Archive for the 'Musings' Category

Virginia mental health needs

In a statement entitled “A proposal that would assist troubled youths in Virginia” the Washington Post editorial board lent its support to efforts to fund mental health services for children and youth. The editorial, published 11 January 2012, recounted a history of rueful cost cutting and encouraging advocacy in my commonwealth.

A YEAR AGO, Virginia Gov. Robert F. McDonnell (R) proposed slashing millions of dollars from the state’s already badly fragmented and underfunded programs for at-risk children and teenagers. The cuts targeted funding for specially trained foster families and other services for children, including some who posed a danger of violence to themselves and others. The cuts were rejected, and funding restored, thanks to a bipartisan group of lawmakers responding to an outcry from advocacy groups and local governments, which would have borne the brunt of the governor’s proposal. In the end, the debate turned a useful spotlight on a critical hole in the state’s social services safety net.

The Post editorial team explained that the current budget does not contain such cost-cutting measures, but that difficulties for mental health services persist because of other problems (e.g., local government fiscal shortages). In the end, the need for services is great and, as the editorial shows, the need for serious discussion about funding of them is clear. Read the full editorial on the Post’s Web site.

If you’re in Virginia and you can make it to Richmond, join Voices for Virginia’s Campaign for Children’s Mental Health for “Advocacy Day at the General Assembly” Thursday 26 January 2012. If you live somewhere else, scout about for ways you can help support mental health services in your local or regional government.

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EBD historical foundations yet again

Readers of EBD Blog who have been following along will recognize this post as the third of three reporting on a three-part series about the history of behavior disorders that has been appearing in the Journal of Emotional and Behavioral Disorders. Thanks to the stewardship of the Donald D. Hammill Foundation and Sage Publishers, readers may download free copies of this third installment in the series. The articles are based on interviews conducted in association with the Janus Oral History Project and the Midwest Symposium for Leadership in Behavior Disorders.

Kaff, M. S., Zabel, R. H., & Teagarden, J. M. (2011). An oral history of first-generation leaders in education of children with emotional/behavioral disorders, part 3: The future. Journal of Emotional and Behavioral Disorders, 19(4).

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EBD historic foundations again

Those who were reading at the end of the school year will remember a post about the first installment in a series of posts on articles in the Journal of Emotional and Behavioral Disorders on the history of EBD. The Donald D. Hammill Foundation and Sage Publishers made it possible for readers to download free copies of the articles in the series, and it’s about time for the second installment to be available. The articles are based on interviews conducted in association with the Janus Oral History Project and the Midwest Symposium for Leadership in Behavior Disorders.

Zabel, R. H., Kaff, M. S., & Teagarden, J. M. (2011). An oral history of first-generation leaders in education of children with emotional/behavioral disorders, part 2: Important events, developments, and people. Journal of Emotional and Behavioral Disorders, 19(3).

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EBD and GLBTQ

No, it’s not alphabet soup, and yes, discussion about gay, lesbian, bisexual, transgender, and questioning youth does belong here. Some parents of children and youth with EBD will need to know about how to respond to questions about children’s sexuality.

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More props for Mr. Artest

Professional basketball player Ron Artest, who admits that he experienced difficulties as a youth and an adult, has been promoting mental health awareness over the past few years. Recently I posted a note acknowledging some of his efforts, and today I call attention to another of them. At the release of the accompanying public service announcement 21 December 2010 in support of mental health awareness, Mr. Artest not only spoke in support of those efforts, but he also donated $50,000 to local clinics in the Los Angeles (CA, US) area.

In a blog post for the Los Angeles Times entitled “Ron Artest debuts his PSA on mental health awareness,” Mark Medina reported about the press conference and the production of the PSA. If you’re a Lakers fan, as am I, you’ll find a couple of tidbits of interest there. But, there are also noteworthy nuggets about mental health advocacy and even about the entertainment industry in Mr Medina’s report, too. He has an audio interview with Gary Foster, who produced the video (as well as the noted movie “The Soloist,” also about mental health), and additional notes about Mr. Artest’s efforts.

According to Mr. Medina, on Christmas Day, another of Mr. Artest’s fund- and awareness-raising efforts on behalf of mental health will be in the spotlight. The ring that Mr. Artest received as a member of the world championship Los Angeles Lakers team of 2010 will be awarded to the winner of a raffle. That raffle has reportedly raised over $500,000 US. (I bought my raffle tickets, of course.)

As a fan of the Lakers for 50 years, I’m glad Mr. Artest is playing for my team, but I’m especially happy to have him on the mental-health advocacy team. My hat’s off to you, Mr. Artest.

Read all of Mr. Medina’s entry, Ron Artest debuts his PSA on mental health awareness. Check my earlier post from 11 November 2010.

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Mental Health Initiative

Sometimes folks lose sight of the fact that disability and mental health issues are international in scope. They’re not confined just to one’s own neighborhood, locality, geopolitical area, etc. Fortunately, there are groups that transcend borders (you can probably think of the names of some well-know organizations that function internationally), and there are some in EBD, too. The Open Society Mental Health Initiative is an example:

The OSI Public Health Program’s Mental Health Initiative aims to ensure that people with mental disabilities (mental health problems and/or intellectual disabilities) are able to live as equal citizens in the community and to participate in society with full respect for their human rights. The Mental Health Initiative focuses on ending the unjustified and inappropriate institutionalization of people with mental disabilities by advocating for the closure of institutions and the development of community-based alternatives. The initiative works in Central and Eastern Europe and the former Soviet Union (read more about the history of mental health policies in this region).

The OSI initiative is more than a one-trick pony. It’s about a lot of things, and its foci include children with Autism, mental health issues, and more. I encourage readers to check the site. Here is a link to the OSI MHI home page.

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If we ignore problems, they don’t go away

Ignoring children’s mental health problems will just make things worse. Left to their own devices, very few kids are likely to work things out independently. And a lot more problems exist than we might like to admit exist.

The schools in Virginia identify about 1 student in every 100 students as needing special education services because she or he has emotional or behavioral disorders. Yet, the Virginia Department of Behavioral Health and Developmental Services estimates that 1 in every 5 children will need mental health services. To be sure, not every child who needs mental health services will need special education services, and vice versa. Still, the discrepancy between these numbers illustrates the enormous gaps in recognition of needs and provision of help for children that different agencies offer. Greater coordination and collaboration are important. It should start with understanding and communication. Case management, wrap-around services, and similar practices would be fine results of such communication.

Not all mental health problems are manifested in destructive, overt, disobedient actions. Nor are all mental health problems hidden, repressed, anxiety disorders. They come in lots of shapes and sizes, affect children across the intellectual spectrum, are not confined to any particular ethnic group (nor is any ethnic group immune to them). Mental health problems can strike anywhere, rarely briefly and too often for a lifetime.

Don’t ignore. Deal.

In Virginia (US) we are fortunate to have the Campaign for Children’s Mental Health. Visit this effort to promote awareness and encourage policy makers to recognize the need for action on behalf of children. Learn about the many marvelous organizations that have supported the work of the Campaign for Children’s Mental Health. If you have an organization in your geographical region (whether it is a locality in the US or elsewhere on Earth [or even in the cosmos!]), drop a note in a comment recognizing it, please. Meanwhile, over in the left rail, please check out NAMI, FFCMH, and other Web resources related to children’s mental health.

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Steven R. Forness

S. R. Forness and J.W. Lloyd, 2005
S. R. Forness and J. W. Lloyd, 2005

Sometimes I get to hang around with some really wonderful contributors to the study of emotional and behavior disorders, and the accompanying photo shows one of those occasions. That’s Steven R. Forness, whom I was holding down so that he would not float away into the ether, one of a handful of giants in EBD.

Professor Forness earned a BA from the University of Northern Colorado and an MA and an Ed.D. from UCLA. He was one of the early leaders in the development of the school programs at the UCLA Neuropsychiatric Institute and served as principal for the school affiliated with the NPI (now known as the Semel Institute for Neuroscience and Human Behavior).

Professor Forness collaborated closely with one of the most important historical contributors to EBD, Frank Hewitt, during the early part of his career. Later, he and Kenneth Kavale wrote scores of books, chapters, and articles together.

Even though he is retired from day-to-day scholarship, he continues to work with many projects scattered around the US.

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Bad science?

In an editorial under the headline “Bad science gets its due,” the editors of the Boston (MA) Globe lament the consequences of Andrew Wakefield’s promotion of a connection between vaccines and Autism. At the end of the piece, the editorialist makes an important point:

But sadder still is the possibility that, in the minds of thousands of parents desperately clinging to hopes of finding a cure for autism, Wakefield’s legend might survive untarnished, possibly even exalted. In reality, his work on autism offers an unfortunate example of poor research trumping the scientific method.

Too bad the writer overlooked some of the other consequences. Here are a few nominees for a list repercussions:
Continue reading ‘Bad science?’

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Carter talks sense

I rarely point to posts on the Huffington Posts, but an entry by Liane Kupferberg Carter entitled “Autism: A time for civility” deserves recognition. Ms. Carter, the mother of a child with Autism, notes how factionation (if I may create than word) among people with interests in Autism has created divides not needed. The basic notion is that in contemporary diagnoses, Autism reflects a diverse spectrum of disorders. Educators, parents, policy-makers, and others need to accept the diversity and not fight among ourselves. Ms. Carter makes this point well. I encourage readers to read her post.

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US legislators consider law for preventing abusive restraint and seclusion

The US Congress is considering legislation to prevent abusive restraint and seclusion of students in schools. This is a welcome consequence of the highly visible reports about terrible abuses of students’ right to be free from harm. However, as much as I support this initiative, it is important to make clear that the laws (and regulations resulting from them) must be crafted carefully.

Here’s some text from the press efforts by the US House of Representatives about this important legislation. I follow it with a cautious support of the law.
Continue reading ‘US legislators consider law for preventing abusive restraint and seclusion’

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Virginia Campaign for Children’s Mental Health

Twelve key children’s services for community services boards
  1. specialized children’s emergency services;
  2. crisis stabilization;
  3. evaluations for Comprehensive Services Act services;
  4. psychiatric/medication;
  5. office-based mental health therapy;
  6. office-based substance abuse therapy;
  7. mental health case management;
  8. intellectual disabilities case management;
  9. substance abuse case management;
  10. home-based behavioral treatment and support for families;
  11. school-based day treatment; and
  12. local residential services.

Right here in my home commonwealth of Virginia last week, Mira Signe, Vicki Hardy-Murrell, John Morgan, and Margaret Nimmo Crowe explained why it is important that government and private organizations attend to and address issues in children’s mental health. By explaining that Virginia has inadequate services and that one in every five children or youths experience mental health problems at some time during their lives, they made the point that that there is a tremendous need for public focus on these issues. This was the kick-off event for the Campaign for Children’s Mental Health.

The Campaign for Children’s Mental Health is a 3-year sustained effort to make mental health services more available and accessible to Virginia children in need. It will strongly endorse Governor-elect McDonnell’s call for system improvements; urge the General Assembly and state and local government to work collaboratively with the administration to address system deficiencies; and conduct a high-profile three-year advocacy and education drive to build public and political support for improved mental health services for children.

Only about one in 20 of Virginia’s children have access to the key services listed in the accompanying box. So, four out of five children who need these services do not have access to them.

No, Virginia, this is not an acceptable way to treat our children. Let’s do better.

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