Hi folks
I waned to take a moment to ask some of the international readers of the blog to get in touch.
The last year has seen an increase in readers from The Phillipines, Russia, The US and across Asia.
I am curious and keen to connect with readers and find out a little about how they came across the blog and if they found it useful at all.
If you can, please take a couple of minutes to get in touch - would live to hear from you
Brian.donnelly@respectme.org.uk
Thanks
Brian
This blog is designed to share and discuss thoughts on a range of topics that reflect my interests and experience.
Wednesday, 22 April 2015
Wednesday, 7 January 2015
What do we mean by bullying?
This blog summarises and improves on a couple of the speeches I have made on this issue lately - I hope you find it useful.
Making these an essential criteria to be met excludes a significant amount of incidents of bullying that are not deliberate or necessarily repetitive. We know from our work with children and young people , that bullying takes many forms and something need only happen once to have a severe impact.
Every situation is unique. You might over hear some name calling in the corridor and discover this is chat between to close friends who are ‘winding’ each other up; it is not part of any power or dominance game.
If we re-visit the quote -
What do we mean by bullying?
There have been
many different definitions and theories about what constitutes bullying, but
it’s not helpful to define bullying purely in terms of behaviour, bullying is both behaviour and impact.
Bullying is not about just any kind of injury, nor just any negative
impact. It involves a particular kind of harm. It is aimed at engendering a
kind of helplessness, an inability to act, to do anything. It is an assault on
a person’s agency (Sercombe and Donnelly 2012)
Bullying is a mixture of behaviours and impacts
which can impact on a person’s capacity to feel in control of themselves. This
is what we term as their sense of ‘agency’. Bullying takes place in the context
of relationships; it is behaviour that can make people feel hurt, threatened,
frightened and left out.
This
behaviour can include:
• Being called
names, teased, put down or threatened
• Being hit,
tripped, pushed or kicked
• Having
belongings taken or damaged
• Being ignored,
left out or having rumours spread about you
• Receiving abusive
messages on social media or phone
• Behaviour which
makes people feel like they are not in control of themselves
• Being targeted
because of who you are or who you are perceived to be
This
behaviour can harm people physically or emotionally and, although the actual
behaviour may not be repeated, the threat may be sustained over time, typically
by actions: looks, messages, confrontations, physical interventions, or the
fear of these. Bullying is both behaviour and impact.
Online bullying
Online bullying,
or Cyberbullying, is often the same type of behaviour but it takes place
online, usually on social networking sites. A person can be called names, threatened
or have rumours spread about
them and this can (like other behaviors) happen in person and can happen online.
Advances in
technology are simply providing an alternative means of reaching people – where
malicious messages were once written on school books or toilet walls, they can
now be sent via social media sites on mobile devices making their reach greater,
more immediate and much harder to remove or erase.
Some online
behaviour is illegal. Children and young people need to be made aware of the
far-reaching consequences of posting inappropriate or harmful content on
forums, websites, social networking platforms, etc. If a child or young person is being
treated or threatened in a sexual way or being pressured into doing something
that they don’t want to do, this is not bullying. There are laws to
protect children from this very serious type of behaviour.
Persistence and Intent
Bullying is not defined by persistence or intent. This is
relevant because if you were to look up definitions online and in peer reviewed
articles, the vast majority of these will refer to bullying as persistent and
deliberate behaviour.
We would argue that these are unhelpful criteria to apply to
all situations. So much time can be lost trying to apply a range of situational factors,
many of which are in fact subjective. Many incidents of bullying will include deliberate and repeated behaviour but these are not in our view, essential criteria to define bullying. Making these an essential criteria to be met excludes a significant amount of incidents of bullying that are not deliberate or necessarily repetitive. We know from our work with children and young people , that bullying takes many forms and something need only happen once to have a severe impact.
Let’s look at intent
– if you tell me bullying must be deliberate and then accuse me of bullying,
what is my first response? - That I
didn’t mean it. Intent is difficult to prove. It can tie situation up in knots
and the focus on responding to what someone did and the impact it had is lost.
Schools can waste a lot of time trying to prove intent –I
have been involved in examples when intent is denied the adults are stumped and
do not know how to proceed. We must look at what someone actually did and the
impact it had. If it wasn’t deliberate then they may be in a position to
apologise or make amends sooner – of it was it may merit a more serious
response.
Bullying is usually deliberate but not always – sometime
children use language they hear at home and have no idea of how offensive or
inappropriate it is. We should not get caught up in using this as qualifying
criteria though – it’s too easily re-framed
Let us now consider persistence
– that the behaviour must be repeated before it can be considered bullying –
again this is something we do not agree with and neither do most young people
we have spoken to. Persistence is difficult to define and also, is it more than
once? twice? daily? weekly? Who defines when it’s persistent enough to
intervene? Me, the person it is happening to or the intervening adult?
Something need only happen once and the impact can be severe; a child may not get
changed for PE after one incident were they were picked on, humiliated or threatened.
Is being humiliated by having your shorts pulled down in front of a class with
15 people laughing and pointing, some possibly taking a picture, bullying? Of course
it is, is it repetitive? It doesn’t matter, we focus on the behaviour and the
impact it had.
The fear of repetition can be sustained through looks or
perhaps threats or just the fear of it happening again.
What you do about bullying is actually more important than how you
define it.
We respond by asking;
What was the behaviour?
What impact did it have?
What do I need to do about it?
Every situation is unique. You might over hear some name calling in the corridor and discover this is chat between to close friends who are ‘winding’ each other up; it is not part of any power or dominance game.
What was the
behaviour? Name calling
What impact did it
have? None – made them laugh
What do I need to do
about it? Nothing – perhaps remind them about language or being overheard
You may hear the same name calling ten feet further on but
the person on the receiving end is upset and embarrassed in front of her peers.
What was the behaviour?
Name calling
What impact did it
have? Left someone embarrassed and fearful – who ran off
What do I need to do
about it? Help this person get back into her routine, listen to how she feels
and decide on next steps – you will need to challenge the people who called her
names and look at possible consequences too
This does not mean we only focus on the impact behaviour has
– this means that if someone shouts a homophobic or racist slur at someone and
it bounces off them and they don’t care –this does not mean you do not need to
do anything about the language used and the attempt to bully. Just because a
person is not affected does not mean the behaviour they experienced should be ignored.
Just as not all attempts to bully are successful, people can
feel bullied but not be – it is possible some people over react –you still need
to deal with their reaction and their feelings but you might not need to do
much about the behaviour the experienced – it could have been a harmless
comment not aimed at them but they have assumed it was and got into a terrible
state over it.
Focussing our
response
Bullying and Agency
So when we look at impact – things like feeling hurt, angry,
scared, frightened, that knot in your stomach- what is happening there? What do
these reactions tell us?
Young people have reflected to us over the years in a range
of ways that they feel unable to speak out and feel trapped when bullied – they draw
pictures of themselves in large rooms feeling caged and so on. This learning
helped us articulate the notion that bullying actually takes something away
from people.
All of these feelings which are regularly articulated
reflect a loss of being in-charge of yourself, of being capable of taking
effective action, of making choices and of being an effective actor or agent in
your own life.
When we use our agency, we have a degree of choice over what
we do and how we respond within structures like families, communities and
schools.
Young people get this notion
- as it can be a bit if a head scratcher the first time you hear it -
though when you explain a ‘typical day’ of meeting friends, going to school,
laughing, joining in and knowing what is happening and how you’ll respond most
children and young people recognise this day. Bullied children don’t have the
same kind of day. Someone else is in charge of how they feel, where they go
even or how they will participate in certain things, if they get on the bus or
eat alone. They cannot exercise the same choice nor have the same autonomy as
when they were not being bullied.
We learn from our past
experiences, from imagining what we would do in future similar situations and
what is happening to us now – these elements combine and enable us to make
choices and act – this is agency.
Managing change and responding to challenges requires hope, a
belief you can handle things - and agency and these underpin resilience.If we re-visit the quote -
Bullying is not about just any kind of injury, nor just any negative
impact. It involves a particular kind of harm. It is aimed at engendering a
kind of helplessness, an inability to act, to do anything. It is an assault on
a person’s agency (Sercombe and Donnelly 2012)
- we can see bullying is not even the establishment of dominance. The person
bullying is not satisfied with dominance. Bullying can involve the attempt to deny
another any settled place, even a subordinate one. It goes beyond subjection.
In bullying, the goal is abjection
What does this mean for how we respond?
Considering that bullying is both different types of
behaviour and a particular impact this should re-focusses our understanding of the
dynamic - this can re-define an approach to bullying in a way that helps practitioners’ responds
to feelings and actions. This is always more effective than checking off
criteria and having uniform sanction based responses based on our view of the person who is doing it.
If we can accept that bullying takes something away from
people, that they can no longer take effective action our response must focus
on helping get that back.
This is the real shift in anti-bullying practice – how do I
help someone get back a feeling of being in control of themselves and in a
place to take effective action to feel safe and get on with their day?
Things like moving desks or even just excluding people won’t
on their own help restore agency – young people must be included in what will
happen next and given the chance to steer what direction it goes in. They need
to be asked what they would like to happen and we need to take that seriously.
This is not always easy but it must remain our goal with
every intervention – to help young people get back to a place where they are in
control and can take effective action.
In reality – what does that look like? What does it sound
like? You will need to ask questions like
What would you like to happen?
What do you think will happen if I tell his or her parents?
What will happen if I tell your teacher?
What are you worried about?
Be prepared for them to say
Don’t tell my dad – you will out me to him and I’m not ready
for that
I just want you to know what is happening and if I need you
I will come and get you
If you talk to his dad he will get a doing/beating and it’ll
get worse
So you explore what options they do have and sometimes that
means pointing out that you need to do something as not doing anything is
dangerous
Open conversations
like these promote communication – this promotes positive relationships and
they promote and role model problem solving behaviours –these relationships can
become stronger and children become more resilient to what is happening because
of this strong purposeful relationship – even with just one person.
The process of
listening and consciously trying to get back agency – a sense of being on
control – won’t always lead to a perfect outcome but it will help the person
being bullied
Labelling
Bullying is not defined by the type of person who did it either
Bullying is not defined by the type of person who did it either
Care needs to be taken because labelling is not without its
risks, labelling a child or young person on the basis of bullying behaviour can
result in a confirmed identity as a ‘bully’ or ‘victim’ resulting in ongoing
behaviour patterns based on this identity.
This is not to dilute behaviour but is to keep the focus of
the adult’s responses on the behaviour that is problematic, rather than the
assigning characteristics to those involved. This is a solution focussed
approach that is designed to help people change the way they behave, rather
than attempt to change who they are. We help people change by telling them the
behaviour that is unacceptable, being clear that what they are doing is
bullying and that it needs to stop.
It is a fundamental part of behaviour management that we
tell people what the behaviour was they did, why it is not acceptable and help
them figure out what to do the next time they feel that way.
All of this promotes respectful relationships, this approach
builds a young person’s capacity to respond more effectively, when we are
helping young people learn to negotiate tricky relationships and when we involve
them in finding solutions and repairing those that can be fixed, we help them
to become more resilient.
Brian Donnelly
Monday, 17 November 2014
Bullying in Scotland 2014 Reserch Survey Findings
I have posted a brief summary of the results of a survey carried out earlier this year - I will be posting a lengthier blog in the not too distant future discussing the findings in greater depth but for now at least - here is a quick snapshot of what children and young people told us
The research
The primary aim of this piece of research was to obtain a
picture of how children and young people are experiencing bullying in Scotland
in 2014.
This research was designed to:
·
Identify the types of bullying that is
experienced by children and young people.
·
Give a clear picture of where bullying happens
and where online and offline/face to face experiences differ or crossover.
·
Identify from children and young people’s own
experience what they feel works and what is less helpful.
·
Identify where children and young people go
online and what technology they use to get there.
An online questionnaire was designed and tested and
distributed to all schools in Scotland in May and June 2014. In total, there were 8310 responses, of which
7839 were useable. Responses came from all over Scotland with all 32 Local
Authorities represented. Respondents were aged between 8 and 19 years old.
Sixty five per cent were 12 - 14 years old.
This was an open
survey and the findings presented here represent only the views of the children
who took part.
Three focus
groups took place with 45 young people to get a more detailed insight into
children and young people’s experiences of bullying – in particular, their
thoughts on what happens online and in person, where these two are different
and where they crossover.
Key findings
The key
findings from the survey are as follows:
- 30%
of children and young people surveyed reported that they have experienced
some sort of bullying behaviour between the start of school in August 2013
and June 2014. Of this 30%:
§
49% experienced bullying in person
§
41% experienced bullying both in person and online
§
10% experienced bullying online only.
- A
number of children and young people had more than one experience of
bullying. Children and young people surveyed reflected 12,003 experiences
of bullying behaviours. Of these experiences: -
§
60% took place in person
§
21% took place both in person and online
§
19% took place online only
- 92% of children and young people who were bullied knew the
person bullying them (91% online and 92% offline). Anonymity therefore may
not be what is driving bullying online.
·
Behaviours such as name calling, hurtful comments and spreading rumours
that make people feel angry, sad and upset happen both face to face and online.
·
Children and Young people employ a range of strategies to cope with
bullying; some are more successful than others.
§
Almost half (48%) of children and young people who are bullied tell
their parents.
§
Friends and teachers are also providing support to a high number of children
and young people who are bullied.
·
The most successful anti-bullying interventions are embedded
within a positive ethos and culture and don’t just focus on individual
incidents.
- Children and
young people’s use of technology, especially mobile technology and social
media, is woven into their everyday lives.
- The
majority of children and young people (81%) consider their online friends
to be all or mostly the same friends they have in real life
- Children and
young people access internet content on mobile devices, such as phones and
tablets, more than other devices such as
PC’s or laptops.
- Google,
YouTube, Snapchat, Instagram and Facebook are the most popular websites and Apps used by children and young people
when they go online.
Next Steps
We will further
analyse the data we have collected and use it to help develop effective policy and
practice around bullying. The data is likely to help us to address some
questions more effectively including: -
·
Given the relatively low proportion of exclusively
online bullying, and the similarity of online and offline bullying behaviour,
to what extent is a specific response to online bullying needed?
·
What are the appropriate responses to gender
specific differences in experiences of bullying?
·
How can we help schools to further develop an anti-bullying
ethos? And how can we continue to ensure children and young people are involved
and included in this process?
·
How can we continue to support parents to
respond when their children tell them about being bullied?
·
How can schools further help children and young
people learn from other pupils about the strategies that they have found useful?
Tuesday, 7 October 2014
Bullying and the 'One-off incident'...
One challenge we have faced on several occasions over the
years is around perceptions of what a ‘one-off incident’ is and ‘can it be
bullying?’
At respectme, we
have always stated that behaviour does not need to be persistent for it to be
bullying – even though typically bullying may be repetitive, this does not mean
it always is or has to be.
It is unhelpful to think of bullying this way and narrows
our focus.
The most common response to this approach is that, by our
definition, every single one-off incident or argument between young people can
now be considered as bullying, and teachers especially are going to have to
record every little fall out or cross word that happens.
Saying that something
can happen once and it can be
bullying is not the same as saying everything that happens once is bullying.
We never have and
never will suggest that two children who fall out over something or who aren’t
nice to each other are bullying. It is
reasonable to expect adults to deal with this low level, everyday behaviour by
challenging it when they see it, and by role modelling the right way to behave -
and there is certainly no need to record that you have done so. Bullying is
different.
Bullying is a
mixture of behaviour and impact – the impact on a person’s capacity to feel in
control of themselves. This is what we term as their sense of ‘agency’.
Bullying takes place in the context of relationships; it is behaviour that can
make people feel hurt, threatened, frightened and left out.
Nowhere in this
is it suggested that falling out or arguing with someone is bullying – children
and young people will fall out, they will disagree on who and what is cool,
they will bicker with each other and this is part and parcel of children being
in social situations. People can argue without it being bullying.
A young person
can be threatened and intimidated by other young people on a bus, leaving them feeling
humiliated and embarrassed– This only needs to happen once to stop them from getting
on that bus again, or being terrified at the thought of it, or re-living the
experience and not being able to concentrate in class.
The threat of it
happening again is very real; the likelihood of it happening again is also real
if that’s the bus they need to get to get to school every day. Regardless of whether it happened on the last
day of school, when all of the people who took part were leaving for good, or whether
it was the last time that bus ever ran, or whether the person being bullied is
moving to another country the following morning and won’t see these people
again, it is still bullying. The behaviour experienced sill stripped someone of
their capacity for agency.
If I get
humiliated and picked on when changing for PE one day, it could have lasting
effects on my participation in it or enjoyment of it. Do I really need an adult to not take it
seriously or consider it bullying because it only happened once?
How do we apply this to behaviour that takes place online? One
post seen or read by dozens can have a devastating impact – is it the number of
‘likes’ that make it repetitive? In the playground or on the bus, people can
hear nasty and hateful things being said.
Would we consider a story being shared or gossip passed around as
repetitive or persistent? It certainly can ensure the impact is greater.
Adults need to
have the confidence to deal with behaviour when it happens. How often it
happens might make it more serious; it could mean attempted interventions have
not been successful and it now requires a more robust response.
Now, I know most
adults are capable of responding in this way but I have seen first-hand and
heard many times from children, parents and from some senior teachers, that
because it only happened once, they couldn’t do anything – their anti-bullying
policy said it needs to be repeated.
This very literal
take on a policy document is in some ways understandable - that’s what many people
do with polices. The thing is for me, if
you need people to apply judgment and discern (and you do) don’t give them a definition
that is limiting or reductive. Let them consider what was the behaviour, what
impact did it have and what do they need to do about it? It is what you do that
matters.
When I ask young people if something that only happens once
can be bullying – the overwhelming response is ‘of course it can’.
I have always struggled with the subjective nature of the
word ‘persistence’ to be honest – does it simply mean more than once? More than
once a week? Or does once a day make it persistent enough to deal with? And
also, who decides? My teacher – who has not seen or heard every incident – or
me, the person it is happening to? Also, how does my teacher know it is not
persistent? They never saw what happened on the way into school or in my last
class in another part of the building.
I do understand if people’s motivation to exclude ‘one-off
incidents’ from bullying is due to recording and the time this will take up. If
what you mean by ‘one-off incidents’ are low level, everyday interactions such
as a fall out, an argument or a cross word, then I support that- but then you
need to define what you mean by a ‘one–off incident’. Make sure there is a
shared understanding of what you mean and what is expected of people as a result.
Your policy needs to be clear that when you say a ‘one-off incident’
that it is not bullying you are
talking about but the low level stuff just described. Be clear that you are not excluding certain bullying behaviours because
they only happened once.
Make sure everyone understands repetition or persistence is
not a criteria that is to be applied and used to determine if something is
bullying or not. If there is not a shared understanding of this, then responses
are less likely to be applied consistently and inconsistent responses form part
of a culture where bullying is more likely to thrive.
Brian Donnelly
Thursday, 4 September 2014
Children and Young People's Mental Health in Scotland - some context
Apologies for a slightly longer post than usual - this is a
copy of the speech I gave to a group of 'Trusted professionals' in Glasgow this
week. These professionals provide tailored support to young people in the form
of 'Activity Agreements'. these focus on developing skills, capacities
and getting young people into positive destinations. Mental Health was becoming
an increasing issue for them and they wanted some input on the context for this
work in Scotland - which I was happy to try and provide.
I was asked to come along today to provide an overview of
children and young people’s mental health – to give an overview of the context
in Scotland – which I will do. I will talk briefly about the national strategy,
the national indicators, the curriculum for excellence and GIRFEC.
I was also asked to reflect on approaches or support that
can be offered – that is where the conversation expands considerably. There are
as many approaches and models as there are diagnosed conditions and they cannot
be covered by an input such as this –the truth is the journey of building our
own capacity to recognise and respond to mental health issues never ends.
Reading, training, workshops, partnerships – these things all build our
capacity and that is what I hope to contribute to today.
I am pleased to see children and young people’s mental
health is on your agenda and I realise for some – it is new to you and can see
why you wanted it be able to reflect on it today.
Understanding mental health is not about you diagnosing
ADHD, Bi-Polar disorder or necessarily recognises an eating disorder immediately
– but about being comfortable that you have the skills and knowledge to respond
and engage with other medical or professional services.
The time you spend with a young person and what you see
matters. That’s what the ‘experts’ need to ask or expect from us – to describe
how someone behaves - what do they do? – We should not be prevented from
contributing because we can’t make a formal diagnosis.
You work with teenagers – not feeling good about themselves,
being moody and uncomfortable around adults is their job. Some of the young
people you work with from your own data, have additional support needs, have
been involved in offending, some will or will have been looked after and some
use drugs and alcohol.
When I read this data – I did think to myself –of course
mental health is going to be an issue with the young people you work with!
Care leavers in particular are up to 5 times more likely to
have a diagnosed mental health problem when they leave care – this is due to a
number of factors -as is the case for most young people who are marginalised or
struggling with some of the issues that lead the them needing a service form
you.
This includes things like life events, trauma, separation,
poor attachments, developmental difficulties that could be genetic too, neglect
or parental mental health or illness. These are all things that affect a
person’s well-being and can develop into diagnosed mental health conditions or
they can exacerbate underlying conditions. These all affect behaviour and can
lead to anger, anxiety, self-harm, eating disorders. You deal with behaviour
and all behaviour communicates feelings. That’s what we understand best – in my
opinion.
This matters in your role as mental health is a major cause
of absence at work and to people being unable to work or being stigmatised and
discriminated against. We also know that many mental health problems begin and
develop in adolescence – they don’t just appear on adults – yet services and
legislation are still largely set up that way.
So, to the context for all of this. The over-arching context that underpins all of
what we shall explore next is GIRFEC – Getting It Right for Every Child is
something I am sure you are well aware of –this framework for outcomes
compliments the Mental Health Strategy for Scotland, The National Indicators
for Children and Young People and The Curriculum for Excellence and so on. All
of this should in theory ensure all children are safe, happy nurtured and son
on.
We have in Scotland a
Mental Health Strategy – that runs form 2012 – 2015. This document sets out
the Scottish Government's priorities and commitments to improve mental health
services and to promote mental wellbeing and prevent mental illness.
These are designed to reflect Government ambitions and
National Outcomes so that we can ‘live longer healthier lives’ ‘tackle
inequality’ and ‘services are responsive
to people’s needs’ - I am not here to
cheerlead or bore you with Government rhetoric – I do feel it is important to
fully understand the context of our work – High level outcomes Government
ambition (Longer healthier lives) directly impact national policy and strategy
which impact money and resources and impact on funding and the desired outcomes
funders are looking for you to deliver – it is much easier to argue the case to
government when you can easily contextualise your work and ambition in the
context of their outcome framework – that’s the language they understand.
The Government has a vison that by 2020 (it’s called the
2020 vison) that sees health services delivered in communities with people at
the centre – it encourages health promotion and prevention – and that is where
most of you sit – making this a reality that doesn’t focus on medical
approaches has still to be achieved.
The Mental Health Strategy identifies seven key themes,
which emerged from the consultation process
Working more
effectively with families and carers
Embedding more peer
to peer work and support
Increasing the
support for self-management and self-help approaches
Extending the
anti-stigma agenda forward to include further work on discrimination
Focusing on the
rights of those with mental illness
Developing the
outcomes approach to include personal, social and clinical outcomes
Ensuring that we use
new technology effectively as a mechanism for providing information and
delivering evidence based services
Four Key Change Areas
were also identified
Child and Adolescent
Mental Health
Rethinking How We
Respond to Common Mental Health Problems
Community, Inpatient
and Crisis Mental Health Services
Work with Other
Services and Populations with Specific Needs
Activity to Support
Delivery of the Mental Health Strategy
Again you can see this is very medically focussed and
children and young people are one of the 4 areas. I feel that sometimes
children and young people are relevant in each of the 4 – you can’t just relate
them to adults and then just have children’s mental health as a category all of
their own.
The other side of the coin is it is finally recognising a
need to focus on children and young people’s mental health and it is an area
that requires renewed focus.
One of the aims of the strategy is that children and young
people, following a referral for specialist CAMHS treatment get seen within 26
weeks.
A target of 26 weeks for treatment – makes my heart sink but
a new one has been set of 14 weeks starting in December of this year. A large
amount of the strategy focusses on CAHMS interventions and the CAMHS works
force –some of it is moving into community based work and partnerships but it
is still largely led by a medical model or a deficit model on mental illness
and less on the promotion and prevention.
It is something we should read if children’s mental health
matters to us – it clearly does and it shapes the partnerships we can develop
and the work done by colleagues.
Part of the on-going work to improve mental health in
Scotland was to develop a set of national indicators on mental health – one was
developed for adults initially and subsequently one for children and young
people – I was on the advisory group for children and young people and it was
quite a challenge – doctors, physicians, psychologists, researchers, professors
and me! Making up the numbers and representing the voluntary sector social work
types.
These indicators were finalised in late 2011 and set out a
range of mental health outcomes – things that contribute to mental well-being
and to mental health problems and arrange of contextual factors such as family,
environment, community, learning environment etc.
This is the graphic that illustrates the framework.
The idea is that data can be measured through surveys,
existing research, suicide and hospital statistics and specialist tools such as
a Strengths and Difficulties questionnaire to give an overall picture of mental
well-being and also mental health problems in Scotland – this is then supported
by an analysis of contextual factors through surveys, research and data on the
contextual factors, health and behaviour in schools surveys, both national and
local ones.
The first analysis of
these was completed in 2013 and indicated that children’s mental health has
improved or stayed broadly consistent on the last 10 years – it shows
contextual factors like alcohol consumption is down but the units consumed by
those drinking going up for example.
These trends and data are to be used to influence policy and
practice and to challenge and inform media colleagues.
The one other area that contextualises work around mental
health is the Curriculum for Excellence – significantly the health and
well-being outcomes within this. This is what colleagues in schools will be
working within and setting lesson plans etc. around. What is new and positive
about the curriculum is traditionally literacy and numeracy were the
responsibilities of all – well-being sat with guidance and pastoral care – this
is no longer the case – all teachers have a responsibility to include and
consider how their work, relationships and lessons impact on health and
well-being. It recognises that in order to learn and to and develop confidence
requires a focus on our mental well-being – this will not be rocket science or
news to any of you but it does radically change the paradigm for colleagues in
schools.
It’s no longer good enough for the history teacher to just
teach the history curriculum, they have to be tuned into and recognise the
things that can impact on a child’s well-being and their learning. They are
expected to promote a culture of respect and trust.
I have given inputs to teachers who are just as concerned
about what is expected of them as you are – just as concerned that they are
worried they will need ot teach lessons or deal directly with the treatment of
mental health problems. The message is the same – it’s about being confident to
recognise when something isn’t right or a person has changed and knowing where
ot go and what to do – who to talk to and where to get help. Signposting and
having knowledge of what resources are in your area is vital.
Health and well-being extends to food and nutrition,
exercise, relationships as well as feelings, anxiety, fear, and mental health
problems. The health and Well-being outcomes that teachers use should address
issues such as managing relationships, developing resilience, dealing with
difficulties, expressing yourself and getting active.
This graphic highlights the tools colleagues should be using
to plan and deliver learning and making sure these outcomes are the focus.
For me, this is the first time education and social work has
had a
similar value based approach to outcomes for children and young people.
So as you can see- there is quite a bit of context for the
work you do – I haven’t even drilled into parenting strategies or suicide and
self-harm or anti-bullying strategies - that all reflect the same values and
ambition. There are many of these that can give you access to more detail on
how to respond, what works, what good practice looks like, where to get help –
the challenge is to familiarise ourselves with the practice and the policy
context that affects us and assimilate this into our work.
You will learn more about dealing with self-harm when you
are dealing with self-harm than you can from having a theoretical understanding
of it – this can help it can ensure your first response is a more informed one
– same with bullying, same with Bi –Polar disorder or depression. Reflective
practitioners learn from their experience – we absorb influences, research,
books, advice and guidance with our experience and we us all this to formulate
plans and approaches to issues.
I think we should be more comfortable at times with the fact
we are always learning and always on a journey – not feel we can’t contribute
because we are not experts on the minutia of a particular mental health issue-
you will be presented with a huge variety of behaviour – there may be some
similarities but every child is unique and their issues will be unique to them,
where they live, who they live with and where you fit in.
The impact of Mental
Health problems
It is important to just reflect on the impact of metal
health on children and young people
Stigma
Discrimination - these
can be immobilising – they are still experienced more from close family and
friends
Relationships
affected – friends can turn away – young people might struggle with how to
manage ups and downs – tension can result
Life Chances – you
miss school and you get no qualifications – your options are limited –the
choices you can make are affected
Employability – it
can impact on attendance at work and the stigma can prevent people from gaining
work
Drug and Alcohol use
– can be a contributor as well as a symptom
Developmental delays
– some conditions can result in developmental delays and affect conative
functions
Behavioural problems
– as a result of not being able to communicate effectively – or feeling the
stigma
Physical health – to
take part in things like PE, to want to or even be able to –side effects of
medication or treatment
Motivation – can’t
get out of bed!
These just some of the impacts – I’ve put motivation in as
you will work with some young people who for the moment actually can’t get out
of bed – they’ve not yet been diagnosed with depression but all the cajoling on
the world won’t address what’s going on – threats will have no impact.
You might also be working with someone who can’t get out of
bed because they are not used to it and hate getting up – and cajoling and
threats might be the order of the day. There is no one answer for things like
this except to try and see the whole person and what their behaviour
communicates in the broadest sense and to consider mental health when doing
this – for some of the people you work with this will be a first.
What we do know is
this - A strong relationship with a trusted professional – I don’t just
mean the formal role of ‘trusted professional’ but one good positive relationship
can make all the difference – there is no shortage of research into brain
development in early years – Dr Harry Burns’ stuff is fascinating on how neural
pathways are joined up through positive attachments and stimulation and how
brain development can be affected by the absence of these – the crucial message
he gives, as do many others is that this
‘damage’ is not beyond repair – adolescents can and do through positive
relationships learn to trust , to stretch themselves and grow.
The skills that underpin effective relationships are the
ones we use and the ones others need to learn – especially the medical
professionals - they have things to learn from you.
As I said at the start of this – it is just not possible to
cover the area of children and young people’s mental health fully – if affects
every single pat of who they are and what they do
If you are a social worker – you must consider mental health
in your work and decisions
If you are a teacher – you must consider mental health in
the same way
a youth worker, a classroom assistant, a criminal justice
social worker, a foster carer, a residential worker- we don’t always need the
‘expert’ to deal with this aspect of a child’s life
There is no health without mental health - we all have
mental health – it will be better at some times than others – we will need
different things form the people around us depending who we are – what happened
and when.
Our response will be dependent on our levels of resilience –
did we have interests out of school, someone who cared and went the extra mile,
somewhere we knew we belonged and were helped to learn from our experiences.
This job - this role gives you the chance to be that person
for someone who needs it.
Thank you for listening folks – enjoy the rest of today.
Thursday, 26 June 2014
Do we really all have to be friends?
The line that gave respectme its name has served us very well over the years and made for a
very popular poster and video campaign – ‘You don’t have to like me, agree with
me or play with me… but you do have to respect me’. The thinking behind this
was the need for a way to describe how we wanted to help children and young people
shape the terms for relationships and interactions with peers.
While this sounded quite catchy and lends itself well to a campaign
– I always wanted to it have substance – and that is why we always follow this up
by exploring what does this statement actually mean or what does it actually
feel or look like for children and young people?
It is a nice demand to make of people I know but again, what
does it mean. For the most part – it means simply leaving someone alone – you don’t
need to connect with them, learn about them, understand them or become friends
with them – just let them be.
The example I tend to use when discussing this, relates to
an experience I had when my second oldest was at nursery. As reputations were
being built and lost around the sandpit I heard the teacher tell the boys and
girls who were playing and getting out of hand that ‘they should all be friends
and play nicely’. This was of course said with warmth and with the best of
intentions but at the time it really got me thinking – ‘’Do they all have
to be friends?’ how realistic an expectation is this?
Now, if a bunch of 4 year olds cannot behave around the
sandpit we need to intervene and let them know how they should behave but do they
all need to be friends? No – should they be expected to play near each other in
a civilised way? Yes – perhaps a better response is along the lines of ‘if you
are all going to play here together you need to be nicer to each other, no grabbing or shouting and you take
turns – that’s one of the rules here’.
That is an easier boundary to set and easier to role model, if you
tell them they need to be friends you are setting up an unrealistic expectation
that they can’t possible manage – friends with everyone in your class? Are
we as adults expected to be friends with everyone we work with? Do we even like
everyone we are related to at times? Of course not.
I know for some this is not a huge issue but friendship is
one of the first currencies children have to withhold or bargain with – it is a
very powerful tool in early years and as such I think we can frame it more
effectively. I would rather see a group of P1’s who can get along on different
tasks, are respectful of each other and make friends on their terms. This also
lets us talk about what it means to be a ‘good friend’ and help them understand
that there will always be a wide group of people around them throughout school,
some you’ll be friends with. Some you’ll know and say hello to and some you won’t
get on with or agree with.
The skills needed to understand and negotiate this will serve
them well in life not just school. Anti-bullying agencies get a bit of stick at
times because the impression they give is that all they want is for everyone to
be nice to each other and in fact this is unrealistic – I think it’s no bad
thing to want everyone to be nicer but I agree that it’s not realistic.
What I do believe is that we should be asking children to
respect their peers and that can mean a whole range of things. It can include
talking and listening to someone and perhaps becoming friends, or it can mean
fixing what was once a friendship or it can mean learning to be quiet and not
shouting at or about someone you don’t like. I think friendships are vitally
important to our children and young people – they rely on them, value them and
as they get older, they turn to them for support and comfort - all this message
and these campaigns seek to do is to help frame an understanding of what it really
means to be friends.
Learning that it is
okay not to like someone, that it’s okay not to agree with them is important -
it’s what you do that matters. Not being friends does not have to mean that you
are enemies. That is a message I have seen young people benefit from
exploring on many occasions.
If you think about it there must be a few people in your life
you don’t like, you don’t and never will agree with – you don’t hound and abuse
them at every opportunity – you may have learned the hard way that a family Christmas
dinner is not the time to get these feelings off your chest. It might be a colleague
or your boss – most people learn to use their developed social skills that enables them
to work effectively or not fall out with the whole family.
If you pick on, exclude or verbally abuse someone in person
or online you don’t like or agree with then that’s the kind of bullying that
will cause problems for everyone – if you are able to let them walk by, be
online or in the corridor without you responding in some negative way – then everyone
will be a lot happier.
We will always respond to bullying more effectively when we
focus on what someone actually did and the impact it had. If they behaved in a
way that is unacceptable then we focus on their actions and what they should be
doing in future. This will be more
effective than trying to fix or reframe a dynamic between two people that might
not need ‘fixed’- nor will it ever fit into what we might think a ‘friendship’
is.
Brian
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