Unintended Consequences (KARA & abused children thank you Brandon Stahl & Star Tribune)

From today’s Brandon Stahl article,

“Janine Moore, the area director of the county’s children and family services department, said earlier this month that child protection has a backlog of nearly 300 unreviewed reports, up from 111 in February. Moore said staff examine all cases to determine which ones need immediate response.

Earlier this year, Moore told the committee there were 15 children on a shelter waiting list, meaning they needed to be taken into protective custody but child protection workers had nowhere to put them. At one point, the committee learned, there were 30 such cases, with a wait of up to two weeks before a safe home opened up for a child.

“Quite frankly,” Moore told the committee, “we’ve been struggling with this for over a year now.”

Hennepin County CASA guardian ad litem Calvin McIntyre says that in this overwhelmed child protection system (highest caseload in more than six years), “I’ve had kids get worse”.

“About two dozen children in the past year who had nowhere else to go were admitted to the pediatric ward of Hennepin County Medical Center, said the ward’s director, Dr. Frances Prekker. Some, said Prekker, had to be confined to the ward because they might run away. Some of the children stayed in the ward for a month, Prekker said.”“It’s quite stressful [for the children]. The hospital is a really boring place to live,” Prekker said. “They feel quite isolated.”

“Brooklyn Park Police Chief Craig Enevoldsen said his officers have brought young children they suspected were abused to North Memorial Medical Center in Robbinsdale.”

These sad truths would be a little more understandable if this community hadn’t allocated a billion dollars for a stadium, a billion + dollars for transportation & almost a billion dollars to rebuild a bridge that fell in the river because we were too cheap to make the 5 million dollars in repairs repeatedly requested by County and Federal engineers.

The unintended consequences of saving the 5 million dollars in bridge maintenance were 14 deaths, 144 seriously injured people, and pain and disruption for thousands of metro residents

Without community support, children don’t learn to cope and often fail in school and public life (state wards forever).

The unintended consequences of saving the effort and money it will take to build a more effective child protection system include failing schools, high teacher turnover, dangerous city streets and filled prisons along with a growing public concern that our institutions are creating exactly what they were designed to stop.

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…

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