New York State Dissemination Project

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Presentation transcript:

New York State Dissemination Project Peter A. Wyman, PhD Emily Judd, BS Lacy Morgan-DeVelder, MS, MFT School & Community Prevention Program University of Rochester Dept. of Psychiatry, School of Medicine

Office of Mental Health (NY-OMH) Overview Why Sources of Strength? How it works School and Community Roles Support NY State Senate Office of Mental Health (NY-OMH)

Sources of Strength ✔ Upstream Prevention Intervention Postvention

What FACTOR is most influential in whether a teen uses safe sex practices?

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A High School’s Social Network Involved and Connected Students Cheerleaders Drama Group A High School’s Social Network Disconnnected from School w/ Typical Friendship Groups

Sources of Strength Modules “What activities & people help keep you strong, get through hard times, make good decisions?”

Albany.2012.10.22

Sources of Strength Modules “Who Can Share an Example of…[strength]?” Students teaching each other about positive coping

Sources of Strength Modules Big Three Emotions: Anger Anxiety/Worry Depression/Withdrawal Signals to get help, examine Sources of Strength **What is strong now? **Which 1-2 would you want to strengthen?

Sources of Strength Modules VALUES DEBATE “If you had a friend drunk at a party and she said she’d be better off not being alive, would you get an adult involved?”

Sources of Strength Modules CIRCLE: NAMING TRUSTED ADULTS “Can you name an adult at school and at home you could go to if you were concerned about someone being suicidal” Norm creating

Sources of Strength Objectives Spread Healthy Coping Strengthen Youth-Adult Connections Increase Help-Seeking & Receiving -We are harnessing the power of peer relationships 13

Peer Leader Prevention Modalities

Health Diffusion Model Network Health Diffusion Model Peer Leader Selection Peer Leader Training & Development Diffusion to Population

Evidence-Impact of Sources of Strength Randomized Controlled Trial (NIMH, SAMHSA funding) 18 Schools; 465 Peer Leaders; 2,700 students [1 Semester] Wyman et al (2010) American Journal of Public Health Peer Leaders Increased healthy coping attitudes/norms (ES .22-.75) More connections to adults (M +1 connection) 4X more likely to refer peer to adults Largest gains for least connected, healthy peer leaders School Population Increased help-seeking acceptability (ES .58) Increased perception that adults help suicidal peers (ES .63) Largest gains for suicidal students

3) Stages and Roles Administrative and Faculty Support Adult Advisor Recruitment (3-6) Peer Leader Nomination & Invitation (w/ parent permission) Peer Leader & Adult Advisor Training (Certified Trainer) Biweekly meetings & school-wide prevention activities Evaluation 17