Category Archives: mental health

youth workers need to stop mental health stigma

Posted on by

In my class on mental health I often ask if we are beating back the stigma of mental illness. Students often say no… but after some thought and discussion they often change their mind. “We are beating back the stigma of anxiety, depression and body image” they would say. It is then that I ask them, “What would you do if you were running a youth program and one of the participants had a psychotic break?” Most of the students with fear in their eyes speak about keeping all the other participants safe while seeking help for the one having the break. This leads me to ask what they would do if one of their young people was depressed. No fear here, they would just get alongside the young person. Stigma is still very much at the forefront of challenges for mental health.

I agree with my students, we have made leaps forward. But, we still have a long way to go. While we have made great steps forward in areas such as anxiety and depression; eating disorders, schizophrenia and personality disorders to name a few are still very stigmatised. Much of the stigma still comes from fear. We fear that which we don’t know. When was the last time you saw a schizophrenic portrayed as “normal” in the media. they are always touted as weird, scary or worse. What about people with personality disorders how are they portrayed on film?

As youth workers we believe that young people have enough issues without having to add stigma to the list. However we as much as any member of the general public stigmatise mental illness. We don’t mean to do it, but in our fear we allow our prejudices to come to the fore. Fear comes from our lack of knowledge. As the general public knows very little about mental health so it is with youth workers. Even though our clientele are likely to have mental health issues we do not really study it and unless we spend significant personal resources we will have minimal understanding of brain disorders at best.

Mental health is important

We must have an understanding of brain disorders

To stop the stigma of mental illness we must have a solid understanding of the causes, diagnostic criteria, treatment options and recovery options. We need to be better than we are right now. Unfortunately this means going against the grain. I was speaking to an educator recently who believed that because youth workers don’t diagnose we don’t need to know how a diagnosis is formed. It is this antiquated idea of youth work and how we support young people that causes stigma. The same educator could not see why we need to have more than mental health first aid as it is psychologists who will do the work. I mentioned that it was youth workers who often hold the cases and that most psychologists will only give a dozen sessions.

We need to have a better understanding of mental health. It stops the stigma!

Aaron Garth

Aaron Garth is the Executive Director of Ultimate Youth Worker. Aaron has worked as a youth worker in a number of settings including local church, street drug and alcohol outreach, family services, residential care, local government and youth homelessness since 2003. Aaron is a regular speaker at camps, retreats, & youth work training events and is a dedicated to seeing a more professional youth sector in Australia. Aaron is a graduate of RMIT University and an alumnus of their youth work program. He lives in Melbourne with his wife Jennifer & their daughters Hope, Zoe, Esther, Niamh and son Ezra.

More Posts - Website

Follow Me:
TwitterFacebookLinkedInPinterestYouTube

Mental health

Mental health… Do you understand?

Posted on by
Mental health
Mental health is…

Mental health is the leading health issue of our time!

It is the leading cause of preventable deaths in the western world. One in four of our young people will have a diagnosed mental health issue by the age of 25. Many of the leading mental health diagnoses are most prevalent in adolescence. Most of all mental health is an issue of which youth workers must have a rock solid understanding. Unfortunately, most youth work education gives a youth worker a passing knowledge at best… and this is dangerous.

[Tweet “At Ultimate Youth Worker we believe that all youth workers should have a first responder understanding of mental health.”] At Ultimate Youth Worker we believe that all youth workers should have a first responder understanding of mental health. In the same way that paramedics have enough understanding of medicine to save your life and get you to hospital, we believe youth workers should have enough understanding about mental health to assess, triage and refer to mental health clinicians. We need more training. We need more education. We need more understanding.

Most young people are thankful for our empathy and care… but know how limited our knowledge of their issues are. Over the month of October we will be devoting time to help you understand more about mental health. October is mental health month and as a treat each week we will focus on one mental health issue and give you more depth than any course you have ever attended. We want you to be the best you could possibly be, and to do that we want you to have the best resources possible.

Organisations such as BeyondBlue and Headspace have fantastic resources aimed at young people and their families. They give a cursory understanding of the issues and provide a comforting nudge in the direction of support. As a tool for youth worker knowledge however they are limited. As youth workers we are often in a position to first identify mental health issues in young people and as such we need to have a better grasp of the issues. We must gain more than a mental health first aid certificate if we are to truly support our young people to recover their mental health.

Knowledge is power. It is also responsibility.

Aaron Garth

Aaron Garth is the Executive Director of Ultimate Youth Worker. Aaron has worked as a youth worker in a number of settings including local church, street drug and alcohol outreach, family services, residential care, local government and youth homelessness since 2003. Aaron is a regular speaker at camps, retreats, & youth work training events and is a dedicated to seeing a more professional youth sector in Australia. Aaron is a graduate of RMIT University and an alumnus of their youth work program. He lives in Melbourne with his wife Jennifer & their daughters Hope, Zoe, Esther, Niamh and son Ezra.

More Posts - Website

Follow Me:
TwitterFacebookLinkedInPinterestYouTube

Mental health should be a major part of a youth workers training.

Posted on by
I am currently developing curriculum for the diploma of youth work here in Australia. This curriculum is focused on youth mental health. There are many of my colleagues who believe that any form of specialist training of youth workers is degrading our profession. That to develop a new focus in our training is to minimise our effectiveness as an industry to ourselves. However, as should be apparent to long time readers, we disagree completely.
 
We have said before that we believe the time has come for a complete rethinking of the current youth work curriculum. One area we believe has been sorely missing for decades is that of mental health. If one in four young people will have a diagnosed mental health issue it is our responsibility to have a strong understanding of the area. We believe that youth workers should gain at least an emergency triage level understanding of mental health.
 
If you are a youth work educator, a service manager or a team leader we believe it is your responsibility to impart on your junior staff and students a need for new knowledge. In particular and one of the easiest to impart would be that of mental health. Do you do this at the moment? What curriculum do you use to teach mental health?
 
Let us know!

Aaron Garth

Aaron Garth is the Executive Director of Ultimate Youth Worker. Aaron has worked as a youth worker in a number of settings including local church, street drug and alcohol outreach, family services, residential care, local government and youth homelessness since 2003. Aaron is a regular speaker at camps, retreats, & youth work training events and is a dedicated to seeing a more professional youth sector in Australia. Aaron is a graduate of RMIT University and an alumnus of their youth work program. He lives in Melbourne with his wife Jennifer & their daughters Hope, Zoe, Esther, Niamh and son Ezra.

More Posts - Website

Follow Me:
TwitterFacebookLinkedInPinterestYouTube

R U ok? a daily question for great youth workers.

Posted on by
Tomorrow is R U OK day here in Australia. R U OK day is an initiative to help the general public support their friends, families and colleagues speak about mental health. The basic idea is to ask people if they are ok and to let them know you are there to help if they need it. As a youth worker this is a daily task with our clients… but it is just as important to do this with our colleagues.
 
The latest statistics are showing us that an alarming number of youth workers are leaving the sector after little more than eighteen months in the field. We are seeing youth worker burnout coexisting with depression, anxiety and many other mental and physical health issues. So why aren’t we asking if our colleagues are ok? Wouldn’t it make sense for managers and colleagues to look out for each other? For organisations to require their staff to look out for each other? For staff to be allowed to deal with their stress?
 
On this R U OK day why not ask your colleagues if they are ok? The answer may surprise you.

Aaron Garth

Aaron Garth is the Executive Director of Ultimate Youth Worker. Aaron has worked as a youth worker in a number of settings including local church, street drug and alcohol outreach, family services, residential care, local government and youth homelessness since 2003. Aaron is a regular speaker at camps, retreats, & youth work training events and is a dedicated to seeing a more professional youth sector in Australia. Aaron is a graduate of RMIT University and an alumnus of their youth work program. He lives in Melbourne with his wife Jennifer & their daughters Hope, Zoe, Esther, Niamh and son Ezra.

More Posts - Website

Follow Me:
TwitterFacebookLinkedInPinterestYouTube

Mental State Exam for youth workers: Insight and Judgement

Posted on by
We are finally here our series on mental state exams is in its last week. Over the past eight weeks we have built an understanding of the core components of a mental state exam so that we can support our young people as best we can. This week I was speaking with a youth worker in one of Victoria’s largest Christian denominations about a mental health conference he was at. I was reminded about how important it is for all youth workers to have a strong understanding of mental health. So far we have discussed how a young persons appearance, behaviour, speech and language, mood and affect, thought process and content, their perceptions and how their cognition can provide indicators as to their mental state. Today we discuss how a young persons insight and judgement can provide insight into their current mental health status.
 

Insight

A young persons insight into their own mental health and possible treatment options is key to the extent to which effective support can be provided. The young persons understanding of his or her mental illness is evaluated by exploring their explanation of the problem, and their understanding of the potential treatment options. The three main areas in which we need to be aware when assessing a young persons insight: recognition that they have a mental health issue, compliance with a treatment plan, and the ability to describe unusual mental events (such as delusions and hallucinations) as abnormal.

 

Insight is assessed on a continuum and therefore youth workers should not describe it as simply present or absent, but should descriptively assess the young persons ability. Impaired insight is characteristic of disorders such as psychosis and dementia, and is an important consideration in the development of treatment plans and in assessing the capacity of a young person to consent to treatment.
 
Mental health issues have become more frequently reported and diagnosed however the ability for many people including young people to accept that they have a mental health issue is still a concern. Insight is linked closely to cultural, religious and societal norms and these things should be considered while supporting a young person.

Judgment

When we are observing judgment it refers to the young persons ability to make reasonable, sound and responsible decisions. Contemporary use of this in a mental state exam asks us to inquire about how the young person has responded or would respond to real-life challenges and contingencies; for example, ‘What would you do if your mother stated that she thought you were depressed?‘. In this form of questioning we are looking to see if the young person is able to respond in a way that shows insight into their situation and possible next steps. 
 
Assessment of the young persons judgement would include amongst other areas the individual’s executive capacity in terms of impulsiveness, social cognition, self-awareness and planning ability. If the young person appears to be providing abnormal judgement it is not necessarily a link to a mental health issue as it is not part of any diagnosis. However, if there is an impairment in judgement it may be an issue of safety for the person and the community.
 
———————————————————————-
 
Mental state exams are a skill that needs to be practiced and refined. The basic ideas that we have discussed over the past eight weeks are just that the basics. These tools will not make you a psychiatrist!!! If you believe that a young person is having some mental health struggles then you can use these tools to support your case. 

 

Good luck. Use these tools wisely.
 

If you have any questions contact us.

 

Aaron Garth

Aaron Garth is the Executive Director of Ultimate Youth Worker. Aaron has worked as a youth worker in a number of settings including local church, street drug and alcohol outreach, family services, residential care, local government and youth homelessness since 2003. Aaron is a regular speaker at camps, retreats, & youth work training events and is a dedicated to seeing a more professional youth sector in Australia. Aaron is a graduate of RMIT University and an alumnus of their youth work program. He lives in Melbourne with his wife Jennifer & their daughters Hope, Zoe, Esther, Niamh and son Ezra.

More Posts - Website

Follow Me:
TwitterFacebookLinkedInPinterestYouTube

Mental state exam for youth workers: Cognition

Posted on by
Second last post this week for our series on Mental State Exams. Over the past few weeks we have been building an understanding of the core components of a mental state exam so that we can support our young people as best we can. This week I was speaking with a youth worker in one of Victoria’s largest Christian denominations about a mental health conference he was at. I was reminded about how important it is for all youth workers to have a strong understanding of mental health. So far we have discussed how a young persons appearance, behaviour, speech and language, mood and affect, thought process and content and their perceptions can provide indicators as to their mental state. Today we discuss how a young persons cognition can provide insight into their current mental health status.

 
In this section of the Mental State Exam we are looking at a young person’s level of alertness, orientation, attention, memory and executive functions. It is often this part of the MSE which requires the use of structured tests in conjunction to unstructured observation. However, an astute youth worker can use the basic understanding learnt here to gain a base level to work from. Cognition is observed through judging alertness, orientation, attention and concentration, memory and executive functioning.

When observing alertness we are looking into the young person’s level of consciousness i.e. awareness of, and responsiveness to their environment. Their level of alertness may be described as alert, vigilant, clouded, drowsy, or stuporous. If you are on a camp or at the end of a long Friday night youth group then alertness may be low. Conversely, on your way to a concert or game of laser tag alertness may be quite high. There are many factors which you must take into account when observing alertness. Rock, paper, scissors is a great game for testing the alertness of a young person.
 
Orientation is assessed by asking the young person their name, age etc (orientation to person) where he or she is (for example what building, town and state) and what time it is (time, day, date). What we are looking for is that they are oriented in person, place and time. People who have taken a big knock on the football field and are dazed are often asked these questions to observe whether they have a concussion. In the drug and alcohol field we often use these questions when people seem substance affected to judge how affected they are.

Attention and concentration are assessed by using structured tests such as series seven tests, or if you are in a pinch getting them to spell a five-letter word backwards), and by testing digit span. Here we are looking to see if the young person can keep their focus and concentration whilst completing given tasks. These tests are great for judging inebriation, attention deficits and anxiety.

Memory is assessed in terms of immediate registration (repeating a set of words), short-term memory (recalling the set of words after an interval, or recalling a short paragraph), and long-term memory (recollection of well known historical or geographical facts). If there is a severe issue with memory it may indicate dementia or neurological issues. Short term memory loss can be a symptom of anxiety.

Executive functioning can be screened for by asking the “similarities” questions (“what do x and y have in common?”) and by means of a verbal fluency task (e.g. “list as many words as you can starting with the letter F, in one minute”). The mini-mental state examination is a simple structured cognitive assessment which is in widespread use as a component of the MSE. These tests are looking at higher order brain functioning and a persons ability to stay on task. This is important for their ability to think in a critical way.

Note: The kind of brief cognitive testing discussed here are regarded as a screening process only, and any abnormalities should be more carefully assessed using formal neuropsychological testing.

Stay tuned for our final segment next week: Insight and Judgement.

 

If you haven’t yet, sign up for our newsletter to find out all the goings on at Ultimate Youth Worker. (Sign up here)

You can also leave us a comment below or post a comment on facebook and twitter.

 

Aaron Garth

Aaron Garth is the Executive Director of Ultimate Youth Worker. Aaron has worked as a youth worker in a number of settings including local church, street drug and alcohol outreach, family services, residential care, local government and youth homelessness since 2003. Aaron is a regular speaker at camps, retreats, & youth work training events and is a dedicated to seeing a more professional youth sector in Australia. Aaron is a graduate of RMIT University and an alumnus of their youth work program. He lives in Melbourne with his wife Jennifer & their daughters Hope, Zoe, Esther, Niamh and son Ezra.

More Posts - Website

Follow Me:
TwitterFacebookLinkedInPinterestYouTube

Mental state exam for youth workers: Perception

Posted on by
Well there are only three more posts left in this series. We have been building an understanding of the core components of a mental state exam so that we can support our young people as best we can. This week I was speaking with a youth worker in one of Victoria’s largest Christian denominations about a mental health conference he was at. I was reminded about how important it is for all youth workers to have a strong understanding of mental health. So far we have discussed how a young persons appearance, behaviour, speech and language, mood and affect and their thought process and content can provide indicators as to their mental state. Today we discuss how a young persons thought content can provide insight into their current mental health status.
 
Today we look at perception. Perception in the broadest sense of the world is how we sense the world through our five major sense: sight, touch, taste, smell and hearing. The three categories of perceptual disturbance are hallucinations, pseudohallucinations and illusions.

A hallucination is defined as a sensory perception in the absence of any external stimulus, and is experienced objectively by the young person eg. they see it and you don’t. Hallucinations occur in any of the five senses, although auditory (hearing) and visual (sight) hallucinations are the most frequently observed. Auditory hallucinations are typical of psychosis and symptoms such as ‘voices talking about the young person’ and ‘hearing one’s thoughts spoken aloud’ are indicative of schizophrenia, whereas second-person hallucinations such as ‘voices talking to the young person threatening or insulting or telling them to commit suicide’, may be symptomatic of psychotic depression or schizophrenia. Visual hallucinations are more likely suggestive of organic conditions such as epilepsy, drug intoxication or drug withdrawal.

An illusion is defined as a false sensory perception in the presence of an external stimulus, in other words a distortion of a sensory experience, and may be recognized as such by the subject. The best example I can think of is mime artist or the visual illusions of Giuseppe Arcimboldo. The old adage that your eyes play tricks on you is no more true than when we think of illusions. Illusions in themselves are not necessarily an indicator of mental illness but could mean a physical disorder or intoxication.

One of Giuseppe Arcimboldo’s illusions
 

A pseudohallucination is experienced in an internal or subjective space such as ‘voices in my head’ and is regarded as akin to fantasy. Other sensory abnormalities include a distortion of the young persons sense of time, for example déjà vu, or a distortion of the sense of self (depersonalization) or sense of reality (derealization). These symptoms could be suggestive of dissociative disorders, epilepsy or brain damage.

Aaron Garth

Aaron Garth is the Executive Director of Ultimate Youth Worker. Aaron has worked as a youth worker in a number of settings including local church, street drug and alcohol outreach, family services, residential care, local government and youth homelessness since 2003. Aaron is a regular speaker at camps, retreats, & youth work training events and is a dedicated to seeing a more professional youth sector in Australia. Aaron is a graduate of RMIT University and an alumnus of their youth work program. He lives in Melbourne with his wife Jennifer & their daughters Hope, Zoe, Esther, Niamh and son Ezra.

More Posts - Website

Follow Me:
TwitterFacebookLinkedInPinterestYouTube

Mental state exam for youth workers: Thought process and content

Posted on by
So we are a little over half way in this series. We have been developing an understanding of the core components of a mental state exam so that we can support our young people as best we can. This week I was speaking with a youth worker in one of Victoria’s largest Christian denominations about a mental health conference he was at. I was reminded about how important it is for all youth workers to have a strong understanding of mental health. So far we have discussed how a young persons appearance, behaviour, speech and language, and their mood and affect can provide indicators as to their mental state. Today we discuss how a young persons thought content can provide insight into their current mental health status.
 
A prime example of maladaptive thought content and process
 

Thought process

A young person’s thought process can tell you a lot about them. The quantity, tempo and form of thought are keys to understanding the process. A persons thought process can’t be directly observed. It can only be described by or inferred from a young persons speech. Some people may experience their thoughts coming so rapid that their speech seems incoherent. Alternatively an individual may have inhibited thinking, in which thoughts seem to progress slowly with few associations. Are they all over the place or are they clear and consistent. do they have few thoughts or do they keep returning to the same thoughts.
 
Does the young person include a great deal of irrelevant detail or make frequent diversions, but remains focused on the broad topic. Flight of ideas is typical of mania. On the other hand, young people with depression may have slow or inhibited thinking. Poverty of thought is one of the symptoms of schizophrenia, and may also be a feature of severe depression.

Thought content

When we think of thought content we would describe a young persons delusions, overvalued ideas, obsessions, phobias or preoccupations. To draw out any abnormalities of thought content we need to explore a young persons thoughts in an open-ended conversational manner with regard to their intensity, salience, the emotions associated with the thoughts, the extent to which the thoughts are experienced as one’s own and under one’s control, and the degree of belief or conviction associated with the thoughts.

A delusion is a core feature of psychotic disorders. A young persons delusions may be described as persecutory or paranoid, delusions of reference, grandiose, erotomanic, delusional jealousy or delusional misidentification. Delusions may be mood-congruent (the delusional content is in keeping with the mood), or mood-incongruent (delusional content not in keeping with the mood).  An overvalued idea is a false belief that is held with conviction but not with delusional intensity. Hypochondriasis is an overvalued idea that one is suffering from an illness and people with anorexia nervosa may have an overvalued idea of being overweight.

Preoccupations are thoughts which are not fixed, false or intrusive, but have an undue prominence in the person’s mind. Clinically significant preoccupations would include thoughts of suicide, homicidal thoughts, suspicious or fearful beliefs associated with certain personality disorders, depressive beliefs (for example that one is unloved or a failure), or some types of anxiety and depression. A Mental State Exam contributes to risk assessments of young people by including a thorough exploration of any suicidal or hostile thought content. Assessment of suicide risk includes detailed questioning about the nature of the person’s suicidal thoughts, belief about death, reasons for living, and whether the person has made any specific plans to end his or her life.
 
Stay tuned next week for part six: Perception

If you haven’t yet, sign up for our newsletter to find out all the goings on at Ultimate Youth Worker. (Sign up here)

You can also leave us a comment below or post a comment on facebook and twitter.

Aaron Garth

Aaron Garth is the Executive Director of Ultimate Youth Worker. Aaron has worked as a youth worker in a number of settings including local church, street drug and alcohol outreach, family services, residential care, local government and youth homelessness since 2003. Aaron is a regular speaker at camps, retreats, & youth work training events and is a dedicated to seeing a more professional youth sector in Australia. Aaron is a graduate of RMIT University and an alumnus of their youth work program. He lives in Melbourne with his wife Jennifer & their daughters Hope, Zoe, Esther, Niamh and son Ezra.

More Posts - Website

Follow Me:
TwitterFacebookLinkedInPinterestYouTube

Mental state exam for youth workers: Mood and Affect.

Posted on by
So far in this series we have been developing an understanding of the core components of a mental state exam. So far we have discussed how a young persons appearance, behaviour, speech and language can provide indicators as to their mental state. Today we discuss how a young persons mood and affect can provide insight into their current mental health status.
 

Mood

Mood is described using a young person’s own words. Happy, sad, angry, elated, anxious or apathetic. Many young people may be unable to describe their subjective mood state. Throughout my career I have seen a marked decrease in emotional intelligence in our society. It may take some work to flesh out how a young person feels. There are a number of resources to help young people to articulate their emotions, my personal favourites are mood dudes and the stones. In essence Mood is how young people see themselves in their own opinion.
Emotional intelligence in a squeeze ball
 
The key to remember about mood is that it is subjective. The young person is the master of their own emotional state. Only they truly know what is going on inside.
 

Affect

Affect is noted by us when we observe the apparent emotion conveyed by the person’s nonverbal behaviour. Affect may be described as appropriate or inappropriate behaviour to the current situation, and as congruent or incongruent with their thought content. For example, a young person who shows a neutral affect when describing a very distressing experience such as family violence would be described as showing incongruent affect, which might suggest PTSD. The intensity of the young persons affect may be conveyed as normal, blunted, exaggerated, flat, heightened or overly dramatic.
 
A flat or blunted affect can be associated with schizophrenia, depression or post-traumatic stress disorder. Heightened affect might suggest mania, excitement or anxiety and an overly dramatic or exaggerated affect might suggest certain personality disorders. A young person may show a full range of affect, or a wide range of emotional expression during your assessment. They may move from heightened to blunted or they may only show a single affect.
 
The key to remember about affect is that it is objective. It is what you observe about a young person. The key here is to be clear about what you are observing and why you believe it means what you believe. For example, “Aaron appeared sad. He spoke slowly, kept eye contact on the ground and cried“.
 
Stay tuned next week as we discuss part five: Thought process and content.

Aaron Garth

Aaron Garth is the Executive Director of Ultimate Youth Worker. Aaron has worked as a youth worker in a number of settings including local church, street drug and alcohol outreach, family services, residential care, local government and youth homelessness since 2003. Aaron is a regular speaker at camps, retreats, & youth work training events and is a dedicated to seeing a more professional youth sector in Australia. Aaron is a graduate of RMIT University and an alumnus of their youth work program. He lives in Melbourne with his wife Jennifer & their daughters Hope, Zoe, Esther, Niamh and son Ezra.

More Posts - Website

Follow Me:
TwitterFacebookLinkedInPinterestYouTube

Mental State Exam for youth workers: Speech and language.

Posted on by
Over the past few weeks we have been developing an understanding of the components of a mental state exam. So far we have discussed how a young persons appearance and behaviour can provide indicators as to their mental state. Today we look at how a young persons speech can provide insight into their current mental health.
 
A young persons speech is assessed by observing their spontaneous speech, and also by using structured tests of specific language functions. during this time we are focussed on the production of speech rather than the content of speech, which we will address under thought form and thought content in weeks to come. When observing the young persons spontaneous speech, a youth worker should note and comment on paralinguistic features such as the loudness, rhythm, prosody, intonation, pitch, phonation, articulation, quantity, rate, spontaneity and latency of speech.
 
A structured assessment by a qualified speech pathologist is a great tool for diagnosing serious difficulties in speech however a basic screening can be performed by an aware youth worker. An assessment of speech includes an assessment of expressive language by asking the young persons to name objects, repeat short sentences, or produce as many words as possible from a certain category in a set time. Simple language tests form part of the mini-mental state examination. In practice, the structured assessment of receptive and expressive language is often reported under cognition which we will discuss in a coming cast.
 
Language assessment will allow you to recognise young people presenting with aphonia or dysarthria, neurological conditions such as stroke or dementia presenting with aphasia, and specific language disorders such as stuttering, cluttering or mutism. People with autism or Asperger syndrome may have abnormalities in paralinguistic and pragmatic aspects of their speech. Echolalia (repetition of another person’s words) and palilalia (repetition of the subject’s own words) can be heard by young people with autism, schizophrenia or Alzheimer’s disease. A young person with schizophrenia might use neologisms, which are made-up words which have a specific meaning to the person using them.
 
Speech assessment also contributes to assessment of mood, for example people with mania or anxiety may have rapid, loud and pressured speech; on the other hand depressed patients will typically have a prolonged speech latency and speak in a slow, quiet and hesitant manner.
 
If you know a speech pathologist or have the opportunity to do some training with one, do it! Aside from appearance speech is one of the most observable ways to notice a persons mental state.
 
Stay tuned next week for part four: Mood and Affect.
 

You can also leave us a comment below or post a comment on facebook and twitter.

If you haven’t yet, sign up for our newsletter to find out all the goings on at Ultimate Youth Worker. (Sign up here)

You can sign up to have our blog posts sent straight to your email by adding your email to the subscribe button on your right, or click here.

Aaron Garth

Aaron Garth is the Executive Director of Ultimate Youth Worker. Aaron has worked as a youth worker in a number of settings including local church, street drug and alcohol outreach, family services, residential care, local government and youth homelessness since 2003. Aaron is a regular speaker at camps, retreats, & youth work training events and is a dedicated to seeing a more professional youth sector in Australia. Aaron is a graduate of RMIT University and an alumnus of their youth work program. He lives in Melbourne with his wife Jennifer & their daughters Hope, Zoe, Esther, Niamh and son Ezra.

More Posts - Website

Follow Me:
TwitterFacebookLinkedInPinterestYouTube