1. BY ALEXA CATANZARITE UNIVERSITY OF PITTSBURGH, SPRING 2012 Helping School Leaders Accommodate Students Diagnosed With Bipolar Disorder

2. OUTLINE Definition Prevalence Treatment options Case study Uses of school based interventions 2 University of Pittsburgh, Copyright, 2012, ACatanzarite

3. DEFINITION OF BIPOLAR DISORDER Characteristics and symptoms Extreme shifts in mood, energy, ability to function 1 Irritability, verbal and physical tantrums 1 Distractibility, inattentiveness, anxiousness, perfectionism 5 University of Pittsburgh, Copyright, 2012, ACatanzarite 3

4. THE ROLE OF THE SCHOOL LEADER 1.Endorse the child’s behavior intervention plan 2.Model how to respond to behaviors 3.Encourage and support teacher instruction University of Pittsburgh, Copyright, 2012, ACatanzarite 4

5. FEDERAL GUIDELINES Section 504 Rehabilitation Act of 1973 Individuals with Disabilities Act (IDEA) Individual Education Plan (IEP) Behavior Intervention Plan (BIP) University of Pittsburgh, Copyright, 2012, ACatanzarite 5

6. PREVALENCE Not recognized until 1990s 1 1 million children and teens diagnosed 1 Family factors 1 Brain imaging technology used to determine causes and treatment options 1 University of Pittsburgh, Copyright, 2012, ACatanzarite 6

7. TREATMENT OPTIONS Medications Mood stabilizers, anticonvulsants Noncompliance Therapy Cognitive Behavioral Therapy (CBT) Self-monitoring 4 Psychoeducation 4 Interpersonal/Social Rhythm Therapy Play Therapy 1 University of Pittsburgh, Copyright, 2012, ACatanzarite 7

8. CASE STUDY Maura, age 13 Diagnosed with bipolar disorder and symptoms of ADHD and OCD University of Pittsburgh, Copyright, 2012, ACatanzarite 8

9. USES OF SCHOOL-BASED INTERVENTIONS Evidence-Based Practices 2 Positive Behavioral Intervention and Support Cognitive behavioral modification Expanded school mental health 6 University of Pittsburgh, Copyright, 2012, ACatanzarite 9

10. SUMMARY Attend and contribute to IEP meetings Support classroom teachers Help to adjust instruction and responses Asking questions, arranging meetings, endorsing IEPs and BiPs Overcome stigma associated with mental health disorders Monitor and adjust attitudes and beliefs University of Pittsburgh, Copyright, 2012, ACatanzarite 10

11. FURTHER RESOURCES National Institute of Mental Health (NIHM) http://www.nimh.nih.gov Child & Adolescent Bipolar Foundation http://www.bpkids.org Families for Depression Awareness http://www.familyaware.org Juvenile Bipolar Research Foundation http://www.jbrf.org University of Pittsburgh, Copyright, 2012, ACatanzarite 11

12. REFERENCES 1. Families for Depression Awareness (2007, June). Depression and bipolar wellness guide for parents of children and teens with depression or bipolar disorder (Version 2). Waltham, MA: Author. 2. Forness, S. R. (2005). The pursuit of evidence-based practice in special education for children with emotional or behavioral disorders. Behavioral Disorders, 30(4), 311-330. doi: 916890381 3. Gaudiano, B.A., Weinstock, L.M., & Miller, I.W. (2008). Improving treatment adherence in bipolar disorder. Behavior Modification, 32(3), 267. 4. Mayer, M., Lochman, J., & Van Acker, R. (2005). Introduction to the special issue: cognitive-behavioral interventions with students with EBD. Behavioral Disorders, 30(3), 197-212. doi: 938654351 5. Papolos, J., Hatton, M.J., Norelli, S., C.E. Garcia, & A.M. Smith. (2002). The educational issues of students with bipolar disorder. Retrieved from Juvenile Bipolar Research Foundation website: http://www.jbrf.org/edu_forums/issues.html University of Pittsburgh, Copyright, 2012, ACatanzarite 12

13. REFERENCES 6. Weist, M.D., Ambrose, M. G., & Lewis, C. P. (2006). Expanded school mental health: a collaborative community-school example. Children & Schools, 28, 45-50. doi:10.1093/cs/28.1.45 University of Pittsburgh, Copyright, 2012, ACatanzarite 13