childhood bullying: what we know – and can do stuart green, dmh, lcsw, ma behavioral...

32
Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director, Overlook Family Medicine Residency Director, NJ Coalition for Bullying Awareness www.njbullying.org

Upload: paulina-cox

Post on 25-Dec-2015

213 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

Childhood Bullying:What We Know – and Can Do

Stuart Green, DMH, LCSW, MA

Behavioral Scientist/Medical Education, Overlook Hospital

Associate Director, Overlook Family Medicine Residency

Director, NJ Coalition for Bullying Awareness

www.njbullying.org

Page 2: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

OLWEUS

A tragedy driven field

Dan Olweus, PhD

Page 3: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

TRADITIONAL VIEW Lord of the Flies

normal, inevitable, 'rite of passage', the nature of children

'bad' families/communities, innocent schools

Page 4: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

MODERN VIEW

Bullying at school (Willie Sutton)

Environmental (school).

Adults as primary factors.

Page 5: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

DEFINITION A pattern of negative acts toward a child by a peer, in which there is an imbalance of power so that the child who is bullied has a difficult time defending himself or herself, and there is an intent to harm on the part of those bullying.

Direct (to the bullied child): e.g., hitting, name-calling, texting/emailing.

Indirect (to others, impacting a targeted child): relational aggression, isolation, exclusion, rumors - emailing about, webposting

Gender differences: boys more

Page 6: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

THE BULLYING CIRCLE

The bullying child/children

The bullied child

Bystanders:

o Active

o Passive

o 'Activated'

Page 7: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

PREVALENCEOne of the most common serious problems of the school-age child

Wide worldwide range

Varies by gender

Gender identify and expression, and obesity most targeted.

Middle school years the peak

Prevalence is 100%?

Page 8: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

CYBERBULLYING Electronic/digital

A 'better' way (for violence):

o wider potential 'audience'

o anonymity

o easier, safer (for those bullying)

o no escape (for the bullied)

o no adults.

New but growing (bigger than 'offline'?)

Page 9: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

CYBERBULLYING continued...

Different than offline:

o more bully/victims

o more girls

o self-harm 'support'

Same as it ever was:

o bullied offline and online

o still mostly school-based

Page 10: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

EFFECTS (BULLIED CHILDREN)

Added injury

o obesity

o (inhibited) gender identity and expression

o race/ethnicity, immigrant status, lower SES, being new in a school

o being shorter, less physical strength or agility/athleticism

o developmental disorders/conditions (CP, autistic spectrum disorders)

Page 11: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

EFFECTS (BULLIED CHILDREN)continued...

o shyness, less assertive, isolated, lonely, no ‘buffer’ (friends)

o more victimized or maltreated in the community or family

o 'sensitive'/emotionally expressive

o Tourettes, eczema, cleft lip and palate

o chronic abdominal pain, IBS, IBD, special health needs

o learning differences, ADHD

o cancer

Page 12: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

EFFECTS (BULLIED CHILDREN)continued...

Source of problems

o school absenceo anxiety (into adulthood), depression,

low self-esteem (into adulthood)o suicidal thoughtso lower school performanceo health symptoms and doctor visitso impaired diabetes self-managemento worrying by parents and siblings

Page 13: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

EFFECTS (BULLIED CHILDREN)continued...

Source of problems

o lack of help-seeking/self-identification in hard-of-hearing youth

o low body satisfaction

o inactivity, obesity/disordered eating

o gang affiliation, weapon-carrying at school

o dysfunctional voiding - enuresis/ encopresis

o PTSD

Page 14: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

BUT... stigmatization, isolation, decreased popularity

developmentally normal or common

difficult to change

children without these characteristics also bullied.

Page 15: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

BULLYING CHILDREN

o alcohol and tobacco use

o lower academic achievement

o aggression and anti-social behavior

o ADHD, impulsivity

o less empathic

o family problems (authoritarian)

Page 16: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

BUT...

good self-esteem

adequate academics

good social skills

popular or leaders

BULLY / VICTIMS:

Tend to have more problems

Page 17: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

SPECULATIONS

o Garbarino - teen pregnancy as a 'side- effect'

o bullying as a key negative impact on schools

'white flight'/adult-risk-taking

Page 18: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

WHAT WORKS - Overview

Whole school - or 'systemic' - model

Goal: Change school climate

All adults/groups involved, including parents

Interventions at level of school, classroom and individual.

Ongoing, at least 3 years.

Increased support for vulnerable/targeted children.

Activate positive bystanders.

Efficacy 0% to 50% (!) (Rigby)

Page 19: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

WHAT CAN SCHOOLS DO?Change School Climate (prepare the soil)

positive relations and shared understanding between staff

increase positive staff-student interactions

not favor some groups over others (e.g., diverse clubs)

staff-student/community 'match' (complementary diversity)

clear/consensus expectations ('how we do things here').

Page 20: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

WHAT CAN SCHOOLS DO?Systematic Work/All Levels

Schoolwide

school survey, pre- mid- post -

anonymous reporting system, ongoing

effort to identify all incidents/relationships

coordinating group/ staff discussions/ training

administrative support

supervise high-risk areas/situations: (schoolyard, lunchroom, locker room, team activities, school bus, cyberspace)

consistent rules and sanctions well known (students, staff, parents).

Page 21: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

WHAT CAN SCHOOLS DO?Classroom

regular meetings

proactive work on relationships

parent involvement (barriers/myths - kids don't want them? parent behav?)

collaborative learning (‘jigsaw’) (Aronson)

topic integration (all subjects, classes).

Page 22: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

WHAT CAN SCHOOLS DO?Individual

meeting with each child who bullies

4 questions: did? harm? problem? plan!

• apply consequence (invariable/escalating/ reasonable)

• call parent/s

Page 23: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

WHAT CAN SCHOOLS DO?

meeting with each child bullied

o call/see parent/s

o apologize/take responsibility

o absolve bullied child (DV)

o commit to f/u.

Page 24: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

WHAT CAN SCHOOLS DO?

increased support for targeted/at-risk kids:

proactive/creative

activate child bystanders (eg., friendship circles, telling)

follow-up/protect - address retaliation

Page 25: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

Proactive, Preventive, Ongoing

Page 26: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

What can schools do about cyberbullying?

Include cyberbullying in all anti-bullying programs/materials.

Monitor computer/device use, restrict access/use.

Establish an electronic anonymous reporting mechanism.

Train staff and educate students.

Accept that cyberbullying is a school responsibility.

Page 27: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

What can parents do about bullying?

Good relations/communication with children.

Inform yourself.

Expect/ ask/ demand adequate school action.

Expect/ ask/ demand that owners of social networking sites and internet providers address bullying.

Ask your child how children treat other children at school (and how your child is treated); listening is more important than advice.

Page 28: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

What can parents do about bullying?

When you hear children speak badly of another child, gently express discomfort, and empathy for the scorned child.

Be present at your child's school; don't wait to be invited, ask to volunteer.

Take action with other concerned parents.

Meet (as a group) with school leaders; ask specifically about school’s approach.

Page 29: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

What can parents do about bullying?

Never ignore bullying, don't walk by; if you can't intervene directly, report it.

Support bullied kids in every possible way.

Seek legal advice and government support.

Don't accept leaders who bully, including teachers; speak out, insist on change.

Consider changing schools, if possible, as a last resort.

Page 30: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

What Can Pediatricians Do?

Screen for bullying involvement, consider bullying as a factor or even cause of presenting problems.

Call on the school for corrective action, emphasize support for child/family.

Have a bullying-aware office.

As community leaders, expect schools to address bullying, raise parental expectations.

Page 31: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

OLWEUS: Our moral obligation to help bullied

children.

Page 32: Childhood Bullying: What We Know – and Can Do Stuart Green, DMH, LCSW, MA Behavioral Scientist/Medical Education, Overlook Hospital Associate Director,

KEY REFERENCES

Cyberbullying and Cyberthreats, Nancy E. Willard, Research Press, 2007. http://cyberbully.orgSchools Where Everyone Belongs: Practical Strategies for Reducing Bullying, Stan Davis, Research Press, 2003. www.stopbullyingnow.com, stopbullyingworld.comBullying at School, Dan Olweus, Blackwell, 1993. NJ Coalition for Bullying Awareness and Prevention. www.njbullying.org. Stuart Green.StopBullyingNow.org. HRSA. Susan Limber.Arseneault L, Milne BJ, Taylor A, Adams F, Delgado K, Caspi A, Moffitt TE.Being Bullied as an Environmentally Mediated Contributing Factor to Children's Internalizing Problems: A Study of Twins Discordant for VictimizationArch Pediatr Adolesc Med, Feb 2008; 162: 145-150._____________________________________________________