Treatment lags for teens with mental health conditions

Less than half of American teens with mental health disorders receive treatment, and those who do get help rarely see a mental health specialist, a new study indicates, reports Reuters today.

“The findings underscore the need for better mental health services for teens, said study author E. Jane Costello, associate director of the Duke Center for Child and Family Policy in Durham, N.C.

“It’s still the case in this country that people don’t take psychiatric conditions as seriously as they should,” Costello said in a Duke news release. This remains so, despite a wave of mass shootings in which mental illness may have played a role, she and her colleagues noted.

“The analysis of data from more than 10,000 teens aged 13 to 17 across the United States also showed that treatment rates varied greatly for different types of mental health problems. For example, teens with attention-deficit/hyperactivity disorder, conduct disorder oppositional defiant disorder received mental health care more than 70 percent of the time, while those with phobias or anxiety disorders were least likely to be treated. The researchers also found that blacks were much less likely than whites to be treated for mental disorders, according to the study, published online Nov. 15 in the journal Psychiatric Services. In many cases, teens received treatment from pediatricians, school counselors or probation officers, rather than mental health specialists. This is because there are not enough qualified child mental health professionals to handle the demand, said Costello, who is also a professor of psychology and epidemiology at Duke University. Continue reading “Treatment lags for teens with mental health conditions”

Asking the right gender questions

Last week the well-respected Urban Institute published a study on technology, teen dating violence and cyberbullying, writes Dana Beyer in today’s Huffington Post Gay Voices in a piece about the study’s approach (and those used elsewhere) to asking questions about gender identity .

“The numbers were pretty horrifying, and they were worse for LGBTQ youth, both as victims and perpetrators. As I was looking through the documentation to study how the research was structured, I noticed something very interesting about the intake forms. The first question was, “What is your gender? Male. Female. Transgender/gender-queer.” The fourth question was, “Of the following, which do you primarily identify as? Heterosexual/straight. Lesbian. Gay. Bisexual. Questioning. Queer. Other.”

“This is a very rational, modern presentation, following on what we’ve learned about the independence of the two human attributes — gender identity and sexual orientation — and the primacy of gender identity over sexual orientation as a biological and social phenomenon. Putting aside polyamory, you need to know who you and you partner are before you can categorize the dyad in relationship terms.

“This is also, in its way, a classical presentation, because most official forms ask for your sex after they ask for your name. The only difference here is that “sex” is replaced by “gender,” which means the same for legal purposes. But looking a little more closely, there has been, as a result of the deliberate attempt to include trans persons, the resulting creation of a third gender. This would not be out of place in many global cultures, including early Native American/Canadian “two-spirit” (“berdache”) traditions, the Fa’afafine of Polynesia, and the hijras of the Indian subcontinent. Today Australia, New Zealand, Nepal and Germany are four nations that allow a category of indeterminate sex for birth certificates. The globalization of our understanding of trans culture has influenced our actions here in the U.S. Often we are asked how we can make medical intake documents more welcoming, to indicate a culturally competent office that would attract LGBT folks. So over the years we’ve encouraged a number of changes, including replacing “husband/wife” with “spouse,” “mother” and “father” with “parent 1” and “parent 2,” and adding a line or box to be filled in next to the two basic sexes should someone want to choose another option or explicate a bit on the choice made. Continue reading “Asking the right gender questions”

Apple stops using teen labor in China

imgres-2Apple said a Chinese labor agent forged documents on behalf of underage workers as the world’s most-valuable technology company seeks to improve conditions at suppliers making iPhones, iPads and Macs. Bloomberg News reports that

“The electronics company also stopped doing business with a manufacturer that employed 74 people younger than 16 who used the faked papers, according to its annual Supplier Responsibility Report released today. The recruiter was reported to provincial authorities, fined and had its license suspended. ‘Underage labor is a subject no company wants to be associated with, so as a result I don’t believe it gets the attention it deserves, and as a result it doesn’t get fixed like it should,’ Jeff Williams, Cupertino, California-based Apple’s senior vice president of operations, said in an interview. Continue reading “Apple stops using teen labor in China”