Legislature(2019 - 2020)DAVIS 106

02/17/2020 08:00 AM House EDUCATION

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Audio Topic
08:06:39 AM Start
08:07:42 AM HB181
08:58:13 AM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
-- Teleconference <Listen Only> --
*+ HB 181 PUBLIC SCHOOLS: MENTAL HEALTH EDUCATION TELECONFERENCED
Heard & Held
-- Public Testimony --
+ Bills Previously Heard/Scheduled TELECONFERENCED
**Streamed live on AKL.tv**
         HB 181-PUBLIC SCHOOLS: MENTAL HEALTH EDUCATION                                                                     
                                                                                                                                
8:07:42 AM                                                                                                                    
                                                                                                                                
CO-CHAIR  DRUMMOND  announced that  the  only  order of  business                                                               
would be  HOUSE BILL NO.  181 "An  Act relating to  mental health                                                               
education."                                                                                                                     
                                                                                                                                
8:08:13 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MATT  CLAMAN, Alaska  State Legislature,  as prime                                                               
sponsor, presented HB  181.  He explained that  the proposed bill                                                               
would amend the existing Kindergarten  through twelfth grade ("K-                                                               
12")  public health  education statute  to include  mental health                                                               
guidelines,  providing information  pertaining  to mental  health                                                               
symptoms,  resources,  and  treatment.   He  explained  that  the                                                               
current  statute includes  prevention and  treatment of  diseases                                                               
but excludes mental health.                                                                                                     
                                                                                                                                
8:09:53 AM                                                                                                                    
                                                                                                                                
NATALIE  FRASER, Mental  Health Advocacy  through Story  Telling,                                                               
shared her personal experience of  mental illness.  She described                                                               
early onset of  symptoms and the difficulties  she encountered in                                                               
identifying  diagnosis  and treatment  options  for  many of  her                                                               
school  years, leading  to  an  attempt on  her  own  life.   She                                                               
described    her   survival    and   accomplishments    following                                                               
intervention  by  a teacher  who  provided  a suicide  prevention                                                               
class at her school.  She  described her advocacy work as part of                                                               
a  peer  group  who  provide one  another  with  support  through                                                               
storytelling  -  Mental   Health  Advocacy  through  Storytelling                                                               
(MHATS).  Ms.  Fraser suggested that the onset  of mental illness                                                               
occurs  at  age  fourteen.   She  indicated  that  resources  for                                                               
diagnosis and treatment options  need to become institutionalized                                                               
curricula within schools.  She urged support of HB 181.                                                                         
                                                                                                                                
8:12:29 AM                                                                                                                    
                                                                                                                                
CO-CHAIR DRUMMOND asked Ms. Fraser to expound on MHATS.                                                                         
                                                                                                                                
8:12:43 AM                                                                                                                    
                                                                                                                                
MS. FRASER explained that MHATS  was founded in 2019, following a                                                               
ten-week  training  program   on  storytelling,  advocacy,  story                                                               
development,   and  storytelling   from  positions   of  positive                                                               
strength.   She described  MHATS as a  forum where  youth between                                                               
sophomore  and senior  grade  level in  high  school share  their                                                               
lived experience  of mental  illness in  a five-  to seven-minute                                                               
storytelling  format,   performed  at   well-attended,  organized                                                               
events.   She  compared the  MHATS  program to  programs such  as                                                               
"This American  Life."   She noted  that MHATS  participants also                                                               
spend  time  doing advocacy  work,  such  as attendance  of  this                                                               
hearing, as well  as research and advocacy  through multimedia to                                                               
raise mental health awareness.                                                                                                  
                                                                                                                                
8:13:58 AM                                                                                                                    
                                                                                                                                
CO-CHAIR DRUMMOND  asked whether  the Church  of Love  event last                                                               
year was the first MHATS event.                                                                                                 
                                                                                                                                
MS. FRASER  confirmed that the  event at  Church of Love  was the                                                               
first MHATS official event.                                                                                                     
                                                                                                                                
8:14:16 AM                                                                                                                    
                                                                                                                                
CO-CHAIR  DRUMMOND  asked   whether  MHATS  is  a   class  or  an                                                               
extracurricular group.                                                                                                          
                                                                                                                                
MS.  FRASER  explained that  MHATS  is  an extracurricular  group                                                               
funded through the National Alliance  on Mental Illness (NAMI) in                                                               
Anchorage  and is  run entirely  by  youth.   She explained  that                                                               
MHATS was  formed by a small  group of youth who  drafted a grant                                                               
proposal and is not associated with the school district.                                                                        
                                                                                                                                
8:14:48 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  ZULKOSKY complimented  Ms. Fraser's  testimony as                                                               
valuable, powerful, and vulnerable.                                                                                             
                                                                                                                                
8:15:15 AM                                                                                                                    
                                                                                                                                
CO-CHAIR  STORY echoed  Representative Zulkosky's  compliments of                                                               
the testimony  and asked  Ms. Fraser  whether she  had approached                                                               
her own school  board regarding concerns about  its mental health                                                               
curriculum.                                                                                                                     
                                                                                                                                
MS.  FRASER answered  that while  no direct  advocacy with  board                                                               
members  has taken  place,  it is  a future  goal  of MHATS,  and                                                               
school  board  members  have  attended   MHATS  events,  and  the                                                               
conversation between the groups has begun.                                                                                      
                                                                                                                                
8:16:26 AM                                                                                                                    
                                                                                                                                
ZAFARA  STRAIN,  Student, testified  in  support  of HB  181  and                                                               
complimented the efficacy of public  health education for herself                                                               
personally.   She  expressed  her desire  that  mental health  be                                                               
included  in   public  education.    She   related  her  personal                                                               
experience with mental illness throughout  middle school and high                                                               
school,  resulting  in  her withdrawal  to  part-time  status  at                                                               
school.   She  suggested that  mental health  education may  have                                                               
given her  awareness and  resources to  address her  own problems                                                               
before they worsened.                                                                                                           
                                                                                                                                
8:18:58 AM                                                                                                                    
                                                                                                                                
PATTY  OWEN  offered her  credentials  in  public health,  public                                                               
health education,  and school health  and safety.   She commented                                                               
regarding   consultations   with   state  and   national   health                                                               
organizations  and  cited  the Center  for  Disease  Control  and                                                               
Prevention's (CDC's) National Health  Education Standards and the                                                             
Mental and Emotional Health at  Grade Level Expectations in print                                                             
to guide  development of policy.   She recounted that  during her                                                               
prior  service  as  president  on  the  Alaska  Health  Education                                                               
Consortium, it  was the  board's mission to  compel the  state to                                                               
require  comprehensive mental  health  education in  a number  of                                                               
areas.   She  suggested  that consideration  should  be given  to                                                               
determine whether the programs are  recommended or required.  She                                                               
advised  evaluation  of the  available  resources  in an  already                                                               
overburdened  school system  when contemplating  effectiveness of                                                               
implementation  of the  bill.   Ms. Owen  advocated that  schools                                                               
need  more counselors  who  are qualified  social  workers.   She                                                               
advocated  for  school-based   and  school-linked  mental  health                                                               
services and encouraged continued  legislative support of suicide                                                               
prevention  grant programs  through Department  of Education  and                                                               
Early Development.                                                                                                              
                                                                                                                                
8:22:04 AM                                                                                                                    
                                                                                                                                
JASON LESSARD,  Executive Director,  National Alliance  on Mental                                                               
Illness (NAMI), explained his  professional, personal, and family                                                               
associations  with   mental  illness.    He   offered  statistics                                                               
regarding the  negative outcomes of untreated  mental illness, as                                                               
follows:                                                                                                                        
                                                                                                                                
     Second  leading cause  of death  among ...  individuals                                                                    
     from 10-34 is  suicide.  Ninety percent  of those folks                                                                    
     had a  diagnosable mental illness.   Seventy percent of                                                                    
     the  juveniles  in our  justice  system  have a  mental                                                                    
     health  condition   -  at   least  one   mental  health                                                                    
     condition.                                                                                                                 
                                                                                                                                
MR.  LESSARD cited  that one  in  five individuals  has a  mental                                                               
health  condition.     He  offered  the   following  perspective:                                                               
"Looking  at Juneau-Douglas  High School,  600 students  - that's                                                               
120 students.  In a classroom of 30, that's six students."                                                                      
                                                                                                                                
MR.  LESSARD  cited  the  statistic that  50  percent  of  mental                                                               
illness onset  occurs by  the age  of 14, which  is at  or before                                                               
high school age.   He stated that 75 percent  of people suffering                                                               
from  mental illness  will experience  onset  by the  age of  24;                                                               
therefore, mental illness primarily  occurs in the teenage brain,                                                               
and this  topic is not  addressed directly  to the children.   He                                                               
pointed  out  that the  amount  of  time that  individuals  spend                                                               
between onset of symptoms and  seeking treatment is eleven years.                                                               
He  suggested that  early intervention  will  provide for  better                                                               
prevention and treatment of mental illness.                                                                                     
                                                                                                                                
MR. LESSARD noted  that one of the barriers  to seeking treatment                                                               
for  mental  conditions  is  stigma  -  media,  stereotypes,  and                                                               
tropes.     He  suggested  that  stereotypes   are  countered  by                                                               
education.    He  explained that  youth  often  seek  information                                                               
outside of the classroom and  often encounter misinformation.  He                                                               
explained  that NAMI  has an  evidenced-based video  suitable for                                                               
sharing within  the school environment that  produces the outcome                                                               
of  students reporting  a more  positive outlook  towards seeking                                                               
treatment  than before  watching the  video.   He concluded  that                                                               
there are programs  available now that are  effective at reducing                                                               
the deleterious effects of untreated mental illness.                                                                            
                                                                                                                                
8:27:19 AM                                                                                                                    
                                                                                                                                
LILY WERTS  shared her personal experience  with bipolar disorder                                                               
from the  age of  5 to  age 22.   She stated  her belief  that if                                                               
mental health  had been  part of her  public education,  then she                                                               
and her  family would  have avoided years  of struggle  and pain.                                                               
She urged  support for  HB 181  to provide  youth with  tools and                                                               
resources to help them thrive and be successful.                                                                                
                                                                                                                                
8:29:02 AM                                                                                                                    
                                                                                                                                
ZOE  KAPLAN,  Mental  Health   Advocacy  through  Story  Telling,                                                               
testified  in  support   of  HB  181  and   shared  her  personal                                                               
experience with  mental health issues stemming  from sixth grade.                                                               
She explained that her mother is  a trained social worker and was                                                               
able to  detect early  onset symptoms and  arrange for  her care.                                                               
This established  a skillset for her  to identify the onset  of a                                                               
depressive episode  in the tenth  grade and seek treatment.   She                                                               
noted that 36 percent of youth  in Alaska suffer from one or more                                                               
clinical depressive episodes.                                                                                                   
                                                                                                                                
8:31:05 AM                                                                                                                    
                                                                                                                                
EMMA KNAPP, Student, West Anchorage  High School, explained that,                                                               
during  a  recent  English   class  storytelling  exercise,  many                                                               
students shared  stories of struggles  with their  mental health.                                                               
She  noted many  students expressed  difficulty with  identifying                                                               
resources  for mental  health care.   She  suggested that  HB 181                                                               
would  provide  early  detection  skills  and  treatment  options                                                               
currently lacking for students.                                                                                                 
                                                                                                                                
8:33:13 AM                                                                                                                    
                                                                                                                                
JADE PHILLIPS  shared her personal experience  with mental health                                                               
issues and  reiterated previous testimony  in support of  HB 181.                                                               
She  added that  12 percent  of  youth in  Alaska have  attempted                                                               
suicide and  suggested that school age  children are particularly                                                               
vulnerable to remaining undiagnosed and isolated.                                                                               
                                                                                                                                
8:35:10 AM                                                                                                                    
                                                                                                                                
BURKE  CROFT testified  in support  of HB  181, and  he suggested                                                               
that all  youth in Alaska  should realize the benefits  of public                                                               
mental health education.                                                                                                        
                                                                                                                                
8:40:44 AM                                                                                                                    
                                                                                                                                
LUCAS JOHNSON,  Student, Bowden College, testified  in support of                                                               
HB  181.   Mr.  Johnson stated  that he  is  working in  multiple                                                               
states  to  incorporate  mental   health  education  into  public                                                               
schools.  He cited a 2017  Alaska High School Youth Risk Behavior                                                               
Survey in  which n=  1,343 among  40 schools.   In the  12 months                                                               
prior to  the survey  36.1 percent  of adolescents  experienced a                                                               
depressive  episode, 22.8  percent seriously  considered suicide,                                                               
20.7  percent made  a  plan  to commit  suicide,  and 12  percent                                                               
attempted suicide.                                                                                                              
                                                                                                                                
MR.  JOHNSON cited  the Alaska  Department of  Health and  Social                                                               
Services, Office  of Adolescent  Health, which indicated  that 15                                                               
percent of  children aged  12-17 experienced  at least  one major                                                               
depressive episode  in the 12  months prior  to the survey.   The                                                               
CDC National  Center for Health  Statistics reported  that Alaska                                                               
had  the second  highest suicide  rate since  2005, and  the 2017                                                               
suicide  mortality  rate  was  27   suicides  for  every  100,000                                                               
residents.                                                                                                                      
                                                                                                                                
MR. JOHNSON endorsed the passage of HB 181.                                                                                     
                                                                                                                                
8:43:25 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE HOPKINS  asked whether  Mr. Johnson has  worked to                                                               
implement social  and emotional health in  addition to behavioral                                                               
health advocacy in other jurisdictions.                                                                                         
                                                                                                                                
MR. JOHNSON  answered by making  a distinction  between students'                                                               
ability  to  learn  about  their own  mental  health  and  social                                                               
emotional learning being teachers'  training tools.  He suggested                                                               
that social emotional  learning has widespread value  but that he                                                               
has  been focused  on advocating  the education  of students  [on                                                               
mental health].                                                                                                                 
                                                                                                                                
8:44:55 AM                                                                                                                    
                                                                                                                                
JAYNE ANDREEN,  Alaska Public Health Association;  Alaska Women's                                                               
Lobby,  testified  in  support  of  HB 181.    She  recalled  the                                                               
statistics from the  Youth Risk Behavior Study.   She highlighted                                                               
the statistic that  of the students studied  who have considered,                                                               
planned,  or attempted  suicide, 46.8  percent of  those students                                                               
have talked  to someone  about suicide.   She suggested  that the                                                               
passage  of HB  181  would  give all  students  access to  mental                                                               
health care.   She  suggested incorporation of  all eight  of the                                                               
model standards included in the bill.                                                                                           
                                                                                                                                
8:47:27 AM                                                                                                                    
                                                                                                                                
TREVOR STORRS, President/CEO,  Alaska Children's Trust, testified                                                               
in  support  of HB  181.    He  acknowledged  that based  on  the                                                               
students' testimony  to the committee,  that students  are asking                                                               
for mental  health in public education.    He noted  that two out                                                               
of  three Alaskan  adults have  an  Adverse Childhood  Experience                                                               
(ACE)  score of  one or  more.   He suggested  that education  in                                                               
public  schools has  high  efficacy  against deleterious  effects                                                               
from childhood trauma.                                                                                                          
                                                                                                                                
8:49:30 AM                                                                                                                    
                                                                                                                                
CO-CHAIR DRUMMOND opened public testimony on HB 181.                                                                            
                                                                                                                                
8:49:55 AM                                                                                                                    
                                                                                                                                
MAKAYLA GOODMAN,  Student, Thunder  Mountain High  School, shared                                                               
her personal experience  of her father's mental  illness that led                                                               
to  his substance  abuse and  death.   She suggested  that mental                                                               
health education  in public schools  would have been  helpful for                                                               
her to cope and avoid shame  and stigma associated with the death                                                               
of her father.  She urged the passage of HB 181.                                                                                
                                                                                                                                
8:51:01 AM                                                                                                                    
                                                                                                                                
ROA  MIHANU,  Student,  Juneau-Douglas High  School,  shared  his                                                               
personal experience  with his own  mental illness,  and suggested                                                               
that the lack  of mental health education in  schools resulted in                                                               
delays in his seeking and obtaining treatment.                                                                                  
                                                                                                                                
8:53:12 AM                                                                                                                    
                                                                                                                                
RAYANN UBIXAM,  Student, Highland Academy Charter  School, shared                                                               
her personal experience in dealing  with her own and her family's                                                               
mental illnesses,  which has spanned  multiple generations.   She                                                               
suggested that mental health education  in school would have been                                                               
helpful  in  her  seeking  and  obtaining  treatment  for  mental                                                               
illness.  She urged the passage of HB 181.                                                                                      
                                                                                                                                
8:55:54 AM                                                                                                                    
                                                                                                                                
OLIVIA BOLAN,  Student, Thunder Mountain High  School, shared her                                                               
personal experience  of loss through suicide,  and suggested that                                                               
shame and  stigma surrounding mental  illness could  be mitigated                                                               
by  mental health  education in  public schools.   She  suggested                                                               
that  abstinence-only  training  on  substance  abuse  in  public                                                               
schools is ineffective and inadequate.   She requested passage of                                                               
HB 181.                                                                                                                         
                                                                                                                                
8:57:58 AM                                                                                                                    
                                                                                                                                
CO-CHAIR  DRUMMOND  announced  that  HB 181  would  be  held  for                                                               
further review.