Tag Archives: Depression

UCLA study:Youth Empowerment Seminar helps to relieve adolescent stress

15 Jul

Moi wrote in Schools have to deal with depressed and troubled children:
Both the culture and the economy are experiencing turmoil. For some communities, the unsettled environment is a new phenomenon, for other communities, children have been stressed for generations. According to the article, Understanding Depression which was posted at the Kids Health site:

Depression is the most common mental health problem in the United States. Each year it affects 17 million people of all age groups, races, and economic backgrounds.
As many as 1 in every 33 children may have depression; in teens, that number may be as high as 1 in 8.
http://kidshealth.org/parent/emotions/feelings/understanding_depression.html

Schools are developing strategies to deal with troubled kids. https://drwilda.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/
A team of researchers has studied the Youth Empowerment Seminar.
Here is a description of the Art of Living Foundation which developed the Youth Empowerment Seminar:
Frequently Asked Questions about the Art of Living Foundation
 

Q: What are the goals of the Art of Living Foundation?
A stress-free and violence-free society; to encourage people from all backgrounds, religions, and cultural traditions to come together in celebration, meditation and service. To achieve these goals, we offer courses and humanitarian projects to eliminate stress from the mind and violence from society. Prevention is easier than cure: peaceful individuals do not contribute to conflict on an individual nor on a societal level. If people are materially poor or suffering from the effects of a natural disaster or war, their stress will be related to that. The International Art of Living Foundation offers material assistance or trauma relief. Take a look at some brief reports on our humanitarian activities, following the Tsunami and Kosovo conflicts. We offer education and empowerment programs so people can break the poverty cycle. On the other hand, those who are affluent may nevertheless be frustrated, depressed or simply wanting to grow spiritually in life. In the latter case, it is not material support that is needed but training programs like the Art of Living Part 1 course. These are for anyone who would like to learn some breathing techniques to release tension, and enable the individual to handle any challenge.
Q: What is the significance of the breath? Why is it so important?
Q: How long has the Art of Living Part I course been taught?
Q: What is a satsang? I noticed The Art of Living organizes events called satsangs where there is a lot of singing and dancing, like a party. It looks like a lot of fun, but what has that to do with stress relief or promoting human values?
Q: Is it a self development program or something spiritual?
Q: So, can anyone take part in a program?
Q: Where do the techniques come from? India? Yoga?
Q: How can I become a member of your organization?
Q: You often cooperate with the International Association for Human Values. What is the connection between the two organizations?
Q: How can I volunteer with your organization?
Q: In your press releases it is mentioned that your activities are ‘volunteer-based’? Why do so many people want to join in? What do they get out of it?
Q: What is meant by ‘seva’? You sometimes speak about it in your press releases.
Q: In your websites you speak about ‘spiritual’ values. Doesn’t that mean The Art of Living is a religious organization?
Q: How do the finances work? Some of your programs are paid, like the Part 1 course, and others like trauma relief support are sponsored by the organisation?
Q: What is the profile of the organization? Is the organization a charity? A training organization?
Q: You are a charitable organization – so why do you have course contribution for your courses?
Q: Is the ashram wheelchair accessible?
Q: Are there any rules and customs in the Ashram or on the program that I should be aware of?
http://www.artofliving.org/about-us-faq

Here is a basic description of the program:

The Youth Empowerment Seminar (YES!) is a dynamic and fun program that challenges teens to take responsibility for their life and provides a comprehensive set of practical tools for releasing stress, mastering emotions, and raising self-awareness. The program addresses:
Teens’ physical, mental, social, and emotional development
Breathing techniques to relieve stress and bring the mind into focus
Dynamic games and yoga
Practical knowledge to create awareness
Experiential processes to develop problem-solving strategies
Dynamic group discussions designed to help teens feel at ease in challenging situations, increase confidence, withstand criticism and peer pressure
http://www.artofliving.org/youth-empowerment-seminar-yes

Here is the press release from UCLA:

Note to teens: Just breathe
By Mark Wheeler July 09, 2013
In May, the Los Angeles school board voted to ban suspensions of students for “willful defiance” and directed school officials to use alternative disciplinary practices. The decision was controversial, and the question remains: How do you discipline rowdy students and keep them in the classroom while still being fair to other kids who want to learn?
A team led by Dara Ghahremani, an assistant researcher in the department of psychiatry at UCLA’s Semel Institute for Neuroscience and Human Behavior conducted a study on the Youth Empowerment Seminar, or YES!, a workshop for adolescents that teaches them to manage stress, regulate their emotions, resolve conflicts and control impulsive behavior. Impulsive behavior, in particular — including acting out in class, engaging in drug or alcohol abuse, and risky sexual behaviors — is something that gets adolescents in trouble.
The YES! program, run by the nonprofit International Association for Human Values, includes yoga-based breathing practices, among other techniques, and the research findings show that a little bit of breathing can go a long way. The scientists report that students who went through the four-week YES! for Schools program felt less impulsive, while students in a control group that didn’t participate in the program showed no change.
The study appears in the July issue of the Journal of Adolescent Health.
“The program helps teens to gain greater control over their actions by giving them tools to respond to challenging situations in constructive and mindful ways, rather than impulsively,” said Ghahremani, who conducted the study at the UCLA Center for Addictive Behaviors and UCLA’s Laboratory for Molecular Neuroimaging. “The program uses a variety of techniques, ranging from a powerful yoga-based breathing program called Sudarshan Kriya to decision-making and leadership skills that are taught via interactive group games. We found it to be a simple yet powerful approach that could potentially reduce impulsive behavior.”
Ghahremani noted that teens are often just as stressed as adults.
“There are home and family issues, academic pressures and, of course, social pressures,” he said. “With the immediacy and wide reach of communication technology, like Facebook, peer pressure and bullying has risen to a whole new level. Without the tools to handle such pressures, teens can often resort to impulsive acts that include violence towards others or themselves.”
Impulsive behavior, or a lack of self-control, in adolescence is a key predictor of risky behavior, Ghahremani said.
“Substance abuse and various mental health problems that begin in adolescence are often very difficult to shake in adulthood — there is a need for interventions that bring impulsive behavior under control in this group,” he said. “Our research is the first scientific study of the YES! program to show that it can significantly reduce impulsive behavior.”
For the study, students between the ages of 14 and 18 from three Los Angeles–area high schools were invited to participate, between spring 2010 and fall 2011. In total, 788 students participated — 524 in the YES! program and 264 in the control group. The program was taught during the students’ physical education courses for four consecutive weeks. Students were asked to fill out questionnaires to rate statements about their impulsive behavior — for example, “I act without thinking” and “I feel self-control most of the time” — directly before and directly after the program. The students who did not go through the program also completed the questionnaires.
The YES! program is composed of three modules focused on healthy body, healthy mind and healthy lifestyle. The healthy body module consists of physical activity that includes yoga stretches, mindful eating processes and interactive discussions about food and nutrition. The healthy mind module includes stress-management and relaxation techniques, including yoga-based breathing practices, yoga postures and meditation to relax the nervous system, bring awareness to the moment and enhance concentration. Group processes promote personal responsibility, respect, honesty and service to others. In the healthy lifestyle module, students learn strategies for handling challenging emotional and social situations, especially peer pressure. Mindful decision-making and leadership skills are taught via interactive games. Students also create a group community-service project, applying their newly learned skills toward that goal.
“There is a need for simple, engaging interventions that bring impulsive behavior under control in adolescents,” said Ghahremani. “This is important to the public because impulsive behavior in adolescents is associated with many mental health problems and, when left unchecked, can result in violent acts, such as those resulting in tragedies recently observed on school campuses.
“The advantage of this program over approaches that center around psychiatric medications is that it develops a sense of responsibility and empowerment in teens, allowing them to clarify and pursue their goals while fostering a sense of connection to their community. Although some medications can help control impulsive behavior, they often come with unpleasant side effects and the risk of medication abuse. Moreover, approaches that rely on them don’t necessarily focus on empowering kids to take control of their lives. ”
Non-pharmacologically–based programs like YES! for Schools that increase self-control are important to explore since they offer concrete tools that students can actively apply to their everyday lives with noticeable results, Ghahremani said.
To follow up on results from this study, the National Institute on Drug Abuse has awarded Ghahremani and his colleagues a grant to examine the effects of the YES! program by using functional magnetic resonance imaging (fMRI) to study the brain circuitry that is important for self-control and emotion regulation. The project also aims to examine how the YES! program can reduce cravings among teen smokers.
Other authors of the study included Eugene Y. Oh, Andrew C. Dean, Kristina Mouzakis, Kristen D. Wilson and senior author Edythe D. London, all of UCLA. Funding for the study was provided by an endowment from the Thomas P. and Katherine K. Pike Chair in Addiction Studies and a gift from the Marjorie M. Greene Trust.
The UCLA Department of Psychiatry is part of the Semel Institute for Neuroscience and Human Behavior at UCLA, a world-leading interdisciplinary research and education institute devoted to the understanding of complex human behavior — including the genetic, biological, behavioral and sociocultural underpinnings of normal behavior and the causes and consequences of neuropsychiatric disorders. In addition to conducting fundamental research, institute faculty members seek to develop effective strategies for the prevention and treatment of neurological, psychiatric and behavioral disorders, including improving access to mental health services and the shaping of national health policy.
For more news, visit the UCLA Newsroom and follow us on Twitter.

Citation:

Effects of the Youth Empowerment Seminar on Impulsive Behavior in Adolescents
Dara G. Ghahremani, Ph.D.,
Eugene Y. Oh,
Andrew C. Dean, Ph.D.,
Kristina Mouzakis,
Kristen D. Wilson, R.N.,
Edythe D. London, Ph.D.
Received 23 August 2012; accepted 8 February 2013. published online 17 April 2013.
Abstract
Full Text
PDF
References
Abstract 
Purpose
Because impulsivity during adolescence predicts health-risk behaviors and associated harm, interventions that attenuate impulsivity may offer protection. We evaluated effects of the Youth Empowerment Seminar (YES!), a biopsychosocial workshop for adolescents that teaches skills of stress management, emotion regulation, conflict resolution, and attentional focus, on impulsive behavior.
Methods
High school students (14–18 years of age) in the United States participated in YES! during their physical education classes. Students in a control group attended their usual curriculum and were tested in parallel. We used items from the Barratt Impulsiveness Scale (framed to reflect recent behavior) to assess students’ behavior before and after they underwent the program.
Results
Compared with the control group, YES! participants reported less impulsive behavior after the program.
Conclusions
The results suggest that YES! can promote mental health in adolescents, potentially protecting them from harmful coping behaviors.

Moi discussed some of the possible implications of this type of program in Can’t yoga be watered down like Christmas was? Is there a ‘happy holidays’ yoga?
Here’s today’s COMMENT FROM AN OLD FART: Remember when the forces of secularism pushed the “Happy Holidays” maximum because no one should be offended by the expression of “Merry Christmas.” The forces of tolerance and celebrate diversity did not want YOUR religion forced on ME. So much for that “celebrate diversity” thing. Let’s fast forward to the yoga movement and the attempt to spread love, joy, and flexible limbs into the education setting….
The problem for many Christians and particularly Christian parents is NOT that kids don’t need exercise, they do. The problem is the spiritual aspects which emphasize the “Divine.” That is not what Christians believe.  The majority of Christians believe in the Trinity. Guess what, the FIRST AMENDMENT protects those beliefs.
So, what is a “celebrate diversity,” we are soooo tolerant, and hip to boot school district supposed to do when confronted with the “yoga conundrum?” Well, bucky, one waters down the concept as with “happy holidays’ and the new name is ” yocise,” the divine becomes your healthy life. “Yocise” focuses on YOU and fits with the culture’s philosophy of ME and we are no more tolerant with “yocise” than we were with “happy holidays.” “Celebrate diversity.”

Can’t yoga be watered down like Christmas was? Is there a ‘happy holidays’ yoga?

Related:

‘Becoming A Man’ course: Helping young African-American men avoid prison
https://drwilda.com/tag/therapy-helps-troubled-teens-rethink-crime/
Depression
https://drwilda.com/tag/depression/
Schools have to deal with depressed and troubled children https://drwilda.wordpress.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/
School psychologists are needed to treat troubled children
https://drwilda.wordpress.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/
Battling teen addiction: ‘Recovery high schools’
https://drwilda.wordpress.com/2012/07/08/battling-teen-addiction-recovery-high-schools/

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

Where information leads to Hope. ©   Dr. Wilda.com
Dr. Wilda says this about that
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Dr. Wilda Reviews ©
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Is there something really wrong with a society with depressed preschoolers????

1 Jul

Here’s today’s COMMENT FROM AN OLD FART: Moi read this article from Science Daily, Brain Differences Seen in Depressed Preschoolers:

A key brain structure that regulates emotions works differently in preschoolers with depression compared with their healthy peers, according to new research at Washington University School of Medicine in St. Louis.

The differences, measured using functional magnetic resonance imaging (fMRI), provide the earliest evidence yet of changes in brain function in young children with depression. The researchers say the findings could lead to ways to identify and treat depressed children earlier in the course of the illness, potentially preventing problems later in life. http://www.sciencedaily.com/releases/2013/07/130701172022.htm

Really. We have depressed preschoolers? Should one have experienced more about life before developing a negative opinion of it?

The National Institute of Mental Health in the Depression in Children and Adolescents (Fact Sheet) estimates about “About 11 percent of adolescents have a depressive disorder by age 18.”

About 11 percent of adolescents have a depressive disorder by age 18 according to the National Comorbidity Survey-Adolescent Supplement (NCS-A). Girls are more likely than boys to experience depression. The risk for depression increases as a child gets older. According to the World Health Organization, major depressive disorder is the leading cause of disability among Americans age 15 to 44.

Because normal behaviors vary from one childhood stage to another, it can be difficult to tell whether a child who shows changes in behavior is just going through a temporary “phase” or is suffering from depression.

PDF

http://www.nimh.nih.gov/health/publications/depression-in-children-and-adolescents/index.shtml

Statistics for the numbers of preschoolers who exhibit depression are hard to come by, but researchers are beginning to study the issue.

Pamela Paul reports in the New York Times article, Can Preschoolers Be Depressed?

But generally speaking, preschool depression, unlike autism, O.D.D. and A.D.H.D., which have clear symptoms, is not a disorder that is readily apparent to the casual observer or even to the concerned parent. Depressed preschoolers are usually not morbidly, vegetatively depressed. Though they are frequently viewed as not doing particularly well socially or emotionally, teachers rarely grasp the depth of the problem. Sometimes the kids zone out in circle time, and it’s mistaken for A.D.H.D., “because they’re just staring,” explains Melissa Nishawala, the child psychiatrist at N.Y.U. “But inside, they’re worrying or thinking negative thoughts.” More often, they are simply overlooked. “These are often the good kids who tend to be timid and withdrawn,” says Sylvana Côté, a researcher at the University of Montreal who studies childhood mood and behavioral disorders. “It’s because they’re not the oppositional, aggressive children who disrupt everyone in class that their problems go undernoticed.”

Many researchers, particularly those with medical training, are eager to identify some kind of a “biologic marker” to make diagnosis scientifically conclusive. Recent studies have looked at the activity of cortisol, a hormone the body produces in response to stress. In preschoolers who have had a diagnosis of depression, as in depressed adults, cortisol levels escalate under stressful circumstances and then fail to recover with the same buoyancy as in typical children.

But in adults, cortisol reactivity can be an indication of anxiety. Other research has found that in young children, anxiety and depression are likewise intertwined. At Duke, Egger found that children who were depressed as preschoolers were more than four times as likely to have an anxiety disorder at school age. “Are these two distinct but strongly related syndromes?” asks Daniel Pine of the N.I.M.H. “Are they just slightly different-appearing clinical manifestations of the same underlying problem? Do the relationships vary at different ages? There are no definitive answers.”

Further complicating the picture is the extent to which depressed children have other ailments. In Egger’s epidemiological sample, three-fourths of depressed children had some additional disorder. In Luby’s study, about 40 percent also had A.D.H.D. or O.D.D., disruptive problems that tend to drown out signs of depression. Though it looks as if only the children with depression experience anhedonia, other symptoms like irritability and sadness are shared across several disorders. http://www.nytimes.com/2010/08/29/magazine/29preschool-t.html?pagewanted=all&_r=0

There is no one single cause of depression.

The American Academy of Child and Adolescent Psychiatry says this about the causes of depression:

Depression has no single cause. Both genetics and the environment play a role, and some children may be more likely to become depressed. Depression in children can be triggered by a medical illness, a stressful situation, or the loss of an important person. Children with behavior problems or anxiety also are more likely to get depressed. Sometimes, it can be hard to identify any triggering event. http://www.aacap.org/AACAP/Families_and_Youth/Resource_Centers/Depression_Resource_Center/FAQ.aspx

Moi would theorize that these preschoolers are picking up stressors form unhealthy family situations and an unhealthy society.

Everyone would probably have some thoughts about what makes a good society or a healthy society. Here are some thoughts from Professor Patrick W. Jordan about THE GOOD SOCIETY FRAMEWORK:

• Relationships – the quality of people’s social, family and interpersonal relationships; the extent to which society is coherent and harmonious.

• Economy – people’s degree of economic prosperity and spending power;the extent to which jobs are rewarding and offer potential for growth and development.

• Environment and Infrastructure – the pleasantness and sustainability of the natural environment; the degree to which the built environment is pleasant and functions well and extent to which the infrastructure is effective and efficient.

• Health – whether people have access to good healthcare and healthy food; whether work, home and public environments are generally safe.

• Peace and Security – whether crime is low and people feel safe in their homes and public areas; whether or not society is affected by war or terrorism.

• Culture and Leisure – whether there is a rich and rewarding culture, both ‘high’ and ‘popular’; whether there are opportunities to participate in rewarding leisure activities.

• Spirituality, Religion and Philosophy – whether there is access to religious and spiritual teachings and the opportunity to practice one’s religion of choice; whether there is access to philosophical teachings and ideas about how to live.

• Education – whether there is education that enables people to function effectively in society; whether the education is intellectually enriching.

• Governance – whether there is democracy, fairness and freedom of expression; whether justice is transparent and consistent, and whether society is governed with compassion and equality.                                                                            http://www.une.edu.au/faculties/professions/Resources/goodsocietyframework.pdf

Given Professor Jordan’s framework for a healthy society, one might ask how the U.S. is doing? Like the canaries in the mineshaft who die when overcome by poisonous gases, maybe the depressed preschoolers are telling us.

Where information leads to Hope. ©   Dr. Wilda.com

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GAO report: Children’s mental health services are lacking

12 Jan

Moi wrote about troubled children in Schools have to deal with depressed and troubled children:

Both the culture and the economy are experiencing turmoil. For some communities, the unsettled environment is a new phenomenon, for other communities, children have been stressed for generations. According to the article, Understanding Depression which was posted at the Kids Health site:

Depression is the most common mental health problem in the United States. Each year it affects 17 million people of all age groups, races, and economic backgrounds.

As many as 1 in every 33 children may have depression; in teens, that number may be as high as 1 in 8. http://kidshealth.org/parent/emotions/feelings/understanding_depression.html

Schools are developing strategies to deal with troubled kids….

One strategy in helping children to succeed is to recognize and treat depression.

How Common Is Depression In Children?      

According to Mary H. Sarafolean, PhD in the article, Depression In School Age Children and Adolescents

In general, depression affects a person’s physical,  cognitive, emotional/affective, and motivational well-being, no matter  their age. For example, a child with depression between the ages of 6 and 12 may exhibit fatigue, difficulty with schoolwork, apathy and/or a lack of motivation. An adolescent or teen may be oversleeping, socially isolated, acting out in self-destructive ways and/or have a sense of hopelessness.

Prevalence and Risk Factors

While only 2 percent of pre-teen school-age children and 3-5 percent of teenagers have clinical depression, it is the most common diagnosis of children in a clinical setting (40-50 percent of diagnoses). The lifetime risk  of depression in females is 10-25 percent and in males, 5-12 percent. Children and teens who are considered at high risk for depression disorders include:

* children referred to a mental health provider for school problems
* children with medical problems
* gay and lesbian adolescents
* rural vs. urban adolescents
* incarcerated adolescents
* pregnant adolescents
* children with a family history of depression    

If you or your child has one or more of the risk factors and your child is exhibiting symptoms of prolonged sadness, it might be wise to have your child evaluated for depression. 

How to Recognize Depression In Your Child?     

MedNet has an excellent article about Depression In Children and how to recognize signs of depression in your child.

Signs and symptoms of depression in children include:       

* Irritability or anger
* Continuous feelings of sadness, hopelessness
* Social withdrawal
* Increased sensitivity to rejection
* Changes in appetite — either increased or decreased
* Changes in sleep — sleeplessness or excessive sleep
* Vocal outbursts or crying
* Difficulty concentrating
* Fatigue and low energy
* Physical complaints (such as stomachaches, headaches) that do not respond to
treatment
* Reduced  ability to function during events and activities at home or with friends, in school, extracurricular activities, and in other hobbies or  interests

* Feelings of worthlessness or guilt
* Impaired thinking or concentration
* Thoughts of death or suicide        

Not all children have all of these symptoms. In fact, most will  display different symptoms at different times and in different settings.  Although some children may continue to function reasonably well in  structured environments, most kids with significant depression will  suffer a noticeable change in social activities, loss of interest in  school and poor academic performance, or a change in appearance.  Children may also begin using drugs or alcohol,
especially if they are  over the age of 12.

The best defense for parents is a good awareness of what is going on with their child. As a parent you need to know what is going on in your child’s world. https://drwilda.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

Joy Resmovits reported in the article, Mental Health Care For Kids Severely Lacking, Says GAO which was posted at Huffington Post:

“Most children whose emotions or behavior, as reported by their parent or guardian, indicated a potential need for a mental health service did not receive any services within the same year,” the GAO wrote.

The report comes after Sen. Tom Harkin (D-Iowa), Rep. Rosa DeLauro (Conn.), and Rep. Lucille Roybal-Allard (Calif.) requested that the GAO look into how psychotropic drugs affect the long-term development of kids who grow up in foster care. While the report is very specific in its scope, it’s sure to be a relevant piece of evidence as the Obama administration formulates policy to deal with the ramifications of the Newtown, Conn. elementary school shooting. The shooting has sparked a nationwide debate on gun control, but it has also directed America’s attention to the state of its mental health care system.

Here are some findings:

  • On average, 6.2 percent of noninstitutionalized children in Medicaid and 4.8 percent of privately insured kids received psychotropic medications.

  • 30 percent of foster children who might have required mental health care didn’t receive them over the last year.

  • Most kids outside the foster care system whose behavior displayed red flags didn’t receive mental care services.

  • Many kids who got psychotropic medication didn’t get counseling or therapy to complete the care.

  • While the National Institutes of Health spent1.2 billion on children’s mental health care research between 2008 and 2011, most of the funding focused on research studying therapy, rather than the effects of such medication. http://www.huffingtonpost.com/joy-resmovits/mental-health-care-for-ki_b_2449205.html?utm_hp_ref=education

Here is the GAO press release:

What GAO Found

An annual average of 6.2 percent of noninstitutionalized children in Medicaid nationwide and 4.8 percent of privately insured children took one or more psychotropic medications, according to GAO’s analysis of 2007-2009 data from the Department of Health and Human Services’ (HHS) Medical Expenditure Panel Survey (MEPS). MEPS data also showed that children in Medicaid took antipsychotic medications (a type of psychotropic medication that can help some children but has a risk of serious side effects) at a relatively low rate–1.3 percent of children–but that the rate for children in Medicaid was over twice the rate for privately insured children, which was 0.5 percent. In addition, MEPS data showed that most children whose emotions or behavior, as reported by their parent or guardian, indicated a potential need for a mental health service did not receive any services within the same year. The Centers for Medicare & Medicaid Services (CMS) and many states have initiatives under way to help ensure that children receive appropriate mental health treatments. However, CMS’s ability to monitor children’s receipt of mental health services is limited because CMS does not collect information from states on whether children in Medicaid have received services for which they were referred. GAO recommended in 2011 that CMS identify options for collecting such data from state Medicaid programs. Findings in this report underscore the continued importance of CMS’s monitoring of children’s receipt of mental health services.

HHS’s Administration for Children and Families (ACF) reported that 18 percent of foster children were taking psychotropic medications at the time they were surveyed, although utilization varied widely by the child’s living arrangement. ACF also reported that 30 percent of foster children who may have needed mental health services did not receive them in the previous 12 months. HHS agencies are taking steps to promote appropriate mental health treatments for foster children, such as by sending information to states on psychotropic medication oversight practices.

HHS’s National Institutes of Health spent an estimated $1.2 billion on over 1,200 children’s mental health research projects during fiscal years 2008 through 2011. Most of the funding–$956 million–was awarded by the National Institute of Mental Health, with more research projects studying psychosocial therapies than psychotropic medications. Other HHS agencies spent about $16 million combined on children’s mental health research during this period.

HHS reviewed a draft of this report and provided technical comments, which GAO incorporated as appropriate.

Why GAO Did This Study

Experts have concerns that children with mental health conditions do not always receive appropriate treatment, including concerns about appropriate use of psychotropic medications (which affect mood, thought, or behavior) and about access to psychosocial therapies (sessions with a mental health provider). These concerns may be compounded for low-income children in Medicaid and children in foster care (most of whom are covered by Medicaid)–populations who may be at higher risk of mental health conditions. Within HHS, CMS oversees Medicaid, and ACF supports state child welfare agencies that coordinate health care for foster children.

GAO was asked to provide information on children’s mental health. This report examines (1) the use of psychotropic medications and other mental health services for children in Medicaid nationwide, and related CMS initiatives; (2) HHS information on the use of psychotropic medications and other mental health services for children in foster care nationwide, and related HHS initiatives; and (3) the amount HHS has invested in research on children’s mental health.

GAO analyzed data from HHS’s MEPS –a national household survey on use of medical services–from 2007 through 2009 for children covered by Medicaid and private insurance. GAO reviewed two recent ACF foster care reports with data from a national survey conducted during 2008 through 2011. GAO analyzed data from HHS agencies that conduct or fund research and interviewed HHS officials and children’s mental health providers, researchers, and advocates.

For more information, contact Katherine Iritani at (202) 512-7114 or iritanik@gao.gov.

Concerns Remain about Appropriate Services for Children in Medicaid and Foster Care GAO-13-15, Dec 10, 2012

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

Resources:

Counselors, School Support Staff Toil Amid Scant Resources http://www.edweek.org/ew/articles/2013/01/10/16staffing.h32.html?tkn=VPLFw6EYbOz23lTzoeSKlVNGV4SNwasebCry&cmp=clp-edweek&intc=EW-QC13-EWH

About.Com’s Depression In Young Children

  1. Psych Central’s Depression In Young Children
  2. Psychiatric News’ Study Helps Pinpoint Children With Depression
  3. Family Doctor’s What Is Depression?
  4. WebMD’s Depression In Children
  5. Healthline’s Is Your Child Depressed?
  6. Medicine.Net’s Depression In Children
Where information leads to Hope. ©                 Dr. Wilda.com

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Study: Current therapies may not be effective in preventing teen suicide, but targeted treatment helps

8 Jan

People of all ages may have feelings of profound sadness, loss, and depression. There is no one on earth, despite what the ads attempt to portray, who lives a perfect life. Every life has flaws and blemishes, it is just that some cope better than others. For every person who lives to a ripe old age, during the course of that life they may encounter all types of loss from loss of a loved one through death, divorce or desertion, loss of job, financial reverses, illness, dealing with A-holes and twits, plagues, pestilence, and whatever curse can be thrown at a person. The key is that they lived THROUGH whatever challenges they faced AT THAT MOMENT IN TIME. Woody Allen said something like “90% of life is simply showing up.” Let moi add a corollary, one of the prime elements of a happy life is to realize that whatever moment you are now in, it will not last forever and that includes moments of great challenge. A person does not have to be religious to appreciate the story of Job. The end of the story is that Job is restored. He had to endure much before the final victory, though.

Why Do Teens Attempt Suicide?

The American Academy of Adolescent Psychiatry has some excellent suicide resources

Suicides among young people continue to be a serious problem. Each year in the U.S., thousands of teenagers commit suicide. Suicide is the third leading cause of death for 15-to-24-year-olds, and the sixth leading cause of death for 5-to-14-year-olds.

Teenagers experience strong feelings of stress, confusion, self-doubt, pressure to succeed, financial uncertainty, and other fears while growing up. For some teenagers, divorce, the formation of a new family with step-parents and step-siblings, or moving to a new community can be very unsettling and can intensify self-doubts. For some teens, suicide may appear to be a solution to their problems and stress.

Sometimes, people see suicide as an answer to their problems. All of us must stress that suicide is always the WRONG answer to what in all likelihood is a transitory situation.

What are the Warning Signs of Suicide?

According to Teen’s Health there are some suicide warning signs

Warning Signs

There are often signs that someone may be thinking about or planning a suicide attempt. Here are some of them:

talking about suicide or death in general

talking about “going away”

referring to things they “won’t be needing,” and giving away possessions

talking about feeling hopeless or feeling guilty

pulling away from friends or family and losing the desire to go out

having no desire to take part in favorite things or activities

having trouble concentrating or thinking clearly

experiencing changes in eating or sleeping habits

engaging in self-destructive behavior (drinking alcohol, taking drugs, or cutting, for example)

These are signs that indicate a person may be depressed.

According to JaredStory.com the primary cause of suicide is depression.

# 1 CAUSE OF SUICIDE: UNTREATED DEPRESSION

It can be very hard to diagnose depression. There are many different kinds of depression and not all people will have the same symptoms, or have them to the same degree. Here are some symptoms to watch for and if they last more than a few weeks, a doctor or psychiatrist should be consulted.

Persistent sad or “empty” mood

Feeling hopeless, helpless, worthless

pessimistic and or guilty

Substance abuse

Fatigued or loss of interest in ordinary activities

Disturbances in eating and sleeping patterns

Irritability, increased crying, anxiety and panic attacks, (Post Traumatic Stress Disorder)

Difficulty concentrating, remembering or making decisions

Thoughts of suicide; suicide plans or attempts

Persistent physical symptoms or pains that do not respond to treatment

The site also lists events that might trigger depression in a person.

A death of a family member or close friend – which could include a fellow student from school

An assault, car accident or painful physical event – which could include physical bullying

Mental, or emotional event – which could include non-physical bullying

Marriage breakup, or love lost suddenly – which could include “breaking up” with a girlfriend or boyfriend

Constant physical, mental, or emotional pain that goes on for a length of time – which includes constant bullying that is not intervened, resolved or stopped entirely

Major Financial setback – which includes a teenager who may have lost a job

Something “embarrassing” happens – as an example; getting kicked off a football team or a public insult by a teacher or popular student; bullying

Failing an important exam a school – not a normal trigger unless the exam was life changing and the individual is under a lot of stress

A best friend moves out of town – especially true for teenagers who are being bullied and have very few friends as it is

If you notice these signs, the key is to get help for yourself or a friend. The type of treatment will depend upon the underlying symptoms.

Benedict Carey reports in the New York Times article, Study Questions Effectiveness of Therapy for Suicidal Teenagers:

Most adolescents who plan or attempt suicide have already received at least some mental health treatment, raising questions about the effectiveness of current approaches to helping troubled youths, according to the largest in-depth analysis to date of suicidal behaviors in American teenagers.

The study, in the journal JAMA Psychiatry, found that 55 percent of suicidal teenagers had received some therapy before they thought about suicide, planned it or tried to kill themselves, contradicting the widely held belief that suicide is due in part to a lack of access to treatment.

The findings, based on interviews with a nationwide sample of more than 6,000 teenagers and at least one parent of each, linked suicidal behavior to complex combinations of mood disorders like depression and behavior problems like attention-deficit and eating disorders, as well as alcohol and drug abuse.

The study found that about one in eight teenagers had persistent suicidal thoughts at some point, and that about a third of those who had suicidal thoughts had made an attempt, usually within a year of having the idea.

Previous studies have had similar findings, based on smaller, regional samples. But the new study is the first to suggest, in a large nationwide sample, that access to treatment does not make a big difference. ..

Over all, about one-third of teenagers with persistent suicidal thoughts went on to make an attempt to take their own lives.

Almost all of the suicidal adolescents in the study qualified for some psychiatric diagnosis, whether depression, phobias or generalized anxiety disorder. Those with an added behavior problem — attention-deficit disorder, substance abuse, explosive anger — were more likely to act on thoughts of self-harm, the study found.

Doctors have tested a range of therapies to prevent or reduce recurrent suicidal behaviors, with mixed success. Medications can ease depression, but in some cases they can increase suicidal thinking. Talk therapy can contain some behavior problems, but not all.

One approach, called dialectical behavior therapy, has proved effective in reducing hospitalizations and suicide attempts in, among others, people with borderline personality disorder, who are highly prone to self-harm.

But suicidal teenagers who have a mixture of mood and behavior issues are difficult to reach. In one 2011 study, researchers at George Mason University reduced suicide attempts, hospitalizations, drinking and drug use among suicidal adolescent substance abusers. The study found that a combination of intensive treatments — talk therapy for mood problems, family-based therapy for behavior issues and patient-led reduction in drug use — was more effective than regular therapies. http://www.nytimes.com/2013/01/09/health/gaps-seen-in-therapy-for-suicidal-teenagers.html?hp&_r=0

See, A Tragedy and a Mystery http://harvardmagazine.com/2011/01/tragedy-and-mystery

What Should You Do if You Know Someone Who Thinking About Suicide?

If you are thinking of suicide or you know someone who is thinking about suicide, GET HELP, NOW!!!! The Suicide Prevention Resource Center has some excellent advice about suicide prevention

Resources

Teen’s Health’s Suicide

American Academy of Adolescent Psychiatry

Suicide Prevention Resource Center

Teen Depression

Jared Story.Com

CNN Report about suicide

American Foundation for Suicide Prevention
http://www.afsp.org This group is dedicated to advancing the knowledge of suicide and the ability to prevent it.

SA\VE – Suicide Awareness\Voices of Education
http://www.save.org SA\VE offers information on suicide prevention. Call (800) SUICIDE

Youth Suicide Prevention

Where information leads to Hope. ©                 Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©                         http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©                                                http://drwildareviews.wordpress.com/

Dr. Wilda ©                                                                                      https://drwilda.com/

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Study: Some of the effects of adverse stress do not go away

9 Nov

Moi said in Schools have to deal with depressed and troubled children:

Both the culture and the economy are experiencing turmoil. For some communities, the unsettled environment is a new phenomenon, for other communities, children have been stressed for generations. According to the article, Understanding Depression which was posted at the Kids Health site:

Depression is the most common mental health problem in the United States. Each year it affects 17 million people of all age groups, races, and economic backgrounds.

As many as 1 in every 33 children may have depression; in teens, that number may be as high as 1 in 8.

http://kidshealth.org/parent/emotions/feelings/understanding_depression.html

Schools are developing strategies to deal with troubled kids.

Anna M. Phillips has written the New York Times article, Calming Schools by Focusing on Well-Being of Troubled Students which describes how one New York school is dealing with its troubled children.

Mark Ossenheimer, principal of the Urban Assembly School for Wildlife Conservation in the Bronx, threw out a name to add to the list of teenagers in trouble.

Several teachers and a social worker seated around a table in the school’s cramped administrative offices nodded in agreement. They had watched the student, who had a housebound parent who was seriously ill, sink into heavy depression. Another child seemed to be moving from apartment to apartment, showing up at school only sporadically. And then there was the one grappling with gender-identity issues. Soon the list had a dozen names of students who could shatter a classroom’s composure or a school windowpane in a second.

Convening the meeting was Turnaround for Children, a nonprofit organization that the young-but-faltering school in an impoverished neighborhood near the Bronx Zoo had brought in this year to try to change things.

“This is the condition our organization was created to solve,” said Dr. Pamela Cantor, Turnaround’s founder and president. “A teacher who works in a community like this and thinks that these children can leave their issues at the door and come in and perform is dreaming.”

In focusing on students’ psychological and emotional well-being, in addition to academics, Turnaround occupies a middle ground between the educators and politicians who believe schools should be more like community centers, and the education-reform movement, with its no-excuses mantra. Over the past decade, the movement has argued that schools should concentrate on what high-quality, well-trained teachers can achieve in classrooms, rather than on the sociological challenges beyond their doors.

http://www.nytimes.com/2011/11/15/nyregion/calming-schools-through-a-sociological-approach-to-troubled-students.html?hpw

One strategy in helping children to succeed is to recognize and treat depression. https://drwilda.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

Sarah D. Sparks writes in the Education Week article, Research Traces Impacts of Childhood Adversity:

The stress of a spelling bee or a challenging science project can enhance a student’s focus and promote learning. But the stress of a dysfunctional or unstable home life can poison a child’s cognitive ability for a lifetime, according to new research.

While educators and psychologists have said for decades that the effects of poverty interfere with students’ academic achievement, new evidence from cognitive and neuroscience is showing exactly how adversity in childhood damages students’ long-term learning and health.

Those studies show that stress forms the link between childhood adversity and poor academic achievement, but that not all adversity—or all stress—is bad for students….

Compounding Risks

As part of the Adverse Childhood Experiences Study, more than 17,400 adults in San Diego County were assigned scores based on the number of risk factors each experienced as a child, including abuse or neglect, or growing up in homes with domestic violence, drug abuse or mental illness, or absent parents. Researchers found that people with higher ACE scores were more likely to experience underage sex or pregnancy, among other health risks.

Research from Dr. Shonkoff’s center and from other experts finds that positive stress—the kind that comes from telling a toddler he can’t have a cookie or a teenager that she’s about to take a pop quiz—causes a brief rise in heart rate and stress hormones. A jolt can focus a student’s attention and is generally considered healthy.

Similarly, a child can tolerate stress that is severe but may be relatively short-term—from the death of a loved one, for example—as long as he or she has support….

‘Toxic’ Recipe

By contrast, so-called “toxic stress” is severe, sustained, and not buffered by supportive relationships.

The same brain flexibility, called plasticity, that makes children open to learning in their early years also makes them particularly vulnerable to damage from the toxic stressors that often accompany poverty: high mobility and homelessness; hunger and food instability; parents who are in jail or absent; domestic violence; drug abuse; and other problems, according to Pat Levitt, a developmental neuroscientist at the University of Southern California and the director of the Keck School of Medicine Center on the Developing Child in Los Angeles.

The exponential brain growth of infancy and early childhood also makes children more vulnerable to chronic stress during those years than at other developmental periods, according to the National Scientific Council on the Developing Child, an interdisciplinary group of neuroscientists, psychologists, economists, and education researchers. In a series of easy-to-understand, peer-reviewed videos, the group explains how early cognitive connections form—and break down.

Good experiences, like nurturing parents and rich early-child-care environments, help build and reinforce neural connections in areas such as language development and self-control, while adversity weakens those connections.

Over time, the connections, good or bad, stabilize, “and you can’t go back and rewire; you have to adapt,” Dr. Shonkoff said. “If you’ve built on strong foundations, that’s good, and if you have weak foundations, the brain has to work harder, and it costs more to the brain and society.”

Compounding Risks

As part of the Adverse Childhood Experiences Study, more than 17,400 adults in San Diego County were assigned scores based on the number of risk factors each experienced as a child, including abuse or neglect, or growing up in homes with domestic violence, drug abuse or mental illness, or absent parents. Researchers found that people with higher ACE scores were more likely to experience underage sex or pregnancy, among other health risks.

http://www.edweek.org/ew/articles/2012/11/07/11poverty_ep.h32.html?tkn=QLYF5qldyT3U0BI0xqtD5885mihZIxwbX4qZ&cmp=clp-edweek

Here is information about the Adverse Child Experiences Study:

What is The ACE Study?

The ACE Study is ongoing collaborative research between the Centers for Disease Control and Prevention in Atlanta, GA, and Kaiser Permanente in San Diego, CA.

The Co-principal Investigators of The Study are Robert F. Anda, MD, MS, with the CDC; and Vincent J. Felitti, MD, with Kaiser Permanente.

Over 17,000 Kaiser patients participating in routine health screening volunteered to participate in The Study.  Data resulting from their participation continues to be analyzed; it reveals staggering proof of the health, social, and economic risks that result from childhood trauma.

The Centers for Disease Control and Prevention provides access to the peer-reviewed publications resulting from The ACE Study.                   http://acestudy.org/

See, School psychologists are needed to treat troubled children  https://drwilda.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/

Our goal as a society should be:

A healthy child in a healthy family who attends a healthy school in a healthy neighborhood ©

Related:

Schools have to deal with depressed and troubled children https://drwilda.wordpress.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

School psychologists are needed to treat troubled children https://drwilda.wordpress.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/

Battling teen addiction: ‘Recovery high schools’                                              https://drwilda.wordpress.com/2012/07/08/battling-teen-addiction-recovery-high-schools/

Resources:

  1. About.Com’s Depression In Young Children
  2. Psych Central’s Depression In Young Children
  3. Psychiatric News’ Study Helps Pinpoint Children With Depression
  4. Family Doctor’s What Is Depression?
  5. WebMD’s Depression In Children
  6. Healthline’s Is Your Child Depressed?
  7. Medicine.Net’s Depression In Children

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART © http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©                               http://drwildareviews.wordpress.com/

Dr. Wilda ©                                                                                https://drwilda.com/

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Colleges beginning to address student mental health issues

29 Jul

When parents are packing their children off to college, some are sending children to school who have some severe mental health and emotional issues. Trip Gabriel has an article in the New York Times which outlines the issues some students face while they are at college. In Mental Health Needs Growing At Colleges Gabriel reports:

Stony Brook is typical of American colleges and universities these days, where national surveys show that nearly half of the students who visit counseling centers are coping with serious mental illness, more than double the rate a decade ago. More students take psychiatric medication, and there are more emergencies requiring immediate action.

“It’s so different from how people might stereotype the concept of college counseling, or back in the ’70s students coming in with existential crises: who am I?” said Dr. Hwang, whose staff of 29 includes psychiatrists, clinical psychologists and social workers. “Now they’re bringing in life stories involving extensive trauma, a history of serious mental illness, eating disorders, self-injury, alcohol and other drug use.”

Experts say the trend is partly linked to effective psychotropic drugs (Wellbutrin for depression, Adderall for attention disorder, Abilify for bipolar disorder) that have allowed students to attend college who otherwise might not have functioned in a campus setting.

There is also greater awareness of traumas scarcely recognized a generation ago and a willingness to seek help for those problems, including bulimia, self-cutting and childhood sexual abuse.

The need to help this troubled population has forced campus mental health centers — whose staffs, on average, have not grown in proportion to student enrollment in 15 years — to take extraordinary measures to make do. Some have hospital-style triage units to rank the acuity of students who cross their thresholds. Others have waiting lists for treatment — sometimes weeks long — and limit the number of therapy sessions.

Some centers have time only to “treat students for a crisis, bandaging them up and sending them out,” said Denise Hayes, the president of the Association for University and College Counseling Center Directors and the director of counseling at the Claremont Colleges in California.

“It’s very stressful for the counselors,” she said. “It doesn’t feel like why you got into college counseling.”

A recent survey by the American College Counseling Association found that a majority of students seek help for normal post-adolescent trouble like romantic heartbreak and identity crises. But 44 percent in counseling have severe psychological disorders, up from 16 percent in 2000, and 24 percent are on psychiatric medication, up from 17 percent a decade ago.

The most common disorders today: depression, anxiety, suicidal thoughts, alcohol abuse, attention disorders, self-injury and eating disorders.

If a student has had prior problems, the student and family should have a plan for dealing with issues like depression or eating disorders while the student is at college. Often that might include therapy sessions with a counselor near the college. Often, students and families do not want to seek help because many feel there is a stigma to mental illness.

Stephen Cesar has written an informative Los Angeles Times article about a new program to reach students with problems. In UC reaching out to depressed students online, Cesar reports:

The anonymous online conversation began after the student revealed that he planned to kill himself.

“What should I do?” the sophomore asked a counselor at his Midwest college. “I figure you will probably tell me that killing myself is not a good idea, and I know that. But it does seem like a good option at the moment.”

The counselor hoped to persuade him to come in to see her, but first she had to build trust. They continued the discussion on the website, a tool used by the school to reach troubled students.

“It sounds as though you are very stressed and sometimes just having a safe ‘ear to bend’ is helpful?,” she wrote back.

It took more than a month, but eventually the student walked into the counseling center.

The online effort had worked.

In the fall, about 70 universities nationwide will have the service, including all 10 University of California undergraduate campuses. It is designed to bridge conversation between students who need help and those equipped to provide it.

Created by the New York City-based American Foundation for Suicide Prevention, the program aims to identify troubled students anonymously through their responses to a voluntary survey they will receive a link to in an email that will be sent to everyone admitted to UC.

If survey answers raise red flags, a counselor will initiate contact and invite the student to continue communicating, still anonymously, via a dialogue on the website.

The goal is to have the student agree to a meeting. Studies suggest that about 80% of students who commit suicide had not sought services from counseling centers on their campuses, said Ann Haas, a project specialist for the foundation. http://www.latimes.com/news/local/la-me-uc-suicide-20120729,0,693193.story

The JED Foundation has some excellent resources for both parents and students dealing with mental health issues.

ULifeline has information about dealing with college mental health issues:

Complete a self-assessment to learn telling insights about your current state of mind…

STUDENTS

Learn more about protecting your emotional health and what to do if you or a friend are struggling with mental health issues. Continue…


Check out the Half of Us campaign, a project with mtvU that includes videos of your favorite artists and other students sharing how they’ve coped with mental health issues. Continue…

CAMPUS PROFESSIONALS

Sign in or Find out more about joining ULifeline

Parents must recognize the signs of distress and get help for their child. If you are a student in distress, get help because there are many different therapies to get you back on track.

See:

College Students Exhibiting More Severe Mental Illness, Study Finds

Health & Medicine

Mind & Brain

Reference

Mental Health Issues In Student Advising

How to Handle Holiday Stress

Resources for Parents & Students

Trauma Resources

Evaluation Resources

Mental Health Screening Tools

Dr. Wilda says this about that ©

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School psychologists are needed to treat troubled children

27 Feb

Pamela Paul has a fascinating article in the New York Times about preschoolers and depression. In the article, Can Preschoolers Be Depressed? Paul does a great job of describing what depression looks like in small children and reporting about nascent research efforts by various universities.     

How Common Is Depression In Children?  

According to Mary H. Sarafolean, PhD in the article, Depression In School Age Children and Adolescents

In general, depression affects a person’s physical,  cognitive, emotional/affective, and motivational well-being, no matter  their age. For example, a child with depression between the ages of 6 and 12 may exhibit fatigue, difficulty with schoolwork, apathy and/or a lack of motivation. An adolescent or teen may be oversleeping, socially isolated, acting out in
self-destructive ways and/or have a sense of hopelessness. (See table 1.)    

Prevalence and Risk Factors             

While only 2 percent of pre-teen school-age children and 3-5 percent of teenagers have clinical depression, it is the most common diagnosis of children in a clinical setting (40-50 percent of diagnoses). The lifetime risk  of depression in females is 10-25 percent and in males, 5-12 percent. Children and teens who are considered at high risk for depression disorders include:

* children referred to a mental health provider for school problems
* children with medical problems
* gay and lesbian adolescents
* rural vs. urban adolescents
* incarcerated adolescents
* pregnant adolescents
* children with a family history of depression          

If you or your child has one or more of the risk factors and your child is exhibiting symptoms of prolonged sadness, it might be wise to have your child evaluated for depression. Because many children exhibit symptoms of depression, schools are increasingly forced to deal with depressed children.

Mark Phillips, professor emeritus of secondary education at San Francisco State University wrote the article, School psychologists: Shortage amid increased need which discusses the need for psychological support in schools.

The adolescent suicide rate continues to rise, with each suicide a dramatic reminder that the lives of a significant number of adolescents are filled with anxiety and stress. Most schools have more than a handful of kids wrestling with significant emotional problems, and schools at all levels face an ongoing challenge related to school violence and bullying, both physical and emotional.

Yet in many schools there is inadequate professional psychological support for students.

Although statistics indicate that there is a significant variation from state to state (between 2005- and 2011 the ratio of students per school psychologist in New Mexico increased by 180%, while in the same period the ratio decreased in Utah by 34%), the overall ratio is 457:1. That is almost twice that recommended by the National Association of School Psychologists (NASP).

THE NASP noted a shortage of almost 9,000 school psychologists in 2010 and projected a cumulative shortage of close to 15,000 by 2020. Mental Health America estimates that only 1 in 5 children in need of mental health services actually receive the needed services. These gross statistics also omit the special need of under funded schools and the increased roles school psychologists are being asked to play.

This problem, for the most part, is not one of commitment or values. Most school leaders recognize the problem and want to effectively address it, but they report that most of the counseling support services they have are for testing and helping kids with special emotional and/or learning problems. Even this is inadequate, with the psychologist available only a day or two each week.

In the best-funded districts, there is more full-time psychological counseling available for students. Yet, even in these districts, principals indicate that they have more students who need help with stress management than the existing counseling services can provide.

The problems extend beyond inadequate support services. School advisories — when a group of students meet with a teacher for advisory help — are supposed to provide psychological support but rarely do. Most students I’ve spoken with perceive advisories as a time for academic help but not a place they can go to deal with personal problems. Few schools are able to offer the training that teachers need to be able to provide that kind of support. Even those schools that have sponsored a program like Challenge Day, which provides an opportunity for students to openly discuss their individual struggles, rarely have a sustained follow-up program in place.

A bill was introduced in Congress last November that would provide some alleviation of this problem in lower income areas. H.R. 3405 is the Increased Student Achievement Through Increased Student Support Act. It would provide grants to partnerships between schools and low- income local educational agencies to improve the ratio of school counselors, social workers, and psychologists. Although limited in focus, it is at least a start. The bill was sent to the House Committee on Education and the Workforce and has still not been acted on by the Committee.

Even with the psychological services that should be provided and often aren’t, schools can’t fully prevent suicides, acts of violence, bullying, or the daily stresses that weigh on kids shoulders. The malaise runs deeper and broader.

Still schools need more resources than they receive in order to provide more programs that actively identify and counsel those kids that need help. At the very least, they need to alleviate some of the stress these kids are experiencing and to help improve the quality of their daily lives.

http://www.washingtonpost.com/blogs/answer-sheet/post/school-psychologists-shortage-amid-increased-need/2012/02/26/gIQAU7psdR_blog.html

It is important to deal with the psychological needs of children because untreated depression can lead to suicide.

Why Do Teens Attempt Suicide? 

The American Academy of Adolescent Psychiatry has some excellent suicide resources 

Suicides among young people continue to be a serious problem. Each year in the U.S., thousands of teenagers commit suicide. Suicide is the third leading cause of death for 15-to-24-year-olds, and the sixth leading cause of death for 5-to-14-year-olds.

Teenagers experience strong feelings of stress, confusion, self-doubt, pressure to succeed, financial uncertainty, and other fears while growing up. For some teenagers, divorce, the formation of a new family with step-parents and step-siblings, or moving to a new community can be very unsettling and can intensify self-doubts. For some teens, suicide may appear to be a solution to their problems and stress.  

Sometimes, people see suicide as an answer to their problems. All of us must stress that suicide is always the WRONG answer to what in all likelihood is a transitory situation.  

What are the Warning Signs of Suicide? 

According to Teen’s Health there are some suicide warning signs 

Warning Signs

There are often signs that someone may be thinking about or planning a suicide attempt. Here are some of them:

talking about suicide or death in general

talking about “going away”

referring to things they “won’t be needing,” and giving away possessions

talking about feeling hopeless or feeling guilty

pulling away from friends or family and losing the desire to go out

having no desire to take part in favorite things or activities

having trouble concentrating or thinking clearly

experiencing changes in eating or sleeping habits

engaging in self-destructive behavior (drinking alcohol, taking drugs, or cutting, for example) 

These are signs that indicate a person may be depressed. 

According to Jared Story.com the primary cause of suicide is depression. 

# 1 CAUSE OF SUICIDE:  UNTREATED DEPRESSION

It can be very hard to diagnose depression.  There are many different kinds of depression and not all people will have the same symptoms, or have them to the same degree.  Here are some symptoms to watch for and if they last more than a few weeks, a doctor or psychiatrist should be consulted. 

Persistent sad or “empty” mood

Feeling hopeless, helpless, worthless

pessimistic and or guilty

Substance abuse

Fatigued or loss of interest in ordinary activities

Disturbances in eating and sleeping patterns

Irritability, increased crying, anxiety and panic attacks, (Post Traumatic Stress Disorder)

Difficulty concentrating, remembering or making decisions

Thoughts of suicide; suicide plans or attempts

Persistent physical symptoms or pains that do not respond to treatment 

The site also lists events that might trigger depression in a person. 

A death of a family member or close friend – which could include a fellow student from school

An assault, car accident or painful physical event – which could include physical bullying

Mental, or emotional event – which could include non-physical bullying

Marriage breakup, or love lost suddenly – which could include “breaking up” with a girlfriend or boyfriend

Constant physical, mental, or emotional pain that goes on for a length of time – which includes constant bullying that is not intervened, resolved or stopped entirely

Major Financial setback – which includes a teenager who may have lost a job

Something “embarrassing” happens – as an example; getting kicked off a football team or a public insult by a teacher or popular student; bullying

Failing an important exam a school – not a normal trigger unless the exam was life changing and the individual is under a lot of stress

A best friend moves out of town – especially true for teenagers who are being bullied and have very few friends as it is 

If you notice these signs, the key is to get help for yourself or a friend. 

What Should You Do if You Know Someone Who Thinking About Suicide? 

If you are thinking of suicide or you know someone who is thinking about suicide, GET HELP, NOW!!!! The Suicide Prevention Resource Center has some excellent advice about suicide prevention If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.” That statement should be clarified to make it perfectly clear that appropriate medical care may include a second, third or more medical opinions if necessary.

Resources:

Teen’s Health’s Suicide

American Academy of Adolescent Psychiatry

Suicide Prevention Resource Center

Teen Depression

Jared Story.Com

CNN Report about suicide

Dr. Wilda says this about ©

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Hard times are disrupting families

11 Dec

A team of researchers has just published a study, “A Test of the Economic Strain Model on Adolescents’ Prosocial  Behaviors,” which describes how families are being disrupted in the current economic climate. Janice Wood associate news editor at Psych Central writes about the study in the article, Recession Taking a Toll on Family Relationships.

A University of Missouri researcher has found that parents who are experiencing financial problems — and the depression that often results from those problems — are less likely to feel connected to their children, and their children are less likely to engage in positive behaviors, such as volunteering or helping others.

“The study serves as a reminder that children’s behaviors are affected by issues beyond their immediate surroundings,” said Gustavo Carlo, Millsap Professor of Diversity in the university’s department of human development and family studies.

“Families’ economic situations are affected by broader factors in our society, and those financial problems can lead to depression that hurts parent-child relationships.”

Previous research has shown that parent-child connectedness is an indicator of “pro-social behavior” in children, such as volunteering. These positive behaviors lead to moral development, better outcomes in relationships, and better performance at work and school, researchers say.

For the latest study, Carlo and his colleagues studied middle- to upper middle-class families. Parents and children answered questions about economic stress, depression and connectedness between parents and children.

A year later, the children reported how often they engaged in prosocial behaviors toward strangers, family members and friends.

“Even middle-class families are having financial difficulties, and it’s affecting their ability to be effective parents,” Carlo said. “When parents are depressed, it affects their relationships with their kids.”

Carlo suggests that depressed parents seek treatment from a mental health professional, if possible. If that isn’t possible, parents should look for help from their spouses, families, friends, churches and other community agencies, he said. He recommends parents balance efforts to help themselves with spending quality time with their children.

http://psychcentral.com/news/2011/12/10/recession-taking-a-toll-on-family-relationships/32340.html

Even very young children can become depressed.

Pamela Paul has a fascinating article in the New York Times about preschoolers and depression. In the article, Can Preschoolers Be Depressed? Paul reports:    

Kiran didn’t seemlike the type of kid parents should worry about. “He was the easy one,” his father, Raghu, a physician, says. “He always wanted to please.” Unlike other children in his suburban St. Louis preschool, Kiran (a nickname his parents asked me to use to protect his identity) rarely disobeyed or acted out. If he dawdled or didn’t listen, Raghu (also a nickname) had only to count to five before Kiran hastened to tie his shoes or put the toys away. He was kind to other children; if a classmate cried, Kiran immediately approached. “Our little empath!” his parents proudly called him.

But there were worrisome signs. For one thing, unlike your typical joyful and carefree 4-year-old, Kiran didn’t have a lot of fun. “He wasn’t running around, bouncing about, battling to get to the top of the slide like other kids,” Raghu notes. Kiran’s mother, Elizabeth (her middle name), an engineer, recalls constant refrains of “Nothing is fun; I’m bored.” When Raghu and Elizabeth reminded a downbeat Kiran of their coming trip to Disney World, Kiran responded: “Mickey lies. Dreams don’t come true.”

Paul does a great job of describing what depression looks like in small children and reporting about research efforts by various universities.    

According to Mary H. Sarafolean, PhD in the article, Depression In School Age Children and Adolescents

In general, depression affects a person’s physical,  cognitive, emotional/affective, and motivational well-being, no matter  their age. For example, a child with depression between the ages of 6 and 12 may exhibit fatigue, difficulty with schoolwork, apathy and/or a lack of motivation. An adolescent or teen may be oversleeping, socially isolated, acting out in
self-destructive ways and/or have a sense of hopelessness. (See table 1.)    

Prevalence and Risk Factors             

While only 2 percent of pre-teen school-age children and 3-5 percent of teenagers have clinical depression, it is the most common diagnosis of children in a clinical setting (40-50 percent of diagnoses). The lifetime risk  of depression in females is 10-25 percent and in males, 5-12 percent. Children and teens who are considered at high risk for depression disorders include:

* children referred to a mental health provider for school problems
* children with medical problems
* gay and lesbian adolescents
* rural vs. urban adolescents
* incarcerated adolescents
* pregnant adolescents
* children with a family history of depression  

If you or your child has one or more of the risk factors and your child is exhibiting symptoms of prolonged sadness, it might be wise to have your child evaluated for depression. MedNet has an excellent article about Depression In Children and how to recognize signs of depression in your child.

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

Resources:          

  1. About.Com’s  Depression In Young Children
  2. Psych Central’s  Depression In Young Children
  3. Psychiatric News’  Study Helps Pinpoint Children With Depression
  4. Family Doctor’s  What Is Depression?
  5. WebMD’s  Depression In Children
  6. Healthline’s  Is Your Child Depressed?
  7. Medicine.Net’s  Depression In Children

Citation:

 “A Test of the Economic Strain Model on Adolescents’ Prosocial Behaviors,” Source: Journal of Research on Adolescence, Volume 21, Number 4, 1 December 2011 , pp. 842-848(7)

Gustavo Carlo of the University of Missouri, Laura Padilla-Walker and Randal Day of Brigham Young University. 

Dr. Wilda says this about that ©

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