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Texas School for the Blind & Visually ImpairedOutreach Programswww.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
Developed for
Texas School for the Blind & Visually Impaired
Outreach Programs
Let’s Talk:
Starting the Mental Health Conversation with Your TeenNational 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 1
Slide 4: Mental HealthMental 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 2
Slide 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 3
Slide 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 4
Slide 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 5
Slide 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 6
Slide 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 7
Slide 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 UnderstandingEmpathy 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 8
Slide 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 9
Slide 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
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
2018 Texas Focus – Let’s Talk – Ranus, K. Page 12
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