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National Federation of Families for Children’s Mental Health Jim Adams, CEO, CBHE Geauga County Board of Mental Health And Recovery Services November 22,

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Presentation on theme: "National Federation of Families for Children’s Mental Health Jim Adams, CEO, CBHE Geauga County Board of Mental Health And Recovery Services November 22,"— Presentation transcript:

1 National Federation of Families for Children’s Mental Health Jim Adams, CEO, CBHE Geauga County Board of Mental Health And Recovery Services November 22, 2014

2 A Quick Quiz…  What percent of all youth homicides happen at school in any given year?  A. 14% B.21% C. 10% D. none of the above Multiple shooting deaths at school have increased over the past twenty years? True or False What percent of high school students were threatened or injured with a weapon on school property in 2011? A. 8% B. 18% C. 23% D. 48% Individuals that commit acts of violence on school grounds with a gun, give some indication of their intentions to other individuals…. A. 20% B. 40% C. 50% D. 75% …of the time. Quick access to social media today by students is… A. A good thing. B. A bad thing.

3 Just the Facts as Reported:  February 27, 2012, at approximately 7:30 a.m.  Shooting occurred in the cafeteria of Chardon High School, Chardon, Ohio  One Shooter, no accomplices, 22 caliber handgun – taken from a family member’s house  Six victims shot within 38 seconds, three were declared dead within days, one treated at the scene, two admitted to separate hospitals.  Of the two hospitalized victims that survived, one was discharged after several days, one is permanently paralyzed.

4 Parents and children are reunited at a different Chardon School. Cell phones fail. Parents can not reach kids being held inside at the middle school. Mental Health professionals help to unite families and begin providing trauma and grief support. The mother of the female victim does not learn of her daughter’s injuries until she is told while waiting in line.

5 A look at the Facts:  School shootings are VERY rare.  Shootings occur most often on the first day of the school week, often at the beginning of the semester  Weapons used in school shootings are most often taken from a family member or friend’s house  At Columbine High School the two perpetrators had successfully completed an early intervention program for at-risk youth  At Chardon High School, the lone shooter had posted images of himself with weapons on the internet.  School shootings are VERY rare.

6 Risk factors for violence… Including Violence to Self… History of violence Inadequate leisure activity Problems at work or school Changes in Eating Patterns, Sleeping Patterns Comments about causing harm to self or others Giving away prized possessions Recent loss or traumatic experience

7 Risk Factors vs. Protective Factors:  Risk Factor: Low parental involvement Lack of appropriate free time activities Poor Commitment to School Neighborhood Crime and Low Support from local Community  Protective Factor: Up to 3 relationships with trusted adults. Availability of community resources, e.g. parks, sports, Perception of reward and expectation of school success. Community Celebrates Success (From Search Institute – Developmental Assets)

8 Predicting Violence: *Is an individual with a mental illness more likely to commit violence? 1. More likely to be a victim 2. Increase chance if untreated, with a co-occurring substance abuse diagnosis 3. Federal definition of violent crimes: murder, robbery, rape, assault 4. Individuals with untreated mental illness and substance abuse = 4% -5%, same as general population Predicting Low Probably Base Rate Events Virtually Impossible! Due to the extremely low numbers Clinicians tend to over predict Risk Factors can be mitigated with Assets …”when the incidence of any form of violence is very low and a very large number of people have identifiable risk factors, there is no reliable way to pick out from that large group the very few who will actually commit the violent act.” FBI

9 The ACE Study: How Does Trauma Impact Children and Adults? What you need to know!  Survey to Study relationship between childhood trauma, and physical and mental health issues in adults.  Over 17,000 responses.  Findings showed the relationship between trauma or stress in childhood experiences and social, emotional, or cognitive impairment.  Examples: Increased risk of unhealthy behaviors, risk of violence or re- victimization, disease, disability and “early death.”

10 What are the factors?  1. Recurrent physical abuse  2. Recurrent emotional abuse  3. Contact sexual abuse  4. An alcohol and/or drug abuser in the household  5. An incarcerated household member  6. Family member who is chronically depressed, mentally ill, institutionalized, or suicidal  7. Mother is treated violently  8. One or no parents  9. Physical neglect  10. Emotional neglect 

11 Things to remember : Trauma is often a community event: Different people, different responses:  Some of the first calls into the 24 hour Mental Health Crisis line were from war veterans.  Every school district had a threat of some type.  Family and extended family are scattered throughout the community  Children play ball, go to camp, go to church, with the victims, even if they aren’t in the same school.  Individuals with severe and persistent mental illness were having devastating symptoms.  Young children were also afraid to go back to school.  First responders had a vast array of personal reaction.  Teachers who had the shooter and victims in the past experienced guilt and grief.  The community mourns. RESILIENCY MATTERS!!!

12 Utilization of Services Increases – CBITS identifies 23% of students in the High School at time of shooting at risk of significant mental health problems. Columbine identified 15% at risk. Increase in Psychiatric Residential Treatment Facility use for Chardon students doubled in just 2 years. Chardon students represent 50% of all residential placements, but comprise only 24% of total student population. Some students just “disappeared”. Some first responders did not return to work. About 33% of school staff did not return after the first year.

13 Social Media: *Facebook and social media sites begin to emerge, set up by students. A vigil is held the evening of the shooting on Chardon Square, facilitated solely by social media. *Social Service Agencies like United Way, Mental Health, 211, law enforcement, are inundated with calls.  Cell and hard line phone systems fail in an emergency.  Students monitor social media in all settings.  Schools are establishing “see something, say something” procedures.  What is school policy on cell phone use during school hours?  Is your school monitoring social media sites?

14 What a Continuum Looks Like…  Youth Mental Health First Aid  Suicide Prevention Coalition  Cognitive Behavioral Intervention for Trauma in Schools  Trauma Informed Care  Crisis Intervention Training  Peer to Peer, Family to Family, Parents and Teachers as Allies

15 Single Most Common Theme Brought up By Counseling Clients After a Traumatic Event: Issues of Faith

16 We are still learning…  Contact Us At:  Jim Adams, CEO  Geauga County Board of Mental Health & Recovery Services 13244 Ravenna Road Chardon, Ohio 44024 (440) 285-2282 Geauga County Courthouse, Chardon, Ohio February 27, 2012

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