Latest / Dr Justin Coulson's Happy Families / #990 Mental Health Challenges with Anne Hollonds
Transcript
- 0:03Speaker 1: It's the Happy Families Podcast. It's the podcast for the
- 0:07Speaker 1: time poor parent who just wants answers. Now, Welcome to
- 0:11Speaker 1: the Happy Family's Podcast. My name is doctor Justin Colson
- 0:13Speaker 1: and the author of nine books about raising happy families
- 0:17Speaker 1: and the co host and parenting expert on Channelin's hit
- 0:19Speaker 1: TV show Rental Guidance. Also a dad to six kids.
- 0:23Speaker 1: Just recently we did something unusual, We did something a
- 0:26Speaker 1: bit different online. We conducted an online conference called Breaking Point,
- 0:31Speaker 1: very much about the state of mental health and young
- 0:35Speaker 1: people around the country and what we can do to
- 0:37Speaker 1: improve things because well, things aren't looking that great. I
- 0:40Speaker 1: was absolutely delighted and really honored to have the opening
- 0:44Speaker 1: speaker for our online conference. As the National Children's Commissioner
- 0:49Speaker 1: and Holland's and Hollands commenced as National Children's Commissioner in
- 0:53Speaker 1: November twenty twenty. It's a five year appointment. Before she
- 0:57Speaker 1: was appointed the role of National Children's Commissioner, she was
- 0:59Speaker 1: the direct actor of the Australian Institute of Family Studies,
- 1:02Speaker 1: which is an independent authority run by the Australian Government
- 1:05Speaker 1: responsible for conducting research and providing advice on child and
- 1:08Speaker 1: family wellbeing and in that role. She was also the
- 1:11Speaker 1: director of the Australian Gambling Research Center and for twenty
- 1:15Speaker 1: three years was a CEO of government non government organizations
- 1:18Speaker 1: focused on research and policy and service delivery and health
- 1:21Speaker 1: and education and social services. Has two adult daughters, three
- 1:25Speaker 1: grandchildren and has just done so much work MBA strategy
- 1:30Speaker 1: and leadership sessions at Harvard and Stanford Universities. We're talking
- 1:34Speaker 1: top twelve as you would expect for the National Children's
- 1:37Speaker 1: Commissioner in the online digital conference Breaking Point, and I
- 1:41Speaker 1: spoke for about an hour about so many things related
- 1:44Speaker 1: to our young people and their mental health. It was
- 1:47Speaker 1: a wonderful, wonderful conversation. I'm going to share with you
- 1:50Speaker 1: an extract of that in today's podcast. Let's start with
- 1:53Speaker 1: the question what is the current state of mental health
- 1:56Speaker 1: for young people?
- 2:02Speaker 2: Well, we know that even before COVID just in that
- 2:05Speaker 2: the rates of mental health issues for children and young
- 2:10Speaker 2: people had been increasing. And you know, it's hard to
- 2:13Speaker 2: remember back before the pandemic, but what was happening then
- 2:18Speaker 2: was that, you know, regularly the government was announcing more
- 2:23Speaker 2: and more funding for what was called youth mental health
- 2:26Speaker 2: services because of the increasing demand. But you know, I
- 2:30Speaker 2: remember thinking at the time it never seemed to be
- 2:32Speaker 2: quite enough, And of course then the pandemic hit, and
- 2:36Speaker 2: a kind of what the pandemic did was it an
- 2:39Speaker 2: amplified the broken systems out there, the fact that kids
- 2:46Speaker 2: weren't able to get what they needed. And we saw
- 2:49Speaker 2: during the pandemic increased rates of presentations to emergency departments
- 2:54Speaker 2: of much younger children with much more serious mental health
- 2:58Speaker 2: issues like eating disc orders and suicidality. And that was
- 3:03Speaker 2: also shown through helplines like Kids' Help Line that they
- 3:08Speaker 2: there was this upteap during COVID. Since COVID, of course,
- 3:12Speaker 2: we've seen that long tail of the pandemic's effect which
- 3:15Speaker 2: we all predicted for children, and that is, you know,
- 3:21Speaker 2: we've seen continued high rates of anxiety school refusal. We
- 3:25Speaker 2: just had a Senate inquiry about kids who are too
- 3:29Speaker 2: anxious to go to school, and also problems like eating
- 3:34Speaker 2: disorders and so forth. On the positive side, I guess
- 3:38Speaker 2: what's happened is that now the discussion about mental health
- 3:42Speaker 2: issues is much more mainstream, so we are able to
- 3:46Speaker 2: have these conversations. But unfortunately we haven't kept up with
- 3:50Speaker 2: the services for children and young people, and particularly I'm
- 3:54Speaker 2: concerned about services for kids twelve and under.
- 3:59Speaker 1: And when you describe that situation, one thing that I
- 4:03Speaker 1: hear from parents time and time again is that when
- 4:06Speaker 1: it comes to this breaking point idea, they just can't
- 4:11Speaker 1: get the kids into a psychologist. It's almost impossible to
- 4:15Speaker 1: get the mental health access that they require, whether the
- 4:17Speaker 1: kids are under twelve or over twelve. It just seems
- 4:20Speaker 1: that waitlists are enormous. And then, of course, once you
- 4:23Speaker 1: get your child into a psychologist, if that therapeutic relationship
- 4:26Speaker 1: isn't ideal, if the child doesn't click with the psychologists,
- 4:29Speaker 1: we know from research that the stronger that therapeutic alliance,
- 4:33Speaker 1: the more likely it is that we get good outcomes
- 4:35Speaker 1: in that therapeutic context. So the kids get in, they
- 4:39Speaker 1: don't like the psychologists, and the parents says, well, I
- 4:41Speaker 1: can't go back to square one, because I'm going to
- 4:43Speaker 1: be eighteen months down the track before I finally find
- 4:45Speaker 1: the psychological help that my child needs. Where do you go?
- 4:51Speaker 1: Not necessarily from your view as the National Children's Commissioner,
- 4:55Speaker 1: but where do you go as a parent who is
- 4:58Speaker 1: just crumbling under this weight and desperate for their child
- 5:03Speaker 1: to get help? What options do they have.
- 5:06Speaker 2: Well, it's really really hard justin I mean, I've spoken
- 5:10Speaker 2: to families that have been unable to get help in
- 5:14Speaker 2: the public system for eleven and twelve year olds who
- 5:17Speaker 2: are suicidal. I mean, that is to me shocking. They
- 5:22Speaker 2: were told they were told to go find a private psychiatrist,
- 5:26Speaker 2: which you know, like we know, there's not enough of them.
- 5:29Speaker 2: There's not enough that are psychiatrists and psychologists that are
- 5:32Speaker 2: trained to work with children. It's like ten percent or
- 5:35Speaker 2: less have the training to work with children. But also,
- 5:39Speaker 2: of course there's the cost, so you know, it is
- 5:43Speaker 2: really hard. And I know from a personal experience in
- 5:45Speaker 2: my own family of a child that was struggling to
- 5:49Speaker 2: return to school after COVID, that getting helpful children with anxiety,
- 5:56Speaker 2: even in a big city, even with a family that
- 5:58Speaker 2: has all the resources available, is near impossible. And you know,
- 6:03Speaker 2: if you go out of the big cities and you're
- 6:05Speaker 2: in the regional or remote areas, you can pretty much
- 6:08Speaker 2: forget it. So you know, like it is, it's absolutely
- 6:12Speaker 2: a failure, I believe of our governments to leave families
- 6:17Speaker 2: in this die situation, and it is a sign that
- 6:19Speaker 2: we're not making child well being the priority it should be.
- 6:23Speaker 2: In this country. But your question was what should parents
- 6:26Speaker 2: do if they can't get their help? Well, all I
- 6:28Speaker 2: can say is just you have to keep trying. You
- 6:31Speaker 2: have to keep banging down those doors. I mean that
- 6:34Speaker 2: is our job as parents to get the help for
- 6:38Speaker 2: the children that they need, and you know, hopefully eventually
- 6:43Speaker 2: something will open up. Look, the other thing parents should do,
- 6:47Speaker 2: of course, is to be there for their child. Don't
- 6:50Speaker 2: underestimate your own value. Even when it comes to teenagers,
- 6:56Speaker 2: they do need parental, very strong parental relationships. And in
- 7:02Speaker 2: order for you to be able to help your child,
- 7:04Speaker 2: you've of course look after your own mental health and
- 7:07Speaker 2: well being, and so you know, you need to address
- 7:12Speaker 2: whatever issues you have, and it could even be things
- 7:16Speaker 2: like you know, as adults, we're all addicted to devices
- 7:19Speaker 2: and we have to really, I think, put a mirror
- 7:22Speaker 2: up to ourselves, and I think we need to focus
- 7:25Speaker 2: on building that very strong relationship with each child, like separately,
- 7:29Speaker 2: not children as a group. We need to know our
- 7:32Speaker 2: children so that we can be attuned to their needs
- 7:36Speaker 2: and just don't give up. Don't give up trying to
- 7:39Speaker 2: find that help.
- 7:43Speaker 1: And I really want to talk about the trends, especially
- 7:47Speaker 1: as they apply to social media. But a couple of
- 7:49Speaker 1: things that you've highlighted, I'd really like to go a
- 7:52Speaker 1: little deeper on those. The first that I want to
- 7:55Speaker 1: pick up on is my understanding as I've looked at
- 8:00Speaker 1: research from right around the world. My understanding is that
- 8:04Speaker 1: providing parenting skills and parenting tools to adults, and even
- 8:10Speaker 1: providing parents with the help that they might need not
- 8:15Speaker 1: just for their own issues but for their children's issues,
- 8:17Speaker 1: seems to be far more adaptive, far more helpful than
- 8:20Speaker 1: getting kids into therapy. I'll give you an example of
- 8:23Speaker 1: what I mean, and then I'll ask for your reaction
- 8:26Speaker 1: to what I'm describing. If I'm working with an eight
- 8:30Speaker 1: year old or even a thirteen year old who is
- 8:33Speaker 1: dealing with anxiety or is emotionally disregulated, has some really
- 8:37Speaker 1: big challenges, and I'm working with them at I don't know,
- 8:41Speaker 1: two o'clock on a Tuesday afternoon, the likelihood of them
- 8:45Speaker 1: holding on to these skills that I've tried to practice
- 8:47Speaker 1: with them in a clinical setting at five point thirty
- 8:51Speaker 1: on Thursday night, when everything's going haywire is practically zero.
- 8:55Speaker 1: I mean, even most adults struggle to do that. Because
- 8:58Speaker 1: I want to get a little bit nittigritty for for
- 9:00Speaker 1: just a moment if I can. And we've been talking
- 9:03Speaker 1: about these these trends with increased mental health challenges for
- 9:07Speaker 1: our young people. What do you think of the central
- 9:11Speaker 1: forces that are driving these trends? If you look at
- 9:15Speaker 1: society right now, why are we where we are from
- 9:19Speaker 1: a mental health perspective?
- 9:22Speaker 2: Well, you know, I'd be very rich if I had
- 9:24Speaker 2: that answer, wouldn't I. We are all scratching our heads
- 9:27Speaker 2: about this about why, and I think it is multi
- 9:31Speaker 2: layereds Often I think though we jump to blaming social
- 9:35Speaker 2: media for the problem. Well, you know, while there are
- 9:39Speaker 2: certainly issues with social media, by the way, for adults
- 9:44Speaker 2: as well as children and social media addictions, I don't
- 9:49Speaker 2: think that's the whole story. And you know, I guess
- 9:53Speaker 2: it's been well articulated what some of the issues are about,
- 9:56Speaker 2: sort of the cyber bullying thing and also the the comparison,
- 10:02Speaker 2: you know, the sense of sort of my life is
- 10:04Speaker 2: not as good as someone else's on social media piece.
- 10:08Speaker 2: But I think it's the other thing that has I mean,
- 10:11Speaker 2: there are a lot of things that have changed the
- 10:13Speaker 2: Internet itself, putting aside, social media has allowed kids to
- 10:19Speaker 2: become more exposed to a range of things in the
- 10:24Speaker 2: world that they would previously not have been exposed to.
- 10:28Speaker 2: And I think it's just when I'm talking just basic
- 10:31Speaker 2: information about what's going on in the world. And it
- 10:35Speaker 2: struck me recently I heard that a big survey of
- 10:38Speaker 2: young people just recently found that the top three things
- 10:42Speaker 2: that kids are worried about there were number one was
- 10:47Speaker 2: cost of living, number two was mental health issues, and
- 10:51Speaker 2: number three was climate change. And I think that really
- 10:56Speaker 2: says to us as adults that you know, the idea
- 11:01Speaker 2: that kids can be protected from the you know, what's
- 11:06Speaker 2: going on around in the world, and you know that
- 11:09Speaker 2: we that they you know, we just don't talk to
- 11:11Speaker 2: them about it, just you know, they let them go
- 11:13Speaker 2: out and play. That doesn't work. Children these days will
- 11:17Speaker 2: know from a very early age about what's going on
- 11:20Speaker 2: in the world, and again think it puts a lot
- 11:22Speaker 2: more pressure on us as parents to be talking with
- 11:26Speaker 2: them about this, helping them to make sense of it,
- 11:29Speaker 2: because if you're just seeing you know, negative news, and
- 11:33Speaker 2: there's been a lot lately that we've been worried about.
- 11:36Speaker 2: Of course, if you're just sitting on your device and
- 11:38Speaker 2: streaming this that all these bad news stories on your own.
- 11:45Speaker 2: As a child, you're not able to you don't have
- 11:48Speaker 2: the maturity to put all of that in perspective. Right,
- 11:52Speaker 2: So as adults, you know, for example, we might have
- 11:55Speaker 2: been in shock over what happened at Bondi Junction on Saturday,
- 12:00Speaker 2: but we have some capacity to rationalize about it and
- 12:04Speaker 2: put it in some kind of context and perspective. Children
- 12:07Speaker 2: don't necessarily have that ability, and it can seem much
- 12:10Speaker 2: more catastrophic for a young person. I mean, this is
- 12:14Speaker 2: where parents really have a job to do, in my view,
- 12:17Speaker 2: to be able to sit down and have an open conversation,
- 12:20Speaker 2: to convey to kids that it is okay to talk
- 12:23Speaker 2: about these things and that as a parent, I also
- 12:26Speaker 2: feel sad and shocked, and I don't have all the answers,
- 12:29Speaker 2: but let's have the conversation, and I'd like to hear
- 12:32Speaker 2: what you're thinking, how did this affect you? And you know,
- 12:37Speaker 2: to open up about it, because that helps the children
- 12:40Speaker 2: to process the bad news. And I'm not sure that
- 12:45Speaker 2: as parents we've really understood how important our role is
- 12:50Speaker 2: in an environment where where the kids are exposed much
- 12:55Speaker 2: much earlier to a whole lot of stuff that we
- 12:57Speaker 2: didn't know about till you know, we were to anyone.
- 13:01Speaker 1: And when I hear say that, I think that the
- 13:03Speaker 1: twenty four our news cycle has gotten to be a
- 13:06Speaker 1: contributed to the stress, especially that our older kids are experiencing.
- 13:10Speaker 1: But I can't help but think that we're creating this ourselves.
- 13:14Speaker 1: I feel like in so many ways we are our
- 13:16Speaker 1: own worst enemy. We've got the screens going all the time,
- 13:18Speaker 1: We've got the news going all the time. Our society
- 13:21Speaker 1: has built itself around this need to know and need
- 13:24Speaker 1: to know now your reference BONDI and the awful tragedy
- 13:29Speaker 1: that occurred there. In the days following that, I was
- 13:32Speaker 1: asked to do countless media interviews about how to talk
- 13:36Speaker 1: to the kids about it. Several of those were on
- 13:38Speaker 1: the television. I'm sure you had the same experience. And
- 13:40Speaker 1: so you're sitting in a TV studio or you're sitting
- 13:43Speaker 1: online watching the TV programming. And it was one thing
- 13:48Speaker 1: for me to hear about it and read about it
- 13:50Speaker 1: across the weekend. It was another thing entirely to start
- 13:53Speaker 1: watching footage that people recorded on their phones of this
- 13:58Speaker 1: of this man, what it was doing.
- 14:01Speaker 2: The imagery, I think it gets to you more than
- 14:04Speaker 2: the word this thing.
- 14:05Speaker 1: And now we now.
- 14:07Speaker 2: We've got CCTV iPhone images, you know, we get everything
- 14:11Speaker 2: instantly right, and again I don't think that we've really
- 14:15Speaker 2: come to terms with what effect that has on us psychologically.
- 14:20Speaker 2: I'll tell you what happened to me on Saturday. So
- 14:23Speaker 2: I had my little grandchildren with me, five and eight,
- 14:26Speaker 2: and I saw it on my newsfeed and I made it.
- 14:28Speaker 2: I was really shocked. I didn't know how to process
- 14:31Speaker 2: this in the moment, and I thought, well, I'm just
- 14:33Speaker 2: not going to turn the television off. And of course
- 14:36Speaker 2: they're still quite young, so they don't have their own phone,
- 14:38Speaker 2: so they did not know about this until the next day.
- 14:42Speaker 2: And I made that decision too, that I needed time
- 14:46Speaker 2: to process what had happened as an adult first before
- 14:51Speaker 2: before you talking with kids about it. So, you know,
- 14:55Speaker 2: I think that we need to recognize that that that
- 14:58Speaker 2: that it is so confronting sometimes that even as adults,
- 15:03Speaker 2: but then it's going to be even more confronting and
- 15:05Speaker 2: difficult to you know, understand for children. And that's where
- 15:10Speaker 2: we as as parents come.
- 15:13Speaker 1: In from the Happy Families Online Digital Conference breaking point
- 15:22Speaker 1: that is, the National Children's Commissioner and Holland's. You can
- 15:26Speaker 1: find more of that conversation at happy families dot com
- 15:29Speaker 1: dot you just go to the shop and look for
- 15:32Speaker 1: the Breaking Point Digital Conference. I think that you'll find
- 15:35Speaker 1: so much there of tremendous value. Tomorrow, on a Happy
- 15:38Speaker 1: Families podcast, we look at this week in parenting. We're
- 15:42Speaker 1: going to take a look at somebody who is arguing
- 15:44Speaker 1: that vaping could actually be good for kids, and that
- 15:47Speaker 1: we need vaping vaping rooms for our kids, and also
- 15:50Speaker 1: a new nicotine threat that is taking over schools. That
- 15:54Speaker 1: and more This Week in parenting is on the Happy
- 15:56Speaker 1: Families podcast tomorrow. The Happy Families Podcast is produced by
- 16:00Speaker 1: Justin Rowland from Bridge Media. Craig Bruce is our executive producer.
- 16:04Speaker 1: For more information about making your family happier, visitors at
- 16:07Speaker 1: happy families dot com dot au.