Mental illness affects thousands of kids and teens. But one group is hit especially hard
Macon TelegraphOct 13, 2018
Since then, Grace has fostered more than 20 children, and she and her husband have adopted four biological siblings.
Fostering children isn't easy, she said.
"Signing up for foster care means you're exchanging their grief for yours," Grace said. "You're saying a kid who's hurting can come into my home, and my goal is for them to leave their hurts here and to move on in joy and peace."
Grace knows she has no control of the children's lives once they leave her home, though. And she can't save them from what may lie ahead.
The number of American children in foster care has been rising for years, and
As the number of children in foster care continues to grow, more and more youth will feel the effects of a system that can drastically change the course of their lives. Research shows that children who spend time in foster custody suffer from mental health issues at higher rates, and the consequences can be long-lasting.
"This is a very vulnerable group of kids," said
Displaced children are more likely to have ADHD, anxiety, depression and multiple other mental illnesses, Turney and sociologist
The sociologists couldn't pinpoint one particular explanation for the disparities, but Turney noted that experiences both before and after children's placement in foster care could play a role in their mental health. The family separation, itself, can be extremely traumatic, she said. One thing Turney knows for sure, though, is the harm that uncertainty brings.
"Any kind of instability is really detrimental for children and their mental health," she said.
Many kids who are placed in foster care have experienced instability before entering the foster system, said
"When kids are in states where they're really unsure about the safety of their home environment, about whether or not they're going to be able to eat today, things like that, that creates a lot of anxiety that tends to make them very vulnerable to developing anxiety disorders that can lead to depression, things of that nature," Benesh said. "So it can just kind of reinforce any sort of pre-existing vulnerability to psychiatric issues there."
Children who spend time in state custody are also more likely to experience what the
"They have experienced extreme loss, extreme violence," she said. "So, you can't just give 'em platitudes of, 'You're safe,' or, 'No one's gonna hurt you. Everything's gonna be ok.' Because they've seen it not be OK. They've seen the very people that are supposed to keep them safe hurt them."
Kids in foster custody might struggle to trust others, she said, because they've been burned before. Onlookers might rush to label unusual behaviors, without understanding the underlying causes.
"If we look at children through a trauma lens, if we know that there's trauma's there or wonder if a behavior is showing trauma, and give them the space to earn our trust, and for them to trust us, then we may get a totally different kid," Grace said.
But counselors, case workers and foster parents are often on such high alert that they jump to characterize unusual behaviors as mental illness, which could also account for the higher rates of diagnoses, Benesh said.
"When we train professionals to work with kids in foster care, when we train foster parents, we put a lot of emphasis on potential hazardous behaviors -- things like that -- symptoms to look out for," he said. "And so, things that in kids outside of foster care we might just kind of say, 'Oh, he's having a really rough day,' get logged in and turned into potential symptoms for psychiatric disorders."
Adults focus so much on clinical disorders they often overlook kids' overall mental well-being, Benesh said.
"It's so easy to get caught up in, 'This kid has PTSD, this kid has bipolar, this kid has autism, and they all need specialized care and services.' And lose track of, kind of, a more basic reality, that these are kids and teenagers who need warm, caring, supportive, consistent, stable relationships in their lives," he said.
Children in foster care are often misdiagnosed, said
"That's one of the important things during counseling is to get an accurate diagnosis for that child, because, when they've been in foster care for a while, a lot of times there is some misinformation over the years," Stapleton said.
Lighthouse for Families Clinical Director
"If you're medicating the wrong diagnosis, then you're often pouring oil on a fire and not helping with mood management," Grace said.
It can be difficult for children who pass through the foster system to get the mental health care that they need. Shortages of psychiatrists, school psychologists, and youth therapists limit access to treatment, especially for those who can't afford private care.
Fields was hoping to hire more caseworkers who could help families get the mental health care that they need, but the
DFCS offers early intervention resources whenever possible, which Benesh said can make all the difference.
"If we provide the services to these youth and to their family and their caregivers, then we see improved outcomes for them," Benesh said. "So, we know kids who are able to get the support and services they need are more likely to do things like graduate high school. They're less likely to run away from a foster home or a group home. They're less likely to have a teenage pregnancy. They're less likely to become homeless."
He said they're even less likely to suffer from chronic health conditions.
But if children's mental health is not addressed, Grace said, they're more likely to perpetuate a generations-old cycle.
"If we squander their time in foster care and don't help them heal, then we're missing out on a window of time where we can help them become the productive members of society that they can be," she said.
Grace has dedicated her life -- both professionally and personally -- to displaced children. In addition to being a foster and adoptive parent, the mental health counselor also works with children who have spent time in the foster system.
She helps kids to rebuild trust and to let them know that's it's OK to open up and share their stories.
"So much of these hurts are healed in the context of relationships, not just on an island," Grace said. "And it is imperative, too, with clients to help them look up from their immediate circumstances and hold hope for them until they can hold it for themselves. That the future can be different. That their story is not completely over."
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