Engage Aotearoa

Category Archives: Young People And Youth Issues

IIMHL New Zealand Special Update

The following links are a summary of the IIMHL AND IIDL UPDATE – 15 NOVEMBER 2014

If you want further information on the IIMHL organisation go here. To sign up for their mailing list go here.

For general enquiries about these links or for other IIMHL information please contact Erin Geaney at erin@iimhl.com.

  1. The Physical Health of People with a Serious Mental Illness and/or Addiction: An evidence review
  2. Stories of Success
  3. Tihei Mauri Ora: Supporting whānau through suicidal distress
  4. New ‘wellbeing bank’ for baby boomers
  5. “There is always someone worse off…” (regarding the earthquakes in Christchurch)
  6. Debriefing following seclusion and restraint: A summary of relevant literature
  7. Families and whānau status report 2014: Towards measuring the wellbeing of families and whānau
  8. Growing Up in New Zealand: Vulnerability Report 1: Exploring the Definition of Vulnerability for Children in their First 1000 Days (July 2014)
  9. Parents or caregivers of children with a disability have a voice in New Zealand (video playlist)

Also recommended in the update are:

Effective parenting programmes: A review of the effectiveness of parenting programmes for parents of vulnerable children
(2014, April 14). Wellington: Families Commission

New Zealand practice guidelines for opioid substitution treatment
(2014, April). Wellington: Ministry of Health

 

 

Pilot Study Puts Mindfulness in NZ Schools

A November 16th article from Stuff.co.nz highlights the results of a pilot study by the Mental Health Foundation of New Zealand showing a mindfulness in primary schools programme may have “improved students’ self-control, attentiveness, respect for other classmates and enhanced the school’s mood.”

The eight-week programme includes:

  • “Week One: Coming Home: Introduction to mindful breathing – and mindful movements like ‘opening the curtains’, ‘the penguin’ and ‘seaweed’.
  • Two: Happiness Here and Now: Exploring the difference in happiness – how material things offer a temporary boost, whereas actions create a sustainable sense of wellbeing. Encouraging children to foster friendships and be kind.
  • Three: Everything for the First Time: Experiencing things freshly in each moment, helping students appreciate newness and things they often take for granted rather than getting stuck in unhelpful habits.
  • Four: All things Rising and Falling: Exploring physical sensations in the body. By now, children are aware their breathing is always rising and falling. Now that’s extended to emotions and how emotional states are ‘triggered’.
  • Five: Moving Still: Using a mind-jar (a glass jar filled with water and glitter) and engaging in the ‘neuron dance’, students learn about the brain and how mindfulness can settle a scattered mind.
  • Six: Kind Heart, Happy Heart: Mindful breathing, sending kind thoughts and practising gratitude.
  • Seven: Everything is Connected to Everything Else: Seeing the different connections between things and how being isolated and alone can be harmful.
  • Eight: Touching Base, Touching stillness: Kids bring in an object that reminds them to practice mindfulness.”

Click here to read the full article.

Teacher Uses Coping Kete to Theme Static Image Lessons

Engage Aotearoa went to the Far North LifeHack Weekend in mid-2014 and met Ilana Hill, a Year 9 teacher at Taipa Area School with a passion for suicide prevention. She had the idea to use the content in The Coping Kete to get her students talking about coping and at the same time engage them meaningfully in the Static Image component of the Year 9 English curriculum.

Ilana says “I have a year 9 class that is full of energy and disparate personalities. I was very worried about engagement in English and I was seeking ways to make learning relevant and meaningful.” She adds, “I was really excited about helping make useful information about how to cope with depression visually accessible. I got the idea that perhaps … it could even be a subtle vehicle to teach them some of their own coping techniques for when times get tough.”

I hoped students would develop compassion and tools to become resilient as they progress through their teenage years in a very low decile area where they have to face a lot of negativity in their lives.”

Students were motivated by the knowledge that the top two posters would actually be shared on the Engage Aotearoa website to help more people find what they need. In this way, the project gave students an opportunity to make a real difference to their communities. Mindful of the sensitivity of mental-health related topics in school, Ilana worked with Engage Aotearoa and her school principal to set safe guidelines for the project and incorporated these into her existing lesson plans for the Year 9 static image curriculum.

Engage Aotearoa and the CMHRT board of trustees would like to thank Ilana for leading this partnership and giving permission for her material to be turned into a resource for others (this will be available on the Engage Aotearoa website shortly). The team also sends out a massive thanks to the students at Taipa Area School for their amazing work in creating graphic designs that share ideas that matter. You all did a fantastic job and in the words of the service director “we wish we had space for all of them!”

Check out the top two designs below and help us share these young Kiwis’ work as far and wide as it can go.

First Place

Aaliyah for It’s Ok to Have a Bad Day

Judges notes: “This poster design stood out for its simplicity and the importance of the message that Aaliyah chose to highlight from The Coping Kete. One of the most important things for surviving the tough times, is being allowed to have tough times. So much of our suffering comes from not being allowed to feel what we feel. Strategy 29 in The Coping Kete is all about telling ourselves that it is okay/acceptable to feel the whole spectrum of emotions, instead of trying to stay in the ‘positive’ ones all the time and judging ourselves for the ‘negative’ ones like anger, anxiety, sadness, jealousy or disgust.”
Taipa-Area-School-Static-imageComp-1stPlace-EngageAotearoa

 Second Place

Destiny for It Helps to Talk

Judges Notes: “Destiny chose to highlight a message that is central to most effective suicide prevention and mental-health promotion strategies. We liked the idea that a young person chose to share this particular message with other young people. In the words of a young person we met at KiwiFoo Camp in May, “kids are sick of adults telling them what to do”. Here we have a 14 year-old sharing the message that talking helps. We liked how the cup shape suggests sitting down to a cup of tea with someone and the words Destiny chose to fill the cup with might give people a few ideas of who to reach out to. It also says something about the range of people we need to get involved in creating truly supportive communities.”

Taipa-Area-School-Static-ImageComp-2ndPlace-EngageAotearoa

 

5 things I learned about coping with depression in my teens

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Five things I learned about coping with depression as a teenager

Recovery Note #4

~ Emma Edwards


1. It’s okay to not be okay

It is not a weakness to experience depression, anxiety, and other forms of distress as a teenager. It is quite common! Society tells us that we should look and behave in certain ways, and that we have to fit a certain stereotype in order to simply be accepted. I didn’t think it was okay to be struggling with depression when I was a teenager. I thought it meant I was weak and worthless. But admitting that I was not okay and that I did not know who I was took me on a journey of incredible discovery. I came out the other end of the dark tunnel with strength, purpose, and value for my life. I wouldn’t change a thing.

2. Connection is the key

It is incredibly lonely when experiencing depression – and I almost think it is more lonely when you experience depression as a teenager, during the life-stage in which you are trying to figure out how and where you fit in the world. At a time in your life when you are trying to fit in, you fall into a dark hole that isolates you – giving you no opportunity to find your place in the world. I isolated myself and was anxious to interact with anyone. However, the most useful thing for me was the one thing I did not want to do – it was to spend time with friends, family, and people who understood what I was going through.

“When you are at the bottom of the dark hole, it feels like every movement causes you to fall deeper. It is extremely difficult to see that each step actually takes you closer to the light of day.”

3. Asking for help actually helps!

Looking back, I had friends around me going through similar struggles, and I wanted them to be honest, ask for help, and let me support them. I saw them as courageous when they confronted their fears, darkness, and failures head-on. I learned that it takes more courage to be vulnerable, ask for help, and accept others’ support than it does to wrestle alone in the dark. I learned that friends, family, and professionals actually wanted to help me. Each time that I reached outside of myself and asked for help, my burden was lightened a little bit because it was shared with another. Even if the problem was not solved by the other person, at least I felt more understood, more loved, and less alone.

4. Balance between trust and supervision

I am sure my adolescent self would not admit this, but I’ve learned from looking back at my experience that it was helpful to have a balance of trust and supervision from my parents. I think this balance is largely determined by what is safe for us. As I built up trust with my parents, the amount of supervision I needed decreased. I found that, as my parents trusted me more, I learned to trust myself more – giving me confidence in myself. From my view, the helpful parent provides love, encouragement, support, practical help, and compassionate supervision.Blaming, minimising, or not being taken seriously are not helpful. Being listened to, provided with appropriate help, and shown compassion are essential.

5. It is never the end

There is always hope. I know clichés like “there’s a light at the end of the tunnel” often don’t provide much reassurance at the time, but it turns out they are actually true. When you are at the bottom of the dark hole, it feels like every movement causes you to fall deeper. It is extremely difficult to see that each step actually takes you closer to the light of day. But others can see it. Others can see the bigger picture because they are not in the dark hole with you. In these times, when all hope seems to have escaped you – I learned that I could rely on at least one person around me to hold the hope for me. When I could not see it, they could. When I could not believe, they believed. They held my hope, and gave it back to me when I could hold it again. It is never the end. There is always hope.

Emma Edwards

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About the author: Emma Edwards is currently completing her doctorate degree. She was previously a registered mental-health professional, working in youth and adult mental-health settings. Her own service-user and family experience with mental-health struggles sparked her passion to support others and make a difference to those struggling to cope with difficult times.

Read more Recovery Notes here

Recovery Notes is an Engage Aotearoa project that asks people to share the top five tips and insights they have learned from or about their personal experiences of mental-health recovery or being a supporter.

Write your own Recovery Note

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Copyright (c) Engage Aotearoa, 2014

Keep Learning with the Updated Online Resources Pack

mhaw-image-2014
In support of this year’s Mental-Health Awareness week theme, ‘Keep Learning’, the team at Engage Aotearoa have added two new pages of links to the Online Resources Pack for you to explore. Find new online sources of distraction/entertainment, self-help tools, information, support and recovery stories – and keep learning for Mental-Health Awareness Week and beyond.

Click here to browse and save a copy of the updated file

New links include…

  • All Right Canterbury
  • Beyond Meds
  • Coming Off
  • Conversations that Matter
  • Depression is Not Your Destiny
  • Everybody
  • Guide to Psychology and its Practice
  • Intervoice
  • Like Minds, Like Mine
  • Male Survivors of Sexual Abuse NZ
  • Mental Health News Hub
  • Mind Share
  • Open Culture
  • Reasons to Go on Living
  • Recovery Notes
  • SPARX CBT Computer Game
  • Support for Parents of Suicidal Teens
  • Support Page for Anxiety Depression and Mental Illness
  • The Depression Center 4.0
  • The Peaceful Parent
  • Worry Wise Kids

Find more Recovery Information Packs on the Engage Aotearoa website.

 

5 things I’ve learned about surviving my darkest struggles

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Five things I’ve learned about surviving my darkest struggles

Recovery Note #3

~ Taimi Allan


1. De-claw the Bear

Talking about the most difficult stuff (the unwanted thoughts, the frightening images, fears, guilt and panic) takes their power away. These things are waking nightmares designed by my brain to purge the rubbish and if I don’t find a way to let them out and dispose of them they become a self-destruct mechanism. Speaking them aloud to someone empathetic and non-judgmental I can trust helps me to challenge their hold on me, come up with more balanced perspectives and talk through cause and solution.

2. Look for physical and environmental causes

Sure there are some moments where my distress/depression/mania/psychosis is an equal and opposite reaction to an external, significant, negative event; those moments are really tough and life feels very unfair. The upside of horrible things happening to me though is that it’s easy to see why my brain is in meltdown, and get support and empathy from others. Sometimes, however, it just hits me like a sledge hammer from seemingly out of the blue. In these times my experience tells me there is usually a physical cause, maybe my hormones have gone haywire, I’ve developed a food allergy, eaten unhealthily for too long (or not eaten at all) or typically, I’ve not had enough sleep. I know now that if I address the physical stuff, nurture my temple then my mental health follows.

3. Avoid the Sirens-song of Substances

We all know the myths of sailors lured by beautiful Siren song only to become shipwrecked on the rocks. It is very easy in my darkest moments to reach out for the easiest means of escape. “Self medication” for me nowadays is junk food and wine. In my darkest moments it is tempting to use them, or something more destructive as a quick way of blocking out, avoiding or putting off dealing with what’s really going on. I learned the hard way that even taking a single step in this direction when I’m unwell is bad, bad news. As difficult as it is, I need to remove the temptation completely from my home, my friendships and my life until the moment has passed and I feel in control enough to simply eat respectfully and drink in moderation.

4. Observe moments of choice

Mental distress is like a pot-bellied stove, it gets stronger by feeding on every little piece of negativity and fear and yet it is warm and inviting. It is easy to fall into the comfort of distress, it sounds contradictory but life IS unfair and horrible so sometimes the only thing I really want to do is escape under the bed-covers, take a respite from responsibility and shut out the world. In every single millisecond however I know I have a choice to turn that around. I forgive myself for needing a moment to wallow, then as soon as I notice the moment that don’t have to punish myself or anyone else, I make the conscious choice to do something different.

5. Take responsibility

Here’s the truth as I see it for me; it is not the rest of the world, the people around me, services, doctors or pharmaceuticals job to ‘cure’ or ‘fix’ me. They are helpful aides when I need support, but without my buy-in, they actually don’t have much effect. In fact, if I blame anyone or anything outside of myself I know the situation very quickly deteriorates. That doesn’t mean I need to blame myself, but adopting a radical acceptance of the situation I’ve found myself in and a willingness to do everything I can to improve it gives me back some semblance of control. It’s fair to say that when I’m at my worst, I feel completely out of control, so this step towards autonomy is imperative to becoming whole again.

~ Taimi Allan

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About the author: Taimi Allan has worked as a mental health consultant since 2009. She is most well known in the field for innovative and engaging health promotion strategies that challenge attitudes, inspire creativity and entertain audiences.

Read more Recovery Notes here 

Recovery Notes is an Engage Aotearoa project that asks people to share the top five tips and insights they have learned from or about their personal experiences of mental-health recovery or being a supporter.

Write your own Recovery Note

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Copyright (c) Engage Aotearoa, 2014

5 things I’ve learned about supporting friends in distress

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Five things I’ve learned about supporting friends in distress

Recovery Note #2

by Sheree Veysey


As a person who has experienced my fair share of mental distress and who now works in the counselling field, I have learned a few things about how to be there for someone who is upset and how to ask others to be there for me.  I wish this list had been available for me to give my friends and supporters in times  past – I lost a few of them, at least partly because of the stress that supporting a friend who has longer term “stuff” going on put on our relationship.

1. You don’t need to fix: you don’t need to make someone feel better

We live in a fixing culture, and often when someone tells us what’s going on for them, we jump immediately to problem solving, or ideas for the person to do things differently to make them feel different. This is often not helpful as frequently the person can feel that they are not heard. This may also give the message that their less pleasant feelings are somehow ‘wrong’ and that if they tried harder to ‘fix’ them they would not have issues…

Instead of aiming to help someone feel better, if we concentrate on listening to their experience and validating it then often the person will walk away feeling heard, less alone, (and not surprisingly often feeling a touch better). Validating people’s feelings and experience is about just acknowledging where they are: “I can see how you would feel that…” “Wow, that’s a lot going on” “No wonder you feel overwhelmed.”

The opposite is invalidation (e.g. “I don’t see what the big deal is.” “There’s no reason to get so upset”) which can leave people feeling isolated and awful about themselves.

2. Friend and support versus therapist…

If someone is dealing with high levels of distress, then I would be strongly encouraging them to be engaged with health services (doctor, counselling, psychologist, mental health services) rather than just using friends for support. Counsellor’s and others who work with people in distress receive comprehensive training and regular supervision. Part of the reason they are able to offer such intensive listening and support to a person is because of this- and also because the time they give has boundaries around it and clear expectations.

When we try to be there for someone in a lot of distress outside of these professional relationships, often we start out with lots of energy and listening time and empathy. However, if the distress is not short lived, we often run into problems because we have not put boundaries around our time and availability. We  tell our friend to call us at any time of the day and night- and when they start doing this, the supporter can be left burnout, not wanting to hear from their friend, guilty about feeling this way and sometimes even experiencing what is called ‘vicarious trauma’ from listening to really difficult and traumatic experiences.

If you are aware of this pitfall, then you can set some boundaries with the person. Boundaries are our friends! Some of these may not need to be discussed and you can just hold them in your own head, others you might like to talk about. You need to be clear about where your lines in the sand are about what you can and cannot offer: Are there things you don’t feel able to talk about with the friend and you would prefer they saw a professional? How late is it okay to call? What about if they are intoxicated? What if they are feeling that they might harm themselves? What if they want to stay over?

3. Think long haul 

The boundary setting above is crucial if you intend to keep this person in your life long term.

I have had times in my life when a dear friend has let me know she isn’t available for any support at this time. While in the moment I would have preferred it to be different, I also understood that her letting me know this was about her wish to be a friend for the long haul and to do this, she needed to prioritise her wellbeing.

I would far rather have her in my life for years to come, than lose this friendship because she got exhausted. In return I have learned to set similar boundaries with friends in distress – letting them know I care very deeply but I don’t have the capacity for support right now. I would always encourage people to be developing a number of supports for themselves- I feel it leads to far healthier relationships.

Some people experiencing distress are hyper aware of asking for ‘too much’, and as a result often won’t ask for support they need because of their fear. Talking about this issue can really encourage them to reach out at the appropriate time, knowing you will be able to say “not today” if you need to.

4. Reciprocity

When I was a teenager I had a good friend who didn’t tell me until weeks afterward that she was living with another family for a while because her parents were fighting and might be splitting up. I asked her why she hadn’t told me, and she said that she didn’t want to put any other stress on me because I was having such a hard time. I heard her thoughtfulness, but at the same time I was dismayed, because I didn’t just want a friend- I wanted the chance to be a friend. I would have liked to take the opportunity to give back to her with some listening and support. Our friendships work best when there are vaguely equal amounts of give and take- so don’t be afraid to ask your friend who is distressed for things you might need. If they can’t give this at the time- well this is also a good chance for them to practice boundary setting and say no (remember- boundaries are our friends).

5. Look after yourself

You matter, and you need to keep an eye on your own well-being. Sometimes when someone we love is really struggling we can tell ourselves we should just keep giving and giving to them because they are having a harder time than us. In the long term, this really does not do ourselves or them any good.

Don’t underestimate the stress of having someone you care about really struggling. Good sleep, a wide variety of food, some sunshine and physical activity are all important! Turn to your supports, and even think about seeing a professional if you feel you need to. This is great modelling to our friends, families and children.

Arohanui

Sheree Veysey

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Sheree Veysey is a counsellor from Auckland offering counselling and coaching via Skype and face to face at www.lifeinprogress.co.nz. Her own journey toward wellbeing inspired her to work with people and offer them the compassion that helped her healing. Sheree is also a writer, dog owner, auntie and part-time performer.

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Read Recovery Note #1: Five things I’ve learned about food and my mood

Mindfulness champion on Take It From Us Radio | 30 Sep 2014

On Tuesday 30 September,  tune into Take it From Us to hear from to a young psychologist who is a champion of alternative natural therapies, especially mindfulness, to manage mental health. Special guest Vikki Baird has already done some hard yards in mental health and gained some insights as a result of working in intensive residential rehabilitation.

Listen live on 104.6FM at 12.30pm or online www.planetaudio.org.nz

OR if you missed the broadcast, listen for the next seven days: www.planetaudio.org.nz/takeitfromus

And don’t forget the Facebook page @ Facebook.com and type ‘take it from us’ in the search box; contact Sheldon.brown@framework.org.nz for any feedback and comment/suggestions for shows.

Research Articles from the BMC Psychiatry Journal

Here are some Research Articles from the BMC Psychiatry Journal:

Personality dimensions of schizophrenia patients compared to control subjects by gender and the relationship with illness severity

Miralles C, Alonso Y, Verge B, Setó S, Gaviria AM, Moreno L, Cortés MJ, Gutiérrez-Zotes A, Vilella E, Martorell L

BMC Psychiatry 2014, 14 :151 (24 May 2014)

Abstract | Provisional PDF

Suicide and suicide attempts in people with severe mental disorders in Butajira, Ethiopia: 10 year follow-up of a population-based cohort

Shibre T, Hanlon C, Medhin G, Alem A, Kebede D, Teferra S, Kullgren G, Jacobsson L, Fekadu A

BMC Psychiatry 2014, 14 :150 (23 May 2014)

Abstract | Provisional PDF

Why alternative teenagers self-harm: exploring the link between non-suicidal self-injury, attempted suicide and adolescent identity

Young R, Sproeber N, Groschwitz RC, Preiss M, Plener PL

BMC Psychiatry 2014, 14 :137 (22 May 2014)

Abstract | Provisional PDF

A comparison of the characteristics of suicide attempters with and without psychiatric consultation before their suicidal behaviours: a cross-sectional study

Harada K, Eto N, Honda Y, Kawano N, Ogushi Y, Matsuo M, Nishimura R

BMC Psychiatry 2014, 14 :146 (21 May 2014)

Abstract | Full text | PDF

Gender differences in suicide attempters: a retrospective study of precipitating factors for suicide attempts at a critical emergency unit in Japan

Narishige R, Kawashima Y, Otaka Y, Saito T, Okubo Y

BMC Psychiatry 2014, 14 :144 (19 May 2014)

Abstract | Full text | PDF

Provision of group psychoeducation for relatives of persons in inpatient depression treatment – a cross-sectional survey of acute care hospitals in Germany

Frank F, Rummel-Kluge C, Berger M, Bitzer EM, Hölzel LP

BMC Psychiatry 2014, 14 :143 (19 May 2014)

Abstract | Full text | PDF

SPARX e-Therapy Game goes Live

SPARX is an online e-therapy tool provided by the University of Auckland, as an initiative of the Prime Minister’s Youth Mental Health Project. SPARX helps young people learn skills to deal with feeling down, depressed or stressed.  The effectiveness of SPARX has been proven to be as good as standard care in a Randomised Control Trial undertaken by the University of Auckland. It could help you or people you know.

https://sparx.org.nz/