Speakers Bureau Helps Generate Conversation
December 30, 2019
By Rob Kaminski
MHSAA benchmarks editor
As student mental health climbs the list of health and safety concerns, the MHSAA and state associations across the country are taking measures to provide resources and guidance aimed to keep school sports an enjoyable and valuable experience.
In sports, coaches and athletes learn to expect the unexpected. It’s the nature of competition; constructing gameplans tailored to utilize team strengths and expose opponents’ weaknesses. Often times this entails doing things that opponents won’t expect. Participants then learn and prepare for the next time; it’s one of the ways athletics prepares participants for life, as educational leaders often preach.
Today’s ever-changing culture recently threw such a curveball at the young people who populate our hallways and playing surfaces, calling for statewide associations and organizations to shift focuses and prepare for a new opponent while attempting to keep school sports one of the best means to a healthy adolescent lifestyle.
“I was at the NCAA summer meeting in 2017, discussing health and safety issues and the topic of concussions came up, as it often does. I assumed that concussions was the No. 1 health and safety issue,” said MHSAA Executive Director Mark Uyl. “I was quickly corrected that it’s student mental health; that knocked me back.”
It would not be an uncommon reaction, given the amount of information, media coverage and programs designed to recognize and reduce concussion incidents in recent years.
All the while, anxiety, depression and stress had been creeping into the picture beneath the surface. Such disorders are much more difficult to detect, as there are few visible symptoms when compared to sprains, fatigue, head injuries and other physical ailments.
“I became interested and began to research the topic. The more I read, the more concerned I became,” Uyl said. “The MHSAA, with a great deal of help and cooperation from our school leaders, has done a tremendous job educating and providing resources for health-related issues such as heat management, concussion reporting and practice policies, and now we have a new challenge.”
Fortunately, as has often been the case, there are knowledgeable and qualified people throughout Michigan’s roster of educational leaders who are willing to assist.
As word spread regarding the student mental health initiative, the MHSAA was able to establish a Mental Health Speakers Bureau composed of several experienced individuals willing to assist (see below).
“Our speakers bureau really grew by word of mouth,” Uyl said. “A school would bring in a speaker, or a league would invite a speaker, and once we were connected with them, then those people would share names and it grew from there.”
The resources range from former professional athletes, to behavioral specialists, to current MHSAA coaches.
Dave Ingles, basketball coach at Kent City, is one such individual. His credibility comes from first-hand experience.
“I privately struggled with deep depression for six years,” Ingles said. “Be alert. Talk to your athletes and students and actually listen to what they are saying. I always used the phrase, ‘I’m fine;’ that is not an acceptable answer to me anymore when I hear it.”
The National Institute of Mental Health reveals that most mental health conditions begin around the time children are transitioning from middle school to high school. The more people trained to identify symptoms and behavior, the better the chance to reduce or reverse some of the following numbers:
• 50% of all lifetime cases of mental illness begin by age 14
• 37% of students with a mental health condition age 14 or older drop out of school
• 20% of students ages 13-18 live with a mental health condition
• 11% of youth have a mood disorder and 8% have an anxiety disorder
• Suicide is the third leading cause of death for ages 10-24
Non-visible ailments always have been most difficult to detect, and today’s proliferation of technology – from streaming to social media – can serve to further mask symptoms.
“The more kids spend time with their devices, staring at their screens, isolation can be quick to take hold,” Uyl said. “Everything is instant. It used to be if our friends didn’t invite us somewhere, we didn’t worry about it; we probably wouldn’t find out for a couple days and had already moved on. Today, in about 10 minutes, there’s a picture on Instagram or Snapchat and kids instantly know, ‘I’m not included.’ Isolation leads to depression and anxiety, and in the worst cases can even lead to suicide.”
That message might sound familiar. Segments of the 2019-20 MHSAA online rules meetings include Uyl emphasizing student mental health and a video clip produced by benice.org promoting a mental health action plan endorsed by four of the state’s most recognized collegiate coaches.
It’s all part of the plan to promote awareness and generate conversation surrounding this serious health and safety issue during 2019-20 and beyond.
“We’re not going to try to do this all by ourselves,” Uyl said. “There are plenty of experts in the field, and we’re going to utilize their knowledge. We’ll build relationships and align ourselves with these people to provide a foundation. We need to become a resource center for our membership.”
In addition to the rules meetings messages, the MHSAA also partnered with the Michigan Association of Secondary School Principals Student Mental Health Summit on Oct. 8 in Lansing. This event – sold out within weeks of posting – invited principals, counselors, student leadership advisers and student leaders to come together to discuss and seek solutions for student mental health concerns impacting schools. The MHSAA lined up Eric Hipple, one of its speaker bureau members, who delivered a keynote, “Depression and Suicidal Awareness.”
Student mental health was among topics during the MHSAA Update and AD In-Service tour around the state this fall as well. The meeting at Comstock Park on Sept. 30 included a presentation from the Mental Health Foundation of West Michigan to introduce the be nice® action plan and encourage schools to take advantage of that and other resources the group has to offer.
The rise of mental health as one of the more prominent medical concerns nationally has occurred, as Ingles sees it, “because more people are talking about it now.”
Leaders like Ingles and those in numerous organizations have begun to assist the MHSAA in identifying and treating cases in our schools.
MHSAA Mental Health Speakers Bureau
Below is a list of individuals and organizations partnering with the MHSAA to assist in promoting mental well-being for students around the state. The MHSAA encourages school personnel to reach out to any of these experienced leaders in the field for programming in your buildings and districts.
• Christy Buck, Executive Director – Mental Health Foundation of West Michigan - be nice.® [email protected]
• Brooke Buys, Mental & Behavioral Health Specialist – BLND Health [email protected]
• Eric Hipple, former Detroit Lions quarterback [email protected]
• Dave Ingles, Basketball Coach & Speaker – Kent City High School [email protected]
• Cat Lanting, Program Coordinator – Mental Health Foundation of West Michigan - be nice.® [email protected]
• Halle Wangler, former University of Michigan basketball player [email protected]
PHOTO: Brooke Buys, a mental and behavioral health specialist and founder of BLND Health, speaks with students. (Photo courtesy of BLND Health.)
Navigating Twists, Turns Of Ankle Sprains
November 30, 2020
Henry Ford Health System
Oh, how the ankle turns! If you’ve had a misstep or wrong turn result in a sprained ankle, you know how painful this injury can be. Henry Ford podiatric surgeon Paul Di Liddo, DPM, discusses ankle sprains and treatments.
Ankle Injury 101
From risk factors to treatments (and nearly everything in between), here’s what to know — and do — about ankle sprains.
Sprained Ankles Are Painfully Common
In fact, they’re among the most frequent injuries in the United States, with up to 25,000 people per day spraining their ankles. Although often associated with sports, ankle sprains can happen to anyone, anywhere. “I see ankle sprains from tripping over curbs, stepping in holes in a yard or simply walking,” says Dr. Di Liddo. “Ankle sprains — like accidents — happen.”
Ankle Sprains Injure Ligaments
“Ankle sprains occur when the ankle suddenly and forcefully twists or rolls past a point that the ankle ligaments can tolerate,” remarks Dr. Di Liddo. “The ankle ligaments will stretch or tear, either partially or completely.” An ankle can twist, turn or roll during a fall, jump or change of direction, while walking on uneven ground and more.
A Weak Ankle Is A Vulnerable Ankle
Most sprained ankles heal without long-term concern. In some cases, however, ligaments may not fully heal, resulting in a weak or unstable ankle. “A weak or unstable ankle can make an individual more susceptible to repeated ankle sprains,” explains Dr. Di Liddo.
High Arches Can Be Risky Business
People who have high-arched feet are more at risk of rolling — and therefore spraining — their ankles. So are people who have “loose joints,” because the ankle can overstretch with a seemingly minor twist. People who are at-risk for ankle sprains should take extra precautions when playing sports or performing other activities.
Some Sprains Can Be Treated At Home — Emphasis On Some
How you treat a sprained ankle depends on the severity of the injury. Minor sprains can be treated at home with the RICE method. The RICE method include:
- Rest by avoiding use of the injured ankle
- Ice applied to the ankle (without touching the skin) for no more than 20 minutes every three to four hours
- Compression with an elastic bandage
- Elevation above the heart
Ice, compress and elevate your ankle for the first few days. Rest and refrain from sports until ankle pain and swelling have subsided.
At-home treatments aren’t right for everyone — or every ankle injury. “A swollen ankle is typical if you have experienced a sprain,” says Dr. Di Liddo. “However, if you have severe ankle swelling, are in extreme pain or notice an odd ankle appearance, seek medical attention.” This is also true if you can’t walk more than a few steps or have limited ankle mobility. A foot and ankle specialist can diagnose your injury and begin treatment.
Ankle Treatments Abound
Ankle sprain treatments are designed to decrease pain and swelling, while protecting the ligaments from further injury. Treatments include wearing an ankle brace, walking boot or cast. Physical therapy to strengthen the ankle and maintain range of motion may also be incorporated after the ligaments have started to heal.
“Of course, for more severe injuries, a thorough physical exam and X-rays are necessary,” says Dr. Di Liddo. “This helps ensure that there is no other underlying injury, such as a fractured ankle or Achilles tendon rupture.”
Healing Times Vary
The recovery time for a sprained ankle depends on the severity of the injury. Sprains with minimal ligament stretching and no tear require one to three weeks. Partially torn ankle ligaments may take up to six to eight weeks to heal. A fully torn ligament can take several months to fully heal.
What To Do When Ankle Problems Persist
For people who continue to experience ankle instability, there are a host of options. “Physical therapy is the first step — but not the only one,” says Dr. Di Liddo. “If physical therapy has not been beneficial, we can discuss surgical approaches.”
Surgical options include:
- Ligament repair or reinforcement via an outpatient procedure
- Osteotomy, which is surgical cutting of bone, to lower arches when ankle instability is caused by high arches
For those with frequent ankle sprains or instability, a medical assessment is necessary and may include:
- Physical exam
- X-rays to assess bones and joints
- MRI to evaluate ankle ligaments
With this information in mind, you can prevent — or address — the twists and turns of ankle sprains.
Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan.
Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.