1Mould Our Future With Enhancing Children Emotional Wellness
Today
Esther TANG, Team Leader, Adolescent Early Intervention Service
Scarlet POON, In-Charge, Integrated Community Centre for Mental
Wellness – Service Development Baptist Oi Kwan Social Service
Twofold approaches to enhance children emotional
wellness
•
•
Previous Studies Children of mentally ill parents:
• Low in psychological well- being, social
functioning and academic achievement
psychiatric conditions and behavioral
For example: Depressed parents
• Has difficulties to support the socio-emotional needs of
children
Service targets: Children and adolescents between the age of 6 and
15 whose family members suffer from mental and emotional
difficulties.
Objectives: •
•
Enhance their positive protective factors with focus on personal
development and resilience by providing more supportive and
positive life experience.
Family approach in Stand By You Service
Type of MI Schizophrenia Depression Bipolar Anxiety Disorder
Personality Disorder OCD Unknown Other
No. of MI Family
Diagnosis of MI Family Members
Family based approach
• Family Counseling • Psycho-education • Parent-child Art therapy
Programs • Parenting group
– Proving a quality of time and chancing the focus on positive
experiences : “”
Family based approach
Before
• Home refurbishment scheme – Effective way for worker engagement
and provide better living
environment to family – Acquire knowledge for addressing their
children's needs and concerns – Reduce stress and diminish their
helplessness feeling: “
”, “
Mentorship program – Home visiting
• Support and caring to the children and providing timeout for
parents and relieve their stress: “
”
– HappyOurs Hotline () • Extension of family support system •
Having a sense of being listened, understood and accepted:
“” • Strengthening children’s awareness to share their
thinking
and feelings, as well as awareness to seek help: “
”
• Life enrichment programs – Building up of family capitals and
network: “
whatsapp” – higher acceptance of receiving ICCMW services for
themselves – Widen life experience: “
”,“…..” – Enhancing emotional state:“D
”
• Mutual Support Elements – Being buddies: having fun together,
sharing common secrets and
feelings“D”
Because……
• From our past experiences, intervention provided for children
solely is not enough
• Well- being of children is significantly affected by their
parents' mental state, emotion stability, parenting style and the
parent-child relationship
Case Summary • Background Wong, 10 years old , Female, Single
family(living with mother and
mother has been stuffing from depression at 2008-2009), New
immigrant
• Presenting problem(Self approach)ADHD, Higher anxiety reaction,
No friends
• What’s SBU provided ? – Family based counsellingTo find out the
family communication pattern. In this
case we have find that there are two main problem : 1. Wong’s
anxiety was coping from her mother and her mother has too much
worry and unsettle issue, such as: Her marriage, her role of new
immigrant. etc. 2. There is a cycle between family, Wong’s mother
always complain her daughter didn’t……
– Art therapy handling her inner self , including the anger and
anxiety coming from her family.
– Psych-education group To more understand her mother . – Big
Brother and Sister project and Building up her social support
network – Family ProgramBuilding up her social network and higher
quality time with her
mother. – Love@ Home (Home refreshment project)Provide a better
environment for
Wong study.
• Use of Family Approach • Interventions for the whole family,
both
parents and children • Hence, cooperation with other helping
professions is in need
No. of Case 77 38 69 32 15 3 14
Referral Source
Internal referral
NGO School Self Unknown
No. of Case 77 25 4 9 31 28 10 32 15 3 14
Referral Source
mental Health—A community partnership program)
•
•
Function of REACH teams
patients for secondary and tertiary care
•
Training for school counselors in identifying mental
health disorders •
schools, social and community agencies, family
doctors and mental health service providers
including coordinating interagency consultations
and case conferences
•
Mental health promotion programs in schools and
social service agencies
http://www.aamh.edu.au/__data/assets/pdf_file/0006/510792/Singapore_pp7984.p
A widespread strategy used in schools in the U.S.
•
positive behaviours;
implementing rewards and consequences system; identifying students
•
Different levels of Interventions for Students:
identifying students in
one of primary, secondary and tertiary categories for intervention and
support based on level of risk or problem behaviour; crosssystem
support team with community mental health and family involvement.
•
state, and the community.
http://www.thenationalcouncil.org/galleries/policyfile/PBIS%20Issue%20Brief.pdf
Kidsmatters (Australia)
The four components of KidsMatter are:
A positive school community
•
Sense of belonging and inclusion within the school
•
Collaborative involvement of students, staff, families and the community
in the school
Effective social and emotional learning curriculum taught regularly to all
students •
Parenting support and education •
Effective parentteacher relationships
Opportunities for families to develop support networks
Early intervention for students experiencing mental health difficulties
•
Processes for addressing the needs of students experiencing mental
health difficulties •
facilitation of access to early intevention and identification of referral
pathways
https://www.psychology.org.au/publications/inpsych/kidsmatter/
Buddies
–
•
•
•
•
Content of group modified from FRIENDS, an
Australian school anxiety/depression preventive
program
Session 2 : Knowing your feelings and responses
Session 3 : Thoughts, feelings, behaviour;
helpful thoughts vs. unhelpful thoughts
Session 4 : Challenging unhelpful thoughts
Session 5 : Coping with difficulties in small steps
Session 6 : Getting support
Session 8 : Appreciating and rewarding oneself
Session 9 : Review, putting it together
Session 10 : Revision Game and celebration
Buddies
and some students have
resistance to stay after school
•
•
learning characteristics
•
service
SBU) included in ICCMW, and initiate cooperation between
schools, family service and medical sector for consolidating parents’
emotional and their recovery support, and also children welfare
•
•
aspects
•
More attention need to be paid to cultural context and cultural
competence like new immigrants adjustment.
Mould Our Future With Enhancing Children Emotional Wellness
TodayEsther TANG, Team Leader, Adolescent Early Intervention
Service Scarlet POON, In-Charge, Integrated Community Centre for
Mental Wellness – Service DevelopmentBaptist Oi Kwan Social
Service
Twofold approaches to enhance children emotional wellness
Previous Studies
Slide Number 6
Family based approach
Family based approach
Family based approach
Because……
Function of REACH teams
Kidsmatters (Australia)
Pilot program : Buddies