Teaching In a Strange Land (mental health workers without training)

What struck me hardest in today’s INVISIBLE CHILDREN presentation at a suburban elementary school was the dedication and desire my audience of 60 educators have for the children in their classrooms. Even the most difficult kids.

Martin Luther King Day was a train the trainer day for these teachers. Our discussion on trauma and dealing with traumatized children sparked keen conversation and shined a light on the depth and scope of the mental health issues students bring to school.

Did you know that 37% of children overall and 57% of Black children are reported to child protection services in America by the time they turn 18. (American Journal of Public Health 1.17)

This a particularly American problem and it is growing. Educators, like social workers, law enforcement, adoptive and foster parents, must grasp the new mental health reality if they are to succeed in their work with this population.

Most of my audience today “got it” when I talked about child abuse, foster homes, and what it takes to get into Child Protective Services and why abused and neglected children exhibit irrational and sometimes dangerous behaviors and need to be understood if learning is to occur.

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Children’s Mental Health, Prozac and You (suicide & other self-harming behaviors)

For every successful child-suicide there are an estimated 25 attempts.

The suicidal hanging of six-year old foster child Kendrea Johnson opened my eyes to the fatal flaws of Prozac and very young children and foster care.

The dearth of mental health trained foster families and the number of traumatized children in child protection systems can only lead to exponential growth in dysfunctional and dangerous behaviors that last a lifetime.

Nationally, about a third of children in foster homes take psychotropic medication like Prozac (they have no choice – the drugs are forced on them).

The note seven-year old foster child Gabriel Myers left when he suicided by hanging was specific about his hatred of the drug he was forced to take and that he would rather be dead.

In 2014, America forced Prozac like drugs on 20,000 + one and two-year old children. One manufacturer (Johnson & Johnson) was fined 4 billion dollars for illegally selling these drugs to pediatricians for use on very young children (with 4 thousand cases awaiting trial and that is just one manufacturer).

My first visit to a four-year old child as a volunteer Hennepin County guardian ad Litem was at the suicide ward of Fairview Hospital. I know suicidal ideation by medication and caution anyone using these drugs on children to learn about it.

During my first years as a CASA GAL, I experienced multiple suicidal children in my caseload. All of them were under ten-years old. The amount of Prozac like drugs forced on these children was remarkable. So remarkable that a Hennepin County judge shared the records she kept of medicated children with me and talked openly about her dismay that these drugs were being used on very young children.

There are no records kept of suicide attempts by children in child protection or foster/adoptive homes.

Only successful suicide attempts make the paper or are made public. In 2013, 494,169 Americans were admitted to hospital emergency rooms for self-inflicted injuries.

In Minneapolis MN, our HCMC hospital sees almost one thousand emergency room psychiatric visits each month.

For the first time in our nation’s history, mental health parity (a piece of the Affordable Health Care Act) will make mental health services available to the poor traumatized children I have worked with.

How we treat our most vulnerable children define the heart and soul of this nation.
If there is one thing to fight for in the coming battle over repealing the ACA, please join me in the demand for mental health care for our youngest citizens.

www.Kidsatriskaction.org

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Drugging Our Kids

In 1996 there were 1100 students per counselor in MN high schools and one child psychiatrist for all the children in the Hennepin County child protection system. At that time and now, no child makes it into Child Protection unless he or she has had suffered repeated traumas and needed consistent professional mental health help. As a County Volunteer guardian ad litem, I watched as tons of MN children were forced to take Prozac, Ritalin and other psychotropic medications. These children suffered all the side effects common to those drugs including the suicidal ideation printed on every package of the drug.

In 2014, 20,000 one and two year old children were forced to take these drugs and Johnson and Johnson was fined 4 billion dollars for illegally selling them to pediatricians for use on children (and there are four thousand cases awaiting trial).

This article (and the series within) presents a raw view into the terrible mishandling of children’s mental health.

All Adults Are the Protectors of All Children

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We Are All Nuts (the costs and dangers of undertreating and ignoring mental health – thank you Star Tribune)

If you have children, grandchildren or just like other people’s children, you should read this to the end. You could help keep them safe from terrible things by understanding the connection between this mental health discussion and those terrible things.

Today’s Star Tribune article by Chris Serres should wake us up as to the cost and danger we all face by ignoring, undertreating and maltreating mentally at risk people. Last week Chris wrote about the broken bones and violence done to children in the justice system because of their mental health struggles. Thank you Chris Serres and the Star Tribune for bringing this long avoided topic to the front page.

Chris’s article concentrates on the logjam and wait periods patients and providers face in this state and the human suffering that that accompanies it.

Not mentioned are the 900-1000 emergency psych visits to HCMC every month and some psych patients are waiting three months to be admitted (and that’s just one MN hospital). Allina Health DR Paul Goering states that “it’s been so paralyzing for the community to say ‘it looks like things are broken,’ and then to say it again next year”.

I agree with Dr Rahul Koranne (Chief Medical Officer for the MN Hospital Association) quote that

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I’m Not The Crazy One (20,000 one & two year old’s on Prozac – now that’s crazy)

90% of mental health hospital beds that were available in the 1960’s are gone today while our overall population grew over 40% in that time.

When America eliminated mental health hospitals in the 60’s, teachers, juvenile and criminal justice workers and social workers became defacto mental health service providers. This is no small feat. Humans are complex beings and understanding a mind takes extensive effort & training (especially a traumatized or troubled mind). Few service providers get that training.

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MN Suicide – Child Suicide – What We Don’t Know

20,000 American infants and 2 year olds were proscribed psychotropic medications in 2014 and billions in fines were levied against pharmaceutical companies for illegally selling these drugs to pediatricians for use on children (to no apparent affect).
Every year, 1/3 of foster kids in the U.S. use psychotropic medications & 2/3 of youth in the juvenile justice system have diagnosable mental health problems (half that number have multiple, serious and chronic conditions – and tons of psychotropic medications).
The lack of data and transparency about mental health services being provided to troubled children, juveniles & adults in schools, jails, prisons & child protection means that legislators and the public to avoid the hard conversations that could determine the steps required to address these problems.
When 6 year old foster child Kendrea Johnson suicided by hanging in Brooklyn Park 2 years ago, the Medical Examiner and Deputy Police Chief dithered over the cause of death and finally remarked that 6 year olds very rarely committed suicide. While it is true that six year olds have a very hard time succeeding at suicide, it is not true that state ward children don’t try.

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Mental Health, Prozac, Holding Pens, Children & Sheriffs – (why nurses, teachers, social workers & foster / adoptive parents need to speak out)

Today’s Star Tribune article about hospitals without the capacity to deal with the surge in emergency psych visits relates directly to the sheriff’s (Washington, Ramsey and Hennepin Counties) threat to sue because their departments had become mental health service providers as a result of the state’s failing to honor the 48 hour rule. It would be useful…

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Mental Health Shortages, Sheriffs & Children

I attended Syl Jone’s play BECAUSE at the Mixed Blood Theatre last week. It’s a moving piece that explores living with mental health issues from multiple perspectives leaving the audience with a personal sense of what it’s like to be this person, live with this person and understand this person. Syl is now the Resident Fellow for Narrative Health at HCMC (I think every hospital should have such a position – how else can these stories be told?)

I asked Syl at the play if he would consider writing about the mental health issues of children in child protective services, he seemed interested. If you know Syl Jones, please let him know how important this topic is.

Back to Sheriffs and Children (the title).

At the end of the play, Syl Jones & a panel (moderated by Eduardo Colon, the new Psychiatry Chief at HCMC) of professionals & one very articulate person living with serious mental health issues further explored the realities of mental health and mental health services in our community.

Today’s Star Tribune continues Dr Colon’s discussion about the shortage of beds for psychiatric emergencies and draws attention to how the problem is being compounded by the law that inmates take priority over everyone else for emergency psych beds (the 48 hour rule).

This newly enforced rule is a result of the sheriff’s (Washington, Ramsey and Hennepin Counties) threat to sue because their departments had become mental health service providers as a result of the state’s failing to honor the 48 hour rule.

While I’m all for providing services to inmates in need of psychiatric beds, I am appalled that the children in need of protection are suffering because of the shortage of beds and the use of psychotropic medications in place of therapy. I have attended multiple children on hours long trips outside of the metro because services were not available for them here.

The depth and scope of children’s mental health in this community is profound. As a long time CASA guardian ad-Litem I have accompanied many children on long trips for mental health services because there were no services here & I know that much of what is provided here is inadequate (this was referred to by Dee Wilson from the Casey Foundation).

Thank You Dr Colon, HCMC and Syl Jones for starting this conversation – it may be the only way our community can begin to understand the profound depth and scope of mental health issues and their impact on our quality of life.

Please share this post with policy makers and contacts in foster/adoption, education, health, policing and social workers.

ALL ADULTS ARE THE PROTECTORS OF ALL CHILDREN

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Child Death & Drugs (send KARA your stories)

Today it’s time we learn about the growing problem of newborns dying after being sent home with mothers struggling with drug addiction. This Reuters investigation starkly demonstrates that doctors are not alerting social services to thousands of infants living in toxic homes with addicts. Every 19 minutes an American baby is born dependent on opioids.
KARA needs your help finding information on the topic (forward related local news & your stories); info@invisiblechildren.org

All Adults Are The Protectors Of All Children

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Babies, 2 year old’s & Antipsychotic Medicines

New York Times article has identified that over 100,000 prescriptions for antipsychotic medicines were written in 2014 – children 2 and younger (many still in cribs). A shortage of child psychiatrists is partially blamed.

These drugs are powerful mind altering chemicals just one generation removed from Thorazine. To use them like candy for babies and 3 year old children is dangerous.

This Mercury News video series on foster care children provides a stunning insight into the growing use of unproven and dangerous medicines given to state ward children.

MN DHS in June of 2014 ended physchiatric consultations for high-dose ADHD and SGA drugs for children over 3 years old.

Big pharma has been fined billions of dollars for criminally promoting these drugs for use by children. Johnson & Johnson paid 3 billion for the “illicit promotion of Rispererdal” and is still defending thousands of cases in court today. This is just one example of the depth and scope of big pharma’s continued willingness to make money at the expense of vulnerable children. This CASA guardian ad-Litem has too many stories of very young state ward children forced to take these drugs and the side effects they cause. 92% of foster children using psychotropic medicines get them for unaccepted reasons)

No one questioned whether foster child Kendrea Johnson was on psychotropics when she hung herself and left a note. Her social worker did not know that she was suicidal and seeing a therapist at the time.

There was no question why 7 year old foster child Gabriel Myers hung himself – his suicide note clearly articulated that he killed himself because he hated being forced to take Prozac.

All Adults Are The Protectors of All Children

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