Presentation on theme: "Responding to Risky Behaviors Supporting students with addiction and emotional issues: Parent Workshop Kate Allen LCSW CADCI."— Presentation transcript:
Responding to Risky Behaviors Supporting students with addiction and emotional issues: Parent Workshop Kate Allen LCSW CADCI
Importance of Addressing the Issues in Schools Referrals to social worker increasing. There are 127 new therapeutic schools opening every year nationwide. School as providing basis of relationships for students, both with peers and adults.
Three issues of concern: Drug/Alcohol abuse Depression and suicide prevention Fostering resilience in youth
Impact of D/A Abuse on Healthy Teen Development Core developmental tasks include: individuation, sense of purpose, social skills With drug and alcohol use teens: Remain emotionally immature (projecting, blaming, grandiose ideas of self, “boring”) Use D/A as primary relationship instead of people. Social life revolves around use. Reorganize priorities to fit using lifestyle
Signs of Drug/Alcohol Use Less attention paid to dressing and grooming Loss of appetite or unexplained weight loss Red and glassy eyes and frequent use of eyedrops and breath mints Decreased attendance, performance in class Loss of interest in school, sports, other activity Newly developed secrecy; deceptive or sneaky behavior Withdrawal from family/friends, new friends Lying or stealing Disrespectful behavior, worsening mood Lack of concern about the future
Drug and Alcohol Use: Typical or Troubled? Experimentation vs. abuse/dependency Trends at Gresham HS Nationwide trends show overall D/A use decreasing: “While the 2005 survey showed a continuing general decline in drug use, there are continued high rates of non-medical use of prescription medications, especially opioid painkillers”. – National Institute of Drug Abuse
Alcohol and Marijuana: Most common drugs of concern Is it possible for teens to be addicts? Tolerance and withdrawal Alcohol: Binge drinking and signs of problem drinking Marijuana: State-dependent learning and signs of trouble
What about the Meth epidemic and other uppers? Trends at GHS Other drugs: ADHD drugs, painkillers
Interventions for Teen Drug and Alcohol Problems Prepare yourself for how to approach a teen you suspect is high or drunk Address the issue immediately and directly Assessment process, treatment options, UA’s, school support services Confidentiality basics
How to Approach Youth with Drug/Alcohol Problems Separate the use/behavior from the teen – do not shame the teen Be clear about your position on D/A use and your responsibility as a parent Build in small rewards for positive behavior Expect emotional instability while recovering, normalize ambivalence about sobriety, acknowledge relapse as part of recovery
Topic 2: Depression and Suicide Prevention
Prevalence of Self-Harm Behavior Amongst Teens " As many as 40% of kids have experimented with self-injury." - Jennifer Hagman, Medical Director of Psychiatry, Children's Hospital, Denver "90% of self-abusers begin cutting as teenagers." - University of Missouri-Columbia Study "More than half of self-injurers are victims of sexual abuse, and most report emotionally abusive or neglected childhoods... contrary to the stereotype, self-injury is prevalent in all races and economic backgrounds." - Time
Why do Some Teens Intentionally Self-Harm? Releases tension/distress Not typically done with suicidal intent Self-soothing coping mechanism Externalizes internal pain Provides way to care for self and regain control over unmanageable emotions
Common Characteristics of Students who Self-harm Hypersensitive to rejection Rigid emotionally, reactive, angry, easily irritated Impulsive Strong dislike of themselves Tend not to plan for the future
How to Help Teens who Self-Harm Ask if they are self-harming, respond directly. Avoid “why” questions. Refer to a professional as soon as possible. Enforce a ‘no secrets’ policy. Ask, “How would you like me to respond to that?” Say” Let me listen to you”. Build relationships – most often self-harm happens in absence of people. School social worker response to self-harm.
Teens at risk for suicide Gender differences Racial/ethnic differences Age differences How Oregon compares to national data
Gresham-Barlow SD data Oregon Healthy Teens Survey 2007 Seriously considered suicide in past 12 months: 11 th graders: 12.4% 8 th Graders: 13.1% -- Source: Center for Health Statistics Oregon Dept. of Human Services
SAFE:TEEN at GHS 3 part program: staff, parents, students Evidence based program proven to reduce teen suicide Social worker interventions
SUICIDALITY 1. Thoughts about death 2. Thoughts about killing oneself 3. Choice of method or developing plan 4. Carelessness 5. Gestures 6. Attempt 7. Completion
SUICIDE IS… AN ACT OF DESPERATE HOPELESSNESS AND OVERWHELMING PAIN A CRY FOR HELP PREVENTABLE
Drugs and Alcohol Use Increased risk if substances involved: Self –medication Self –medication Impact of drugs and alcohol on judgment Impact of drugs and alcohol on judgment 55% of people who die from suicide have alcohol in their bloodstream when they die.
WHAT STOPS SUICIDAL TEENS FROM ASKING FOR HELP? Don’t want to rock the boat Don’t want to disappoint parents Don’t want to admit they need help Don’t know what to expect Don’t understand what they are experiencing
How to get help at school or in the community: Talk to the student’s counselor or the school social worker Call the Suicide Prevention Hotline Call Multnomah County Crisis Line If immediate danger call 911
GHS support services Support groups: Chrysalis, Grief/Loss, Guys group, Pre-Options Mental health specialists: Multnomah County MH consultant Drug/Alcohol assessment and treatment: Lifeworks NW Teen advocates: Metropolitan Family Servcies, Asian Family Center, Native American Youth Center, El Programa Hispano
Topic 3: Fostering resilience in youth
Power of relationships Kids spend on average 23 hours doing “screen time” a week! PADS Educate yourselves and your children about consequences of D/A use and unhealthy coping Spend time together as a family every week
Raising Resilient Kids Talk to your child about your values regarding drug/alcohol use, honesty, sexual activity, and school. Set high expectations, enforce limits consistently with appropriate consequences (positive and negative). Help youth identify healthy coping skills when difficulties arise (distress tolerance skills). Go through the 40 assets list with your child!