Stress and Mental Health Education in schools

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The development of school mental health workshops.

ISSUE

Hear Our Voice Young Peoples Mental Health Project (HOV) has run workshops in secondary schools for 1 ½ years.  They were initiated after HOV staff noticed that many of the young people using our service had no simple coping mechanisms in place for stress.  

Research shows 80% of all modern diseases have their beginnings in stress (Meltzer et al.1999).  A considerable number of young people stated there was a lack of mental health education in schools, they felt misunderstood by their fellow pupils and that their inability to deal with the stresses of everyday life had had a derogative affect upon their health.  HOV is the only mental health project in Cornwall and although other facilities are available for young people, in such a rural area, unless young people live near a town, they are unable to access services easily due to insufficient transport. Many, therefore, are reliant on school support.

Teachers of Personal Health and Social Education (PSHE) now find themselves under great pressure, teaching a wide ranging subject area, including mental health (a subject many teachers have very little accurate knowledge of). After examining the national curriculum and talking to teachers in Cornwall, HOV offered workshops covering the mental health aspects of the PSHE classes.  As a specialist service, HOV can provide young people with detailed understanding and knowledge of the subject.  

Workshops would focus on Year 10 pupils, starting the first year of their GCSE‘s.  Body image and sexual attraction/ identity issues tend to come into fruition at this time, making this age group susceptible to mental health problems.  In the years 1999 and 2000, the number of  people calling the Eating Disorder Association grew from 16,180 to 20,450 (EDA website).

Adolescence is an age of self consciousness and of critically analysing other people’s judgements of  you.  Levels of self esteem may depend on an adolescents differentiation of his or her actual and ideal self.  One school nurse mentioned noticing a drastic change in this age range, both emotionally and physically.  She believed  they would benefit by developing constructive coping strategies and boosting self esteem.  Although structured for year 10 students, the workshop would be adaptable to other years.

The national curriculum (see appendix) states that young people aged 14 /15 (key stage 4) should, be given the “knowledge, skills and understanding they need to lead confident, healthy, independent lives and to become informed, active, responsible citizens‘.The young pupils should, by the end of stage 4 have developed their sense of self-awareness and their confidence”.  

Set in 3 sections;

  1. Developing confidence and responsibility and making the most of personal abilities
  2. Developing a healthy, safer lifestyle
  3. Developing good relationships and respecting the differences between people

HOV covers the following sub sections:

  1. A, B, C, D
  2. A, B, C, D, G
  3. E, F

Stress being both a cause and a side effect of mental health issues, it was decided this would be the most suitable topic, allowing for discussion on academic, family and social pressures.  Cultural pressures are included but Cornish inhabitants are predominantly white, brought up with Christian influences if any, so the issue generally arises only when discussing other peoples worries.  Workshops would concentrate on what stress is, physical and emotional effects and positive / negative coping mechanisms (see appendix for workshop plan).   This

Session introductions and conclusions would introduce HOV’s services and look at  general mental health awareness as well as support and coping methods for those suffering from mental ill health,  General conversation during sessions would reduce stigma and .  Also important would be the young people meeting a HOV worker.  Many young people feel unsure about accessing a service they have no prior knowledge of.  Having met a member of staff, the frightening task of making contact can become much less daunting.  

The dilemma of whether we should be working in single or mixed sex groups has been constant.  Young men and women’s needs vary considerably during puberty.  Neck & Barnard (1996) discuss the heightened significance of gender throughout adolescence. Girls particularly are affected by stress, with issues of low self-esteem, eating disorders, and body dissatisfaction .  The male maturation process is largely linked with social status and maintaining positive self-esteem,

In general, only female teachers were welcoming of the single sex approach.  It was decided to run mixed workshops with pupils in their normal classes.  Evaluation forms would be completed after sessions, allowing the workshops to develop, based on young people’s constructive criticism.

APPROACH

Introductory letters were sent to all 34 secondary schools in Cornwall, followed by telephone conversations and meetings with relevant tutors.  Some schools declined these workshops due to there being “no young people with mental health problems at all” in their care.  They were either somewhat naïve in their attitude toward mental health or very fortunate indeed.  It was a shame they chose not to participate but all were given relevant information about HOV’s available services and remain on our mailing list. Evaluation forms have been constructive(see appendix).  The most positive verbal feedback was received from women.  Various comments from pupils (both male and female) after mixed sex sessions stated they would feel more comfortable without members of the opposite sex present.  This fuelled concerns about mixed sex groups.

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 Single sex workshops were run for the first time in Penryn school.  Rather than having weekly lessons, separates students into four gender based groups for 3 days a year to run a variety of PSHE sessions.  These sessions differed dramatically to my previous experience of mixed sex groups.  Gender requirements were more evident and my work style change accordingly.

Issues in single sex groups:

Females

Causes of stress:

  • Body image - Size issues, feeling unattractive, diets and other issues directly related to eating disorders
  • Relationships - true friendships, solitude, popularity and relationships with opposite sex
  • Pressure ...

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