MN reported 28 child deaths from caregivers known to child protective services in 2016 (p64).
17 children were killed by abuse in the past 18 months.
Less than half the deaths of at risk children suffer are reported as such.
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…
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
I’m always pleased to find outspoken observers in the mental health discussion. Today’s Star Tribune article begins to articulate the gaping hole in our communities (and the nation’s) approach to mental health. Much like child suicide and child sex abuse, we have avoided the mental health topic leading to the worst case of overbuilt prisons, unsafe…
Friday was spent at the annual Children and Youth Issues Briefing conference in St Paul. I reconnected with board members from CASAMN, Greg Brolsma, Police Chief from Fairmont MN with great insights about how the issues of abuse and neglect impact the larger community, and Rich Gehrman from Safe Passage For Children MN.
My biggest take away from the many speakers today was this statement by Becky Roloff CEO of the YWCA in Minneapolis (paraphrased) because a child’s future ability to cope in school and in life is almost completely formed by five, I’ve changed my definition of a generation. It’s not 20 years, it’s five. Every five years, another generation of children able to cope or not cope in school, with peers, and in life enters our community.
Becky’s larger point being, either we throw ourselves into crisis nurseries, early childhood programs, and affordable quality daycare, or we will continue to create new generations of troubled five year olds headed for failure and lifetimes of special needs and dysfunctional lifestyles.
Emerging Policy Initiatives, Youth Perspectives, MN Children’s Cabinet, Governor’s address, and Legislative leaders delivered multiple perspectives about children’s issues. When the video of the event is posted I will put it up on KARA’s website.
2 other thoughts that will stick with me from this meeting are;
1) the short sighted and repeated reference to affordability with little reference to the extraordinary cost of not valuing children enough to insure basic health and skills,
&
2) Governor Dayton’s remarks about how infighting among service providers could damage his efforts to provide funding for badly needed programs (which certainly would not serve the children we were there to talk about).
The cost of children not able to achieve the coping skills needed to succeed in school, with peers, and in life, are exponentially higher than providing subsidized daycare, crisis nurseries, and early childhood programs.
Without help, the traumas of abuse and neglect last a lifetime and cost a fortune over that person’s lifetime. Art Rolnick’s work at the Federal Reserve proving a 17 dollar return on each dollar invested in early childhood programs for the average child pales in comparison to the dollar invested in the at risk child. A single child in my caseload cost the county (and County) in excess of two million dollars) that could have been a fraction of that cost if addressed adequately (and he is still a young man with a long, expensive, dysfunctional life in front of him).
The literature shows that patients with psychiatric illness die up to 25 years sooner than patients without psychiatric illness,” explains program co-founder Dr. Mark Linzer. “While there are multiple causes for this mortality gap, the HCMC Program in Medical Psychiatry is designed to address many of these issues for both inpatients and outpatients with medical and psychiatric illnesses.”
Dr. Linzer, along with Chief of Psychiatry Dr. Michael Popkin and Dr. Ellen Coffey, a senior general internist, designed the program to include: