To Teach Kids To Handle Tough Emotions, Some Schools Take Time Out For Group Therapy | KUOW News and Information

To Teach Kids To Handle Tough Emotions, Some Schools Take Time Out For Group Therapy

May 23, 2018
Originally published on June 12, 2018 7:57 am

Sometimes 11-year-old B. comes home from school in tears. Maybe she was taunted about her weight that day, called "ugly." Or her so-called friends blocked her on their phones. Some nights she is too anxious to sleep alone and climbs into her mother's bed. It's just the two of them at home, ever since her father was deported back to West Africa when she was a toddler.

B.'s mood has improved lately, though, thanks to a new set of skills she is learning at school. (We're using only first initials to protect students' privacy.) Cresthaven Elementary School in Silver Spring, Md., is one of growing number of schools offering kids training in how to manage emotions, handle stress and improve interpersonal relationships.

At Cresthaven, some fifth-graders like B. get an intensive 12 weeks of such training, a course called the Resilience Builder Program. Created by psychologist Mary Alvord, it's a form of group therapy designed to help students who are struggling with trauma or cognitive disorders — or everyday anxiety caused by things like bullying or moving schools..

"I think it's so critical that kids know they have the power to make changes. While we can't control everything about our lives, we can control many facets," Alvord says.

If students can learn this kind of resilience, the ability to adapt to emotional challenges, she says, "I think the whole world gets better."

The idea of teaching social and emotional skills in school is more than 20 years old. Research has shown this kind of intervention is effective and has a lasting impact. One analysis published last year in the journal Child Development reviewed dozens of programs with similar approaches. Participants were 11 percent more likely to graduate from college and less likely to have mental health problems or be arrested than were students who never went through these programs.

In Australia, Canada and the U.K., social and emotional learning in schools is already being implemented on a large scale. Here in the U.S. it has spread, but not as quickly as some would hope. With all the mandates that schools have to keep up with, social emotional learning gets moved to the back burner.

But at Cresthaven, the school counselor, Marina Sklias, and the school principal were hungry for it.

Sklias says getting help for students dealing with trauma and emotional problems has been tough. In a high-poverty school such as Cresthaven, with a lot of immigrant families, she says there is only so much she can do.

"Oftentimes I refer students for counseling and parents request counseling, but due to financial situations or transportation issues, parents can't always follow through," she says. At school, she is already stretched thin meeting with students or giving classroom presentations.

When Alvord offered to bring the Resilience Builder Program to Cresthaven pro bono as part of a research project, Sklias selected a group of students she thought could benefit from it. It has been used especially with students dealing with attention deficit hyperactivity disorder or anxiety or trauma — officially, students with "social competence deficits." She met with parents, and many agreed to sign up their kids.

The program focuses on fifth-graders, Alvord explains, to prepare them for middle school, where pressures like dealing with sex or substance use really kick in. It's a time that can be especially hard for kids already struggling with social and emotional issues.

"It's a big transition, big change," Alvord says.

For 12 weeks, small groups of Cresthaven students learned about topics like leadership skills, stress management, problem-solving, and empathy. The emotional-problem solving techniques they learned were based in cognitive behavioral therapy — adapted for kids.

They also drew on the whiteboard together, did role-playing and yoga, had snack time, and played lots of charades.

"I was thinking we'll just sit and just do work," B. says. "Instead we would play games and do things that were fun and do things that you usually don't do in regular class."

Some of the time they worked on simple social skills, like making eye contact during conversation, greeting people in the morning, respecting personal space.

The kids also learned handy techniques for working with negative thoughts, like visualizing a special kind of remote control. Alvord shows a drawing with buttons that say things like "happy place" and "things thankful for."

"You can switch channels in your head," she explains. "Instead of 'that math test was really hard,' if we think, 'I got through it and I'm proud myself.' "

Alvord developed the Resilience Builder Program in her private practice decades ago, and now she is working with researchers including Dr. Brendan Rich at Catholic University to measure how well the program works in schools with underserved students. Early pilot studies on the program show it is effective.

For kids with ADHD, parents and teachers reported that after the program, students were more social, were able to handle their emotions, and weren't as hyperactive as before. Parents also reported that kids with anxiety were able to manage their emotions and seemed less depressed.

The new research compares students who have done the program with those who haven't. Researchers have collected data from 119 kids at four schools in the Washington, D.C., area, including those at Cresthaven. They just had a paper accepted by the International Journal of Group Psychotherapy, which found that students who went through the program reported better emotional control than students who hadn't. They plan to publish more in the coming months, and Alvord is excited by some early results that show the program is helping kids academically.

"It all goes together," she says. "If you're not struggling with relationships or teasing and bullying, you have more head space to give to study, and you're also just more positive."

After each Resilience Builder Program wraps up, Alvord organizes a showcase for the students and their parents. The kids get to share what they've learned and get certificates of achievement, and their parents cheer them on.

On a warm spring evening, the handful of Cresthaven fifth-graders who had just finished the program gathered in the school library for their showcase.

Most of the families are immigrants from all over the globe, East Africa, Latin America. Alvord is first generation herself and grew up speaking Russian and Armenian. She tells these families that they already know about how important and hard it can be to adapt.

"You have had to make many changes and learn languages and customs — that's resilience," she says. There are nods of agreement in the room.

The students take turns coming up to the front to get their certificates and share their favorite takeaways.

When it's her turn, B. — the 11-year-old who was being bullied — says that she learned how to solve "friendship problems."

"It helped me not get as mad at my friends as I used to," she says.

B.'s mother is thrilled with the changes she has seen in her daughter. Her eyes well up as she talks about how proud she is. B. seems less nervous; she doesn't come home in tears as often.

B. is pleased, too. She especially likes the relaxation skills they learned — things like breathing in and then slowly out again, and clenching fists and then letting go. She can take her new set of problem-solving tools with her to middle school next year and beyond.

Your Turn: Share Your Parenting Story

Parents make mistakes. It comes with the job. What do you wish you had known about raising kids before becoming a parent?

Read this post for inspiration, then share your story on Instagram or Twitter using the hashtag #HowToRaiseAHuman. We are collecting stories until June 30. We may feature your post on NPR.

Copyright 2018 NPR. To see more, visit http://www.npr.org/.

ARI SHAPIRO, HOST:

Resilience, grit, emotional intelligence - they've been hot topics in parenting and education circles for years. And research backs up the idea that students need social and emotional skills to succeed. Schools around the country are trying to figure out how best to teach those skills. For our series How To Raise A Human, NPR's Selena Simmons-Duffin looks at a resilience curriculum designed to prepare students for the tough middle school years.

SELENA SIMMONS-DUFFIN, BYLINE: It's a warm evening in the Cresthaven Elementary School library.

Hello.

Gathered here are six students from Silver Spring, Md. They're in fifth grade and have just completed the Resilience Builder Program. They're here to share what they've learned and get certificates. Their parents are here to cheer them on. Most are immigrants from all over - West Africa, Latin America.

MARY ALVORD: Hi, I think we're going to start.

SIMMONS-DUFFIN: Psychologist Mary Alvord stands up front for a little presentation. She's been developing this program for decades. The room's quiet. The moms and dads pay close attention.

ALVORD: What is resilience? Resilience is the ability to adapt, not just to hardship but everyday challenges.

SIMMONS-DUFFIN: Parents already know some of this. Their kids have been bringing home their binders, writing in their success journals for 12 weeks now. And they know that their kids were selected for this program because they were having a tough time in school with things like bullying or self-control. In the program, the students learn lots of tools to respond to these challenges.

ALVORD: And the main goal for the Resilience Builder Program is to prepare them for middle school. It's a big transition, big change.

SIMMONS-DUFFIN: And, Alvord tells me, in middle school, the pressures really kick in.

ALVORD: Substance abuse becomes an issue. Sexuality becomes an issue. Social media has really complicated things now. And, you know, we worry about depression with teens.

SIMMONS-DUFFIN: In the library, she ticks through some of the tools she's taught the students. For example, she tells them to imagine a remote control they can use to change their negative thoughts. She shows a drawing. The buttons say things like happy place and things thankful for.

ALVORD: So you can switch channels in your head. Instead of that math test was really hard, if we think, I got through it, and I'm proud of myself...

SIMMONS-DUFFIN: They also worked on social skills. Up at the front, one student, D., demonstrates the personal space bubble. We're only using first initials to protect the students' privacy.

D.: You put your hands out, and then you make - and you spin around in a circle. And when someone is, like, near you, and you tell them to, like, get away a little bit because I need my personal space.

SIMMONS-DUFFIN: Another student, M., said he wants to keep working on his conversation skills.

M.: To not cut into conversations and to let people finish their sentences.

SIMMONS-DUFFIN: The thinking is when students learn to respect personal space and listen well, it can bolster their sense of empathy and their self-control, which can make their friendships stronger. Then when a challenging situation comes up, they have friends and self-regulation skills to get them through. One by one, the students come up to receive their certificates.

UNIDENTIFIED PERSON: I'd like to present a certificate of achievement for all your hard work.

(APPLAUSE)

SIMMONS-DUFFIN: Research on programs like this shows clear and lasting benefits. An analysis published last year in the journal Child Development reviewed dozens of programs involving more than 97,000 students. It found that participants were 11 percent more likely to graduate from college and less likely to have mental health problems or be arrested than students who never went through those programs. In Australia, Canada and the U.K., social and emotional learning is already being implemented on a large scale. Here in the U.S., it's been slower to catch on. With all the mandates that schools have to keep up with, social-emotional learning gets moved to the back burner. But Cresthaven Elementary was hungry for it.

MARINA SKLIAS: This is amazing because it's very interactive. It's very different. It's hands-on.

SIMMONS-DUFFIN: Marina Sklias is the Cresthaven's school counselor. She selected the students who took part, students who might be at risk for developing more serious psychological or emotional issues down the road. She says especially in a high-poverty school like this one, there's only so much she can do as a school counselor.

SKLIAS: Oftentimes, I refer students for counseling and parents request counseling. But due to financial situations or transportation issues, parents can't always follow through.

SIMMONS-DUFFIN: Sklias would love to offer this school-wide. Dr. Mary Alvord would love that, too. She's starting a nonprofit to scale up the Resilience Builder Program. Now the funding mostly comes from her private practice. She's also getting ready to publish a study that measures how well it works. And she's excited by some early results that show the program's helping kids academically.

ALVORD: Because it all goes together. If you're not struggling with relationships or teasing and bullying, you have more headspace to give to study, and you're also just more positive.

UNIDENTIFIED PERSON: All right. I'll see you tomorrow - OK?

SIMMONS-DUFFIN: Back at the Cresthaven library, as the fruit and cheese gets packed up, parents seem really pleased. One mom tells me her daughter used to be nervous all the time, and now she's noticed a real difference. Her daughter, B., agrees.

B.: They help me solve problems with my close friends and not get as mad at my friends as I used to.

SIMMONS-DUFFIN: And she can take her new set of problem-solving tools with her to middle school next year and beyond.

Selena Simmons-Duffin, NPR News. Transcript provided by NPR, Copyright NPR.