Roundup: Say no to cookie-cutter approach, says juvenile court judge; migraines, strokes linked to ACEs; is it OK to divorce your family?

Steven Teske, chief judge of the Juvenile Court of Clayton County, is well known for statements such as: “We lock up kids because they make us angry. The problem is not with kids, it’s with adults.” He’s also known for his efforts to prevent kids from being funneled into the juvenile justice system. In this week’s column for the Juvenile Justice Information Exchange, Teske mused about the “interesting paradox about how we use adolescent brain research”, just before a police escort arrived to accompany him to work. Here’s why:

Although it is taboo to diagnose adolescents with any psychopathy, the anti-social personality traits that some kids display keep us guessing if this kid is a serious risk to the community. What does this mean when kids like this are already wired to do stupid things? Kids having a psychopathy , who make poor decisions and act impulsively – well, they are really scary!

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There’s something missing from Weight of the Nation

There was scary news as well as news to inspire coming out of the first presentations at the Weight of the Nation, the forum sponsored by the U.S. Centers for Disease Control and Prevention taking place in Washington, D.C. The meeting began on Monday and ends today. It’s supposed to “highlight progress in the prevention and control of obesity through policy and environmental strategies, and is framed around five intervention settings: early care and education; states, tribes and communities; medical care; schools; and workplaces.”

According to NPR’s Shots health blog, the scary news was this:

In the new study, researchers estimate that obesity will continue to rise and will affect 42 percent of adults by 2030. (Obesity represents a body mass index score, a ratio of weight to height, of 30 or higher. Separate estimates for children aren’t calculated.)

The news that should inspire us to figure out a way to reduce obesity was this:

Slowing the rising rates of obesity in this country by just 1 percent a year over the next two decades would slice the costs of health care by $85 billion.

Keep obesity rates where they are now — well below a 33 percent increase that’s been expected by some — and the savings would hit nearly $550 billion over the same 20 years.

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Roundup: Billboard invites people to ‘drag him away’; this is definitely child trauma, but what to do?

This interactive billboard in London’s Eustis Station invites people to use their mobile phones to drag the abuser away from a woman….drag him across several large screens. It’s a clever way to make the point….especially as it focuses the change of behavior on the abuser, rather than a sometimes more traditional question: “Why doesn’t the victim leave?”

IN THIS LETTER TO AN ADVICE COLUMN, a grandmother asks what to do about how her daughter and son-in-law behave with their children:

The parents think that they’re doing a good job because they don’t hit their children, but they do scream at their little girl, they demean her and they can be extremely hateful to her, even though she is loving, smart and athletic. She is, however, a challenging child who doesn’t always listen, who can be defiant at times and who has always had trouble falling asleep. Her father reacts to it by staying with her for more than an hour at night or by forcing her back to bed while he boils with anger.

If my daughter sees her child misbehave, she says, ”You’ll never have any friends.” And she yelled at her when the child’s attention waned when she was playing soccer. “You’re just too little to play!” she said. And then they threw her into the car and drove her home — screaming all the way — so she could take a nap.

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Roundup: Docs talk with drunk ER patients; student says child abuse cycle can be stopped; psychiatric drugs making US mad?

Six hundred ER patients under the influence had a mini-intervention with a hospital staff member who asked them why they were having trouble stopping drinking, and encouraged them to set a goal of drinking less, according to this story by Washington Post staff writer Michelle Andrews. It helped them reduce their drinking, binge drinking and drinking and driving, the research found. It was published in the Annals of Emergency Medicine.

“In the emergency department on a weekend, all the cases may be drug- or alcohol-related, and yet we don’t do” screening and intervention, says Gail D’Onofrio, the study’s lead author, who is chair of emergency medicine at the Yale School of Medicine. “Our goal is to normalize this in the emergency department.”

Although up to half of ER patients are drunk, many physicians don’t address the issue, because “alcohol-exclusion laws in more than half of the country permit insurers to refuse to pay for medical services related to alcohol or drug use, and that can derail hospitals’ best intentions”, according to the story.

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