Monthly Archive for February, 2011

Changing America’s Troubled Foster Care System

Two friends have frightened me into writing this.

One, a bright fellow & past executive director of a nonprofit serving at risk youth, the other a successful businessman that has adopted many children over many years. Both have good hearts and great minds.

The political fellow tried to make a life in the nonprofit world as an executive. He quickly realized that his nonprofit (and he extrapolated that most of them) could not make rational, sustainable decisions to create outcomes consistent with their mission statements.

That’s the long way of saying that most non profits are badly run in his estimation.

He left his executive position (& the nonprofit world) after continued disagreements with the board of directors and I believe, the opinion that nonprofits could not sustainably meet the needs of abused and neglected children.

The other fellow, a long time businessman, explained that his experiences with adopted children and government agencies were bad, and therefore government should stay out of the lives of abused and neglected children.

These gentlemen believe that non profits can’t fix the problem, and our social service agencies can’t help either.

What’s left for abused and neglected children if this level of failure in the non profit and social service sector exist?

Should we let these children just sink to the bottom (as in Jonathon Swift’s MODEST PROPOSAL)?

This is what Minnesota’s last Governor, Tim Pawlenty said to Andy Dawkins & David Strand when asked his opinion; “children that are the victims of failed personal responsibility are not my problem, nor are they the problem of the State of Minnesota”

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The Scandal Of Medicating Very Young Children In Child Protection Systems

Today’s Star Tribune article,

One Scandal After Another, brings attention to the unethical if not criminal behavior of pharmaceutical companies, doctors, and anyone promoting the psychotropic medication of very young children without adequate mental health services.

U of M bioethics professor Carl Elliott discusses drug company payments to doctors and the enormous amounts of money drug reps make by pushing profitable drugs and running outright scams on doctors to sell their product.

My own experience is based on many years as a volunteer guardian ad-Litem and first hand knowledge working with medicated five and ten year old children with real mental health needs but only receiving Prozac, Ritalin, or any of a multitude of psychotropic drugs.

There are few things more painful than watching abused and neglected children not receiving the personal attention of professionals that could help them deal with their mental health needs.

Almost all of the troubled children I worked with suffered extensive and long lasting damage because drugs were used to mask behavior and not useful, proven therapy.

A child protection judge shared with me the psychotropic medications taken by the children that passed through her child protection courtroom over a year’s time (unbelievable).

I personally have experienced suicidal ideation delivered to me by Topamax, a psychotropic medication given (no warnings were given) to me years ago to treat migraine headaches. I am a mature adult and was able to quit taking the drug. Children have no voice in what drugs they take. Children in child protection have no say at all in their own treatment.

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The Crime Of Prosecuting 10 Year Olds As Adults

MN is attempting to become the 4th state to prosecute very young children as adults.

The children that commit these crimes have almost all come out of horribly abusive homes. As a nation, we have avoided even a basic effort to ensure that American youth have at least a small chance to lead a normal life. The rest of the industrialized world has left us behind in this measurement.

The last MN governor (Tim Pawlenty) was quoted as saying that “children that are the victims of failed personal responsibility are not my problem, nor are they the problem of the state of MN”

After many years of working with abused and neglected children, I have witnessed the grim reality of MN Supreme Court Chief Justice Kathleen Blatz statement that “90% of the youth in the justice systems have come through child protection services”.

Not many Edina or Suburban MN youth end up in County Child Protection (their families have insurance, day care, and mental health programs for troubled youth).

The children in Child Protection are there under the federal “Imminent Harm Doctrine” and have been removed from their homes because their lives have been endangered by their birth parents.

As a volunteer guardian ad-Litem, I can testify to the trauma abused and neglected children live with every day. The World Health Organization defines torture as “extended exposure to violence and deprivation”. This is exactly what I have witnessed happening to the children in my case load in Hennepin County MN.

Hating the parents solves nothing. They were almost all abused themselves as children. Many of them are preteen moms with no parenting skills and their own dysfunctional lives.

It’s horrid enough to witness the abuse these children live with all of their young lives. To think that five and ten year old children have not been punished enough by living with sex abuse, neglect, and other unspeakable act, that we must try them as adults and make sure that they never have any chance of living a normal life is just awful.

There is not a religion in the world that sanctify’s discarding ten year olds.

Once these children enter a criminal adult system they are ruined forever. The rape and insanity of youth entering the criminal justice system is well documented.

It is extremely costly to our state to try and solve these problems with more prison building (it’s also immoral).

It is common that these children will spend 30 to 60 years as returning felons, wards of the state, and dysfunctional citizens unable to hold a job or avoid drug dependency. Consider also the many years of violence and perpetual criminal behavior our prison system fosters.

MN spent 500 million on prisons last year. New York and California spend $250,000 per year on each youth in their juvenile justice systems.

It would be far less costly to our communities to provide resources to young and troubled families to insure that young children receive what they need to lead a normal life.

Just a few years ago a federal mandate forbid the the execution of youth that had committed crimes as juveniles.

Representative Westrom’s bill to try 10 year olds as adults is a step backwards and completely destroys any chance that an already abused and neglected child will ever have the opportunity to lead a normal life.

I write the following while remembering the unspeakable things that happened to the children in my caseload.

While this is harsh, I see the motivation for Jonathon Swift’s Modest Proposal;the children he speaks of lead such miserable lives, that killing them early would reduce their suffering.

Abandoning children to a criminal justice system that rapes and destroys them may be worse than death.

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Autism, Child Protection, & Insurance; Texas could save 2Billion$ by treating autistic children

This well written article on the success of early aggressive treatment for autistic children AUTISM CURE CITY PAGES 1.26.11 makes the overarching logical, ethical, and financial argument about the wisdom of treating children early on with proven methods and saving 18 years of special ed, additional health care, and the very real costs of home, social, and school disruption and personal pain.

Blue Cross covers the IEIBT treatments (Intensive Early Intervention Behavior Therapy) but few other insurance companies do. Very few autistic children receive anywhere near the care required to lead a normal life. The new mental health mandates being required of insurance companies could make life much more livable for thousands of autistic children and their families (and save states billions of dollars).

A personal experience with autistic children was my role in unknowingly facilitating the adoption of an autistic child for a childless blue collar couple that lived in rural MN as the child’s guardian ad-Litem.

I discovered that the social workers on the case had known the baby showed significant signs of autism and that the workers said nothing to the adoptive parents.

I knew the workers to be overwhelmed with too many cases and too few answers for the children they served and don’t blame them personally.

I believe that under-training, lack of resources, and just too many abused and abandoned children to find homes for with too few adoptive families leads to this kind of occurrence in child protection systems.

I stayed in touch with the family for many years and watched them struggle with little help, no programs, and tremendous trouble as the baby became a big boy with terrible and often dangerous behaviors.

These beautiful kind people trying desperately to learn and deal with their adopted son’s extraordinary mental health issues with almost no resources or outside help found little support and a great deal of personal pain and strain on the family.

It’s not just the 18 years of unsupported struggle, but the aging family and the hard choices that face them with a child that can’t function independently as an adult in the community as they themselves become unable to manage dangerous behaviors from an unpredictable adult.

To accept that the nation I live in doesn’t support mandating cost effective programs to save children and families from the devastating impact of autism causes me to wonder about what we have become as a people.

Are we that confused that even when we know the economics favor doing the right and ethical thing, that we allow ourselves to be lead by short term thinking or corporate interests to do the wrong thing?

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