Legislature(2021 - 2022)BUTROVICH 205

03/10/2021 09:00 AM Senate EDUCATION

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ SB 72 SEC. SCHOOL CIVICS EDUCATION TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
*+ SB 80 PUBLIC SCHOOLS: MENTAL HEALTH EDUCATION TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
Bills Previously Heard/Scheduled
**Streamed live on AKL.tv**
         SB  80-PUBLIC SCHOOLS: MENTAL HEALTH EDUCATION                                                                     
                                                                                                                                
9:02:09 AM                                                                                                                    
CHAIR HOLLAND announced the consideration of SENATE BILL NO. 80                                                                 
"An Act relating to mental health education."                                                                                   
                                                                                                                                
9:02:39 AM                                                                                                                    
SENATOR ELVI GRAY-JACKSON, Alaska State Legislature, Juneau,                                                                    
Alaska, sponsor of SB 80, read the sponsor statement:                                                                           
                                                                                                                                
     SB 80  amends the existing health  education curriculum                                                                    
     statute to  include mental health curriculum  in all K-                                                                    
     12 health classrooms to  adequately educate students on                                                                    
     vital   information   pertaining   to   mental   health                                                                    
     symptoms, resources, and treatment.                                                                                        
                                                                                                                                
     Currently,  the  health curriculum  guidelines  include                                                                    
     prevention  and treatment  of diseases;  learning about                                                                    
     "good" health  practices including diet,  exercise, and                                                                    
     personal  hygiene;  and  "bad" health  habits  such  as                                                                    
     substance abuse,  alcoholism, and patterns  of physical                                                                    
     abuse.  But  the  guidelines   do  not  address  mental                                                                    
     health.                                                                                                                    
                                                                                                                                
     Following passage  of SB80, the  Alaska State  Board of                                                                    
     Education   and  Early   Development  and   the  Alaska                                                                    
     Department  of Education  and Early  Development (DEED)                                                                    
     will  develop  guidelines  for  instruction  in  mental                                                                    
     health in  consultation with  the Alaska  Department of                                                                    
     Health and  Social Services (DHSS)  and representatives                                                                    
     of   national,   state,   and  tribal   mental   health                                                                    
     organizations. Such organizations  include, but are not                                                                    
     limited  to,   the  National  Council   for  Behavioral                                                                    
     Health,   Providence   Health  and   Services   Alaska,                                                                    
     Southcentral  Foundation,  Anchorage  Community  Mental                                                                    
     Health  Services, Inc.,  North  Star Behavioral  Health                                                                    
     System,  and the  National  Alliance  on Mental  Health                                                                    
     Illness  Alaska. The  standards  will  be developed  in                                                                    
     consultation  with   counselors,  educators,  students,                                                                    
     administrators, and  other mental  health organizations                                                                    
     to  form   effective  guidelines  for   school  boards,                                                                    
     teachers, and students.                                                                                                    
                                                                                                                                
     After standards  have been developed, the  Alaska State                                                                    
     Board of Education and Early  Development and DEED will                                                                    
     be  responsible   for  implementation   throughout  the                                                                    
     Alaska   school  system.   As   with  existing   health                                                                    
     education  curriculum,  the  DEED, the  DHSS,  and  the                                                                    
     Council on  Domestic Violence  and Sexual  Assault will                                                                    
     provide  technical assistance  to  school districts  in                                                                    
     the  development  of   personal  safety  curricula.  An                                                                    
     existing  school health  education specialist  position                                                                    
     will assist in coordinating the program statewide.                                                                         
                                                                                                                                
     The  State has  a responsibility  to treat  the current                                                                    
     mental  health crisis  in Alaska  as  a serious  public                                                                    
     health  issue.  By  creating  mental  health  education                                                                    
     standards  and encouraging  schools to  teach a  mental                                                                    
     health  curriculum, SB80  aims to  decrease the  stigma                                                                    
     surrounding  mental  illnesses and  increase  students'                                                                    
     knowledge  of mental  health, encouraging  conversation                                                                    
     around and understanding of the issue.                                                                                     
                                                                                                                                
9:05:22 AM                                                                                                                    
DELANEY THIELE, Intern, Senator Elvi Gray-Jackson, Juneau,                                                                      
Alaska, presented the sectional analysis for SB 80:                                                                             
                                                                                                                                
     Section 1: This  section adds intent language  stating it is                                                             
     the intent  of the Legislature  that the Board  of Education                                                               
     and Early Development develop  guidelines for instruction in                                                               
     mental  health  in   consultation  with  representatives  of                                                               
     mental  health  organizations  and  regional  tribal  health                                                               
     organizations,   including   the    National   Council   for                                                               
     Behavioral  Health, Providence  Health and  Services Alaska,                                                               
     Southcentral Foundation,  Anchorage Community  Mental Health                                                               
     Services,  Inc., North  Star Behavioral  Health System,  and                                                               
     the National Alliance on Mental Health Illness Alaska.                                                                     
                                                                                                                                
     Section 2: This section amends  AS 14.30.360 by removing the                                                             
     word  "physical"  when  referencing instruction  for  health                                                               
     education  and  adding  "mental   health"  to  the  list  of                                                               
     curriculum  items each  district  includes  in their  health                                                               
     education programs.                                                                                                        
                                                                                                                                
     Section  3: Amends  AS 14.30.360  by clarifying  that health                                                             
     guidelines  developed by  the Board  of Education  and Early                                                               
     Development  must  provide   standards  for  instruction  in                                                               
     mental  health and  be developed  in  consultation with  the                                                               
     Department    of   Health    and    Social   Services    and                                                               
     representatives   of  national   and  state   mental  health                                                               
     organizations.                                                                                                             
                                                                                                                                
     Section 4: Amends the uncodified  law of the State of Alaska                                                             
     by  adding  a  new  section  to read  "the  state  Board  of                                                               
     Education  and Early  Development shall  develop the  mental                                                               
     health guidelines  required by  AS 14.30.360(b),  as amended                                                               
     by sec. 3 of this Act,  within two years after the effective                                                               
     date of this Act."                                                                                                         
                                                                                                                                
SENATOR  GRAY-JACKSON  presented  a  video about  the  issues  of                                                               
mental health for young people in Alaska.                                                                                       
                                                                                                                                
SENATOR GRAY-JACKSON advised that the  companion bill to SB 80 is                                                               
HB 60, sponsored by Representative Claman.                                                                                      
                                                                                                                                
9:11:44 AM                                                                                                                    
CHAIR  HOLLAND  commented  that COVID-19  has  not  improved  the                                                               
situation,  and  some  schools are  back  to  in-person  learning                                                               
because of the high incidence of depression among students.                                                                     
                                                                                                                                
SENATOR  STEVENS shared  that on  the news  last night  he saw  a                                                               
fascinating story about suicide. He  said people don't talk about                                                               
suicide because  they are afraid  it may increase  the likelihood                                                               
of suicide,  but that is not  true. He said he  assumes that this                                                               
program will talk about childhood  suicide because it is becoming                                                               
more and more  of a problem because of COVID.  He hopes that will                                                               
be addressed in this program.                                                                                                   
                                                                                                                                
SENATOR  GRAY-JACKSON  confirmed  that  suicide  will  be  talked                                                               
about. She noted that her office  has a letter of support from an                                                               
organization that deals with suicide prevention.                                                                                
                                                                                                                                
9:13:57 AM                                                                                                                    
SENATOR  HUGHES referenced  Section 2,  and said  it sounds  like                                                               
districts  are not  mandated  to have  health  classes. They  are                                                               
simply encouraged  to initiate  and conduct  such a  program. She                                                               
asked  if  all  districts  are conducting  some  sort  of  health                                                               
program  and if  any are  already weaving  this type  of material                                                               
into their programs.                                                                                                            
                                                                                                                                
SENATOR  GRAY-JACKSON answered  that mental  health education  is                                                               
not  being addressed,  and that  is the  reason for  bringing the                                                               
bill forward.  She said she  would follow  up with a  response to                                                               
the first question.                                                                                                             
                                                                                                                                
SENATOR HUGHES said that she  agreed with Senator Stevens that it                                                               
is in an  important discussion, but she would  be concerned about                                                               
the  curriculum for  younger kids.  She would  want to  know what                                                               
that curriculum  might look like. She  asked Senator Gray-Jackson                                                               
if she had any examples of what other states have done.                                                                         
                                                                                                                                
SENATOR   GRAY-JACKSON  responded   that  she   would  get   that                                                               
information.                                                                                                                    
                                                                                                                                
9:15:26 AM                                                                                                                    
SENATOR  BEGICH  noted   that  he  is  one   of  the  legislative                                                               
representatives on  the Suicide Prevention Council  as. He shared                                                               
that during the  meeting last month he learned that  rates of the                                                               
flu and  other communicable  diseases have  gone down  during the                                                               
pandemic  but not  rates  of  suicide in  young  people, so  this                                                               
legislation  is  timely. He  has  seen  that the  curriculum  for                                                               
suicide prevention  generally focuses on developmental  assets in                                                               
early  ages. It  is more  a positive  curriculum rather  than one                                                               
talking about suicide.  Then it shifts as students  get older. As                                                               
in when  the legislature  dealt with the  teen dating  issue, the                                                               
Bree  Moore case,  the whole  nature  of the  curriculum must  be                                                               
designed to  meet the developmental  needs of the  students. That                                                               
is why the  Department of Education and  Early Development (DEED)                                                               
is   involved  in   curriculum   development,  so   that  it   is                                                               
developmentally  appropriate. That  is  what he  would hope  DEED                                                               
would do, using the best material from other states.                                                                            
                                                                                                                                
CHAIR HOLLAND moved to invited testimony.                                                                                       
                                                                                                                                
9:17:13 AM                                                                                                                    
SHIRLEY HOLLOWAY,  Ph.D., President, National Alliance  on Mental                                                               
Illness  (NAMI)  National  Board, Vice  President,  NAMI  Alaska,                                                               
Anchorage, Alaska, Anchorage,  Alaska, said that she  is a former                                                               
commissioner   of  the   Department   of   Education  and   Early                                                               
Development.  She found  NAMI after  she lost  her daughter,  who                                                               
lived  with  mental illness,  to  suicide.  NAMI is  the  largest                                                               
grassroots mental  health organization in the  nation. NAMI helps                                                               
families  build   better  lives.   Its  signature   programs  are                                                               
evidence-based. She  thanked Senator Gray-Jackson  for sponsoring                                                               
SB  80.  Education,  early   recognition,  and  intervention  and                                                               
prevention are  key to minimizing  mental health issues  that are                                                               
common in youth and adolescents  and hopefully in eradicating the                                                               
long-term disabilities caused  by mental illness. It  is so vital                                                               
that  Alaska's education  system  create  a comprehensive  mental                                                               
health  curriculum. Proper  mental health  is crucial  to overall                                                               
well-being,  which is  why mental  health should  be incorporated                                                               
into   existing  health   education  curriculum,   programs,  and                                                               
courses.  Incorporating mental  health  education and  addressing                                                               
the  myths  that  surround  mental   illness  creates  a  broader                                                               
understanding  of  psychiatric   diseases,  which  will  decrease                                                               
stigma  for  those  living  with  mental  illness.  Disseminating                                                               
accurate  information to  schools and  communities will  increase                                                               
the likelihood  that children and teens  struggling with symptoms                                                               
are not  viewed negatively by their  peers. If that can  be done,                                                               
it increases the odds that  youth will accept treatment, and lead                                                               
to improved outcomes generated by early intervention.                                                                           
                                                                                                                                
9:20:24 AM                                                                                                                    
DR. HOLLOWAY  said that she  applauded the young  people speaking                                                               
on the video. Fifty percent of  mental illness develop by age 14;                                                               
75 percent  by age 24. Seventy  to 80 percent of  children living                                                               
with  mental illness  do  not receive  treatment.  This leads  to                                                               
decreased performance in  schools. Twenty-two million adolescents                                                               
aged 12-17 have  experienced a major depressive  episode, and the                                                               
estimate  is  that  60  percent  did  not  receive  any  help  or                                                               
treatment. The  dropout rate for  children with  severe emotional                                                               
and  mental  health issues  was  twice  that of  other  students.                                                               
According to  the 2017 Youth  Risk Behavior Survey, one  in three                                                               
Alaskan students  reported feeling  sad or hopeless  almost every                                                               
day  for  two weeks  in  the  past  year  and 22.8  percent  have                                                               
seriously  considered suicide.  This was  all pre-pandemic.  This                                                               
last   year,   with   the  isolation   and   associated   issues,                                                               
significantly  more children  were seen  in emergency  rooms with                                                               
mental  health issues.  The Centers  for Disease  Control reports                                                               
that beginning in April 2020  that the rates of children's mental                                                               
health  emergency room  visits  increased  and remained  elevated                                                               
through October.                                                                                                                
                                                                                                                                
DR.  HOLLOWAY said  that strengthening  Alaska's existing  public                                                               
health  curriculum   to  include  mental  health   education  and                                                               
awareness will teach  students to recognize the  warning signs of                                                               
mental distress and provide them  with the language and resources                                                               
to  connect to  help.  This legislation  expands existing  health                                                               
education  requirements  to include  mental  health  in all  K-12                                                               
health classroom.  She thanked the committee  for considering the                                                               
importance of this legislation. In  these challenging times it is                                                               
more important than ever to  take action to address mental health                                                               
and  to provide  guidance  and  hope to  all  impacted by  mental                                                               
health  issues.  There  is  no  physical  health  without  mental                                                               
health.                                                                                                                         
                                                                                                                                
SENATOR  STEVENS  asked if  she  had  any reflection  on  whether                                                               
discussing suicide  with a  child might  be dangerous  because it                                                               
could plant the idea in their  mind. He noted that Senator Hughes                                                               
asked at what age the conversation would be appropriate.                                                                        
                                                                                                                                
9:23:39 AM                                                                                                                    
DR.  HOLLOWAY replied  that she  learned  so much  from the  NAMI                                                               
National  chief  medical  officer.  He made  it  clear  that  the                                                               
evidence shows that  not talking about it is  dangerous. It needs                                                               
to  be brought  out of  the dark  and into  the open.  As Senator                                                               
Begich said,  the curriculum is developmentally  appropriate. The                                                               
ones  she  has  seen  start  in  kindergarten  and  it  is  about                                                               
feelings. Later suicide  ideation starts to be  broached. It must                                                               
be carefully developed and  developmentally appropriate. It could                                                               
begin  in middle  school. It  has to  begin early  but has  to be                                                               
appropriate.  There  is lots  of  good  material that  she  could                                                               
provide.                                                                                                                        
                                                                                                                                
SENATOR  HUGHES said  that she  would  like to  hear from  school                                                               
districts.   She    just   read   [Anchorage    School   District                                                               
Superintendent]  Dr.   Bishop's  letter   and  is   wondering  if                                                               
districts are already planning  to incorporate something. Nothing                                                               
prohibits  that.  She  asked  if  the  committee  could  see  any                                                               
curriculum that districts have adopted.                                                                                         
                                                                                                                                
SENATOR GRAY-JACKSON said she will  look into that and speak with                                                               
Dr. Bishop.                                                                                                                     
                                                                                                                                
9:27:11 AM                                                                                                                    
CHAIR  HOLLAND thanked  Senator  Gray-Jackson  for bringing  this                                                               
important topic up.                                                                                                             
                                                                                                                                
He held SB 80 in committee.                                                                                                     

Document Name Date/Time Subjects
SB 80 NAMI Alaska letter of support.jpeg SEDC 3/10/2021 9:00:00 AM
SB 80
SB80 Sponsor Statment.pdf SEDC 3/10/2021 9:00:00 AM
SFIN 2/8/2022 1:00:00 PM
SFIN 3/14/2022 9:00:00 AM
SB 80
SB80 Suppoting Documents.pdf SEDC 3/10/2021 9:00:00 AM
SB 80
SB80 Written Testimonies.pdf SEDC 3/10/2021 9:00:00 AM
SB 80
Sectional Anaylsis FOR SB80.pdf SEDC 3/10/2021 9:00:00 AM
SB 80
SB 72 Fiscal Note.pdf SEDC 3/10/2021 9:00:00 AM
SB 72
SB072_Civics_Sectional_version A.pdf SEDC 3/10/2021 9:00:00 AM
SB 72
SB072_Civics_Research_RAND_Focus-on-Civic-Ed_08Dec2020.pdf SEDC 3/10/2021 9:00:00 AM
SFIN 2/1/2022 1:00:00 PM
SB 72
SB072_Civics_Research_Links-to-Resources.pdf SEDC 3/10/2021 9:00:00 AM
SFIN 2/1/2022 1:00:00 PM
SB 72
SB072_Civics_Research_128-Test-Questions.pdf SEDC 3/10/2021 9:00:00 AM
SFIN 2/1/2022 1:00:00 PM
SB 72
SB072_Civics_Research_WSJ_02March2021.pdf SEDC 3/10/2021 9:00:00 AM
SFIN 2/1/2022 1:00:00 PM
SB 72
SB80 Letter of Support.pdf SEDC 3/10/2021 9:00:00 AM
SB 80
SB072_Civics_Sponsor-Statement_10Feb2021.pdf SEDC 3/10/2021 9:00:00 AM
SB 72