May 15, 2000 Health Forum Report


 

CHILDREN'S MENTAL HEALTH

Key Concerns
Biological Factors
Economic Factors
Healthcare System Factors

Lifestyle Choice Factors
Physical Environment Factors
Psycho-Social Factors
Spiritual Factors
Summary

Key Concerns:

  • Schools-No good system for dealing with families or education of children with MH issues.
  • Lack of services for co-morbid conditions
  • More serious with condition of younger leading to other problems
  • Lack of MH parity services and dollars.
  • More case management
  • More cases in MH system.
  • Placement of children outside of community, transition process and how family suffers.
  • No support for families and lack of resources.
  • Need to equip parents to meet issues of children's mental health issues.
  • Lack of research for children and families on this issue.
  • Families are often confused. Need to educate parents to meet needs of children.
  • ISD handling MH issues and lack of consistency.
  • Challenge in coordination of MH issues for children.
  • Evidence based research and best practices.
  • What is available and where to refer children. Lack of resources.

BIOLOGICAL

Number

  • Lack of knowledge about the disease. Knowing you have a problem.
  • How to know your child has a mental health problem.
  • Lack of leadership and awareness.

11

  • Family history of mental illness.
  • Maternal substance abuse prenatally.
  • Genetic Factors.
  • Prenatal mental health problems.
  • Trauma
  • Biological changes in the brain due to abuse and neglect.

4

Other

  • Poor nutrition - birth to five years old.

2

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ECONOMIC

Number

  • Fragmented funding
  • Fewer government funded services.
  • Lack of funding for research.

9

  • Lack of resources to address issues.
  • The low-income families lack of services.

4

  • Poverty+1
  • Poverty Stress
  • No job
  • Homelessness

2

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HEALTHCARE SYSTEM

Number

  • Parents are seen as problems rather than part of the solution.
  • Many practitioners do not want to "treat" children with more severe problems.
  • Lack of understanding knowledge of effects of psychiatric meds on children.
  • Lack of professional knowledge on how best to treat mental illness.
  • Lack of clear diagnosing parameters Mis/undiagnosed

11

  • Research Funding not available.
  • Lack of follow up.
  • Poor transition options form childhood to adult services.
  • Lack of meds.
  • Lack of integration between medical and mental health services.
  • Waiting lists.
  • Lack of early prenatal care.
  • Lack of health care available.

10

  • No insurance
  • Lack of insurance parity.
  • Insurance runs out - nothing available.

4

  • Deficit based rather than strength based.
  • Serving child verses entire family.

4

OTHER:

  • Lack of bilingual and bi-cultural mental health professionals.
  • Reimbursement rates are too low. Do not cover costs to provide services.
  • Managed care is based on traditional model-doesn't pay for supports.

0

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LIFESTYLE CHOICES

Number

  • Lack of leadership skills to promote positive behavioral supports for children and adolescents in schools.
  • Awareness or lack of awareness.

6

  • Substance abuse
  • Substance abuse to mask symptoms.
  • Youth substance abuse.

5

  • Lack of options for families.
  • Poor parenting.

2

OTHER:

  • Diet/poor nutrition.

0

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PHYSICAL ENVIRONMENT

Number

  • Violence in immediate neighborhood.
  • Family abuse/violence.
  • Unsafe living conditions, e.g., lead paint.

9

OTHER:

  • Lack of education.
  • Separation of child from the family.

1

  • Family Stressors
  • Lack of family understanding on how to deal with mental illness.

0

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PSYCHO - SOCIAL

Number

  • Significant loss
  • Change/disruption of family situation i.e., divorce, death, loss of job/resources, loss of housing.
  • Lack of leadership skills.
  • Isolation from supportive people (family/friends).
  • Lack of support for isolated parents.
  • Lack of community.

18

  • Abuse/Neglect and Family Violence

3

OTHER:

  • Lack of future options for children or recreation.
  • Schools with inadequate training for staff or programs on how to work with children.
  • Fear - You don't act or think like others.

2

  • Unstable/Inconsistent parenting.
  • Lack of parenting skills.
  • Family history of mental illness.
  • Lack of encouragement and positive attention.

1

  • Pressure from peer age group.
  • Social stigma of homosexuality, religion, race, etc.

0

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SPIRITUAL

Number

  • Need for spiritual healing.
  • Poor spiritual growth.
  • Individual passion and talents of children are not validated and supported in communities.

12

OTHER:

  • Lack of sensitivity re: culture, spirituality, and medicine.
  • Churches often don't understand or know how to help.
  • Hopelessness.
  • Lack of guidance.

4

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SUMMARY:

  • Lack of knowledge about the disease within the general population.
  • Lack of insurance and resources to address issues.
  • Lack of mental health services available.
  • Medical Field-lack of knowledge about mental health.
  • Unsafe environment-violence in family and neighborhood living conditions, etc.
  • Lack of community support and leadership
  • Need for spiritual healing.
  • Parental mental health problems genetic or biological.

GROUPINGS-

  • Skills combined with leadership skills.
  • Cultural belief on need for physical punishment.
  • Reimbursement rates don't cover people with mental health issues.
  • Don't have a voice.
  • Leaders
  • States choice to invest in punishment rather than treatment.
  • Lack of leadership skills with parents, to enable them to build their own support.
  • Managed Care does not cover what is needed.
  • Medicaid too complicated.
  • Lack of affordable housing.
  • Community leaders focus on traditional services.
  • Lack of collaboration.
  • Fragmented Services
  • Lack of educational campaigns.
  • Family values.
  • Medical model- doesn't look at mental health aspect.
  • Hard verses soft-science.
  • Lack of knowledge-medical community
  • Mental Health coverage is not the same/on par with physical health coverage by Insurance companies. Sourced by legislature.
  • Lack of parenting knowledge.
  • Lack of prevention programs.
  • Gang activity.
  • Media violence
  • Poverty
  • Substance Abuse
  • Mental Health issues are note politically expedient.
  • Low representation of mental health issues.
  • Too complicated.
  • Unemployment
  • Growing economic disparity
  • Lack of education.
  • Mental health more expensive.
  • Managed care limits access.
  • Lack of evidence-based intervention.
  • Government funding uncoordinated and categorical.
  • Managed care is profit driven.
  • Parents not thinking there is anything wrong.
  • Untrained teachers.
  • Lack of funding for support activities.
  • Organizations that support mental health clients-lack support themselves.
  • Stigmas-cultural beliefs.

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