This may be our community’s (nation’s) most serious health problem. Add the psychotropic medicating of abused children & I think it is.
From the Washington Post yesterday, most foster care children on antipsychoctic drugs get them for far too long and without medical justification. 2/3 of the nearly 700 claims studied raised high-risk “quality of care” issues. As a long time CASA volunteer guardian ad-Litem, many of my case kids were on multiple drugs simultaneously and many of them hated being forced to use them. Some kids threw the drugs away.
In Minneapolis, I would like to know (there should be more transparency) if six year old Kendrea Johnson’s suicide by hanging involved psychotropic medications. She was a very troubled foster child, in therapy and had talked about homicide and suicide. When Jeff Weise killed himself, his grandfather and 14 others he had talked about suicide and homicide and was taking Prozac.
7 year old foster child Gabriel Myers hung himself and left a note about how he hated Prozac. KARA’s video interviews include families, a City Councilman, and other professionals talking about antipsychotic medications, very young children and suicide. This subject needs our attention now. It is cruel punishment for a child suffering from the traumas of abuse and removal from a birth home to be dealt with.
There are 3 children’s hospitals in the metro area and NO children’s mental health hospitals and there are 800 to 1000 emergency psychiatric visits at HCMC every month (many of them children).
This conversation is overdue.
What we don’t know cannot be dealt with and will not be improved. Let’s stop the next awful six year old suicide.
There is more to child abuse than bruises, rape and starvation.
27 states allow withholding life saving medical treatment from children if you tell people your religion forbids it . Criminal and civil immunity means it is not murder when the child dies.
A few years ago, Kansas State Rep Gail Finney vowed to pass a bill that allowed caregivers to leave bruises and cause bleeding. Arkansas State Rep Charles Fuqua promoted the death penalty for rebellious children (based on religious grounds).
That six year old Kendrea Johnson suicided by hanging while in foster care should cause us to rethink child protection. Today’s 1.5 million dollar settlement would have provided important ACES trauma training to her foster family, hired allot of social workers, and provided many foster children the mental health help they need. Kendrea Johnson talked about suicide daily.
Suicide attempts by six year old’s are rarely successful. I’ve witnessed many children (as a volunteer CASA guardian ad Litem in child protection) who repeatedly did violent and dangerous things that put them in harms way and multiple suicide attempts.
It hurts me to know that I live in a state that pays the least of almost all states in training social workers and continues to underfund the federally mandated guardian ad litem program so severely that over six hundred children do not have a Court Appointed Special Advocate even today. A Court Appointed GAL is the only voice abused children have in court once they have been removed from their homes.
The list of underfunded programs for the most vulnerable citizens in our community is long and been growing (we have the money*).
Without the Star Tribune’s continued reporting on child abuse issues, trauma and abuse would still be non-issues as they were when 3-year-old Dennis Jergens was tortured to death in White Bear Lake in the 1960’s. His mother Lois Jergens went on to adopt four other children by moving out of the state.
Foster Mom Charged With Breaking Bones of 7-Week Old Foster Boy (thank you Brandon Stahl & Star Tribune)
Abused and neglected State Ward children have already suffered enough when they enter foster care.
To be removed from a birth home by a judge means that the child’s life has been in imminent danger of serious harm. Most of the children I’ve worked with as a volunteer CASA guardian ad Litem have stories that still make me shudder (some) from twenty years ago.
Brandon Stahl’s article in today’s Star Tribune is one of those stories.
It is only because you found the death of 4 year-old Eric Dean suspicious and dedicated yourself to reporting on the awful circumstances that killed him after 15 ignored reports of child abuse, that this volunteer CASA guardian ad Litem has any hope for the thousands of other terrified and tortured children in need of child protection services today.
Working for decades with traumatized children, I’ve experienced the awful truth about the lasting impact of abuse on children and the lasting impact of abused children on our community.
Brandon, your efforts and insights into the inadequacies and failures of a system in need of transparency, accountability and media attention is why Governor Dayton called out the colossal failure of the system & created the task force that has brought significant change to an institution not given to criticism or outside influence.
Historically, we blame educators for failing schools and social workers for murdered children within the child protection system.
This behavior is wrong and counterproductive. It’s like blaming a police officer for the person in the squad car.
If you know police officers, social workers and teachers you know how hard their work is and how dedicated they are to what they do.
The blame for the poor results we have been getting in our schools, child protection and criminal justice system lies with us as voters and policy makers.
Until we understand the depth and scope of the problem and give the people working with the children and youth in our communities the support they need, our problems will continue to grow.
On the bright side, Minnesota has the Washburn Center for Children which is almost 100% successful in treating abused and neglected children. We know how to break the cycle of generational child abuse.
All that is left to do is scale the trauma informed practices to a level that meets the need. The economic reasons for doing this are compelling and it is the right thing to do.
The most painful thing about the Eric Dean lawsuit (aside from the sadness of a four-year old boy tortured to death over years by his step mother Amanda Peltier) is reliving the abuse that led to his death when this new lawsuit hits the papers. Brandon Stahl’s Star Tribune article today is an in your…
From today’s Brandon Stahl article,
“Janine Moore, the area director of the county’s children and family services department, said earlier this month that child protection has a backlog of nearly 300 unreviewed reports, up from 111 in February. Moore said staff examine all cases to determine which ones need immediate response.
Earlier this year, Moore told the committee there were 15 children on a shelter waiting list, meaning they needed to be taken into protective custody but child protection workers had nowhere to put them. At one point, the committee learned, there were 30 such cases, with a wait of up to two weeks before a safe home opened up for a child.
“Quite frankly,” Moore told the committee, “we’ve been struggling with this for over a year now.”
Hennepin County CASA guardian ad litem Calvin McIntyre says that in this overwhelmed child protection system (highest caseload in more than six years), “I’ve had kids get worse”.
“About two dozen children in the past year who had nowhere else to go were admitted to the pediatric ward of Hennepin County Medical Center, said the ward’s director, Dr. Frances Prekker. Some, said Prekker, had to be confined to the ward because they might run away. Some of the children stayed in the ward for a month, Prekker said.”“It’s quite stressful [for the children]. The hospital is a really boring place to live,” Prekker said. “They feel quite isolated.”
“Brooklyn Park Police Chief Craig Enevoldsen said his officers have brought young children they suspected were abused to North Memorial Medical Center in Robbinsdale.”
These sad truths would be a little more understandable if this community hadn’t allocated a billion dollars for a stadium, a billion + dollars for transportation & almost a billion dollars to rebuild a bridge that fell in the river because we were too cheap to make the 5 million dollars in repairs repeatedly requested by County and Federal engineers.
The unintended consequences of saving the 5 million dollars in bridge maintenance were 14 deaths, 144 seriously injured people, and pain and disruption for thousands of metro residents
Without community support, children don’t learn to cope and often fail in school and public life (state wards forever).
The unintended consequences of saving the effort and money it will take to build a more effective child protection system include failing schools, high teacher turnover, dangerous city streets and filled prisons along with a growing public concern that our institutions are creating exactly what they were designed to stop.
We Are All Nuts (the costs and dangers of undertreating and ignoring mental health – thank you Star Tribune)
If you have children, grandchildren or just like other people’s children, you should read this to the end. You could help keep them safe from terrible things by understanding the connection between this mental health discussion and those terrible things.
Today’s Star Tribune article by Chris Serres should wake us up as to the cost and danger we all face by ignoring, undertreating and maltreating mentally at risk people. Last week Chris wrote about the broken bones and violence done to children in the justice system because of their mental health struggles. Thank you Chris Serres and the Star Tribune for bringing this long avoided topic to the front page.
Chris’s article concentrates on the logjam and wait periods patients and providers face in this state and the human suffering that that accompanies it.
Not mentioned are the 900-1000 emergency psych visits to HCMC every month and some psych patients are waiting three months to be admitted (and that’s just one MN hospital). Allina Health DR Paul Goering states that “it’s been so paralyzing for the community to say ‘it looks like things are broken,’ and then to say it again next year”.
I agree with Dr Rahul Koranne (Chief Medical Officer for the MN Hospital Association) quote that
Another year of disappointing educators, children and parents (Star Tribune 7.28.16)
Don’t blame the teachers (it’s us).
The once a straightforward concept of public schools has morphed into a complex institution unable to respond to the double whammy of a massively changed student body and the unprecedented un-building of support for public education (especially science).
Our student body has changed;
First, immigration and the challenges of language and culture have always turned out well. American education has successfully educated millions of immigrants.
Yes, it’s a struggle, but it is what teachers do and they have always succeeded. My grandparents did not speak the language when they arrived – all of their children successfully finished a public school education.
Second and most critical, generally unknown and poorly understood even by those in the trenches of teaching, social work and justice. The rest of us (including legislators) are clueless.
Identifying and responding to the mental health issues shaping this generation of American citizens is decades late in coming and it has overwhelmed our schools, courts and other public institutions.
The explosion of homelessness, suicides, violence among veterans with PTSD have shown us the long lasting and severe damage trauma does to a person. Untreated or undertreated trauma almost always ends badly (80% of youth aging out of foster care lead dysfunctional lives).
As a 20 year volunteer CASA guardian ad Litem removing children from traumatizing homes it’s impossible not to see how children beaten, molested, starved and neglected need way more help than they are now getting to succeed in school or in life.
90% of mental health hospital beds that were available in the 1960’s are gone today while our overall population grew over 40% in that time.
When America eliminated mental health hospitals in the 60’s, teachers, juvenile and criminal justice workers and social workers became defacto mental health service providers. This is no small feat. Humans are complex beings and understanding a mind takes extensive effort & training (especially a traumatized or troubled mind). Few service providers get that training.
Help KARA keep current with important child protection stories from around the state & send us links to news we have missed. October 12, Detroit Lakes MN Sterling Kyle Anderson charged in beating death of 3 year old Steven Warren
As a volunteer guardian ad-Litem, the program forbade me from driving a child to a burger joint for a hamburger or taking a kid horseback riding (insurance reasons). I call it the ten foot pole rule. It makes abused children feel even more unwanted.
Children in child protection come to know that meaningful relationships with this person or that provider are rare and if they happen, they quickly disappear.
As social workers, educators, health workers & other service providers slide in and out of a child’s life and the continued changing of key relationships becomes accepted and predictable, the child learns that they are just a small mechanical piece within a giant unstoppable system*.
Child protection is a State function and state ward circumstances demand “special” treatment that serves a seemingly larger purpose outside of the child.
Through the eyes of that child, the critical parent – adult relationship has been shattered and replaced with 40 new service providers.
Add to that the now accepted overuse of psychotropic medications and often harsh treatment by law enforcement and other authority figures (behavior problems are endemic to traumatized children). Does anyone care if you have suffered rape as a five year old or other horrible traumas or that you are now in your 13th foster home with behaviors that accurately reflect your childhood.
Add to that law enforcement violence against mentally troubled citizens of all ages is on the rise. Expecting law enforcement to manage our societies mental health problems may be an answer – is this reasonable or even possible?
Thank You Prairie Care & Washburn Center For Children’s Mental Health (the uphill battle in addressing children’s mental health in Minnesota)
Prairie Care’s new 50 bed hospital for Children’s mental health is a tiny step in providing badly needed services for the traumatized children passing through Minnesota institutions.
HCMC alone sees 800 to 1000 emergency psychiatric visits each month and many of them are traumatized children. I’m guessing that an equal number of terrifically disturbed youth get no help at all in our state because there are no children’s mental health hospitals where they live.
The disparity between available beds and needy children will remain huge with this addition but it’s a nice thought that it signals a trend towards valuing the well being of the youngest and most vulnerable among us.
Would six year old foster child Kendrea Johnson have hung herself last year by her jump rope if child protection services had identified her level of trauma and provided access to the most current pediatric mental health care? As it was, her social worker did not know she was seeing a therapist and the police and medical examiner proclaimed that six year old children were incapable of suicide (little do they know).
Would Jeff Weise have killed all those people and himself at Red Lake a few years ago if someone had read his blog or heard his cries for help and brought him to Prairie Care, Washburn Center or other advanced treatment facilities? His mother told him she “wished he’d never been born” and his homicidal/suicidal blog writings were ample warning that the boy needed help. After the tragedy, Red Lake built a mental health facility in town.
Michael Swanson’s mom tried desperately for years to find help for her terribly disturbed son prior to his killing of Sheila Myers & Vicky Bowman-Hall – two random and innocent Iowa grocery clerks.
In my experience as a volunteer guardian ad-Litem, I had many personal, painful encounters with suicidal very young children. My first visit to a four year old state ward girl was at the suicide ward of Fairview hospital. A reason for my becoming a guardian ad-Litem was the tragedy a dear friend lived after adopting a homicidal state ward boy.
A sad personal email this morning from a grieving mother has caused me to reflect on friends who ended their own lives and the four, five and six year old children I have known, or known about, who tried or succeeded at suicide.
My cousin Ron Mahla (Actor and brilliant person) and my dear friend Tommy Garretson (Vietnam War Vet with a winning smile and great sense of humor) were both gentle and bright souls that were squeezed to death by sadness and a growing inability to cope with their lives.
In both deaths, I’m almost certain that neither told anyone or thought to get help to cope with the events in their lives (there were no signs of impending suicide).
Coping skills are everything. Have them and we can make it – without them, we are at risk.
Minnesotan’s talk big about how we value children and how exceptional we are as a people, a nation, a culture. Most of us claim to be spiritual people valuing life and religious teachings that protect our community and its children.
If there is anything genuine or exceptional about how we actually treat children it would be how poorly we pay and train service providers to our children, the lack of transparency, accountability, and humanity in an overwhelmed child protection system that the majority of people involved in find harsh and disappointing at many levels (and Governor Mark Dayton called a “colossal failure” in the death of 4 year old Eric Dean).
I became a volunteer guardian ad-Litem because of a horrible experience a business associate had adopting children. Her family was not aware of the mental health issues and dangerous behaviors her newly adopted children (from County Child Protection) were bringing into their new home
Four Year Key’Ontay Miller-Peterson Murdered – Two & Three Year Old’s Starved (2 families reported by the Star Tribune today)
I hope that the task force is working fast and that it’s efforts will lead to a reduction in the number of murdered, tortured, and suicidal very young children in Minnesota.
Today’s Star Tribune indicates the “colossal failure” (Governor Dayton’s words) of child protection in the death of Eric Dean after fifteen reports of child abuse by mandated reporters is still causing torture and death to Minnesota children today.
Just a few months ago, six year old Kendrea Johnson’s social worker was unaware of her suicidal and homicidal talk before she died by hanging herself with jump rope. Today’s Star Tribune has two disturbing accounts of worst case abuse suffered by two, three, and four year old Minnesota children.
Four year old Key’Ontay Miller-Peterson’s mother found guilty in the repeated assaults and eventual murder of her son Key’Ontay Miller-Peterson.
The two year old and three year old children of Michael Gunderson of Princeton were starved to the point of eating feces when discovered by the Sheriff’s Department.
Six weeks ago, Brandon Stahl’s Star Tribune article about the death of six year old Kendrea Johnson by apparent suicide, pointed out just how misinformed (or misdirected) our community is when it comes to the impact of trauma on children.
An unnamed Hennepin County Medical examiner was quoted in the article, “the decision to carry out such an act (suicide) is outside what a normal six year old could think about”.
This statement should have been, that all children in foster homes have been traumatized and normal does not exist for most of the six million children reported to child protection in this nation every year and that suicidal thoughts are not uncommon to traumatized children.
Awful things happened to these children or they would not have been taken from their home and placed in foster care.
Being removed from your birth home is traumatizing in and of itself. What happened before changes the way a child reacts to life – literally, it changes the way the brain responds to “normal” events for a child. Then, we add psychotropic medications that trigger thoughts of suicide (just read the package). Judge Heidi Schellhas shared her list of very young children taking Prozac, Ritalin, and other mind altering medications with me. Six year olds were on the list.
My first visit to a four year old girl in my CASA guardian ad-Litem work was at the suicide ward of Fairview Hospital.
I’ve written about seven year old Gabriel Meyers who hung himself and left a note about how he hated Prozac.
KARA’s interviewing for our child protection television expose includes past volunteer guardian ad-Litem and former mayoral candidate Don Samuels telling his story of a teacher calling him and asking for help with a five year old suicidal boy.
I’ve been on an airplane delivering a twelve year old suicidal boy to an out-state suicide prevention group home because all the metro suicide beds were taken – there are 800 to 1000 emergency psychiatric visits to HCMC every month (and many of them are children). Remember, this is just a single metro hospital. There are 3 children’s hospitals in the metro and zero children’s mental health hospitals.
While it is true that most five and six year old children fail in their suicidal attempts, their lives often remain self destructive and lead to early death. It hurts me that if not for the reporting of Brandon Stahl at the Star Tribune, no one would know that Kendrea killed herself, except her therapist and other service providers that knew she was having daily thoughts of suicide.
It is an awful condemnation of our values and community that abused and neglected children suffer this much with so little meaningful help from the rest of us. This speaks volumes about how we value children.
She is out of the news cycle now and probably not going to get much more attention. We should all feel some sorrow and empathy for the six year old girl that had to think about how she was going to end her life and then doing it. It should be much bigger news.
The following quotes from Brandon Stahl’s reporting today in the Star Tribune indicate the depth and scope of child protection troubles in MN. That Governor Dayton used “Colossal Failure” language and created a task force to investigate the sad tortured death of 4 year old Eric Dean is to be commended. Awful things happening to…
Quoting Jodi Wentland (Olmsted County’s child and family services director) in Brandon Stahl’s Star Tribune front page article today, turnover is too high, inexperienced social workers are taking cases “before they are fully trained… with excessive case loads…, & they often leave”. To no one’s benefit I might add. It is costly to the state to trained employees that leave the field quickly, disruptive to the children and families that experience multiple and inexperienced child protection workers, and adds to the awful news we are seeing more of in our newspapers and on TV (think Eric Dean and Kendrea Johnson).
Even when Child Protection Agencies reported they could always handle the the workload, that’s not always a sign of stability. One county, for example, reported a 25 percent annual turnover rate was reasonable. This striking comment (again from today’s Brandon Stahl article) from Traci LaLiberte* about child protection providers prompted my title for this article today and is worthy of repetition, “These systems have been so stressed for so long that they’ve redefined what’s manageable”.
Dear Representative Lohmer,
Responding to your note to me below (decrying the cost of early childhood programs being recommended by Governor Mark Dayton), I’ve been a volunteer CASA guardian ad-Litem for almost 20 years and watched what short changing MN children does to our schools, city streets, and state budget.
One of (I have 50 stories)my case load boys cost the county between 2 and 3 million dollars and that does not include the people he has stabbed, teacher he beat up, or hundreds of others he has caused great suffering to in his young life.
He’s in his early 20’s today and recently aged out of foster care (I met him in 1996 when he was 7) today, he has AIDS, is on the most expensive medicines in the nation, has always been a state ward, and I expect will always be a state ward.
To not support programs that could have helped him lead a normal life is fiscally irresponsible and morally reprehensible.
If I were to describe to you the costs some of the other fifty children I have worked with (as a volunteer) in child protection, you would make better decisions concerning early childhood programs.
We launch a new generation of abused and neglected children with or without coping skills every five years (by five a child is able to cope with his or her environment, go on to school and succeed or Not). It hurts me to meet people that don’t understand this. Quit thinking of a generation as 20 years. It is not. It is five years for the children we are talking about.
This article in yesterday’s NY Times, (from AP) shows how at least 786 children died awful deaths while in full view of child protection authorities. The numbers are most likely much higher
Minneapolis 6 Year (Kendrea Johnson) Old Hangs Herself? (police left to ponder – I don’t) Star Tribune Today
Thank you Brandon Stahl (& David Chanen) at the Star Tribune for writing an article giving voice to the elephant in the room that is the dangerous and suicidal behavior of children in child protection. No one wants to hear it and no one wants to address this, but it is a very real problem of great consequence to our communities.
As painful as this conversation is, without it, dangerous and suicidal behaviors will continue to be an issue for abused and neglected children in need of protection (in & out of the system).
As a CASA guardian ad-Litem, I see this awful suicide as the tip of the iceberg that is the under-treatment (resources/response/coordination/services) provided to the poor young souls unlucky enough to be born into a dangerous and dysfunctional family.
Children traumatized severely enough to be removed from their birth home don’t have coping skills to mend themselves or manage the behavioral problems that follow from what has been done to them.
Strangled dead tangled in a jump rope is not something that happens to six year old children (Star Tribune today) Thank you Star Tribune for giving voice to the voiceless children of Minnesota.
As a Hennepin County CASA volunteer guardian ad-Litem, I watched abused and neglected children, traumatized children, whether they be two, four, or six years old, do terribly destructive things and try to kill themselves. My first visit to a four year old CASA case girl was at the suicide ward of Fairview hospital. She had watched the beatings and rape of her mother and sister (who was three years older than her) for most of her four years on earth. Think of the terror going through a child’s mind watching drug crazed, violent, and sexual abuse of your mom and sister. It changes a person.
I’ve written about the seven year old foster boy who hung himself and left a note about how he hated being forced to take Prozac. Children in foster care are often medicated to keep them from hurting themselves and others. You really don’t get into foster care unless you have been traumatized and behavioral issues are endemic to trauma victims. A very real side effect of psychotropic medications is suicidal ideation (fully formed thoughts of killing yourself, delivered by your brain – like a daytime nightmare).
The article in the Tribune makes Kendrea’s death sound like a pretty normal young child accident (Wow). Her younger brother was born drug addicted (the womb has no barrier to protect an infant from drugs and alcohol). Kendrea had been in a number of foster homes (one of my CASA case boys had been in 29 foster placements when he aged out of child protection). This death was not normal. Traumatized children need our help. Tens of thousands of MN children are victims of the kind of abuse Kendrea lived with all of her young life. Very few of them find the help they need to live a normal life. It would be the right thing to do to deliver these children the help they need to make sure they do not injure themselves or others with dangerous behaviors.
Remember friends, we only read about the children that die.