This JAMA article indicates that we continue to underestimate the prevalence of Fetal Alcohol Spectrum Disorders by a factor as high as 10. If this is true, 5% of American children are born with a wide range of permanent and lifelong physical & mental health deficits that will result in school & life failure and premature death.
Most people in the fields of education, law enforcement or social work know the explosive growth of mental health issues of children in their in schools, homes and squad cars. We are all becoming mental health workers.
The greater and sadder truth reflected in these studies is the continued minimizing, euphemizing and obfuscation of how America treats its children and troubled young families.
The ground truth is that children can’t speak for themselves, the media sees this as a negative story and the institutions involved benefit through non-transparency and under-reporting.
These sad truths insure generation after generation of child abuse and children born of drug and fetal alcohol abuse. The cost to society and taxpayers is horrendous. We would all benefit by understanding these grim truths.