SEMH & Wellbeing in schools Flashcards

1
Q

define MH (1) and wellbeing (2)

A

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.

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2
Q

what are SEMH difficulties?

A

These may include becoming withdrawn or isolated, as well as displaying challenging, disruptive or disturbing behaviour.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.

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3
Q

whats the stat for how many young people in UK reported some symptoms of anxiety or depression in 2011-12.(ONS, 2014)?

A

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)

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4
Q

what % of mental illnesses begin before age 14 (Kim-Cohen et al 2003)?

A

50% of mental illnesses begin before age 14 (Kim-Cohen et al 2003)

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5
Q

What is known about the factors that contribute to children and young people’s mental health and well-being in schools? part 1 - school

A

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.

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6
Q

for boys learning in primary school is the strongest influence on what?

for girls it is more predictive of what?

A

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).

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7
Q

In a study, what % who had a mental health problem had not accessed a service 20 months later?

A

10,438 children 5-15, just under half (46%)

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8
Q

what is the EPs contribution to supporting mental health?

A

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.

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9
Q

what is the UK GOVERNMENT’S THREE PILLARS: MENTAL HEALTH PROVISION FOR CHILDREN AND YOUNG PEOPLE:?

A
  1. To incentivise and support all schools and colleges to identify and train a Designated Senior Lead for Mental Health.
  2. To fund new Mental Health Support Teams, which will be supervised by NHS children and young people’s mental health staff.
  3. To pilot a four-week waiting time for access to specialist NHS children and young people’s mental health services. (DfE, 2017)
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10
Q

MENTAL HEALTH SUPPORT TEAMS: WHAT IS THE ROLE FOR AN EP?

A

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)

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11
Q

Key support issues x3

A

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)

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12
Q

what are the 4 PARADIGMS IN UNDERSTANDING MENTAL HEALTH?

A

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)

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13
Q

explain MEDICAL MODEL OF MENTAL HEALTH:

A

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)

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14
Q

critique of medical model of MH - 1 Diagnosis

A

‘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)

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15
Q

critique of medical model of MH - 2 circumstance

A

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)

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16
Q

critique of medical model of MH - 3 context

A

context - We need to understand more about alternative settings in which treatments [interventions and support] may be implemented, especially for those children and young people who are not currently reached by existing services. (Murphy and Fonagy, 2012)

17
Q

how is EP work linked to medical model?

A

EPs work with, and alongside, other professionals such as Community Paediatricians and may contribute to:

  1. Diagnostic processes ( e.g. ADHD, ASC pathways)

2..Supporting others to understand diagnostic processes and the impact of labelling

  1. Support the implementation of evidence-base treatments or interventions for particular conditions ( (e.g. Behavioural for ADHC).
  2. Attempting to bridge the gap in understanding between health, social care and educational settings.
  3. Evaluating impact and implementation of evidence-based/informe
18
Q

Social model of MH - some considerations

A

Studies of attitudes to mental health reveal that younger people have very negative views and use pejorative terms in their everyday language (Chandra et al, 2007).

Young people with mental health problems are more likely to experience higher levels of stigma than adults.

Stigma causes people to be secretive about their problems, and discourages them from seeking appropriate help. (Rose et al, 2007)

19
Q

how can we tackle stigma? x2 ways

A
  1. Providing young people with information about mental health issues has been shown to improve attitudes to mental health and help seeking behaviour
  2. Training teachers in mental health issues has also been shown to improve understanding of mental health (Gale, 2010)
20
Q

what type of approach may be more helpful to young people?

A

‘A holistic approach which helps to make links between what may seem bewildering thoughts, feelings and behaviours, and the realities of people’s social and personal experience may be more helpful…’ (Tew, 2005, p27)

21
Q

WHAT CAN SCHOOLS DO ? x3

A
  1. teaching about good mental health and emotional resilience
  2. Whole school approach which build understanding about mental health, tackle stigma and develop emotional resilience
  3. Successful evidence-based models that increase access to mental health support and services see for example, the TAMHS (Targeted Mental Health in schools (DfE, 2009).
22
Q

what role is there for schools?

A

foster the development of resilience and providing opportunities for the delivery of interventions aimed at improving mental health. (Murphy and Fonagy, 2012)

E.g ELSAs (Burton) and Emotion Coaching (Goffman)

23
Q

what is the EP ROLE WITHIN THE SOCIAL MODEL?

A
  1. Draw attention to the fact that children and young people’s school experiences can impact their mental health, distress and wellbeing
  2. Promote systemic responses to mental health, distress and wellbeing

3.Help address issues of stigma and inclusion

4.Help young people to understand and cope with their experiences of mental distress

24
Q

whats the educational model?

A

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 emotional aspects of learning.

25
Q

what are Five Key Social and Emotional Skills?

A

Self Awareness
Self Regulation (Managing feelings)
Motivation
Empathy
Social Skills

26
Q

What works in promoting children’s emotional and social skills? (Weare and Gray, 2000) X4 things

A
  1. Social and Emotional Aspects of Learning (SEAL) Initiatives - in Primary (DCSF, 2006) and Secondary Schools (DCSF, 2007)
  2. Work on Developing Emotional Literacy in Schools (Weare, 2005)
  3. Supporting Emotional Literacy (Burton, 2008) via Support Assistants (ELSA) (Burton et al , 2010)
  4. Use of Peer Mentoring (National Mentoring Network and DfES (2004)
27
Q

EP WORK WITHIN THE EDUCATIONAL MODEL? training x3

A

Training on the Social and Emotional Aspects of Learning

Offer training key staff in the knowledge and skills around how to support emotional literacy, peer mentoring and use of cooperative group work

Provide training on Strengths Based Approaches such as Solution Focused and Orientated Practice ( deShazer, 1990; O’Hanlon, 2000) and Positive Psychology (Seligman et al, 2009).

28
Q

EP WORK WITHIN THE EDUCATIONAL MODEL? other things x4

A

Offer support to help the theory underpinning the approaches ( e.g. concepts of Emotional Intelligence (Goleman) and Emotional Literacy (Gardiner)

Work with schools to develop whole school approaches.

Working with schools to provide targeted group work to those children identified as at risk of social emotional and behavioural problems (see Squires, 2002).

Working with schools to support the identification, assessment and provision of support of children with social, emotional and behavioural needs (DfE, 2015)

29
Q

what is the PSYCHOLOGICAL MODEL?

A

Recognises the importance of the interaction between the person and environment and vice versa.

Considers the impact of the individual on the system, and system on the individual.the impact of behaviour, cognition, emotion and interpersonal interactions

30
Q

what does the psychological model typically adopt?

A

An eco-systemic approach & “research-practitioner” mindset using a case formulation, hypothesis testing and problem solving

Different forms of consultation, assessment, evaluated intervention and systems work

31
Q

EP DILEMMA: INDIVIDUALIST VS. SYSTEM APPROACH individualist

A

Individualist:
Pipe-end
pathogenic
mandatory
dependency
inequitable
additive
maintains status quo(Harrison & MacDonald, 1997)

32
Q

EP DILEMMA: INDIVIDUALIST VS. SYSTEM APPROACH: system

A

Whole system:
systemic
salutogenic
participatory
sustainable
equitable
integrative
population health gain builds social systems

33
Q

WHAT ROLE FOR THE EP - TREAT THE CHILD OR SYSTEM?

A

Educational psychologists are a key therapeutic resource for young people, especially in educational contexts such as schools’ (MacKay, 2007)

34
Q

LIMITATIONS OF TREATMENT/THERAPY? x2

A

“Many children and young people do not respond adequately to even the best-evidenced treatments. We need to find out more about sub-groups who do not respond to treatment, and to explore whether better results could be achieved by alternative means.”

“The possibility of adverse outcomes from psychological therapies needs to be investigated and reported with the same diligence (as pharmacological treatments…).”(Murphy and Fonagy, 2012)

35
Q

what does the INTERACTIVE FACTORS FRAMEWORK (MONSEN & FREDRICKSON, 2008) involve?

A

Environmental
Biological
Cognitive
Behavioural

36
Q

MENTAL HEALTH: THE ECOSYSTEM

A

The mental health ecosystem is a subset of the general health system which focuses on domains relevant to mental health the workforce and organisations providing care and support to this target population, and their connections

37
Q

EP USE OF ECO-SYSTEMIC THEORY

A

Draws on the principles of ecology and systems theory (Osborne and Dowling, 1994)

Attempt to understand the interactions within and between:
Micro-system
Exo-system
Macro-system
Meso-system (Bronfenbrenner, 1979; Belsky, 1993)

Promote change using consultation (Wagner, 2000)

38
Q

EVIDENCE-BASED PRACTICE

A

EPs role advising on appropriate support and interventions.

Considerations:
the Case
The Evidence
The Context

39
Q

what are the future possibilites for EPS? X3

A

As unmet need is so high, we need to develop innovative methods of service delivery (e.g. the internet, the media [and social media] and improving mental health literacy in the wider community) in the contexts of prevention and intervention. (Murphy and Fonagy, 2012)

EP work in support of Emotional Literacy Support Assistants (ELSAs, Burton, 2002)

EP work developing Relational Approaches in Schools e.g restorative practice, trauma-informed approaches