scholarly journals Children's mental health and the transition to school : systemic issues in Ontario

Author(s):  
Ingrid McKhool

Early intervention in mental health is critical to school readiness and social functioning, and mental wellness is linked to student achievement and success through the life span. Children aged four to six entering school with unaddressed mental health issues may struggle academically and socially, charting a course for low academic achievement that compromises their life chances. Many children are not captured through the Ministry of Education's labeling of exceptionalities or approach to inclusion. In addition, the current model lacks a systematic approach to monitoring the effectiveness of services. This study compiled descriptive statistics through a secondary analysis of previously collected community-based mental health services data in Ontario to better understand the needs of children four to six and the services provided to them before they enter school. Results were discussed in the context of a critical review of the literature related to mental health, early years and inclusion in school and community contexts. Recommendations include improved system measurement, development of a more age-focused community-based early intervention system and a reconceptualized practice of social inclusion to support children's transition to school.

2021 ◽  
Author(s):  
Ingrid McKhool

Early intervention in mental health is critical to school readiness and social functioning, and mental wellness is linked to student achievement and success through the life span. Children aged four to six entering school with unaddressed mental health issues may struggle academically and socially, charting a course for low academic achievement that compromises their life chances. Many children are not captured through the Ministry of Education’s labeling of exceptionalities or approach to inclusion. In addition, the current model lacks a systematic approach to monitoring the effectiveness of services. This study compiled descriptive statistics through a secondary analysis of previously collected community-based mental health services data in Ontario to better understand the needs of children four to six and the services provided to them before they enter school. Results were discussed in the context of a critical review of the literature related to mental health, early years and inclusion in school and community contexts. Recommendations include improved system measurement, development of a more age-focused community-based early intervention system and a reconceptualized practice of social inclusion to support children’s transition to school.


2021 ◽  
Author(s):  
Ingrid McKhool

Early intervention in mental health is critical to school readiness and social functioning, and mental wellness is linked to student achievement and success through the life span. Children aged four to six entering school with unaddressed mental health issues may struggle academically and socially, charting a course for low academic achievement that compromises their life chances. Many children are not captured through the Ministry of Education’s labeling of exceptionalities or approach to inclusion. In addition, the current model lacks a systematic approach to monitoring the effectiveness of services. This study compiled descriptive statistics through a secondary analysis of previously collected community-based mental health services data in Ontario to better understand the needs of children four to six and the services provided to them before they enter school. Results were discussed in the context of a critical review of the literature related to mental health, early years and inclusion in school and community contexts. Recommendations include improved system measurement, development of a more age-focused community-based early intervention system and a reconceptualized practice of social inclusion to support children’s transition to school.


2021 ◽  
Author(s):  
Ingrid McKhool

Early intervention in mental health is critical to school readiness and social functioning, and mental wellness is linked to student achievement and success through the life span. Children aged four to six entering school with unaddressed mental health issues may struggle academically and socially, charting a course for low academic achievement that compromises their life chances. Many children are not captured through the Ministry of Education's labeling of exceptionalities or approach to inclusion. In addition, the current model lacks a systematic approach to monitoring the effectiveness of services. This study compiled descriptive statistics through a secondary analysis of previously collected community-based mental health services data in Ontario to better understand the needs of children four to six and the services provided to them before they enter school. Results were discussed in the context of a critical review of the literature related to mental health, early years and inclusion in school and community contexts. Recommendations include improved system measurement, development of a more age-focused community-based early intervention system and a reconceptualized practice of social inclusion to support children's transition to school.


Autism ◽  
2021 ◽  
pp. 136236132110100
Author(s):  
Jodie Smith ◽  
Rhylee Sulek ◽  
Ifrah Abdullahi ◽  
Cherie C Green ◽  
Catherine A Bent ◽  
...  

Parents from individualist cultures (those focused on autonomy of individuals; that is, Australian) may view their autistic children differently compared to parents from collectivist cultures (where community needs are valued over an individual’s, that is, South-East Asian cultures). As most research on autism and parenting has been undertaken in Western individualist cultures, knowledge of parenting beliefs and mental health within collectivist cultures is lacking. We compared the mental health, quality of life, well-being and parenting sense of competency between families raising an autistic child from two groups: 97 Australian parents and 58 parents from South-East Asian backgrounds. Children from both groups were receiving the same community-based early intervention. No group differences were found on the measures of mental health but, when compared to Australian parents, parents from South-East Asian backgrounds reported higher well-being and less impact on their quality of life resulting from their child’s autism-specific difficulties. Furthermore, a positive association between well-being and quality of life was only observed for South-East Asian parents. Hence, the views of, and responses to, disability for South-East Asian parents may act as a protective factor promoting well-being. This novel research indicates that culture plays a role in parenting autistic children and highlights the need to accurately capture cultural background information in research. Lay abstract We know that parents of autistic children experience poorer mental health and lower well-being than parents of non-autistic children. We also know that poorer mental health among parents of autistic children has been observed across different cultures. Most research focuses on Western cultures, so we know little about parental mental health and well-being of parents from different cultural backgrounds; yet, it is likely that cultural background contributes to how parents view their child’s condition and respond to the diagnosis. Here, we compared mental health, quality of life and well-being between families raising an autistic child from Australian backgrounds to families from South-East Asian backgrounds. All children in the current study were receiving the same community-based early intervention. When compared to the general population, parents had poorer mental health overall, but there were no differences between the two groups of parents. However, parents from South-East Asian backgrounds reported higher well-being and fewer difficulties associated with their child’s autism. These findings suggest that cultural background likely influences not only parent’s view of, and response to, their child’s autism, but also their own sense of well-being. As researchers and clinicians working with families of autistic children, we should more explicitly consider family’s cultural background within our work.


2021 ◽  
Vol 2 (1) ◽  
pp. 45-48
Author(s):  
Neil Henty

The transition to school from the home or early years setting is a crucial time in a child's life. Public health nurses and early years professionals have a crucial role to play in ensuring that children are ready for school entry. In this second part of a two-part series, Neil Henty looks at local strategies and interventions implemented in practice to improve school readiness.


2017 ◽  
Vol 41 (S1) ◽  
pp. S604-S604
Author(s):  
J. Chihai

IntroductionThe history of mental health in Moldova has been centered on psychiatric institutions. Current reform goals are centered on the reduction in psychiatric hospital beds, shifting the focus towards outpatient therapy, where community mental health centers have a central role in coordinating recovery and social reintegration.Objectivesto collect different data according guidance for establishing a situational analyses about Moldova.Methodologywe elaborated a guidance with outline: the historical perspective:– a. back a 5–10 years events/developments; epidemiologic data;– b. the service delivery system;– c. mental health system: laws/regulations, role of the government as well as civil organizations, mechanisms for data collection, monitoring of performance, costs, quality of care and outcomes;– d. opportunities, barriers, and needed changes/innovations needed to address these.ResultsThe current focus is on moving from a relatively centralized system towards a more community-based approach to psychiatric care and community supports, as well as deinstitutionalization and integration of mental health care with primary care. Besides over reliance on institutionalization, the Moldovan mental health care system faces other challenges, including access to care, workforce limitations, and stigma.ConclusionLooking forward, success in these efforts will require continued strong political will to bring domestic law, policies and practices into line with international standards in the field of human rights for persons with disabilities. By supporting deinstitutionalization and improving the accessibility of mainstream services, more people will have the opportunity for social inclusion and the ability to contribute to the communities’ social and economic growth.Disclosure of interestThe author has not supplied his/her declaration of competing interest.


Author(s):  
Bess Yin‐Hung Lam ◽  
Christy Lai‐Ming Hui ◽  
Simon Sai‐Yu Lui ◽  
Kai‐Tai Chan ◽  
Michael Tak‐Hing Wong ◽  
...  

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Evangelia G. Chrysikou ◽  
Eleftheria Savvopoulou

Mental illness affects one in four people at some point in their lives, and the incidence is increasing. Yet institutions are still responsible for preventing mentally ill people from having integrated lives in the community. Existing planning legislation might contribute to this. A potential mechanism is the requirement for non-residential use of land for mental health accommodation and the consequent characterisation of accommodation as ‘special buildings’. However, change in mental health accommodation planning and licensing legislation could be more enabling for people’s social integration. This paper explores the planning legislation of Greece, a country with an extensive network of community-based mental health facilities, the consequences of planning legislation for the actual integration of its mentally ill people and how alterations to the change of use legislation for accommodation for mental health affected the national integration outcome. The research was top-down, led by the European Commission and the Ministry of Health. The sample comprised 112 out of 116 community-based facilities. The research highlighted those elements in the existing planning legislation that favoured segregated institutions. The uses of land framework promoted the development of mental health accommodation in buildings designed for other purposes (industrial, logistics or offices) or in segregated areas. The research identified planning legislation as a key disabler of social inclusion. Then, alternatives were tested, including the redefinition of uses – a change that initially generated functional complications. The condition of altering uses alone proved inadequate, so new design guidelines were introduced to act as quality control mechanisms – a set of fit-for-purpose guidelines incorporated into national legislation.


2010 ◽  
Vol 27 (1) ◽  
pp. 27-34
Author(s):  
Antoinette Daly ◽  
Donna Tedstone Doherty ◽  
Dermot Walsh

AbstractObjectives: De-institutionalisation and the expansion of community services have resulted in a reduction in the number of inpatient admissions in Ireland having fallen by 31% between 1986 and 2006. However, despite this, readmissions continue to account for over 70% of all admissions. The policy document A Vision for Change identified many shortcomings in the current model of provision of mental health services, making recommendations for the future development of community-based services with emphasis on outreach components such as homecare, crisis intervention and assertive outreach approaches. These recommendations are reviewed in relation to readmissions and the impact they may have on reducing the revolving door phenomenon.Method: Three main intervention programmes essential to the delivery of an effective community-based service outlined and recommended by A Vision for Change, along with other pertinent factors, are discussed in relation to how they might reduce readmissions in Ireland. A series of Pearson correlations between Irish inpatient admissions rates and rates of outpatient attendances and provision of community mental health services are carried out and examined to explain possible relationships between increasing/decreasing admission rates and provision/attendances at community services. International literature is reviewed to determine the effectiveness of these intervention programmes in reducing admissions and readmissions and their relevance to the Irish situation is discussed.Conclusions: Whilst A Vision for Change goes a long way towards advocating a more person-centred, recovery oriented and integrated model of service delivery, it is apparent from the consistently high proportion of readmissions in Ireland that there are still many shortcomings in service provision. The availability of specialised community-based programmes of care is as yet relatively uncommon in Ireland and uneven in geographical distribution. A considerable improvement in their provision, quantitatively and qualitatively, is required to impact on the revolving door phenomenon. In addition a re-configuration of existing catchment populations is required if they are to be successfully introduced and expanded.


2015 ◽  
Vol 17 (3) ◽  
pp. 180-191 ◽  
Author(s):  
Catherine Roberts ◽  
Jason Davies ◽  
Richard G. Maggs

Purpose – The restrictive nature of low secure mental health settings and the issues associated with risk management and safe practice raise numerous challenges which need to be overcome for individuals to engage in community-based programmes. The paper aims to discuss these issues. Design/methodology/approach – Two community-based schemes are described. The first uses the natural environment as a medium in which to deliver opportunities to develop vocational skills. The second provides exercise-based activity to promote healthier living. This paper aims to explore the acceptability, feasibility and sustainability of the projects along with the views and achievements of participants. Findings – Both schemes were well-attended with positive views from participants and others. Planned positive risk taking enabled individuals to participate in a safe and structured way. Initial evaluation of the projects suggest that they were viewed as acceptable by the service and valued by participants. Participation led to some individuals engaging in new opportunities for vocational and leisure activities. Practical implications – Fostering access to community-based occupational opportunities for those in low secure mental health services can be achieved safely and with numerous apparent benefits. Research is now needed to determine further the nature and extent of the gains made through such activity. Originality/value – This is the first known study of its kind utilising inter-agency collaboration to address the needs of those residing in a low secure mental health facility. Within the forensic mental health population, the standards of care recommend a comprehensive, recovery-focused approach aimed at building resilience and preventing relapse, with the need for thorough intervention for physical health needs. This study supports these recommendations by providing opportunities for planned positive risk taking, opportunities for social inclusion, skills development, increased access to physical exercise to address overall wellbeing.


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