The following also appears in the Life Section of today's Toronto Star, as part of a regular monthly column.
Prime Minister Stephen Harper grabbed headlines not long ago with a $2.6 million pledge to study wait times for pediatric surgery. While the move was dismissed as a photo-op and a "drop in the bucket" by a few provinces, it's hard to criticize.
Who would argue that children needing heart operations, cancer treatment, neurology and dental procedures shouldn't get prompt treatment?
What's frustrating is that while Harper and other political leaders are eager to fight for the spotlight over health care issues, especially when kids are involved, they continue to overlook many of the most needy – children with mental health problems. Kids who are depressed, anxious, explosive or suicidal and whose parents are desperate for some help, some strategies and some hope.
There are several reasons these growing numbers of troubled kids are so often left out of the health care conversation.
Mental illness is an uncomfortable topic, especially where kids are concerned. It's fraught with shame and confusion for parents anguished over why they can't fix it and feeling blamed. It's not easy to talk about a school-age kid who has scary meltdowns, or gets into fights at school or is afraid to go out of the house. It's hard to speak up about a teen who keeps running away or smokes too much pot.
The causes are complex. There are no quick-fix solutions.
As Greg Lubimiv, executive director of the Phoenix Centre for Children and Families in the Ottawa Valley, said recently, "Children's mental health is the most neglected piece of the health care system."
But it's something we need to talk about. Because just like cancer and heart problems, mental illness and addiction can be fatal. They can lead to suicide – which happens to be the second leading cause of death among people under 25, behind car accidents.
There is always huge public and media outcry over youth homicide these days, but eerie silence on the many more youth suicides that occur each year.
In 2003, the latest year for which Statistics Canada figures are available, 26 young people under age 25 were killed by guns in Ontario. More than five times that number – 131 – died as a result of suicide.
In 2005, Toronto's infamous "summer of the gun," prompted loud calls for action and community debate. In that entire year, 25 young people in the city were killed by firearms, according to Toronto Star statistics.
If there's one thing mental health researchers agree on, it's that most mental illnesses are treatable, but that early intervention is critical. And that's where the important issue of wait times comes in.
There are many risks when help is delayed: a distressed child self-medicates and becomes dependent on drugs or alcohol; a child with a behaviour disorder becomes a teenage criminal; kids who can't focus drop out of school; friends disappear. Parents burn out, stressed and frightened siblings are in turn put at risk.
I can't say it any better than children's mental health advocate Susan Hess did in a crie de coeur that appeared in this paper more than three years ago.
"Tell a 7-year-old who gets expelled for `significant aggression and defiance' that he has to hold on for six months," she wrote.
"Tell a 10-year-old who cries constantly and says he wants to die that he has to sit tight for a year.
"Tell a 15-year-old who slits her wrists to shape up because there is no service available, period, until she comes closer to death."
Sadly, not much has changed since Hess wrote those words, despite efforts by her and many others to put the issue on the public agenda.
Hess remembers when her own daughter, during tormented years awaiting professional help, would trash her room, scream obscenities and threaten her family, only to collapse in a heap of bewildered remorse.
When she finally got help, life turned around for everyone. As head of the support group Parents for Children's Mental Health, Hess continues to share those memories because she knows many families are enduring similar trauma.
Ontario is starting to respond. In November, the province released a policy framework for children's mental health that focuses on the need for early intervention and co-ordinated care among families, teachers, community agencies and physicians.
But how quickly that will translate into more timely and accessible services for kids and youth remains to be seen. Funding has hardly budged in the past 15 years, despite the backlog of kids needing help.
Even then, money can only do so much.
Just as there are no quick fixes for most kids, there are none for the world they're being raised in. Modern childhood can be a pressure cooker of hectic schedules, technology and media overload, time-crunched parents, environmental worries and a shortage of community supports. Like second-hand smoke, this stress affects children. And addressing it at a personal, community and policy level is a big part of prevention.
At the very least, we must start by including children's mental health in the political dialogue and making it a priority. It's about time.
This week until Thursday, Health Canada is inviting the public to weigh in on plans to create a Canadian Mental Health Commission, and what its mandate and priorities should be.
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