The Scandalous Neglect of Children’s Mental Health The Scandalous Neglect of Children’s Mental Health: What Schools Can Do makes the case that children with mental health needs are under- identifi ed and under-served by schools and other agencies. After reading this brief but powerful book, you will better understand the need for expanded services for children in schools and communities. The risks and benefi ts of treatment, especially early intervention, are discussed and guidelines for action by teachers, parents, and others are provided. The sad fact is that many people do not understand that most young people with mental health needs never receive any treatment of any kind and most of those who receive any treatment at all receive those services only in schools. James M. Kauffman is Professor Emeritus of Education at the Curry School of Education at the University of Virginia. He was the William Clay Parrish Professor of Education 1992–1994, the Charles S. Robb Professor of Education 1999–2003, and received the Outstanding Faculty Award from the Curry School of Education in 1997. He received the Research Award, Council for Exceptional Children in 1994 and the Outstanding Leadership Award, Council for Children with Behavioral Disorders in 2002. Jeanmarie Badar is Instructional Assistant in second-g rade classrooms in the Charlottesville City Schools. She was a special education teacher for 25 years and served on the faculty of James Madison University. She completed her Master’s degree in special education at Kent State University (KSU) and received her Ph.D. from the University of Virginia. The Badar/Kauffman endowed Conference on Contemporary Issues in Special Education at KSU was named in her honor. She is co- author with James M. Kauffman, Daniel P. Hallahan, and Paige C. Pullen of another Routledge book published in 2018, the second edition of Special Education: What It Is and Why We Need It . Other Eye on Education Books Available From Routledge (www.routledge.com/eyeoneducation) Coding as a Playground: Programming and Computational Thinking in the Early Childhood Classroom Marina Umaschi Bers The Bridge to School: Aligning Teaching with Development for Ages Four to Six Claire Bainer, Liisa Hale, and Gail Myers Teaching Children with Challenging Behaviors: Practical Strategies for Early Childhood Educators Edited by Gayle Mindes Anti- Bias Education in the Early Childhood Classroom: Hand in Hand, Step by Step Katie Kissinger Nurturing Young Thinkers Across the Standards: K–2 Wynne A. Shilling and Sydney L. Schwartz Developing Natural Curiosity through Project- Based Learning: Five Strategies for the PreK–3 Classroom Dayna Laur and Jill Ackers Five Teaching and Learning Myths— Debunked: A Guide for Teachers Adam Brown and Althea Need Kaminske Eco- Education for Young Children: Practical Approaches for Teaching 0–8- Year- Olds Ann Lewin- Benham The Scandalous Neglect of Children’s Mental Health What Schools Can Do James M. Kauffman and Jeanmarie Badar F irst published 2018 by Routledge 7 11 Third Avenue, New York, NY 10017 a nd by Routledge 2 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN Routledge is an imprint of the Taylor & Francis Group, an informa business © 2018 Taylor & Francis T he right of James M. Kauffman and Jeanmarie Badar to be identifi ed as authors of this work has been asserted by them in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. A ll rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identifi cation and explanation without intent to infringe. Library of Congress Cataloging-i n-P ublication Data A catalog record for this book has been requested ISBN: 978- 0- 8153- 4893- 1 (hbk) ISBN: 978- 0- 8153- 4895- 5 (pbk) ISBN: 978- 1- 351- 16580- 8 (ebk) T ypeset in Palatino b y Apex CoVantage, LLC Dedicated to the Loving Memories of Our Late Spouses Patricia L. Pullen Steven G. Bantz And to the Loving Memory of Jeanmarie Badar’s Late Father Lawrence J. Badar Gifted Teachers All Contents Meet the Authors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .viii Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xii Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xiii 1 The Scandal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 2 Measurement of Mental Health . . . . . . . . . . . . . . . . . . . . . . . . . . .25 3 Mental Health Problems Kids Have . . . . . . . . . . . . . . . . . . . . . . . .41 4 Common Causes of Children’s Mental Health Problems . . . . .59 5 Prevention Remains a Good Idea, But Is Seldom Practiced . . . . 77 6 What We Should Do . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92 7 What Educators Should Do First . . . . . . . . . . . . . . . . . . . . . . . . . .114 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136 Meet the Authors We describe individually some of our relevant experiences that have infl uenced what we’ve written. This experience includes not only our work with children and teachers but also our training as educators in both general and special education and our familiarity with mental health issues and services. James M. Kauff man I began teaching general education in a public school in 1962. However, among my early employment was teaching emotionally disturbed children and adolescents in a private psychiatric residential treat- ment center. Children with emotional and behavioral problems may be called by a variety of legitimate labels. Among them are “emotion- ally disturbed,” “mentally ill,” “behaviorally disordered,” or “children with emotional and behavioral disorders.” The labels don’t matter much, but the diffi culties these children and their families and their teachers experience matter a lot. The children I taught in a residential treatment center were called “emotionally disturbed.” In my work in the treatment center, I had frequent contact with child psychiatrists and psychologists as well as other teachers. L ike most people, I didn’t realize when I began teaching that most children with mental health needs are in regular public schools, going to regular classes. Often, they have been driving their teachers to dis- traction. Too often, their problems are neglected or are met with coun- terproductive responses from others. I eventually became a teacher of both general and special education in public schools, and since then I have studied the problems and treatments of children and youth with mental health needs as well as the typical behavior of children and youth. I have trained and supervised teachers in a variety of school settings, been a consultant to private and public schools and institu- tions, and engaged in considerable research and publication involving exceptional children. I have studied and written about those having Meet the Authors ◆ ix mental health needs as well as those having a variety of disabilities and special gifts or talents. Some of the children I have studied have had special mental health needs as well as other exceptionalities. I am an educator by training and experience, not a psychologist or psychiatrist. Nevertheless, a substantial proportion of my training and experience has involved study of the literatures, concepts, and prac- tices of psychology and psychiatry. Perhaps it is fair to say that I am an educator with more than the typical grounding in children’s mental health problems and what to do about them. Eventually, I earned my Doctor of Education degree in special education at the University of Kansas, where my emphasis was on educating children with emo- tional and behavioral disorders (EBD). T he fact is that most people who need mental health services don’t get them. Psychologists and psychiatrists know this. I know this as an educator with special concerns for children and youths with emotional and behavioral problems. My research and writing have been about children in schools, not adults. Jeanmarie and I hope to promote kinder and more effective treatment of children whose behavior and/or emo- tional development has gone off the tracks. I ’m deeply indebted to my late mentor, Richard J. Whelan, Ed.D., an extraordinary teacher, researcher, writer, speaker, administrator, and distinguished professor of special education, child development, and pediatrics and lecturer in psychiatry at the University of Kansas. He also served in what is now the U.S. Department of Education, Offi ce of Special Education Programs. Early in his career, he became principal of the Southard School (the Children’s Division of the Men- ninger Psychiatric Clinic), where he introduced me to the fi eld of spe- cial education for children with mental health diffi culties. Jeanmarie Badar I was a special education teacher for 25 years, mostly working with students with serious mental health problems. I remember feeling overwhelmed and underprepared to work with this population, even though my undergraduate program at Boston College was otherwise quite good. My very fi rst teaching job was in a small suburban public school district near Cleveland, where I was tasked with creating a brand- new program for K–3 students with severe behavior handicaps