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RE: Question of the day
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<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Hi All,<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>A lot of the families I’ve worked
with over the years live in a fairly marginalized existence. Their
existence may be the result of their “serious mental illness” and
not their actual IQ, attributes, skill set, etc.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>In one family I work with the father was a
straight “A” student, is a talented mechanic (IQ and skills), but
cannot keep a job due to mental/emotional challenges. He recently quit a
good paying job in an auto body shop due to panic attacks that he describes as
coming from deep feelings of inadequacy – the other employees were all
more experienced and skilled at auto body repair. He drives a school bus
now.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Most of the families do not receive adult
services, just the services for their children offered through the school or
community mental health. Most of the families are struggling; have
difficulty keeping employment, housing, relationships, etc.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>This sub set may be part of the picture
you are trying to account for.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Best wishes,<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Ken<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<div>
<p class=MsoNormal><font size=4 color=navy face=Aristocrat><span
style='font-size:13.5pt;font-family:Aristocrat;color:navy'>Kenneth H. Little,
MA</span></font><font color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><strong><b><font size=3 color=navy face="Times New Roman"><span
style='font-size:12.0pt;color:navy'>Mad River Behavioral Health</span></font></b></strong><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><st1:place w:st="on"><strong><b><font size=3 color=navy
face="Times New Roman"><span style='font-size:12.0pt;color:navy'>PO</span></font></b></strong></st1:place><strong><b><font
color=navy face="Times New Roman"><span style='color:navy'> <st1:address w:st="on"><st1:Street
w:st="on">BOX</st1:Street> 190</st1:address></span></font></b></strong><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><st1:place w:st="on"><st1:City w:st="on"><strong><b><font
size=3 color=navy face="Times New Roman"><span style='font-size:12.0pt;
color:navy'>Campton</span></font></b></strong></st1:City><strong><b><font
color=navy face="Times New Roman"><span style='color:navy'>, <st1:State w:st="on">NH</st1:State>
<st1:PostalCode w:st="on">03223</st1:PostalCode></span></font></b></strong></st1:place><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><strong><b><font size=3 color=navy face="Times New Roman"><span
style='font-size:12.0pt;color:navy'>603-236-6893</span></font></b></strong><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
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<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
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<p class=MsoNormal><b><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma;font-weight:bold'>From:</span></font></b><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'>
bounce-2350091-6833746@list.cornell.edu
[mailto:bounce-2350091-6833746@list.cornell.edu] <b><span style='font-weight:
bold'>On Behalf Of </span></b>Roger Phillips<br>
<b><span style='font-weight:bold'>Sent:</span></b> Monday, February 11, 2008
9:47 PM<br>
<b><span style='font-weight:bold'>To:</span></b> Child Maltreatment Researchers<br>
<b><span style='font-weight:bold'>Subject:</span></b> Re: Question of the day</span></font><o:p></o:p></p>
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<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='margin-bottom:12.0pt'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>Sheri:<br>
<br>
I'm not going to pretend to understand all the definitional categories,
bureaucratic silos, and isolated funding streams undoubtedly involved in the
data you describe; and your question is an important one to raise. <br>
<br>
I'll just mention work by the folks at Chapin Hall in <st1:City w:st="on"><st1:place
w:st="on">Chicago</st1:place></st1:City> over the years that may be relevant
to the explanation offered by your state statistician (although s/he may not
have had this in mind when s/he answered your question). The Chapin Hall folks
have done a very nice job articulating distinctions between, what they refer to
as, primary and secondary supports for children-in-need and their families
within communities. The formal services you describe in your email represent
secondary supports in the Chapin Hall framework. They make a strong case for
the value/primacy of primary supports, which are structures, organizations,
programs and opportunities (churches, athletic leagues, scouts, work &
volunteer opportunities, etc.) that exist within communities and which are available
to any and all children/families without special designation, status, etc.
(e.g., diagnoses, income criteria, etc.). Resourceful and opportunistic
families within supports-rich communities can maintain and nourish
children-/youth-in-need, according to the Chapin Hall folks.<br>
<br>
But, please do not rely on my simplistic paraphrasing. I urge you to read their
work directly; Joan Wynne is the Chapin Hall person I've read over the years,
but I'm not sure if she is still there.<br>
<br>
<br>
Roger D. Phillips, Ph.D.<br>
120 <st1:Street w:st="on"><st1:address w:st="on">W. 2nd Street</st1:address></st1:Street><br>
<st1:address w:st="on"><st1:Street w:st="on">P.O. Box</st1:Street> 100</st1:address><br>
Alburtis PA 18011<br>
610.442.2215<br>
rogerdphillips@enter.net<br>
<br>
<br>
<br>
On Feb 9, 2008, at 12:38 PM, D F MCMAHON wrote:<o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-bottom:12.0pt'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'><?fontfamily><?param Tahoma><?x-tad-bigger>I
am on the Mental Health Planning Council for my state (my seat is for parents
of children with SED). According to federal statistics we recently reviewed in
our draft state report, 5.4% of the adult population has serious mental illness
but only 2% requires formal mental health services. I asked for clarification
and have been told by a state statistician than the other 3.4% are "able
to maintain" without formal services; formal services would include the
gamut from psychiatric, psychological, to supportive services (lord knows where
targeted case management fits in there). <br>
<?/x-tad-bigger><?/fontfamily><?fontfamily><?param Tahoma><?x-tad-bigger> <br>
<?/x-tad-bigger><?/fontfamily><?fontfamily><?param Tahoma><?x-tad-bigger>I'm
feeling definitionally impaired here. "Serious mental illness,"
"diagnosable", "substantial impairment," etc (federal
definition of SMI) doesn't quite jell with the idea of "maintaining"
without formal services (unless friends/family take up the slack). Some kind of
picture of this 3.4% of the population would help me. Thanks,<br>
<?/x-tad-bigger><?/fontfamily><?fontfamily><?param Tahoma><?x-tad-bigger> <br>
<?/x-tad-bigger><?/fontfamily><?fontfamily><?param Tahoma><?x-tad-bigger>Sheri
McMahon<o:p></o:p></span></font></p>
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