September 24, 2009Massachusetts Screening Preschoolers For Mental Health ProblemsA 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. 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
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It is an agenda coming down everywhere by the thought leaders. www.msnbc.msn.com/id/32271786/ns/health-kids_and_parenting/ www.cbc.ca/health/story/2009/08/28/preschooler-depression.html 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? 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 AMI 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 PMAnd 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 AMWe 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 PMScreening 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 PMaumshantih, 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 AMAll "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 AMI am so worried about this. So worried. Posted by: bedlamzen at October 20, 2009 02:57 PMPost a comment
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