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

Violence Against Children & Policing

This morning’s Safe Passage For Children about how police have put battered children back in the home because they like to keep families together reminds me of a man who kicked a 7 year old girl so hard she went into convulsions and went into the hospital Emergency Room with her injury. The police in that case sought safety for her and her siblings and involved Child Protection right away.
That girl had been sexually abused for four years (from 4 to 7), my first visit to her younger year sister was at the suicide ward of the hospital & the 2 other children had problems so severe that they could not be together in foster care because of the things that happened when they were together.

The man who did these things to the children remained in the home for many years, and was never charged or made to answer for any of his crimes. More than ten years later he was still sexually abusing children in the same home and he had never been mentioned in the justice system.

Children have no rights in the homes they live in, no access to safety other than our community efforts to keep children safe and no way to influence policy makers to improve the existing system. The Safe Passage Article above includes a snapshot of how the rest of the industrialized world keeps children safe and is well worth reading.

All Adults Are The Protectors of All Children