Auction raises almost R300k!

It’s with enormous gratitude that we reflect on an incredible evening last week. This is our second fundraising dinner held at the spectacular Nasdak in Cape Town City Bowl to raise funds for the early detection of ADHD and other mental health barriers to education in underprivileged communities.

 

 

 

 

 

During the auction the 20 paintings generously donated by some of South Africa’s most talented artists, raised a total amount of R294 600! The top lot, a painting by Solly Smook entitled “La Monja” went under the hammer for an impressive R31 000. The giving was generous from the 140 guests attending and to prove the point we even had a cable tie sold for R300!

 

F.l.t.r.: David Griessel, Roelof Rossouw, Kevin Hector, Alvena van der Vyver, Renata Schoeman & Nic de Beer

We are left speechless by the generosity and support we have received since launching Goldilocks and The Bear Foundation two years ago. We started the foundation with a big vision in 2017 and since have managed to bring mental health services to 21781 children in the Western Cape!

This has only been possible by the big-heartedness of people from across South Africa. The spirit of giving-back, changing lives and giving children a fair chance in life, is testament to the overwhelming money raised at the auction. With this money we can expand our reach and grow the progress we have achieved so far.

ADHD affects 1 in 20 children in South Africa and many are left untreated. Half of these children struggle with poor self-esteem, learning difficulties, anxiety, depression, behavioural problems and substance abuse disorders. Our aim is to at school and community level, raise the awareness and share knowledge about ADHD, screen children and help them on the road to finding the best treatment. We train community leaders and teachers to assist us in early detection, upskill pro bono volunteers and healthcare professionals, and work closely with the Departments of Education, Health and Social Development,  and other NGOs.

In just two short years we managed to:

    • Visit 26 schools
    • Brought mental health services to 21781 children
    • Screened 1070 children
    • Identified 434 children with ADHD
    • Diagnosed 90 children with depression or anxiety
    • Diagnosed 19 children with medical conditions
    • Identified 52 children with learning or intellectual disabilities

In addition, we are enormously proud to have opened up a screening centre at Tygerberg Hospital in September this year! We have also launched in Gauteng during October 2019, and aim to be operational early 2020. We have also published a book “All these things are important to me”, but more on this in a next blog.

But we can’t do this without funding. We have a number of projects all geared towards raising enough to expand our reach ranging from Back-a-Buddy to athletes contributing through sponsorship received, Corporate Social Investment commitments and our annual auction.

F.l.t.r.: Nic de Beer, Jackie Tau, Renata Schoeman, Clinton van Zitters & Bruce Whitfield

 

Thank you to every volunteer, sponsor, contributor and supporter of this worthy cause.

Together we can fast track the lives of children destined for greatness!

 

Prof Renata Schoeman & Nic de Beer

Co-founders of the Goldilocks & the Bear Foundation

 

 

A day in our world

by Claire Tobin

We arrive at the allocated school just in time to hear the first bell ring, the start of a new school day and the young learners slowly gather themselves around their respective classrooms. While some eager to get to class, others are running around and playing with their friends, waiting for the teacher to summon them into the classroom.

I walk into the school office, see teachers rushing off to start their day and I am curious as to whether these teachers ever rest because they always seem like they are in a hurry. I meet my colleague and nurse, Cornelia, in the staff room and we set up the equipment for the day.

The main purpose of the process is to screen for ADHD (attention-deficit/hyperactivity disorder), other mental health problems, and other learning difficulties – which can be a barrier to optimal learning for children –  and to ensure they receive the necessary support. For us to be able to begin screening a learner, we require parental consent and completed information forms from both the parents and the teachers. In addition, we also require the learner’s academic record, their birth certificate, as well as their hospital clinic card. All of this information is critical to evaluate the holistic functioning of the learner.

Today, we note that we have outstanding documentation and request the assistance of the school based support teacher. After providing the teacher with a list, she disappears in haste. Cornelia and I look at each other and smile – a silent understanding that it is going to be another eventful day at the “office”.

We ask the school receptionist to call the learners to be screened over the intercom and while we wait we compile the required paperwork for each respective learner. We hear a faint knock at the door and in come four young learners. They line up in front of us with this bewildered look on their faces, unsure of why they have been summoned to the office. I smile at them and reassure them that we are there to help and we introduce ourselves. Cornelia, the nurse, jokingly tells them that they will not be getting injections from us today and they giggle nervously.

We start the young learners off by doing a basic health check, Cornelia records their weights and height, takes their blood pressure and she notes any other health concerns. After they have done their health checks, we sit down with the young learners one by one and ask them to do a few basic and interactive tasks. By doing so, we can gain some basic insight into the ability of the learner to read, write, spell and how they cope in general with tasks. Our preliminary screening is crucial in helping our psychiatrist and psychologists to form a “picture” of the child and to determine which further assessments are needed and how best to assist the children.

   

I call *Sibusiso to come sit next to me. He is 8 years old and comes across as a friendly and talkative boy, who is very eager to begin. I note that while he is doing a written task, he is experiencing difficulty holding this pencil and has difficulty spelling basic words. I take note that Sibusiso starts the tasks before he is told to begin, is tapping his feet on the floor and is very distracted by other children in the room. This alerts us to the possibility that he might be struggling with inattentionhyperactivity and impulsivity –  the core features of ADHD. I focus on bringing Sibusiso’s attention back to the task at hand and tell him he is doing well. After I finish with Sibusiso, I offer him a star shaped sticker, he sits up straight and points to his forehead and smiles. I place the sticker on his forehead he proudly walks off.

I can see that *Mary, who is 10 years old, is an extremely shy girl with a downcast gaze, I gently ask her to sit next to me. She is very soft spoken and I need to move closer to her to hear what she says. After pulling a silly face, I manage to get her to smile and softly giggle. She completes all the tasks very quietly and I take note that she struggles mostly with focusing her attention on the task at hand and her reading. I often find Mary staring vacantly in front of her during a task and she works slower than most children her age. This may be a sign that she is struggling with inattentiveness – another core symptom of ADHD. However, we need to make sure she is not anxious, or struggling with poor confidence.  She bites her lips and smiles at me as I thank her for her hard work today.

After seeing another two learners, the home time school bell rings and there is a hum of voices moving towards the school gate, our time is up for the day. Some days are more productive – if all goes well we screen up to 12 learners on a day! Cornelia and I make last minute notes and we send another message out to the school based support teacher requesting additional information. We gather our belongings and thank each other for another productive day.

Although this is only the beginning, and I am the “newbie”on the team, I am grateful to be part of the process in changing the lives and futures of these young learners.

*Fictional names

Claire Tobin, a psychometrist, joined our Goldilocks and The Bear Foundation in February 2019

Mental Health and Education

Why mental health and education cannot be separated

Attention-deficit/hyperactivity disorder (ADHD) has received increased scientific, clinical and public attention over the past few decades. ADHD is the most common psychiatric disorder in children – affecting  2.0% to 16.0% of the school-age population. However, in South Africa, data on prevalence rates, access to care, and treatment for ADHD is limited. Despite the known efficacy of treatment, access to health care and treatment remains limited for many children in South Africa. Untreated ADHD results in substantial costs and has a negative impact both on educational attainment and quality of life.

The Goldilocks and The Bear Foundation (www.gb4adhd.co.za) was founded in March 2017 and is operational since June 2017. The Foundation provides mental health screening and early intervention at school level for children in underprivileged communities in order to ensure early identification and intervention for mental health barriers to education.

We have recently completed a study (“Removing mental health barriers to education: a community project”) which has been presented at the South African Society of Psychiatrist’s national congress, and was also published in the South African Journal of Psychiatry (Schoeman, Enright, James, Vermeulen & De Beer, 2018). See https://sajp.org.za/index.php/sajp/article/view/1293/1253

Our study, spanning the first year of operation (June 2017 – May 2018) aimed to establish the prevalence of ADHD and the key characteristics of children referred to the Foundation for emotional or learning difficulties. Our study aimed to establish the prevalence of ADHD and the key characteristics of children referred to the Foundation for emotional or learning difficulties.

During this year, we have visited 17 schools and provided access to mental health screening and services to more than 12 000 children. However, some schools did not participate (two opted out, while three failed to complete the required documents). Five-hundred-and-sixty-one children were referred to us with possible learning difficulties (86%), behavioural problems (41%) or emotional difficulties such as anxiety or depression (33%). Most of these children were referred from the foundation phase (i.e. years 1 to 4 of schooling) with a mean age of 9 years (±2.83) years, ranging from 5 to 14 years. More than half of the children referred were boys. See figure 1.

Figure 1: Children referred for screening

 Although the Department of Education requires that children should first be assessed and assisted by the School Based Support Team (SBST) prior to referral to the Foundation, 61% of the children were directly referred to us by teachers. This was mostly due to the SBST being non-functional in most of the schools which we’ve visited, but also due to the sheer overload of work (and paperwork) which the teachers are facing.

Twenty of the referred children (4.0%) were previously diagnosed with ADHD, while three-hundred-and-six children (55% of those referred to us) presented with ADHD, or symptoms suggestive thereof. See figure 2.

Figure 2: Children presenting with ADHD or symptoms suggestive thereof

We have referred 390 (69.52%) of the children for further evaluations to confirm diagnoses or to exclude other conditions which can “mimic” or accompany ADHD, while 57 (10%) of the children were referred back to the SBST without any intervention other than recommending didactic support and parental guidance. Unfortunately, many children did not arrive for their scheduled appointments (provided pro bono), as transport is problematic for a large part of the community (since then, we have been able to do more of these additional assessments at the schools, instead of children having to attend appointments for e.g. educational psychologists and occupational therapists at the volunteers’ offices). Our further assessments confirmed the presence of intellectual disability in 19 (3%), depression and/or anxiety in 42 (7%), and various sensory problems and developmental delays (which mimicked ADHD) in 81 (14%). Amongst the children we assessed, 221 (2.5%) were struggling with ADHD. We have also identified 34 (6%) who were subjected to abuse. These children were subsequently referred to the Departments of Health, Education and Social Development for further management. See figure 3.

Figure 3: Further evaluations and referrals of children

Lower than international prevalence rates of ADHD may reflect a lack of awareness of the disorder, misconceptions about the disorder in the community with regard to mental health disorders and treatment, and stigma. As most of the children referred to us were in their foundation phase of schooling, it is possible that many of the children in the higher grades may also be struggling with ADHD and other mental health disorders but were not referred. Due to the workload of the teachers, some of them opt not to refer any children. There was also a tendency to refer children which fulfil the “classical” picture the public has of ADHD: a naughty, hyperactive boy, while the silent “daydreamers” and girls, are often not identified.

Although mental health clinics exist in the public sector, children with ADHD often never reach this point of diagnosis and treatment. It is so important that children with learning difficulties are identified early – before they develop self-esteem problems, mental health problems, or behavioural problems. Although medication plays and important role in the treatment in some of these children, behavioural interventions, and educational and emotional support are also crucial.

The Goldilocks and the Bear Foundation aims to highlight the need to address mental health barriers to education through screening and early intervention. The results from our study highlights the need to raise awareness and reduce stigma, and can also be used to plan future service delivery. Collaboration between (and with) the Departments of Health, Education, and Social Development, are crucial to reduce, and remove, mental health barriers to education.

Acknowledgements: Gratitude is extended to the Friends of the Foundation and our volunteer health care professionals for their financial and support and assistance with service delivery

 

 

 

 

Running Fairy Tale

We are grateful to Modern Athlete (www.modernathlete.co.za) who has featured the Goldilocks and The Bear Foundation in their August 2018 Issue. Thank you Sean Falconer and Kim Walker, who have kindly granted us permission to reuse the article here. It is clearly best to leave the writing to the professional journalists!

Cape runners Renata Schoeman and Nic de Beer don some eye-catching costumes in order to raise funds for their Goldilocks and The Bear Foundation and the work they do to help school children with Attention Deficit/Hyperactivity Disorder (ADHD) and other mental health disorder.

If you suddenly find yourself running or cycling next to two athletes in fancy dress costumes during a race, one dressed in a Goldilocks outfit with yellow dress and long yellow pigtails, and another in a ‘onesie’ bear suit, complete with massive bear-head, you may be forgiven for thinking you’re hallucinating due to a lack of oxygen. Relax, though, because you’ll just be sharing the road or trail with the Goldilocks and the Bear Foundation athletes.

 

Image: Tobias Ginsberg
Taking on the AfricanX trails
Images: Tobias Ginsberg

 

 

 

 

 

 

 

Image: Moegsien Ebrahim

Usually, the characters beneath the costumes are psychiatrist Renata Schoeman (Goldilocks) and entrepreneur Nic de Beer (The Bear). Renata is a general psychiatrist in private practice and amongst her running achievements on road and trail she has a 4:52:49 finish in the Old Mutual Two Oceans Marathon. Meanwhile, entrepreneur Nic’s focus is in the hospitality industry, and he is also a top runner and coach, with 12 silver medals at Comrades, 10 silver medals in the Two Oceans Marathon, and numerous trail running victories and podium finishes.

 

They ran the three-day AfricanX Trailrun in 2017, including donning their trademark costumes on the challenging 32km dress-up second stage, and walked off with the award for best dressed team. Unsurprisingly, running such a challenging route in the bear suit proved quite a challenge for Nic. “I think I lost a few kilograms in sweat inside the suit, and it was hard to breath inside the head, because the only air coming in was through the eye patches. But running in the suit is for such a great cause, and that kept me going, because we really caught people’s attention.”

Kids in Need

Renata and Nic are co-founders of the Goldilocks and the Bear Foundation, a registered non-profit NGO that works to remove mental health barriers to education in South Africa. When asked to explain the name of the foundation, Renata says, “I am sure you know the story of Goldilocks and the Three Bears, but have you ever considered why Goldilocks got herself into such a lot of trouble? Just perhaps she struggled with inattentiveness, absentmindedly wandering off into the woods, and then impulsively entering a strange house, and with her usual hyperactive way started climbing on furniture and tasting the food…”

“She was lucky that the story had a happy ending, but thousands of other kids aren’t so lucky. At least one in 20 children in South Africa suffers from ADHD, a disorder marked by symptoms of inattentiveness, hyperactivity and impulsivity. Although mental health clinics exist in the public sector, children with ADHD often never reach this point of diagnosis and treatment due to a lack of awareness and knowledge in their communities. They are never screened for ADHD, and may be labelled as naughty, or even ‘stupid,’ and may just silently fall out of the educational system and only come to our attention when absorbed into the criminal justice system. These children never have the opportunity to flourish.”

Back to School

Image: Goldilocks and The Bear Foundation

And so Renata, Nic and their team visit underprivileged schools all over the Western Cape to provide screening to the children for ADHD, anxiety, depression, visual and hearing problems, and developmental problems. They also ensure that these children are referred for the necessary investigation, testing, diagnosis and treatment. “During the past seven months, we visited 17 schools and have provided access to services to roughly 12,000 children. This led to us assisting more than 600 children, including diagnosing more than 150 with ADHD and 38 with anxiety and depression. We also did more than 95 eye assessments, 70 hearing assessments, and more than 110 educational assessments,” says Renata.

The Foundation aims to screen 500 children per month, but would like to do much more, given that there are an estimated 200,000 children in the Western Cape alone who currently have no access to such services, or have to wait month for assistance. “We have therefore recruited pro bono volunteers to assist us, including optometrists, audiologists and educational psychologists. However, we also need to buy in services from professionals, and thus we are completely dependent on fundraising initiatives and donors,” says Nic.

So that’s how Nic and Renata came up with the idea of running in costume to raise funds for and awareness of their Foundation, and their next outing will be on 23 September when they take on the Sanlam Cape Town Marathon. “We are registered as a charity on Back-a-buddy, so people can support us as registered GB4ADHD Champions, or they can become a Goldilocks or a Bear Champion for GB4ADHD and host their own fundraising events to support our initiatives. All donations will make a difference in the lives of these kids,” says Nic.

For more info, visit https://gb4adhd.co.za or www.facebook.com/gb4adhd, or make a donation at www.backabuddy.co.za/charity/profile/gb4adhd.