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This is Me: health promotion & prevention programme Nuša Konec Juričič Petra Šafran, Institute of Public Health Celje, Slovenia.
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This is Me: health promotion&prevention programmeNuša Konec Juričič Petra Šafran,Institute of Public Health Celje, Slovenia TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Ksenija Lekić, Petra Šafran, Nuša Konec Juričič and Damjana Podkrajšek– core programme operations group at the Department of Social Medicine at Institute of Public Health Celje. The programme is based on seven years of experience and all the benefits of interdisciplinary cooperation and successful networking. Hvala za pozornost. TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Why did we start? Adolescents often face problems such as: • Lacking social skills • Sel-confidence • Self-respect • Optimism Uncertainty in life is increasing – skills for life • ability to communicate • adapt • organize • deal with defeat TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Central theme: Strengthening of self-esteem 1. Web communication and on-line counselling 2. Prevention workshops in school setting TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
1. Web communication and on-line counselling The youth web counselling site This is me at http://www.tosemjaz.net was set up on 7th April 2001 in Celje TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
The youth web • Specific form of a safety net • Fast, simple access to free expert advice • All web counsellors are volunteers • Regularly moderated site (editorial staff) • Additional, auxiliary form of support TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Young visitors of web counselling site 'This is Me' don't have to sit in crowded waiting rooms. They don't need referral forms either. Teens can talk to online experts from the safe intimacy of their room or from any public, easily accessible info point. TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Counselling network – 33 experts • 13 psychologists • 10 physicians specialists • 10 experts from other fields (social worker, social educator, sports educator…) • Network of successfully cooperating organisations and persons: experts from 12 institutions • Experts - volunters TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Results • More than 14.000 questions in 7 years • 16.000 visits/month and 80.000 pages read/month • As many as 270.000 IP adresses –at least as many different users over the seven years period • Awards: • Izidor 2005 (Slovenian award for web excellence) • The best poster award, Portorož, 2006 • EUPHA best poster award, Helsinki 2007 • Netko 2007 (Slovenian Website of the year) • Izidor 2008 (Slovenian award for web excellence) TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Who's typing at the other end? “I first started visiting this website as a teenagerand I still like to visit it. The website helped me through the most difficult times of growing up and with its help I somehow learned to act correctly in any kind of situation.” Mateja, user of www.tosemjaz.net TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Questions • Interpersonal relations and love - 20% • Sexuality and contraception - 28% • Body image - 13% • Most difficult questions (5,5%): suicidal thoughts, suicide attempts, self-harming behaviour, depression, eating disorders and sexual abuse. TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
We’re des-pe-ra-te!!!!!!!!! By: Obupaan () Sent : 05 Aug2007 11:48 We have a very big problem!!!! We’ve been together for 1 year now and we have sexual relations … always until ew days ago we’ve used condoms … then we ran out of them and we did it without a couple of times!!!!:’( I didn’t finish inside of her and I checked in between and it didn’t seem like anything was coming out … is it possible she’s pregnant anyway???? What do we do if she is??? Several days have passed since then … pleeeeease heeeelp... We are TOTALLY desperate and we are SO scared!!!! Please everybody, advise us. Thank you all for answering!!! chiao TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Cutting By: bloody.girl () Sent : 22 Sept 2007 17:31 I’ve got a really big problem. I’ve been cutting my- self for three years now and the skin on my abdo- men, legs and arms is totally destroyed. I simply can’t get my act together ever since my boyfriend dumped me 9 months ago. Everybody is telling me I’m ugly and I’m often getting into fights with my girlfriends because they don’t respect me. I’m always thinking negative and I can’t find the right way :( Pleeeease help me. TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Advantages of web counselling • Anonymity • Direct and quick access to experts • Conversation in the safe intimacy of an adolescent´s room • The usefulness of a single reply to numerous users • Insight into experience of others • The ability to have a say • Safe virtual haven in a crisis situation • Interdisciplinary nature of counsellor´expertise and approaches TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Disadvantages of web counselling • Lack of personal contact (lack of social and visual clues) • Reduced opportunities to set up a meaningful therapeuthic relationship (pact) • An on-line relationship is uncertain • Reduced modality of communication • X questions • The ability to articulate problems • Possible manipulations • Unrealistic expectations of seekers of help TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
An example of dialogue from the web counselling site This is Me How much, 'till it's over? Author: _fallen_angel Date: 16 May 2006 - 20:05 Hey what I wanna know is, which are the best pills you can use to kill yourself? does it hurt? will a pack of sleeping pills do the job? how much, so it's all over 100%? been thinking about suicide a lot ... really hope you can give me some kind of answer, 'coz I can't handle it anymore ... TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Editorial staff: counsellor replyDate : 17 May 2006 - 12:32 Fallen angel,are you telling me you want to give up? Do you REALLY expect anyone around here will want to give you a reply to your question? I get the feeling you've given up your wings, which is why you are falling... Obviously, you need to put effort into killing yourself, let alone into living! If you choose to accept life, you choose to have the option of achieving satisfaction and happiness - by putting in YOUR OWN EFFORT! I am not saying, that your life is going to be easy. … TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
……Still: if you choose to reject life – what can you expect then?You're not the only one in the world who can't find the right way. That's why we are here, to help with what we are certain that works! I am not promising I'll do anything instead of you – no one in the world can do that. So what I am asking your here is, what have you DONE so far, but didn't work out according to your expectations. What is it that you think you cannot handle anymore? I believe there is a solution for you as well, I just your need your cooperation! We can find an efficient solution together! Tell me more!Angel, use your wings and flap them if you want to fly! Think about where you want to go. I'm expecting you!Ksenija Centa, psychologist TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Author: _fallen_angelDate : 17 May 2006 - 19:16:00... I didn't give up on my wings ... they just broke on their own ... I'm trying, but I always fail at everything, I can't do anything right ... life sucks ... I don't even know why I live anymore, I feel nothing, when I cut myself, I can hardly feel any pain, there is just that feeling of everything freezing up, where I don't feel any sadness nor happiness, I don't feel anything anymore really ... I wanna die. I can cut myself, but when I tried to cut my veins, I couldn't, I dunno why ... I hate life ... I have myself!!!what can I expect if I decide to reject life? nothing ... and that's exactly the beauty of it. that there's nothing left after death ... I think death is the best solution ... THERE IS NO OTHER WAY! I'm so afraid ... not of dying, but of surviving. TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
The dialogue continues… The third reply of thecounsellor, again encouraging and arousing herinto actively solving the problem, went unanswered. TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Solutions to serious problems cannot be obtained through one or two clicks TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
2. Preventionworkshopsin school settings TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Goals of workshops • Providing support in development of firm self‑image • Encouraging social skills that help young people in every day and special life events • Improve classroom (group) atmosphere and interpersonal relations TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Key stages of prevention workshops ‘Ten steps to a better self‑image’: • Preparation of educational programme • Promotion of ‘This is Me’ education programme. • Recruitment of interested participants. • Preparation of printed materials for teenagers. • Implementation of education programme in two‑day education course for school teachers. • Arrangements for evaluation of implemented workshops. • Implementation of prevention workshops in schools. • Annual evaluation of work carried out in the school setting. TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Two‑day education course for school teachers Plenar session Workshops All workshops are organised in accordance with the same principles with the following contents: • explanation • objective • target group • accessories • work methods • instructions for workshop implementation (worksheets and guidelines) • workshop conclusion and evaluation TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Ten steps (workshops) to a better self‑image programme Workshop 1: “I respect and accept myself” • I accept myself and my body • I have a right to be happy and loved TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Workshop 2: “I set goals for myself and work on attaining them” • goals give meaning to everybody`s life • the right goal for me is realistic and reachable TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Workshop 3: “I cooperate with others and accept them; I have friends” • I accept others • I assert my position in interpersonal relations TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Workshop 4: “I do not run away from problems – I try to solve them” • Stop! What is the problem? • What or who causes the problem? • More than one problem – on which to work first? • Establishing achievable goals for my problem. • Possible solutions – brain storming. • The best solution is • Implementation of solution. • Did it work? TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Workshop 5:“I am learning how to deal with stress” • positive and negative stress • useful and short antistress tehniques TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Workshop 6: “I think positive” THOUGHT body emotion behaviour TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Workshop 7: “I accept responsibility for my behaviour” TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Workshop 8: “I know I am a special and unique individual” TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Workshop 9: “I stand my ground” • a right to tell my opinion • a right to say no (assertive bahaviour) TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Workshop 10: “I recognise, accept and express my emotions” ☺ • pleasant and unpleasant emotions better than positive and negative emotions • facing with emotions TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Workshops for youth • Lead by teachers- social pedagogues, psychologists, teachers of math, physics, languages, arst, gym, biology..) • Carried out at schools - in groups or classes • Carried out during lessons reserved for discussion of class issues or modified lessons dedicated to special topics. TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Evaluation of the 'Ten steps to a better self-image' programme • Six years of simple process evaluation applied to prevention workshops in school setting • Advanced evaluation of the effectiveness and efficiency in 2007 - after eight prevention workshops in the experimental group vs. control group - with an established questionnaire on self-image(covering the fields of social, family, physical, educational, emotional and overall self-image) - an established questionnaire for teachers/moderators; - a questionnaire on student satisfaction; - moderator's diary of the workshops TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Results The responses of the experimental group (that participated in the ‘This is Me’ workshops) and potential changes in the control group (that did not participate in the workshops) were monitored. Following the completion of the prevention workshop programme • a trend towards a better classroom atmosphere and interpersonal relations was clearly noticeable; • the overall self-image of the entire classroom was improved; • improvement of self-image was registered in social and emotional aspect of self-image. TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
Conclusions • Organised care for self-image has an extremely important preventive and curative effect; • An individual benefits from its positive effects in almost all of the most important aspects of life; • The programme This is me is going to be upgraded with an instructions manual on how to carry out prevention workshops; • Preventive workshops based on the 'Ten steps to a better self-image' programme can be carried out in any ethnic or school environment. TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje
THIS IS ME! Thank you for your attention! TO SEM JAZ – program za razvijanje samopodobe mladih. ZZV Celje