A teacher and a psychiatrist talk to experts and with each other to bridge the gap between schools and mental health. We want to learn more about how professionals and families can work together to address the surging crisis in youth mental health.

https://s3.us-east-2.amazonaws.com/pod-public-media-files/2024/4/4/19/c0e4c50c-ba4b-4407-aaaf-7461a437642e_exp-mhwe13.mp3

Note: This episode discusses mental health crises and mentions suicide. If you or a loved one are experiencing thoughts of suicide, know that you are not alone and help is available. You can call or text “988” - the National Crisis/Suicide Hotline. They are available 24 hours a day, 7 days a week. Dr. Shivana Naidoo is a child and adolescent psychiatrist with a broad range of experience working in various settings including inpatient, outpatient, emergency, partial treatment, and private practice both virtually and in person. She joins Jo-Ann and Candida to discuss communication when a child or teen (or anyone) is in a difficult mental health situation or crisis in a school or healthcare setting. Dr. Naidoo emphasized that parents and teens are empowered in most situations to ask questions, to get more information from other sources, and to not agree to anything that doesn’t seem right. She acknowledges that the available care options vary depending on where you live - state by state, county by county as well as the type of place you live in such as rural, suburban, or urban settings. However, in general, there are protocols for schools and hospitals to follow when a student of any age presents behavior or symptoms that indicate the need for further evaluation. If there is a situation at home in which parents/caregivers may question whether to inform the school, the risks of survival and health of the child should be considered. Unless it is a medical or psychiatric emergency, avoiding the emergency room is best, if at all possible. Most hospital emergency rooms are not well suited to dealing with mental health situations or crises, especially for children and teens. If that is the best or only option at the time, and if you can choose which hospital to go to, an academic medical center or larger hospital will often provide the most resources. If a school has reached out to you about your child needing to go to the emergency room, Dr. Naidoo explains that, when possible, the parent/guardian should first make phone calls to the child’s pediatrician and mental health providers to get more information and consider if there are options besides emergency rooms, such as Mobile Crisis Teams. Dr. Naidoo advises that once the child is being evaluated in an emergency room or other acute care setting, the caregivers ask questions and write down the names and responses. This ensures that the information will not be lost and often encourages hospital personnel to be more attuned to the patient and parent/caregiver. If there is a decision being made between hospital admission or discharge to home a parent/caregiver can take several steps to ensure that, if the child is discharged, they will have appointments as soon as possible with the appropriate providers (therapist, psychiatrist, pediatrician). If the parent/caregiver can assure the hospital staff that the home setting is safe, that information will be included in the decision making about whether a child goes home or is admitted.  In terms of home safety planning Dr. Naidoo recommends using the GOSECURE acronym to remove or secure hazards in the home and make a safety plan: GunsOverdose optionsSharpsElectric cordsCar keysUnderage drinkingReattempt [likely to be the same method]Exits/Entrance [elopement] The best decisions about how to help a child experiencing a mental health crisis will grow out of honest conversations with everyone on the team - the child, parent/caregivers, outpatient treatment providers, and hospital staff. School personnel are also often involved, especially if the crisis occurred at school. Communication between all of these parties is essential for successfully navigating these difficult situations.  Resources Do Better MD - Dr. Naidoo’s website <a href="https://www.bradleyreach.org/" rel="nofollow">Bradley REACH</a> - virtual partial hospital program <a href="https://orchid.exchange/" rel="nofollow">Orchid Exchange</a> - online therapy and support groups <a href="https://www.aacap.org" rel="nofollow">American Academy of Child and Adolescent Psychiatry</a> <a href="https://www.cdc.gov/healthyyouth/data/yrbs/index.htm" rel="nofollow">Youth Risk Behavior Surveillance System (YRBSS) | CDC</a> <a href="http://cams-care.com" rel="nofollow">CAMS-care</a> -(Collaborative Assessment and Management of Suicidality) <a href="https://www.thehopeinstitute.net/#home" rel="nofollow">The Hope Institute</a> - Assessment and treatment National Suicide Prevention Lifeline (Now 988)<a href="https://988lifeline.org/" rel="nofollow">988 Lifeline</a> Crisis Text Line (741741)<a href="https://www.crisistextline.org/" rel="nofollow">Crisis Text Line</a> --- If you enjoy our content, please like and follow - and review if you can!

E13: Dr. Shivana Naidoo - Talking it Through

https://s3.us-east-2.amazonaws.com/pod-public-media-files/2024/2/29/0/4f774b02-526c-4680-b1ce-d090c511980b_exp-mhwep12.mp3

E12: Lori Krinsky: NAMI - You Are Not Alone Lori Krinksy joins Candida and Jo-Ann to discuss her involvement with NAMI (National Alliance on Mental Illness). Lori is her local chapter&#39;s president (volunteer) and walks us through NAMI’s national, state, and local programs and resources. NAMI is volunteer-driven, with some paid staff at the national and state levels. The 600 local chapters, while connected to the national organization, are run by volunteers and thus vary in program offerings and availability of resources.  Lori tells us how NAMI was founded in the 1970s by a group of parents of young adults with mental illness who connected in a waiting room and realized that accessing mental health care was too complicated and often overwhelming. They wanted to help others avoid some of the frustrations and pitfalls and to help others know they were not alone. Unfortunately the mental health system is still extremely difficult to navigate, as Lori learned when she helped a family member with mental health challenges. Lori determined when she could see the light at the end of the tunnel she would work to help others on this journey. The three main prongs of NAMI’s work are support, education, and advocacy. Support includes connections to peers for individuals living with mental illness, peer connections for family members, and basics for caregivers of minors. There is a helpline (not a crisis line) to help connect to local resources and providers. Education includes sharing accurate information about mental illness across many settings, educating about mental health care systems and how to navigate them, training first responders, and working with schools to eliminate stigma around mental illness. NAMI is also active in advocacy at all levels, including working to get the 988 suicide and crisis hotline up and running, supporting reimbursement of telehealth appointments, and promoting structural supports in schools, among others. This list is incomplete. Refer to the list below for links to NAMI resources.   Timely NoticeNAMI Central Middlesex MA “College and Your Mental Health” webinar3/18/24, 7:00 pm ET, will not be recordedLearn more and register: <a href="http://namicentralmiddlesex.org/newsletter/february-2024/college-and-your-mental-health" rel="nofollow">namicentralmiddlesex.org/newsletter/february-2024/college-and-your-mental-health</a> NAMI National<a href="http://nami.org" rel="nofollow">nami.org</a>800-950-NAMI (6264) NAMI Help Line and Teen &amp; Young Adult Help LineCall 1-800-950-NAMI (6264), Text 62640, Chat <a href="http://nami.org/help" rel="nofollow">nami.org/help</a>, M-F 10:00-10:00 ET NAMI Teen &amp; Young Adult Resource Directory<a href="http://nami.org/NAMI/media/NAMI-Media/Images/FactSheets/NAMI-Teen-and-Young-Adult-HelpLine-Resource-Directory.pdf" rel="nofollow">nami.org/NAMI/media/NAMI-Media/Images/FactSheets/NAMI-Teen-and-Young-Adult-HelpLine-Resource-Directory.pdf</a> NAMI Mental Health College Guide<a href="http://Collegeguide.nami.org" rel="nofollow">Collegeguide.nami.org</a> NAMI Family to Family<a href="https://www.nami.org/Support-Education/Mental-Health-Education/NAMI-Family-to-Family" rel="nofollow">https://www.nami.org/Support-Education/Mental-Health-Education/NAMI-Family-to-Family</a> NAMI Peer-to-Peer<a href="https://www.nami.org/Support-Education/Mental-Health-Education/NAMI-Peer-to-Peer" rel="nofollow">https://www.nami.org/Support-Education/Mental-Health-Education/NAMI-Peer-to-Peer</a> NAMI Basics<a href="https://www.nami.org/Support-Education/Mental-Health-Education/NAMI-Basics" rel="nofollow">https://www.nami.org/Support-Education/Mental-Health-Education/NAMI-Basics</a> NAMI In Our Own Voice<a href="https://www.nami.org/Support-Education/Mental-Health-Education/NAMI-In-Our-Own-Voice" rel="nofollow">https://www.nami.org/Support-Education/Mental-Health-Education/NAMI-In-Our-Own-Voice</a> NAMI Walkshttps://www.namiwalks.org 988 Suicide &amp; Crisis Lifeline<a href="https://988lifeline.org" rel="nofollow">https://988lifeline.org</a> NAMI Ending the Silence<a href="https://www.nami.org/Support-Education/Mental-Health-Education/NAMI-Ending-the-Silence" rel="nofollow">https://www.nami.org/Support-Education/Mental-Health-Education/NAMI-Ending-the-Silence</a> Local ProgramsTo find programs in your area search for your NAMI state organization which may connect you to a local NAMI affiliate. Programs for parents/guardians include: Family Support Groups, Family to Family Classes, Basics Class. For classrooms: Ending the Silence. NAMI Central Middlesex MA “College and Your Mental Health” webinar3/18/24, 7:00 pm ET, will not be recordedLearn more and register: <a href="http://namicentralmiddlesex.org/newsletter/february-2024/college-and-your-mental-health" rel="nofollow">namicentralmiddlesex.org/newsletter/february-2024/college-and-your-mental-health</a> If you enjoy our content, please like and follow - and review if you can!

E12: Lori Krinsky: NAMI - You Are Not Alone

https://s3.us-east-2.amazonaws.com/pod-public-media-files/2024/1/31/23/94bb6f20-ac5a-4293-bc16-ad0fc3af3ced_exp-mgwep11.mp3

In Part 2 of the conversation with Dr. Jacqui Springer, Assistant Dean for Student Support and Advocacy Services at the University of Rhode Island, we focus on the transition to college and learning what supports are available and what students and families should consider when applying to college. The most important thing is for students to have honest conversations with providers, teachers, and caregivers. The biggest error is wishful, magical thinking that it will all work out, without considering what supports students are currently using and are key to their success in high school.  Questions to ask and concerns to think about before applying to colleges include:Which aspects of student support have been the most valuable to the student in high school? The most common accommodation from high school Individual Education Plans (IEPs ) is 50% extended time for exams and some assignments. These accommodations don’t transfer automatically from high school- the student must re-apply at the college level. College accommodations may look much different than those in high school. Many students are shocked to learn that flexibility around deadlines and due dates for assignments is not as commonly available at the college level. What are residence requirements? Are there opportunities for first-year students to have single rooms in dormitories or will the student be required to have a roommate unless medical documentation says they need a single? What challenges will the student face in living with a roommate?What support may be needed outside the classroom? Can the student independently function in non-academic ways - including taking care of their health and well-being?What documentation is needed that the student does not currently have? Some schools require recent psychological or neuropsychological testing before they will provide accommodations. What is offered through campus health services such as psychiatry and therapy? What model of counseling is used?Find the disability and access services: locate the office and learn how accommodations are provided.A question that is not asked as much as it used to be is what does it mean to be “otherwise qualified”? In addition to academic skills, students need adequate mental stamina, persistence, and self-regulation to manage demands at the college level. What impact will the student have on the campus community? The cost of college education is high and in addition to the standard tuition, room &amp; board, and other fees, students and families should consider other possible costs such as:Tutoring More time to complete a degree by taking a manageable class load may end up costing moreRecognizing trouble early because refunds may not be available after a cutoff dateImplications of dropping or withdrawing from courses may include limits on the availability of future financial aid or even having federal aid taken back from the student. Federal aid information is often buried in the financial aid section of the school’s website Other factors that should be considered Type of school: urban, rural, suburban; small, medium, large; typical class sizes; residence requirements; private or state; the range of majors available in the student’s areas of interestLocation: near home or far away; city or self-contained campus; near activities that students can participate inReadiness to live independently REFERENCES University of Rhode Island<a href="https://www.uri.edu/" rel="nofollow">https://www.uri.edu/</a> FAFSA<a href="https://studentaid.gov/h/apply-for-aid/fafsa" rel="nofollow">https://studentaid.gov/h/apply-for-aid/fafsa</a> Pell Grants<a href="https://studentaid.gov/understand-aid/types/grants/pell" rel="nofollow">https://studentaid.gov/understand-aid/types/grants/pell</a> If you enjoy our content, please like and follow - and review if you can!

E11: Jacqui Springer, Transition to College

https://s3.us-east-2.amazonaws.com/pod-public-media-files/2024/1/12/0/bf0709a9-81bb-4777-a395-189b4598c26a_exp-mhwep10.mp3

Candida and Jo-Ann talk with Dr. Jacqui Springer, Assistant Dean for Student Support and Advocacy Services at the University of Rhode Island. Our discussion focuses on the transition back to school from hospitalization or partial hospitalization for mental health treatment. In most cases, the need for a higher level of care for a student does not come as a surprise - there is usually some sort of buildup. There may or may not be a precipitating event, but educators and school staff observe that the student is struggling more than usual. Dr. Springer reviews some considerations that can help the school and caregivers prepare even before hospitalization is needed. One key question to ask is ” What would it look like to have a higher level of care? What would it mean for school”? Other information to have would be who is the person or office within the school or district that is holding the information to help make a plan moving forward. Who can help the caregivers and navigate the systems to allow communication between the school and the hospital? One of the difficulties with the hospital-to-school transition is that at the time of hospital discharge, while the patient/student may no longer meet medical criteria for hospitalization, they may not be ready to return to school, at least full time and/or full demand One way schools can help with the gray area is to have a multi-disciplinary team that focuses on student transition back to school. Most schools will have some students who are hospitalized or transitioning back to school at any given time. While it may not be easy to keep such a team due to the many demands on educators’ and administrators’ time and energy, a planful approach to this situation could help students, caregivers, and school staff in the long run. Dr. Springer pointed us to the BIRCh (Behavioral Health Integrated Services for Children) Project, based at UMass- Boston, UMass - Amherst, and Boston Children’s Hospital. The project is evidence-based and offers graduate-level training opportunities as well as training for educators. The BIRCh Project<a href="https://www.umb.edu/birch/about/" rel="nofollow">https://www.umb.edu/birch/about/ </a> University of Rhode Island<a href="https://www.uri.edu/" rel="nofollow">https://www.uri.edu/</a> American Academy of Child and Adolescent Psychiatry<a href="https://www.aacap.org/" rel="nofollow">https://www.aacap.org/</a> UMass Boston<a href="https://www.umb.edu/" rel="nofollow">https://www.umb.edu/</a> Boston Children&#39;s Hospital<a href="https://www.childrenshospital.org/" rel="nofollow">https://www.childrenshospital.org/</a> UMass Amherst<a href="https://www.umass.edu/" rel="nofollow">https://www.umass.edu/</a> --- If you enjoy our content, please like and follow - and review if you can!

Episode 10 - Dr. Jacqui Springer: Returning to School from Hospitalization

https://s3.us-east-2.amazonaws.com/pod-public-media-files/2023/12/22/19/406cfda5-b3a0-4c4f-8835-1acd2bde3d59_exp-mhwiacep9.mp3

In this episode Jo-Ann and Candida spin off from our last interview about school avoidance, digging a little deeper into the high rates of chronic absenteeism being seen across the country since COVID-19. Public discussions have tended to focus on this problem as one of kids and families falling into bad habits since the pandemic. In our experience and reading we have found that there are numerous reasons for students to be chronically absent and that solving this problem will need a broader perspective and a focus on understanding unmet needs. Jo-Ann and Candida spend some time discussing the need for schools to respond to extended absences with curiosity and increased communication, rather than an impersonal, punitive letter or demands from the school or district. Offering a non-judgmental space in which families feel comfortable talking about what’s going on is a big first step. Of course, families need to stay in touch with the school, and encouraging that is part of a more welcoming approach by the school. The discussion covers a range of mental and physical health needs that might lead a student to be out of school for a long time including anxiety, ADHD, and depression. Social challenges, including bullying, are frequent reasons that students don’t want to go to school. Physical illnesses, including things such as gastrointestinal distress, are commonly seen in children and teens and can be embarrassing for them. Understanding students’ needs and providing accommodations and modifications are essential in these situations. Academic struggles and teacher/student communication challenges can be central reasons children avoid school. Trying to catch up after being out sick is a common jumping-off point for school avoidance. Modifying or off-loading missed work is a common modification that can make a world of difference in getting students back - along with welcoming them, without calling them out for their absence. The discussion recalls prior interviews - including those in which we talked about how hungry, tired, scared, angry, or hurting children can’t learn. Ensuring these needs are met is essential to helping students get back to school regularly. The discussions in several episodes focused on helping children, teens, and adults increase their emotional literacy and skills for regulation to improve feelings of safety and emotional well-being at school.  Other critical barriers to school attendance can include a parent’s illness or other struggles, challenges in financial and/or housing resources, absent or inconsistent school transportation, lack of access to laundry facilities, and many other social determinants of health significantly increase the risks of chronic school absenteeism. While districts all over the country are trying to create ways to help children address some of these needs, many of these problems can’t be solved at school. However, a curious approach to children and families struggling with attendance can help uncover unmet needs and can change the whole approach from punishment to support. <a href="https://schoolavoidance.org/" rel="nofollow">School Avoidance Alliance</a> <a href="https://revelationsineducation.com" rel="nofollow">Lauri DeSautelis Revelations in Education</a> <a href="https://www.washingtonpost.com/education/2023/11/24/truancy-chronic-absenteeism-school-program/" rel="nofollow">Washington Post - Students who miss school get help, not punishment </a> <a href="https://www.nytimes.com/2019/03/13/us/schools-laundry-rooms.html" rel="nofollow">Providing laundry machines at school to combat absenteeism</a> If you enjoy our content, please like and follow - and review if you can!

Episode 9 - Increased absenteeism isn’t just a bad habit. Curiosity and communication can help.

https://s3.us-east-2.amazonaws.com/pod-public-media-files/2023/11/15/17/3dccf941-dce6-4d59-af5b-9dda507e4bf8_exp-mhwep8.mp3

School refusal or avoidance is a real problem that is not the same as not liking school. Some students miss school for weeks, months, or even entire academic years. The reasons students avoid or refuse to attend school are rooted in anxiety and are not just a desire to do something else. It’s not playing hooky. Jayne Demsky started her journey with school refusal when it became a problem for her son. As she learned and traveled this path, she was determined that other parents and students shouldn’t have to feel alone or that they were bad people. The resources and connections that she has developed over the past decade are now available on her website School Avoidance Alliance.  One of the difficulties in addressing school refusal is that the anxiety signals leading up to a crisis typically happen at home and frequently aren’t recognized by caregivers or educators. Communication between the home and school is crucial to preventing an avoidance pattern from becoming a crisis.  Our conversation briefly touches on the challenges of chronic absenteeism, which has increased since the pandemic. We reference an article that describes ongoing research into defining and solving the problem of chronic absenteeism. Their data, which is still evolving, suggests that family engagement with schools correlates with improved attendance, and this overlaps with the need for school and family engagement in addressing school avoidance. While acknowledging the severity of staffing shortages, Jayne reviews some key ways that schools can help caregivers connect with appropriate staff and resources. She also advocates for mental health education from the earliest grades so that students can better understand how their mental health is connected to their overall health and how they can use skills to help self-regulate and to know when they should seek help. If you enjoy our content, please like and follow - and review if you can!

Episode 8 - School Avoidance: It’s real and it’s not a crime w/ Jayne Demsky

https://s3.us-east-2.amazonaws.com/pod-public-media-files/2023/10/5/17/cf88f75b-470c-48f1-807a-0ccd4c5e73f2_exp-mhwiacep7.mp3

Medical treatment of ADHD is often a key support for student success. Jo-Ann and Candida talk about ADHD: what it is and how medications can be part of a multi-pronged approach to treating ADHD. The discussion includes reviewing some of the most common medications prescribed and potential benefits for some children with ADHD. The hosts remind listeners that anything spoken about in this episode is for educational purposes only - it is not medical advice. ADHD (attention-deficit/hyperactivity disorder) is related to how the brain circuits regulate thoughts, behaviors, and feelings. Candida explains this by describing the circuits as on, off, and dimmer switches, and she reviews categories of commonly prescribed stimulants and non-stimulants and how they affect ADHD symptoms. Jo-Ann asks questions about whether taking medication breaks is OK, what the typical side effects are for the more common medications, safe driving, especially for inexperienced drivers, and how important it is to communicate with your prescriber when doing medication trials. Include observations from teachers and the school team in your discussions with your provider to help draw a full picture of how the student/teen is experiencing the medication. Jo-Ann and Candida talk about how ADHD medications can interact with other substances such as caffeine, over-the-counter medications, supplements, and other prescription medications. Even “natural” products can have interactions with ADHD medications. It’s vital to have this conversation with your doctor. Jo-Ann and Candida include a discussion about alcohol and cannabis, reminding young people of the importance of being honest with their doctor about any substances they might be using because there can be significant safety concerns. Candida emphasizes Regularity - Predictability - Proactivity Jo-Ann and Candida remind listeners that they should never make medication decisions or changes without talking to their prescriber. Communicating about medication side effects, interactions, or any other questions or observations that you have is critical for effective and safe medication use. If you enjoy our content, please like and follow - and review if you can!

Episode 7 - Jo and Dida Talk ADHD Meds

https://s3.us-east-2.amazonaws.com/pod-public-media-files/2023/9/20/21/0cd9aaf2-4f50-4501-a468-98c14468e1c8_exp-mhwe6.mp3

School nurses and school health and safety are intertwined and yet often misunderstood. The role that nurses play in the school environment varies across states and districts - although far too many schools and districts have no or too few school nurses. Feeling safe is fundamental for students to be able to learn and for teachers and others to help students learn. Unfortunately, school nurses are often not included in conversations about school safety despite their being on the front lines of students’ lives. Ensuring safety in school requires attention to a wide range of needs including supporting student physical and mental health and reducing risk of harm at school. Including school nurses proactively in health and safety discussions, utilizing their knowledge and experience, could make a big difference for students and adults in a school setting. School nurses can help guide discussions and provide ideas for healthier and safer schools. Robin Cogan is currently in her 23rd year as a New Jersey school nurse in the Camden City School District. Robin is the New Jersey Director for the National Association of School Nurses representing the New Jersey State School Nurses Association. She teaches at the Rutgers University School Nursing in the School Nurses Certificate program. She writes and speaks about school nursing, with a focus on the role school nurses play in school health and safety. In her work Robin highlights the toll many aspects of our lives have on student and adult mental health in the school environment. From pandemic changes to bullying, from tired and hungry students to frightening drills at school, along with many other stressors, Robin advocates for strategies to make schools safer by reducing risks. She also promotes learning about how brains work and how they process stress and emotions so that students of all ages and the adults who work with them can learn strategies and skills to better manage difficult times that we all face at some time in our lives. www.relentlessschoolnurse.com@RobinCogan - Twitter (aka X)The Relentless School Nurse - FacebookRelentless_schoolnurse - InstagramThe work of Dr. Lori Desautels - APPLIED EDUCATIONAL NEUROSCIENCEThe work of Dr. Sean Ginwright - Healing Centered EngagementThe work of Dr. Wendy Ellis - A Pair of ACEs - Resilience TreeElevating the Role of School Nurses in School Based Mental and Behavioral HealthChild Mind InstituteMental Health Training Intervention for Health Providers in Schools (MH-TIPS)StopBullying.govSubstance Abuse and Mental Health Services Administration (SAMHSA) If you enjoy our content, please like and follow - and review if you can!

Episode 6 - School nurses working on the frontlines of school health and safety w/ Robin Cogan

https://s3.us-east-2.amazonaws.com/pod-public-media-files/2023/8/30/15/25e9801f-f6ec-4476-af75-d2ef6a04a22b_exp-mhwep5.mp3

Back to school articles and tips are everywhere this time of year - with great ideas for helping your child or teen navigate the start of the school year to set them up for success. But when mental health needs are in the mix, some of these tips may sound impossible to approach, let alone put into practice. Organizational tips that make sense for many children and families may not be accessible to students and/or parents living with ADHD. Or sleep habit building may be a persistent challenge despite best efforts for a child or teen with an anxiety or mood disorder. Modifying standard suggestions, avoiding judgment when the suggestions don’t work, and getting help can redirect toward more successful outcomes. In this episode, Jo-Ann and Candida focus on sleep and organization as two key areas for skill building to support school success, Accessing enough sleep requires that students and families build sleep-supporting habits but it can also require pushing back on systems and expectations such as early school start times that interfere with sleep no matter what habits families are working on. Tips for organization are helpful - and also can be hard to implement. Meeting a student (and family) where they are and making small changes can make a difference when needs such as ADHD are present. The good feelings that come from achieving small change can be part of an upward spiral in which feelings of reward and satisfaction help maintain the new skills. The Upward Spiral is the title of a book by Alex Korb PhD that brings the neuroscience of small positive changes into recovery from depression. And this neuroscience framework applies to building new habits for organization as well. Most importantly - bad days will happen. Poor sleep, forgotten homework or lunches, getting to school late -sometimes all in one day - will occur and it’s critical to give ourselves and our kids grace and compassion. Recovering and re-approaching the tasks comes more easily when there isn’t a negative spiral into shame and judgment. Tears and big feelings will happen - and then they will settle down and there is a chance to re-evaluate and try again. Resources mentioned in this episode. Later school start time [NEA] Teenagers and Sleep: How Much Sleep is Enough? [Johns Hopkins Medicine] The Upward Spiral by Alex Korb PhD (author) and Daniel J. Siegel MD (Foreword)https://www.amazon.com/Upward-Spiral-Neuroscience-Reverse-Depression/dp/1626251207 If you enjoy our content, please like and follow - and review if you can!

Episode 5 - Back to School with Jo-Ann and Candida

https://s3.us-east-2.amazonaws.com/pod-public-media-files/2023/8/18/2/3c4f9b2b-3cda-45e3-b65f-d281b9444020_exp-mhwep4.mp3

Black, LatinX, Indigenous, and other marginalized communities have historically been under-resourced in mental health services, and school settings reflect that. The average number of students managed by each psychologist or counselor is 1200 or more - leading to deeply inadequate supports for mental health needs. Furthermore, the ranks of mental health professionals working in these communities typically don’t reflect the diversity of people they serve. Equity in resources and diversity in the workforce are fundamental problems in marginalized communities; today’s guest and the organization he leads are dedicated to building solutions. Damian Travier is the Executive Director of Access Psychology Foundation whose mission is to“Increase access to proven, successful mental health interventions for underserved, racially diverse populations by directly providing treatment scholarships and by growing and diversifying the provider community trained in these interventions.” The five Access Psychology programs focus on different aspects of the mission, all with real effects that ripple out to the families, schools, and wider communities where these programs are in place. Damien walks us through how the Foundation scholarships to individuals and families for evidence-based treatment, post-graduate and clinician training in CBT and DBT models, high school and college internships, and training for entire schools or organizations are helping to build better mental health access for communities where it has not been available.  Damian shares how his experience in equity in education led him to this work on equity in mental health. He believes focusing on student mental health, at all levels, can only improve educational outcomes for all.  Access Psychology Foundation info@access-psychology.orgdtravier@access-psychology.org Recorded on 7/24/23 If you enjoy our content, please like and follow - and review if you can!

Episode 4 -  Increasing Inclusion, Equity, and Diversity in Mental Health w/ Damian Travier

https://s3.us-east-2.amazonaws.com/pod-public-media-files/2023/8/18/2/a9bc4a6b-b4ab-4fe2-905a-148252c28708_exp-mwhep3.mp3

Mental health has been a challenge for educators for years and the pandemic only increased the needs of students and educators. Scared and unhappy kids can’t learn. In this episode we talk to a middle school administrator who has been bringing greater awareness, sharper focus, and useful practices to students and educators in her school and district. Courtney Rau Rogers is a middle school Assistant Principal in suburban Boston. For the last 7-8 years she has been studying trauma-informed instruction, Positive Behavioral Interventions and Supports (PBIS), and looking to find ways to increase students’ social-emotional skills and coping mechanisms. Her school uses their advisory program to deliver instruction and create small groups to make connections. This helps build resiliency and coping skills. This focused and intentional part of the school schedule works by providing simple tools that target the skill areas students are lacking, such as self-regulation, persistence, and confidence. The advisory program uses daily themes with sample activities that teachers can use or adapt for their own groups. The school uses Sown to Grow as a tool to help keep fingers on the pulse of the population overall as well as on individuals who may need support. ResourcesFostering Resilient Learners: Kristen Souers and Pete Hall, Relationship, Responsibility, &amp; Regulation and Fostering Reslient Learners. Also have related quick reference guides. ASCD publishers.Sown to Grow  Sharon Salzberg: Mindfulness resources for your own developmentCenter on PBIS (pbis.org)  LinkedIn, Facebook (Courtney Rau Rogers), Twitter (@courtneyrau), Instagram (@courtneyrau71) https://www.mass.gov/doc/603-cmr-53-student-discipline/download  Recorded on 7/10/23 If you enjoy our content, please like and follow - and review if you can!

Episode 3 - Building Relationships and Reslience with Advisories w/ Courtney Rau Rogers

https://s3.us-east-2.amazonaws.com/pod-public-media-files/2023/8/18/2/d1e6cca1-750e-43df-9b79-3c1a46ef5297_exp-mhwep2.mp3

The surging mental health challenges in kids dominate headlines, but solutions remain elusive. In this episode we’re going to learn about how one pioneering school psychologist has been building systems to bridge that gap. Our guest today, Dawn Cattucci, is a school psychologist who witnessed the rising tide of high school students struggling every day. In 2008, she and her team discovered a powerful psychotherapy model that was just beginning to be applied in schools - and they decided to make it happen for their students. Here we talk about what that model is, what her team has done, and how it can work for other schools and districts. Dawn has worked in schools for nearly 30 years, and is currently a school psychologist at a high school in Westchester County, NY. She is a Licensed Mental Health Counselor, a diplomate of the Academy of Cognitive Behavior Therapy, and she is extensively trained and experienced in Dialectical Behavioral Therapy (DBT). She has a private practice in Westchester, Mental Health Counseling for Emotional Well Being.  In our wide ranging conversation we touch on Dawn’s work of “cheerleading” to anyone and everyone in her district who could help to realize this plan. Dawn helps us understand the essential tasks of training and team building across disciplines, and she describes some of the challenges along the way. Dawn answers our questions about DBT itself and describes the foundations of the work, including the exceptional power of emotional validation when working with kids. We ask Dawn about any changes she and her school teams have observed in kids since the pandemic and she helps us think about ways for schools and families to come together to support teens.  Resource Links: DBT Steps-A SEL curriculum for Middle and High Schools http://www.mazzaconsulting.com/dbt-steps-a CBCW Training programs https://www.cbc-psychology.com/resources/dbt-in-schools-by-cbc Dawn’s website: https://mycbtanddbt.comDawn’s email: Dawn@MHCforemotionalwellbeing.com DBT Skills in Schools by James J Mazza, Elizabeth T. Dexter-Mazza, Alec L. Miller, Jill H. Rathus, and Heather E. Murphy, Guilford Press, 2016. Access Foundation If you like our podcast - please like, follow, and share! Our website is:We can be found on Instagram, Facebook, and Linked In @MentalHealthGoesToSchool If you enjoy our content, please like and follow - and review if you can!

Episode 2 - Cheerleading for Mental Health Interventions In Schools w/Dawn Cattucci

https://s3.us-east-2.amazonaws.com/pod-public-media-files/2023/8/18/2/b38bb5bc-7b85-4dde-a268-46749e2fd698_exp-mhwep1.mp3

Candida and Jo-Ann introduce ourselves and why we are doing this podcast. We met on the first day of college orientation and have been best friends through a range of training and career paths and through parenting our kids into young adulthood. Jo-Ann now teaches English to teens with mental health needs, and Candida consults to school districts about student mental health. We have spent many hours talking about the intersections between our professional spheres, with our lived experiences as parents always in the mix. As the phrase Youth Mental Health Crisis has emerged in the media, we often found ourselves brainstorming about how schools and education systems could be causing some of the problems and, at the same time, how they could be foundational in addressing them. Given the scope of these challenges we realized that these critical conversations needed to happen on a much bigger platform. We wanted to talk to people who are working on solutions and to get all the players sharing ideas and supporting each other.  In this brief first episode, we talk about how we first met and the journey that brought us to creating this podcast. Listen to our conversation and then check out our inaugural episodes for fascinating discussions with experts working to change our thinking about and our approaches to mental health in school. If you enjoy our content, please like and follow - and review if you can!

Episode 1 - Introduction

A teacher and a psychiatrist walk into a podcast.

A special education teacher and a child and adolescent psychiatrist talk to experts and each other about mental health and illness at school. We want to know more about how educators and mental health care providers can work together to prevent and treat mental illness in young people.  Educators and schools are at the center of this crisis, along with families and communities struggling to find answers.  We want to learn from people who are creating solutions and share these ideas with our listeners.

