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

Children, Trauma & School (what’s it like to teach tortured children?)

Today’s Star Tribune article nails it. Thank you Annie Mogush Mason for your clear explanation of how child abuse impacts schools. Coping skills (learning skills) are not brought by the stork. Add to that, the terrible things done to at risk children in the home, children bring fear & high anxiety into the classroom instead of the ability to sit still, play well with others or learn.

Teaching *traumatized children is different than teaching other students. Way different.

The sadness that is child abuse triggers unpredictable and often violent behaviors in the classroom. Many a teacher has talked to me about the larger percentage of their daily efforts being directed toward the one, two or three disruptive students in their classroom. I know educators that have quit their jobs in tears and with genuine fear of going to work every day because of this.

Minnesota’s Child Protection Problem (“the deeper you get into it, the worse it is” Hennepin County Commissioner Mike Opat)

Thank you Hennepin County Board for unanimously approving the Governor’s Task Force recommendations for improving Child Protection Services in MN.

Thank you Governor Dayton for your “Colossal Failure” statement about the death of Eric Dean (it launched the important changes we see today), kudos to the Governor’s Task Force for the hard work you have done in bringing more transparency, accountability, and sanity to a system that has been responsible for its own share of child abuse.

Brandon Stahl and the Star Tribune deserve huge credit for a full year of prying open a closed system to get to the sad facts that lead to the repeated abuse and tragic deaths of so many poor and defenseless children in (or should have been in) County Child Protection.

KARA’s hour long video interview of Brandon Stahl gives a pretty good picture of just how insular and uncooperative the system can be to prying eyes (and how much worse it was for Eric Dean than his newspaper articles indicated).

Blaming juvenile justice employees & social workers, educators, health workers, adoptive & foster parents or other worker bees connected to child protection is counter productive and wrong.

Living with and working with abused children with serious behavior issues that are often unpredictable and violent requires more help and training than this community is providing. Psychotropic medications have become a go to answer for a very high percentage of very young children in Child Protection. A Hennepin County Judge shared a very extensive list of children that passed through her courtroom that were required to take these drugs over a year’s time – some as young as 6.