The Dispatch's February 4th ''Another safety net'' editorial is an example of the triumph of PR over facts. Schools evaluate the health of students' vision, hearing and curvature of the spine to compare to defined standards, and the treatments for deviations from normal are straightforward and proven to work. This is not the case for mental illness.
Definitions for mental illness and mental health are subjective, and identification for both is at the discretion of the evaluator. Treatments are trial and error, many of them being no better than placebo. Many are far worse. The Dispatch gives a nod to the black-box warning the FDA requires on the labels of antidepressants, citing an increase in suicidal thoughts. The reality is that these drugs have severe side effects, and most school shooters were on psychiatric medications that the time of the crime. Couldn't the treatment, then, be considered worse than the disease?
The Dispatch also acknowledges that the suicide rate among teens is dropping. Any healer worth his or her salt would say, ''if it ain't broke, don't fix it''.
Yes, depression and anxiety occur among teens as well as adults. No one should have to suffer, and it is tragic when the suffering results in the loss of human life. But what are the facts behind TeenScreen's mental health screening program in schools? Is it scientific? Has it been tested rigorously? Do teens who have taken the survey have better outcomes than teens who haven't? The answers appear to be no, no, and not necessarily, in that order.
The editorial also mentions some TeenScreens allow passive consent from the parents, which requires the parents to specifically opt out, rather than active consent, which requires parents to sign a form giving the school permission to test their child. Not only has the passive consent method invited criticism, it has fueled lawsuits in Indiana and Michigan.
According to TeenScreen, approximately one-third of students taking the test will score ''positive'' for mental illness. Up to 84% of those ''positives'' will end up being ''false positives''. Imagine being a teen and being told by a professional that you may have a mental illness, but after further evaluation, oops, that was a mistake. Talk about depressing!
So what happens if a teen tests ''positive'' for a mental illness and the parent disagrees and refuses treatment? The path forward is up to the TeenScreen administrator. Maybe nothing happens, and everybody goes home. That's not likely, though. Because there would be ''evidence'' that the teen is a potential danger to himself or someone else, the more likely scenario would be some action taken, which could include intervention by government authorities and even removal of the child from the home.
Is screening for mental illness necessary in the schools? Don't we already know who the ''at-risk'' kids are? Don't parents/teachers/administrators know who has falling grades, who is skipping class, who is doing drugs, who doesn't have friends, who is bullying other kids and who is being bullied? Do we need a computerized test to tell us who these kids are?
Yes, high school is tough enough for healthy kids. It's even tougher when pressured to reveal personal thoughts to a computer and then having to discuss them later with an authority figure. Schools want to help kids, but good intentions do not necessarily equal good policy. Parents and teens should be wary.
Definitions for mental illness and mental health are subjective, and identification for both is at the discretion of the evaluator. Treatments are trial and error, many of them being no better than placebo. Many are far worse. The Dispatch gives a nod to the black-box warning the FDA requires on the labels of antidepressants, citing an increase in suicidal thoughts. The reality is that these drugs have severe side effects, and most school shooters were on psychiatric medications that the time of the crime. Couldn't the treatment, then, be considered worse than the disease?
The Dispatch also acknowledges that the suicide rate among teens is dropping. Any healer worth his or her salt would say, ''if it ain't broke, don't fix it''.
Yes, depression and anxiety occur among teens as well as adults. No one should have to suffer, and it is tragic when the suffering results in the loss of human life. But what are the facts behind TeenScreen's mental health screening program in schools? Is it scientific? Has it been tested rigorously? Do teens who have taken the survey have better outcomes than teens who haven't? The answers appear to be no, no, and not necessarily, in that order.
The editorial also mentions some TeenScreens allow passive consent from the parents, which requires the parents to specifically opt out, rather than active consent, which requires parents to sign a form giving the school permission to test their child. Not only has the passive consent method invited criticism, it has fueled lawsuits in Indiana and Michigan.
According to TeenScreen, approximately one-third of students taking the test will score ''positive'' for mental illness. Up to 84% of those ''positives'' will end up being ''false positives''. Imagine being a teen and being told by a professional that you may have a mental illness, but after further evaluation, oops, that was a mistake. Talk about depressing!
So what happens if a teen tests ''positive'' for a mental illness and the parent disagrees and refuses treatment? The path forward is up to the TeenScreen administrator. Maybe nothing happens, and everybody goes home. That's not likely, though. Because there would be ''evidence'' that the teen is a potential danger to himself or someone else, the more likely scenario would be some action taken, which could include intervention by government authorities and even removal of the child from the home.
Is screening for mental illness necessary in the schools? Don't we already know who the ''at-risk'' kids are? Don't parents/teachers/administrators know who has falling grades, who is skipping class, who is doing drugs, who doesn't have friends, who is bullying other kids and who is being bullied? Do we need a computerized test to tell us who these kids are?
Yes, high school is tough enough for healthy kids. It's even tougher when pressured to reveal personal thoughts to a computer and then having to discuss them later with an authority figure. Schools want to help kids, but good intentions do not necessarily equal good policy. Parents and teens should be wary.