SEMH & Wellbeing in schools Flashcards
define MH (1) and wellbeing (2)
MH - Dogra 2002
At one end of the continuum is normal human emotional experience and the other is extreme psychological distress and mental ill-health.
Wellbeing - Statham and Chase, 2010)
“…understood as the quality of people’s lives. It is a dynamic state that is enhanced when people can fulfil their personal and social goals.
what are SEMH difficulties?
These may include becoming withdrawn or isolated, as well as displaying challenging, disruptive or disturbing behaviour.
These behaviours may reflect underlying mental health difficulties such as anxiety or depression, self-harming, substance misuse, eating disorders or physical symptoms that are medically unexplained.
whats the stat for how many young people in UK reported some symptoms of anxiety or depression in 2011-12.(ONS, 2014)?
But around 1 in 5 young people aged 16 to 24 in the UK reported some symptoms of anxiety or depression in 2011-12.(ONS, 2014)
what % of mental illnesses begin before age 14 (Kim-Cohen et al 2003)?
50% of mental illnesses begin before age 14 (Kim-Cohen et al 2003)
What is known about the factors that contribute to children and young people’s mental health and well-being in schools? part 1 - school
The school environment found to play an important role in children’s social, emotional and behavioural wellbeing
Children’s learning and enjoyment in primary school found to predict their later wellbeing in secondary school.
for boys learning in primary school is the strongest influence on what?
for girls it is more predictive of what?
For boys, learning in primary school the strongest influence on behavioural aspects of their later wellbeing
For girls it is more predictive of social wellbeing (Gutman and Feinstein, 2008; Gutman et al., 2010).
In a study, what % who had a mental health problem had not accessed a service 20 months later?
10,438 children 5-15, just under half (46%)
what is the EPs contribution to supporting mental health?
EPs typically work in a network professionals, whose role is expected to include:work to promote positive mental health, prevent and provide for short term mental health needs alongside other professionals
supporting frontline professionals (teachers, GPs, social workers, health visitors etc.) to meet the mental health needs of children and young people
to consult, involve & seek supervision from specialist CAMHS as, and when, appropriate and needed.
what is the UK GOVERNMENT’S THREE PILLARS: MENTAL HEALTH PROVISION FOR CHILDREN AND YOUNG PEOPLE:?
- To incentivise and support all schools and colleges to identify and train a Designated Senior Lead for Mental Health.
- To fund new Mental Health Support Teams, which will be supervised by NHS children and young people’s mental health staff.
- To pilot a four-week waiting time for access to specialist NHS children and young people’s mental health services. (DfE, 2017)
MENTAL HEALTH SUPPORT TEAMS: WHAT IS THE ROLE FOR AN EP?
These other services include professionals who work closely with schools and colleges, such as educational psychologists, school nurses and counsellors, local authority troubled families teams, social services, peer networks, service user forums, and voluntary and community sector organisations.
All of these roles play a crucial part in supporting young people with mental health problems and so we will test a range of models for putting the new teams at the heart of collaborative approaches with these professionals. (DFE/DoH, 2017)
Key support issues x3
Schools increasingly being looked to for intervention and support (Patalay et al 2016)
Need for an improved evidence-base for interventions; implementation and outcomes in educational settings rather than clinical ones (Murphy & Fonagy, 2013).
Emphasis on integrated working and early intervention (Future in mind, DoH 2015)
what are the 4 PARADIGMS IN UNDERSTANDING MENTAL HEALTH?
A useful way of understanding the complexity of the human condition and to develop treatments suited to particular conditions. (Scott, 2003)
‘Systematic proliferation of disease names created independently of their anatomical, biochemical, microbiological or physiological correlates.’ (Szas, 1979)
explain MEDICAL MODEL OF MENTAL HEALTH:
A useful way of understanding the complexity of the human condition and to develop treatments suited to particular conditions. (Scott, 2003)
‘Systematic proliferation of disease names created independently of their anatomical, biochemical, microbiological or physiological correlates.’ (Szas, 1979)
critique of medical model of MH - 1 Diagnosis
‘Biomedical perspectives remain dominant - and a concern with the overall complexity of a situation can become lost in an over-emphasis on diagnosing and treating individual ‘pathology.’ (Tew, 2005 p.216)
critique of medical model of MH - 2 circumstance
Circumstance - Also, We have no way of relating the outcomes of health service interventions to educational or often even social service interventions, yet where children present with mental health problems it is more likely to be the consequence of circumstance rather than the characteristics of their presenting problem. (Murphy and Fonagy, 2012)