Showing posts with label june 12. Show all posts
Showing posts with label june 12. Show all posts

Friday, June 12, 2009

Antidepressant Drug Celexa Not Effective in Treating Autism


Research scientists, constantly on the lookout for possible treatments for autism have struck out again with Celexa, an antidepressant that had promise in treating symptoms such as repetitive motions. A recent study proved the drug no more effective than a placebo treatment. With a growing number of children across the U.S. being diagnosed with autism each year, doctors and scientists are on a mission to gain more knowledge about the condition, as well as exploring anything that might resemble a treatment option. In this case, the researchers actually reached a result that wasn’t expected, with the drug not proving to be any more affective than a placebo treatment for the condition. To date, there has only been one medication, risperidone (an antipsychotic drug), approved by the FDA to treat irritability and aggression usually seen in children with autism. With approximately 1.5 million Americans with autism, a disorder which is signaled by problems with communication and social interaction and limited proven drug treatments, many doctors are looking to drugs used to treat other conditions, such as those used to treat obsessive compulsive or attention-deficit hyperactivity disorder. Results from the nationwide trial funded by the National Institutes of Health and published in the June issue of the Archives of General Psychiatry, demonstrates a drug once thought to show promise, may not be so effective for the autistic community. The team of researchers led by Bryan H. King, M.D., director of child and adolescent psychiatry at Seattle’s Children’s Hospital and professor and vice-chairman of psychiatry at the University of Washington School of Medicine, evaluated 149 children who were being treated at six academic medical centers across the U.S., ranging in ages from 5 to 17 and were all diagnosed with autism or related disorders from April 2004 to October 2006. The children were divided into two random groups and given either a placebo or a daily dose of Celexa. Dr. King said the researchers had been expecting to prove the value of the drug in treating autism. However, when evaluating the results, the team found that 32.9 percent who took Celexa and 34.2 percent of those who took the placebo actually showed fewer side effects of autism or less severe repetitive symptoms, and those children given the Celexa actually had more side effects from the drug, such as hyperactivity, impulsiveness, decreased concentration, repetitive movements, and sleep problems. It seems children with autism do better during studies because of the attention they receive, which may explain the good results from the placebo treatment. The researchers explained that without the placebo comparison they may have thought the 32.9 percent reduction in symptoms was a pretty good result. According to Dr. King, “We didn’t expect it to work for everyone, but we were hoping that we’d be able to drill down into the population for whom it was very helpful and begin to identify the predictor of what a positive response would be.” The results raise questions as to the effects of similar antidepressants. However, a Baltimore autism specialist said he has treated children with autism from the ages of 3-5 with smaller dosages of Celexa and was successful. According to Dr. Lawrence Scahill, a study author and professor of child psychiatry and nursing at the Child Study Center at Yale University, “Clinicians should be very careful about what they’re targeting if they’re using medications.” He said antidepressants may be useful in treating children with autism for depression or anxiety, as they are in children without autism, but, “if you are targeting for repetitive behaviors, this medication does not appear to be effective.” Source

The private world of child abuse

The abusive institutions have closed but adults are still trampling all over the rights of children.


One of the great discoveries of the twentieth century is the rights of children. From their status almost as chattels of a patriarchal society -- as portrayed so indignantly by Charles Dickens -- children have evolved into human beings with dignity equal to that of adults, their own charter of rights and official advocates in the form of children’s commissioners. They even have laws in some countries to stay the parental hand that would administer a swift smack or clip around the ear.

To understand what we have left behind -- in reality, and not just in Dickensian caricature -- we need look no further than a recent report on the heartless and brutal regimes that prevailed in Irish industrial schools and other “childcare” institutions in the first half of last century and, in certain forms, in later decades. To read even a summary of the massive dossier compiled by the Ryan commission is to stare into a world of childhood suffering that makes one feel sick and ashamed of the human race.

Thankfully, such institutions have disappeared from the face of the earth, or at least from developed societies. Contemporary culture abhors institutions so there is no danger that children will run foul of them and be knocked about for it.

But there is another danger, and it is all too evident in the reports of child abuse in private homes that appear with distressing regularity; that is the danger of a culture in which self-expression has become the ruling ethos, and in which adults’ right to choose increasingly trumps the basic needs and rights of children.

The prime example of this privatised abuse is abortion, which, as the direct killing of an innocent human being, is a more fundamental and inhuman form of child abuse than anything the old institutions came up with, and just as hidden. It has been said, with some justice, that abortion is seed-bed of today’s often lethal abuse of infants. Certainly, it creates an excuse for abusers: if you can destroy an unwanted child before birth, why not after?

One such case is before a court in New Zealand this week; it concerns the death of a one-year-old boy while in the care -- supposedly -- of his uncle and the uncle’s partner, who is accused of the abuse. The case coincides with the release of a report by the Children's Commissioner on risk factors for death and serious injury from assault of children under five years old in New Zealand, which has one of the highest rates of child abuse among the richer countries.

According to the commissioner, “The report also highlights some risks we need to give more attention to in this country. For instance, there is a particular risk when babies are left in the care of young men who are not biological fathers. (Emphasis added.) They are often totally unprepared for the stresses of a crying baby and may already have problems with anger or alcohol abuse.

”International research has found that they often lash out in an attempt to ‘silence’ the child. With knowledge like this we can make sure that funding and resources to reduce child abuse are directed to the right places and at the right people.”

Well, let’s see what happens. It is very doubtful that “resources” will be applied to the real problem: the undisputed right of adults to drift in and out of “relationships” without regard to the rights and welfare of any resulting children.

The fundamental issue is this: all children deserve and need a loving biological father and a loving biological mother in a stable home. The further you move from that ideal -- which most children grow up in -- the more potential for abuse there is.

Far from minimising this potential, however, we are actually embracing adult “rights” that put more and more children at risk. Through our laissez-faire attitude to sex and marriage, through practices associated with in vitro fertilisation, we are creating children who do not know their parents -- especially their father -- or who are alienated from them by divorce. We foster and finance the institutions which facilitate things like divorce and IVF because it makes the parents, or, a parent, feel good.

In these situations in recent times there has been at least lip-service paid to the principle that the welfare or “interests” of the child are “paramount”. Sorry, kids, that is about to go out the window too.

Writing in the Journal of Medical Ethics this month about IVF, B Solberg asks, If a child does not yet exist, what meaning can its “welfare” have? None, he suggests. Children born in the traditional way may have “interests”, but not ones whom we create: “Potential children seem to be outside morality.”

What really matters in assisted reproduction, says the Norwegian, is the “parental project” of the adults; if it is “meaningful and doable” let them go ahead. He draws the line at providing IVF children for drug addicts, but says the technology ought to be available for homosexual couples, saviour siblings, sex selection -- and anything else that would result in a “functional family”.

Admittedly we are talking here about an obscure article in a journal that appeals mainly to the overheated brains of bioethicists, but it is on just such arguments that the IVF industry depends for its expansion.

In the areas of adoption and fostering there is emerging the same airy disregard for the welfare of children and even the rights and/or interests of birth parents who, for several decades have been treated as partners in their child’s transition to a new family, or a foster family.

Catholic charities in the UK are being forced into a corner where they must abandon adoption work or comply with new regulations which require them to consider homosexual couples as potential adopters, despite their belief that this is a violation of the rights of the child.

Local authorities are handing over children to same-sex couples for fostering against the wishes of birth parents and even when foster care within the extended family is possible. A Catholic mother who placed her 10-year-old son in care after a mental breakdown, is distressed that he has been sent to live with a middle-aged homosexual couple who run a hotel in Brighton. Can the authorities rule out the possibility of sexual abuse in such a case?

Foster care itself is a murky area which in some countries seems on the verge of collapse, as children are farmed out to whoever is on hand and just as arbitrarily removed. Unsuitable foster parents and instability must be the cause of terrible unhappiness to many children. Those who are not able to be placed with foster families end up in group accommodation, which is probably like a mini-orphanage with at least some of the old potential for abuse, including bullying and sexual abuse by other children.

Yes, institutionalised abuse may be gone, but there is absolutely no ground for complacency on that score. Today’s abuse is different, but the fact that it has been privatised makes it not one bit less real or horrific.

And the fact that it occurs in the name of freedom of choice makes it not one bit more excusable. But tackling the assumption that adults must not be impeded in their life “projects” would require a revolution in social ethics that would extend to divorce, sex education, pornography, drug use and, of course, abortion.

In its recommendations on future child policy in Ireland the Ryan report said that existing national guidelines should be uniformly and consistently implemented throughout the State in order to protect vulnerable people. The short title of those guidelines is “Children First”. To put children first, however, Ireland would have to swim against the tide of “adults first” that is lapping the shores of all supposedly advanced societies.

Carolyn Moynihan is deputy editor of MercatorNet.


Source



Children Services teaching how to identify abuse

MARION - Are there warning signs to indicate a child is being abused or neglected? What qualifies as a potential case of abuse or neglect? What should I do if I suspect a child is being abused?

These and other questions will be presented June 18-19, as Marion County Children Services presents "Child Abuse/Neglect Identification and Reporter" training sessions June 18-19 at the agency.

The sessions are free of charge to Marion County residents, states a press release. Participants may choose from the six-hour training session Friday, June 19, while a "refresher" three-hour program will be offered Thursday, June 18.

Jacque Ringer, intake and investigations supervisor with 10 years of experience in the child welfare profession, will present both sessions.

"This training is designed specifically for mandated reporters - those who are required by Ohio law to report suspected cases of abuse or neglect," Ringer states.

Mandated reporters include attorneys, physicians, dentists, nurses, day care staff, speech pathologists, licensed social workers, school personnel, and those rendering spiritual treatment.

"The world of child welfare is complex," Ringer states. "This training opportunity will assist in the understanding of what constitutes abuse or neglect. It will also empower mandated reporters with the tools needed to report suspicions of abuse or neglect, and as a result, will help serve our mission of keeping children safe."

Each training session will be conducted at Marion County Children Services, 1680 Marion-Waldo Road.

To register or to learn more, contact Jan Farison at Children Services, 740-389-2317, ext. 139. or Ringer at ext. 166, or send an email to moreinfo@marionkids.com by June 17.

Anyone can report suspected child abuse and neglect by calling 740-389-SAFE. A caseworker is available 24/7. All calls are confidential. Visit marionkids.com for more information.


Source

Prevent Child Abuse joins Family & Children's Center

Tribune Staff Report

MISHAWAKA — The nonprofit Prevent Child Abuse St. Joseph County has become an affiliate of the Family & Children's Center.

Prevent Child Abuse offers prevention classes to schools, parent groups, civic organizations and professional groups. Its representatives cover topics like shaken baby syndrome and the connection between domestic violence and child abuse. The group also leads local events in April for National Child Abuse Prevention Month.

It has been roughly a year since the group's last director left, and during that time, the board decided to save money by coordinating its activities itself, President Ellen Kyes said. That was tough, and it could be the group wasn't able to do as much outreach, she said.

Now that Prevent Child Abuse is part of a larger agency, it has help with fundraising, writing grants and running the programs – offering the potential to grow – Kyes said.

From June 22 to 26, the group will run Roofsit, the annual fundraiser for child-abuse prevention.

Other affiliates of the Family & Children's Center are The Children's Campus, the Boys & Girls Clubs of St. Joseph County, and Family & Children's Center Counseling and Development Services.
Source