missed early warning signs and children’s mental health blind spot
TRANSCRIPT
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Missed early warning signs and children’s mental health
Blind Spot
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Children’s mental health: Disturbing statistics
• In any given year, about one out of every five Connecticut children (87,500 to 125,000) struggles with a mental health condition or substance abuse problem. More than half receive no treatment.
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Early difficulties:Long-term impact
• Interrelationship between mental health problems and poor academic outcomes is reflected in limited educational progress from school entry through secondary school years
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Troubling trends
• Rates for expulsion from pre-school exceed those of children in Grades 1-12;
• Connecticut had one of the highest rates of expulsion from state-funded preschool, with more than 10 students expelled per 1000;
• Educational, social and behavioral outcomes worse for children with emotional disorders than for any other disability group
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Josue (Age 15) • Born to 12-year-old mother• History of early ear infections, auditory
and speech problems• Exposed to sexual abuse and
domestic violence • Age 13 – bipolar disorder, ODD, ADHD, LD• Suspension from school• Involvement with juvenile justice system
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Arianna (Age 15)
• Age 4 – febrile seizures• Severe expressive language
delays• Visual processing problems• Retained Grade 4, socially
promoted Grades 3,4,5,6,7,8• Grade 6 difficulty with peers• School suspensions for fighting
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Jaden (Age 14)
• Sickle Cell trait• Age 1 ½ stopped talking• Limited social reciprocity, echolalia,
perseveration• Age 7 – rule out Fragile X Syndrome• Grade 4 – deficits expressive language• Age 11 – PDD, Intermittent Explosive Disorder• Grade 9 – Language, communication disorders,
underlying thought disorder?
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Early warnings• Anxiety, depression, information processing
problems and academic delays• Phobia, Obsessive-Compulsive Disorder (OCD)• Genetic disorder with elevated levels of anxiety,
disruptive behavior, poor anger management• Attentional issues, multiple suspensions for
disruptive behavior, severe attendance problems, expulsion for possession of marijuana
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Options for screening
• Behavioral and Emotional Screening System (BESS; ages 3-18) combines information from three sources: parents, teachers, youth (5-10 minutes administration time);
• Behavior Assessment System for Children (BASC-2; ages 3+)
• Ages and Stages Questionnaire-Social Emotional (ASQ-SE; Birth-3)
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Recommendations• Improve screening for mental health risk factors• Improve referral for early intervention,
communication and collaboration among service providers
• Improve community and parent education around mental health risk factors and services available to children and families
• Improve training for school staff, medical and other service providers to children and families