What the Experts Say
The teen treatment industry claims to be able to cure everything from hyperactivity to "parental disrespect."
Based on conversations with families, the following list contains the most common reasons parents are considering outside placement, what experts recommend for these issues, and some suggestions from ISAC.
1. Attention Deficit Disorder/Attention Hyperactivity Deficit Disorder (ADD/ADHD)
There is no program in the world that can "cure" ADD/ADHD and this type of child will struggle even more in a highly restrictive environment.
The American Academy of Child & Adolescent Psychiatry recommends parent education, behavioral therapy, social skills training, and changes to the child's education program.
According to many parents, eliminating preservatives and colorings from their child's diet brought about significant improvements in behavior.
2. Oppositional Defiant Disorder (ODD)
Again, there is no facility that can "cure" ODD and a naturally defiant child is more likely to be verbally or physically abused by the untrained staff employed by many facilities.
The American Academy of Child & Adolescent Psychiatry recommends parent training, psychotherapy, and social skills training for families dealing with ODD.
3. Sexual Abuse
Children who have been sexually abused need the support of their family.
Regardless of your intentions, placing the child in a residential facility may compound their own feelings of worthlessness and shame.
If your child has been sexually abused, consult with a licensed psychiatrist.
4. Suicide Threats/Attempts
In most cases, the child who threatens or attempts suicide is having an extreme reaction to a very difficult time in life - adolescence.
In some cases however, there are serious mental health issues that must be addressed.
The American Academy of Child & Adolescent Psychiatry recommends a psychiatric consultation for children who threaten or attempt suicide.
5. Depression
Depression is an illness that requires intensive help from a qualified professional.
Monthly sessions with a therapist in a group setting are not sufficient.
The American Academy of Child & Adolescent Psychiatry recommends individual and family therapy.
6. Drug/Alcohol Abuse
No parent wants their child to use drugs or alcohol.
However, the fact remains that most adolescents will try alcohol and/or drugs during their teenage years.
The difficulty lies in knowing what usage is problematic and what is experimentation.
This determination is best left to independent, qualified health care professionals - not someone getting paid to refer children to programs.
7. Criminal Activity/Violence
Conduct disorders such as criminal activity, aggression, and violence require immediate help from a psychiatrist.
An individualized treatment plan is crucial - "one size fits all" programs amount to little more than juvenile detention.
Some of these children may be mentally ill or suffering from post traumatic stress disorder.
The American Academy of Child & Adolescent Psychiatry recommends intensive therapy and in some cases, medication.
8. Self-Injury
Self-injury takes many forms, but the most common are cutting and burning.
Children who purposely injure themselves are NOT just "trying to get attention" but instead, may be suffering from serious psychiatric problems.
These children should be evaluated by a psychiatrist.
9. Homosexuality
Homosexuality is not a mental disorder or "deviant" behavior.
No treatment or therapy is needed - just your love and support.
Trying to change your child can actually cause anxiety and other emotional upset.
ISAC and the American Academy of Child & Adolescent Psychiatry recommend PFLAG - Parents, Families, and Friends of Lesbians and Gays.
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