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Mood Disorder Among Children and Adolescents

Presentation by: Tina Koppes & Kristin Ball
by

Kristin Pugh

on 25 February 2015

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Transcript of Mood Disorder Among Children and Adolescents

Mental Health Statistics
1 in 5 (20%) of children and adolescents
More than half receive NO treatment.
Negatively influence all aspects of a child’s life
Treatable & preventable

What Are Mood Disorders?
Affect a person’s thoughts, how they feel about themselves, and how they perceive things.
The two most common mood disorders as identified by the DSM-V are Depression and Bi-Polar disorder.
Are associated with significant distress and impairment.
Are among the most common mental illnesses
Significantly increase an individual’s risk of suicide
Affect individuals of all ages.

Signs & Symptoms in a School Environment
Refusal to do school work.
Non-compliance with rules and routines.
Symptoms can often be mistaken for negative behaviour.
Negative responses to questions about not doing their work.
Arriving late or skipping school; irregular attendance
Declining marks
Suicidal comments, thoughts or attempts
What Does Depression Look Like?
Ongoing sadness, irritability, or cranky mood
Annoyance/overreaction to minor difficulties or disappointments
Fatigue or lack of energy
Poor self esteem or negative self image
Difficulty concentrating or completing tasks
Disproportionate worry over little things
Restlessness and/or excessive crying
Spending time alone/ reduced social interaction
Complaints about aches and pains

Your Role is So Important!
Educational professionals can play an important role in the identification and intervention of these problems.
Depression
Major Depressive Disorder
Presentation by: Tina Koppes and Kristin Ball
Mood Disorders Among Children and Adolescents
Prevalence:
Childhood = < 1%
Middle to late adolescence = 4-5%
Late adolescence = as high as 20%

Early onset can occur before key developmental milestones have been achieved.
Bipolar Disorder
Prevalence:
Pediatric Bi-Polar=0.1% (or roughly 2,100 children in Canada)
Adolescence = 0-2.1%
Bipolar disorder is a condition which in adults is characterized by switching between depression and overexcitement (the so-called "manic" phase).
In children, however, the two emotional states (depression and mania) may not alternate. Instead, there may be long periods of depression, with the manic phase not appearing until years later.
Causes substantial, persistent, and impairing mood changes

What Does Bipolar Look Like?
Extremely abnormal mood states (lasting weeks or more and involving depressed or manic mood)
Depressive symptoms
Manic symptoms including:
feeling extremely self-confident in a manner uncharacteristic of the student
extreme irritability or changeable moods
grandiose and illogical ideas about their abilities
extremely impaired judgement compared to usual ability
Extreme changes in speech, especially rapid speech
Dare devil, risk taking behaviour
In children and teens, the primary symptoms are often irritability, grandiosity, racing thoughts, and hypersexuality.
Comparing the Signs & Symptoms of Mood Disorders
How Do We Help in the School Setting?
Preferential seating.
Breaks
Modifications to the student’s program.
Provide ongoing feedback on progress
Help the student set realistic goals.
Assist with organization.
Assign one task at a time.
Find ways to encourage positive self esteem.
Pay attention to ways to set the student up for success in social interactions.
Check in with the student every day
Safety plan within the school setting if needed.
Use strategies that are consistent with those used at home

What Else Can be Done?
Discreet assistance focusing on remaining on task
Help prepare the student
Extra set of books for home
Word banks or other devices
In-school counselling
"Go to" staff member
Peer education
Medications

Medication is dependent on each individual child/youth and should be monitored closely by a medical professional
You can play an integral role in documenting and providing important information to parents regarding the impact and effects of medications during the school day
When a youth is on medication for a mood disorder it is very helpful to be aware of the medication, the purpose and the side effects
Medication can be very beneficial to youth with Mood Disorders however mental health intervention is proven to enhance the outcome of treatment for these individuals.
Youth have a right to choose if they will take medication
Sometimes medications do truly cause side effects that are difficult to handle (ie. Nausea, irritability) and medical professionals may need to try different options to find the right outcome for each child.

Community Support Services
Chatham Kent Children’s Services
Western Area Youth Services (WAYS)
Rain and Shine Behavioural Counselling
Devon Support Services
Today Not Tomorrow (TNT program for youth 14+)
Pediatricians
Chatham-Kent Health Alliance
Maryvale Adolescent and Family Support Services
Community Living Wallaceburg Respite
Telepsychiatry & Psychololgical services
Funding: ACSD, SSAH, All for Kids
Chatham-Kent Community Health Centres
CK Women’s Centre
Family Services Kent
KIDS Team
Community Care and Access Centre (CCAC)
Children’s Treatment Centre
Child and Parent Resource Institute (CPRI)
Windsor Regional Children's Centre (WRCC)
Ontario Works
Kids Circle (VON Chatham-Kent)
Best Start
Ontario Early Years
Our
service delivery
places a value on:
-Service Excellence
-Responsiveness
-Innovation
-Collaboration
-Diversity
Mission:

Strengthening children and families for a better future.

Chatham-Kent Children’s Services
offers Protection, Mental Health, Child Development and
Prevention Services which are located at the same facility.

As an
amalgamated agency
, we offer base services on a continuum of integrated services in a multidisciplinary setting. This provides the greatest flexibility of quality services to meet the individual needs of children and their families.

A
single point of access
makes it easier to access services and ensures that children and families receive services that respond to their needs.


We offer......
Prevention:
-Best Start
-Ontario Early Years
-Hope Housing
Mental Health:
-Intake Mental Health and Development
-Short Term Assessment and Treatment (STAT)
-Mental Health Consultant Team (ages 0-6)
-Developmental Services
-Mental Health Casework Team (ages 6-17)
-SCIP (School Community Intervention Partnership)
-Youth Justice Services
-Service Coordination
-Family Support Services
**Walk-in Clinic Services (starting soon!)
Protection:
-Intake- Protection
-Supervised Access
-Resources/Adoption
-Family Services
-Children’s Services
-Kinship Services
-In-home Support
Case Study
Questions or Concerns?
References:
Maio Rocha, T. B., Zeni, C. P., Cavalcante Caetano, S., & Kieling, C. (2013). Mood disorders in childhood and adolescence. Revista Brasileira De Psiquiatria, 35(S1), S22-S31. doi:10.1590/1516-4446-2013-S106
Tang, M. H. & Pinsky, E. G. (2015). Mood and affect disorders. Pediatric Review, 36(2), 52-61. doi: 10.1542/pir.36-2-52
http://www.phac-aspc.gc.ca/publicat/miic-mmac/chap_2-eng.php
http://www.thebalancedmind.org/sites/default/files/edbrochure.pdf
https://www.bced.gov.bc.ca/specialed/docs/depression_resource.pdf
http://www.schoolbehavior.com/Files/tips_mood.pdf
https://www.cthealth.org/wp-content/uploads/2011/04/2BlindSpot2012.pdf
http://www.who.int/features/factfiles/mental_health/mental_health_facts/en/index2.html
http://www.kidsmentalhealth.ca/parents/mood.php
http://childhealthpolicy.ca/wp-content/uploads/2012/12/RQ-3-08-Summer.pdf

Medication Side Effects & Accomodations
Increased thirst
Increased need for bathroom
Weight gain
Visual blurring
Fluctuation or change in symptoms
Fatigue/Sleepiness
Accommodations for Sleep Disturbances
Modifying school schedule
Test accommodations
Providing them with notes
Modifying homework expectations and deadlines
Body breaks
Increase exposure to natural light
Resource room assistance
Testing Accomodations
Testing formats
Testing locations
Testing methods
Testing times
Joshua is a 9 year old boy who has historically been an A or B student and has only missed 3 days of school this year. He can be quite talkative and sometimes requires reminders to not socialize and stay on task. Joshua plays on the school's junior basketball team and is well liked by both peers and staff.

Joshua recently has been arriving to school late, yawns frequently, has become inattentive, and is having difficulty completing his schoolwork/tasks which was not previously a problem. He is lethargic, irritable, and is showing a decreased interest in extracurricular activities. When asked about these changes, Joshua responds by saying, "I don't know" or "No one cares anyway."
What Factors Contribute to Depression Related Symptoms
Genetic/Biological Factors
Family history of depression
Distressing family and social environments (e.g. family conflict, economic stressors, etc.)
Traumatic or difficult early life experiences
Community characteristics causing stress (e.g. neighbourhood violence)
tina.koppes@ckcs.on.ca & kristin.ball@ckcs.on.ca
Full transcript