how anti-stigma initiatives align with a board’s mental ... · 7/9/2016 · how anti-stigma...
TRANSCRIPT
How Anti-Stigma Initiatives Align with a
Board’s Mental Health and Addiction Strategy
Anne O’Brien, Director of Education
Diane Mullane, Mental Health Leader
Durham Catholic District School Board CASSA: July 9, 2016
Overview of Session
• Providing a Context• Ontario • Durham Catholic District School Board
• Anti-stigma Initiatives at DCDSB
Open Minds, Healthy Minds
Ontario’s Mental Health and Addictions Strategy.
10-year strategy designed to address mental health
and addictions needs in Ontario
http://www.health.gov.on.ca/english/public/pub/mental/pdf/open_minds_healthy_minds_en.pdf
5
Ontario students are flourishing, with a strong sense of belonging at school, ready skills for managing academic and social/emotional challenges, and surrounded by caring adults and communities equipped to identify and intervene early with students struggling with mental health problems
Achieving Excellence Vision for Student Mental Health in Ontario
http://edu.gov.on.ca/eng/about/excellent.html
Goals: 1. Achieving Excellence
1. Ensuring Equity
2. Promoting Well-Being: All children and students will develop enhanced mental and physical health, a positive sense of self and belonging, and the skills to make positive choices.
3. Enhancing Public Confidence
Durham Catholic District School Board
About DCDSB:• Located in Southern Ontario, just east of Toronto • 39 Elementary schools• 7 Secondary schools• 6 Alternative and Continuing Education Sites• Approximately 21,150* students (14 435 Elementary, 6715 Secondary/Alt. Ed.)
Our Motto: Catholic Education: Learning and Living in Faith.
Our Mission: We are called to celebrate and nurture the God-given talents of each student as we serve with excellence in the light of Christ.
(*Numbers are based on reports from Sept 2015)
Together for Mental Health 2014-2017Mental Health and Addictions Strategy
Mission:To create caring and supportive Catholic school communities that promote well-being and maximize achievement for all learners.
i
Silent Survey
Insert Slide Content
Mental Health Continuum
Optimal Mental Health
Poor Mental Health
Diagnosed Mental Illness
No Mental Illness
Optimal mental health with a mental illness
Optimal mental health without a mental illness
Poor mental health with a mental illness
Poor mental health without a mental illness
There is a clear relationship between mental health and student achievement.
Slide Title
Up to 80% of children and youth who experience a mental health problem will not
receive the help they need.
Why do you think that is?
Barriers to Accessing Service
• Stigma associated with mental health problem
• Misidentification of symptoms
• Adult lack of knowledge regarding where to seek help
• Lack of sufficient services to meet demand.
Schools Have a Unique Opportunity
Schools are an optimal setting in which to:• Reduce stigma• Promote mental well-being
• Build student social-emotional learning skills
• Prevent mental health problems in high risk groups
• Identify students in need• Build pathways to care
Stigma Defined
What is “stigma?”
Negative, disrespectful and untrue judgments about
you based on what people think they know about
you – and your situation
Often people living with mental illness describe the
stigma as worse than the illness itself
Contact-based Education
What does the research tell us about contact-based education?
IT WORKS!!
Durham TAMI Coalition
Durham TAMI Partners
• Speaker Group (individuals with lived experience)• Canadian Mental Health Association – Durham• Catholic Family Services• CHIMO Child and Family Services • Distress Centre Durham • Durham Catholic District School Board• Durham Children’s Aid Society• Durham District School Board• Durham Mental Health Services• Frontenac Youth Services • Kawartha Pineridge District School Board• Kinark Child and Family Services• Lakeridge Health - Child, Youth & Family Program• Pinewood Centre• Ontario Shores Centre for Mental Health Sciences• Peterborough, Victoria, Northumberland, Clarington Catholic DSB• Resources for Exceptional Children & Youth• The Youth Centre
Goals of TAMI
The DCDSB Together for Mental Health (Mental Health and Addictions Strategic Plan) identifies the reduction / elimination of stigma as a priority in order for all staff and students to feel they belong to an inclusive and caring community.
1. To reduce the stigma associated with mental illness 2. To increase knowledge of mental health and mental illness3. To encourage youth to initiate change in their lives and in their school community. 4. To increase youth’s knowledge of community resources- where to get support.
Our TAMI program helps build acceptance, awareness and hope in our community.
TAMI Summit Model
• Wallach (2004) – “Even a brief visit to a mental health facility can improve attitudes beyond classroom education.”
• Students hear the stories of consumers, participate in experiential exercises AND are provided with Action Guides and Tool Kits to assist them in organizing anti-stigma campaigns in their home schools
• Research substantiates that the SOS Summit is an effective and reliable model for increasing knoweldgeabout mental illness and reducing negative stigma
TAMI Classroom Model
Intermediate (grade 7 & 8) and Secondary classrooms:
• 5 modules / lessons over one week (or more)• Introduction provided by TAMI facilitator• Speakers with lived experience come in (with a TAMI
facilitator) on fourth day• Debrief and share help-seeking resources on day 5 • Pre-post tests
As a result of TAMI programs……knowledge about mental illness increased
Time by gender by program type ANOVA
Males
Females
In Class
Pre Post1.6
1.8
2.0
2.2
2.4
2.6
2.8
3.0
3.2
3.4
3.6
3.8
4.0
Know
ledge S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In Class -Pilot
Pre Post
32%
no change
16%
25%
38%
“It made me want to go back to school and help people and get my school involved.”
……..and negative stigma went down
“What I liked the most about the program is the fact that someone I know has a mental illness that I see everyday, but am not always
Comfortable around her. Now I’m always with her!” Male Student
Time by gender by program type ANOVA
Males
Females
In Class
Pre Post1.3
1.4
1.5
1.6
1.7
1.8
1.9
2.0
2.1
2.2
2.3
2.4
2.5
Stig
ma
tizin
g A
ttitud
e S
core
s
Summit
Pre Post
Control
Pre Post
Assembly
Pre Post
In-class pilot
Pre Post
4%7%12%
1%4%
Key “Ingredients”
1. Committed group of service providers
2. Committed group of speakers (contact-based education)
3. Commitment from senior team of agencies/school boards to support individuals in their work.
4. Ongoing training and support for speakers
Ever Had an Earache?
Earache / Psych-ache Exercise
• This brief exercise stresses the impact that
stigma has on help seeking behaviour
• Students relate their experiences with having
earaches and the rapid response they seek
and then contrast those experiences with how
long they would wait to seek help for a
“psyche-ache” (depression)
Porcupine Map
A tool for teaching about stigmatizing language and it’s impact
Porcupine Map
MI
Crazy
Nuts ScaryDangerous
Crazy
Nuts Scary
LonelyAngry Frustrated
Dangerous
ME
Role of Media
What is the potential of someone with a mental illness?
Drew Barrymore
Actress, DirectorLives with Depression and has had public
struggles with substance use since early teens.
Guess who?
Demi LovatoJim Carrey
What do all these people have in common?
order
Depression and Anxiety
Obsessive Compulsive Disorder
Schizophrenia
All are living
with a
MENTAL
ILLNESS!
In fact, a LOT of people have a mental illness
Anti-Stigma Posters
LABELS ARE FOR:
Not for PEOPLE!!
Experiencing EmpathyInteractive Learning
Experiencing EmpathyDebriefing Tips
• Emphasize the experience of feeling misunderstood
• Empathy for an individual who may be experiencing symptoms they do not understand
• Empathy for a peer who may feel disengaged or not included
Our Speakers: With us every step of the way……
• 2009: Attorney General’s Victim Services Award of Distinction
• 2009: CMHA Consumer Award
• 2009: Mary Neville Memorial Award
• 2010: Kaiser Foundation Award for Excellence in Youth Leadership
• 2012: National Top 20 under 20 Nomination
• 2012: CAMH Transforming Lives Nomination
• As of June 2016, Durham TAMI has provided contact-based mental health education to 58,027 students, teachers and other professionals in Durham & beyond.
• The majority of participants report that what they liked the most about the TAMI program was the speaker’s stories an interacting with people who are living with a mental illness.
Taking Action: One School At a Time St. Leo Catholic School
Intermediate Students researched and created their own “Famous People” posters
Taking Action: One School At a Time All Saints Catholic Secondary School
Action Menu: Poster campaign reaching all departments
Stigma wall
Library display
Bulletin board year round
Wall of fame: Famous People Posters
Announcements during MH Awareness week
Youtube contest
Assemblies
Parent Community Night
Recruiting new members
https://youtu.be/zZGPnSWF-hU
All Saints CSS “Stomping out Stigma”
Useful Resources Mental Health Toolkit
DCDSB Student Mental Health Group Handbook
Yellowknife
• Fall of 2011: members of TAMI
Durham delivered a day long
workshop to decision makers in
Yellowknife, NWT
• Feb 2012: returned to Yellowknife
to implement a pilot program for all
grade 8 students in Yellowknife,
with the goal of implementing
across NWT
• Since then, Yellowknife have
formed their own TAMI Coalition,
with support of Durham TAMI, and
have trained their own speakers
Be Well Campaign
Presenter Contact Information
Anne O’Brien, Director of Education Durham Catholic District School Board
Diane Mullane. Mental Health LeaderDurham Catholic District School Board
Thank-you!!