educator roles in promoting mental health and school success for prek-12 students

Educator Roles in Promoting Mental Health and School Success for

PreK-12 Students

Carl E. Paternite, Ph.D.Center for School-Based Mental Health Programs

Department of PsychologyMiami University (Ohio)

http://www.units.muohio.edu/csbmhp

Presented at Mental Health Services and Schools Creating a Shared Vision Ellicottville, NY

August 19th, 2003

Educator Roles in Promoting Mental Health and School

Success for PreK-12 Students

Instructional Objectives For Presentation:

Increase participant awareness of the importance of educators in school-based mental health programming.

Increase participant knowledge of effective approaches to enhance educator – mental health professional collaboration.

Increase knowledge of ways to infuse "mental health education" into the school milieu.

Educator Roles in Promoting Mental Health and School

Success for PreK-12 Students

Themes Addressed in Presentation:

Program development.

Interdisciplinary collaboration and partnership.

Prevention.

Research, training and education.

Mental Health Needs of Youth and Available Services

About 20% of children/adolescents (15 million), ages 9-17, have diagnosable mental health disorders (and many more are at risk or could benefit from help).

Less than one-third of youth with diagnosable disorders receive any service, and, of those who do, less than half receive adequate treatment (even fewer at risk receive help).

For the small percentage of youth who do receive service, most actually receive it within a school setting.

These realities raise questions about the mental health field’s over-reliance on clinic-based treatment, and have reinforced the importance of alternative models for mental health service — especially expanded school-based programs.

CAUSE # OF DEATHSAccidents 6573Homicide 1861Suicide 1574Cancer/Leukemia 759Heart Disease 372Congenital Anomalies 213Lung Disease 151Stroke 60Diabetes 40Blood Poisoning 36HIV 36

From Weist & Adelsheim, 2003

1631

Leading Causes of Death in 15-19 Year Olds in the United States in 2000

— U N I T E D S T A T E S, 2000 —

Report of President’s New Freedom Commission on Mental Health

http://www.mentalhealthcommission.gov

“…the mental health delivery system is fragmented and in disarray…leading to unnecessary and costly disability, homelessness, school failure and incarceration.”

Unmet needs and barriers to care include (amongothers):• Fragmentation and gaps in care for children.• Lack of national priority for mental health and

suicide prevention. July, 2003

Report of President’s New Freedom Commission on Mental Health: Six Goals for a Transformed System

• Americans understand that mental health is essential to overall health.

• Mental health care is consumer and family driven.

• Disparities in mental health services are eliminated.

• Early mental health screening, assessment, and referral to services are common practice.

• Excellent mental health care is delivered and research is accelerated.

• Technology is used to access mental health care and information.

July, 2003

Four Recommendations Supporting Goal 4: Early Mental Health Screening,

Assessment, and Referral to Services are Common Practice

1. Promote the mental health of young children.

2. Improve and expand school mental health programs.

3. Screen for co-occurring mental and substance use disorders and link with integrated treatment strategies.

4. Screen for mental disorders in primary health care, across the lifespan, and connect to treatment and supports.

July, 2003

Expanded School-Based Mental Health Programs

National movement to place effective mental health programs in schools, serving youth in general and special ed.

To promote the academic, behavioral, social, emotional, and contextual/systems well-being of youth, and to reduce “mental health” barriers to school success.

Programs incorporate primary prevention and mental health promotion, secondary prevention, and intensive intervention,joining staff and resources from education and other community systems.

Intent is to contribute to building capacity for a comprehensive, multifaceted, and integrated system of support and care.

University of Maryland

Center for School Mental Health Assistance

Mark Weist

(http://csmha.umaryland.edu)

ESBMH

UCLA

Center for Mental Health Assistance

Howard Adelman & Linda Taylor

(http://smhp.psych.ucla.edu)

“Barriers to Learning”

(see handout)

Interconnected Systems for Meeting the Needs of All Students

CONTINUUM OF SCHOOL AND COMMUNITY PROGRAMS AND SERVICES(From Adelman & Taylor, http://smhp.psych.ucla.edu)

Specialized Individual Interventions(Individual StudentSystem)

Continuum of Effective BehaviorSupport

Specialized GroupInterventions(At-Risk System)

Universal Interventions (School-Wide SystemClassroom System)

Studentswithout SeriousProblemBehaviors (80 -90%)

Students At-Risk for Problem Behavior(5-15%)

Students withChronic/IntenseProblem Behavior(1 - 7%)

Primary Prevention

Secondary Prevention

Tertiary Prevention

All Students in School

Potential of Schools as Key Points of Engagement

Opportunities to engage youth where they are.

Unique opportunities for intensive, multifaceted approaches and are essential contexts for prevention and research activity.

Schools: The Most Universal Natural Setting

• Over 52 million youth attend 114,000 schools

• Over 6 million adults work in schools

• Combining students and staff, one-fifth of the U.S. population can be found in schools

From Weist, 2003

Center for School-Based Mental Health Programs (at Miami University)

Overarching Goals

Build collaborative university-school district relationships to address the mental health needs of children and adolescents through multifaceted programming.

Promote mental health and school success for youth through:

Primary prevention and mental health education

Early direct intervention for identified at-risk children and adolescents, and treatment for those with severe/ chronic mental health problems

Action research, training, and consultation


Ohio Mental Health Network for School Success• Six affiliate organizations working together in regional and

state-wide activities (including “Shared Agenda” initiative)

Butler County School-Based Mental Health Program• School-based mental health promotion, prevention,

intervention, and applied research activities.

Addressing Barriers to Learning Program• Annual conferences to initiate and sustain local, school-

based projects that reduce mental health barriers to learning and enhance the development of healthy school communities.


Behavioral Health Advisor

• Mental health newsletter for elementary and secondary school educators, focusing on issues related to child mental health and school success.

Evaluation of Alternative Education/ Discipline Programs

• Ongoing formative evaluation of 11 alternative programs in Butler County,OH.

Mental Health for School Success

• Special project with Ohio Department of Education to promote mental health — education integration.


Funding History (current in bold)

Butler County Mental Health Board The Health Foundation of Greater Cincinnati Ohio Department of Mental Health The Center for Learning Excellence Butler County Family and Children First

Council Talawanda and New Miami School Districts Ohio Department of Education Miami University cost sharing

School-Based Mental Health PartnershipsMany individuals have been instrumental to our school-based mental health partnerships since 1998. To name just a few:

University-Based (3 universities, 5 academic divisions, 6 departments)

Faculty/Staff: Carl E. Paternite, Karen Schilling, Julie Rubin, Denise Fox-Barber, Amy Wilms, Betty Yung, David Andrews, Al Neff, Diana Leigh, Alex Thomas, Randy Flora, Doris Bergen, Valerie A. Ubbes, Raymond Witte, Joan Fopma-Loy …

Psychology interns and graduate assistants: Lynne Knobloch, Becky Hutchison, Sally Phillips, Leslie Baer, Linda Gal, Derek Oliver, Mike Imhoff, Julie Cathey, Liz Morey, Chris Dyszelski, Chris Mauro, Nancy Pike, Jessica Donn, Sandra Kirchner, LaTasha Mack, Ann-Marie Bixler, Jari Santana-Wynn, Jeanene Robinson, Gloria Oliver, Francesca Dalumpines, Jamie Williamson, Jill Thomas, Jennifer Malinosky, Jason Kibby, Julia Pemberton, Ann Marie Lundberg, Marc McLaughlin, Robin Graff-Reed, Melissa Maras, Chris Reiger, Julie Swanson …

Community-Based

John Staup, Kay Rietz, Saundra Jenkins, Barbara Perez, Susan Smith, Valerie Robinson, Jolynn Hurwitz, Kate Keller, Terri Johnston, Charlie Johnston, Kathy Oberlin, Ellen Anderson, Noelle Duval, Linda Maxwell, Greg Foster, Teresa Jullian-Goebel, Suzanne Robinson, Terre Garner, Bryan Brown, Greg Rausch, Carolyn Jones, David Turner …

School-Based

Teacher consultants: Sherie Davis, Marilyn Elzey, Tom Orlow, Teresa Abrams, Sarah Buck, Jim Carter, Julie Churchman, Amy Gibson, Joy Boyle, Chris Carroll, Mary Hessling, Joan Parks, Joanne Williamson, Jaimie Pribble, Pam Termeer, Pat Stephens, Patricia Scholl, Martha Slamer, David Wood, Susan Meyer, Monna Even, Ginny Paternite, Connie Short, Terri Hoffmann, Karen Shearer …

Guidance counselors, school psychologists, school nurses, and administrators: Marianne Marconi, Sandy Greenberg, Tom O’Reilly, Roberta Perlin, Betsy Esber, MaryBeth Bergeron, Greg Rausch, Ann Schmitt, Alice Bonar, Stephanie Johnson, Marcia Schlichter, Susan Cobb, Phil Cagwin, Bob Bierly, Martha Angello, Bill Miller, Bob Phelps, Dan Milz, Dave Isaacs, Mark Mortine, Rhonda Bohannon, Clint Moore, Cathy Keener, Mary Jane Roberts, Jean Eagle, Alice Eby, Kathy Jonas, David Greenburg, Candice McIntosh, Sharon Lytle, Terri Fitton, Steve Swankhaus, Melissa Kessler, Mary Jacobs ..

Action-Project Teams: Fourteen 2-4 person teams from ten schools in five school districts, each with a university faculty/graduate student liaison.

The Ohio Mental Health Network for School Success

Mission

To help Ohio’s school districts, community-based agencies, and families work together to achieve improved educational and developmental outcomes for all children — especially those at emotional or behavioral risk and those with mental health problems, including pupils participating in alternative education programs.


Action Agenda

Create awareness about the gap between children’s mental health needs and “treatment” resources, and encourage improved and expanded services (including new anti-stigma campaign).

Encourage mental health agencies and school districts to adopt mission statements that address the importance of partnerships.

Conduct surveys of mental health agencies and school districts to better define the mental health needs of children and to gather information about promising practices.


Action Agenda (continued) Provide technical assistance to mental health agencies and

school districts, to support adoption of evidence-based and promising practices, including improvement and expansion of school-based mental health services.

Develop a guide for education and mental health professionals and families, for the development of productive partnerships.

Assist in identification of sources of financial support for school-based mental health initiatives.

Assist university-based professional preparation programs in psychology, social work, public health, and education, in developing inter-professional strategies and practices for addressing the mental health needs of school-age children.

Policy Maker Partnership (PMP) at the National Association of State Directors of Special Education (NASDSE) and the National

Association of State Mental Health Program Directors (NASMHPD)

Concept PaperMental Health, Schools and Families Working

Together for All Children and Youth:Toward A Shared Agenda (2002)

“Encourage state and local family and youth organizations, mental health organizations, education entities and schools across the nation to enter new relationships to achieve positive social, emotional and educational outcomes for every child.”

Purpose of the Concept Paper

The concept paper is available online at:

www.nasdse.org/sharedagenda.pdf

www.ideapolicy.org/sharedagenda.pdf

www.nasmhpd.org

Policy Maker Partnership (PMP) at the National Association of State Directors of Special Education (NASDSE) and the National

Association of State Mental Health Program Directors (NASMHPD)

Shared Agenda Seed Grant Awards to Six States:

Missouri, Ohio, Oregon,South Carolina, Texas, and Vermont

Additional Funding for Ohio’s Shared Agenda Initiative

Ohio Department of Mental HealthOhio Department of Education

Ohio Department of Healthand

Numerous Additional State-level and Regional Organizations

Infrastructure for Ohio’s SharedAgenda Initiative

The Shared Agenda seed grant is being implemented in Ohio within the

collaborative infrastructure of the Mental Health Network

Three Phases of Ohio’s SharedAgenda Initiative

Phase 1—Statewide forum for leaders of mental health, education, and family policymaking organizations and child-serving systems (March 3, 2003)

Phase 2—Six regional forums for policy implementers and consumer stakeholders (April-May, 2003)

Phase 3—Legislative forum involving key leadership of relevant house and senate committees (October, 2003)

Phase 1 and Phase 2Shared Agenda Forums

Columbus, OH — Statewide Forum, March 3, 2002

Athens, OH—Southeast Wooster, OH—North Central April 15, 2003 April 28, 2003

Columbus, OH—Central Bowling Green, OH—Northwest

April 29, 2003 April 29, 2003

Cleveland, OH—Northeast Hamilton, OH—Southwest May 5, 2003 May 5, 2003

Logo Here

Strategies and Features of Various Shared Agenda Forums

Keynote presentations by national and state experts:

• Mark Weist, Center for School MH Assistance, U. of Maryland

• Steve Adelsheim, New Mexico School MH Initiative

• Howard Adelman & Linda Taylor, UCLA School MH Project

• Kimberly Hoagwood, Columbia University

• Howie Knoff, Project Achieve

• Joseph Johnson, Ohio Department of Education

• Eric Fingerhut, Ohio State Senator


Promising work in Ohio showcased

Youth and parent testimony

Cross-stakeholder panel discussions

Facilitated discussion structured to create a collectivevision, build a sense of mutual responsibility for reachingthe vision, instill hope that systemic change is possible,and problem-solve regarding implementation issues

Appreciative Inquiry model for promotion of systems-level change and transformation informed the process

Outcomes and Recommendationsfrom Phases 1 and 2 of Ohio’s

Shared Agenda Initiative

Approximately 725 participants

Report being compiled that will inform the Fall, 2003 Shared Agenda Legislative Forum

Through Legislative Forum raise public awareness and build advocacy for policy and fiscal support for better alignment for education and mental health in the next biennial budget process

Website created to track and publicize Ohio’s Shared Agenda initiative (http://www.units.muohio.edu/csbmhp/sharedagenda.html)

Ten Emerging Recommendationsfrom Phases 1 and 2 of Ohio’s

Shared Agenda Initiative

1. Promote EFFECTIVE mental health and educational practices in schools

2. Increase family and community involvement in school mental health and educational programs

3. Actively solicit and appreciate student input in program planning and operation

4. Reduce stigma for children who need mental healthservices

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Ten Emerging Recommendations from Phases 1 and 2 of Ohio’s

Shared Agenda Initiative (cont’d)

5. Maintain focus on all children, not just students in special education

6. Promote a better understanding of children’s mental health needs in schools

7. Expand cross-discipline training (preservice and inservice) for mental health/family-serving providers, educators and parents

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Ten Emerging Recommendations from Phases 1 and 2 of Ohio’s

Shared Agenda Initiative (cont’d)

8. Work more effectively to reduce “turf issues” that interfere with children’s mental health service delivery and with mental health-education collaboration

9. Coordinate more effectively between state-level and regional/local efforts in the area of school mental health and in promotion of mental health and school success

10. Develop organizational structures (e.g., 501C3) that will promote strong coalitions and facilitate funding

Logo Here

Creating and Maintaining Ongoing, Empowering

Dialogue with Educators

Multi-level, formal and informal dialogue with policy makers, formulators, enforcers, and implementers.

Programs for school board members and administrators.

Newsletter for teachers. Website resources. Extensive “contact time” with educators in their school

buildings. “Joining” the school community. Key opinion leaders.

Assessing and Responding To Educator-Identified Needs and

Concerns

Careful, detailed, local needs assessments from the perspective of educators, and a commitment to be responsive to identified needs.

Results used in advocacy efforts and as guideposts for ongoing work.

Perceived Problems

And

Teamwork Exercises

Teacher Consultants

Teacher consultants develop and implement special projects related to school-based mental health enhancement.

Teacher consultants serve as liaisons to the schools in efforts to promote school-based mental health programming.

Teacher consultants serve as informal advisers/mentors to school staff on matters related to social-emotional

adjustment and learning needs of children and school/climate issues.

Incentives For Teacher Consultants

Leadership opportunity

Training opportunity

Academic credit

Stipends (“supplemental contracts”)

Empowerment

Demystification

Addressing Barriers to Learning: Annual Conference and Action Projects

Program

Goal

Conduct annual conferences, to help initiate planned local public school-based projects that reduce mental health-related barriers to learning and enhance the development of healthy school communities.

Objectives of Addressing Barriers to Learning Program

Demonstrate, produce and assess school-based mental health practices (classroom-based, classroom-linked) that address barriers to desired academic outcomes and personal and social skill development.

Put into continuing practice that which participants learn in conference activities and projects.

Increase the effectiveness of school district collaboration and system support for school-based mental health practices.

Disseminate findings.

Resources for Addressing Barriers to Learning Program

Researchers and practitioners whose work on the conference theme evidences quality and the potential for successful application locally.

Web-site support.

Resource packets.

Small grants to support action projects.

Ongoing consultation with action teams with graduate students/faculty.

Conference Themes for Addressing Barriers to

Learning Program

2000 — Nonviolent Schools: Building Programs That Work Consultants: Betty Yung and Jeremy Shapiro

2001 — School, Family, and Community Partnerships Consultants: Marc Atkins and Scott Rankin

2002 — School, Family, and Community Partnerships Consultants: Program faculty

Addressing Barriers to Learning: Current Elementary School

Action Projects

School-wide project focused on increasing students’ positive social skills, using monthly themes and activities (open house nights, assemblies, community speakers). Parent involvement in planning and implementation is emphasized.

School-wide project focused on “trait of the month” themes (e.g., responsibility, caring) and activities (community service projects, fund raising for needy families, school-based counseling groups, after school activities, peer mediation program).

School-wide attendance enhancement program, through improved monitoring, enhanced parental involvement with an after school/evening tutoring program linked to family dinner/activity events, and an attendance reward program.

School-wide outreach program to families (“The Road Show”) taking school informational meetings into neighborhoods and communities, to overcome obstacle of the geographically large catchment area and to increase family sense of engagement with the school.

School-wide project focused on positive social skills, with emphasis on recess programming.

Addressing Barriers to Learning: Current Elementary

School Action Projects (cont’d)

A violence reduction program, focused on development of resource materials and use of psychoeducational training in coping skills and strategies for at risk students.

School-wide family engagement project emphasizing literacy, through school-based reading night dinner programs with storytellers and opportunities for families to read together.

School-wide parent involvement and support program focused on attention to needs of families, efforts to increase positive attitudes toward learning, and enhancement of social skills of students, using community picnics and “Parents on Board” parenting classes.

School-wide program focused on understanding and appreciating difference, tolerance, and conflict resolution skills, using curricula from the Center for Peace Education.

Addressing Barriers to Learning: Current High School

Action Projects

Mentoring program focused on academic and personal success of students, including a strong community service component.

Alternative high school service learning program incorporating intensive involvement with a senior citizens center and tutoring in an elementary school.

Addressing Barriers to Learning: Training in the

Project Evaluation Process

1. Determine goals and objectives.

2. Determine data needed to measure desired outcomes.

3. Select measurement methods.

4. Outline data collection plan.

5. Collect data.

6. Compile, analyze, interpret, and report results.

7. Refine project based on findings.

Note: Dr. Doris Bergen (Miami University Center for Human Development, Learning, andTeaching) has provided ongoing technical assistance on the evaluation process.

Addressing Barriers to Learning:Levels of Evaluation

Evaluation expected on two or more of the four levels:

Level 1 -- Records on planned activities.

Level 2 -- Self-report data from participant groups on knowledge,

attitudes, behaviors.

Level 3 -- Outcome data on student effects (attendance, office

referrals, grades…).

Level 4 -- Systematic observational data on behavior change

related to objectives of project.

Note: Dr. Doris Bergen (Miami University Center for Human Development, Learning, andTeaching) has provided ongoing technical assistance on the evaluation process.

Addressing Barriers to Learning: Linking Project Objectives to Evaluation

“The Road Show”

Objectives: Increase family involvement with school Increase student attendance Decrease discipline referrals

Evaluation Plan: Number of positive/negative calls to school “Road show” attendance rates and parent survey Attendance at parent conferences Student attendance rates Student discipline referrals

Educators as Key Members of the Mental Health Team

Schools should not be held responsible for meeting every need of every student.

However, schools must meet the challenge when the need directly affects learning and school success. (Carnegie Council Task Force on Education of Young Adolescents, 1989)

There is clear and compelling evidence that there are strong positive associations between mental health and school success.

“Children whose emotional, behavioral, or social difficulties are not addressed have a diminished capacity to learn and benefit from the school environment. In addition, children who develop disruptive behavior patterns can have a negative influence on the social and academic environment for other children.” (Rones & Hoagwood, 2000, p.236)

Contemporary school reform—and the associated high-stakes testing (including federal legislation signed in 2002)—has not incorporated the Carnegie Council imperative. That is, recent reform has not adequately incorporated a focus on addressing barriers to development, learning, and teaching.

Educators as Key Members of the Mental

Health Team

An Exercise:

How much time do you spend addressing the emotional,behavioral,

and/or social difficulties of your students (minutes per hour)?

Educators as Key Members of the Mental

Health Team

Context Examples

Senior high school with 880 students reported over 5,100 office discipline referrals in one academic year.

What does this mean?

• 5100 referrals @ 10 minutes each =– 51,000 minutes or– 850 hours or

– 141 6 hour days!

Context Examples

Middle school principal reports he must teach classes when teachers are absent, because substitute teachers refuse to work in a school that is unsafe and lacks discipline.

Context Examples

Middle school counselor spends nearly 15% of day “counseling” staff who feel helpless & defenseless in their classrooms because of lack of discipline & support.

Context Examples

Elementary school principal found that over 45% of their behavioral incident reports were coming from the playground.

Context Examples

Three rival gangs are competing for “four corners.” Teachers actively avoid the area. Because of daily conflicts, vice principal has moved her desk to four corners to regain control.

Context Examples

Bus transportation company is threatening to w/draw their contract if students don’t improve their behavior. Recently, security guards were hired to ride buses.

Context Examples

Elementary school principal reports that over 100% of her office discipline referrals came from 8.7% of her total school enrollment, & 2.9% had 3 or more.

Who’s problem is it?

• In one school year, Jason received 87 office discipline referrals.

• In one school year, a teacher processed 273 behavior incident reports.

Something to Think About

• “Any student who is giving it bad to an educator is getting it at least as bad or worse from some important source in his life.”

(Mendler, 1997)

Problem Behaviors

Insubordination, noncompliance, defiance, late to class, nonattendance, truancy, fighting, aggression, inappropriate language, social withdrawal, excessive crying, stealing, vandalism, property destruction, tobacco, drugs, alcohol, unresponsive, not following directions, inappropriate use of school materials, weapons, harassment, unprepared to learn, parking lot violation, irresponsible, trespassing, disrespectful, disrupting teaching, uncooperative, violent behavior, disruptive, verbal abuse, physical abuse, dress code, other, etc., etc., etc.

• Exist in every school• Vary in intensity• Are associated w/

variety of contributing variables

• Are concern in every community

Prioritizing Promotion of Healthy Development and Problem Prevention

School-based models should capitalize on schools’ unique opportunities to provide mental health-promoting activities.

For example, recommended strategies for drop-out and violence prevention, including those for which the central role of educators is evident, can be promoted actively within an expanded school-based mental health program.

Prioritizing Promotion of Healthy Development and Problem Prevention

For drop-out prevention, these include:

Early intervention. Mentoring and tutoring. Service learning. Conflict resolution and violence prevention

curricula and training for students/staff. Alternative schooling.

Some of What We Know About Youth ViolenceFrom the Surgeon General (2001), U.S. Secret Service (2000),

CDC (2002), Mulvey & Cauffman (2001)

Violence is a serious public health problem.

Violence is most often expressive/interpersonal, rather than primarily instrumental or psychopathological.

About 30 to 40 percent of male and 15 to 30 percent of female youth report having committed a serious violent offense by age 17.

About 10 to15 percent of high school seniors report that they have committed an assault with injury in the past year — a rate that has been rising since 1980.

By self-report, about 30 percent of high school seniors have committed a violent act in the past year — hit instructor or supervisor; serious fight at school or work; in group fight; assault with injury; used weapon (knife/gun/club) to get something from a person.

Violent acts are committed much more frequently by male than by female youth. (see Miedzian, 1991)

Some of What We Know About Youth Violence (continued)

43% of male and 24% of female high school students report that they had been in a physical fight during the past school year. (CDC, 2002)

No differences are evident by race for self-report of violent behavior.

At school, highest victimization rates are among male students.

Violent behavior seldom results from a single cause.

School continues to be one of the safest places for our nation’s children.

Serious acts of violence (e.g., shootings) at school are very rare.

Targeted violence at school is not a new phenomenon.

Most school shooters had a history of gun use and had access to them.

In over 2/3 of school shooting cases, having been bullied played a role in the attack.

“For every complex problem there is a simple solution that is wrong.” H.L. Mencken

A QUESTION:

WHAT ARE THE CAUSES OF VIOLENCE, OTHER PROBLEM BEHAVIOR,

AND DISCIPLINE PROBLEMS?

Causes of Violence, Other Problem Behavior, and Discipline

Problems

• Out-of-School– Society

– Media

– More children living in poverty

– Deterioration of family

– Difficult temperaments

– Less able to listen effectively and process verbal material, compared to children 20 – 30 years ago

Violent Behavior (Resnick et al., 1997)

• Behaviors modeled by sports and television heroes desensitize students to violence and antisocial behaviors

• Strongest protective factors from antisocial behavior…– Strong emotional attachments to parents and teachers

Aggressive and Rejected Children

• Thinking errors– Attribute hostile intentions to accidental or ambiguous behavior– Misinterpret important social cues– Tease others but respond incompetently when provoked

Educators

• Thinking errors– If punishment is severe enough, children will

cease negative behavior– Punishment is in the best interest of the child– Well controlled classrooms must be quiet

classrooms– Control is like a behavioral ointment:

• no control at home = slather it on in schoolno control at home = slather it on in school

– Prescribed discipline programs provide security for staff

Model: Influences on Violent versusNon-Violent Behavior

(From Shapiro, 1999, Applewood Centers, Inc., Cleveland, OH)

Some of What We Know AboutYouth Violence Prevention

From the Surgeon General (2001), U.S. Secret Service (2000),CDC (2002), Mulvey & Cauffman (2001)

Promoting healthy relationships and environments is more effective for reducing school violence than instituting punitive penalties.

The best predictor of adolescent well-being is a feeling of connection to school. Students who feel close to others, fairly treated, and vested in school are less likely to engage in risky behaviors.

A critical component of any effective school violence program is a school environment in which ongoing activities and problems of students are discussed, rather than tallied. Such an environment promotes ongoing risk management, which depends on the support and involvement of those closest to the indicators of trouble — peers and teachers.

Violence Prevention:What Doesn’t WorkFrom the Surgeon General (2001) and others

Scare tactics. (e.g., Scared Straight)

Deterrence programs — shock incarceration, boot camps.

Efforts focusing exclusively on providing education/information about drugs/violence and resistance. (DARE)

Efforts focusing solely on self-esteem enhancement.

Vocational counseling.

Residential treatment.

Traditional casework and clinic-based counseling.

Deutsch (1993) — Educating for a peaceful world

Four Key Components Including:

Cooperative Learning.

Conflict Resolution Training.

Use of Constructive Controversy in Teaching Subject Matters.

Mediation in the Schools.

Promoting Nonviolence: AnExample of a Heuristic

School-Based Framework

Prioritizing Promotion of Healthy Development and Violence Prevention:

Best and Promising Practices

Including:

Structured social skill development programs.Mentoring. (see Big Brothers/Sisters; Garbarino, 1999)Employment.Programs that foster school engagement, participation, and bonding.Promotion of developmental assets. (see Search Institute)A variety of approaches that engage parents and families. (e.g., parent training, MST, functional FT)Early childhood home visitation programs.Multi-faceted programs that combine several of the above.For good examples see “Blueprint Programs.”

Developmental Assets and Violence(1997 data, www.search-institute.org)

Approximately 100,000 6th-12th graders.

Definition of violence—three or more acts of fighting, hitting, injuring a person, carrying a weapon, or threatening physical harm in the past 12 months.

61% of youth with fewer than 11 of 40 developmental assets were violent.

6% of youth with 31 or more of 40 developmental assets were violent.








Primary Prevention


Tertiary Prevention


Positive Behavior Support(see www.pbis.org)

• PBS is a broad range of systemic & individualized strategies for achieving important social & learning outcomes while preventing problem behavior with all students.

Terminology

• Positive Behavior….– Includes all skills that increase success in home,

school and community settings.

• Supports….– Methods to teach, strengthen, and expand positive

behaviors.– System change.

Discipline Defined

• “The steps or actions, teachers, administrators, parents, and students follow to enhance student academic and social behavior success.”

• “Effective discipline is described as teaching students self-control.”

Reactive Vs. Proactive

• Traditional approaches. (including aversive interventions) – Address problem behaviors reactively– Crisis driven

• PBS emphasizes proactive interventions.

Goals

1. Improved quality of life for all relevant stakeholders. (the individual, family members, teachers, friends, employers, etc.)

2. Problem behaviors become irrelevant, inefficient, and ineffective and are replaced by efficient and effective alternatives.

PBS Interventions

• Context driven.• Addressing the functionality of the

behavior problem.• Acceptable to the individual, family

and community.

PBS is a Problem-Solving Process

• Decisions are based upon functional behavioral assessment. (FBA)

• FBA directs intervention design.– FBA establishes instructional targets for alternative

skills– FBA designates supports and context revisions

required for maintenance of positive changes

Systems Change

****DEFINING FEATURE OF PBS****• Efforts focused on fixing problem contexts, not

problem behavior.

• Successful outcomes can not depend solely on identifying ONE key critical intervention to “fix” the problem.

Components of School-Wide Systems

• Common philosophy.• Positively stated rules. (3 or 4)• Behavior expectations defined by context.• Teaching behavior expectations in context.• Reinforcement of expectations.• Discouragement of violations.• Monitor and evaluate effects.

Two Distinct Discipline Models

• Obedience Model

• Responsibility Model

From Johnston (2003)

Obedience

• MAIN GOAL: – Student follows orders

• PRINCIPLE:– Do what the teacher wants

• INTERVENTION: PUNISHMENT– External locus of control– Done to the student

• STUDENT LEARNS:– Don’t get caught– It’s not my responsibility


Responsibility

•MAIN GOAL: To teach students to make good choices

•PRINCIPLE:Learn from the outcomes of decisions

•INTERVENTION: CONSEQUENCESInternal locus of controlNatural or logicalDone by the student

•STUDENT LEARNS:I have more than one alternativeI have power to chooseI cause my own outcomes


Science of behavior has taught us that students….

• Are NOT born with “bad behaviors”

• Do NOT learn when presented contingent aversive consequences

• Do learn better ways of behaving by being taught directly & receiving positive feedback


Teacher Behaviors That Contribute to Discipline

Problems

• Sitting at the desk most of the time, not moving or mingling with the students

• Using a low, unenthusiastic or uniteresting voice tone

• Becoming easily sidetracked by one student’s irrelevant question



Problems

• Ignoring students’ interests and tying instruction solely to the textbook

• Repeating student’s answers too frequently• Leaving concepts before they have been clarified

and/or expecting independent work before understanding has been checked

• Not being prepared and leaving “down time” for students to fill



Problems

• Poorly worded questions that cloud discussion or understanding

• Having questions/answers be directed solely between teacher and student

• Neglecting to tie content or learning to prior knowledge of students

• Using too much time to teach the lesson and not focusing on what is being learned


Teacher Behaviors That Contribute to Reduction of Discipline Problems

• Remove conditions that trigger & maintain undesirable practices

• Increase conditions that trigger & maintain desirable practices

• Remove aversives that inhibit desirable practices

• Establish environments & routines that support continuum of PBS


Positive Adolescent Choices Training (PACT)Developed by

Betty R. Yung & W. Rodney Hammond

Components

I. Violence-Risk Education

II. Anger Management

III. Social Skills

Promoting Nonviolence: An Example of a Promising Secondary

Violence Prevention Program








Primary Prevention


Tertiary Prevention


Violence Risk Education:

Increase awareness of circumstances, risk factors, and consequences of violence.

Anger Management:

Understand and normalize feelings of anger, recognize anger triggers, and manage anger constructively.

PACT Components I and II

Givin’ It: Expressing criticism, disappointment, anger, or

displeasure calmly and ventilating strongemotions constructively.

Takin’ It: Listening, understanding, and reacting

appropriately to others’ criticism and anger.

Workin’ It Out: Listening, identifying problems and potential

solutions, proposing alternatives whendisagreements persist, and learning to

compromise.

PACT Components III: Social Skills

Closing Observations Clearly, intellectual, social, and emotional education go

hand-in-hand, and all are linked to creating safe schools, building healthy character, and achieving academic success:

The proper aim of education is to promote significant learning. Significant learning entails development. Development means successively asking broader and deeper questions of the relationship between oneself and the world. This is as true for first graders as it is for graduate students, for fledgling artists as graying accountants. A good education ought to help people become more perceptive to and more discriminating about the world: seeing, feeling, and understanding more, yet sorting the pertinent from the peripheral with ever finer touch, increasingly able to integrate what they see and to make meaning of it in ways that enhance their ability to go on growing. To imagine otherwise, to act as though learning were simply a matter of stacking facts on top of one another, makes as much sense as thinking one can learn a language by memorizing a dictionary. Ideas only come to life when they root in the mind of a learner. (Daloz, 1999, p. 243)

Closing Observations

The need for increased attention to mental health promotion on behalf of youth, is quite clear:

We have a burgeoning field of developmental psychopathology but have a more diffuse body of research on the pathways whereby children and adolescents become motivated, directed, socially competent, compassionate, and psychologically vigorous adults. Corresponding to that, we have numerous research-based programs for youth aimed at curbing drug use, violence, suicide, teen pregnancy, and other problem behaviors, but lack a rigorous applied psychology of how to promote youth development.

The place for such a field is apparent to anyone who has had contact with a cross section of American adolescents. (Larson, 2000, p. 170)

Closing Observations

Certainly, educators are key partners in efforts to intervene with children in need and to promote development.

In fact, through their day-to-day interactions with students, educators are the linchpins of school-based efforts to encourage healthy psychological development of youth.

This PowerPoint Presentation, with a reference list for cited work, will be posted on the CSBMHP website

http://www.units.muohio.edu/csbmhp

Common Messages Across Initiatives

It is important to build on the common goals of expanded school-based mental health programs and existing community and school initiatives. For example, in Ohio:

• “Shared Agenda Initiative”• “Partnerships for Success”• “Alternative Education Challenge Grant Program”

All share a common core focus on barriers to development, learning, and teaching.

Identification of the common message across initiatives is extremely important for reducing the chances that what is being introduced by any one initiative will be marginalized by proponents of narrowly-focused school reform.


Keynote presentations by national and state experts:

• Mark Weist, Center for School MH Assistance, U. of Maryland

• Steve Adelsheim, New Mexico School MH Initiative

• Howard Adelman & Linda Taylor, UCLA School MH Project

• Kimberly Hoagwood, Columbia University

• Howie Knoff, Project Achieve

• Joseph Johnson, Ohio Department of Education

• Eric Fingerhut, Ohio State Senator


Promising work in Ohio showcased

Youth and parent testimony

Cross-stakeholder panel discussions

Facilitated discussion structured to create a collectivevision, build a sense of mutual responsibility for reachingthe vision, instill hope that systemic change is possible,and problem-solve regarding implementation issues

Appreciative Inquiry model for promotion of systems-level change and transformation informed the process

Proven, Successful Treatments Exist for Most Disorders

Treatment success rates:

• 80% for major depression

• 65% for bipolar disorder

• 60% for schizophrenia

• 45% for heart disease

From Weist & Adelsheim, 2003

Characteristics of Children Living in Poverty (Ruby Payne, 1998)

• Laughs when disciplined; or is disrespectful to the teacher

• Argues loudly with the teacher• Responds angrily• Uses inappropriate or vulgar comments• Fights to survive or uses verbal abuse with

other students


• Hands are always on someone else

• Can’t follow directions

• Is extremely disorganized

• Talks incessantly

• Cheats or steal


• If one out of every four children under the age of 18 in the USA was living in poverty in 1996, 25% or more of our students may exhibit these behaviors in the classroom.

Students can’t learn when fearful of...

• Physical assault• Assault to self-esteem• Damages to personal

property

…and teachers can’t teach!

Carly and Aidan

in their vehicles

QuickTime™ and a TIFF (Uncompressed) decompressor are needed to see this picture.


Carly, Elmo and Aidan


educator roles in promoting mental health and school success for prek-12 students

Documents

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mental health education

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school mental health

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mental healthhttp