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MENTAL HEALTH DISORDERS Chapter 14 ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 1 Facts 6 percent of children and adults have a serious emotional disturbance One in 10 children and adolescents have a mental health disorder causing disturbance Less than one in five gets treatment Treatment is impacted by lack of health coverage ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 2 Emotional Disturbance Must exhibit one or more of the following over an extended period of time. Inability to learn that cannot be explained by intellectual, sensory, or health factors Inability to build or maintain satisfactory interpersonal relationships Inappropriate types of behavior or feelings under normal circumstances Pervasive mood of unhappiness or depression Physical symptoms or fears associated with personal or school problems Only students with severe emotional disturbances can qualify for services under IDEIA. ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 3 Internalizing Disorders Expressed within the individual and make the person feel bad Anxiety disorders Eating disorders Mood disorders ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 4 Externalizing Disorders Expressed overtly and makes others feel bad Attention Deficit Hyperactivity Disorder Conduct Disorders Drug and Alcohol use and Abuse ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 5 Conduct Disorder Specific actions or a failure to act which causes a student to be in trouble within the home, school or community Includes excessive levels of fighting, bullying, cruelty to animals or people, fire setting, severe destructiveness to property, lying, persistent severe disobedience, truancy from school ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 6 Conduct Disorder The most common type of Conduct Disorder is Oppositional-Defiant Disorder. ODD is antisocial behavior including extreme disobedience, aggression, loss of temper and arguing with persons in authority ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 7 Behavior and Emotional Disorders Conditions in which the behavior or emotional responses of a student are so different from generally accepted, ageappropriate, ethnic, or cultural norms as to result in significant impairment in: self-care, social relationships, ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 8 Behavior and Emotional Disorders educational progress, classroom behavior, work adjustment or personal happiness. ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 9 Incidence of Serious Emotional Disturbance Almost one-half a million children with serious emotional disturbance are served in special education (7.5%) ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 10 Causes of Mental Health Disorders Heredity and genetic predisposition Biochemical and neurotransmitter imbalance Low birth weight Failure of the parent to meet the child’s needs ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 11 Causes of Mental Health Disorders Parental mood disorders Sexual and physical abuse and emotional neglect Poverty Environmental toxins ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 12 Warning Signs of Early Onset Depression Appear persistently sad May no longer enjoy activities normally enjoyed Appear agitated or irritable ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 13 Warning Signs of Early Onset Depression Complain of physical problems Appear bored or have problems concentrating; low energy Have a major change in eating or sleeping patterns ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 14 Educational Indicators Associated with Mental Health Disorders Difficulty learning, attending, and staying motivated, overactive, disruptive, forgetful Poor interpersonal relationships including lack of conscience, loss of emotional control, shy, hostile, detached, aggressive ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 15 Educational Indicators Associated with Mental Health Disorders Inappropriate behavior including timidity, feelings of rejection, rigid expectations, aggressive, negativism Physical and motor withdrawal, disorientation, and poor body image ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 16 Warning Signals Related to Suicide Talk about suicide Previous suicide attempt Making detailed suicide plans Depression ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 17 Warning Signals Related to Suicide Isolation Preoccupation with death and dying Giving away one’s possessions Anxiety, restlessness, motor agitation ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 18 Developmentally Appropriate Physical Education Focus on student interests and allow for choice Include daily vigorous aerobic activities ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 19 Modifications/Adaptations Use a well-structured behavior management system that teachers and aides have been trained to use Utilize trained paraeducators, not peer tutors ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 20 Modifications/Adaptations Be consistent from day to day Small class size Clearly defined physical boundaries ©2010, The McGraw-Hill Companies, Inc. All Rights Reserved. 21