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NFHS Voice: Lessons Learned in Loss
January 31, 2020
By Karissa Niehoff
NFHS Executive Director
Sometimes in life things simply do not happen as planned. The unexpected is always right around the corner. When these situations occur, we must adapt to change and determine the best steps in moving forward.
Such was the case in selecting the subject for this week’s “Voice.” We were set on addressing the ugly spotlight on professional baseball with the recent sign-stealing incidents and that high school sports is not and must not be about “winning at any cost.”
This is certainly a worthy subject. High school sports is about competing fairly and doing things the right way. The wrong in the baseball scandal was not getting caught; it was players and managers believing that cheating was an acceptable means to winning. These are not the kind of heroes we want to follow.
And then came the events of Sunday morning in California. It was hard to fathom. Kobe Bryant and his 13-year-old daughter, Gianna, were no longer with us. Along with seven others on the helicopter that crashed that morning, Kobe and “Gigi” were on their way to what else – a basketball game.
As people from all over the world – both those who knew Kobe on a personal basis as well as casual fans – expressed their shock and sadness about this tragedy, there were consistent messages about the value of sports and family that were ever present.
While Kobe Bryant was one of the best basketball players ever to play the game, it was apparent that more so than all the all-star appearances and scoring titles and NBA championships, his impact came from the relationships formed through participating in sports – from Lower Merion High School in the Philadelphia suburb of Ardmore, Pennsylvania, to his 20 years with the Los Angeles Lakers.
And then it was about family as he supported his daughters, Natalia, who plays volleyball, and Gigi, a basketball player who was determined someday to play at the University of Connecticut, in their participation in sports. In an interview with PEOPLE Magazine in 2018, Bryant shared how he used his opportunity to coach his daughters in basketball as an opportunity to teach them valuable life lessons.
“A valuable life lesson that I can teach them is what it means to pursue excellence and the commitment level that comes with that,” Bryant said in the PEOPLE interview.
There are many lessons to be learned from this tragedy and the nine lives that were cut short. Our original plan of re-emphasizing that high school sports must not be about “winning at any cost” is certainly among those lessons. Success at the high school level has more to do with preparing students for their lives after high school than winning games or state championships.
Doing things the right way, playing the game the way it is supposed to be played, developing relationships and having fun along the way – that’s the message of high school sports.
As we listened to hundreds of people share their remembrances of Kobe Bryant the past few days, a few things were evident. Like all of us, he was not perfect; however, he showed us the power and influence of sports in our country. He played the game the right way, giving 100-percent effort every night. He regularly praised and supported others, always smiling. And he was passing on his love of sports to his daughters.
And the last lesson – be sure you tell those closest to you every day that you love them.
Dr. Karissa L. Niehoff is in her second year as executive director of the National Federation of State High School Associations (NFHS) in Indianapolis, Indiana. She is the first female to head the national leadership organization for high school athletics and performing arts activities and the sixth full-time executive director of the NFHS, which celebrated its 100th year of service during the 2018-19 school year. She previously was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference for seven years.
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More States Begin Mental Health Efforts
January 2, 2020
Editor’s Note: This is part of a series on NFHS News addressing the challenges of mental health issues in high school athletics. This article explores one statewide approach to this important subject.
Suicide is a serious public health problem. It is the second-leading cause of death of high school-aged individuals in the United States. (National Vital Statistics Report 2016 Data Published by the CDC July 2018)
In Oregon, the suicide rate is higher than the national average, and a recent survey of 11th-graders found that within the past year, 18 percent seriously considered suicide and 7 percent attempted suicide. (Youth Suicide Annual Report 2017 & Oregon Healthy Teens Survey 2017)
More concerning is the fact that the rate of completed suicides in youth has been increasing since 2011. Not only does suicide lead to a life lost much too early, it leaves a devastating impact on those left behind.
Fortunately, suicides are preventable. The Oregon Youth Suicide Intervention and Prevention Plan was created calling for “Zero Suicide ... through collective action among health and behavioral health systems, schools, communities, parents and other systems that touch the lives of youth.” (Youth Suicide Annual Report 2017) For numerous reasons, schools are being used as the primary means of dissemination and implementation of suicide prevention interventions.
One group of school personnel that had not been traditionally considered in school-based efforts are school activities personnel: coaches, athletic trainers and athletic administrators. These individuals spend a great deal of time with students, developing relationships that may go beyond what a student typically has with a teacher.
Coaches, athletic trainers and athletic administrators are in the ideal position to recognize behavioral warning signs or be the point person for students to go to if they have concerns about a peer. This is vital as youth considering suicide often talk about suicide and exhibit behaviors and/or moods associated with increased suicide risk. Additionally, activities personnel are school leaders who are often known and trusted by parents, thus creating more opportunities for dialogue on suicide prevention.
Realizing the impact youth suicide has on school communities and the prevention opportunities that exist, the leadership of the Oregon School Activities Association (OSAA), the Oregon Athletic Coaches Association, the Oregon Athletic Directors Association and the Oregon Athletic Trainers’ Society partnered to promote the role of high school activities personnel in preventing youth suicide. While these groups had multiple means of reaching out to the intended audience, the leadership realized help was needed from experts for a statewide education campaign to be successful. The Suicide Intervention Coordinator for the Oregon Health Authority (the state agency charged with overseeing Oregon’s health-related programs) was contacted and agreed to assist in developing a statewide educational campaign geared to activities personnel.
The Campaign
It was determined that a series of articles geared specifically to activities personnel would be written by the Oregon Health Authority and then disseminated by the OSAA throughout the academic year.
The articles typically contained two pages of practical information and tips. The campaign was not designed to replace a formal suicide gatekeeper training; rather, it served to promote awareness of the role activities personnel play in countering the rising problem. The articles and additional resources were also posted to the OSAA website.
The OSAA Foundation provided funding for a poster that was provided to schools to be placed in locker rooms, team rooms, athletic training rooms and other areas where students congregate. The primary goal of the poster was to provide students with contact information for crisis lines.
Toward the end of the campaign, workshops were presented by a representative from the American Foundation for Suicide Prevention at the Oregon Athletic Directors Association’s annual statewide conference. The goal was to provide information on programs and policies that athletic administrators could implement at their schools.
While the campaign only spanned the 2017-18 academic year, the leadership of the stakeholder groups believed there was still more that could be done. In 2018-19, a campaign on anti-hazing and anti-bullying (which is a risk factor for suicide) was implemented using a similar approach as the suicide prevention campaign.
In addition, the groups coordinated a high school coaches’ symposium that included breakout sessions on suicide prevention, hazing prevention and character education.
Lessons Learned
Individuals who work with students involved with high school activity programs realize the power and opportunities which exist for positive character development. The focus of this campaign was to highlight a significant and growing public health problem – youth suicide. The goal of the campaign was to increase awareness and provide appropriate resources – not to create experts in suicide prevention.
The collaborative nature of this campaign strengthened the relationships between the different groups working together with a specific purpose. The groups have now partnered on several additional campaigns – the aforementioned anti-hazing/anti-bullying campaign and promoting the development of Emergency Action Plans.
The campaign also allowed the groups to work closely with state public health officials. While the OSAA had previously partnered with state public health officials regarding air quality policies and a guidance document for medical providers on pre-participation physical exams, this campaign provided several new and distinct advantages.
State public health officials were able to see the positive impact of participation in high school activity programs beyond just the activity itself – namely the positive mentorship relationships that may develop. They were also impressed by the large audience the campaign reached and the feedback provided (due to the expansive network of activities administrators, coaches and athletic trainers that the OSAA reaches). Ideally, this will spur additional collaborations in the future.
A major challenge for schools and school personnel is the competing demands for time and resources for the many worthy interventions and activities. Unfortunately, it is impossible to commit to all interventions and activities that may benefit students. While there was a monetary cost for the posters to be distributed to schools, development of the actual campaign articles and presentations were done by individuals as part of their job related to suicide prevention, so the campaign was relatively inexpensive. Since it was distributed throughout the year, it did not require a large time commitment from activities personnel and the monthly articles kept the issue front and center.
Conclusion
The statewide Youth Suicide Awareness Campaign is just one example of how the unique role of school activities personnel can be leveraged and how stakeholder organizations and state public health agencies can maximize their impact and reach through collaboration. While we will continue to review suicide incidence in Oregon during the coming years, the campaign is seen as a success at this point. It has strengthened relationships between the involved entities, and it promoted the role of coaches, athletic trainers and athletic administrators as mentors and trusted individuals to make an impact that extends beyond wins and losses.
— Sam Johnson, Rob Younger, Peter Weber, NFHS News, March 12, 2019
Colorado Institutes Mental Health Requirement
In a major step aimed at improving mental health of students across Colorado high schools, the CHSAA Board of Directors approved as a requirement that all coaches take a course on student mental health.
It is among the major topics facing high school students today. According to the U.S. Department of Health & Human Services, 31 percent of high school students reported symptoms of depression in 2017, and 17 percent reported they seriously considered attempting suicide.
So, starting this fall, all coaches must take a course “Student Mental Health and Suicide Prevention” on the NFHS Learning Center, or a district-led mental health training. The NFHS Learn course is free.
In order to be a registered coach, this requirement must be satisfied. Unregistered coaches are not permitted to coach, per CHSAA bylaws. Other required courses or training are based around concussion, first aid, mandatory reporting, and the CHSAA coaches course.
“CHSAA’s vision is to deconstruct the stereotypes around mental health and help start the conversations that need to happen around our kids,” said CHSAA commissioner Rhonda Blanford-Green. “The mental and physical well-being of our student participants is our priority.”
The decision was made with the full support of the Sports Medicine Advisory Committee (SMAC), which discussed the topic at length during its meeting last school year.
“The committee was focused on finding great tools that we can give to our schools and coaches to help provide awareness around mental health, which is among the most important issues our students face,” said Jenn Roberts-Uhlig, the CHSAA staff liaison to SMAC. “We believe it is important for coaches to not be afraid to look for the signs and symptoms of a student who is struggling with their mental health, and this training will provide valuable instruction in how to do that.”
— Ryan Casey/CHSAA, June 27, 2019