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Fostering a Climate to Improve Children's Mental Health

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Fostering a Climate to Improve Children's Mental Health Unclaimed Children Revisited: Fostering a Climate to Improve Children’s Mental Health ▼▼▼▼▼ The Twenty-fourth Annual Rosalynn Carter Symposium on Mental Health Policy November 20 and 21, 2008 One Copenhill 453 Freedom Parkway Atlanta, GA 30307 (404) 420-5100 • Fax (404) 420-5145 www.cartercenter.org Dedication To the memory of two colleagues who devoted their lives to helping children Dr. Julius Richmond September 26, 1916 – July 27, 2008 Dr. Jane Knitzer June 8, 1941 – March 29, 2009 Unclaimed Children Revisited: Fostering a Climate to Improve Children’s Mental Health ▼▼▼▼▼ The Twenty-fourth Annual Rosalynn Carter Symposium on Mental Health Policy November 20 and 21, 2008 Contents Opening Remarks Rosalynn Carter, Chair, Carter Center Mental Health Task Force ......................................................................4 Introduction to Keynote Address Jane Knitzer, Ed.D...................................................................................................................................................6 Keynote Address Marian Wright Edelman ........................................................................................................................................7 Policy Response Jane Knitzer, Ed.D.................................................................................................................................................13 Respondents Larke Huang, Ph.D., Moderator ..........................................................................................................................18 Patrick Tolan, Ph.D. ............................................................................................................................................20 Renata J. Henry, M.Ed. ........................................................................................................................................21 Sue L. Smith, Ed.D...............................................................................................................................................23 Discussion ............................................................................................................................................................25 Panel I: Family, Youth, and Community Perspectives Janice L. Cooper, Ph.D., M.P.A. ..........................................................................................................................27 Respondents Sandra Spencer, Moderator..................................................................................................................................29 Janice Charles ......................................................................................................................................................30 Captain Verrottica Young ....................................................................................................................................31 Dalia S. Smith ......................................................................................................................................................32 Carmen Diaz ........................................................................................................................................................35 Remembering Julius Richmond Rosalynn Carter....................................................................................................................................................37 David Satcher, M.D. ............................................................................................................................................37 Dinner Comments Jeannie Ritter, First Lady of Colorado ................................................................................................................39 Panel II: Unclaimed Children Revisited, Implications for Implementing a Public Health Framework Rosa Gil, D.S.W., Moderator ..............................................................................................................................40 William R. Beardslee, M.D. ................................................................................................................................40 Marc S. Atkins, Ph.D. ..........................................................................................................................................43 Mary Jane Rotheram-Borus, Ph.D. ......................................................................................................................46 Discussion ............................................................................................................................................................48 Respondents Robert Friedman, Ph.D.........................................................................................................................................50 Danielle Laraque, M.D. ........................................................................................................................................52 Deborah Perry, Ph.D.............................................................................................................................................54 Panel III: Policy Barriers and Opportunities Richard Frank, Ph.D.............................................................................................................................................57 The Honorable Karen Bass ..................................................................................................................................61 Respondents Cynthia Wainscott, Moderator ............................................................................................................................64 James Wotring ......................................................................................................................................................64 Mark Trail, M.Ed. ................................................................................................................................................65 Discussion ............................................................................................................................................................67 General Discussion Thomas E. Bornemann, Ed.D. and Janice L. Cooper, Ph.D. ..............................................................................69 Biographies............................................................................................................................................................76 Planning Committee ............................................................................................................................................82 Participants List ....................................................................................................................................................83 Mental Health Task Force....................................................................................................................................91 Funders..................................................................................................................................................................93 Opening Remarks Rosalynn Carter Chair, Carter Center Mental Health Task Force t has been a quarter century since Dr. Jane Knitzer and the Mailman School of Public Health at Columbia University released the groundbreaking policy report on children’s mental health, I“Unclaimed Children: The Failure of Public Responsibility to Children and Adolescents in Need of Mental Health Services.” The report documented policy and program disconnects that resulted in children and youth with mental health issues and their families not getting the services they needed. That report along with the rise of family advocacy served as a catalyst to improve service delivery for our most troubled children. Since then, we have learned so much about the developing brain and made so many advances in treatments for even the youngest children with mental illnesses. But we have failed to implement that knowledge into measurable practical success stories for our children and youth. This is clearly demonstrated in “Unclaimed Children Revisited,” a new study that assesses how current mental health policies in all U.S. states and territories respond to the needs of these children and their families. As the economic downturn worsens and states’ mental health systems come under tremendous duress, holding this symposium now is very timely. The current circumstances introduce serious risks for losing the gains we have made over the years, particularly with regard to the most basic safety net that exists for children who have mental illnesses and their families. This symposium is an opportunity for us to come together to review the challenges we face and explore the opportunities that exist to help these children and youth. The findings of Unclaimed Children Revisited provide us with a comprehensive approach that combines policy and practice in a responsible community-based framework to provide better mental health services for the children and youth in our country. 4 Introduction to Keynote Address Jane Knitzer, Ed.D. Director, National Center for Children in Poverty, Mailman School of Public Health, Columbia University tireless child advocate, Marian Wright When Unclaimed Children came back from Edelman has trained a network of child the printer, I distinctly remember standing at the Aadvocates through her work over many steps and saying to Marian and Marylee Allen years directing the
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