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NEA | HIN – Mental Health and Wellness

SECTION
I – STRESS 101: A PRIMER ON STRESS FOR SCHOOL EMPLOYEES
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As
school employees, we have the task of trying to juggle educational
demands with the social and emotional needs of 30 or more
individuals. Caring for ourselves is often the last thing
on our minds.


Jerald Newberry, Executive Director, NEA Health Information
Network, former Fairfax County (VA) teacher, school administrator
and mental health professional

Stress
is a normal part of life at home or on the job. And workplace stress
occurs across all types and levels of employment. In fact, many
people believe that workplace stress in our society is increasing
as workers are being asked to do more and more with less and less.

Those working
in schools, however, experience some unique types of stress. In
addition to the impact of widespread economic and social problems
that impinge on today’s families, specific factors contribute to
the work-related stress experienced by teachers and other school
personnel. These factors include:

    • The introduction
      of mandatory high-stakes testing associated with educational
      reform movements, particularly where tests are not aligned with
      mandated curriculum;
    • Challenges
      posed by the demographics of increasing student enrollments
      and larger class sizes;
    • A nationwide
      shortage of qualified teachers;
    • Budgets
      that fail to meet existing needs, such as the need to restore
      or replace deteriorating school buildings and facilities;
    • Multiple,
      and sometimes conflicting, demands posed by the mix of federal
      and state requirements, local school boards, school administration,
      and concerned parents;
    • Rapid advances
      in technology with insufficient resources for training or implementation;
    • Growing
      diversity in our schools with the concomitant need to function
      as culturally competent educators.

It’s
been said that “It takes a village to raise a child.” In my
classroom, however, there are days when I feel overwhelmed,
like I’m the only adult in the village.


– observation shared by a pre-kindergarten teacher.

The challenges
that many students face at home and in the community have a significant
impact on their lives and well being. These challenges contribute
to the stress felt not only by students and their families, but
by school staff as well. Consider the following statistics on America’s
children, from the Children’s Defense Fund’s State of America’s
Children: Yearbook 2000
:

    • One in
      four lives with only one parent.
    • One in
      24 lives with neither parent.
    • One in
      60 will see their parents divorce in any year.
    • One in
      five lives in poverty.
    • One in
      six has no health insurance.
    • One in
      twelve has a disability.
    • One in
      910 will be killed by guns before age 20.

Whatever
impacts our society — positively or negatively — at any
given time, will be evident, to some degree, in our schools.
We need to include an ecological perspective in teacher training
to better prepare teachers for the challenges and, sometimes,
harsh realities that they will encounter in their work.

At
the very heart of teaching are the unique and powerful relationships
that can develop between teachers and students. Teachers must
be experts in pedagogy and in the subjects that they teach.
School personnel also must become experts in human relationships,
because education, at its core, is a human activity that is
grounded in relationships.


– Robert Burke, PhD, Associate Professor, Teachers College,
Ball State University

Working
with children on a daily basis, school staff may, at some level,
already be aware of the prevalence of mental and addictive disorders
among children. According to the U.S. Surgeon General’s Report on
Mental Health [1], an estimated
one in five children, between the ages 9 to 17, has a diagnosable
mental or addictive disorder associated with at least minimum impairment
in their functioning at school, home or with peers. This suggests
that among the students in any classroom, there are likely to be
several who have serious emotional or behavioral problems. When
mental health problems interfere with a child’s ability to learn
and succeed in school, school staff can face challenges that go
beyond the scope of their education and training.

Why
Should We Concern Ourselves about Employee Stress in Schools?

As
school personnel who work on the ‘frontlines,’ you have a
strategic – yet challenging – role to play. Your work is a
significant and important responsibility. To enjoy what you
do and do it well, your own health and well-being must be
made a priority.


– Robert Burke, PhD, Associate Professor, Teachers College,
Ball State University

Making
any job more satisfying and less stressful should always be a goal
of management. Not only is it the humane thing to do, but it also
makes sound business sense. Just like other employers, school systems
need to pay attention to staff stress because to not do so can be
costly. High levels of stress contribute to absenteeism, higher
health care costs, lost productivity, burnout, and attrition. For
example, it has been reported that health care expenditures are
nearly 50% greater for workers who report high levels of stress.
[2]

What
is Stress?

When most people
talk about stress at home or stress on the job, they are talking
about mental and/or physical strain and tension. A more accurate
definition of the term incorporates the concept that stress has
a profound physiological affect on the body.

DEFINITION
OF STRESS

A
state of arousal that involves both the mind and body in response
to demands made upon a perso
n.

Stress is not
always negative. As illustrated in the following chart, at an optimum
level, stress actually can make a positive contribution to performance.
However, too much or too little stress can negatively impact performance:

Relationship
Between Stress and Performance

Short-lived
or infrequent episodes of stress pose little risk. But when
stressful situations go unresolved, the body is kept in a
constant state of activation, which increases the rate of
wear and tear to biological systems. Ultimately, fatigue or
damage results, and the ability of the body to repair and
defend itself can become seriously compromised. As a result,
the risk of injury or disease escalates.


– Stress…At Work, NIOSH (1999)

In addition
to its negative affect on performance, high levels of stress, particularly
when experienced over a prolonged period of time, can lead to burnout
and can contribute to a variety of physical health problems.

What
are the Symptoms of Stress?

Because
prolonged periods of intense stress can pose serious threats
to physical health, it is important to be able to self-identify
symptoms of stress. School personnel need to be alert to signs
that can warn that stress is affecting their well-being. [3]

Over time,
stress can precipitate more serious and chronic health problems.
For example, research has shown that people who experience
high job strain — defined as a combination of low control
and high demand — are at greater risk for heart disease and
hypertension. This is caused by the body’s prolonged physiological
response to stress.

Symptoms
of Stress:
What to Look Out for

Back
and muscle aches
Headaches
Upset stomach
Dreading going to work
Anxiety
Inability to concentrate
Change in eating habits
Sleep problems
Recurrent colds
Constant fatigue

When
under stress, the cardiovascular and neuroendocrine responses of
the body can make it more difficult to unwind, even after the source
of stress has disappeared. It has been pointed out that some people
show an absent or inadequate relaxation response, a phenomenon that
can significantly contribute to heart disease and high blood pressure.
[4] Stress can increase a
person’s risk for developing ulcers and muscular/skeletal disorders,
such as back problems. Some studies suggest that stress may be related
to an increased risk of cancer and impaired immune functioning.
[5]

Reducing
stress not only contributes to good physical health, it also
contributes to clearer thinking, greater creativity and improved
mental health. Stress has been found to be a significant predictor
of depression. [6] When
stress is long-standing, depression can progress and go undetected
because its symptoms can look like those of stress-related anxiety.
Depression inhibits an individual’s capacity to cope with stress,
so depression and stress can become a vicious cycle, each reinforcing
the other. [7]

5-Minute
Stress Busters

Meditate
Hum
Stretch
Breathe deeply
Laugh
Listen to music

The
National Institute for Occupational Safety and Health (NIOSH) has
identified a number of job conditions that commonly lead to stress
[8], as shown in the chart
below:

Job
Conditions That May Lead to Stress

1)
Task design

    • heavy
      workloads
    • infrequent
      rest breaks
    • long
      work hours
    • hectic
      and routine tasks that have little inherent meaning, do
      not utilize workers’ skills and provide little sense of
      control

2)
Management style


    • lack of worker participation in decision-making
    • poor
      organizational communication
    • lack
      of family-friendly policies

3)
Interpersonal relationships


    • poor social environment
    • lack
      of support or help from coworkers and supervisors

4)
Work roles

    • conflicting
      or uncertain job expectations
    • too
      much responsibility
    • too
      many “hats to wear.”

5)
Career concerns


    • – job insecurity
    • lack
      of opportunity for growth, advancement, or promotion
    • rapid
      changes for which workers are unprepared

6)
Unpleasant or dangerous environmental conditions


    • crowding
    • noise
    • air
      pollution
    • ergonomic
      problems


– Stress…At Work, NIOSH (1999)

Post-traumatic
Stress Disorder (PTSD) and Acute Stress Disorder

Although
uncommon, one of the most profound types of stress that can
be experienced by teachers and other school personnel is to
be exposed to violence. Post-traumatic stress disorder, or
PTSD, and acute stress disorder are two types of anxiety disorders
that potentially can develop in individuals who have been
exposed to trauma such as violence. Exposure to trauma does
not necessarily mean being directly involved or injured physically.
People who are witnesses to violence, or who later learn that
violence has affected someone close to them, can also be affected
when their response to that trauma involves feelings of intense
fear, helplessness or horror. The risk and potential severity
of acute stress disorder and/or PTSD increase with the intensity
of the trauma and its proximity in relation to individuals
experiencing it.

The
duration of symptoms is what differentiates PTSD from acute
stress disorder. A diagnosis of acute stress disorder indicates
that symptoms have been present for four weeks or less; a
PTSD diagnosis indicates that symptoms have continued to be
present for more than four weeks after the trauma occurred.
[9] The presence of
acute stress disorder within the first four weeks after exposure
to trauma has been shown to be a strong predictor of PTSD
later on [10]; however,
PTSD can also have a delayed onset by as much as six months
following a traumatic event. [11]

According
to the American Psychiatric Association, ten percent (10%)
of the general population has, at some point, been affected
by clinically diagnosable PTSD; and even more have experienced
at least some symptoms associated with PTSD. [12]

Symptoms
of PTSD

Intrusive
Symptoms

Flashbacks
– sudden onset of vivid memories accompanied by strong emotions

Avoidance
Symptoms

Withdrawal
from family, friends, and co-workers

Intense
anxiety or fear of social situations

Irrational
fear of places and unfamiliar settings

Hyperarousal
symptoms

Startle
reactions

Sudden
irritability

Explosive
anger

Disturbances
in concentration

Inability
to remember things that are usually easy to recall

Insomnia

Introduction

Letter from Bob Chase
Full Table of Contents
Section I – Stress 101: A
Primer on Stress for School Employees

Section II – Violence and
Schools: Separating Myth from Fact

Section III – Reducing Violence-Related
Stress in Schools

Section IV – Recommended
Resources

References
Project Advisory Group