L2 Support and Wellbeing in Schools

Question 1

What is mental health?

Answer 1

At one end of the continuum is normal human emotion
At the other is extreme psychological distress and mental illness
The precise threshold where one moves from mental health to ill mental health is not defined

Question 2

What is well-being?

Answer 2

The quality of people’s lives, it is a dynamic state that is enhanced when people can fulfil their personal and social goals
Objective and subjective

Question 3

What is Daniels 1999 framework for assessing mental health problems in children and young people?

Answer 3

Framework to consider risk and resilience
Resilience - vulnerability
Adversity - protective

Question 4

How have emotional disorder rates increased?

Answer 4

More common in 5-25 year olds
2004 -3.9%
2017 - 5.8%
Stability in other disorders (behavioural, hyperactivity) have remained stable since

Question 5

Are mental disorders more common in older age groups?

Answer 5

Those aged 17-19 were 3 times more likely to have a disorder than preschool children

Question 6

What are some of the main areas of concern?

Answer 6

50% of mental illnesses start before the age of 14
10-20% of adolescents may experience a mental health problem
Increasing emotional problems in girls

Question 7

What learning is linked to children’s wellbeing?

Answer 7

School environment
Learning and enjoyment in primary school predict their wellbeing
Boys learning in primary school influence behavioural aspects
Girls in school are predictive of social wellbeing

Question 8

What factors contribute to mental health?

Answer 8

Societal
Cultural
Environmental
Educational
Psychological - biological - social
Consider them all at once

Question 9

What are the tiers without mental health support?

Answer 9

Tier 1 - frontline staff
Tier 2 - network of professionals
Tier 3 - specialist outpatient CAMH team
Tier 4 - inpatient CAMH provision

Question 10

What does the DOH 2014 mental health and wellbeing taskforce aim to do?

Answer 10

Promoting resilience, prevention and early intervention
Improving access to effective support - a system without tiers
Care for the most vulnerable
Accountability and transparency
Developing the workforce

Question 11

What are the governments 3 pillars of mental health?

Answer 11

1. incentivise and support all schools and colleges to identify a designated senior lead
2. fund new mental health support teams
3. pilot a four-week waiting time for access to specialist NHS children and young people’s

Question 12

What are the key support issues?

Answer 12

Schools increasingly being looked to for intervention
Need to an improved evidence base for interventions
Emphasis on integrated working and early intervention
Challenges of increased diversity in education marketplace

Question 13

What is the medical model of mental health?

Answer 13

A useful way of understanding the complexity of the human condition and to develop treatments

Question 14

What is a critique of the medical model?

Answer 14

Biomedical perspectives remain dominant
Over emphasis on diagnosing and treating individual pathology

Question 15

What EP work is linked to the medical model?

Answer 15

Diagnostic processes
Supporting others to understand diagnostic processes
Support the implementation of evidence base treatments or interventions for particular conditions
Attempting to bridge the gap in understanding between health, social care and educational settings
Evaluating impact and implementation of evidence-based interventions

Question 16

What is an EP role in the social model?

Answer 16

Draw attention to the fact that children and young people’s school experiences can impact their mental health
Promote systematic responses to mental health distress and wellbeing
Help address issues of stigma and inclusion
Help young people to understand and cope with their experiences of mental distress

Question 17

What is the educational model?

Answer 17

Concerned with the development of social and emotional competence
Places emphasis on teaching and learning of emotional awareness and social skills
Draws on concepts such as emotional literacy and social and emotion aspects of learning

Question 18

What are the key social and emotional skills?

Answer 18

Self awareness
Self regulation
Motivation
Empathy
Social skills

Question 19

What is the EP role within the educational model?

Answer 19

Training on the social and emotional aspect of learning
Develop whole school approaches
Provide targeted group work to those who are at risk of behavioural problems

Question 20

What is the psychological model?

Answer 20

Recognises the importance of interaction between the person and the environment
Consider the impact of the individual on the system, and behaviour, cognition, emotion and interpersonal interactions
Typically adopts an eco-systematic approach using a case formulation, hypothesis testing and problem solving

Question 21

What are the features of an individualist approach?

Answer 21

Pipe end
Pathogenic
Mandatory
Dependency
Inequitable
Additive
Maintains status quo

Question 22

What are the features of the whole system approach?

Answer 22

Systematic
Salutogenic
Participatory
Sustainable
Equitable
Integrative

Question 23

What are the limitations of treatment?

Answer 23

Many children do not respond adequately to even the best-evidenced treatments