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We Need More Mental Health Infrastructure

One of the drivers of the current lack of facilities for foster children is the lack of sufficient mental health care. According to the American Academy of Pediatrics, “Mental and behavioral health is the largest unmet health need for children and teens in foster care.” This lack of resources leads in an almost straight line to the inability of foster homes to cope with behavioral challenges to the lack of residential psychiatric beds to “hoteling” foster children with complex needs.

The problem is only getting worse as residential psychiatric facilities are closing down because they can’t sustain themselves. Eye-popping jury verdicts also exacerbate the problem. There is no simple solution, and we have to tackle the problem on many fronts. There is no doubt, however, that we have to start building our mental health infrastructure if we are to have any hope of helping our children deal with our current historic levels of anxiety and depression.

Cultural pressures to end the warehousing of people with disabilities and advancements in medical treatments inspired regulatory changes meant to bring treatment to outpatient clinics and other community settings. However, regulations didn’t go nearly far enough to replicate the access of the historic approach. “The two challenges are that we swung really far in the way of avoiding longer-termed care facilities — which really do help people, but people don’t want to get to the point of needing them — and we don’t have enough of an infrastructure to support people not getting to that point,” Lindsay Oberleitner, a clinical psychologist and education director of SimplePractice, told BHB.

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ausburn_deborah, youth services law, mental health, insights