An Examination of the Scope and Nature of Non-Suicidal Self-Injury Online Activities: Implications for School Mental Health Professionals

2011 ◽  
Vol 4 (1) ◽  
pp. 56-67 ◽  
Author(s):  
Jamie M. Duggan ◽  
N. L. Heath ◽  
Stephen P. Lewis ◽  
Alyssa L. Baxter
2016 ◽  
Vol 32 (2) ◽  
pp. 122-143 ◽  
Author(s):  
Melissa E. De Riggi ◽  
Samira Moumne ◽  
Nancy L. Heath ◽  
Stephen P. Lewis

Non-suicidal self-injury (NSSI), the immediate and deliberate destruction of one’s own body tissue, without suicidal intent, and not for purposes that are socially accepted, is a critical concern for youth in schools. Despite significant scholarly advances and increasing clinical awareness of NSSI, many school mental health professionals (MHPs) continue to report feeling ill equipped to support students who self-injure, and emphasize a need for formal education about NSSI and its management in schools. Thus, the first part of this article summarizes current NSSI research on prevalence, age of onset, gender differences, functions, risk factors, and associations with suicide. Emerging from this review, the second part offers research-informed recommendations for MHPs managing NSSI in schools, including guidelines for (a) identifying students at elevated risk of self-injury, (b) developing a protocol for school personnel’s initial response to student self-injury, (c) first-level assessment of NSSI, and (d) managing critical issues related to NSSI contagion and online activity.


Author(s):  
Elizabeth K. Rhoades

This chapter provides an overview of the difficulties facing LGBTQ+ youth in schools and their barriers to healthy psychosocial development. The risk and resiliency model is applied to these challenges, and specific risk factors and resiliency factors are explored. The focus is on means to foster healthy growth and development in sexual minority students through developing school-based programs and practices that have been proven to increase resiliency. The chapter provides specific strategies for school-based mental health professionals to use to increase resiliency in sexual minority youth through the application of school-wide policies and practices. Strategies for making such systemic changes and garnering support are also presented.


Author(s):  
Ryan P. Kilmer ◽  
Virginia Gil-Rivas ◽  
Steven J. Hardy

This chapter seeks to help teachers and school mental health professionals understand the needs of students who have faced a disaster or terrorism and identify strategies for school-based responses. The chapter provides an overview of the effects of these events on school children and youths, including relevant developmental and cultural considerations, and the impact on the school setting. Then, the discussion emphasizes recommendations for, and possible responses by, teachers, school-based mental health professionals, and administrators. Indeed, just as these traumas can affect multiple levels of school children’s lives, the needed response of school-based professionals can be framed as multi-level, ranging from curricular modification to interventions specifically targeting youngsters’ socio-emotional needs. The sections that follow seek to inform and guide responses for school personnel and provide clear, “actionable” recommendations.


Author(s):  
James C. Raines ◽  
Nic T. Dibble

Ethical decision making in school mental health provides mental health professionals with a seven-step approach to managing ethical predicaments. It combines guidance from four major codes of ethics, including the American School Counseling Association, National Association of School Nurses, National Association of School Psychologists, and National Association of Social Workers. Ethical issues are endemic for mental health professionals working with minors in a host setting like schools. New interventions, evolving technologies, and a patchwork of ethical and legal guidelines create a constant stream of new ethical dilemmas. Longstanding and complex questions rarely give way to quick and easy answers. The seven-step model presented here enables readers to apply a practical process that minimizes their liability and protects their students. Beginning with an introduction of the moral, legal, and clinical foundations that undergird ethical practice, the authors present an ethical decision-making model with seven steps: know yourself and your responsibilities, analyze the dilemma, seek consultation, identify courses of action, manage clinical concerns, enact the decision, and reflect on the process. The second edition includes meticulously updated chapters based on recent changes to all of the codes of ethics over the past 10 years. It also has a new chapter on the universal issue of ethical recordkeeping. This handy guide is written for multidisciplinary teams of mental health professionals, including school social workers, school psychologists, school nurses, and school counselors. It provides a trusty resource with the following elements: Clearly organized chapters that introduce a process approach to ethical decision-making; Interprofessional and collaborative approach to working with other stakeholders; Case examples and practice exercises illustrate real work application of ethical guidelines; and Glossary, web resources, and U.S. Supreme Court decisions on students’ civil rights.


1998 ◽  
Vol 68 (10) ◽  
pp. 420-424 ◽  
Author(s):  
Lois T. Flaherty ◽  
Ellen G. Garrison ◽  
Robyn Waxman ◽  
Patricia F. Uris ◽  
Susan G. Keys ◽  
...  

Author(s):  
James C. Raines ◽  
Nic T. Dibble

Our goal in writing this book was to make it fundamentally different from most other books on ethics. First, we focused on sharing a process of making ethically sound and justifiable decisions, rather than addressing specific issues that require ethical judgments. The process involves taking proactive steps to be as well prepared as possible to manage ethical predicaments. School mental health professionals should analyze the situation fully, followed by seeking consultation from authoritative and objective sources, before identifying a full range of possible courses of action. Those courses of action and their anticipated outcomes for both the student and stakeholders are carefully considered. The selected course of action is “tested” before implementation to help ensure the best possible outcomes for the student and stakeholders and avoid unanticipated, adverse outcomes. The pupil services professional documents the steps taken to make the decision and is prepared to justify the decision, should any criticism arise. Finally, the implemented course of action is monitored and reflected upon to protect the student and improve future professional practice....


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