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Lisa Uherick M.D. Carolinas Medical Center Grand Rounds March 24, 2004. What is Bullying?. A form of aggression in which one or more children repeatedly and intentionally intimidate, harass, or physically harm a victim who is perceived as unable to defend himself or herself.

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Lisa Uherick M.D. Carolinas Medical Center Grand Rounds March 24, 2004

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Lisa uherick m d carolinas medical center grand rounds march 24 2004

Lisa Uherick M.D.

Carolinas Medical Center

Grand Rounds

March 24, 2004


What is bullying

What is Bullying?

  • A form of aggression in which one or more children repeatedly and intentionally intimidate, harass, or physically harm a victim who is perceived as unable to defend himself or herself.


Direct bullying

Direct Bullying

  • Active confrontation between the bully and the victim

  • Peter


Indirect bullying

Indirect Bullying

  • Shunning or ignoring the victim

  • Tonya


Passive bullying

Passive Bullying

  • Other children provide support for the bully

  • Scott and Bill


What is the extent of the problem

What is the Extent of the Problem?

  • School Age Children

    • 15% are victims

    • 10% are bullies

    • 5% are both

  • Peak incidence at age 7

  • Boys > Girls

  • Involves children of all races and classes


Is bullying normal

Is Bullying Normal?

  • Rite of Passage?

  • Innocent teasing?

  • Toughen kids up?


Why do we care

Why do we care?

  • School Shootings

    • Shooters suffered

      bullying and isolation

    • Violent Retribution


Luke woodham

Luke Woodham

  • “I am not insane. I am angry. I killed because people like me are mistreated every day. I did this to show society: Push us and we will push back”


Lisa uherick m d carolinas medical center grand rounds march 24 2004

  • Our attitude toward bullying is critical because it sets the standard for the general level of aggression that is thought to be acceptable in society!


Bullies

Bullies

  • Characteristics

    • Aggressive and violent

    • Little empathy for others

    • Physically strong

    • Crave power

    • CONFIDENT


Bullies1

Bullies

  • Rewards

    • Prestige

    • Power

    • Material possessions


Bullies2

Bullies

  • Consequences

    • Poor school performance, drop out

    • Peer rejection

    • Depression

    • Drink, smoke, fight

    • Criminal behavior as adults


Victims

Victims

  • Characteristics

    • Anxious

    • Insecure

    • Physically smaller and weaker

    • Cautious

    • Quiet


Victims1

Victims

  • Consequences

    • Fear and anxiety

    • Poor self esteem

    • Social isolation

    • Depression

    • School avoidance

    • Physical harm


The double whammy

The Double Whammy


What is the pediatrician s role

What is the Pediatrician’s Role?

  • 1. Identify the Problem!

    • Anticipatory guidance

    • Screening Questions


Lisa uherick m d carolinas medical center grand rounds march 24 2004

  • How are things going at school?

  • Have you ever been teased at school?

  • At recess, do you play with other children?

  • How many days have you missed school? Why?


What is the pediatrician s role1

What is the Pediatrician’s Role?

  • Know the signs for the victim

    • Depression

    • Behavior problems

    • Somatic complaints (Headache, Stomach Aches)

    • Enuresis

    • Sleep Difficulties


What is the pediatrician s role2

What is the Pediatrician’s Role?

  • Know the signs for the bully

    • Strong negative moods

    • Slow adaptation to new situations

    • Violent reactions

    • Parents who display violence


What is the pediatrician s role3

What is the Pediatrician’s Role?

  • 1. Identify the Problem

  • 2. Counsel

    • Parents

    • Children

    • School personnel


Counseling parents

Counseling Parents

  • Victim

    • Role Play

  • Bully

    • Model aggression control

    • Do not tolerate violence

  • Both

    • Extracurricular activities

    • Mental Health Counseling


Counseling victims

Counseling Victims

  • “WALK, TALK, SQUAWK!”

    • Walk away from the scene calmly (Not run)

    • Talk to the bully, looking him straight in the eye

    • Squawk to a teacher or parent!


Counseling school personnel

Counseling School Personnel

  • Define bullying and it’s consequences

    • Involve parents and counselors

  • Encourage awareness and involvement

    • Increase adult supervision

  • Set a non-violent tone

    • “Peace at school day”


Caught in the act

Caught in the Act

  • Remove the victim

  • Do not use aggression!

  • Tell the bully he will be dealt with later

    • Public or private or written apology?


Learning from our mistakes

Learning from our mistakes

  • Every bullying episode is a FAILURE

    • Bully fails to learn that it is unacceptable

    • Parents failed to teach the bully aggression control

    • Victim failed to assertive enough

    • School failed to protect the victim


One exemplary school

One Exemplary School

  • 4 steps to create a violence free environment

    • 1. Identify the school’s core values

      • The 5 bee’s (be respectful, be responsible, be honest, be ready to learn, and be your personal best)

    • 2. Create consistent rules and consequences

    • 3. Model those values

    • 4. Eliminate inappropriate interventions


Lisa uherick m d carolinas medical center grand rounds march 24 2004

  • Bee Theme

  • The new school pledge

  • Teacher Training

  • Emphasis on name calling and teasing

    • “No Teasing,” “No Name Calling” signs

    • “Two put-ups for each put down”

  • Rewarded with the Beehive Café


Results of the 5 bee s

Results of the 5 Bee’s

  • K-Grade 2

    • 40% reduction in self-reported aggression

    • 19% reduction in self-reported victimization

  • Grades 3-5

    • 23% reduction in self-reported victimization


What is the pediatrician s role4

What is the Pediatrician’s Role?

  • 1. Identify the problem

  • 2. Counsel

  • 3. Screen for psychiatric co-morbidities

    • Bully

      • Conduct disorder

    • Victim

      • Depression, anxiety or panic disorders


What is the pediatrician s role5

What is the Pediatrician’s Role?

  • 1. Identify the problem

  • 2. Counsel

  • 3. Screen for psychiatric co-morbidities

  • 4. ADVOCATE

    • The right of children to attend school and live free from the threat of violence by other children


What is happening locally

What is Happening Locally?

  • Charlotte-Mecklenburg Schools

    • Student Rights, Responsibilities and Character Development Handbook

      • Assault, threatening or intimidating a student

    • Backpack Alert; “A Violent Age”

      • March 13 & 20 on


What is happening in

What is happening in

  • Bullies Don’t Belong Campaign

    • NC DJJDP, Center for Prevention of School Violence, Attorney General’s Office

  • Bullying; Stop the Bully without Becoming One

    • NCMS Alliance


To report bullying

To Report Bullying…

NC Safe Schools Tip Line

1-800-960-9600


What is happening nationally

What is Happening Nationally?

  • 15 states have anti-bullying policies

  • “Take a Stand, Lend a Hand, Stop Bullying Now!”

    • National public health campaign


How can we advocate

How Can We Advocate?

  • Help set the tone for a bullying-free community

  • Bullying prevention programs in our schools

    • School Board

  • State legislation

    • Vote, write or call your Representatives

    • Task forces


Who are our representatives

Who are our Representatives?

  • Mecklenburg

    98:John W. Rhodes99:Drew P. Saunders100:James B. Black101:Beverly M. Earle102:Becky Carney103:Jim Gulley104:Constance K. Wilson105:W. Edwin McMahan106:Martha B. Alexander107:W. Pete Cunningham


Goals for nc anti bulling laws

Goals for NC Anti-Bulling Laws

  • Clear Definition

  • Require local school boards to develop bullying policy

  • Provide the local schools with research based prevention programs that work


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