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Reactive Attachment Disorder Blog

03/15/07

Better living through chemistry?

Posted by : Nancy Spoolstra in Reactive Attachment Disorder Blog at 10:10 pm , 515 words, 220 views  
Categories: The System, Trauma
pillsMSNBC 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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Comments, Pingbacks:

Comment from: coachkim2c [Member] Email · www.beep.com/members/kim/2c
This is my first time here, I spent 20 years in the Residential Care Industry trying to create a better alternative for kids in foster care and I started a Non-Profit kids didn't want to leave...I was single and 32 whe approached to adopt my daughter at a retreat I was putting on which i though was a joke, but it wasn't...She was 4 and had been through 7 different foster homes in TWO YEARS! Diagnosed with RAD, PTSD among others three years later we basically rescued her older brother who was 9 in his 9th foster home (in 3 different states) functioning at about 6 because the foster parent were abusing him. Theses kids have been incrediblytough and what they went through even tougher. I am currently very excited about Dr. Brian Post and Heather Forbes Book Beyond Consequences, Logic and Control...it is the most poitive and hopeful approach and explanation and current research. I haven't read all your Blog but as I speak with many parents of kids with RAD I know that BURNOUT is a reality and taking care of one self to be able to meet the constant demand of meeting the needs of our children takes tremendous perseverence. my daughter is now 16 an honor student but we still have difficulties we are close but there are days like today were i want to scream but I just disengage...my stress only escalates her RAD if I don't...Her symptomatic lying and stealing has come leaps and bounds and I look back on all the years and there were times when it was hard not to be negative but she wasn't the one that heard it and some days it was humor and perseverence alone that got me through! My kid...in kindergarten stole a book and I was called to school because they foound it in her cubby drawer...when the teachers confronted her as they had asked the children about the book all week...my child looked them dead in the eye and said,"WHAT was Mrs. Cole DOING IN MY CUBBY?" As I the parent shrunk deep into my teeny weeny chair! Or the time I looked up from running my card at the register at the grocery to see a middle aged grocery bagger man Horrified as my 4 year old seated in the cart had her hand in his arm pit saying "Tickle, tickle tickle," Once again horrified as the parent whispering all the way to the car "We don't touch strangers!" What I do know after so many years is that 1)The group home and foster care industry in our country often does more damage to kids then good..I did trouble shooting and training and have seen many so that isn't a guess, 2)Parents adopting are often not given enough information and then are unprepared...i mean Angelina Jolie and Brad Pitt have all the money and resources in the world but having gotten their other children at birth do they really realize what adopting a 3 year old in the middle of the birth order is going to do...I mean that child probably needs so much attention it will be hard pressed to meet his needs with a new baby a toddle grieving her own mom...I mean maybve they have researched it...I knew what I was getting into...most people don't then come the teen age years...they are tough anyway... Please feel free to email me if you have read the book I spoke of or wish to discuss other things me web page is also on my profile.
PermalinkPermalink 03/15/07 @ 22:37
Comment from: Nancy Cozadd [Member] Email
My daughter is bipolar, and her life was saved in part by medication. They helped her get to a place where the efforts of her parents and talk therapist could be most effective. she went from an 8th grade flunkie to a well-adjusted high school senior honor roll student. She is bright and beautiful - but her mom is a bit biased. :-)
PermalinkPermalink 03/16/07 @ 22:20
Comment from: Nancy Spoolstra [Member] Email · http://attachment-disorder.adoptionblogs.com/
I completely believe meds are necessary and appropriate in some kids... please don't think I am saying they are not. Congrats on raising such an awesome daughter! Biased moms are the best kind!
PermalinkPermalink 03/17/07 @ 11:34
Comment from: Joan C [Member] Email
Kim, alot of people are very excited about Beyond Consequences, Logic and Control by Heather Forbes and Bryan Post. Isn't it interesting that a search of this whole website, dedicated to adoption, doesn't even bring up a mention of it? If you haven't read it, you don't know what you're missing.
PermalinkPermalink 03/17/07 @ 20:07
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