
MSNBC and the Associated Press released a news article a couple of days ago that I found very, very interesting.
States wrestle with medicating foster kids blares the headline.
Critics worry psychiatric drugs flow too freely to forgotten children.
The article describes how states struggle to deal with “the legions of emotionally troubled foster children in their care.” It quotes a statistic provided by the Child Welfare League of America stating there are “more than 500,000 children in (nationwide) foster care at any one time, and more than half have mental illness or serious behavioral problems.”
A child psychiatrist is quoted as saying the child welfare system has, by default, become a “mental health delivery system” and it is not designed for that purpose (and is not doing it well!) It isn’t much of a stretch to question how good a job our child welfare system is doing with
basic child welfare, much less expecting it to address child mental health. I have
GAO Reports I have quoted in past articles and advocacy letters that acknowledges our country’s mental health system is not equipped to deal with childhood mental health. Today I was part of a flurry of emails between some of the most awesome moms I know who are parenting severely traumatized children who carry PTSD diagnoses as well as other mental health disabilities. The ridiculous amount of time, energy and resources these women have to spend to get school districts to recognize and appropriately address their children’s trauma triggers is absolutely inconceivable. Clearly there is a national crisis when it comes to childhood mental health.
Here are snippets from the article that I found particularly applicable to “our” population of kids… but I encourage you to read the entire article!
Child psychiatrists say a shortage of funds and resources complicate the already daunting task of effectively diagnosing and treating mental illness in foster children. One problem…is a nationwide shortage of child psychiatrists, often leaving pediatricians to handle complex behavioral problems.
“Children who are having normal reactions to the trauma of being separated from their families are often misdiagnosed or overdiagnosed as suffering from psychiatric problems, and the system is too quick to medicate,” said Mike Arsham of the Child Welfare Organizing Project. “It’s a chemical sledgehammer that makes children easier to manage.”
“It’s crazy,” Boyet said. “A child is acting out because he was moved away from his parent, and you’re going to medicate him because of that? It’s not right.”
Some child psychiatrists are concerned about a possible overreaction against the use of psychotropic drugs, saying many foster children genuinely need them.
Referring collectively to child psychiatrists, he added, “We do not want to be pill-vending machines. But the alternatives aren’t there.”
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Some of my thoughts on those quotes? Yes, some of our kids really do need some of the meds. But
wouldn't it be loverly if a fraction of the mental health professionals out there had a clue about how attachment, grief and loss play into our children's behavior?
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