Multiple States Seek to Expand Invasive Mental Health Screening in Schools

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This article by Dr. Karen Effrem written for The National Pulse details the problematic features of the expansion of mental health screening in the public school system, most notably how false positives in the system lead to over-diagnosis and over-medication in children.

In the wake of multiple horrific school shootings — particularly the Parkland, Fla., massacre where 17 people were murdered by a student long-known to have mental issues — states all over the nation have been moving to expand mental health screening, treatment, and data collection. The two most prominent states are Florida and Texas, but Georgia and other states are also joining this dangerous craze.

The Marjory Stoneman Douglas High School Safety Act (extensively discussed in this space) expanded mental screening of students by unqualified, minimally trained teachers and other school personnel despite admissions by psychiatric physicians trained for years that they are unable to correctly identify those known mentally ill patients that will become violent. The psychiatrist that extensively studied the history of the Sandy Hook shooter that killed 26 young children and teachers said about the Parkland shooting:

“It really means we can’t rely on prediction and identifying the bad guys. Because we’ll misidentify some who aren’t bad guys, and we’ll fail to identify others who may become bad guys.”

If a highly trained psychiatrist is saying that, why should we put that enormous responsibility on already overburdened teachers?

This type of data collected by untrained personnel would go into the state longitudinal databases to follow a student for life and could result in mislabeling of a child or life-altering consequences affecting college, career, military service or gun ownership.

Screening is also admitted even by experts to be terribly inaccurate, with false-positive rates of up to 84 percent, and can lead to over-diagnosis and over-medication. Dr. Mark Olfson, the scientific director of the TeenScreen mental screening program with that 84 percent false positive rate, admitted in July before the federal School Safety Commission (p. 38-39) that “the overall increase in youth psychotropic medication use has occurred among those with less severe or no impairment.” Even though Dr. Olfson did not admit it, that increase among those with less severe or no impairment is likely due to false positives from inaccurate screening like his TeenScreen instrument. During that same hearing, he also admitted some of the dangerous side effects of psychotropic medications in children and teens, such as “uncertainty over the long-term effects on the developing brain” and “weight gain, high cholesterol levels and increased risk of diabetes.”

What he did not mention was the documented risk of suicidal and violent ideation and behavior of these drugs as shown in his own research and in information available from an analysis of reports of violence to the Food and Drug Administration. (More research and links on this topic are available here and here.)

Even worse, the follow-up school safety legislation proposed by the Florida Senate seeks to create a work group to develop a “Statewide Threat Assessment Database.” The type of data to be entered based on what criteria, who would enter it and who would have access to it are all yet to be determined. Consent and privacy issues related to this are based on the extremely weak Family Education Rights and Privacy Act (FERPA) that was gutted in 2012 by the Obama administration.

Attorney and researcher Jane Robbins explained the problems with this concept when testifying against a similar bill in Georgia described by the Atlanta Journal Constitution:

“Do we want our children to be flagged by the government based on an algorithm when we don’t even know who created the algorithm or what factors go into it,” said Jane Robbins, an education lobbyist who testified on behalf of Concern Women for America. She said profiling based on demographic information could produce biased, inaccurate results that violate students’ privacy and free speech rights while creating documents that “could come back to haunt them forever.”

The full article can be read at The National Pulse’s website.

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