In the midst of this, I have had several youths who worry me:
1) A young man previously diagnosed with ADHD who took himself off of medication this year, barely passed the 7th grade and had a PSC score of 46 at his annual physical. I think that he has agreed to talk to his therapist again, and consider reevaluation- I think that bipolar may be a better description for him than ADHD. PSC screened positive- now he needs to get into the system. Sadly, he has private insurance, so the wraparound won't help him.
2) Another youth in his senior year with a therapist, a psychiatrist, a history of a failed suicide attempt this year and a PSC of 26 or so. His affect was worrisome, but he assured me that the therapist had it all covered. Still, he was actually better than last year; I hope he graduates and that things get better for him.
3) A young lady with ADHD, who seemed to be doing OK on her meds, but whose attitude toward school took a nose-dive in the last semester. She does not want to talk to a therapist, so we will continue to monitor her status with concern. MassHealth at least, so if she gets worse, I have some place to send her.
The screening continues, the workload piles up; will we be able to get these kids into the system? After three days in the office, I see that we still have a lot of work to do to make this system work.