Treatment of a Mentally Ill "Crack baby" teen

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I have recently had my conscience perked by a 15 year old former “crack baby” whose step mother has reported profaning himself (I will not describe this vile behavior). He has been refused psychiatric treatment by the sole allowed local provider which is approved on the family health plan. The father and step mother are apparently left to be victimized by the young man’s uncontrolled behavior. People like this used to be institutionalized, but apparently this option is not available because this young man tried to rape another inmate.

Certainly I will be praying for the healing of this young man, but does anyone have any practical suggestions on how to proceed with the parenting of this young man?forums.catholic-questions.org/images/smilies/eek.gif
 
I have recently had my conscience perked by a 15 year old former “crack baby” whose step mother has reported profaning himself (I will not describe this vile behavior). He has been refused psychiatric treatment by the sole allowed local provider which is approved on the family health plan. The father and step mother are apparently left to be victimized by the young man’s uncontrolled behavior. People like this used to be institutionalized, but apparently this option is not available because this young man tried to rape another inmate.

Certainly I will be praying for the healing of this young man, but does anyone have any practical suggestions on how to proceed with the parenting of this young man?forums.catholic-questions.org/images/smilies/eek.gif
I guess the first question is, what is your relationship to the 15 year old and to the parents? If you have no direct contact, I am not sure how much you can help.

If you do have direct contact, again, not sure how much you can help. If you know the kid and he knows you maybe you could be a positive influence, like a bit brother or sister would. Spend time with him, maybe? I am not sure.

Prayers, prayers and more prayers are your best option right now.
 
Thanks for the reply! 🙂

I have never met the 15 year old. What I have heard comes from a public school "teaching colleague who is his long-suffering step mother. She has been a very good conversationalist, even when I have blasted her with the idea that her own pro-choice views may be having a deleterious effect on her relationship with this boy. I have not been introduced to this boy up to now, and I am not sure if I have the time to commit myself to a big brother type of arrangement, but I will certainly consider this idea.
 
…I have blasted her with the idea that her own pro-choice views may be having a deleterious effect on her relationship with this boy. . .
This doesn’t sound like the most productive approach. The child and his family are in need of professional help. His conduct could pose a danger to himself or others–particularly other minors–and perhaps law enforcement or DFS intervention might be necessary to cut through the red tape that is keeping him from getting the help he needs.
 
I am most grateful for your interest in this case. In terms of my comment regarding the step mom’s pro-choice views, I said this because she seems to be more than open to my deepest thoughts on whatever question we discuss. I realize that this is highly unusual. Ironically speaking, it has been my consistent experience through the years that those who express liberal views on abortion are among the most intransigent of debaters. I assure you that this woman is, so far as I can tell at this time from having known her but a few months, an exception to that observation.

Perhaps it would be best for an intervention of a state agency, but I am told, oddly enough, that the Nevada state agencies involved are unwilling to accept this boy into treatment due to his proclivity toward vile behavior while in custody. The question becomes where such an individual can find a “padded cell”, if you will. It seems that locked cells in forensic care facilities have been abandoned, along with electroshock therapy, in the modern theraputic environment. My question is whether or not there is an “Alcatraz” of mental health facilities on the West Coast, and/or whether the psychiatric staff is open to Christian pastoral intervention on behalf of patients. So far I have observed a “no” on both questions.
 
I have recently had my conscience perked by a 15 year old former “crack baby” whose step mother has reported profaning himself (I will not describe this vile behavior). He has been refused psychiatric treatment by the sole allowed local provider which is approved on the family health plan. The father and step mother are apparently left to be victimized by the young man’s uncontrolled behavior. People like this used to be institutionalized, but apparently this option is not available because this young man tried to rape another inmate.

Certainly I will be praying for the healing of this young man, but does anyone have any practical suggestions on how to proceed with the parenting of this young man?
Unfortunately a child with this level of early trauma needs professional help - specifically a therapist who specializes in child abuse victims who display symptoms of Reactive Attachment Disorder (RAD), Oppositional Defiance Disorder (ODD) and other such disorders. Since he is already displaying sexually disruptive behavior he will have a harder time reaching a cure. The older children are caught in their own cycles and it’s harder for them to choose to want to heal.

Sadly, I understand the issue with the Health Insurance. I know what it’s like to watch a child become lost in psychosis because no one will help. Too often people spend so much time blaming the parents (whether they deserve it or not) that they never get around to helping the child. Sometimes they will even cause more harm to the child just to “get even” with the parents.

One things the parents might try is reading Help for the Hopeless Child by Federici, it will give an overview of different issues facing trouble youths and some methods for helping them. As for funding, they can try going to Social Services to see what funding is available for families in need of assistance. In Virginia there is something called FAPT (Family Assessment planning team) that will assess the individual needs of the family and approve funding to meet those needs.

If all else fails they can threaten to release custody of the kid to the state. CPS doesn’t want the kid (as you’ve already mentioned) so they may provide services to “keep the family united” :rolleyes: Of course this will also get them on CPS’s hit list and they will probably be investigated for child abuse a dozen or so times - but if he gets the help he needs it may be worth it 🤷

One thing you can do is support the family with prayers and encouragement. Dealing with a traumatized child is a very isolating action and parents will often suffer a great deal. People don’t like the idea that an “innocent” child may be causing chaos in the family and will often attack the parents. Be supportive and don’t ever contradict their authority in front of the child. If you see something that you think is harsh or unusual, ask them about it afterwards or out of hearing - often these children make a punishment look worse than it is to gain sympathy from outsiders and undermine their parent’s authority.

Above all pray - for that is what this youngster needs the most. I’ll include him in my prayers as well.
 
Perhaps it would be best for an intervention of a state agency, but I am told, oddly enough, that the Nevada state agencies involved are unwilling to accept this boy into treatment due to his proclivity toward vile behavior while in custody.
This makes no sense. This is daily routine for many mentally imbalanced, incarcerated individuals. The authorities are not only aware of, but used to dealing with this type of behaviour.
My question is whether or not there is an “Alcatraz” of mental health facilities on the West Coast, and/or whether the psychiatric staff is open to Christian pastoral intervention on behalf of patients. So far I have observed a “no” on both questions.
Neither of the two extremes you present seem like a reasonable response to a potentially disturbed teen whose behaviour may be attributable at least in part to organic brain damage due to his pre-natal exposure to drugs. He needs both a thorough neurological work up to rule out and/or diagnose organic brain pathology as well as a full work-up with a psychiatrist (MD).
 
The suggestions and comments by Lady Cignus are most helpful. I will share this information with my teaching colleague, which will be sure to advance the constructive basis of the discussion!!

I can’t help but comment on the comment concerning the current state mental health authorities’ rejection of the treatment of this young adolescent. Once again the State of Nevada has failed to recognize the need of adequate mental health staffing and facilities. Add this to the chronically depressed state of public education in Nevada, and you get young people acting out all over the place. I am not one who supports the increased public education monopoly without fundamental reform, but sadly realize that the current dumbing down of the population does not play into the hands of those who advocate State funding of parental choice in education. Likewise the callous treatment of psychotic adolescent manifestations does not advance the cause of increased spiritual care for these unfortunate boys and girls.

Please pray for us here in Nevada.
 
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