Mental Health
Partial results are as follows. Thirty-four percent of respondents had their child screened or used mental health or attachment services. Of those, 86 percent pursued this based on their own assessment and 19 percent had a primary care doctor recommend it.
Of those using mental health services (multiple professionals sometimes were selected), 42 percent used a psychologist with attachment expertise, 39 percent used a social worker with attachment expertise, 29 percent used a psychologist with no attachment expertise, 25 percent used an educational psychologist, 23 percent used a psychiatrist with no attachment expertise, and 21 percent used a social worker with no attachment expertise .
Of those using mental health services, the conditions that the respondents’ children were labeled with were as follows: 41 percent labeled as ADHD and 5 percent ADD, 31 percent as PTSD, 25 percent as an attachment disorder, 21 percent as generalized anxiety disorder, 18 percent as RAD, 18 percent as ODD, 13 percent as ARND/FAS/FAE, and 11 percent as bipolar. Twenty-one percent were not diagnosed with a condition. For some respondents, the comment space was not large enough to provide all of the diagnoses. Others had questionable diagnoses or had children that were still in the process of being diagnosed.
The following interventions were used: 47 percent used play therapy, 47 percent used rewards systems, 37 percent had parent counseling, 36 percent used behavioral management, 30 percent used some form of parent holding technique, 27 percent used sensory integration techniques, 24 percent used parent support groups, 15 percent used Theraplay, 15 percent used regression with baby bottles, , 13 percent used art therapy ,12 percent used blanket wrap, 12 percent used applied behavioral analysis (ABA).
Eighty-eight percent had services provided in an office. Forty percent of parents provided therapies in their home.
Cost of therapies/lack of comprehensive mental health coverage are often cited as major barriers to therapy. Thirty-eight percent paused therapy due to cost. Twenty-two percent stopped therapy due to cost.
Fifty percent of children were prescribed medicine. Of those, 60 percent have used multiple medications. The most common medications used were clonidine, Ritalin, Strattera, Risperdal, Focalin, Zoloft and Concerta. When asked about positive and negative experiences about mental health providers and interventions, the majority had negative experiences due to expense, not able to find professional that understands the complexity of attachment/ neglect issues, medication side effects and in many cases, great frustration with being lied to or not being fully informed about the mental health condition of the child by adoption service providers or country of origin. The positive experiences were mainly associated with children that have had positive results from use of ADHD medications for ADHD. The negative experiences involved children that have attachment and severe neglect issues.
Faith-Based Services
Thirteen percent used a faith based services with seventy–nine percent being satisfied.
School-Based Services
Seventy-eight percent of respondents have children that are three or older who would be old enough to qualify for a school-based service in the US. Thirty-five percent of those have never had a school-based service. Interventions provided by a school are as follows: 35 percent received a speech assessment, 30 percent received speech therapy, 25 percent received reading assistance, 23 percent received occupational therapy assessment, 20 percent received IQ testing, 20 percent received psychological testing, 19 percent received math assistance, 17 percent received occupational therapy, 17 percent received test-taking modifications, 16 percent received early intervention (public) preschool, 14 percent received English as a second language (ESL) services, 14 percent received homework modifications, 14 percent received special reward system, 12 percent received summer school in a class setting, and 11 percent received screening by a professional outside school system that the school paid for.
Of those who had services, 31 percent had a teacher refer to school services, and 18 percent were referred to school services from their Early Intervention services.
Not all parents feel that school is meeting their child’s needs. Twelve percent of parents feel that the school should be providing occupational therapy for their child, eleven percent would like organizational assistance, nine percent would like speech therapy, nine percent would like tutor in the classroom, nine percent would like reading assistance and nine percent would like therapy by an outside professional.
Thirty-one percent of children have an Individualized Education Plan (IEP). An additional twenty-four percent believe their child should have an IEP. Four percent have a 504 plan. Seventy-five percent feel that the school district respects the privacy of their child.
In-depth analyses and complete results will be available in 2010.Next week we will be sharing some testing and interventions results.
Ethics, Transparency, Support
~ What All Adoptions Deserve.
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