Posts Tagged ‘adverse childhood experiences’

CTE as a Protective Factor for Mental Health Part 4: Incorporating CTE’s role as a protective factor for mental health into program and recruitment communications

Wednesday, May 29th, 2024

The protective factors for mental health inherent to Career Technical Education (CTE) may offer opportunities to improve mental health and overall outcomes for learners, solidifying CTE’s role in not only preparing learners for the workforce but also for life. In the final installment of this four-part blog series, Senior Communications Associate and Mental Health Educator Jodi Langellotti uses research on hope and messaging to provide examples and tips for CTE leaders to incorporate CTE’s role in protecting youth mental health into recruitment and program communications.

In the previous blogs in this series, we discussed how 80% of our most common health, social, and behavioral challenges are a direct result of trauma experienced in childhood which causes developmental changes in the brain that can result in challenges with focus, attention, emotional regulation, executive functioning skills, and more. Positive childhood experiences (PCEs) or protective factors such as having two caring adults outside of the home and experiencing a sense of belonging in school and the community can buffer the negative effects of childhood trauma. The activities within CTE foster hope, support, and developmental relationships and therefore serve as a protective factor for mental health. CTE is preparing learners for their future outside of the classroom, in the workforce, and for life.

Messaging the Role of CTE as a Protective Factor

Messaging CTE is marketing CTE to current and prospective learners and families to increase enrollment, retention, and completion. One of the foundational principles of marketing strategy includes creating messages that resonate with the audience by connecting to their values, and needs, and through their preferred channels of communication. It is important for state and local CTE leaders to directly engage with the intended audience (learners and families) in order to learn about their values, needs, and communication preferences. The following research and examples for messaging CTE as a protective factor for mental health should be considered a starting point and should be tailored to best meet the needs of the intended, specific audience.

Hope

Research has shown that hope and engagement have a positive relation to student achievement and their likelihood to graduate.1 Additional research has shown that hope has a significantly positive impact on anxiety, depression, and academic performance.2

Charles R. Snyder, PhD, a former psychologist at the University of Kansas and a pioneer of hope research created a model of hope with three components: goals, agency, and pathways. Agency is the belief that one can shape their own life, “make things happen” and access the motivation to reach their goals. Pathways are the routes and plans that allow one to achieve an established goal.3

To help connect hope to CTE recruitment and program messaging, state and local leaders can lean into the components of their programs that help to nurture the three tenets of hope Snyder outlined – goals, agency, and pathways.

In the examples above emphasis is placed on “you” and “your” to help connect to the idea that it is the learner who is building their future and creating their path (agency). Words like “create”, “design”, and “build” connect to both the concept of agency and pathways (how they will get there). In all three examples the word “future” is used to help connect to the individual goals that a learner may have.

Making Connections

Messaging research conducted by Advance CTE with the support of Siemens Foundation shows that “making connections” is a strong retention message and is desired among prospective learners, especially Black, Latinx, and learners experiencing low income.  Additionally, there is a correlation between poor social connections, poor mental health, and substance abuse.4 Addiction specialists cite a lack of social connection as a primary risk factor for substance use disorders.5

CTE provides numerous opportunities for learners to connect to their peers, educators, and industry professionals. Recruitment and program messaging can lean into the idea of “making connections” to help learners and families become more aware of this aspect of CTE.

In the examples above emphasis has been placed on the idea of connection through the professional networking, people, skills, and community that learners are exposed to in CTE.

Feeling Prepared for the Future

According to ECMC Group’s “?uestion the Quo” research, only 13% of Gen Z teens surveyed feel fully prepared to choose their path after high school, “The areas where they seek additional information include finances (such as guidance on future debt and managing unexpected costs), education and career pathways, health (such as guidance on mental and physical health support) and logistics (such as housing).”6

In both 2017 and 2020, Advance CTE found that 60% of prospective and current CTE families chose “Preparing for the real world” as the most important aspect of CTE. The 2024 CTE perception survey conducted by Advance CTE and Edge Research showed that the statement “Be prepared for the real world” still resonates as motivating and extremely motivating with learners and families. Interestingly, however, the statement “Gain skills and experience that lead to financial security and independence” ranked the highest among all respondents. 

While the perceptions survey research has just two years for comparison, Advance CTE’s previous messaging research and additional research such as ?uestion the Quo clearly show that families and learners are thinking about the skills and experiences they need to be prepared for the future.

In the examples above, emphasis has been placed on the ability of CTE to help learners feel prepared for their future and achieve financial security.

Next Steps and Recommendations

This blog series has served as a starting point for the conversation around how the inherent aspects of CTE serve as a protective factor for youth mental health and as a contributor to positive learner outcomes. To move this conversation forward and into state and local systems, the following actions are recommended for state and local CTE leaders:

Additional Resources

Much of the information in this blog is from the author’s training as an Adverse Childhood Experiences Master Trainer through ACE Interface with Dr. Robert Anda and Laura Porter and through her volunteer work within the community mental health space.

Jodi Langellotti, senior communications associate

 

 

By Jodi Langellotti in Meeting the Needs of All Learners
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CTE as a Protective Factor for Mental Health Part 3: Establishing CTE as a protective factor for mental health through developmental relationships

Wednesday, May 15th, 2024

The protective factors for mental health inherent to Career Technical Education (CTE) may offer opportunities to improve mental health and overall outcomes for learners, solidifying CTE’s role in not only preparing learners for the workforce but also for life. In part three of this four-part blog series, Senior Communications Associate and Mental Health Educator Jodi Langellotti uses the power of developmental relationships to establish CTE as a protective factor for mental health.

In the second blog in this series, we discussed how Dr. Christina Bethell and her colleagues at Johns Hopkins University conducted research that found that the more positive childhood experiences someone has, the greater the positive impact on their mental health as an adult regardless of how much adversity they may have faced in childhood. Additionally, positive childhood experiences were shown to help buffer the negative neurodevelopmental changes caused by adverse childhood experiences (ACEs) and other childhood trauma. Through this study, seven positive childhood experiences, or protective factors, were identified with three of them taking place within the home and the remaining four, within the community. For the purposes of connecting CTE to protective factors, we will focus on the four identified as taking place within the community as listed below.

It is possible to further categorize these four community-based protective factors in a way that brings more concreteness to the idea of belonging and participating in community traditions as follows:

The four community factors of support will serve as the foundation for grounding CTE’s role as a protective factor for mental health. Additionally, research coming out of the Search Institute provides additional evidence of CTE’s role in supporting mental health and positive learner outcomes.

Developmental Relationships Framework – Search Institute

The Search Institute has conducted a significant amount of research on how relationships can positively impact youth development, mental health, performance, and overall well-being. The Search Institute defines developmental relationships as “Close connections through which young people discover who they are, gain abilities to shape their own lives, and learn how to interact with and contribute to the world around them.”1

The Developmental Relationships Framework is broken down into five key elements, with 20 specific actions, that are proven to have positive impacts on youth sense of self, resiliency, mental health, and more. The five key elements are:

In 2023 the Search Institute released Developmental Relationships: The Roots of Positive Youth Development 10 Years of Youth Voice, Practitioner Wisdom, and Research Insights which provides insights into the positive impacts of developmental relationships.2

Here are just a few highlights of the identified positive outcomes of developmental relationships:

CTE as a Protective Factor for Mental Health

The activities within CTE foster hope, support, and developmental relationships and therefore serve as a protective factor for youth mental health. To illustrate this concept clearly, the five key elements of the Developmental Relationships Framework will be connected to the four community factors of support as these are more concise while still being effective in connecting to the activities within CTE. 

Developmental Relationships Framework image from Search Institute

In the image above, the five key elements of developmental relationships, represented in color within the pentagon, apply to one or more of the four community factors of support, listed in black text around the outside of the pentagon. Below are some examples of activities within CTE that fall under the four community factors of support.

Image created by the author

Emotional Support

Multiple Sources of Help

CTE especially shines in the categories of reciprocity (being able to receive and give) and social bridging (connecting with people and places to broaden their world). 

Reciprocity

Social bridging

The above are provided as just an example of how the activities inherent to CTE support the aspects of developmental relationships and the four community factors of support. Connecting CTE to protective factors does not necessarily require us to do anything new. Rather, it requires increased intentionality and a better understanding of and messaging about how CTE can play an integral role in preparing learners for the workforce and life.

Questions for consideration

Looking Ahead

In the next blog in this series (part 4), we will discuss how to incorporate CTE’s role as a protective factor for mental health into program and recruitment messaging and communications and suggestions for next steps to continue the conversation with key collaborators and policymakers.

Additional Resources

Much of the information in this blog is from the author’s training as an Adverse Childhood Experiences Master Trainer through ACE Interface with Dr. Robert Anda and Laura Porter and through her volunteer work within the community mental health space.

Jodi Langellotti, senior policy associate

By Jodi Langellotti in Meeting the Needs of All Learners
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CTE as a Protective Factor for Mental Health Part 1: The role of childhood adversity on mental health and development

Wednesday, May 1st, 2024

The protective factors for mental health inherent to Career Technical Education (CTE) may offer opportunities to improve mental health and overall outcomes for learners, solidifying CTE’s role in not only preparing learners for the workforce but also for life. In part one of this four-part blog series, Senior Communications Associate and mental health educator Jodi Langellotti will outline the research around adverse childhood experiences and the resulting changes in brain growth and development that can have lifelong consequences.

The State of Youth Mental Health

In 2023 the Centers for Disease Control (CDC) released the Youth Risk Behavior Survey Data Trends 2011-2021 Report showing the ten-year trend in responses to the National Youth Risk Behavior Survey (YRBS) administered every two years to high school students across the nation on a variety of health and behavior topics including safety, alcohol, tobacco and drug use, and mental health and suicidality.

Over the course of the last ten years, the percentage of high school students who have experienced persistent feelings of sadness or hopelessness and who have either seriously considered suicide, made a suicide plan or attempted suicide has continued to increase. Suicide is the third leading cause of death for adolescents aged 15-19,1 and in 2020, emergency room visits for suicide attempts increased 31% for youth ages 12 to 17.2

 

As school districts work to reduce their student-to-counselor ratio and increase their mental health services and programming, the conversation often drifts to the new and additional things schools must do to combat the student mental health crisis. In reality, there are certain aspects of school and work-based programs and relationships, like those found within Career Technical Education (CTE), that are already having a positive impact on student mental health.3 With some increased understanding and intentionality, CTE can serve as a protective factor for students with life-long positive benefits on their mental health.

The Original ACE Study

A major risk factor for life-long mental illness and mental health challenges is trauma experienced during childhood, more commonly referred to as adverse childhood experiences (ACEs).4 A growing body of research starting with the original ACEs study in the mid-1990s now shows that 80% of our most common health, social, and behavioral problems, including mental illness and suicidality, are caused by ACEs.5

The ACEs study remains the largest study of its kind, having surveyed over 17,000 participants aged 19-94 on trauma experienced in childhood, health behaviors, disease and disease risk, mental health, substance use, and other health and social problems. ACE study participants were mostly middle-class, White individuals who were generally well-educated (the majority of participants having completed high school with some having completed at least some postsecondary coursework). Participants also had access to some of the best healthcare in the country at the time through Kaiser Permanente. 

Completed in partnership with the Department of Preventative Medicine in San Diego, Kaiser Permanente, and the CDC of Georgia with co-principal investigators Dr. Robert Anda and Dr. Vicent Felitti, the ACEs study looked at 10 categories of trauma experienced in childhood organized into three groups:

For part of the study, participants completed a questionnaire, indicating if they had experienced any of the 10 categories of adversity at least once during their childhood. For each positive answer, regardless of the frequency or duration they experienced the trauma associated with the category, they received one point for a total possible ACE score of 10. 

The Findings of the ACE Study

The findings of the original ACE study paired with subsequent research found that:

Population Attributable Risk

Since the ACE study, epidemiologists have calculated the percentage of the national population who is struggling with a variety of health and social problems directly caused by the adversities they experienced in childhood. The diagram below shows some various health and social problems represented as pie pieces in the chart. In the center, the gray oil slick shows the percentage of the population who are experiencing the given challenge as a direct result of ACEs. Epidemiologists call this the population-attributable risk.

If we look at the pie piece for recent depression in the lower right of the pie chart, we see that for 40% of the people struggling with recent depression, their depression is a direct result of the adversities they faced in their childhood.

Historical Approaches 

Historically, we often try to reduce the number of people suffering with any of the health, social, and behavioral problems represented in the pie pieces in two primary ways:

While these approaches may help reduce the percentage of the population challenged by a specific issue, without addressing the root cause, we are often just shifting the challenge that people are facing, moving the oil around the slide, versus reducing the percentage of the population who are suffering.

In order to reduce the size of the oil slick, i.e. the percentage of the population who are experiencing negative outcomes from the adversities they have faced in childhood, we must drill a hole in the center of the pie chart, where it says “ACEs”, by buffering the impact of ACEs and eventually reducing the intergenerational transmission of ACEs. If we address the root cause, then our historical approaches will be more impactful in reducing the percentage of the population who is suffering with any number of health, social, and behavioral issues because of ACEs.

Looking Ahead

In the next blog in this series, we will discuss research on positive childhood experiences (PCEs) and how they can buffer the negative impact of ACEs and reduce the intergenerational transmission of adversity. 

Future blogs in this series will discuss:

For additional information on ACEs check out Adverse Childhood Experiences: Prevention for Action, Centers for Disease Control https://www.cdc.gov/violenceprevention/pdf/ACEs-Prevention-Resource_508.pdf 

Much of the information in this blog is from the author’s training as an Adverse Childhood Experiences Master Trainer through ACE Interface with Dr. Robert Anda and Laura Porter and through her volunteer work within the community mental health space.

Jodi Langellotti, senior communications associate

By Jodi Langellotti in Meeting the Needs of All Learners
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