PARKLAND YOUTH, ACTIVISM AND TRIUMPH OVER HELPLESSNESS AND DESPAIR

By Andrew Malekoff© February 19, 2018

The 2018 Valentine’s Day massacre at Douglas High School in Parkland, Florida has elevated beyond cliché status the oft-stated sentiment about a loss of innocence in childhood. For many, the events of that day evoked painful memories of the 2012 Sandy Hook Elementary School shooting and scores more in recent decades. Schools, movie theaters, concert venues and more have become American killing fields.

After “thoughts and prayers” are paraded around by politicians from all sides, what happens next? 

Many gun rights advocates, refusing to allow for the fact that our forefathers were talking about the right to bear arms such as muskets and had no conception of guns that could shoot down dozens in an instant, stand in the position that it’s not about guns but rather mental illness.

As the Executive Director of North Shore Child & Family Guidance Center, which serves children and their families facing issues such as depression, anxiety and substance use disorders, I have seen the many faces of mental illness and addictions for more than 40 years. It is incredibly rare for those who are labeled as mentally ill to be violent. In fact, they are far more likely to be the victims of violence than the perpetrators.

Nevertheless, we do need to have a discussion about mental illness at times like these. That discussion, however, needs to be about how health insurance companies and the elected officials who count on their donations are failing miserably at having adequate numbers of providers on their lists who take insurance.

Over and over again, we hear that, before they found North Shore Child & Family Guidance Center, which never turns anyone away for inability to pay, they made numerous calls to the mental health providers on their insurer’s list and found that they no longer take insurance or are booked for months.

Aside from receiving emotional first-aid, the surviving students from Douglas High are demonstrating that they need to take action; action that represents triumph over the demoralization of helplessness and despair. 

Noted trauma expert Bessel van der Kolk said that “talking about the trauma is rarely if ever enough.”  Survivors have a need to create symbols such as memorials or participate in action that “enable them to mourn the dead and establish the historical and cultural meaning of the traumatic events.”

The surviving students from Parkland are turning their heartbreak and rage into activism by demanding a new look into America’s gun laws, as Emily Witt wrote in the New Yorker (Feb. 17). In her encounters with some of the surviving students she reported that “Their grief was raw, their rage palpable.”

“Emma Gonzalez, a senior at Douglas, had the most searing indictment:

“The people in the government who were voted into power are lying to us. And us kids seem to be the only ones who notice and are prepared to call B.S.

“Companies, trying to make caricatures of the teen-agers nowadays, saying that all we are self-involved and trend-obsessed and they hush us into submissions when our message doesn’t reach the ears of the nation, we are prepared to call B.S.

“Politicians who sit in their gilded House and Senate seats funded by the N.R.A., telling us nothing could ever be done to prevent this: we call B.S.

“They say that tougher gun laws do not prevent gun violence: we call B.S.”

From Columbine to Parkland, there have been so many shocking events in between. Too many have faded from consciousness.

As Journalist Gary Smith, who wrote about a lesser known 2012 shooting at Chardon High School in Ohio, stated: "The clock is already ticking in the land of amnesia."

How long before Parkland, too, is gone? If it is up to the young activists in Parkland, never.

Published in Blank Slate media February 2018       

WHEN ARE THE CARTOONS GONNA COME BACK ON?

Violence—random, sudden, illogical, and lethal—has become a fact of life. Shootings and acts of terror, homegrown and imported, with or without racial or religious overtones, have become gruesome signposts along a seemingly endless path of public and private horrors. They are taking a toll on our children.

No child should have to wake up each day as if he or she was on 24-hour-a-day guard duty. But in the United States this is the reality.

We can no longer think of these as isolated incidents, aberrations or confined to urban settings. Denial, an emotional trap door, is not a viable escape in a world where a sense of imminent threat is ever present.  

In the immediate aftermath of the September 11, 2001 attack, writer Jeph Loeb and artist J. Scott Campbell produced a nine-framed cartoon entitled “Please Stand By,” that featured a very young girl watching cartoons.

By the third and fourth frames, the image on the screen changed to a live feed of the Twin Towers ablaze. As the little girl stood transfixed, stuffed animal in hand, the commentator announced, “We interrupt this program to take you live…,” the little girl turned away and called, “Mommy…” The next three frames began with her mother dropping a basket of laundry. Then, with her face contorted in anguish, she embraced her daughter to shield her from the unrelenting images. The final frame is a close up of the little girl asking, “Mommy, when are the cartoons gonna come back on?”

Among those who are left in the wake of violent acts are the survivors - friends and family members of victims, who live with the emptiness, frustration, and rage of incomprehensible death by violence.

Earlier this month, as the mother of the oldest child of Alton Sterling, the black man fatally shot by Baton Rouge, Louisiana police, expressed sorrow and outrage at his death, Cameron Sterling, 15, the oldest of Sterling’s children wept inconsolably by her side, for the entire world to see and experience his heartbreak.

One day later a St. Paul, Minnesota Montessori school cafeteria supervisor Philando Castile met a similar fate. Just one day after his shooting, five police officers, protecting  hundreds of people in Dallas, Texas, who were peacefully protesting the two shootings, were gunned down and murdered, ambush-style, by a lone shooter who was fueled by racial hatred and bent on misguided revenge. Ten days after the Dallas shootings, three Baton Rouge police officers met a similar fate.

Beyond those left in the direct wake of violence are growing numbers of young people who are fed a regular diet of horrific episodes of violence through graphic media accounts such as the live streaming of a bloodied and gasping Philando Castile, filmed by his girlfriend Diamond Reynolds who wanted the world to join her in bearing witness as he took his last breaths.

In the aftermath of trauma, children (and others) feel fearful, unprotected, hyper-vigilant, and hopeless and on their own; similar to orphans who feel they must take care themselves.

We are living in world gone mad, a place where the rich diversity of colors, shades, languages, orientations, beliefs and rituals should be shared and celebrated rather than drawn as battle lines. The answers do not lie in books of psychology or popular bromides, or in aspiring national leaders who have proven to be untrustworthy.

The answer lies in being mindful - paying attention on purpose, making connections with one another and building a sense of communality.

https://longislandweekly.com/cartoons-gonna-come-back/

Andrew Malekoff is the Executive Director of North Shore Child & Family Guidance Center, which provides comprehensive mental health services for children from birth through 24 and their families. To find out more, visit www.northshorechildguidance.org.

IN THE WAKE OF SANDY HOOK - SIX MONTHS LATER

In the Wake of Sandy Hook - Six Months Later

by Andrew Malekoff

On June 3, 2013, at a White House conference on mental health, President Obama urged Americans to “help bring mental illness out of the shadows” and pledged that his administration will provide new resources to support the effort. He called for an open dialogue on mental illness. He said a lack of public understanding about mental illness leads to a lack of treatment. These are timely and encouraging words.

On April 3, 2013, I participated as a panelist in a National Public Health Week event, organized by Hofstra University School Health Sciences and Human Services, on mental health issues in the wake of Sandy Hook. My emphasis was on eradicating stigma and improving access to quality mental health care and child care.

The American reality today is one out of five children has a serious emotional disturbance and more children suffer from psychiatric illness than from autism, leukemia, diabetes and AIDS combined. Yet, we continue to treat illnesses above the neck differently than those below the neck. 

People with mental health problems, and their families, often feel a sense of shame and suffer in silence; while people with physical health problems evoke the sympathy, support and comfort of others. It is shameful that the editors of major metropolitan newspapers exploit and discredit people suffering with mental illnesses with malicious name-calling that reinforces fear, mistrust and stigma, causing labeled persons to lose status and experience discrimination.

We know that the most violent acts are not committed by people with mental illness. In fact, people with mental illness are disproportionately the victims of violence. New gun laws require that the names of designated individuals with severe mental illness be recorded in a national data-base. Whether this will improve public safety or generate a witch hunt that further stigmatizes the mentally ill remains to be seen. In any case, what it does not do is address the problem of better access to quality mental health care.

Here are the facts: seventy-five percent of all serious mental illness occurs before the age of 24; and 50% before the age of 14. Yet, only one out of five children who have emotional disturbances receive treatment from a mental health specialist. We must do more to identify mental health problems early and then, when indicated, provide ready access to quality community-based mental health care.

Early screening by schools and pediatricians is a promising development. Yet, New York State has implemented a "clinic reform" plan that assures continued access to care only to children and families with Medicaid insurance coverage. This leaves a significant number of children and adults in the lurch. 

What’s more, New York State does not support universal access to quality child care, which is critical to a child’s healthy emotional development. By lowering income-eligibility levels for child-care subsidies, thousands of Long Island children are now being denied quality child care, leaving parents to either curtail work or leave their children in unlicensed child-care settings.

When elected representatives and appointed officials champion early mental health screening in schools and pediatrician’s offices, while denying universal access to child care and community-based mental health care, there is only the illusion of caring, political sleight of hand and insult to the children and adults who died at Sandy Hook.

 

THEY LOBBY FROM THEIR GRAVES

THEY LOBBY FROM THEIR GRAVES

by Andrew Malekoff © 2013

It was not necessary for the slaughter of innocents at Sandy Hook Elementary School to validate what we are reminded of daily - that there is evil in the world. But what it did do is to affirm that if the massacre of six- and seven-year-old children is not off limits, then nothing is.

Immediately after the murderous rampage in Newtown, CT, mental health experts offered tips to speechless parents about how to soothe their children. The advice sounded like this: Be available emotionally, be compassionate, limit media exposure, reassure safety, offer distractions to prevent obsessive worry, monitor for angry outbursts and depression and, if symptoms persist, seek professional help.

Can you imagine how the advice might have sounded if parents spoke from their guts instead of their heads and hearts? The advice might have sounded like this: It’s a cruel world, evil is everywhere, toughen up, watch your back, be vigilant, don’t trust anyone and (for older children) just because you’re paranoid doesn’t mean that they’re not out to get you.

In the last 30 years, America has mourned at least 61 mass murders. After some time passes, the latest homegrown massacre will become another tombstone in our collective psyche, alongside Columbine, the World Trade Center, the Long Island Railroad, Virginia Tech, Oak Creek, Aurora and more.

We seem always to move forward believing that we have seen the last and worst of it; until the next time. Denial is a healthy defense when the alternative is all-consuming, paralyzing and debilitating fear. We do all we can to protect our children emotionally, as well as physically. And, so we support their denial, using psychological bromides to seal their emotional scars.

The two major talking points since Newtown are preventing gun violence and promoting mental health. On the issue of gun violence, I wholeheartedly support the right to bear arms and taking steps to get certain guns out of uncertain hands. On the issue of mental health care, the chronic under-funding of children's outpatient community-based mental health services in Nassau County and New York State, is a disgrace.

New York State has ensured easy access to community-based mental health care for Medicaid recipients and neglected the needs of underinsured middle class and working poor families. Their answer is always that the marketplace will take care of it. It won’t. They know full well that private practitioners often do not accept private insurance and will not provide the labor-intensive services that licensed community-based mental health agencies do.

The gun lobby is formidable and well-heeled. Children, on the other hand, don’t have a voice until they are in the ground. Children are killed, grieving parents become tireless advocates and laws are passed. Timothy’s Law (mental health parity), Megan’s Law (making information available to the public regarding registered sex offenders) and Katie’s Law (making aggravated vehicular homicide a crime) come to mind.

Think about it. After the Newtown shootings there was not one parent in the United States who was able to escape the tyranny of imagining their child being murdered in their neighborhood school. How many more children will be taken from us before lawmakers devote the same energy and resources it takes to launch their re-election campaigns, to safeguarding our children?

Wake up lawmakers, elected and appointed officials, and government bureaucrats. Our children are suffering and dying, families are struggling and desperate. Support the constitutional right to bear arms, take steps to prevent gun violence and provide adequate funding for community-based mental health centers to support the emotional well-being of all of our children.