I work in EMS and we transfer kids to and from psych wards relatively frequently, and I have had multiple occasions had adult staff warn me about certain kids because they’re, like, bad, and it’s normally over petty shit like name calling. Almost every time we get these kids, I look at their CHART and they’re diagnosed with ODD.
When I get them in the back of the ambulance, I usually try to talk to them. I always try to be nice and respectful to all my patients, but especially these kids, and they usually warm up to me! I can’t think of a single time one of these kids has been an issue with me and I’ve been doing this for a while.
Depending on the length of the trip (some can be multiple hours), they’ll start telling me about their life. And each and every time, it’s exceedingly obvious that the adults in their life are failing them in significant ways.
For example (TW: description of child abuse), I once encountered a real young kid that told me that his mom and stepdad were doing drugs around him, beating him, and locking him out of the house and threatening not to take him back after he got out of the hospital. He said he’s told multiple other adults and that nothing had ever gotten done about it. He was real sweet with me, wanted to watch cat videos with me, and didn’t give me a single but of trouble. I did, for the record, report this- I’m a mandatory reporter but honestly I would have done it anyway. He gave me a hug at the end of the trip and thanked me for listening to him. I don’t know what happened to him after that. (End TW)
Not every story is quite that severe, but in every single one it’s clear that the kid has needs that are not being met or outright denied in some cases, and/or they just are not getting any kind of respect or autonomy from the people in their lives and are likely not being taken seriously by adults. And they are virtually never a problem with me after I have treated them with the same dignity and respect I would for an adult.
Now, full disclaimer, I’m not any kind of specialist and don’t work specifically in mental health, childhood development, or child psychology. I don’t have any degrees or any qualifications to diagnose anyone with anything, and I’m only in contact with these kids for a couple of hours at most. I’m just mentioning a correlation I’ve noticed in my experience, but my experience is limited and I do have biases and other pitfalls in my worldview like everyone else. I’m sure there are many with more ethos on the subject than me who have a better understanding and more insights than I do and many of them may disagree with me outright. This is just my experience.
But my experience with the healthcare system in regards to mental health, especially with these kids, has certainly changed how I view behavioral health as an institution. There’s great practitioners out there, and there’s things in it that I think are absolutely valid and performed with care. But there’s even more aspects of it that I think should be questioned or thrown out entirely. And this is one of those things.