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Page 1: A personal storyswat.education/wp-content/uploads/2017/06/B2-Rhys... · Adolescence and Resilience Dr Helen Smith Medical Director Devon Partnership NHS Trust With thanks to:
Page 2: A personal storyswat.education/wp-content/uploads/2017/06/B2-Rhys... · Adolescence and Resilience Dr Helen Smith Medical Director Devon Partnership NHS Trust With thanks to:

A personal story

Page 3: A personal storyswat.education/wp-content/uploads/2017/06/B2-Rhys... · Adolescence and Resilience Dr Helen Smith Medical Director Devon Partnership NHS Trust With thanks to:

List of agencies, professionals, services

• Alcohol Education Trust• School Nursing Team• Education Action for Challenging Homophobia • South West Family Values• Intercom Trust• Virtually Safe • Devon & Cornwall Police• Young Devon• Devon Youth Service• Checkpoint• Sexual Health Service• Young Carers• Devon Partnership NHS Trust• B & A Psychology, Educational Psychologist

Andy Dunn – author Samaritans Wollen Mitchelmore Solicitors –

family breakdown support

• CAMHS

• Proud2Be

• Charlie Waller Memorial Trust (didn’t attend but we had literature)

• Local Hypnotherapist

• Local Psychotherapist

• Research team

• Mindfulness representative and practitioner

• Public Health – Jude Pinder

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Craig Brennan-Osment

Positive Parenting

11 January 2017

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South west family values

• Social enterprise

• Focus on parenting, family support and school attendance and welfare to prevent children entering statutory children’s services.

• Offer services to schools and directly to parents

• Group and 1-1 support

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positive parenting models we use

• Nurture programme (family dynamics, relationships, systemic, emotions)

• Triple P (strategic, solution focused)

• Incredible Years (younger child, building early positive relationships)

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WHY IS PARENTING SO IMPORTANT?

Parents have the biggest influence in a child’s life.

• shaping their lives, happiness, beliefs,

• developing personalities, confidence and aspirations.

• Wellbeing, mental health.

• Attainment, achievements

• Physical health

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what do we mean by Positive parenting

• Positive parenting -- sometimes called positive discipline, gentle guidance, or loving guidance -- is simply guidance that keeps our kids on the right path, offered in a positive way that resists any temptation to be punitive. Studies show that's what helps kids learn consideration and responsibility, and makes for happier kids and parents.

Page 9: A personal storyswat.education/wp-content/uploads/2017/06/B2-Rhys... · Adolescence and Resilience Dr Helen Smith Medical Director Devon Partnership NHS Trust With thanks to:

Diana Baumrind parenting styles

Authoritarian Parents – Parents impose

rules and expect obedience.

Permissive Parents – Parents submit to

children’s demands.

Authoritative Parents - Parents are

demanding but responsive to their children.

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Why do kids need guidance?

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Common topics

• Tantrums

• Bedtimes

• Sibling rivalry

• mealtimes

• Transition between developmental stages

• Puberty

• Relationships

• Managing Risk

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Devon PartnershipNHS Trust

Adolescence and Resilience

Dr Helen Smith

Medical Director Devon Partnership NHS Trust

With thanks to: Dr Geraldine Strathdee, Dr Ruth Garcia, Dr Peter Hollis and Mrs Sue Kelly

Children and Young peoples service, Oxleas NHS Foundation Trust, South London

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Devon PartnershipNHS Trust

A view of adolescents

"The children now love luxury. They have bad

manners, contempt for authority, they show

disrespect to their elders.... They no longer rise when

elders enter the room. They contradict their parents, chatter before company, gobble up dainties at the

table, cross their legs, and are tyrants over their

teachers."

Attributed to Socrates (469BC-399BC)

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Devon PartnershipNHS Trust

What is adolescence?

• The term Adolescent comes from the Latin term adolescens which means growing up or coming to maturity.

• Adolescence is the transition between childhood and adulthood.

• It is defined by 3 different elements:

-Physical changes

-Cognitive-Psychological changes

-Social changes

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Devon PartnershipNHS Trust

It is also a time of choice

Adolescence is a key time in a person’s life where choices are made that can significantly affect future health

outcomes. Choices increasingly become available around diet, sexual activity, smoking, substance misuse, alcohol

consumption and other risk-taking behaviours which may be heavily influenced by peer behaviours and experiences

within early childhood. Addressing the health needs of adolescents at this critical time in their lives takes an

integrated approach.

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Devon PartnershipNHS Trust

Adolescence trends

Adolescence is starting earlier:

Earlier puberty, earlier social maturation (streetwise)

Earlier awareness of sexuality, drugs etc

Earlier interest in adolescent preoccupations

And finishing later:

Staying longer in education

Staying longer in parental home

Economically dependent for longer

Social changes:

• Gender and ethnicity with girls outperforming boys in exams but still struggling

to get senior positions an equal pay at work

• The structure of family has changed with more divorce, lone parent families

and reconstituted families

• The Social network world ...............

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Devon PartnershipNHS Trust

Prevalence of adolescent disorders

• Bullying surveys suggest that up to 31% of children experience

bullying in childhood

• Self-harm (6-8% of adolescents )

• Depression (2-8%)

• Eating disorders (0.2-1% of 12-19 year olds)

(8-11 times more common in girls)

• Substance abuse 18% of young people nationally have

substance misuse issues

• Psychosis

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Devon PartnershipNHS Trust

Protective Factors

Positive temperament

Positive self-esteem

Range of coping skillsskills

Capacity to form relationships

Peer support

A supportive family environment

A social support system that encourages personal efforts

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Devon PartnershipNHS Trust

What is resilience and what builds it?

Resilience is a key factor in protecting and promoting good psychological health. It is thequality of being able to deal with the ups and downs of life, and is based on self esteem

Factors that lead to resilience:

1.secure early attachments ( parents, extended families, friends)

2.confidence of being loved and valued by one’s family and friends

3.clear sense of self-identity (personal, cultural and spiritual)

4.sense of self-efficacy (being able to make decisions and act independently)

5.confidence to set goals and attempt to achieve them.

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Devon PartnershipNHS Trust

Development of Resilience

Has someone who loves her totally unconditionally

Has an older person outside the home she

can tell about problems and feelings

Is praised for doing things on her own

Can count on her family being there

when needed

Knows someone she wants to be like

Believes things will turn out all right

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Devon PartnershipNHS Trust

Six domains of resilience

Secure base

Social competencies

Positive Values

Talents

interests

Friendships

Education

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Devon PartnershipNHS Trust

Development of Resilience

Does endearing things that make people like her

Has a sense of humour

Is willing to try new things

Likes to achieve in what she does

Feels that what she does makes

a difference

Likes herself

Can focus on a task and stay

with it

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Devon PartnershipNHS Trust

Adolescence trends

• Encourage good communicationBeing an active listenerRecognise and name feelings.Pay attention to message

• Model behaviourTell adolescents how you feel about their behaviour using ‘I’ statements, but avoid blaming and strong negative feelings:“When you do …I feel …

• Create opportunitiesI.e.. Family meals. Be realisticAre you having too high expectations?Important to do some things for fun, not just results orientated activities e.g. dancing, baking,

• Be consistentMake sure both parents use the same approachInvolve the young person: have family rules and family meetings

• Be calmLet it cool off. Don’t take the bait“We will talk about this later when we are both calmer

• Be encouragingLook for positive behavioursNotice the efforts , not just success.

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Feedback from Key-note speakers:

“I spoke to a couple of parents who were describing the transition from primary to secondary as tricky for kids with confidence/ self esteem issues.

One mum spoke about how her daughter had benefitted from thrive in primary but no equivalent available at #######.

For a future event I wonder if it might be helpful to have a few third sector and voluntary agency stands- such as wave project, guiding, sea scouts, youth clubs, sports and arts clubs…. Activities out of school which often have a role with building confidence, team work etc”

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Feedback from Key-note speakers:

“It was a pleasure to be there. I had some very insightful conversations with parents. Two of the main themes of discussion were.

1) How parents display honestly and authenticity how they manage their wellbeing, ensuring that parents in effect give permission to their children to know they can reach out for support or have a chat when they need it.

2) A lot of parents seemed concerned about building in person social skills and confidence to express themselves. Whilst a lot of parents were confident their children will excel academically, there was a feeling of needing to support students perhaps more anxious or nervous in front of others. The rise on online gaming was linked with this and definitely something to consider for future.”

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Feedback from Key-note speakers:

It was a truly inspirational and dynamic evening and was one of the most organised and professional evenings I have been too. I spoke to many parents who were absolutely fascinated about the neurological changes to the adolescent brain and how this impacts on their behaviour. If you organise something similar again I would be happy to do a bit on the the brain science of teenage boys!

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Feedback from Key-note speakers:

“My conversations in the majority were around the stuff around resilience broadly. Parents really interested in the techniques and tools to help them support their kids.”

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Feedback from ‘stalls’:

A big thank you for such an amazing and well organised event , the speakers were interesting and informative and your students amazing. The responses , attendance , interest and general enquiries from parents and other agencies were fantastic and, I am happy to say , we were rushed off our feet all night . We had lots of enquires around mental health , our services and support we offer young people.. the young person who came along to support the Young Devon stall was also approached by parents for some insight on the pressures of teenagers , mental health concerns and any helpful suggestions to support their children.

Thank you for letting us be part of it all .

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Feedback from other health professionals:Conversations about emotional health and wellbeing and the issues that can seriously impact on our emotional health and wellbeing really do matter. You delivered some really important messages to parents and the community last evening and most importantly got people thinking and talking. Without those conversations it would be impossible to drive change and improve outcomes for children, young people, families and communities. It takes great leadership and inspiration to energise people to do this. I particularly felt warmed by the strong message you delivered about how we will achieve more by working together – as you know I wholeheartedly support this approach.

Jude Pinder, Advanced Public Health Practitioner

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Feedback from parents:

Just wanted to say a big thank you for the conference last Wednesday. I really appreciated the time and effort it must have taken to put the event together and I found it extremely useful and thought provoking. I’m really looking forward to discussing my next steps with my colleagues here at school

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Feedback from parents:

Just to say what a wonderful evening it was at the school last night. Left me feeling thoughtful and inspired by the actual help there is out there for the pupils. I learnt a great deal and I will be putting some of what I learnt into practice!

Thanks again and well done

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And an instant good news story…

• Tina (Intercom) A parent approached her she had heard from another parent that her son was gay but did not know how to approach it. After discussion with Tina she went home and talked things through with him.