Understanding and Responding to Rural Stress: The Role of … · Suicide – Current Key Issue •...
Transcript of Understanding and Responding to Rural Stress: The Role of … · Suicide – Current Key Issue •...
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Understanding and Responding to Rural Stress:The Role of Extension and Land-Grant Universities
SeanBrotherson,Ph.D.,ExtensionFamilyScienceSpecialist(NDSUExtension)Dec.11,2018
GeorgiaRuralStressSummit
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Farming ranksinthetoptenmoststressfuloccupations
intheUnitedStates.
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KeyMessagesonRuralStress•Yourhealthisyourmostimportantasset asafarmer,rancheroragriculturalworker.• Farmerandfarmworkerhealthandsafetyisthemostimportantpriorityinmanaginganyfarmorranchoperation.
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KeyMessagesonRuralStress• Increasedstresslevelscannegativelyaffectanddamageone’s:•Physicalhealth•Mentalhealth•Behavioralhealth•Relationalhealth•Occupationalhealth
• Goodstressmanagementisgoodfarmmanagement!
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2)RuralStressConditions:What’stheStory?
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24% 24% 21% 19%
10%
2% 0%
5%
10%
15%
20%
25%
30%
ExpectationsforEconomicConditions
ExpectationsforEconomicConditionsinFarming/RanchinginND- 2017
SignificantlyWorse ModeratelyWorse SlightlyWorseAbouttheSame SlightlyBetter ModeratelyBetter
69%
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5% 2%
17% 24% 26% 26%
0%
5%
10%
15%
20%
25%
30%
ExpectationsforStressConditions
ExpectationsforFamilyStressLevelsinFarming/RanchinginND- 2017
SignificantlyDown ModeratelyDownAbouttheSame SlightlyIncreaseModeratelyIncrease SignificantlyIncrease
76%
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Why SoMuchStress?v KingKong-sizeSourcesofruralstressvWeather– droughtv Prices – croppricesdropbyathirdtohalfv Other?
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NorthDakotaMarketing Year AveragePrice:Range1997-2006andYears2007-2016
Year SpringWheat Soybean Corn
1997-2006 2.76- 4.49 4.05– 6.62 1.59– 2.77
2007 7.45 9.63 4.06
2008 7.19 9.71 3.74
2009 4.90 9.26 3.18
2010 6.78 10.90 5.01
2011 8.17 11.90 5.81
2012 8.19 14.00 6.46
2013 6.50 12.40 3.91
2014 5.42 9.49 3.34
2015 4.59 8.49 3.28
2016 4.57 8.97 3.01
-34% -48%-32%
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SpringWheatCostsperAcreRedRiverValley,MNandNDFarmManagementEducation,2002-2016
0
100
200
300
400
500
600
OverheadCash RentOther DirectRepairFuelFertilizerChemicalSeedGross Return
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Farmers&Suicide–CurrentKeyIssue
• Attentiontotheissueoffarmstressandsuiciderates amongfarmers– CDCstudy
• “CDCstudysayssuiciderateoffarmershigherthananyotheroccupationalgroup”– August2016• Peopleengagedinagriculture– 84.5per100,000persons(5-8xhigherthanavg.)
• Construction/extraction– 53.3per100X• All– 12.9per100X
• NDSUExtensionnewswork– AgWeek TVinterview
• http://www.agweek.com/news/4431284-agweektv-combatting-farmer-suicide(2minutes)
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MediaAttentiontoRuralStress
• Attentiontotheissueof ruralstressandhealthconcerns acrossvariedmediasources• LosAngelesTimes• ChristianScienceMonitor• ThomsonReuters• ChinaUSDaily• WashingtonPost
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AgriculturalStressesImpact...v Farm/RanchManagement&Options
v FamilyFinancialSecurity
v IndividualHealthandWell-Being
vFamilyWell-Being
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ImplicationsofRuralCrisisPerceptionsforMentalHealthvMostsurveyedattributethecrisistofactorsbeyondtheircontrol (weather,marketprice,farmpolicy).v Factorsbeyondone’scontrolmaycreateasenseofchallengesbeyondresolution.v Resultingfeelings =helplessness,victimization,anger,isolation,depression.vWhatkindofrecipeformental,emotional,behavioralandrelationalhealth?
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SupportSources–Whatcanwedo?
Managing Stress and Pursuing Wellness
3)HowtoAssistThoseDealingwithRuralStressConcerns?
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WhyisRuralStressHardonIndividuals?v Individuallevelsofstressarelinkedtohowapersonperceivesthesourceofstress- theirorientationtothestressor.vManypersonsseeitnotasachangeofjob,butasalossofself.vManypracticethe11thCommandmentorientation-“Thoushaltfarm!”(agrarianimperative)
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A family is more than an economic unit with needs to be met. A family is a set of individuals bound by love, blood ties, and loyalty across generations. When families are rooted in the context of farming or ranching for their livelihood, then economic crises concern much more than making ends meet. For families who have chosen farming or ranching it is more than a means of making money, it is a generational way of life. Thus, when it comes to the impact of a farming or ranching economic crisis on families and communities, it is about more than making money, it is about the continuance of a generational way of life that is rooted in history.
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RespondingtoRuralStress•WillingnesstoSeekAssistance - Doesthefamilyputupbarrierstoseekingassistanceoraccessingavailableresources?Howcanthisbeminimized?Whatstrategieswillencourageoutreach?
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EthicofSome...•“Weneedmarketsandprices—notassistance.”
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RespondingtoRuralStress•DevelopmentofSocialSupport - Doesthefamilytakestepstobuildsocialsupportbothinternallyandexternally?Howcanthisbefostered?◦Within-familysocialsupport◦Othersourcesofinformalsocialsupport◦Formalsocialsupport
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WhereDoFarmersGetSocialSupport?
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Extension/Land-GrantUniversitiesandAmericanAgriculture
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4) Resources for Responding to Rural Stress
v EducationalLessonPlans– Directtofarm/ranchpopulationsv ThematicResourcePagesOnlineonFarmStress&RelatedIssuesv EducationalResources&Publications–brochures;factsheets;postersets;etc.vProfessionalDevelopmentSeminars–mental&behavioralhealth,etc.v CreativeDeliveryofFarmStressResources
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1)EducationalLessonPlans–DirectAwareness&Educationv KeyLessonPlan(NDSUExtension)vManagingStressandPursuingWellnessinTimesofTightMargins
v FourAdditional BriefLessonPlansv Depressionv SuicidevMindfulnessv HowtoReferforAssistance
v AvailablecurrentlyoneXtensionvhttps://campus.extension.org/enrol/index.php?id=1482
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Managing Stress and Pursuing Wellnessin Times of Tight MarginsSeanBrotherson,Ph.D.,ExtensionFamilyScienceSpecialist
LindyBerg,B.S.,ExtensionAgent
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Managing Stress and Pursuing Wellness in Times of Tight Margins
Brief Lesson 1Understanding Stress
and DepressionSeanBrotherson,Ph.D.,ExtensionFamilyScienceSpecialist
LindyBerg,B.S.,ExtensionAgent
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Managing Stress and Pursuing Wellness in Times of Tight Margins
Brief Lesson 2Understanding Suicide
and DepressionSeanBrotherson,Ph.D.,ExtensionFamilyScienceSpecialist
LindyBerg,B.S.,ExtensionAgent
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Managing Stress and Pursuing Wellness in Times of Tight Margins
Brief Lesson 4What Can I Do to Help?
SeanBrotherson,Ph.D.,ExtensionFamilyScienceSpecialistLindyBerg,B.S.,ExtensionAgent
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MichiganState– FarmStressManagementSummit
•TraininginMentalHealthFirstAid• Twodeliverableworkshops• CommunicatingwithFarmersUnderStress
• WeatheringtheStorminAgriculture:HowtoCultivateaProductiveMindset
• SetforJan.24-25,2019
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Brainstorming
vWhatothertypesofdirecteducationallessonsorapproaches shouldweexploreforaddressingthetopicofruralstress?
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2)LinkstoFurtherInformationOnline- Facilitator
ØNDSUExtension– RelatedWebsitesØ Farm/RanchStressØ https://www.ag.ndsu.edu/farmranchstress
Ø DroughtStressØ https://www.ag.ndsu.edu/drought
ØMentalandBehavioralHealthResourcesØ https://www.ag.ndsu.edu/cff/resources-for-emotional-and-mental-health
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• eXtension – ProductionagricultureandStressresourceshttp://articles.extension.org/pages/70313/production-agriculture-and-stress
• LiveYourLifeWellCampaign,MentalHealthAmerica–www.mentalhealthamerica.net/live-your-life-well
• Farms.com– Dr.ValFarmer,“MindOverMatter”videoseries(10videos)–www.youtube.com/playlist?list=PL89017F264C488BC5
• CalminTheStormmobilestressapp–http://calminthestormapp.com/
Managing Stress and Pursuing Wellness
KeyResources–StressandFarming
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• Call2-1-1– Statewide24-hourhelpline,healthandhumanservicesinformationandreferral
• Refertoalocalhealth-careproviderormentalhealthprofessional.Ifyouorsomeoneyouknowneedshelp,contactandconnectwithalocalprofessionalsuchasaclergymember,medicalprofessional,lawenforcement,schoolcounselororsocialworker.
• NationalSuicidePreventionLifeline:1-800-273-8255(TALK)
Managing Stress and Pursuing Wellness
KeyResources– MentalandEmotionalHealth
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Brainstorming
vWhatkindofonlineortechnology-basedresourcesshouldweexploreforaddressingthetopicofruralstress?
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• “StressManagementSeriesforFarm/RanchFamilies”(FS282,FS283,FS284,FS285,FS286,FS287)
• “FarmingandRanchinginToughTimes”(FS1804)
• “RespondingtoDistressedPeople”(FS1805)• “WorkingWithDistressedClientele”(FS1789)
• Links:www.ag.ndsu.edu/cff/resources-for-emotional-and-mental-health
Managing Stress and Pursuing Wellness
3)EducationalPublicationsandResourcesonRuralStress
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“HowtoCultivateaProductiveMindset”– Mindfulness
41
v ThisFactSheetisontheMSUwebsite:
v www.msue.msu.edu/managingfarmstress
v YoucanprintthePDFforfree.
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Whyisstressmanagementusefulfor
farmers?
Videoalsoavailableonthe
www.msue.msu.edu/managingfarmstressUsethevideoandthefactsheettogetherfor
shortpresentationsatmarket
updatemeetings42
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PosterSet
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Handouts• ChurchBulletins
• CoffeeShops,Cafés
• DisplayHandout
• Etc.
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Brainstorming
vWhatothertypesofeducationalresources shouldweexploreforthetopicofruralstress?
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4)ProfessionalDevelopmentSeminars–SpreadingtheWord&Partneringv KeyIssuesv Expandingawarenessoffarmstress,mentalandbehavioralhealthresources,andapproachestodealingwithstressconcerns
v TargetAudiencesv Communityleadersv Agriculturalworkersv Communityprofessionals– clergy;healthcareworkers;counselors;mentalhealthprofessionals;lawenforcement;extensionworkers;etc.
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NDSUExtension’sResponsetoRuralStress
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vSummer2016noticethatfarmerswereundermorefinancialstrain,relatedfarmstressesvOfferedManagingFarmStressWebinar– June2017vOfferedBehavioralHealth101Training – Distanceeducation(2016,2017,2018)vOfferedLifeBeyondBreakingEven– FarmStressandEconomicSummit – January2018vAgriculturalExtensionStaffvAgriculturalIndustryStakeholdersvMentalandBehavioralHealthWorkers
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NDSUExtension–BehavioralHealth101Training(2016-2018)
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NDSUExtension–LifeBeyondBreakingEvenFarmEconomicSummitJan.2018
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NationalWebinar–
CommunicatingwithFarmersUnderStress(Dec.2017)
v https://learn.extension.org/events/3209
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Online course helps manage stress from farming
WeatheringtheStorm:HowtoHandleStressontheFarm
Thisfreeonlinecourseofferssimpletoolsyoucanusetohandlestressandcultivateaproductivemindset.Learntohelpyourselfandothersbyunderstandingthesignsandsymptomsofchronicstress.Accessthecourseatanytime.Itusuallytakes1to2hourstocomplete– doasmuchoraslittleatonetimeasyoulike.
To find out more details or to register for a class, visit www.msue.msu.edu/onlinefarmstress.
OnlineFarmStressManagementCourse(MSU)
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Brainstorming
vWhatothertypesofprofessionaldevelopmentresourcesandapproaches shouldweexploreforaddressingthetopicofruralstress?
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5)OtherApproachesforOurToolbox
•Agricultureisafieldthatmakesprogressaspeople:•LearnBestPracticesfromOthers•PracticeInnovationandSustainability•OtherIdeasandApproachesBeingUsedinRuralStressProgramming…
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PeerSupportEfforts• FarmertoFarmerDiscussionGroups
• Proactiveemphasisonmarketing,management,integratingwellnessintomanagementpractices
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ProgramsataDistance• WellnessCoaching(THRIVEMontana)
• Telehealthoptions
• Podcastseries(SeedsofHealth– NDSUExtensionPilot)
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PublicServiceCampaignshttps://www.youtube.com/watch?v=jhxddrr5s-I&feature=youtu.be
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NewMini-Resource
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CoupleRetreats•PlowingNewGroundwasaseriesofintensive3-daytherapeuticretreatsfordistressedfarmcouples
•Averageof10-15couplesperretreatevent,3eventseachyear
•DesignedbyValFarmer,PhD,ruralpsychologistforMeritCareHealthSystems
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ProgramDeliveryStrategies•MediaCampaign
•Publications/Newsletters•AudioorVideoMaterials
•ComputerList-Serve&WebPage
•EducationalWorkshops
•TherapeuticRetreats•CommunitySupportGroups
•AreWeThere?
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FurtherCreativeIdeas,Approaches,Partners?
v RuralStressisachallengingtopictoaddress– whatothercreativeideas,approaches,orpartners shouldbeconsidered?
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SupportSources– Whatcanwedo?
• SeanBrotherson,Ph.D.,ExtensionFamilyLifeSpecialist
• Email:[email protected]
• 702.231.6143
Managing Stress and Pursuing Wellness
ExtensionResponsetoRuralStress