2018 Texas Focus: On the Move! Let's Talk: Starting the Mental Health Conversation with Your Teen Saturday, March 3, 2018 - 9:45-11:15 AM
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Texas School for the Blind & Visually Impaired
Outreach Programs
www.tsbvi.edu | 512-454-8631 | 1100 W. 45th St.| Austin, TX 78756
2018 Texas Focus: On the Move!
Let’s Talk: Starting the Mental Health
Conversation with Your Teen
Saturday, March 3, 2018
9:45-11:15 AM
Presented by
Karen Ranus, Director
National Alliance on Mental Illness (NAMI)
Austin, TX
karen.ranus@namiaustin.org
Developed for
Texas School for the Blind & Visually Impaired
Outreach ProgramsLet’s Talk:
Starting the Mental Health Conversation with Your Teen
National Alliance on Mental Illness (NAMI)
Karen Ranus, Director
Slide 2: How many of you have been…
• Concerned about a teen who is struggling, isolated or unhappy?
• Worried about a son or daughter who seems “not themselves?”
• Reluctant to say anything but sense something isn’t quite right?
• Overwhelmed by a teen whose behavior seems of out control or
unpredictable?
• Frustrated with school staff or medical professionals who seem
not to see the same behavior you’re seeing?
Slide 3: Why should you talk about mental health?
A teen’s mental health affects:
• Ability to learn
• School attendance & participation
• All relationships:
o peers, family, school, community
• Physical health
• Developmental milestones
• Long-term success
2018 Texas Focus – Let’s Talk – Ranus, K. Page 1Slide 4: Mental Health
Mental Health
• We all have mental health.
• A healthy mind means:
o Feeling good and enjoying life
o Dealing with emotions, stress and challenges in positive ways
• Can be maintained with good habits.
Mental Health Conditions
• Mental Health Conditions ARE:
o Medical illnesses
o Change how people think, feel and act
o Common and treatable
• Mental Health Conditions ARE NOT:
o Anyone’s fault
o Limiting
2018 Texas Focus – Let’s Talk – Ranus, K. Page 2Slide 5: Mental Health Conditions
• Attention Deficit/Hyperactivity Disorder (ADHD)
• Anxiety Disorders
• Depressive Disorders
• Eating Disorders
• Bipolar Disorder
• Disruptive Mood Dysregulation Disorder (DMDD)
• Obsessive Compulsive Disorder (OCD)
• Oppositional Defiant Disorder (ODD)
• Conduct Disorder (CD)
• Schizophrenia
• Post Traumatic Stress Disorder (PTSD)
• Alcohol & Substance Abuse Disorders
Slide 6: Facts about Mental Health and Youth
• 1 in 5 youth live with a mental health condition
• 50% of mental health conditions have signs and symptoms by age
14
• Average delay between onset of symptoms and treatment is 8-10
years
Slide 7: Risks of Not Intervening
• 50% of students 14+ with mental illness drop out of high school
• Twice as likely to use drugs or alcohol
• 70% of youth in justice system have mental health issues
• Suicide is the 2nd leading cause of death, ages 15-24
2018 Texas Focus – Let’s Talk – Ranus, K. Page 3Slide 8: The Good News
Figure 1 An adult and a teenage girl sit on a couch and talk.
• Early identification & care = better outcomes
• More people are talking about mental health today than ever
before
• And, talking about mental health makes a difference!
Slide 9: Kristen Bell Video
Slide 10: How do you start a conversation?
• I recently learned that 1 in 5 teens are impacted by mental health
issues but only half of them are getting help. Why do you think
teens don’t talk about mental health?
• We have a family history of mental illness, so I’d like to talk to you
that so you can be proactive if you notice any signs (if relevant).
• Have you seen this Kristen Bell video? I’d love to watch it with you
and talk about it.
2018 Texas Focus – Let’s Talk – Ranus, K. Page 4Slide 11: A Teen’s Perspective
Slide 12: Hayden’s Video
Slide 13: How do you know when it’s “typical” behavior or
something more serious?
Slide 14: Keys to Early Recognition
Figure 2 A teenage girl squats down with her back to a wall and places her
hands over her face.
A child or teen with mental illness has thoughts, moods, and/or
behaviors that are constant, unrelieved and challenging.
• Severity
• Persistence
Slide 15: Early Warning Signs
• Feeling very sad or withdrawn for more than 2 weeks
• Severe out-of-control, risk-taking behaviors that can cause harm to
self or others
• Sudden overwhelming fear for no reason, sometimes with a racing
heart, physical discomfort or fast breathing
• Seeing, hearing or believing things that aren’t real
• Drastic changes in mood, behavior, personality or sleeping habits
2018 Texas Focus – Let’s Talk – Ranus, K. Page 5Slide 16: Early Warning Signs
• Extreme difficulty concentrating or staying still that puts a person in
physical danger or causes school failure
• Intense worries or fears that get in the way of daily activities
• Throwing up or using laxatives or not eating to lose weight;
significant weight loss or weight gain
• Using alcohol or drugs excessively
• Trying to harm oneself, attempt suicide or making plans to do so
Slide 17: Mental Health & Suicide
Figure 3 Graphic showing people images 9 green and 1 gray. 90% of those
who die by suicide have an underlying mental illness. Suicide is the 10
leading cause of death in the US.
Slide 18: Warning Signs of Suicide
• Often talking or writing about death or suicide
• Comments about being hopeless, helpless, or worthless
• Expression of having no reason for living or purpose in life
• Increased alcohol and/or drug use
• Withdrawal from friends, family and community
• Reckless behavior that puts the teen at great risk
• Giving away prized possessions, tying up loose ends
2018 Texas Focus – Let’s Talk – Ranus, K. Page 6Slide 19: What Should You Do?
• Take warning signs seriously.
• Ask the question.
• Know how and where to get help.
o Do not leave him or her alone.
o Call 911 and/or take your child to the nearest hospital
emergency room.
o National Suicide Lifeline: 800-273-TALK
Figure 4 A man and a teenage girl sit on a couch. The girl looks at the floor
while holding her head in her hand.
Slide 20: How to start the conversation when you’re concerned:
• I’ve noticed that you’re_____________. Is everything okay?
• I’ve noticed that you haven’t seemed like yourself lately, and I’m
concerned. I’m here to listen if you have anything you need to talk
about.
Slide 21:
• It worries me when I hear you talking/acting in this way. Can we
talk about it? Or would you like to talk to someone else about
what’s going on?
• I know it’s hard to talk about how you’re feeling, but I am here to
listen and help in any way I can. You can count on me.
2018 Texas Focus – Let’s Talk – Ranus, K. Page 7Slide 22: Remember….
• Stay calm.
• Use “I” language when possible.
• Practice active listening and invite them into a dialogue.
• Affirm their feelings. Don’t minimize the intensity of what they are
feeling.
• Assure them they are not alone, and you will be there to help and
support them.
Slide 23: Empathy is the Key to Understanding
Empathy Video
Slide 24: What Should You Do Next?
Figure 5 A group of adults sits in a circle and listens while one woman
speaks.
• Keep engaging your teen.
• Talk with your pediatrician.
• Get a referral to a mental health specialist.
• Communicate & work with the school.
• Connect with other families.
• Get support & education.
2018 Texas Focus – Let’s Talk – Ranus, K. Page 8Slide 25: NAMI Austin is a Community Resource
Figure 6 A group of adults sits in a circle while one man speaks.
• We offer resources for parents
o Support groups
o Classes
o Lending library
o Information
• Education and accurate information are key to understanding
• Peer support diminishes isolation
Figure 7 NAMI Austin logo
2018 Texas Focus – Let’s Talk – Ranus, K. Page 9Slide 26: NAMI Austin Child & Youth Programs Figure 8 NAMI Basics logo Free 6-week education program for parents and caregivers of children and teens who are experiencing signs of behavioral or mental health concerns or who have a diagnosis. Figure 9 NAMI Ending the Silence logo Free 50 minute presentation about mental health designed for middle and high school students. Figure 10 NAMI Parents & Teachers As Allies logo Free training which helps school professionals understand the difference between “bad behavior” and symptoms of a mental health condition, recognize early warning signs, communicate and partner with families effectively and create a supportive learning environment for all students 2018 Texas Focus – Let’s Talk – Ranus, K. Page 10
Slide 27: NAMI Austin 512-420-9810 info@namiaustin.org www.namiaustin.org Figure 11 NAMI Austin logo 2018 Texas Focus – Let’s Talk – Ranus, K. Page 11
Texas School for the Blind & Visually Impaired
Outreach Programs
Figure 12 TSBVI logo
Figure 13 IDEAs that Work logo and US Dept. of Education OSEP disclaimer
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