A Starter Kit for Schools - Promoting mental health and ...

[Pages:112]An Adolescent Mental Health & Wellness Curriculum

A Starter Kit for Schools

Second Edition Editors

David Ray DeMaso, M.D. & Joseph Gold, M.D.

Copyright ? 2006 Children's Hospital Boston and McLean Hospital, Belmont, Massachusetts

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Acknowledgements

The purpose of this manual is to help adolescents acquire the words and the questions they need to make better decisions in the area of mental health. Regardless of age, people make better decisions when they have accurate information. We thank Bruce M. Cohen, M.D., Ph.D., President and Psychiatrist-in-Chief Emeritus, McLean Hospital and William R. Beardslee, M.D., Academic Chairman, Children's Hospital Boston for allowing this collaborative project a sufficient priority for their specialists and staff to participate. Although more time-intensive, a collaborative project helps to eliminate conflicting information for teachers. We are grateful to everyone listed in the Contributor's section but wish to specifically mention Cynthia Kaplan, Ph.D., of McLean Hospital and Caroline Watts, Ed.D., of Children's Hospital Boston for extraordinary devotion to this project.

The contributors practiced their science with many school leaders and countless students before participating in this project. We are especially grateful to Rev. F. Washington Jarvis III, Headmaster Emeritus of The Roxbury Latin School, and to Paul E. Sugg, Jr., Dean of Students. Always true to the words of the School Catalogue, they acted "...to allow for a fuller investigation of issues of mental health such as stress and depression."

We thank Robert W. Anthony for bringing together the doctors and the teachers to better define basic assessment tools needed by faculty to go along with a curriculum. And for founding to distribute this manual. Now that both his sons are in their twenties, he confirms that the hardest years of parenting would be much easier if adolescents had better information about mood and decision-making. In his words, "The kids talk with each other long before they confide in parents or teachers. It can only help to give kids the language and the insight to let their conversations be most helpful."

Finally, we thank CHNP, Tudor Investments and the Sidney A. Swensrud Foundation for funding this project.

David Ray DeMaso, M.D. Joseph Gold, MD

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CONTENTS Preface

PAGE 9

Part One of Three ? Preparation

Chapter 1) Using the Adolescent Mental Health & Wellness

Curriculum in Your School

Caroline Watts, Ed.D.

? A Rationale for Action: Why Do Something?

11

? The Curriculum Philosophy

13

? Needs and Resource Assessment: What Is Our Readiness? 18

? Internal and External Resources to Support Implementation 20

? Overview of the Educational Modules: How To Use Them

22

? Conclusion

26

? Appendices:

o 1-A) Implementation Checklist Example

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o 1-B) Survey example on Depression (staff version)

28

o 1-C) Survey example on Depression (parent version)

29

o 1-D) Survey example on Depression (student version)

30

o 1-E) Questions for Developing School Resources List

31

Chapter 2) Assessing Class Safety to Determine Curriculum Level

Ariel Botta, L.I.C.S.W., Nadja Reilly, Ph.D. and

Caroline Watts, Ed.D.

? Decide Which Level to Use with the Class

33

? Appendix 2-A) Class Emotional Safety Assessment

35

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Part Two of Three ? Curriculum

Chapter 3) Stress: Causes, Consequences and Management

Cynthia Kaplan, Ph.D.

? Definition and Overview

37

? Goals and Objective

37

? Prior to Activities: Determine Level of Safety

38

? Activities

o Level 1

39

o Level 2

50

o Level 3

56

? Appendices:

o 3-A) Sources of Stress Survey

59

o 3-B) Competition Scale

60

o 3-C) Deep Breathing Instructions

61

Chapter 4) Substance Use, Abuse, and Dependence

John Rodolico, Ph.D., James Holsomback, B.A., M.A., A.B.D. and

Cynthia Kaplan, Ph.D.

? Definition and Overview

63

? Goals and Objective

64

? Prior to Activities: Determine Level of Safety

64

? Activities

o Level 1

65

o Level 2

71

o Level 3

74

? Appendix 4-A) Article titled "Oops: How Casual Drug Use

Leads to Addiction"

76

Chapter 5) Depression in Adolescents

Nadja Reilly, Ph.D., Ariel Botta, L.I.C.S.W. and

Caroline Watts, Ed.D.

? Definition and Overview

79

? Goals and Objective

79

? Prior to Activities: Determine Level of Safety

80

? Activities

o Level 1

81

o Level 2

85

o Level 3

91

? Appendices: Assessment for Risk of Suicide

o 5-A) Questions to Guide Student Safety Assessment

93

o 5-B) Sample Form for Student Evaluation Notes

97

o 5-C) Student Safety Assessment Decision Tree

98

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Part Three of Three ? Evaluation and Conclusions

Chapter 6) Evaluating Mental Health Programs in Schools

Emily Bliss Gerber, Ph.D. and Caroline L. Watts, Ed.D.

? Evaluation is an Integral Part of Prevention

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? What Works In School-Based Preventive Interventions?

100

? Pilot Evaluations of An Adolescent Mental Health & Wellness

Curriculum

102

? The Evaluation Cycle in Your School

106

? Conclusion

109

? Appendices:

o 6-A) Student Evaluation of the Depression Module

110

o 6-B) Your Evaluation of An Adolescent Mental

Health & Wellness Curriculum

111

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EDITORS

David Ray DeMaso, M.D. Professor of Psychiatry, Harvard Medical School Psychiatrist-in-Chief, Children's Hospital Boston

Joseph Gold, M.D. Instructor in Psychiatry, Harvard Medical School Director, Child and Adolescent Program, McLean Hospital Clinical Director, Community Child Psychiatry Services Partners Psychiatry and Mental Health

CONTRIBUTORS

Ariel Botta, L.I.C.S.W. Teaching Associate in Psychiatry, Harvard Medical School Consultant, Children's Hospital Neighborhood Partnerships Department of Psychiatry, Children's Hospital Boston

Emily Bliss Gerber, Ph.D. Evaluation Associate, Children's Hospital Neighborhood Partnerships, Department of Psychiatry, Children's Hospital Boston

James Holsomback, B.A., M.A., A.B.D. Coordinator of Adolescent Educational Services Acute Residential Treatment Unit, McLean Hospital

Cynthia Kaplan, Ph.D. Instructor in Psychology, Department of Psychiatry, Harvard Medical School Program Director, Acute Residential Treatment and Transitional Care Units Administrative Director, Child and Adolescent Program, McLean Hospital

Nadja Reilly, Ph.D. Instructor in Psychology, Department of Psychiatry, Harvard Medical School Consultant, Children's Hospital Neighborhood Partnerships Department of Psychiatry, Children's Hospital Boston

John Rodolico, Ph.D. Assistant Clinical Professor of Psychology, Department of Psychiatry Harvard Medical School Senior Addictions Consultant and Associate Psychologist, McLean Hospital

Caroline Watts, Ed.D. Instructor in Psychology, Department of Psychiatry, Harvard Medical School Director, Children's Hospital Neighborhood Partnerships, Department of Psychiatry, Children's Hospital Boston

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