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

Children, Trauma & School (what’s it like to teach tortured children?)

Today’s Star Tribune article nails it. Thank you Annie Mogush Mason for your clear explanation of how child abuse impacts schools. Coping skills (learning skills) are not brought by the stork. Add to that, the terrible things done to at risk children in the home, children bring fear & high anxiety into the classroom instead of the ability to sit still, play well with others or learn.

Teaching *traumatized children is different than teaching other students. Way different.

The sadness that is child abuse triggers unpredictable and often violent behaviors in the classroom. Many a teacher has talked to me about the larger percentage of their daily efforts being directed toward the one, two or three disruptive students in their classroom. I know educators that have quit their jobs in tears and with genuine fear of going to work every day because of this.

Sad Stories November 2015

CA: Six children are dead. Could these needless deaths have been prevented?
Los Angeles Times – November 24, 2015
There are community-based services he could have tapped, but they’re fragmented and hard to navigate without professional help, said USC child welfare professor Jacquelyn McCroskey.
http://www.latimes.com/local/california/la-me-1124-banks-troubled-parents-20151124-column.html

FL: Mistakes detailed in Janiya Thomas death
Southwest Florida Herald Tribune – November 24, 2015
Child protection investigators closed probes prematurely, turned in crucial paperwork late and failed to adequately identify safety concerns when they investigated incidents involving the mother of an 11-year-old found dead in a freezer this past October, a Department of Children and Families report released Tuesday found.
http://www.heraldtribune.com/article/20151124/NEWS/151129803?Title=Mistakes-detailed-in-Janiya-Thomas-death
– See more at: https://invisiblechildren.org/2015/11/26/sad-stories-november-2015/#sthash.uuJlOpd4.dpuf

Child Protection Oversight Committee Meeting Nov 23rd

It hurt me to hear it suggested that Brandon Stahl’s reporting on Child Protection in Minnesota is somehow a cause of the troubles within the system today. It is precisely the lack of reporting, accountability, and access to information that has grown our child protection failures to where they are.

The thing missing from last night’s Child Protection Oversight Committee meeting was the voice of someone that experienced child protective services (to put a human face on the conversation) and a fearless front line worker or CASA guardian ad-Litem to describe the depth and scope of the issues on the table.

People speaking in a roomful of professionals find it difficult to use the words or employ a passion that puts urgency and humanity into the facts that rule the fabric of our community and the lives of at risk children.

We also avoid topics that can’t be dealt with in our current institutional paradigm.

When Dee Wilson delivered the report on the Casey Foundation’s investigation of Child Protection to the County Commissioners he referenced the fact that St. Joe’s Home for Children was the primary resource for the most troubled children entering Child Protective Services.

The Foundation reported that the home was not able to deal with the level of trauma and behavioral problems it is forced to manage on a daily basis.

The truth underlying Dee’s statement needs to be recognized as the tip of the iceberg it is (we don’t).

The Foundation reported that the home was not able to deal with the level of trauma and behavioral problems it is forced to manage on a daily basis.

How We Punish – And What It Does To Children & Our Community

For many years, we have fed younger and younger people into our Criminal Justice System and gotten the same results over and over again as children graduate into the Criminal Justice System with a recidivism rate that may soon exceed 70% (Juvenile Justice recidivism is not tracked in 11 states and narrowly tracked elsewhere).

Evidence overwhelmingly indicates that abused and neglected children, mostly from families suffering from generation after generation of child abuse, fuel the furnace of the Juvenile Justice System. It has become common to charge 12 and 13 year old children as adults in the Criminal Justice System, some as young as 8 years old. Pennsylvania recently charged a 10 year old as an adult.

3000 children have been sentenced to life imprisonment without the possibility of parole, some as young as 13 (sentenced to die in prison).

Yesterday’s article on tasing 3rd graders & expelling preschoolers at many times the rate of other industrialized nations is snapshot into the dysfunctional elements of our institutional approach to dealing with the mental health issues of children, primarily abused and neglected children, that enter our Juvenile Justice System.

Today, I draw your attention to some of the worst practices within Child Protection Services and the Juvenile Justice System and ask you to reflect on how these practices might re related to the frightening violence and dismal news that pervades our media and daily lives. Social death…

Sherriff’s For Pre K (save our children)

Wow and thank you Hennepin, Ramsey and Dakota County Sheriffs. Sheriff Rich Stanek’s “we must make investments in early childhood education for Minnesota kids now to avoid paying far more for the cost of crime in the decades to come” took genuine political courage (thank you from Kids At Risk Action Sheriff).

In the Star Tribune article today I found it ironic that full implementation of the Governor’s Universal Pre School would cost almost as much as we spend on prisons in MN each year (the Sheriff is arguing that we will have fewer people to put in those prisons if we support Pre K education for children).

Sheriff’s Matt Bostrom, Tim Leslie, and Rich Stanek – KARA salutes you.

What follows is probably more than you want to know about the long debate from a law enforcement perspective about education, crime, mental health. Please chime in.

It’s How You Frame The Issue

Albert Garcia’s first psychotic break was bizarre — he awoke from a night of drinking and meth use 10 years ago to hear angry voices coming from people on the other side of a living room mirror — but it gives him credibility as he counsels others with severe mental illness.

“I can see it. I can feel it,” said Garcia, 57. “I can actually feel the kind of fear they are going through.”

Garcia is the most unorthodox member of a project created to help Twin Cities teens struggling with severe mental illness. The idea is to bring a team of professionals such as psychiatric nurses and drug counselors to teens’ doorsteps, but also to connect them with “peer support” specialists such as Garcia who can relate to their struggles.

Hana’s Story

Still, the Williams verdict has renewed calls for adoption reform in Washington—which to date seems to be the only state studying adoptee abuse. There is also talk of a federal bill to enhance post-adoption services for families and require better data collection on failed adoptions, and some adoption agencies, including the country’s largest, Bethany Christian Services, have called for action against rehoming. And a new website, Betaseb, is attempting to provide a place for older Ethiopian adoptees to talk with each other privately and learn about their rights.

Total Disaster In Tennessee (NV, TN, CA, & TX in Trouble Too) Disappearing Watchdogs Around the Nation

When detectives interviewed Brewer, she told them the children were punished for stealing food. The case “even shocked some of our most veteran children’s case workers,” Hudson said.

Brewer pleaded not guilty to eight felony counts, including torture, cruelty and assault with a deadly weapon at her arraignment Jan. 18. Her attorney, alternate public defender Hung Phi Du, declined to comment.

After Brewer’s arrest, county investigators uncovered a history of child maltreatment investigations involving Brewer going back to 2001, when callers to a hotline twice reported that she was abusing her two biological children. Both times, social workers concluded that the allegations were unfounded.

In 2006, Brewer was recruited by a private agency called Aspiranet. Based in South San Francisco, the contractor is one of the state’s largest foster care providers, serving 2,000 children a year.

Aspiranet placed 23 children in Brewer’s care over the next five years, among them the half siblings she ended up adopting.

The children’s mother had been found to be suffering from schizophrenia and depression. They came to Brewer in 2009; it was their fourth foster home.

During Brewer’s five years as a foster parent, the county child-abuse hotline received at least seven calls from people alleging that she was maltreating children, including the half siblings.