Chapter 19: Kids Flashcards
__% of youth experience some form of… __% susbstantially affected, __15% of youth experience a mental disorder
20%, of youth experience some form of… emotional, behavioural, or developmental problems10% substantially affected15% of youth experience a mental disorder
many school counsellors have little more than a…
B.Ed! something to note, no standardized school counsellor training
Roles of School Counseloors
-individual/group counselling-formal & informal student assessment (abilities, needs)-consultation w/ administration/teachers-psychoeducational awareness-vocation/guidance counselling-community agency referrals
special considerations for counselling youth
-need to assess all developmental stages (emotional, social, etc.)-not just little adults!-environmental factors have great influence (involve teachers/guardians)-often not self-referred (so assess motivation/insight)-more time to form positive working alliance/rapport-youth in care/aboriginal susceptible to mental health challenges
suicide clues
verbal.direct - “i wish i were dead”.indirect - “they’ll be better off without me”situational.recent losses (job, friends, family, ability).increased pressuresbehavioral.other than obvious…giving away possessions.increased risk-taking.decreased interest in appearance.SUDDEN IMPROVEMENT can indicate loss of will to live and suicide decision made
risk assessment questions for suicide
if answer yes to any of these, risk goes up• Are they thinking of suicide?• Do they have a plan?• Do they have a time frame?• Do they have the means available?• Have they had any previous attempts?• Do they know anyone who has committed suicide (any other major loss)?• Do they have any resources (internal & external) to help them cope with thoughts?
how to help suicidal people
-try to stay calm-acknowledge, normalize and validate pain and feelings of hopelessness & isolation-identify ambivalence.if could get rid of pain, would u still want to die?.big part wants to die, is there a part that wants to live?.what’s keeping you here?-help identify triggers & coping strategies-identify supports/resources, have students promise to reach out before doing anything!
how to NOT help suicidal people
-avoiding the subject (just a phase…)-negating the pain (well, just look at what’s GOOD in ur life! lawl)-make feel guilty about how hurt others-only focusing on external resources (need internal)
self-harm (self-injure)
“an intentional destruction of body tissue W/O suicidal intent! and for purposes not socially sanctioned”-typically around 13-14 years old-forms: cutting, severe scratching, burning, baning, or hitting-14-15% report at least one instance of self-injury-EQUAL among genders!
why do people self-harm?
-affect regulation (hurts but soothes)-self-punishment-interpersonal influence (attention)-antidissociation (to stop it, will jump back into body)-antisuicide (to stop self from suicide)-sensation seeking (this one less prevalent?)
common interventions w/ youth
-relationship building!.learn about their interests (video games, sports).have them TEACH you about something.learn their language.have choices and flexiblity.don’t try too hard (be genuine!) (kids have a sensor that lets them know when adults trying too hard).play therapy.bibliotherapy.therapeutic games.peer mentoring (hidden gem, move gr 4-5 kids w/ gr 1, their strengths will shine!).physical exercise (benefits both physical/mental health!).CBT.arts-based.groups (often easier for kids than 1on1)
common disorders in youth
-anxiety and depression-altho, commonly thought ADHD-suicide-addiction-violent behavior-bullying-abuse/neglect/domestic violence-aboriginal youth overrepresented in youth care facilities
