Tag Archive for 'Mental health'

Students with EBD Hit Hardest by Texas Cap in Special Ed Enrollment

According to reports Brian M. Rosenthal published in the Houston (TX, US) Chronicle, since the early 2000s when the Texas Education Agency (TEA) essentially limited enrollment in special education to 8.5% of the school population, the category of students with disabilities that saw the largest decline in enrollment was emotional disturbance.

Mr. Rosenthal published a series of articles reporting his investigation of systematic denial of services to students with disabilities in Texas beginning in September 2016. The TEA created a system for rating local education agencies’ special education programs that included a benchmark for how many students should be be enrolled. In an installment published 19 November 2016 and entitled “Mentally ill lose out as special ed declines,” he begins the report with the story of Alston Jeffus, an adolescent who is on his way home after spending months in a state hospital. Here are a few paragraphs from Mr. Rosenthal’s article:

The Texas Education Agency’s decision to set an 8.5 percent target for special education enrollment has led schools to cut services for children with all types of disabilities, but mentally ill students like Alston have been disproportionately affected, the Houston Chronicle has found.

Federal law requires schools to provide counseling, therapy, protection from discipline and other support to children with “emotional disturbances,” including severe anxiety, depression, bipolar disorder and post-traumatic stress disorder. Today, however, Texas schools serve 42 percent fewer of those students, relative to overall enrollment, than when the TEA set the benchmark in 2004.

It is a bigger drop than has occurred in almost any other disability category.

In all, an estimated 500,000 school-age children in Texas have a serious mental illness that interferes with their functioning in family, school or community activities, according to the state Health and Human Services Commission.

Only 30,034 receive special education services.

There is a lot more to this story (subscription may be required). I recommend it to readers. Also, I encourage readers haven’t been following Mr. Rosenthal’s excellent reporting on this matter to catch up; the Chronicle published a guide to the series.

Mr. Kinsey was not the target: Better or worse?

According to John Rivera, the head of Police Benevolent Association of Dade County (FL, US), the bullet that struck Mr. Charles Kinsey on Monday 18 July 2016 (while Mr. Kinsey was working to return a young man with Autism to the young man’s nearby group living facility) was not aimed at Mr. Kinsey. The officer was firing at the young man with Autism.

According to reporters for the Miami (FL, US) Herald, Mr Rivera apparently was concerned that people in the public were contextualizing the shooting as an exemplar of police conflict with African-Americans. Mr. Kinsey is Black. The Herald reporters, Alex Harris, David Ovalle, and Charles Rabin, reported that people protested the shooting at a Miami police station.

The shooting of Kinsey and the video that accompanied the stories caused an uproar. Thursday night about 40 Black Lives Matter protestors stormed into the North Miami police department demanding that the officer who shot Kinsey be fired.

For his part, Mr. Rivera expressed concern about misinformation fueling the community protest.

“I couldn’t allow this to continue for the community’s sake,” Rivera said Thursday during a hastily called press conference at the union’s Doral office. “Folks, this is not what the rest of the nation is going through.”

So, we have an apparent conflict between two communities that are concerned about the use of force against members of their respective communities. I agree with them both. Fewer shots. More calm talk. Understand Autism.

U.S. Congresswoman Frederica Wilson of Miami Gardens visited North Miami Thursday and made a brief statement saying, “We’re all in shock today,” and calling for officers to be trained in dealing with autism and mental-health issues.

Rivera said it wasn’t clear Thursday if the officer who fired his weapon had undergone Crisis Intervention Training. The session is required in many departments when an officer joins and is urged as a refresher in ensuing years. It is not required in North Miami.

Thank you, Representative Wilson!

Sources:

Recommendations for ending discrimination


Book cover, courtesy NAP

The U.S. National Academy Press published a book 20 April 2016 entitled Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change that assembles and summarizes recommendations about how to reduce negative attitudes, beliefs, and behaviors directed toward individuals who have mental health or substance abuse disorders. Although the bulk of the document addresses stigma in a general way and primarily with reference to research on adults, one section focuses specifically on stigma against children and youths, calling it “a serious concern because of its short-term impacts, including decreased feelings of self-worth and willingness to enter treatment, and because of the deleterious long-term effects of untreated mental illness or substance use disorders” (p. 2-13).

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Summary of workshop on measuring SED in children

On 1 February 2016, the US National Academy of Sciences published a booklet that summarized the presentations and discussion at a workshop on measuring serious emotional disturbance in children. Some readers of EBD Blog probably will want to secure a (free) copy. The accompanying image, which is a 2013 infographic from the US Centers for Disease Control, appears on page 19 of the report. The following is the recommend citation for the report:

National Academies of Sciences, Engineering, and Medicine. (2016). Measuring Serious Emotional Disturbance in Children: Workshop Summary. K. Marton, Rapporteur. Committee on National Statistics and Board on Behavioral, Cognitive, and Sensory Sciences, Division of Behavioral and Social Sciences and Education. Board on Health Sciences Policy, Institute of Medicine. Washington, DC: The National Academies Press.

http://www.nap.edu/catalog/21865/measuring-serious-emotional-disturbance-in-children-workshop-summary

Criminalizing mental health problems

Police officers sometimes must use extreme force to protect the population (us!) and themselves from harm. I get that. I am fretful, however, about their use of force in situations with people who have EBD.

As loyal readers know, I have remarked repeatedly about the potential dangers that emerge when individuals schooled in demanding immediate compliance (e.g., “Put that down right now”) issue such commands in very very domineering language to people who have learned to resist or flee in the presence of forceful commands— i.e., many individuals such as kids with Autism, oppositional disorders, and other EBDs.

So, what does an ill-trained officer do in such a situation (which she or he shouldn’t have initiated in the first place)? Well, escalate it: “I told you to put that f’ing thing down. NOW DO IT OR I’LL LIGHT YOU UP!” Then the officer might move toward the individual with EBD in a take-control sort of way. The individual with EBD, predictably, either makes a threatening movement, dives, or gets the hell out of Dodge City. The officer responds accordingly, still in domination mode.

Next? Taser…gun…? In “This is Crazy,” Brave New Media asks important questions about encounters between people with mental illness and the police. Warning some scenes may be wrenching. Please watch this film. Please share it with others.

National Academies EBP guidelines

The US National Academies Press published a a booklet recommending a framework for promoting evidence-based practices in the areas of mental health and substance abuse. The focus is not expressly on children and youths or on education, which are key concerns for EBD Blog, but the emphases on evidence-based practices (EBP) in mental health and substance abuse certainly overlap sufficiently to make this report of potential interest to readers.

Because the guidelines come from the National Academies, they will carry substantial weight. For the purposes of many who work with students who have EBD, there is similar useful guidance about EBP from a work group composed of leaders from the Division for Research—Bryan Cook (chair), Viriginia Buysse, the late Janette Klingner, Tim Landrum, Robin McWilliam, Melody Tankersley, and Dave Test— of the Council for Exceptional Children (CEC). In January of 2014, the CEC group presented guidance to help consumers determine whether a practice should be considered as (a) evidence-based, (b) potentially evidence-based, (c) having mixed evidence, (d) having insufficient evidence, or (e) having negative evidence. Readers can download their own copy of the standards from the CEC Website and read the CEC press release about the standards.

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Autism encounters with law enforcement

Have you ever fretted about what would happen if someone who has not learned to comply with commands encounters someone who expects immediate compliance? Suppose further that the person who relies on immediate compliance might escalate his or her demands for compliance when the other person, say a child who has behavior problems, does not immediately comply.

In a family or a classroom we might call this a “power struggle.” In the language of Patterson and his colleagues (Patterson, 1982; Patterson & Reid, 1970; Patterson, Reid, & Dishon, 1992), it’s the reciprocal escalation that forms the coercion cycle. When it occurs between an officer of the law and a child with Autism, I’d call it a recipe for disaster, even a nightmare scenario. It’s one about which I’ve written previously, more than once.

Here’s an example of that nightmare come true, as reported by Susan Ferriss of the Center for Public Integrity:

Diagnosed as autistic, the sixth-grader was being scolded for misbehavior one day and kicked a trash can at Linkhorne Middle School in Lynchburg, Virginia, in the Blue Ridge Mountains. A police officer assigned to the school witnessed the tantrum, and filed a disorderly conduct charge against the sixth grader in juvenile court.

Just weeks later, in November, Kayleb, who is African-American, disobeyed a new rule — this one just for him — that he wait while other kids left class. The principal sent the same school officer to get him.

“He grabbed me and tried to take me to the office,” said Kayleb, a small, bespectacled boy who enjoys science. “I started pushing him away. He slammed me down, and then he handcuffed me.”

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Little Keswick to feature talk by Ross Greene

The Little Keswick Foundation for Special Education, a philanthropic group associated with the Little Keswick School in central Virginia, announced that Ross Greene, author of The Explosive Child and Lost at School, will speak at its 16th Annual Education Symposium scheduled for 10 October 2013 from 7:00 to 9:00 PM at Piedmont Virginia Community College’s V. Earl Dickinson Center. The session, entitled “Collaborative & Proactive Solutions: Understanding and Helping Behaviorally Challenging Kids (and their Caregivers),” is open to the public and there is no admission fee.

A child psychologist, Ross Greene has taught courses for the Department of Psychiatry at Harvard Medical School and the Department of Psychology at Virginia Tech. He is founder of Lives in the Balance, a non-profit devoted to explaining and supporting his theraputic approach, called “Collaborative Problem Solving.” In addition to his books, Professor Greene has published research articles in well-respected journals such as Journal of Consulting and Clinical Psychology, American Journal of Psychiatry, and Journal of Emotional and Behavioral Disorders.
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