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Cohen on Social Impact of Psychiatric Medication

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Professor of Social Welfare David Cohen joined the podcast “Courageously.U” to discuss mental health, medication and involuntary confinement. Despite advances in scientific research and medication, most indicators show that the burden of mental health in society has worsened in the last few decades. “Mental illness is not like any other illness,” Cohen said. “We don’t [actually] know what a balanced brain is.” As a 21-year-old clinical social worker, Cohen became interested in the social impact of psychiatric medication, including how medication contributes to stigmatization and stereotypes. “Besides being a scientific failure, the mental health system is a runaway commercial and cultural success,” he said. He explained that there is not enough research available on the side effects and consequences of psychiatric medication, especially in children. “Drugs sedate and quiet people, but we still don’t know if we are curing anything or even treating anything,” Cohen concluded.

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Cohen on the Disempowerment of Patients

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Professor of Social Welfare David Cohen was featured on the Mikhaila Peterson podcast as a guest speaker on the dangers of psychiatric medication, dependency and withdrawal. Cohen pointed out that the prescription rates for psychoactive drugs have quintupled in North America in the last 40 years. Prescriptions for children have increased even more, even though the long-term effects of psychoactive drug use not fully understood. “No one seems to be responsibly investigating these questions, despite the large number of citizens who take psychoactive drugs,” Cohen said. While psychoactive drug use is not new, the avalanche of modern synthesized psychotropics and corporate pharmaceutical promotion have served as converging factors increasing societal dependence on psychoactive drugs. “The cautions that we might feel as ordinary citizens about long-term use are short-circuited by the ideas that many of us are deficient or suffer from some pre-existing brain abnormality that requires treatment with drugs,” he said.

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Astor on Protecting Children as They Return to Classroom

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Social Welfare Professor Ron Avi Astor spoke to K-12 Dive about concerns surrounding the safety and well-being of students as they return to the classroom following a year of living through COVID-19. In addition to pandemic-related stressors, students have witnessed enormous racial and political upheaval, creating “a swirl of different variables that make me really worried,” Astor said. “Kids are coming in with suitcases of really horrible experiences.” Bracing for an increase in threats of violence and self-harm, many school administrators have prioritized physical and mental health rather than nosediving into academic recovery. Astor called on principals to create a welcoming place for students and a supportive environment for teachers. “At least for this year, the next year and the year after, our school is not only about academic achievement,” he said. “We are going to go out of our way to [build] social-emotional friendships, so that our school becomes the ideal of what we hope society to be.” 

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Astor on Role of Racism in Unsafe Learning Environments

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Social Welfare Professor Ron Avi Astor co-authored a Journal of School Health commentary on the importance of factoring in structural racism when developing strategies to prevent school violence. “Microaggressions and bullying associated with skin color can result in a pathway of increased alienation from and decreased engagement in school, both of which can increase the probability of harm to self and others,” wrote Astor and co-author Marc A. Zimmerman of the University of Michigan. Unconscious biases may surface among staff making threat assessments as well as among teachers who send implicit messages that reduce academic motivation among Black, Latino, Native and immigrant students. Economically disadvantaged campuses typically have fewer resources for social and emotional learning, relying instead on target-hardening strategies such as metal detectors and school safety officers — a signal that schools are not a welcoming place. “It is time we pay particular attention to the role racism plays in creating unsafe learning environments for our children,” the authors wrote.

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Keum on Speaking With Children About Race in America

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Brian Keum, assistant professor of social welfare, spoke to CEOMOM magazine for an article advising parents on how to discuss race and social justice with their children. Young people will inevitably be exposed to the violence, hate crimes and tragedies that dominate both the news and social media. “If parents aren’t able to meet eye-to-eye with their children about their online racial experiences, it may create a disconnect,” Keum said. He urged parents to remain vigilant about the platforms their children use. “Parents should have an ongoing dialogue with their children about their experiences on social media, and they should develop their own digital media literacy by engaging with a variety of platforms and apps, researching hate speech policies and moderation related to those platforms and apps, and surveying potential racism and racial experiences their children may be exposed to on them,” Keum said.

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Astor Says Student Hunger Demands a National Solution

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Social Welfare Professor Ron Avi Astor penned a commentary for CNN calling for a national plan of action to address the increase in child hunger in the wake of COVID-19. Astor, who recently published a research brief on social workers’ recommendations for reopening schools this fall, wrote that many students’ basic needs – such as food, housing and mental health – are not being adequately addressed. “Students are hungry today,” he wrote. “They cannot wait to eat only after a vaccine is found and distributed.” Pre-pandemic, approximately 5 billion free or reduced-price lunches were served to students across the country each year. Now, collective national action is urgently needed to make sure these schoolchildren do not go hungry, Astor argued. He called for expanded government funding, a public-private collaboration among food banks and food industry partners, and a redeployment of school police forces to reconnect the school and community in a spirit of care rather than feeding the school-to-prison pipeline. 

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Astor on Schoolchildren, Trauma and COVID-19

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Education Week spoke to Social Welfare Professor Ron Avi Astor about ways school systems can support students struggling with toxic stress. A nationwide survey of school social workers conducted during the COVID-19 pandemic found “profound, immediate, urgent needs” related to health, housing, food instability and other issues. Astor, who co-authored the study, said many schoolchildren dealing with toxic stress will need a wide range of services that go beyond basic trauma-sensitive instruction, which focuses on building up social and emotional skills in addition to academics. “To do a trauma-informed-care school where everybody’s focused on great interactions, but 80% of your kids are hungry, doesn’t make sense,” Astor said. Schools, government agencies and community groups must work together to provide a multi-tiered system of academic, social and basic living supports, “not in a crisis mode … but for the long-term, like you would in a war,” Astor said.

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Akee Highlights Benefits of Child Subsidies

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Associate Professor of Public Policy Randall Akee was featured in a New York Times article discussing the growing threat of child poverty and child allowances as a potential solution. In the United States, low-income children are bearing the weight of the pandemic, with hunger rising, classrooms closing and parental stress surging. A Duke University study found that subsidizing the incomes of poor families leads their children on average to better health, more schooling and higher earnings as adults. In North Carolina, Cherokee Indians opened a casino and began sharing the profits with every household in the tribe, creating a local version of guaranteed income. Akee published four studies of the tribal subsidies and found they improved everything from the children’s education to their propensity as adults to vote. “When you remedy child poverty, children become more productive members of society across multiple dimensions,” he explained.

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Social Workers Identify Dire Needs as Schools Prepare to Resume Classes Research brief recommends a nationwide rapid-response initiative to coordinate guidance for education in the COVID-19 era

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By Mary Braswell

As school districts nationwide grapple with how and when to safely reopen in the midst of the COVID-19 pandemic, a survey of 1,275 social workers across the United States shows the immensity of the challenge ahead.

The results of the survey, conducted by UCLA and research partners from Loyola University Chicago, Cal State Fullerton and Hebrew University, were published today in a research brief that calls on elected officials and other leaders to act quickly and invest heavily to bolster the nation’s schools.

In addition to concerns about online learning platforms and physical distancing protocols, the school social workers reported that many students and their families are struggling with their most basic needs during the COVID-19 era.

“They’re reporting overwhelming numbers of students who don’t have food, who don’t have stable housing or health services, whose families are suffering,” said the study’s co-author, Ron Avi Astor, a professor of social welfare at the UCLA Luskin School of Public Affairs who also has a faculty appointment at the UCLA Graduate School of Education and Information Studies.

“The national dialogue on reopening schools is not focused on this right now, but the social workers are telling us loud and clear that meeting basic human needs for a large number of students is the big issue schools face in the fall.”

“Every school district is reinventing the wheel over and over and over again, and we think it would be wise to have a clear national strategy,” says Social Welfare Professor Ron Avi Astor.

The social workers who responded to the survey work with students from preschool to 12th grade, mostly in low-income and minority communities. Serving on the front lines in the most underserved schools, the social workers are uniquely equipped to identify the students’ social, mental health and physical needs — and to help address them once states and schools enter into a recovery phase, he said.

As one social worker who participated in the study noted, “Creating equitable education isn’t about checking off to-do lists. It’s about getting into the work of getting to know the needs of the community and meeting them where they are.”

The brief calls for the creation of a national rapid-response team including teachers, administrators, medical professionals, counselors, psychologists and social workers to provide guidance for schools as they weigh in-person, online or hybrid learning models.

“Every school district is reinventing the wheel over and over and over again, and we think it would be wise to have a clear national strategy,” Astor said.

The report also recommends that a national technical assistance center be created to help any school adjust its procedures, if needed.

“The reality around this virus is changing day to day,” Astor said. “We can’t just have one plan at the beginning of the year and wait until the end of the next year to find out it didn’t work.”

The policy recommendations call for the hiring of a massive number of social workers, nurses, psychologists and other professionals in the hardest-hit schools, many of which serve low-income and minority students.

“That’s going to cost money. But the teacher can’t do it alone,” said Astor, who added that state and federal investment is needed to expand support staff in schools that have historically been underfunded.

“If our country has trillions of dollars to bail out large wealthy corporations, we also have enough to create a Marshall Plan-like program to rebuild and provide basic supports to the nation’s students, schools and communities,” he said.

The report’s authors noted that their findings come amid calls for systemic change spurred by the Black Lives Matter movement. “The question of how to reopen and reinvest in schools that serve under-resourced communities and students of color has gained prominence and urgency,” they wrote.

In addition to providing resources and support for mental health, food, housing, transportation and medical services, a team of professionals is needed to locate and reengage the large number of students — up to 30%, according to some reports — who rarely showed up once classrooms went virtual this spring, the report found.

The recommendations are aimed at avoiding a “lost generation” of students, Astor said.

“That would be the epitome of social injustice,” he said. “We need a campaign to bring students who dropped out or disengaged due to systemic inaction back into the fold. We need to show that our schools are not just about sitting in the classroom and learning math or other academic subjects — that we care about their well-being as a whole.

“That’s a very important message for our country to send this generation of students and their families.”

Read the policy brief and technical report authored by Michael S. Kelly of Loyola University Chicago, Ron Avi Astor of UCLA, Rami Benbenishty of Hebrew University, Gordon Capp of Cal State Fullerton and Kate R. Watson of UCLA.

 

Study Aims to Bolster California’s Safe-Water Efforts at Child Care Facilities Luskin Center for Innovation analysis offers wide-ranging guidance on state mandate to test drinking water for lead

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By Michelle Einstein

Efforts to ensure safe drinking water for children need further support to reach their intended audience, according to an analysis of California’s mandate requiring child care facilities to test their water for lead, known as AB 2370.

The finding from the UCLA Luskin Center for Innovation is part of a new report and policy brief that examine strategies for developing and implementing the state’s testing and remediation program for those sites. Among its recommendations, the report stresses the need for a dedicated funding stream to ensure the program’s success.

“We’ve learned from a similar program in California’s schools that if robust monitoring and funding doesn’t exist, much of the needed testing and remediation won’t be implemented,” said Gregory Pierce, associate director of the center and lead author of the study.

In order to be successful, Pierce predicts, the program will require five to 10 times more funding than the $5 million currently budgeted by the state.

To determine how to best implement the program, the researchers synthesized feedback from a variety of stakeholders, including child care providers, environmental justice advocates and water utilities. They found several current shortcomings, including the fact that many child care providers have not received directives to test their water and that the program’s messaging is only available in English and Spanish.

The study recommends that stakeholders at all levels have a voice in helping to design the program to correct problems. A co-design process that includes parents, day care centers, utilities and state agencies will result in higher compliance rates and confirm that all centers have their facilities tested in a timely manner, the researchers say.

It is also important that the program not increase mistrust of tap water in settings where such concern is unmerited, according to the report. For instance, after hearing about the lead testing program, some day care centers and parents began using bottled beverages, even though their drinking water was clean. Bottled water can be expensive and has a negative environmental impact.

Lead exposure poses an acute threat to young children and their families. Even low-level exposure has been connected to loss in IQ, hearing impairments and learning disabilities. Recognizing this threat, California passed Assembly Bill 2370 in 2018, which mandates the testing of drinking water for lead at licensed child care facilities built before 2010. These sites must complete the tests before 2023 and, if elevated levels are found, remedy the problem or find alternative sources of water.

AB 2370 represents a meaningful step toward further protecting children’s health, the researchers say, but implementing the law remains a huge feat. Thousands of day care centers must test and clean up their plumbing systems, and many of these facilities are experiencing funding and staffing shortages, especially during the coronavirus pandemic.

Overall, the researchers view the program as an important step toward ensuring the human right to clean water for all Californians. A more streamlined and supported implementation process, they say, would help officials better deliver on-the-ground results statewide.

The study was funded by First 5 LA, an independent public agency working to strengthen systems, parents and communities so that by 2028, all children in Los Angeles County will enter kindergarten ready to succeed in school and life.