 19 School Mental Health ASSIST

20 Emotional, behavioural and brain-related difficulties that interfere with development, relationships, attendance, and achievement  Difficulties that are severe and persistent enough to cause significant symptoms, distress, and impairment in one or more areas of daily life are termed mental health disorders/ mental illness Mental Health Problems are… School Mental Health ASSIST 20

21 Mental Health Problems… Begin Early In 70% of cases, the onset of problems begins before age 18… …50% before age School Mental Health ASSIST

22 Mental Health Problems… Are Prevalent 1 in 5 students will experience a mental health problem… One in Five Every School….Every Classroom 22 School Mental Health ASSIST

23 Mental health problems are characterized by many different signs and symptoms, and present in various forms:  Some mental health problems manifest outwardly (externalizing)  Students appear aggressive, impulsive, coercive, non-compliant  Some mental health problems manifest inwardly (internalizing)  Students appear sad, anxious, withdrawn, lonely Mental Health Problems… Include a Range of Emotional Difficulties 23 School Mental Health ASSIST

24 Problems with:  Anxiety  Attention  Conduct  Mood  Substance Use and Addictions Common Mental Health Problems Seen At School… School Mental Health ASSIST 24

25  If one mental health disorder is present, other problems are also likely  45% of students will have more than one area of difficulty Other mental health disorders, learning and school-related problems, health problems, substance use, risk-taking behaviour, difficulty with the law Mental Health Problems are Co-morbid… 25 School Mental Health ASSIST

26  Biological influences  E.g., genetic conditions, chemical imbalances  Early life experiences E.g., early losses, trauma  Individual factors E.g., ways of thinking, poor coping strategies  Life circumstances E.g., family stress, poverty, school stress Mental Health Problems are related to a Combination of Factors… School Mental Health ASSIST 26

27  One in five Ontario students will not achieve their academic potential because of a mental health problem  These students may also struggle to maintain good relationships with peers, family, educators  They experience social and emotional pain on a regular basis  isolation, despair, anger, worry, confusion… Mental Health Problems… Cause Distress 27 School Mental Health ASSIST

28 Mental Health Disorders… Can have Lethal Consequences Feelings of hopelessness, isolation, and lack of support can result in suicidal behaviour. 1 in 10 youth report having attempted suicide. Suicide is the 2nd leading cause of death in ages (Stats Canada, 2002) 28 School Mental Health ASSIST

29  There are proven strategies and supports to address child and youth mental health problems  Early identification and intervention improves prognosis  Psychosocial and pharmacological treatments are most common, and are often used together  While many mental disorders are chronic, there are ways to help children and families to cope and to maintain a good quality of life  Mental Health Problems… Are Treatable 29 School Mental Health ASSIST

30  Social Emotional Learning is not neutral  Important to use evidence-based approaches for student mental health issues  Many examples of programs that are unproven  Some examples of programs that HARM The Importance of Evidence… School Mental Health ASSIST 30 We should be evaluating local programs and strategies, especially if they are untested

31  Up to 80% of children and youth who experience a mental health problem will not receive treatment  Major barriers include:  Stigma  Misidentification / lack of identification of symptoms  Lack of local services Most Children and Youth… Do Not Receive the Help They Need 31 School Mental Health ASSIST

32 32 The Role of School Boards

33 Children and youth are with us six hours a day, five days a week. We can have an enormous influence in shaping well-being. Schools are uniquely positioned to promote positive child and youth mental health. Schools … Have a Unique Opportunity to Support Mental Health School Mental Health ASSIST 33

34  Schools are an optimal setting in which to:  Reduce stigma  Promote positive mental health  Build student social-emotional learning skills  Prevent mental health problems in high risk groups  Identify students in need  Support pathways to service Schools… Are an Excellent Place to Support Student Mental Health School Mental Health ASSIST 34

35 Educators are the “eyes and ears” that can help to identify a student in need of support. Educators are NOT Clinicians, but they can play an important role in supporting child and youth mental health Educators need tools and resources in order to be the caring adults that they want to be! 35 School Mental Health ASSIST

36 36 Universal Mental Health Promotion, Social-Emotional Learning Targeted Prevention Indicated Intervention Our focus, in District School Boards, is to create mentally healthy environments for students, to provide universal mental health promotion programs in areas of need, and to build skills amongst students who are vulnerable through prevention programming Support…Can be offered through a Tiered Support Model

37  To be caring adults in the lives of students  To promote positive mental health through school- and class-wide strategies  To build social emotional skills for ALL students  To identify students in need of enhanced support and to help them along a pathway to care When it comes to Mental Health, our Primary Roles as Educators can be… School Mental Health ASSIST 37

38  The need for mental health services and supports is great  Schools are not equipped to intervene with students who are exhibiting severe mental illness  But, schools are important players within a larger system of care We Can’t Do It All! School Mental Health ASSIST 38

39 School Mental Health ASSIST 39 The Role of Community

40  Include community mental health agencies, hospitals and clinics, and youth justice organizations  Have expertise in the treatment of children and youth with serious mental illness  Are designed to provide individual and group therapy to children and their families Our Community Partners in Mental Health… School Mental Health ASSIST 40

41  We have gotten to know each other better through the Student Support Leadership Initiative  Some communities have moved ahead with joint projects, protocols and pathways to service  As communities, we need to decide how we will care for our most fragile children and youth, and how to help them access the help they need. Working with Community Partners School Mental Health ASSIST 41

42 School Mental Health ASSIST 42 Universal Mental Health Promotion, Social-Emotional Learning Targeted Prevention Indicated Intervention Indicated Intervention Targeted Prevention Universal Mental Health Promotion We are better together! Community School Boards Schools… Need to Work Closely with Community Partners

43 This is complex work! There are lots of steps along the way… Provincial Level (e.g., interministry coordination, SMH ASSIST) Board Level (e.g., MH Strategy, coordinated mental health literacy training, menu of evidence-based strategies) School Level (e.g., enhanced staff understanding of students with behavioral problems and helpful strategies, more accurate identification and referral, more caring adults), enhanced partnership with families Student Level (e.g., enhanced sense of belonging, more help- seeking, stronger coping skills) Better mental health and academic outcomes School Mental Health ASSIST 43 But, if we all work together, Ontario students will benefit from better mental health and well-being!

44 School Mental Health ASSIST 44 Next Steps in your Board

45 We are all on the same path, but may be on different parts of the journey. Every board is unique. Every school is unique. Every student is unique. Acknowledge your strengths as a board/school/community Identify areas of need Create a feasible plan Include attention to organizational conditions, mental health awareness building, and evidence-based programming School Mental Health ASSIST 45

46  Kathy Short, Ph.D., C.Psych. Director, School Mental Health ASSIST , x2634 Contact School Mental Health ASSIST School Mental Health ASSIST 46


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