Mental Health Matters The Coaches' Role March 22, 2021 - With help from www.menti.com
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Mental Health Matters
The Coaches’ Role
March 22, 2021
With help from www.menti.com www.athletics.ca
Overview
Intro to the MH Strategy at AC & my role
The Mental Health Continuum
Contributors to Mental Illness & Mental Health
MH & Stigma
Getting athletes the MH help they need:
How can you help? What is your role?
www.athletics.ca
MH Strategy for AC
REACTIVE PROACTIVE
Help mainly for athletes who ask for help or Everyone gets MH
When a concern is raised by IST/coach education and support
Later intervention (secondary, tertiary) Screening, Prevention and
Early intervention
Focused on Mental Illness
Problems are more entrenched Wellbeing/Continuum of MH
Physical Health prioritized; Both MH and Phys health important
MH minimized and stigmatized MH safe to talk about
Athletes don’t want HPD/Coach to know Athletes feel supported in getting help
www.athletics.ca
Mental Health at AC
Recognition Understanding
Consultation
Treatment
MH 101 and Assessment
Pathways
IST, APAs, Coaches, Athletes
www.athletics.ca
© copyright CCMHS 2020
MPC vs. MH
Mental Performance Coach Mental Health Practitioner*
Mental Performance Mental Health
Sport-specific issues Broader life issues
Showing up for “Game day” Maladaptive coping strategies
Mental Prep and Problematic personality and
Debrief/Recovery communication styles
Mental illness (Mood, Eating,
Anxiety, Trauma, Addictions)
*Check level of training for scope
www.athletics.ca
Stress & Performance
Our capacity to
regulate
Stressors is
Finite and
comes from
One Source
If stress
outside of
sport is high, it
will impact
sport
www.athletics.ca www.intmath.com
© copyright CCMHS 2020
Alexi Pappas Video
MH = Physical Health
Opinion | I Achieved My Wildest Dreams.
Then Depression Hit. - The New York
Times (nytimes.com)
www.athletics.ca
https://www.google.com/url?sa=i&url=https%3A%2F%2Fblog.smoothiebox.com%2Folympian-alexi-pappas-smoothiebox-changed-my-
world&psig=AOvVaw27gGH5NBT17q1qEbbXNbPe&ust=1612820364970000&source=images&cd=vfe&ved=2ahUKEwiZ3uWY3tjuAhVQ_6wKHYSOB7YQr4kDegUIARCIAg
Physical Health
• It’s easier to keep tabs on where you fall on this continuum in terms of Physical Health
• We tend to know when we are heading from the green zone to the red zone physically
But do you do the same “check in” with your mental health? If not, why not?
www.athletics.caThoughts, feelings, physical sensations, and Behaviours
www.athletics.caWhat do Mental Health and Mental Illness ….
Look like Sound like Feel like?
Go to Menti.com and Enter the code
6892 1190
www.athletics.caCONTRIBUTORS TO MENTAL HEALTH
SYMPTOMS OF MENTAL HEALTH ASSETS
MENTAL ILLNESS
OTHER DOMAINS OF WELL- SPORT FACTORS
BEING
Sport culture, training and competition
Physical, spiritual, social, financial, environment, recovery, coaching style,
etc. relationships with teammates, etc.
www.athletics.ca
© CCMHS 2021REALITY CHECK
You can thrive with or Good
without a mental illness Mental Health
Optimal Functioning
FLOURISHING
With Without
Mental Illness Mental Illness
LANGUISHING
Poor
Mental Health
www.athletics.ca Keyes, 2002
© CCMHS 2021(2 WEEKS) © copyright CCMHS 2020
Mental Illness in Athletes
Usually observed as a change from their usual self (baseline) BUT…..
Sport can be a “safe haven” – where they can function well/hide their
emotional pain despite under-functioning in all other areas
We often don’t know the full story ~ often disguised as physical pain
(especially in certain cultures)
If you don’t ask, they won’t tell…
Underlying issues get exacerbated under pressure of competitions
www.athletics.caPAUSE www.athletics.ca
Where am I on the continuum right now?
www.menti.com Code 6892 1190
www.athletics.caMenti Code 6892 1190 © Mental Health Commission of Canada
www.athletics.caShame: “I
Pain is inevitable;
am weak… I Suffering is optional
should be
able to
handle this SUFFERING I need to get rid
myself”
of this
What’ s wrong
with me?
This will never
RESISTANCE end
Why me?
If I just try
harder…
(perfectionism,
PAIN
fear of failure)
(Emotional and/
or physical)
www.athletics.caBuilding Mental Muscles
Accepting and learning to work WITH emotion is key
We are not our thoughts and emotions
We can train our minds once we are aware
This is essential for best performance and recovery
www.athletics.caShame & Stigma:
Hidden Opponent
Look around you:
1 in 4 of us will experience mental
illness
More than you know will have
suicidal thoughts
Most of us have not been open
about our struggles because of
stigma and fear
Without naming it, it becomes a
“hidden opponent” that impacts
performance for our athletes
We have to Name it to Tame itStigma is about Fear
Fear of judgment and evaluation of self
Fear of loss of control (of info, identity)
Fear that info will be used against them
So let’s name this to tame it….
www.athletics.caChecking in:
We’re all in this together
Go to menti.com &
Enter Code 6892 1190
www.athletics.caName it to Tame it
COVID19 = lockdowns, isolation, fear, frustration, financial
Tokyo…or no Tokyo…?
Uncertainty = lack of control N.U.T.S.
More unstructured time = Novelty
more time to think…worry… Unpredictability
Threat to Ego
“life issues” came into view Sense of Control
Cancelled events - Low motivation Lupien, Centre for Studies on Human Stress
Self-doubt (“Imposter syndrome”)
Identity confusion (outside of sport, if injured, retired)
www.athletics.caWhat do athletes need FROM YOU in each zone?
Healthy Reacting Injured Ill
• Use coping tools
• Recognize limits
• Maintain balance • Identify and
• Get adequate rest, • Seek consultation
• Focus on task at understand own
food, and exercise and support
hand signs of distress
• Engage in healthy • Follow healthcare
• Break problems into • Reach out
coping strategies provider
manageable chunks • Seek help
• Identify and recommendations
• Identify and nurture • Seek social support
minimize stressors
support systems
www.athletics.ca Mental Health Commission of Canada, 2021
© CCMHS 2021© copyright CCMHS 2020 www.athletics.ca
© copyright CCMHS 2020 www.athletics.ca
Coaches’ Role
Go to Menti.com 2983 6015
Breakout Discussions:
1. Do you consider mental health as a key input of athletic
performance?
2. What are some of the ways you consider mental health when you
create your training and competitive plans for the season?
3. Do you have a plan and resources to support athletes in crisis?
*How can AC help you in doing the above?*
www.athletics.ca© copyright CCMHS 2020 www.athletics.ca
Keep your own tank full HELPING SOMEONE ELSE
Recognize change
Have difficult conversations
(www.bethere.org)
Communication
Create a safe, private space
Listen twice as hard
Nothing substitutes for genuine curiosity
Validate, don’t judge or preach Self-Awareness
Note the changes you observed that are
worrying you
Be specific. Concrete. Direct.
Allyship
Help them communicate needs
Put limits in place as needed
Follow up & Consult – Create HOPE
www.athletics.ca © CCMHS/WheelerMH Action Plan Example
1. When I am feeling well, I am…
2. How you can best approach me as an [athlete, coach, director]…
3. Strategies I will use to maintain my mental health at [training, home]…
4. Strategies I will use to cope under pressure…
5. Signs that my mental health is diminishing…
6. My triggers are…
7. What you can do when you see the warning signs…
8. What I would like to disclose to others when I’m struggling…
9. If a mental illness interrupts my ability to perform, a fair and healthy
course of action to follow is…
10. In case of an emergency, I would expect…
www.athletics.ca
© CCMHS 2021MH Referral – Camps & Comps
Camp or competition Canada
Hub HP MH
Team Doctor
Doctor Lead
Refer all MH concerns
to Team Doctor. Acute
issues managed on site.
AC
Team Athlete MPC Public or
Team Coach private MH
Team IST Professional
Team Management
etc
www.athletics.caMH Referral – CAPP Athletes
AC IST HP MH
APA Hub Lead
Doctor
Refer all MH
concerns to a
Hub Doctor or
an AC MPC
CAPP Athlete
Personal Coach AC Public or
Personal IST MPC private MH
Personal MPC Professional
etc www.athletics.caPathway Options
REFERRAL PATHWAYS Basic Information
GP Morneau Shepell - External, non-sport specific
- Specialized MH counselling
- Immediate / crisis
- Telephone, chat, in person
- 8 sessions covered in full
About 5
Canadian Centre for Mental - External, sport-specialized MH care
Health and Sport (CCMHS) - MPC, RP, CCC, R.Psych, RSW sessions free,
- Short turn-around-time
- $1,000 covered through GP more
MHN Practitioner - External and COPSIN affiliates available
- Various clinical MH specialties and sport competencies
possible with
- Varying turn-around-time
- $1,000 of coverage through GP
discussion
Regional GP Advisor - COPSIN affiliated with MH Lead
- Assist with navigating MH referral
- Specialties in career development, transitions, goal-setting, and
non-MH concerns
- Covered by GP/COPSIN
Mental Performance Consultant - External and COPSIN affiliates available
(MPC) - Fee-for-service
- Assist with navigating MH referral
- Specialties in sport performance and sport-specific concerns
Regional COPSIN Network - Lead/advisor at regional CSI can explore MH options available
- Various fee structures and practitioners are available from region to
region
- Can end up referred back to options a - e
www.athletics.ca
© CCMHS 2021How to get help easily
CCMHS/Game Plan (5 sessions free)
Sport-minded professionals already vetted to work with HP
athletes
Self-referral: https://www.ccmhs-ccsms.ca/self-referral-
form
Link your chosen professional to them to see if they will
approve funding your sessions with a brief application
OR
Reach out to me with any questions or concerns or to find someone in your
area: drheatherwheeler@outlook.com
www.athletics.ca© copyright CCMHS 2020 www.athletics.ca
My MH Lead Role: Making MH a Core Value of AC
Develop a formal written Strategy (including protocols to follow)
for handling MH concerns
Consultation (even anonymous) – talking out best pathways
Reducing Stigma; developing trust in athletes and ensuring that
MH help is available and encouraged by all; finding MH champions
Regular education and sharing resources for staff and athletes
Rolling out a plan for proactive screening and early intervention
post Tokyo
www.athletics.caTokyo
MH Support is ramped up before,
during and after the Games:
Athlete 365 + an App
MH Leads at the Games:
Dr. Karen MacNeill
Dr. Susan Cockle (para)
http://www.clipartkid.com/olympic-flame-cliparts/
www.athletics.caQuestions? www.athletics.ca
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