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== Summary: ==
A key result from meta analysis is that although many factors are believed to increase the risk of developing a mental health condition, but focusing on treatment those factors is not the most efficient way to reduce the prevalence of mental health conditions. [citation required]


Instead, building protective factors across a community, resulting in a widespread sense of belonging seems to be extremely effective in reducing the risk of mental health conditions.
== Key Findings in Social Network Health ==
These 14 findings are critical to developing a mature approach to strengthening social networks in a community.  Among the key findings, we currently identify ten that require implementation action and four findings are direct community health measurements. The number of key findings we describe may change as further research and implementation reveal new insights over time.  


Individuals who feel a sense of belonging in their community have the sklls and environment they need to become more involved and to actively seek the help they need.


To make that happen in a community (a school environment, for example), the school community must develop group cohesion.  Group cohesion is created from strong, healthy connections between student peers and between students and trusted adult guides throughout the community.


To engage with one another optimally, a community must discover the strengths of individuals and groups.  Discovery must be practiced and developed as a skill.  Active learning and heavily peer-influenced activities and initiatives have been show to be effective as part of a methodology to kick-start discovery and ultimately lead to deep conversations, which are the most powerful method of learning and bonding in social networks.
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=== Key Action Findings: ===


When a whole school community is cohesive, and has strong, healthy connections throughout, it’s members become more activated, more engaged, and more energizedThe time spent building healthy connections is repaid manyfold by a reduction in suicide, pruning and disciplinary incidents, by an increase in attendance and performance, and by an emotionally recharged community that spends the bulk of their time working preventatively, instead of performing interventions after disruptive and damaging incidents.
==== '''Prevention: ''' ====
Effective and efficient prevention builds individual and community protective factors and social normsNetwork health approaches that address these processes, such as maximizing youth-adult connections school-wide, heightening influence of youth with coping, and creating protective schools.  


The makeup of a healthy school environment is unique to every school.  A healthy school environment cannot be duplicated by simply following a written manual or video series and/or taking a one-time training - rather, such an environment is built by developing ecologically valid skills and practices that are unique to each community.  These skills and practices become cultural norms that are developed across years of consistency of practice.
Dive in: [[Prioritizing Prevention]]


== Context of this project: ==
==== '''Ecological Validity:''' ====
Defining the Social Network Health Approach within an integrated system of care:
Approaches that are designed and built by and with the community (authenticity, organic, grassroots, culturally relevant) have higher transfers of beliefs and skills to daily life.  A program that is transferred from one environment to another is not a valid Social Network Health approach, and is unlikely to address the cultural norms of the new environment.


This toolkit describes the Social Network Health Approach to preventative mental health care, drawing on published research from the University of Rochester Center for the Study and Prevention of Suicide and from the implementations by preventative mental health care professionals in close cooperation with them.
Dive in: [[Ecological Validity]]


Preventative care is only one category of care within a holistic integrated system of mental health care.  Simplistically and fundamentally, it is critically important to address both Preventative and Emergency care within an integrated system.  Preventative care is clearly preferable, when effective, to emergency care when the risk of suicide is in play.
==== Evidence-Based Methodology: ====
Social Network Health approaches require an ongoing commitment to follow documented evidence of impact by studying research and implementation in the field of preventative mental health care.


=== Active Research ===
Dive in: [[Evidence-Based Methodology]]
The Network Health Approach describes tools and methods that are under active study, development, and use.
==== '''Consistency: ''' ====
Social Network Approaches require long-term commitment to intentional cultural integration, relationship and skill building, and re-evaluation and modification of programming over time.  Mentors that regularly interact deeply with communities over time build  consistent programming and genuinely change culture.


This means that this toolkit will be updated as new research dictates, and, most importantly the version history will reflect changes accurately. 
Dive in: [[Consistency]]


To ensure that you have the latest information, you can check the most recent update date on any page in this wiki, view and read the full version history, see when it was last peer-reviewed, sign up for updates to this toolkit, join our discussion group, and apply to become an editor.
==== Discovery: ====
Discovery is the mechanism to explore personal strengths , how other’s strengths can be shared, and the community can borrow strength to affect change.  When everyone’s competencies are recognized, the group is aware of it's collective strengths and the value of all members.


We will update this with new research as it develops.  We have a research page where new contexts in which these tools can be used will be described as the tools are applied, researched, and tested within them.
Dive in: [[Discovery]]


=== Schools First ===
==== '''Whole Community''':  ====
Throughout this toolkit, we will assume the context of a school.  We are focused on helping there because the need for preventative solutions and research is strong.  However, this approach has been proven effective in other contexts such as in the United States Air Force, Police departments, and other contexts you can learn more about on the research page.
A Social Network Health approach is when everyone in the community is invited to contribute to the overall health of the social network.  Involving as much of the community as possible contributes to efficiency (using the community instead of outsiders), co-creation (ecological validity), and discovery of strengths.


=== Universality of the Approach ===
Dive in: [[Whole Community]]
Programs are developed from approaches. Ecological validity is one part of the Network Health Approach that demands that a program is developed specifically and uniquely for a community - that’s what makes this approach so broadly applicable. This contention is supported by researched implementation across a breadth of communities.


Difference from previous approaches
==== Peer Influence: ==== 
Peer influenced or peer-peer activities promote relationships between peers and engage people in their existing communities, leveraging existing relationships and common interests, while enhancing their knowledge of one another and their potential within their community.


A network health approach to preventative care builds individual and community protective factors and social norms.  Network health approaches that address these processes, such as maximizing youth-adult connections schoolwide and heightening influence of youth with coping, create more protective schools.  
Dive in: [[Peer-influenced|Peer Influence]]


=== Historical Context ===
==== '''Mentoring: ''' ====
The history of preventative mental health care is beyond the scope of this wiki, but it is worth arguing that the characteristics of this approach are different than what has been created in the societies of most of the world over the last 100 years, but they are not that different from what existed and still does exist in most cultures in the more distant past. Not an immediate focus, but the fact that research has taken humanity full circle to rediscovered excellence is notable and in some cases relevant.
Mentoring is a practice and a skill set that supports others through listening, sharing and connecting.  


=== Medical Model v. Strengths model ===
Dive in: [[Mentoring]]
The medical model of care requires identification of a weakness to begin recommending treatment. In mental health care, some issues have no strong correlates that can be identified as weaknesses early on. Interestingly, there are correlates that can be identified as risk factors in communities that are much stronger indicators of future risk, and more readily identifiable, than individual risk factors. In some cases, strengths-based models that seek to identify strengths of individuals and communities have been shown to be more effective in reducing risk factors than a weakness-based medical model. Treating a community preventatively withy a strengths based-model can also be done without isolating individuals as weak links, separating them from connections. Instead, a strengths based preventative care program identifies strengths and integrates individuals into broader communities.


In the parlance of Social Emotional Learning in US schools there Tiers - Tier 1 (prevention-based) comes before Tier 3 (isolation-based) because it is, colloquially, terrible to have to isolate people - generally, Tier 1 is the success case and Tier 3 is the last line of defense for individuals who need it. This is appropriate prioritization from the perspective of a social network health approach. In practical implementation, however, far fewer communities put as many resources into effective Tier 1 programming as Tier 3.
==== Active/Experiential Learning: ====
High-energy activities maintain interest, motivation, and create shared positive emotional experiences to create norms and provide incentive to acquire adaptive coping skills through experience.  Space is created to practice skills that grow healthy bonds and draw upon resources in the community.  


TBD - We could make a matrix of all the characteristics of programs out there and see where this approach fits - that might be overkill to start with, but it would be useful to those who are trying to find the right approach in a sea of approaches.
Dive in: [[Active Learning]]
 
Notes: We are preferring Active Learning to experiential learning because it's a more modern and recognizable term and it is more common to find the term in supporting evidence.
 
==== Personally Meaningful Sharing: ====
Participants are invited to share personally relevant goals, values, and experiences. Using meaningful sharing draws upon real life strengths and conversations as a way to teach, discover, and understand one another. 
 
Dive in: [[Deep conversations|Deep Conversations]]
 
}}
 
 
 
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=== Key Outcome Findings: ===
 
==== '''Group Cohesion:''' ====
Group Cohesion is an outcome  resulting from feeling connected to others.  An environment where youth-adult networks share in experiential learning  maximizes protective bonds.
 
Dive in: [[Group cohesion|Group Cohesion]]
 
==== '''Connection to Guidance:''' ====
Connection to guidance is the protective factor that encourages the identification of trusted adults who can be used as a resource, free of judgment, during times of relational disconnection or crisis.
 
Dive in: [[Connection to Guidance]]
==== '''Belonging:''' ====
A sense of Belonging is the feeling of being accepted, valued, and connected within a community or group. 
 
Dive in: [[Belonging]]
 
==== '''Help Seeking:''' ====
Help seeking behaviors are actions taken by individuals to seek assistance or resources to address potential or existing mental health concerns before they become more severe.
 
Dive in: [[Help-Seeking Behaviors|Help Seeking]]
 
}}
 
== Commentary on Key Findings: ==
To summarize the key findings in brief:
 
Preventative care is one category within a holistic integrated system of care.  Simplistically and fundamentally, it is critically important to address both Preventative and Emergency care within an integrated system.  Many social factors increase the risk of developing a mental health condition. However, focusing on reactive treatment of those factors is not the most efficient way to reduce the onset of mental health conditions. Instead, building protective factors across a community, which results in a widespread sense of belonging, appears to be extremely effective in reducing risk factors.
 
The makeup of a healthy school environment is unique to every school.  A healthy school environment cannot be duplicated by simply following a written manual or video series and/or taking a one-time training. Building a healthy culture needs to be intentionally approached by developing ecologically valid skills and practices that are unique to each community. Research has shown that the time spent building healthy connections and protective factors tends to provide a reduction in suicide ideation, social pruning, documented disciplinary incidents, and health and wellbeing of the entire community.

Latest revision as of 01:05, 8 August 2024

Key Findings in Social Network Health

These 14 findings are critical to developing a mature approach to strengthening social networks in a community. Among the key findings, we currently identify ten that require implementation action and four findings are direct community health measurements. The number of key findings we describe may change as further research and implementation reveal new insights over time.


Key Action Findings

Key Action Findings:

Prevention: 

Effective and efficient prevention builds individual and community protective factors and social norms.  Network health approaches that address these processes, such as maximizing youth-adult connections school-wide, heightening influence of youth with coping, and creating protective schools.  

Dive in: Prioritizing Prevention

Ecological Validity:

Approaches that are designed and built by and with the community (authenticity, organic, grassroots, culturally relevant) have higher transfers of beliefs and skills to daily life.  A program that is transferred from one environment to another is not a valid Social Network Health approach, and is unlikely to address the cultural norms of the new environment.

Dive in: Ecological Validity

Evidence-Based Methodology:

Social Network Health approaches require an ongoing commitment to follow documented evidence of impact by studying research and implementation in the field of preventative mental health care.

Dive in: Evidence-Based Methodology

Consistency: 

Social Network Approaches require long-term commitment to intentional cultural integration, relationship and skill building, and re-evaluation and modification of programming over time. Mentors that regularly interact deeply with communities over time build consistent programming and genuinely change culture.

Dive in: Consistency

Discovery:

Discovery is the mechanism to explore personal strengths , how other’s strengths can be shared, and the community can borrow strength to affect change.  When everyone’s competencies are recognized, the group is aware of it's collective strengths and the value of all members.

Dive in: Discovery

Whole Community

A Social Network Health approach is when everyone in the community is invited to contribute to the overall health of the social network.  Involving as much of the community as possible contributes to efficiency (using the community instead of outsiders), co-creation (ecological validity), and discovery of strengths.

Dive in: Whole Community

Peer Influence:

Peer influenced or peer-peer activities promote relationships between peers and engage people in their existing communities, leveraging existing relationships and common interests, while enhancing their knowledge of one another and their potential within their community.

Dive in: Peer Influence

Mentoring: 

Mentoring is a practice and a skill set that supports others through listening, sharing and connecting.

Dive in: Mentoring

Active/Experiential Learning:

High-energy activities maintain interest, motivation, and create shared positive emotional experiences to create norms and provide incentive to acquire adaptive coping skills through experience.  Space is created to practice skills that grow healthy bonds and draw upon resources in the community.

Dive in: Active Learning

Notes: We are preferring Active Learning to experiential learning because it's a more modern and recognizable term and it is more common to find the term in supporting evidence.

Personally Meaningful Sharing:

Participants are invited to share personally relevant goals, values, and experiences. Using meaningful sharing draws upon real life strengths and conversations as a way to teach, discover, and understand one another. 

Dive in: Deep Conversations


Key Outcome Findings

Key Outcome Findings:

Group Cohesion:

Group Cohesion is an outcome resulting from feeling connected to others. An environment where youth-adult networks share in experiential learning maximizes protective bonds.

Dive in: Group Cohesion

Connection to Guidance:

Connection to guidance is the protective factor that encourages the identification of trusted adults who can be used as a resource, free of judgment, during times of relational disconnection or crisis.

Dive in: Connection to Guidance

Belonging:

A sense of Belonging is the feeling of being accepted, valued, and connected within a community or group.

Dive in: Belonging

Help Seeking:

Help seeking behaviors are actions taken by individuals to seek assistance or resources to address potential or existing mental health concerns before they become more severe.

Dive in: Help Seeking

Commentary on Key Findings:

To summarize the key findings in brief:

Preventative care is one category within a holistic integrated system of care.  Simplistically and fundamentally, it is critically important to address both Preventative and Emergency care within an integrated system.  Many social factors increase the risk of developing a mental health condition. However, focusing on reactive treatment of those factors is not the most efficient way to reduce the onset of mental health conditions. Instead, building protective factors across a community, which results in a widespread sense of belonging, appears to be extremely effective in reducing risk factors.

The makeup of a healthy school environment is unique to every school.  A healthy school environment cannot be duplicated by simply following a written manual or video series and/or taking a one-time training. Building a healthy culture needs to be intentionally approached by developing ecologically valid skills and practices that are unique to each community. Research has shown that the time spent building healthy connections and protective factors tends to provide a reduction in suicide ideation, social pruning, documented disciplinary incidents, and health and wellbeing of the entire community.