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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Big Pharma vs. 5 Year Olds (and the loser is,)

Today’s in-depth article on the billions of dollars in fines and judgments paid out by big drug companies on civil and criminal complaints for promoting drugs (not even established as safe and effective for adults) to pediatricians & school guidance counselors) for use by children needs to be understood and taken a step further.

From this guardian ad-Litems perspective, the most serious drug abuse facing America are the psychotropic medications being prescribed to children (even three and four year olds). The side effects can be awful, the drugs often cause more harm than good and seldom does adequate therapy accompany drug usage.

Johnson & Johnson has settled thousands of cases for their “illicit promotion of Risperdal” (3 billion dollars) and are currently litigating over four thousand cases (and only a fraction of damaged people ever sue).

The safety and efficacy of Risperdal was promoted for use by children when it had not even been established that it was safe or effective in adults and J&J will continue to sell these drugs, lose these lawsuits and make boatloads of money.

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The Power of Coping Skills & Life Without Them

A sad personal email this morning from a grieving mother has caused me to reflect on friends who ended their own lives and the four, five and six year old children I have known, or known about, who tried or succeeded at suicide.

My cousin Ron Mahla (Actor and brilliant person) and my dear friend Tommy Garretson (Vietnam War Vet with a winning smile and great sense of humor) were both gentle and bright souls that were squeezed to death by sadness and a growing inability to cope with their lives.

In both deaths, I’m almost certain that neither told anyone or thought to get help to cope with the events in their lives (there were no signs of impending suicide).

Coping skills are everything. Have them and we can make it – without them, we are at risk.

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Mental Health – Connect The Dots (the hidden dangers of antidepressents and children)

The point I’m making by connecting these articles is not that suicidal ideation delivered by psychotropic medications kills people. It is the complicity of mental health experts in not speaking to this Fact loudly and clearly that disturbs me. Not only are mental health professionals not speaking to this Fact loudly and clearly, they repeatedly do just the opposite (if you read the aforementioned articles you will see this point demonstrated. In the Schulz case, Dan Markingson’s mother’s pleas were ignored and in the Marino article Professor Marino makes the point repeatedly.

These 2 articles represent one days worth of reporting in our newspaper about the Fact that suicidal ideation from psychotropic medications kills people, at least to some degree, because mental health professionals, the people in charge of distributing and regulating the use of these powerful drugs, don’t know what they are dealing with.

To add fuel to this fire, let me point out that the pharmaceutical industry has gone to great lengths to recommend off label usage of these drugs for other uses (Topamax prescribed for migraines as a personal example) and if my lawyer friends are right, these manufacturers show up in courtrooms in force when significant homicide tragedies occur to make sure that the defendant’s use of these medications is minimized or struck from the records.

The point I make by drawing the manufacturer into this conversation can best be made by comparing the tobacco company settlements and Dalkon Shield manufacturer settlements to big pharma today.

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Drugging Our Kids

This series of videos report on the dramatic increase in the forced use of psychotropic medications by children in California’s foster care system. It very well may be an epidemic in every state.

I have personally watched the explosive use of these drugs over the past twenty years and talked with professionals (including judges, educators, families & service providers) who are very concerned with the dangers of using these powerful anti-psychotic medications in place of mental health treatments for abused and neglected children.

Prior reporting on the topic; A, B, C, D, E, F, G, H, I, J, K, L, M, N, and here’s the

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Psych Drugs Action Campaign (from the National Center for Youth Law)

On April 14th four bills will be heard before the Health and Human Services Committee of the California State Legislature that improve oversight and monitoring of psychotropic medication treatment for children in foster care. We are writing to request your support. Will you or your organization help? Please send your support letters by end of…

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Hiding Child Suicide Hurts Everyone (until it exists – nothing will change)

Six weeks ago, Brandon Stahl’s Star Tribune article about the death of six year old Kendrea Johnson by apparent suicide, pointed out just how misinformed (or misdirected) our community is when it comes to the impact of trauma on children.

An unnamed Hennepin County Medical examiner was quoted in the article, “the decision to carry out such an act (suicide) is outside what a normal six year old could think about”.

This statement should have been, that all children in foster homes have been traumatized and normal does not exist for most of the six million children reported to child protection in this nation every year and that suicidal thoughts are not uncommon to traumatized children.

Awful things happened to these children or they would not have been taken from their home and placed in foster care.

Being removed from your birth home is traumatizing in and of itself. What happened before changes the way a child reacts to life – literally, it changes the way the brain responds to “normal” events for a child. Then, we add psychotropic medications that trigger thoughts of suicide (just read the package). Judge Heidi Schellhas shared her list of very young children taking Prozac, Ritalin, and other mind altering medications with me. Six year olds were on the list.

My first visit to a four year old girl in my CASA guardian ad-Litem work was at the suicide ward of Fairview Hospital.

I’ve written about seven year old Gabriel Meyers who hung himself and left a note about how he hated Prozac.

KARA’s interviewing for our child protection television expose includes past volunteer guardian ad-Litem and former mayoral candidate Don Samuels telling his story of a teacher calling him and asking for help with a five year old suicidal boy.

I’ve been on an airplane delivering a twelve year old suicidal boy to an out-state suicide prevention group home because all the metro suicide beds were taken – there are 800 to 1000 emergency psychiatric visits to HCMC every month (and many of them are children). Remember, this is just a single metro hospital. There are 3 children’s hospitals in the metro and zero children’s mental health hospitals.

While it is true that most five and six year old children fail in their suicidal attempts, their lives often remain self destructive and lead to early death. It hurts me that if not for the reporting of Brandon Stahl at the Star Tribune, no one would know that Kendrea killed herself, except her therapist and other service providers that knew she was having daily thoughts of suicide.

It is an awful condemnation of our values and community that abused and neglected children suffer this much with so little meaningful help from the rest of us. This speaks volumes about how we value children.

She is out of the news cycle now and probably not going to get much more attention. We should all feel some sorrow and empathy for the six year old girl that had to think about how she was going to end her life and then doing it. It should be much bigger news.

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