School Psychologists and Suicide

One of my students contacted me this morning and was quite upset about a problem she was facing.

She had dealt with a child who was evidencing suicidal ideation, and she told her principal and AP about it (her supervisor was out sick). Her administration told her to ignore it. She didn't. She spoke to her supervisor and they agreed that they needed to report this.

She called the parents of the child and arranged for a hospital visit. Her administration was not amused. They apparently threatened to "get them in trouble".

I told her that this was a common reaction of administrators when school psychologists do things that are not in their control. According to the NASP Ethics Code: "School psychologists are committed to the application of their professional expertise for the purpose of promoting improvement in the quality of life for children, their families, and the school community." This child obviously did not have a good quality of life, and, her actions were an attempt to make that better.

Good job, I say. For further information, check out the NASP reprint of an article in the communique discussing what can be done for children who are suicidal.

http://www.nasponline.org/publications/cq/cq354suicide.aspx

Nixzmary Brown: The problems of "burnout" and "drift"

New York City has changed since the early 1980's. New York magazine columnists describe that change as going from "gritty" to "crunchy". Having grown up and currently living in New York City, I see that change. When I went to high school, I would purchase a $0.50 cup of black coagulated liquid with copious amounts of caffeine, some milk and sugar in order to wake me up. The guy who would sell it to me was Jimmy, the Greek coffee shop owner, who smoked unfiltered cigarettes (while stirring my coffee), smelled of noxious body odors and was tattooed from head to toe from years of serving in the Greek military. On alternate Thursdays he would shave. This was New York City in 1986.

Now, I have three Starbucks cafes near my house where I can purchase a $4.00 non-fat soy latte flavored with organically grown sugar. The latte is not so much to wake me up, but to "highlight my morning experience". The barista that makes my latte is from Oklahoma. June, a hopefully optimistic, wide-eyed girl wants to be an actress, smells of fresh sandalwood, and probably never smoked a cigarette in her life. On alternate Thursdays, June gets a facial. This is New York City in 2006.

So when a 7 year old girl is pummeled to death by her parents, and several agencies failed to intervene, the city goes ape. The support staff at school should have performed this. The child case workers should have done that. A list of people is released to the media that directs the public as to who needs to be blamed. People are suspended from work; others are investigated. We need to find someone to blame to make us feel better about our city, and continue our lovely latte existence. We cannot slip back into our tattooed coagulated liquid days!!! Once the individuals in the agencies are hung out to dry and the parents are locked in a jail cell for 7000 years, then we can all breathe much more easily.

At that point, we might even consider getting a facial.

The problem is that these agencies, as is the case with many agencies and unfortunately corporations as well is that they do not adequately address the problem of "burnout" or "drift". According to New York psychologist Herbert J. Freudenberger, PhD., (who coined the term), "burnout" is a state of fatigue or frustration brought about by a devotion to a cause, a way of life, or a relationship that failed to produce the expected reward.

The ironic aspect is that worker "burnout" is seen in people who were once incredibly passionate about their careers, their job. I've met many DOE and ACS workers who initially had this belief - that their deity-inspired mission - their personal crusade - is to educate children fully and utterly and to protect them from any and all harm. These people are often willing to work 90 or 100 hours a week, often with little or no promise for overtime. They don't need money - they are on a jihad to educate the masses or liberate children from the tyranny of abusive adults. Sometimes, supervisors and managers notice these intense work schedules and take it for granted that they should only be working 35 - 40 hours a week. They are impressed by their commitment to the profession, and they are then assigned tougher and tougher cases.

Exhaustion then sets in. Working 100 hours a week, wears thin on sleep schedules. Friends and family become distant. In fact a person who is in the process of "burning out" will have arguments with their spouses, friends and family - they are seen as trying to sabotage his or her career opportunities. Don't forget that the nature of their job is so intense and draining that it is a wonder that many of these individuals walk around sane.

Soon, the worker develops a devastating belief: "Nothing that I can possibly do can really help anymore". The worker then develops a belief that even if he or she worked 24 hours a day and seven days a week, nothing could further the goals of the original crusade. A more critical consequence of burnout is overlooked as well, one which pervades most or all of a person's daily life. People who burn out often have difficulties controlling their attention - directing and maintaining their attentional faculties.

Dimitri van der Linden and his colleagues at the University of Radboud in the Netherlands found that burnt out individuals or individuals who were in the process of burning out tended to make many more errors on cognitive tasks when compared to individuals who were not under a lot of stress.

van der Linden and his associates found that these individuals had difficulties inhibiting their attention and responses. What that means is that these individuals tended to have difficulties "holding back" their initial response or solution to a problem, and as a consequence didn't appear to engage in any sort of deep processing in order to solve the task at hand.

The burnt out ACS worker is probably facing the same problem. The DOE guidance counselor, teacher or school psychologist is not far behind.

The problem of “burning out” leads to “drift” and problems with” treatment integrity”. The individuals begin their jobs implementing a particular plan, but then they seem to “drift” from that particular protocol. Even slight drifts can lead to not implementing the plan as originally proposed or a lack of “treatment integrity”. This phenomenon has been documented in business as well as in education.

Fortunately there is a way to deal with many of these issues. First, Mayor Bloomberg’s general plan to hire more case workers and supervisors is to be applauded. However, that plan may go the way of the Long Island Expressway in Suffolk County. Any good city planner could have told you that adding lanes to the Long Island Expressway will not alleviate traffic – it will make it worse, since more people will be likely to use it (thinking of course, that the extra lane will alleviate traffic!).

Mayor Bloomberg’s plan also called for more training and supervision. However, I would be interested in how this training and supervision should take place. Research shows that training and supervision needs to be delivered frequently over long tracts of time, and not in a “one-day seminar model”. These one day seminars lead to eventual drift – even people who are not overstressed or in the process of burning out will still forget some aspects of a plan, and not implement the plan appropriately.

Ruth Malkenson at the Tel Aviv University, Robin Codding at the CUNY Graduate Center, and Kurtz Arabella at the University of Leicester all discussed the need for frequent feedback and supervision. Summarized as a whole, emotional supervision as well as constant feedback helps to combat drift and burnout. Malkenson uses the term “booster” sessions of supervision and feedback – so supervision should not be looked at almost like a flu shot – you need to get one on a frequent basis, otherwise, it just doesn’t work.

As I write this, John Mattingly, the head of the ACS is currently being grilled by the NYC City Council. I’m sure, that politically, they will want to hang him out to dry; After all, they will claim, someone has to pay. And I agree – someone needs to pay for DOE and ACS workers to get frequent and consistent supervision.