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November 14, 2005School Health Programs Department
Eating Disorders
What are eating disorders?
They're psychiatric disorders with physical manifestations that occur when an individual's eating and nutrition becomes unhealthy or dysfunctional. They often start with weight loss, or the intention to lose weight, and take on a life of their own. Approximately 90 percent of eating disorders occur in women.

How many different types of eating disorders are there?
There are three classifications:

1. Anorexia nervosa, which is present when an individual:
-refuses to maintain weight within a normal range for height and age -- more than 15 percent below ideal body weight
-has an irrational fear of weight gain or becoming fat
-has severe body image disturbance
-no longer has a menstrual cycle -- in women of the appropriate age

There are two subtypes of anorexia nervosa -- restricting, in which patients only restrict eating to reduce their weight, and binge eating/purging, in which patients may either binge or use purging to control their weight.

2. Bulimia nervosa, which is distinguished by binge eating with:
-a sense of loss of control
-behavior to offset it through purging -- self-induced vomiting or laxative or diuretic abuse
-behavior to offset it through non purging -- excessive exercise, fasting or strict diets
-dissatisfaction with body shape and weight

3. Eating disorder not otherwise specified, which includes patients with eating patterns and weight management habits that are clearly abnormal, but don't meet the criteria for anorexia nervosa or bulimia nervosa.

What are some of the indicators for eating disorders?
It's important to note that eating disorders are illnesses of denial and secrecy; they're often very difficult to track down. So family members and friends shouldn't feel bad about not figuring out if their loved one has a problem right away. That being said, there are some signs you can look for:
-unexplained weight loss
-dizziness, fainting, or fatigue
-irritability or moodiness
-going to the bathroom often, especially after meals
-cutting food into tiny pieces and pushing it around the plate
-any major change in eating or exercise behavior

How are eating disorders treated?
Eating disorder patients are typically seen by a physician and nutritionist, as well as a psychologist or social worker.

If an individual becomes really sick -- their condition gets worse and worse causing unstable vital signs, for example -- they should be admitted to the hospital and placed on special meal plans with weight gain goals.

What are some of the medical complications that can occur as a result of eating disorders?
Several can occur during starvation or persistent purging, such as:
-cardiovascular issues like an abnormally slow heart rate or arrhythmias
-gastrointestinal dysfunction like constipation, severe heartburn or reflux
-dermatologic problems like hair loss
-bone loss leading to osteoporosis or even growth problems

These and other medical complications put each patient at serious risk.

What are some resources for patients and their families?
The National Eating Disorders Association is a good source, as well as the National Association of Anorexia Nervosa and Associated Disorders.

The 2nd Annual SNBC Community Film Festival!
Please join the Sunset Neighborhood Beacon Center as we celebrate the diversity, creativity, and vision of our filmmakers at the:

The 2nd Annual SNBC Community Film Festival!

When: Wednesday, November 16, 2005 from 7:00 to 8:30 PM
Where:
Irish Cultural Center
2700 - 45th Avenue
San Francisco, CA 94116
(Near intersection of 45 Ave. and Wawona)
www.irishculturalcenter.org

RSVP/Questions
Jessica Aebi
415-759-3690 / jaebi@snbc.org
www.snbc.org

Suggested donation at the door: $5.00 per person or $15.00 per family
(No one will be turned away for lack of funds)

* Refreshments provided
* Films are appropriate for all ages
* One of the films shown at this event is produced by an independent filmmaker from the community at large.

Listening to Students [part 2 of 2]
Engagement and achievement rise when students have a voice in classroom decisions.
by Susan Black, American School Board Journal

Giving students a voice

Teachers in an Ohio middle school are listening to their students.

Worried about their students who “tended to disappear,” the teachers joined forces to help six youngsters with low test scores, little interest in learning, and an array of social, emotional, and behavior problems. They began by talking with the students -- and, better yet, listening to what the kids had to say.

With guidance from the University of Cincinnati’s Steve Kroeger, and with parent permission, the teachers held open-ended interviews with the kids and gave them cameras to record their home and school experiences through voice and pictures.

Kids talked on and on as they showed their photos to the group -- they especially wanted to discuss their pets, friends, and family and personal problems such as the possibility of moving away. Kiki showed a picture of her house and told the group, “I have lived in eight different houses. I have lots of memories ... the longest I have stayed in a house is four years.” Tim shared a photo of a math exercise and said, “Remember in math class today where I got that problem right? That was so good.”

The teachers soon realized that, in their classrooms, they have “loud voices,” but their students -- especially the struggling ones -- are seldom heard. Giving students a strong voice is often “perceived as subversive” in the school culture, they wrote.

By listening to their students, these teachers learned to look at them through a different lens that brought the kids into sharper focus. As a result, the teachers said they became less judgmental, more patient with their students, and more committed to helping them succeed.

The teachers also began to think more about their students as individuals, selecting strategies based on information they had gathered from the kids. In Kiki’s case, the teachers discovered that with each phone call home, her mother heaped on more household chores, leaving less time for Kiki to finish assignments. As one of Kiki’s teachers said, “Listening to student voices allowed us to take action that we would have missed otherwise.”

Another reflected, “We are so rigid and black and white.” She noted the importance of rules but went on to describe that she had learned there are times to bend and give a child “words of encouragement or a vote of confidence.” Still another said the experience of listening made him a better teacher. And, he noted, the kids became better students when he took an interest in their lives.

The teachers, you could say, changed the sound of their voices.

These teachers impart valuable advice to others. “When, as teachers, we reach that place where we no longer understand the struggling student ... we need to take a step back and listen.”

Ask the kids

In 2004 I was invited to give a presentation at Harvard University’s Civil Rights Project’s Midwest Conference on the Dropout Crisis. I spent weeks reviewing my own and others’ research, compiling notes and outlines, and preparing a PowerPoint overview.

But when I found my way to the presenters’ platform, I sat next to Johnnie Brooks, a student from Prologue, an alternative high school. Johnnie told his story -- a deeply personal story of what life had been like for him in and out of school, his decision to drop out, and finally finding his way with help from his Prologue teachers, who, he said, “listened, listened, listened.”

When it was my turn to address the 600-member audience, I didn’t feel as cool and competent as Johnnie. Suddenly my notes and PowerPoint looked dull and lifeless -- and so I set them aside and spoke from my heart and mind, recounting what I had come to know and understand about dropouts from stories the kids had told me.

During the question-answer wrap-up that followed, a high school principal asked me for one piece of advice. It came to me in an instant.

Years ago, when I was a graduate student in labor and industrial relations, I met with Al Shanker, then president of the American Federation of Teachers. I proudly showed him my dissertation plan to investigate collective bargaining issues pertaining to curriculum and instruction in a sample of Michigan school districts.

Shanker looked thoughtful as he studied my proposal, which included surveys and interviews of union officials, school board members, school administrators, and teacher leaders. He peered at me for some time and then spoke very slowly: “You forgot one thing. You forgot to ask the kids.”

That was my answer to the high school principal: Always remember to listen to your students’ voices. Always remember to ask the kids.

Wellness Center
Jennifer Kenny-Baum (Wellness Coordinator) is available daily.

Monica Murphy (Nurse) is available daily.

Ian Enriquez (Youth Outreach Coordinator) is available daily.

Sheening Lin (psychologist) is available daily.

Ulash Thakore (Academic Counselor) is available Monday thru Wednesday.

German Cheung (Counselor) is available on Mondays.

Sonia Sztejnklaper (Russian Speaking Counselor) is available on Mondays.

Suong Vo (Vietnamese Speaking Counselor) is available on Mondays.

Kory Okun (Relationship Counselor) is available Tuesdays.

Wayne Hayes (Counselor) is available on Wednesdays.

James Guay (Therapist) is available on Wednesdays.

Pauline Ong (Cantonese Speaking Counselor) is available on Wednesdays.

Megan Agee (Community Safety Organizer) is available on Thursdays.

Alex Dang (Vietnamese Speaking Counselor) is available on Fridays.

Vicky Fashho (Arabic Speaking Counselor) is available on Fridays

Need a Job?
Come to an Informational Youth Job Fair for youth between the ages of 14-24.

- Full- and part-time positions (seasonal and permanent).
- Find out what employers are looking for in a youth employee.
- Some employers may want to conduct on-site interviews!
- Please dress professionally – you might be asked to interview!
- On site Work Permit applications!
- Refreshments and door prizes!

Come meet and greet the following employers:
- Allied Barton Securities!
- Old Navy!
- In and Out Burger!
- Toys R Us!
- Mervyn’s!
- Treasure Island Job Corps!
- Macy*s!
- UPS!
- Champs!
- City Build!

When: November 17, 2005
Place: Career Link-Mission One Stop Center
3120 Mission Street, San Francisco
Time: 4:00pm – 8:00pm

Dress professionally and be ready to be interviewed!

  

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