Facilitating Mental Health Promotion and Early Detection of At Risk Youth D. A. Santor, Ph.D. Common Center of Excellence for Child and Youth Mental Health School of Psychology University of Ottawa, Canada A. Bagnell, MD. Oceanic Psychiatry IWK Health Center Dalhousie University Halifax, CanadaSlide 3
Intensive Treatment 20% Selected Intervention Indicated Intervention Severity + Impairment + Resources 60% Universal At Risk Q: How would we apportion assets? 20%Slide 4
ailment treatment change mediation Two Challenges:Slide 5
Current Strategies to address Mental Health Difficulties in schools school based wellbeing focuses mass screening general psychological wellness intercessionsSlide 6
Strategy 1: School based wellbeing focuses.Slide 7
What\'s the shot of going to the school wellbeing focus given that you experience issues, or trouble, or need assistance for an issue? Santor, LeBlanc , Poulin, Kusumukar (2005b)Slide 8
Less than 1/5 of youngsters with pain or psychological wellness issues bringing about debilitation visit school wellbeing focuses What extent of youngsters with challenges really utilize school based wellbeing focuses? Santor, LeBlanc , Poulin, Kusumukar (2005b)Slide 9
Strategy 2. Mass ScreeningSlide 10
Columbia TeenScreen Program "a definitive objective of the TeenScreen Program is to guarantee that all adolescent are offered a psychological well-being registration before leaving secondary school. Our essential target is to help groups build up lasting early distinguishing proof projects through which youth are screened for mental issue and suicide hazard components."Slide 11
Results ninth twelfth grade understudies going to seven New York secondary schools ( N = 1,729). 28% ( n = 489) of the understudies embraced one of the things and consequently met criteria for being at danger of suicide. The most adjusted calculation had an affectability of 0.75, a specificity of 0.83, and a positive prescient esteem going from 16-33% (p. 75).Slide 12
US Task Force on Prevention (1996). … deficient proof to bolster utilization of mass screening in either grown-ups or youngsters. US Task Force on Prevention (2002). … turned around their 1996 proposal suggesting screening grown-ups for sadness in doctor hones. … . however, inferred that the proof is deficient to prescribe for or against routine screening of kids or young people.Slide 13
School variables influencing base rates 10% of understudy truant whenever, 10% drop out by year end. Young individuals who are missing and drop out have a tendency to be youngsters encountering challenges, the very gathering you wish to screen.Slide 14
side effect course Screening Onset Factors Affect Screening (3): Symptom CourseSlide 15
Strategy 3. School Based Programs 1. All inclusive – everyone partakes 2. Particular – at hazard 3. Shown – early signsSlide 16
Results: Universal Programs δ = 0.12 Selective Prevention δ = 0.30 Indicated Prevention δ = 0.23Slide 17
How would we enhance the viability of widespread projects? enhance learning up take screen execution consistently augment learning past the classroomSlide 18
Maximizing the Impact, Uptake and Sustainability of School Based Health and Mental Health Initiatives with On-line assets Santor and Bagnell (2008)Slide 19
Is the web a feasible conveyance framework 75 percent of teenagers have utilized the web to find wellbeing data on the web, somewhat more than the numbers downloading music and playing diversions more than half of all youngsters may like to get wellbeing data online instead of other media 99% of youth had entry to the web and that 79% of youth had web access at home.Slide 20
Developing a Flexible web based conveyance frameworkSlide 21
How is it utilized by understudies?Slide 24
im a 16 year old young lady, for as far back as three months i\'ve been feeling alot diverse then i used to, i discover i experience difficulty resting around evening time and inconvenience staying unconscious. my body and head continually hurt however my specialist says i have no medicinal issues i\'ve been eating alot less and my emotional episodes are crazy. amid the previous three weeks things have just gotten most exceedingly bad i\'ve turned out to be extreamly delicate crying about everything and yesterday i cut my arms up with some keys. i can\'t control my misery and i was trusting it would pass. my folks say its a stage that everybody experiences except i think i require some offer assistance. is this a stage? on the other hand do i have to see a specialist??Slide 25
approve this may sound doltish however i have found out about sex - i know what goes on and everything, i am extremely accomplished on the subject, yet i sorta ponder in the middle of so much climax stuff- - like i know what they are and how they happen and that it shift\'s from folks to young lady - yet resemble sex like one climax then its over ?like how might this continue for along time? is sex truly short ...cant it be long? like after the climax thing what happens? like i ask do you go again or...what? i trust you get what i am asking much appreciated!Slide 26
Infrastructure & …Slide 27
Annual Health and Motivation for Learning Survey School Climate Measure ... AssessmentSlide 28
How is the Resource Used by Young People? Usage Data (N = 500 – or one commonplace school) Santor, LeBlanc , Poulin, Kusumukar (2005c)Slide 29
30 Logons This gathering of youngsters scored higher on measures of wretchedness and troubles How is the Resource Used Throughout the Day? Santor, LeBlanc , Poulin, Kusumukar (2005c)Slide 30
Mean number of visits Number of guests Number of visits How is the Resource Used Throughout the Year? Santor, LeBlanc , Poulin, Kusumukar (2005c)Slide 31
Can Mass Screening be enhanced with on-line assets?Slide 32
Results: Screening On-Demand The positive prescient esteem for the Symptom Checklist – for foreseeing managed state of mind issues (surveyed at year end) – was 0.45 in the subgroup of site guests who finished the Symptom Checklist once. The positive prescient esteem increments to 0.73 in the subgroup of people who finished the Symptom Checklist more than twice.Slide 33
Can we upgrade school construct intercessions with in light of line assets?Slide 34
Monthly Evaluation YooMagazine WorkShop 1 WorkShop 2 + eLearning WorkShop 3 + No eLearningSlide 35
Schools right now actualizing YooMagazine Health and Mental Health Literacy Program Total Number of Schools: 100 Total Number of Students with get to: 25,000 + Total Number of Teachers: 1000 +Slide 38
www.yoomagazine.net demo/mydemo firstname.lastname@example.org
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