Advancing Teaching

Mental Health and Learning

By Dan Humm Soriano, Mental Health First Aider

The year 2020 marked an important moment in education: the 50th anniversary of the 1970 Education
(Handicapped Children) Act. This act obliged UK Local Education Authorities to educate all children irrespective of any
physical or mental disabilities. This act was the first step towards the recognition of “Special Educational Needs and
Disabilities”. Students are considered to have Special Educational Needs and Disabilities, or SEND ,when they find it
more difficult to make progress than other students the same age. Examples of SEND include (but are not limited to):
specific learning difficulties, recognised disabilities, speech and language difficulties, and emotional, mental health, or
social difficulties.

Despite this important educational milestone, the year 2020 is likely to be remembered for the pandemic and its impact
on students and their education. Its impact on students’ mental health is only beginning to emerge. A BBC analysis, in
February 2022, found a 77% rise in the number of children needing specialist treatment for a severe mental health crisis
(BBC 2022). Research by the NHS in the UK suggests that, now, as many as 1 in 6 UK young people may face a mental
health problem (Government Office for Science 2008), when in only 2017, that number was 1 in 9 young people. The
situation in The US is similar, with the Centers for Disease Control and Prevention (CDC) stating in 2021 that more than a
third (37%) of high school students reported experiencing poor mental health in the COVID-19 pandemic, and 44%
reported feelings of sadness or hopelessness in 2021. Of course, The UK and The US are only two countries. In March
2022, UNICEF reported that the COVID-19 pandemic has prevented 405 million school children across the world from a
complete return to the classes, and 23 countries have yet to fully reopen schools.

Impact of Mental Health on Learning

So, what has this impact on our students’ education meant for teachers? First, it shows us that after our students have
gone through any major crisis, we will have to help them reach the standards they would have achieved without a
disruption to their education. We also need to help our students face the stress and anxiety that NOT meeting those
standards can provoke. Difficult or traumatic situations affecting our students' mental health can happen at any moment in
their lives. In the case of the pandemic, during which quarantine and social isolation became the norm, children and
young people reported a range of associated mental health challenges. According to the CDC (2022), the most
commonly reported mental health challenges in the US are:

• Attention Deficit Hyperactivity Disorder (ADHD)

• Anxiety problems
• Behaviour problems
• Depression
In the UK, the Mental Health Foundation (2021) reports the most common mental health challenges to be:
• ADHD
• Generalised Anxiety Disorder (GAD)
• Depression
• Post-Traumatic Stress Disorder (PTSD)
• Self-harming
• Eating disorders
Mental health challenges can affect learning in a variety of different ways: They can affect behaviour in class such as
students having difficulty sleeping and therefore being too tired for class or students being distracted by their challenges
and finding it difficult to concentrate. They can also affect overall academic performance such as students having negative
opinions about their abilities and not being able to motivate themselves.

Helpful Actions with Mental Health

As varied as the impact on learning can be, the signs of mental health problems can also be extremely varied. Signs such
as frequent reports of headaches and stomach aches or reports of tiredness could signify a student’s response to mental
health challenges, a physical symptom, or both. This variety means teachers lack the confidence to approach their
students and discuss a potential mental health challenge. This lack of confidence among teachers is probably the
greatest barrier to us offering our support.
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Mental Health First Aid International (2021) recommends the five-step ALGEE action plan when supporting anyone
facing a mental-health challenge:

• Approach and assess for risk of harm. Find a suitable time and place to talk to the person and consider
their privacy and confidentiality. Remember that the conversation convinces you that the person is a risk to
themselves or others, you should explain your obligation to share the information with others.

• Listen non-judgmentally. Let the person share without interruption and try to have empathy for their
situation. Even if you don’t agree with what they are saying, try to be accepting.

• Give your reassurance and factual information. After they share their feelings and experiences with you,
give them hope and useful facts.

• Encourage the person to look for professional help. Explain the options available to them.

• Encourage the person to use self-help strategies and to seek the support of people they trust such as
friends or family.

It is important to note that the key step in the ALGEE action plan is approaching the person and initiating a conversation.
It is also important to recognise that the steps in the ALGEE action plan do not need to be followed in order. It might be
necessary to approach the person multiple times and just show genuine interest in their situation before they feel
comfortable enough to talk. It may be more appropriate to discuss seeking the support of people they trust before
providing information.
As for recognising who might need support, as has already been mentioned above, the signs of mental health problems
are extremely varied. However, according to the mental health charity Shawmind, the most common signs of mental
health challenges in students are:
• Tiredness
• Difficulty concentrating
• Lack of confidence
• Reduced socialising
• Big changes in weight
• Losing interest in things they used to enjoy
• Frequent absences
• Complaints of physical pain like headaches and stomach-aches
Students may exhibit a combination of these signs or only one of them. The student may not be aware that these are
signs of a mental health challenge or may not even perceive the situation they are living through as being particularly
challenging because it is so familiar to them.This can mean that the student is exploring and discovering the problem at
the same time as you. Again, this is the reason it is important to listen non-judgmentally, empathically, and without
interruption.
Creating a Classroom that Supports Positive Mental Health

Beyond supporting students who are facing mental health challenges, we, as teachers, play an important role in creating
a classroom that fosters positive mental health. Luckily, teachers are uniquely positioned to build this form of
environment because we regularly promote education and encourage curiosity in our students. Being curious and
continuing to learn are two of the 'five ways to wellbeing' recommended in the Foresight Challenge Reports (Government
Office for Science 2008), which looked at the best available evidence on the effectiveness of different approaches to
mental development and wellbeing.Those five ways to wellbeing can be summarised with the mnemonic CHEER:

• Connect with the people around you.

• Help others with your time and experience because this is rewarding

• Exercise often as this will improve mood

• Educate yourself because learning new things will improve confidence

• Recognise and reflect on your experiences and be curious about them

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Teachers can support students with all five of those ways to wellbeing: we help our students to form connections; we
encourage students to help each other as they learn; we create active and dynamic lessons; we introduce our students to
new information and experiences and encourage students to reflect on those same experiences, be curious and learn from
them.

Conclusion

It has been over 50 years since the 1970 Education (Handicapped Children) Act. We now have a much better
understanding of the needs of our students, including their mental health needs. It is true that we are addressing the
impact of one of the biggest disruptions to education in recent memory, but we are in a better place than ever before to do
so. We know that we need to help our students reach their potential and tackle the challenges that they face. There are
clear ways to recognise who we need to support, clear actions that we can take when supporting them, and clear ways for
us to continue to promote positive mental health.

References

BBC (2022) Children's mental health: Huge rise in severe cases, BBC analysis reveals https://www.bbc.co.uk/news/
education-60197150 Accessed: 15 June 2022

Centers for Disease Control and Prevention (202a2) Data and Statistics on Children’s Mental Health https://www.cdc.gov/
childrensmentalhealth/data.html Accessed: 15 June 2022

Centers for Disease Control and Prevention (2022b) New CDC data illuminate youth mental health threats during the
COVID-19 pandemic https://www.cdc.gov/media/releases/2022/p0331-youth-mental-health-covid-19.html Accessed: 15
June 2022

Department of Health and Social Care (2021) £79 million to boost mental health support for children and young people
https://www.gov.uk/government/news/79-million-to-boost-mental-health-support-for-children-and-young-people Accessed:
15 June 2022

Government Office for Science (2008) Mental Capital and Wellbeing: Making the most of ourselves in the 21st century
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/292453/mental-capital-
wellbeing-summary.pdf Accessed: 15 June 2022

Mcclory , Jess (2021) How mental health affects education https://shawmind.org/how-mental-health-affects-education/

Accessed: 15 June 2022

Mental Health Foundation (2021) Children and young people https://www.mentalhealth.org.uk/a-to-z/c/children-and-young-

people Accessed: 15 June 2022

MHFA International (2022) What is Mental Health First Aid? https://mhfainternational.org/ Accessed: 15 June 2022

Unicef (2022) Are Children Really Learning? Exploring foundational skills in the midst of a learning crisis https://
data.unicef.org/resources/are-children-really-learning-foundational-skills-report/ Accessed: 15 June 2022
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