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Reports and Publications ::
2001 Report
Recommendations
Goal 1 Goal 2 Goal 3

Recommendations Related to Getting and Using Health and Mental Health Services for Children and Their Families
(Goal 3)
Goal 3: Arlington children, youth, and their families can get services they need for their physical and emotional health, both to prevent
problems and to deal with crises.
Goal 3 is very broad in scope. The work group came up with four objectives related to this goal:
- Make sure families are aware of physical health, emotional health, and crisis intervention services. Make sure related educational materials
and resources that are culturally, linguistically, and age-appropriate are available and regularly updated. (This includes materials/resources on
drugs, alcohol, depression and mental health, violence prevention, teen pregnancy, sexual identity, nutrition, physical fitness, smoking,
sexually transmitted diseases, etc.)
- Make sure children, youth and families have convenient access to and make early use of physical health services, including prevention services.
- Make sure children, youth and families have convenient access to and utilizeemotional health services, including prevention services.
- Improve the collaboration and communication among school, county, non-profit, and other community-based organizations working in these areas.
In response to the most pressing concerns identified by the Task Force on Youth, the Partnerships focus groups, and the work group members
themselves, the work group decided to focus initially on recommendations for:
- Violence prevention, crisis intervention and mental health; and
- Educational materials and resources provided to children and youth concerning drug and alcohol use and sexuality.
Provide Early Intervention for Families Most at Risk for Violence
The work group reviewed relevant literature, local and national data, information on best practices, and programs available through
community groups, Arlington Public Schools, and the Department of Human Services to identify areas of need and make recommendations. Like the Goal
1 work group, this work group emphasized the important role of parenting support and education. Research supports the effectiveness of home visiting
programs for new parents, beginning before birth and extending through preschool, in preventing violence in families.
The Assets Survey data indicate that 26% of Arlington youth have experienced physical abuse in the home. This was of great concern
to students who reviewed the survey data. During the focus groups, both parents and teens agreed that stresses such as financial difficulty, substance
abuse, mental health issues, and other pressures can lead to family violence. Teens expressed a desire for their parents to learn better anger management
and non-physical discipline techniques.
There are several early intervention/home-visiting programs in the community, but the need is far greater than the current capacity. Of
particular concern are parenting teens (many of whom are victims of sexual or physical violence, and whose children at greater risk). The Partnership
recommends that DHS:
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RECOMMENDATION: Identify the level of County funding needed to expand early intervention programs (such as mentoring, parenting instruction, and
home-visiting) for at-risk families with young children, especially teen parents. |
In FY 03, DHS Child and Family Services staff would collect evaluation data and information on expansion costs from County and
community-based providers. During the FY 04 budget cycle, they would make recommendations on County funding levels to meet the need. This work
would be closely coordinated with the broader DHS review of expansion of parenting resources described under the Goal 1 recommendations.
Developmental assets built through early intervention and parenting programs include: a sense of safety at home, family support, positive
family communication, parent involvement in schooling, family boundaries, adult role-models, and high expectations.
Review Methods of Violence Prevention Among Youth
Another form of violence the work group considered was bullying, harassment, fighting and personal aggression among youth.
According to the Assets survey, an average of 26% of youth surveyed across grades 6-12 reported having fought, hit, or injured someone,
carried or used a weapon, or threatened physical harm 3 or more times in the last 12 months.
According to the YRBS survey, 21% of middle-school students report having ever carried a weapon, and 18-19% of middle and high-school
students report that their property has been damaged or stolen at school in the past year. Only 46% of youth surveyed report that they have empathy,
sensitivity, or friendship skills (interpersonal competence); and 47% report that they seek to resolve conflict non-violently. More disturbing is
that the percentage of Arlington youth reporting interpersonal competence and peaceful conflict resolution skills decrease as young people move
through 6th through 12th grade.
The work group reviewed violence prevention efforts currently in place in the schools, including peer mediation programs, training for
bullying reduction, supports for sexual minority youth, and other violence prevention curricula. These efforts aim to build skills in conflict resolution,
anger management, effective communication, respect, empathy, and diversity awareness.
The Goal 3 work group reinforces the recommendations laid out earlier concerning a review by the Schools of the effectiveness of these programs, followed
by a plan for systematically integrating them in the schools, beginning at the elementary school level. The work group recommends that there be a
zero-tolerance for harassment or violence of any type in the schools.
Integrate Mental Health Support in the Schools
School staff in the work group consistently voiced a need for more therapeutic services in the schools. During the focus groups, teens
articulated a need for a caring, trusting relationship with teachers, especially during a time of crisis. And yet, all agree that teachers are overwhelmed
with academic demands and often are not empowered with the time, skills, or resources to cope with students emotional needs. Likewise, school counselors
are more focused on scheduling issues, testing and assessments related to supporting the educational process.
The Assets survey indicates that 19% of students across grades 6-12 are depressed most of the time (with the rate at 23% for 10th graders),
and 16% have actually attempted suicide. The YRBS survey indicates that 26% of middle-school students have seriously thought of killing themselves at some
time, while nearly 19% of high-school students have seriously considered suicide in the last 12 months.
These data and input are of great concern to the Partnership and to parents and young people themselves. Parents express a desire to learn
how to recognize signs of depression or anxiety in their children and how to get assistance when the signs appear. As a result, the Partnership recommends
that the County and Schools work together to:
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RECOMMENDATION: Enhance the level of qualified mental health support available to students and train School staff, parents and students in
recognizing and responding to signs of anxiety, depression, or suicidal thoughts with the establishment of 3 new positions--one each for elementary,
middle and high school levels. |
The estimated cost of the three mental health positions would be $198,000 in salaries and expenses. These personnel would be trained in
mental health (including suicidality, depression, abuse and trauma) and substance abuse (because these issues are often related). They would screen,
assess, and provide therapeutic services to students and families most in need, and make linkages to needed resources in the community. They would
also train teachers, counselors, and other school staff, parents, and students themselves in how to recognize and respond to signs of anxiety
and depression.
Develop Awareness and Prevention Campaigns
The YRBS and Assets survey data provide a tremendous amount of information concerning alcohol, substance abuse, suicidal thoughts, sexual
activity and health and safety practices of Arlington youth. There is also data on high-risk patterns of behavior, which indicate a more serious and
persistent problem. In the absence of explicit community standards, the Partnership report on the survey results (The World According to
Our Kids) notes as problem areas any high-risk pattern reported by 20 percent or more of students.
Using this standard, Arlington County has a problem in five of the ten high-risk patterns identified by the Search Institute:
- alcohol,
- suicide/depression,
- anti-social behavior (e.g. shoplifting and vandalism),
- violence and
- school problems.
In the case of suicide/depression and violence, 20 percent or more of students report high-risk patterns at each grade level. Over
one-third of 12th grade students report a high-risk pattern of alcohol use.
Also included in the YRBS data is the age at which these behaviors start. For example, five percent of 10th graders reported having had
sexual intercourse at age 11 or younger. Ten percent of 10th graders reported having used alcohol before age 10.
Of particular concern is that many Arlington youth do not find these numbers alarming; rather, they are accepted as just a fact of
life. Only 46% report that they can resist negative peer pressure or dangerous situations.
The Partnership recommends that the work group representatives from Vanguard Services, CrisisLink, Northern Virginia AIDS Ministry,
and the Partnership youth group:
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RECOMMENDATION: Use Partnership survey data to target areas of greatest risk for our young people and develop awareness and prevention
campaigns. Include youth in the design and execution of the campaigns. |
The Partnership work group should also recruit local businesses to help design and execute these campaigns. The identification of
target behaviors and design of awareness and prevention materials would occur in FY 03, with campaigns launched in FY 04.
In the Task Force and Partnership focus groups, teens provided considerable input concerning the ineffectiveness of much of the substance
abuse prevention material currently used in the Schools and other organizations. They recommend that they be updated and introduced at the elementary
level. They prefer to get messages from young people who can speak from real-life experience. They also express a desire for direction on what were
supposed to do and not just what were not supposed to do.
In developing the awareness/prevention campaigns, the input from young people should be used, and continued youth involvement will
be important through the execution of any campaign.
Developmental assets that are addressed through these prevention efforts include: boundaries and expectations in the home, neighborhood
and school; integrity, responsibility, and restraint; resistance skills; personal power; self-esteem; sense of purpose; positive view of future; and
positive peer influence. Including youth input demonstrates that the community values youth and that youth are given useful roles.
Offer More Meaningful Sex Education in the Community
The work group did an extensive review of sex education programs and materials used in the schools, the faith community, and other
community settings. Again, youth have provided much input through the Task Force and Partnership focus groups on the ineffectiveness of sex
education as they have experienced it. And again, they indicate that materials used in the schools are outdated and not presented early
enough. The YRBS data indicate that 7% of sixth graders have had sexual intercourse, with this number increasing to 44% by grade 12.
Indeed, the Family Life sex education curriculum in the Arlington Public Schools is constrained in what it can cover and is basically
an abstinence-based message, though it also includes HIV/AIDS prevention information. Although there are some additional pregnancy prevention
curricula in the schools, they are used to a limited degree only with targeted students.
However, the work group identified several promising models used in the community that are more current, relevant, and, in some
cases, inclusive of the family. These community models include:
- Youth Speak, a peer education program for adolescents on HIV/AIDs/STDs;
- Our Whole Lives, a sex education curriculum used by the Unitarian Universalist Church for parents and young people;
- So Now That You Have Asked, a faith-based program that helps youth and their parents explore sexuality;
- Teen Sexuality and Decision Making, an experiential learning program to help high school students make good decisions.
The Partnership recommends that the work group on sexuality, with representatives from non-profits, the faith community,
parents and youth:
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RECOMMENDATION: Explore opportunities for sex education curricula to be used in a variety of settings-faith communities, neighborhoods,
etc.-to supplement what is provided in the schools and offer a venue for meaningful dialogue among youth and their parents. Include youth
in review of existing materials/programs and design of new ones.
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