Mistaking Childhood Trauma for ADHD

6.4 million American youth are diagnosed with ADHD. This article from ACEs Too High by Rebecca Ruiz makes clear the overdiagnosis of ADHD and underreporting of childhood trauma. This goes a long way in explaining the overdosing of youth in foster care with psychotropic medications and giant fines paid by big pharma for illegally selling these drugs to pediatricians for use on very young children.

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Minnesota’s Back Story; Treating Children’s Mental Health

Today’s Star Tribune article (thank you Chris Serres) exposing the violence done to Minnesota’s youngest citizens while in state care reminded me of my own experiences growing up.

In my middle class 1977 neighborhood, the family next door’s 15 year old grandson became psychotic and behaved dangerously.

Mom and dad tried to find him mental health help to no avail.

The only option that provided treatment for their son was the Juvenile Justice system. The boy’s entrance into the system required he be charged with a crime. Their son killed himself a few years later.

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Minnesota’s Mental Health Crisis (spot on reporting by our Star Tribune – Many Thanks)

Today’s service providers are rarely capable of adequately dealing with the level of dysfunction encountered by a large and growing number of people.

They will fail to achieve the results they strive for until we the voters demand the core changes that will reverse these painful trends. These failures drive up burnout and good workers leaving the field for lack of success and very high stress (and lack of understanding appreciation from the rest of us).

Reflect on this;

The “colossal failure” of Child Protective Services” Governor Dayton’s words upon the death of 4 year old Eric Dean after 15 largely ignored reports of child abuse

MN Supreme Court Chief Justice Kathleen Blatz’ statement s that “90% of the youth in Juvenile Justice have come through Child Protection” and“ the difference between that poor child and a felon is about 8 years” are as true today as they were a few years ago when she said them. My spin on the Chief Justice’ words are that, the difference between that poor child and a preteen mother with no parenting skills, a drug problem and a violent boyfriend, is about 8 years.

2/3 of the youth in the Juvenile Justice System have diagnosable mental health issues & half of them have multiple, chronic and serious problems.

1/3 of the children in Child Protective Services are proscribed Prozac or other psychotropic medications.

20,000 one and two year olds were proscribed psychotropic medications in this nation in 2014 (Johnson & Johnson paid 4 billion dollars in fines for illegally selling these drugs to pediatricians for use on children and there are 5000 cases awaiting trial).

MN Sheriff’s had to threaten a law suit to get the state to move on providing timely mental health services for the people in their jail cells.

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Minnesota’s Gaps & Mitch Pearlstein’s Room Full Of Elephants

About a third of the children in child protection use psychotropic medications (when tracked – most often not published). Judge Heidi Schellhas provided me with a list of children in her courtroom that were forced on to psychotropics, it was long and children as young at six and seven years old were prescribed Prozac type drugs.

If your sister is born into is drug addicted, abusive, or otherwise toxic family, without community assistance, she will herself raise babies that are soon to be drug addicted, abusive, or toxic to their own children (and so on and so on and so on).

The male side of that statement was made much more eloquently by former MN Supreme Court Chief Justice Kathleen Blatz “the difference between that poor child and a felon is about 8 years”.

The beatings will continue until the morale improves (anonymous)

“What we do to our children, they will do to society” Pliny the Elder 2500 years ago

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Minnesota’s Child Protection Problem (“the deeper you get into it, the worse it is” Hennepin County Commissioner Mike Opat)

Thank you Hennepin County Board for unanimously approving the Governor’s Task Force recommendations for improving Child Protection Services in MN.

Thank you Governor Dayton for your “Colossal Failure” statement about the death of Eric Dean (it launched the important changes we see today), kudos to the Governor’s Task Force for the hard work you have done in bringing more transparency, accountability, and sanity to a system that has been responsible for its own share of child abuse.

Brandon Stahl and the Star Tribune deserve huge credit for a full year of prying open a closed system to get to the sad facts that lead to the repeated abuse and tragic deaths of so many poor and defenseless children in (or should have been in) County Child Protection.

KARA’s hour long video interview of Brandon Stahl gives a pretty good picture of just how insular and uncooperative the system can be to prying eyes (and how much worse it was for Eric Dean than his newspaper articles indicated).

Blaming juvenile justice employees & social workers, educators, health workers, adoptive & foster parents or other worker bees connected to child protection is counter productive and wrong.

Living with and working with abused children with serious behavior issues that are often unpredictable and violent requires more help and training than this community is providing. Psychotropic medications have become a go to answer for a very high percentage of very young children in Child Protection. A Hennepin County Judge shared a very extensive list of children that passed through her courtroom that were required to take these drugs over a year’s time – some as young as 6.

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Minnesota’s Child Endangerment Model (from the Casey Report briefing for Hennepin County commissioners today)

I was moved today when Steve Olson (from Knowledge Management) delivered the Casey Foundations 8 month report and recommendations for Hennepin County child protection at the County Commissioners briefing at the courthouse (listen to it here)

Steve made multiple references to Hennepin County’s “child endangerment” model and how it differs from a “child protection” model. He presented data demonstrating our negative outcome across a broad range of criteria and strikingly, how the County ignores child neglect (unlike the rest of the nation).

I understand the commissioners frustration over how much money (120 million dollars was stated) is spent on CP and how bad the results are. This is a complex set of issues that need thinking at a higher level.

With little measurability, less collaboration, almost no transparency there is only a vague idea of where to put resources and what’s really not working.

Bad results are about all that can happen the way things are today.

Mr Olson spoke of a perceived fear and lack of trust (distrust of peers and staff) within child protection reminding me of the high turnover in this industry in general and just how bad morale and turnover are on both the east and west coasts are.

Defining success and how we measure child safety and killing the current County child endangerment model was a top recommendation.

More community based solutions, involving community stakeholders and redefining what we want for outcomes all make perfect sense to me.

I also resonated with how social workers are also traumatized by their work and by the system and how this undermines the well trained, experienced and committed workers that we need so badly. It’s hard work and we should be striving to make things work better.
It was good to hear it spoken of that allot of the problem is that people don’t talk about the issues due to fear of litigation (and that much of this is overblown). The heart of the matter is that we don’t talk about it and very few people have a clear perspective of the issues.

Now, if policy makers would just get their brain around how important crisis nurseries, quality daycare and other early childhood programs are, we might just begin to break the cycle of abused children becoming problem youth with no parenting skills, trauma based behavioral problems often made worse with drug and alcohol addictions and three or four of their own very young children that will soon be allot like them in so many ways.

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