September 24, 2009

Massachusetts Screening Preschoolers For Mental Health Problems

A reader passed along an article that ran last October in the MetroWest Daily News in Massachusetts, an article I'd not seen previously about the implementation of Yolanda's Law, named for a 16-year-old who committed suicide.

"The legislation, signed by Gov. Deval Patrick in August and backed by a coalition called the Children's Mental Health Campaign, encourages doctors to screen their young patients for disorders and seeks to have mental health assessments provided at day care and pre-K programs."

At day care and pre-kindergarten programs? Oh wow. They are really going after them young nowadays.

As I noted when I wrote about a slightly different law in Massachusetts requiring mental health screening for kids in the commonwealth's Medicaid program that was touted by the Boston Globe which included a handy checklist of kiddo mental disorder symptoms on its website:

"One of the symptom checklists on the paper's website contains a stunning array of non-symptom symptoms: teases others, refuses to share, is fidgety, acts younger than others, daydreams too much, is afraid of new situations. And so on. Many of these symptoms are hardly indicative of abnormal behavior or psychology.

"Could someone please let me know what is the objective standard for daydreaming?"

I wonder how these programs are working out and how many more Rebecca Rileys they'll create. Anyone from Massachusetts know?

Sometime last year, I was interviewed by a reporter from WFCR-FM, the public radio station in Amherst, about mental health screening for kids. I gave the reporter several reasons to be skeptical, much less against, screening for little kids. The reporter got quite frustrated with me--I could hear it in her voice--and told me how much doctors liked screening programs. I reminded her of the Riley case and she basically ended the conversation. I know that nothing I told her ended up on the air. That's some nice objective journalism by a publicly-supported radio station.

Posted by Philip Dawdy at September 24, 2009 12:03 AM
StumbleUpon Toolbar del.icio.us Digg it reddit
Comments

It is an agenda coming down everywhere by the thought leaders.

www.msnbc.msn.com/id/32271786/ns/health-kids_and_parenting/
LINK
Until fairly recently, "people really haven't paid much attention to depressive disorders in children under the age of 6," said lead author Dr. Joan Luby, a psychiatrist at Washington University in St. Louis. "They didn't think it could happen ... because children under 6 were too emotionally immature to experience it."

www.cbc.ca/health/story/2009/08/28/preschooler-depression.html
LINK
In the five-year study of 1,758 children born in Quebec and their mothers, 15 per cent of preschoolers suffered from atypically high levels of depression and anxiety, researchers reported in the Journal of Child Psychology and Psychiatry.

When they speak of "help" or treatment for the "ill" children, they mean drugs. Selling drugs for emotional troubles. Legal drugs OK, illegal drugs BAD hypocrisy.

Pharma Co is expanding its market to as far as it will go.

Who is going to stop it?

Win, win for Pharma. Kids traquilized and suffering from "help", need more drugs for their mental illness, kids who go crazy and do illegal actions is because of their mental illness. If only they had recieved more "help" in time.

Posted by: mark p.s.2 at September 24, 2009 01:58 AM

I think that here in the US, to stop this it's going to have to come down to Congressional testimony about the still-developing nature of kids' brains, and how such prescribing off-label is effectively using kids as guinea pigs. Who will call such hearings?

Posted by: Miranda at September 24, 2009 11:08 AM

I work for a private mental health clinic in western MA. We work closely with DCF and see many children here. The provisions of our state's so-called Children's Behavioral Health Initiative recently went into effect. It's bad enough that the orwellian concept of "behavioral health" has gained such widespread acceptance, but this monstrosity (CBHI) will make things much worse. It's net effect will be many more children receiving "services" (drugs). I'm thinking of one eight-year-old client of ours who is prescribed Adderal, Wellbutrin, Prozac, Risperdal, and Clonodine. He's developing tics and other involuntary movements and he walks around like a zombie. There will be many more like him. I've told my supervisor that I refuse to work with these cases, that I wont be part of this, that to prescribe drugs like these to children borders on the criminal. At least adults can make their own decisions regarding medication, even in the "progressive" state of Massachusetts. As for the daycare and pre-k mental health screening, I'm sure it's being driven by CBHI.

Posted by: Liamc at September 24, 2009 04:01 PM

And again, no mention of the depressive effects of childhood abuse in a country in which one out of four women are molested before the age of 18. We don't know about the boys, haven't bothered to find out.

Posted by: Sherry at September 25, 2009 08:32 AM

We are in MA, and so far we've avoided screening for our older daughter, and our youngest is still tiny. I'll let you know once we hit kindergarten. I tried to find concerted opposition to this bill to join up with, and failed (I know that doesn't mean it wasn't there, just that I couldn't find it). I contacted my representative directly. He requested to meet with me, and listened, and took notes, but it didn't do any good.

There is such a knee jerk response that more mental health care is "better" in more liberal circles. I'm a lefty on many things, but my views on this stuff put me dramatically out of step with many in my community.

Liamc -- If you (or anyone else) know of any local MA organizing pushing back on this, can you post here or contact me via my blog e-mail?

Posted by: Tilting at Windmills at September 25, 2009 12:50 PM

Screening in and of itself is should be a neutral thing - catching certain development difficulties with children, such as autism spectrum disorders at an early age can prove to be crucial for getting early intervention. I am wary about overmedication of kids, but we should keep that separate from mental health screening.

Posted by: aumshantih at September 28, 2009 02:17 PM

aumshantih,
I agree. Do you have any ideas how to accomplish this separation? I don't.

Posted by: Sherry at September 28, 2009 05:19 PM

I'm not sure what separation would accomplish if not identifying kids for toxic drugging and stigmatizing. After all, if you identify a child who is anxious, I assume you'd want to treat that child in a compassionate way, presenting learning material in an engaging manner to help the child concentrate and learn. I'm not sure how any child would be harmed by being treated in a such a way. And then there's the "adhd" child and the "schizophrenic" child, as well as the "oppositional defiant child" - these three labels mean violent child. These kids need physical exercise as well as separation from objects that can be used as weapons. Again, all children should have exercise and avoid objects that can be used as weapons.

Screening isn't about identifying children to "help," it's about identifying children to segregate and neglect. The best of the studies of human compassion teach us how all people should be treated, not just a few.

Posted by: Sally at September 29, 2009 05:24 AM

All "screening," even well researched scientifically supported screening, comes with risks of false positives. Even if you believe that diagnosing mental illness is possible to do reliably in young children (which I do not believe), and even if you believe available diagnostic categories are useful, any screening effort will expose well children to largely unstudied medication risks. Those children will also be labeled for life. Once sucked into the "mental health system," for many it is nearly impossible to escape, and I'd hate to saddle any child with that through such a "neutral" screening effort.

(For the record, I also oppose several types of overused prenatal screening, which routinely expose women to undisclosed risks in the interest of "good prenatal care")

Posted by: Tilting at Windmills at October 1, 2009 11:56 AM

I am so worried about this. So worried.

Posted by: bedlamzen at October 20, 2009 02:57 PM
Post a comment









Remember personal info?






pic1.jpg

Patient Blogs. Sites.
Doctor Blogs. Sites.
Activists. News.
Social Networking. Forums.
Science. Big Pharma. Ethics.
Current Affairs
Seattle Stuff
Smoking. Stuff.

Info
About Furious Seasons
Email
Other Articles
ZYPREXA Documents
Alt ZYPREXA Documents Source
Blakemore-Brown Transcript

 Subscribe in a reader

Search


Recent Entries
$99 Left
$114 To Go
Winter Fundraiser, $134 To Go, Final Day
Ruth Lilly, Eli Lilly Heiress, Prozac Beneficiary Dies At 94
Winter Fundraiser, Final Day, Less Than $200 To Go
UCLA Psychiatrist Criticizes DSM-5
Winter Fundraiser, Barely $200 To Go
Most Popular Posts Of 2009
Winter Fundraiser, Less Than $300 Left, Let's Wrap It Up
Senate Health Care Bill Contains $1.25 Billion Gift To Sen. Stabenow
Travel Day, Comment Approval May Be Intermittent
Winter Fundraiser, Close But Stalled
Senate Health Care Reform Bill Contains Controversial MOTHERS Act, Abortion Study
Adult ADHD And Sleep Problems
Vic Chesnutt Dead At 45, Possible Suicide
Recent Comments

bedlamzen on Massachusetts Screening Preschoolers For Mental Health Problems

Tilting at Windmills on Massachusetts Screening Preschoolers For Mental Health Problems

Sally on Massachusetts Screening Preschoolers For Mental Health Problems

Sherry on Massachusetts Screening Preschoolers For Mental Health Problems

aumshantih on Massachusetts Screening Preschoolers For Mental Health Problems

Tilting at Windmills on Massachusetts Screening Preschoolers For Mental Health Problems

Sherry on Massachusetts Screening Preschoolers For Mental Health Problems

Liamc on Massachusetts Screening Preschoolers For Mental Health Problems

Miranda on Massachusetts Screening Preschoolers For Mental Health Problems

mark p.s.2 on Massachusetts Screening Preschoolers For Mental Health Problems

Archives
December 2009
November 2009
October 2009
September 2009
August 2009
July 2009
June 2009
May 2009
April 2009
March 2009
February 2009
January 2009
December 2008
November 2008
October 2008
September 2008
August 2008
July 2008
June 2008
May 2008
April 2008
March 2008
February 2008
January 2008
December 2007
November 2007
October 2007
September 2007
August 2007
July 2007
June 2007
May 2007
April 2007
March 2007
February 2007
January 2007
December 2006
November 2006
October 2006
September 2006
August 2006
July 2006
June 2006
May 2006
April 2006
March 2006
February 2006
January 2006
December 2005
November 2005
October 2005
September 2005
Resources
Mental Health America
National Alliance on Mental Illness
Depression and Bipolar Support Alliance
National Institute of Mental Health
McMan Web
Powered by
Movable Type 3.2