People everywhere are searching for answers.  Looking for a reason that this massacre occurred.  Guns.  No prayer in school.  Video games.  Violence in the media.  Mental illness.  You name it.  When something terrible happens, it is our natural societal response to search for a cause.  We can’t help ourselves.  It’s a defense mechanism of sorts, used as we try to come to terms with such an unthinkable tragedy.

But if I was the parent of any of these precious children, I can promise you that knowing the cause wouldn’t help.  My child would be gone forever and no answer would change that devastating fact.  No more kisses and hugs.  No tucking them in at night.  No growing up.  Nothing.  Gone.

The parent side of me knows that.  The child psychologist in me knows another story.  I speak from the trenches, not as the parent trying to access services, but as the child psychologist helping parents navigate the system day in and day out.  I firmly believe that our mental health system is not the reason this massacre occurred.  Adam Lanza is.  But he clearly suffered from serious mental health problems.  And this tragedy should serve as a wake up call to change our mental health care system now.  By doing so we could very likely prevent this devastation from occurring again in yet another classroom, movie theater, or shopping mall.

Currently in my community I can count on one hand the number of child psychologists and psychiatrists available to assist children.  That means that if you are concerned about your child and want to access outpatient services then you will have to wait.  For a long time.  I’m talking months.  There are waiting lists in my state that are a year long.  Can you imagine being told that you may have cancer but you won’t be able to be seen by a doctor to discuss your diagnosis and treatment options for six months?  That’s what it feels like to parents who have children with serious mental health issues waiting to be seen.  Unimaginable.  There simply aren’t enough child psychologists and psychiatrists to go around.

If you are fortunate enough to get an appointment after your agonizing wait, you then have to either be wealthy enough to pay for it out of your pocket or lucky enough to have health insurance that covers outpatient mental health services adequately.  Good luck with that.  In my experience, the inability to pay eliminates the opportunity for quality mental health care for the majority of children.  If they can’t pay, parents are told to ask their pediatrician for advice because then it might be covered under their health insurance policy.  They are advised to get help instead from their school counselor because that would be free.  Those options might seem like good ones, but behind the scenes the pediatricians are equally outnumbered by the volume of mental health care patients, and typically one school counselor is responsible for the mental health needs of an entire school. [Read more...]