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goals for this session. To provide a provincial context for school mental health To encourage a shared understanding of the role of schools in supporting student mental health & well-being To introduce a new resource for School Administrators in Ontario. Session outline. Provincial Context

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Goals for this session

goals for this session

  • To provide a provincial context for school mental health

  • To encourage a shared understanding of the role of schools in supporting student mental health & well-being

  • To introduce a new resource for School Administrators in Ontario

School Mental Health ASSIST2013


Session outline

Session outline

  • Provincial Context

    • Ontario’s Mental Health and Addictions Strategy

    • School Mental Health ASSIST

  • Student Mental Health and Well-Being

    • Student Mental Health and Well-Being Basics

    • The Role of Schools

  • Introducing Leading Mentally Healthy Schools: A Resource for School Administrators

    • The Role of School Leaders in Supporting Student Mental Health and Well-Being

School Mental Health ASSIST2013


The provincial context for school mental health

Section 1

The provincial context for school mental health

School Mental Health ASSIST 2013


Goals for this session

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

http://www.health.gov.on.ca/english/public/pub/mental/pdf/open_minds_healthy_minds_en.pdf

School Mental Health ASSIST 2013


Overall aim

Overall Aim

“ … to reduce the burden of mental illness and addictions by ensuring that all Ontarians have timely access to an integrated system of excellent, coordinated and efficient promotion, prevention, early intervention, community support and treatment programs.”

School Mental Health ASSIST2013


Overarching goals

Overarching Goals

  • To improve the mental health and well-being of all Ontarians;

  • To support the creation of healthy, resilient and inclusive communities;

  • To identify mental health and addiction problems early and intervene;

  • To provide timely, high quality, integrated, person-directed health and human services.

School Mental Health ASSIST2013


The first three years

The First Three Years

The Strategy focuses on children & youth in the first three years. There are three key targets:

  • Fast access to high-quality services

  • Early identification and support

  • Help for vulnerable children/youth with unique needs

School Mental Health ASSIST2013


Goals for this session

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.

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

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.

THEMES

  • Fewer hospital (ER) admissions and readmissions for child and youth mental health

  • Reduced Wait Times

  • Reduced child and youth suicides/suicide attempts

  • Educational progress (EQAO)

  • Fewer school suspensions and/or expulsions

  • Higher graduation rates

  • More professionals trained to identify kids’ mental health needs

  • Higher parent satisfaction in services received

  • Decrease in severity of mental health issues through treatment

  • Decrease in inpatient admission rates for child and youth mental health

INDICATORS

Implement Working Together for Kids’ Mental Health

Implement standardized tools for outcomes and needs assessment

Enhance and expand Telepsychiatry model and services

Provide support at key transition points

Pilot Family Support Navigator model

Y1 pilot

Improve public access to service information

Develop K-12 resource guide for educators

Improve service coordination for high needs kids, youth and families

Amend education curriculum to cover mental health promotion and address stigma

Funding to increase supply of child and youth mental health professionals

Increase Youth Mental Health Court Workers

Hire new Aboriginal workers Implement Aboriginal Mental Health Worker Training Program

Outcomes, indicators and development of scorecard

Expand inpatient/outpatient services for child and youth eating disorders

Hire Nurse Practitioners for eating disorders program

Implement school mental health ASSIST program &mental health literacy provincially

Provide designated mental health workers in schools

Reduce wait times for service, revise service contracting, standards, and reporting

Strategy Evaluation

Implement Mental Health Leaders in selected School Boards

Create 18 service collaboratives

Provide nurses in schools to support mental health services

OVERVIEW OF THE MENTAL HEALTH & ADDICTIONS STRATEGY - FIRST 3YEARS

INITIATIVES

9

School Mental Health ASSIST 2013


Ministry of education commitments

Ministry of Education Commitments

  • To enhance the K to 12 Curriculum to more strongly feature student mental health

  • To develop an Educator Guide to help educators to recognize and support students with mental health and addictions needs

  • To hire Mental Health Leaders to support board mental health and addictions strategy development and implementation

  • To provide implementation support via School Mental Health ASSIST

School Mental Health ASSIST2013


Goals for this session

School Mental Health ASSIST is a provincial implementation support team designed to help Ontario school boards to promote student mental health and well-being, through leadership, practical resources and systematic research-based approaches to school mental health.

School Mental Health ASSIST 2013


School mental health assist focuses on

Organizational Conditions for Effective School Mental Health

Mental Health Capacity-Building for Educators

Implementation of Evidence-Based Mental Health Promotion and Prevention Programming

School Mental Health ASSIST Focuses On:

School Mental Health ASSIST 2013


Strategy cascade

Strategy Cascade

School Mental Health ASSIST2013


Background on student mental health and well being

Section 2

Background on student mental health and well-being

School Mental Health ASSIST 2013


Mental health is

Mental Health is…

“A state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity”

World Health Organization

School Mental Health ASSIST 2013


Mental health exists on a continuum

Mental Health Exists on a Continuum

School Mental Health ASSIST 2013


What are mental health problems

What are mental health problems?

Mental health problems are emotional, behavioural and brain-related disturbances that interfere with development, personal relationships, and functioning.

Disturbances 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

School Mental Health ASSIST2013


Mental health problems include a range of difficulties

Mental Health Problems include a Range of Difficulties

Mental health problems are characterized by 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 withdrawn, lonely, anxious, depressed

School Mental Health ASSIST2013


Mental health problems are common

Mental Health Problems are Common

Roughly one in five students in Canadian schools struggle with a mental health problem that interferes with their day to day functioning.

School Mental Health ASSIST 2013


Facts and figures

Facts and Figures

There is a clear relationship between mental health problems and academic achievement

Causes – Multiply determined (biological, life experiences, individual factors, early trauma)

Onset- In 70% of cases, the onset of problems begins before age 18; with 50% of cases starting before 14

Comorbidity – If have one disorder, other problems are also likely (45% have > 1 mental health problem)

Impact– Disturbances to academic progress, social well-being, isolation, despair, anger, heightened risk of suicide

School Mental Health ASSIST2013


Mental health problems are treatable

Mental Health Problems are Treatable

  • Proven strategies and supports

    • Psychosocial and pharmacological treatments are most common, and are often used together

  • While many mental disorders are chronic, we can help with coping

  • Early identification and intervention improves prognosis

School Mental Health ASSIST2013


Barriers to accessing services

Barriers to Accessing Services

Unfortunately, up to 80% of students with mental health needs will not access appropriate support

Barriers to such access include:

  • Stigma associated with mental health problems,

  • Misidentification of symptoms,

  • Adult lack of knowledge regarding where to seek help,

  • Lack of sufficient services to meet demand.

School Mental Health ASSIST2013


Schools have a unique opportunity

Schools Have a Unique Opportunity

Schools are an optimal setting 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

Build pathways to care

School Mental Health ASSIST 2013


K 12 educator guide

K-12 Educator guide

  • The Ministry has created Supporting Minds: An Educators’ Guide to Promoting Student Mental Health and Well-Being

  • Designed to help educators to provide mentally healthy classroom environments, and to recognize when students are struggling with common mental health problems at school:

  • Anxiety Problems

  • Mood Problems

  • Attention and Hyperactivity / Impulsivity

  • Behaviour Problems

  • Eating and Weight-Related Problems

  • Substance Use Problems

  • Gambling

  • Self-Harm and Suicide

School Mental Health ASSIST2013


The school administrator s role

The School administrator’s Role

  • School Administrators need to create the conditions to promote the mental health and well-being of all students

  • In addition to setting the tone for a positive and welcoming school climate, this includes creating structures and processes that allow for appropriate skill development for all students, and early identification and support for those in need

  • This includes attention to staff mental health capacity building and personal well-being

School Mental Health ASSIST2013


Goals for this session

School Administrators are ideally positioned to lead in enhancing student mental health.

With professional learning and support, school administrators can:

  • Help staff create mentally healthy classrooms,

  • Create a school climate sensitive to the needs of vulnerable students,

  • Recognize early signs of mental health problems,

  • Select and facilitate appropriate student supports,

  • Help students and families access needed services.


Introducing leading mentally healthy schools a resource for school administrators

Section 3

Introducing…Leading Mentally Healthy Schools: A Resource for School Administrators

School Mental Health ASSIST2013


Leading mentally healthy schools

Leading Mentally Healthy schools

  • In spring 2012, School Mental Health ASSIST recognized the need for a resource to support School Administrators

  • A School Administrators Working Group was convened with the help of the:

    • Minister’s Principal Reference Group

    • Ontario Principal Associations

    • Chief Psychologist and Social Work Associations

  • This Working Group suggested the development of a “one stop” electronic resource for school administrators

  • School Mental Health ASSIST is grateful for the high quality product that this working group produced!

School Mental Health ASSIST 2013


Development timelines

Activity

Development Timelines

School Mental Health ASSIST2013


Leading mentally healthy schools table of contents

Leading Mentally Healthy SchoolsTable of contents

  • Introduction

  • Background on Student Mental Health and Well-Being

  • Ontario’s Mental Health and Addictions Strategy

  • Strategies for Administrators Supporting Mental Health in Schools

  • Tackling the Tough Issues in Schools


8 broad strategies

8 Broad Strategies

  • Think in Tiers

  • Set the Stage

  • Connect the Dots

  • Focus on the Positive

  • Bring People Along

  • Follow Familiar Planning Processes

  • Enable Implementation

  • Foster Collaboration

School Mental Health ASSIST2013


Tackling the tough issues

Tackling the tough issues

  • School Support for Some and Few

  • Dealing with Mental Health Crises

  • Managing Transitions

  • Working with Parents when Mental Health Problems Arise

  • Meaningful Student Engagement

  • Talking with Students about Mental Health

  • Self-Care Ideas

School Mental Health ASSIST2013


Next steps

Next steps…

  • Boards are invited to review Leading Mentally Healthy Schools

  • Board Mental Health Teams will be invited to regional sessions to more deeply explore the School Administrator and Educator Guides

  • Boards may offer in-depth sessions for school administrators on each of the 8 strategies introduced, and on tackling the tough issues

School Mental Health ASSIST2013


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