Mental Health Crisis Created by the Coronavirus

Mental Health Crisis Created by the Coronavirus

We have a major mental health crisis coming our way and we are not prepared. Before the Coronavirus pandemic one out of five teenagers met the criteria for a mental health diagnosis and needed psychotherapy (CDC). In addition depression, anxiety and cutting were at epidemic rates for teenagers (CDC). To make matters worse, suicide had been the third leading cause of death for teenagers prior to the pandemic and has been moved from the third to the second leading cause of death for teenagers (CDC). Additionally, African-American teenagers were committing suicide at five times the rate of Caucasian teenagers (CDC). This means prior to the pandemic, we had many teenagers dying due to suicide and the rate has been increasing every year for the past ten years (CDC). In 2018 over 6200 teenagers between 10-18 committed suicide (CDC). If the number of teenagers committing suicide is increasing every year significantly, then how many teenagers committed suicide last year? How many teenagers will attempt or commit suicide this year?

Here are the statistics for teenage mental health prior to the pandemic. We know since the pandemic the number of teenagers reporting depression and anxiety have significantly increased and so have the number of teenage suicides and death due to drug overdoses have increased since the pandemic. I have seen a significant increase in patients calling my office for psychotherapy for their teenagers and children. How are we going to provide all these children and teenagers with psychotherapy? Additionally, many parents are having to stop their child’s psychotherapy because they can no longer afford the copayments. Many parents have lost their jobs or have had their hours cut which reduces their monthly income. Therefore, many parents are having to choose between paying rent and buying food or their child’s therapy. I am willing to make accommodations so the children and teenagers I treat can stay in therapy, however many therapists will not make accommodations. So what happens to all these children who need therapy because the pandemic has exacerbated their mental health issues? Why should parents have to decide between food on the table or therapy for their depressed teenager?

Another fact we cannot overlook is that this week we reached the point where 200,000 Americans have died due to the Coronavirus. This means there are 200,000 families who are grieving. Many children have lost parents and grandparents. Many parents have lost their parents and have lost their child too. The Coronavirus does and has killed children. How do we provide grief counseling to all of the grieving families and friends? With a record number of people out of work order besides finding therapists to help all these family members, how do you provide therapy at an affordable price? If you have a family of four that needs therapy, the monthly cost for therapy will be very expensive. Again people are having to choose between food for the family or therapy for the family.

Another factor impacting the mental health of children and parents is school. Because the President refuses to issue a national mandate regarding masks, children and teenagers are having to attend school remotely. Fourth percent of the parents in our Country have had to adjust their work schedules so there is someone at home to help the children. This has resulted in many parents having to reduce their pay. Again making it difficult to pay the rent and afford food. Additionally, many children and teenagers are becoming very frustrated because the remote learning is not well coordinated and they want to give up on school. This is adding more stress to families who are already over stressed. They are needing psychotherapy to help them, but they cannot afford therapy. Again what are we going to do to help these families?

One final point for this article, we hear that people have and do recover after being diagnosed with the Coronavirus. This is true, however, we have now learned something new about this new virus. A number of people who recover go on to develop what is being to referred to as “long haul syndrome.” People who develop this syndrome have heart palpitations, neurological problems, losing their hair and a condition referred to a brain fog. At this point no one knows how long it will last and who will develop it. It also is creating mental health issues such as depression. These people and their families will require therapy too. Again, how do we provide affordable therapy to these people? Since there is a negative stigma about mental health, we do not have enough therapists in the United States to treat all these people. Right now of course we are looking for a cure to the virus but we have not been paying attention to the collateral damage this virus has caused and how are we going to cope with it. Mental health is a major area, but we have not been paying attention to the mental health issues created by this virus and how are we going to address the mental health needs of the United States.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. For more information about his work or private practice visit his website at www.RubinoCounseling.com or his Facebook page at www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple.

IEPs and 504 plans Exist with Remote Schooling Too

IEPs and 504 plans Exist with Remote Schooling Too

While most of the schools in California are using remote learning, it does not mean that Individual Educational Plans (IEP) and 504 plans are obsolete. In fact, due to remote learning and the pandemic many students are experiencing increased problems with learning and need IEPS and 504 plans as a result. Unfortunately I have been contacted by many families who were in the process of having their IEP meetings when the schools shut down suddenly due to the Coronavirus. These families have been contacting the school to finish their child’s IEP, but the district continues to postpone. Additionally, some children who didn’t have difficulties when they were in class are having difficulties with remote learning and increased anxiety due to the Coronavirus. Therefore, parents you are correct when you are asking to have your child’s IEP completed. Legally the school districts must complete a student’s IEP. The pandemic does not allow them to legally abandon IEPs and 504 plans. Also until they finalize the new IEP, the district legally must comply with the existing IEP on file. Furthermore, for parents who have children who need an IEP due to the remote learning or anxiety due to the pandemic, you can still legally request an IEP for your child. Additionally, school districts must comply with the existing IEP guidelines and laws. The pandemic does not allow a school district not to comply with the IEP and 504 laws.

It should be a straight forward process if your child needs an IEP, but many school districts play games with the process because it cost them money. However, they have enough money for IEPs. It comes down to a school districts priorities and how they choose to spend their money. Therefore, don’t be afraid to demand what your child is entitled to.

In order to help you understand how severe the schools play games with the process, here is one family’s experience trying to get their child an IEP and how the school district abused the family. The names have been changed for the family’s privacy. However, this same story happens daily to many families and children. In fact, I have three other families I am currently working with where the school district is doing similar things. Instead of decreasing, it appears the abusive behavior by the school districts is increasing every year. Therefore, parents please read carefully because you never know when you may be facing the same issues.

The story of Tara and her daughter Payton is a common story I have heard many times from families who have children who need an IEP. Prior to the age of 4 years old Payton was diagnosed with a speech and auditory processing difficulties. Payton was behind in her speech developmental milestones and attending preschool to address these issues. However, no one explained to Tara, Payton’s mother, what this diagnosis meant or the prognosis. Neither did anyone explain to Tara about the special education services she was entitled to.

Payton started kindergarten and do to her difficulties she needed to repeat kindergarten. Again, no one explained to Tara, Payton’s mother, how this may impact Payton and they also did not explain any other options, Tara agreed. She was not alarmed because Tara had to repeat kindergarten herself.

However, this started a never ending cycle, where Payton was not meeting the standards for her grade level even when she was receiving Resource Assistance. Tara stated some Resource Teachers were great and others knew very little about auditory processing issues so her daughter received no help.

Tara, watching her daughter struggle, decided to do her own research. She found out more about her daughter’s learning disability and that there was a private school which specialized in this learning disability. Mount Diablo School District continued to lie to Tara as she asked more questions. Also the District went to Payton’s father and lied to him. They told him if Payton’s mother was successfully in getting Payton into the private school, he would have to pay upfront. The District said they would reimburse him later. This is a lie. Also it is not uncommon for the school district to take advantage of a divorce situation and play the parents against each other.

This resulted in a long fight with the school district and in the family court. Payton is in 6th grade and after many years and a great deal of time and money, the fight continues. Mount Diablo School District never looked at the price Payton was paying not receiving the education she is entitled to and having to endure her parents fighting each other in the courts.

This could have been handled very easily if someone was honest with Tara and told her what her daughter was entitled to and if the District followed the legal guidelines. However, they lie to parents all the time hoping parents will give up. If they do, then the District doesn’t need to pay anything and can use the money how they want. Tara was a prime target. A single parent who does not have a lot of time or money. Mount Diablo misjudged Tara, she would not give up on her daughter.

Tara also found out something else parents need to be aware of when dealing with the IEP process. The parent liaisons provided by the district are not there to help the parent or the student. They serve as another way to confuse parents by providing incorrect information to parents. Most parents trust these people believing they are on the student’s side, but they really are there to support the District.

As I said, Tara and Payton’s story is not uncommon. I have worked with many other families who have very similar stories. Also as I stated above, the number of families in these situations are increasing not decreasing. Parents tend to believe school districts have the students best interest at heart. This is how it is suppose to be. However, I have worked with families across the United States and what I have seen is that school districts have their best interest at heart not the students. Tara had a very good way of stating the problem, “the child is the one who struggles for not having their needs met academically”.  How many more parents are out there with struggling students who have been given the same bad information?  I don’t know.  But we need to help them help their child, or these children will be at risk of dropping out and struggling the rest of their lives.  The school district is actually helping create children who are unable to get jobs and will be unable to afford decent housing when they become adults.  And that is a very very scary reality, no one wants to talk about it because it’s not their child who is at risk. However, it could very easily be your child. What do you do then?

Parents need to come together and demand that their children be provided the accommodations they are entitled to. Look up the educational law so you are aware of the appropriate procedure and accommodations. Also do not be embarrassed for standing up for your child’s rights. You are just being a good parent. The school districts need to look at how they are treating children. Also when it comes time to elect the school board, research the candidates and elect those who have a history which demonstrates they truly care about children.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating teenagers and children. In addition he has over 20 years experience serving as an IEP advocate for families. For more information about Dr. Rubino’s work or private practice visit his websites www.RubinoCounseling.com or www.LucasCenter.org or listen to my podcast Understanding Today’s Teenagers on Spotify and Apple.

Teenagers Encourages Us to Accept Our Differences

Teenagers Encourages Us to Accept Our Differences

We have many stereotypes about groups, such as people who enjoy sports, and about people from different ethnicities, financial status and education status, such as did they go to college or not. Most teenagers have been taught these stereotypes and feel that they need to conform to the stereotypes even if they disagree with the stereotypes. However, many teenagers also feel and believe that these stereotypes are wrong. As a result, they ignore the stereotypes they were taught and treat everyone with dignity and respect regardless of the person’s ethnicity or financial class. I have many teenagers asking me during their sessions how they can ignore the stereotypes without getting into trouble. They can clearly articulate why the stereotypes are wrong, but they know many adults strongly believe in the stereotypes and if they ignore the stereotypes, they could get into trouble with the adults who believe the stereotypes. They know taking a stand could create problems with parents, extended family and teachers just to name a few. However, they feel if they are going to be true to themselves, they must take the stand regardless of the cost.

We are seeing that the teenagers born after the year 2000, tend to have these beliefs and tend to act on them. As I have said before, the teenagers born after the year 2000 are a unique group and have different ideas and beliefs based on the many things they have experienced that no other group have kids have ever experienced. Remember these kids were born primarily after the 9/11 terrorist attack and have grown up with warnings about terrorist attacks and increased terrorist attacks around the world. Additionally our Country has been at war since they were born too. They also lived through the great recession and many where impacted by it. Finally, they have grown up with mass school shootings which around 2018 were occurring daily. Also because of this fact, they had mass shooter drills not fire alarms. All of this will impact how they see and react to the world.

Another thing these teenagers were exposed to were messages via movies and non-profit groups who work with teenagers and children that there was hope for the world and they were the hope. The children and teenagers were hearing they had the ability to change the world through their actions and by voting. Many children and teenagers have paid attention to these messages and believe them. As a result, they are trying to change the world.

Disney provided many movies with positive messages for children and teenagers. Beauty and the Beast taught children not to judge by appearance. You need to look inside the person to get an accurate view of their heart and beliefs. The movie, Frozen, taught children that it was alright to disregard the typical male stereotype. The movie said boys do cry and it’s normal. Finally, the movie showed that love is more powerful than hate. You can get more done and live a happier life by loving those around you instead of hating people. Finally in the High School Musical movies, children were taught that it’s normal for people to have different interests and the stereotypes could be wrong. In these movies you had a hispanic teenage girl as the lead and in the movie she was the smartest person and should how you could expect others without judging. You also had a white, overweight cheerleader, a black girl who was extremely intelligent and you had a black basketball player who also liked to cook. All the characters violated the ethnic stereotypes and all the characters were very good friends. In fact, the final song discusses how we are all in this together and need to work together and accept each other just the way we are. There was no need to judge and it was alright for people to have differences. A very powerful message. This message was also highlighted in the movie The Greatest Showman, a movie about P.T. Barnum. The newspaper critic provides the message of the movie, “putting people together of all different sizes and colors could be considered a celebration of humanity.” Again another message to accept people as they are and it’s alright for people to have differences. In fact, we should accept and celebrate our differences.

Children and teenagers watched these movies and paid attention to the message these movies were delivering. In addition to these movies you also have groups, such as Challenge Day, working with teenagers. These groups educate teenagers it’s alright to be different and the stereotypes regarding men and women are outdated. They are educating teenagers that everyone has the right to be accepted and loved just the way they were born. Additionally, teenagers are receiving the message they are the future and they can change the world. Teenagers are listening to this message and also starting to act.

A great example of how teenagers have listened to these messages are the teenagers from the high school in Parkland, Florida. These teenagers had to endure a horrific experience with a mass shooter at their high school. Typically after a shooting everyone discussed how changes need to be made. However, changes never seem to occur. However, these teenagers decided to take action. They formed a group to meet with politicians and demanded changes. These teenagers formed the group March for Our Lives and have established satellite groups in most states of the United States. They are still meeting with politicians but now all over the Country. They are also protesting and educating the public using social media.

Black Lives Matter is another great example. Teenagers are tired of seeing people being discriminated against because of their ethnicity. They feel everyone is equal it doesn’t matter if you are white, black, brown or asian. We are all equal and deserve to be treated with dignity and respect. The teenagers are willing to put their beliefs into actions. They are willing to hold peaceful protests and to educate others about how society needs to change and accept everyone. They are determined to give meaning what is in scribed on the Statue of Liberty, “Give me your tired, your poor, Your huddled masses yearning to breathe free, The wretched refuse of your teeming shore. Send these, the homeless, tempest-tossed to me, I lift my lamp beside the golden door.” This statement implies that we all need to be treated equally. It also indicates our Country world eliminate systemic racism and discrimination.

Our Country is facing numerous issues regarding race and ethnicity. I think we need to remember what is on the Statue of Liberty and we need to pay attention to what the teenagers are pointing out and requesting our Country to do. The time has come to address systemic racism and discrimination in this United States. If we do, we will make life better for everyone in the Country. A very common mistake is this systemic discrimination only impacts people of color, however as the Disney movies point out is the systemic discrimination impacts people who are white too. Think about it because it does have an impact on our lives. A negative impact. The movies, novels and history have shown us that hate is toxic and love sets you free and improves your life. Listen to the teenagers and choose love.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. For more information about his work or private practice visit his website at www.RubinoCounseling.com or his Facebook page www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple.”

How Many People Need to Die?

How Many People Need to Die?

Schools and colleges are back in session and in college towns we are seeing an increase in the number of college students and people with the Coronavirus. As of today we also have over 500,000 children diagnosed with the Coronavirus. A 16% increase since schools have resumed (CDC). The White House said children could return to school and colleges could open safely. Obviously this is not the truth. The White House also say we are turning a corner with the Coronavirus and we are getting it under control. However, over 6 million Americans have the Coronavirus and over 190,000 have died and we have a thousand people dying daily (CDC). According to the University of Washington if we continue on our current course over 400,000 Americans by the end of the year will die. Also the White House states we will have a vaccine by the end of the year or even maybe by November 3, 2020. Neither one is realistic. Even if by magic we have a vaccine by the end of the year, we need to find a way of storing a vaccine that requires sub zero temperatures and who gets the vaccine? In addition to these facts, what about the long haul syndrome many people are developing after they had the Coronavirus? We are just learning about it so we still don’t totally understand the Coronavirus.

Let’s turn back to the College students. When an 18 year old goes away to College they are finally on their own and can make their own decisions. They want to have fun with their friends. Let’s examine what College students experience. They are away from home and friends. Therefore, their lives consist of going to class and doing their homework. Besides that they have nothing els to do. They are feeling lonely and craving interaction with other people. Therefore, they develop friends and they want to and need to spend time with their friends and roommates. They need the social activity. Without the social interaction, they feel lonely, isolated and depressed. Therefore, sending 18 year old students to college and expecting them not to socialize is crazy. Also remember their brains are not fully developed and able to make mature, rational decisions until they are 25 years old. These students are already feeling lonely and bored and many college towns are allowing bars to stay open. We are encouraging these students to party and spread the Coronavirus. With all the temptations in college towns, why are we surprised that they are not following guidelines and not socializing?

Another option for College students would be for them to stay at home and go to school remotely. Many colleges are having students live in the dorms and going to class remotely. Therefore, why can’t they stay at home and attend remotely? They would have the support system of their families and close friends. Their parents could help encourage them to not go to parties and wear masks when they leave the house. Yes the college losing the money they earn on the dorms and the White House feels it looks bad for them. However, are we more concerned about saving lives or making money for colleges and making the White House look good?

Another factor we need to consider is that we are entering the flu season. We already have 500,000 elementary students with the Coronavirus and we have an increase in the rates in the Coronavirus in College towns. How are physicians supposed to determine the difference between the flu and the Coronavirus? We don’t have a rapid Coronavirus test. People who take the current Coronavirus tests often don’t get their results for 10 days which is too late. This generation of children and teenagers are aware of the news and what is occurring in the world. Due to their smartphones and instant access to the internet, they know they virus is not under control. They are afraid of dying from the virus. I have very few children and teenagers that I provide psychotherapy for who like remote learning. However, they prefer remote learning than being exposed to the virus. They see how many people are dying and they are afraid that they will catch the virus. They ask me over and over, why won’t people wear masks? School children are looking at adults and the White House pretend that the virus is under control and refuse to address it. So they ask, why? It is a valid question, why won’t the White House admit how serious the Coronavirus is and why do some adults ignore the fact that we are living in the middle of a pandemic?

Therefore, I am asking the question for all the children, teenagers and college students that I treat? How many people have to die before the President starts to seriously address the Coronavirus? Why do we have to wear a mask and miss parties, when the President doesn’t? Remember the party he had on the lawn of the White House when he accepted the Republican Nomination. The President didn’t miss his party, but children have had to miss their birthday parties this year and many have seen grandparents die. So how do we answer the children? How many people have to die before our President provides a national prevention program for the Coronavirus?

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. For more information about Dr. Rubino visit his website at www.RubinoCounseling.com or his Facebook page www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple.

Returning to School during A Pandemic

Returning to School during A Pandemic

We hear the government talking about reopening the economy and also reopening schools. However, since there is still a lot we have to learn about the Coronavirus, we do not know exactly how school should reopen and when. There has been discussions about options, but no one can make a firm decision yet. Therefore, we have to wait to find out how and when schools will reopen. Since there is no definite plan yet, this creates anxiety in children and parents.

Many of the children and teenagers, I treat, are asking about returning to school and what changes are going to be made at school. When I tell them that there is no definite plan yet, they are not surprised but you can also hear the anxiety it their voices. We have to remember that these kids have been living under quarantine orders for over 2 months now. Also during that time there have been few concrete answers for these children about the virus or returning to school. Furthermore, before the quarantine, these children were dealing with mass shootings on a daily basis and mass shooting drills. This was another situation they had to endure with no reasons as to why the shootings were occurring or when they would stop. Therefore, we have an entire generation of children and teenagers who have had to adjust to living with uncertainty about their safety.

Many parents are wondering how to handle this uncertainty about returning to school. Well one thing we can do to help children and teenagers is to validate their feelings. Instead of just telling them everything will be alright. We need to acknowledge that it makes sense that they are feeling anxious and uncertain about the future and going back to school. We have no answers and it’s natural to be anxious under the present situation. Therefore, instead of telling them their feelings are wrong or they are over reacting, validate their feelings. This will help them cope with their feelings and help them not to feel like they are crazy for feeling the way they do.

Also explain to children and teenagers that we are living in historic times. Inform them that the last time there was a pandemic was 100 years ago. We did survive that pandemic and we will find away to survive this one. It may take sometime but we will find a solution. However, while we are looking for answers, they are living history. When they are older and their grandchildren ask about the Coronavirus pandemic, they will be able to provide first hand answers because they lived through the pandemic. This may help with the uncertainty and provide your child with a different perspective they can use as they view the current situation.

Also reassure them that you know while we search for answers that this can be scary and confusing, but as their parent you are going to watch out for them. As soon as you hear news about what the plans are for school, you will share the information with them. Also reassure them you will not place them in a dangerous or uncomfortable situation. If you do not feel comfortable with the plans for returning to school, you will look at alternatives such as home schooling. Remind them that as their parents you can make different plans for them if needed.

However, while we wait for the plans assure them it’s okay to feel anxious or nervous. Also let them know you want them to share their feelings with you so you can help. There is no reason to be embarrassed about the feelings they are having or needing to talk about the feelings. Also explain you understand that sometimes it’s hard to talk to your parents about certain feelings. Reassure them that if they don’t feel comfortable talking to you that you will understand and make arrangements for them to talk to someone where they will feel safe.

The most important thing to remind children is they have been living with a great deal of anxiety and fear for a long time. Therefore, it’s only natural that they may need to talk about their feelings. It’s normal and a healthy thing to do and you are there as their parent to help them in any way they need.

Another thing that can help is to encourage your child to talk to their friends and their feelings too. They can use FaceTime or Zoom. By sharing their thoughts and feelings with their friends about returning to school, they will see they are not alone. Hearing that their friends have similar feelings can help them relax and not feel so strange about their feelings. It is also an excellent support group for them. If they start talking now about their feelings, it will make it easier to talk about their feelings as they get older and life gets more complicated. Also by talking about their feelings, it also hopefully keep the door open so they continue to talk to you too.

The idea of returning to school will create anxiety when they think about having to wear a mask and other possible changes. However, if we acknowledge the anxiety is legitimate and if we attempt to work with the children and their feelings, they should have less anxiety and an easier transition back to the new normal for schools.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. For more information about Dr. Rubino please visit his website at http://www.RubinoCounseling.com or his Facebook page at http://www.Facebook.com/drrubino3.

What’s Next?

What’s Next?

The quarantine has caused financial and emotional problems for many people. It has disrupted what we consider normal life and many people do not see an end in site. As a result, many people have been demanding and demonstrating that the quarantines in all the states end so they can resume their lives. The President has been leading people to believe that this is a very easy task. However, reopening the economy is not as easy as the President or as many people may think it will be. The medical professionals have stated we are moving too fast and we need to listen to the medical experts who study viruses not the President.

We still have people contracting the virus and dying from the virus at an alarming rate. Los Angeles County reported a significant increase in deaths due to the virus over the weekend. New models just released expect that towards the end of May and the beginning of June we will see another significant increase in the number of people dying from the virus and contracting it.

Yes having to shelter in place is boring and it is costing people their jobs. Therefore, we have people worrying about how they will pay their bills and we have people who are becoming depressed and anxious due to not being able to leave the house. They feel that once the quarantine is lifted everything will be alright, but will it?

After the quarantine, what’s next? We cannot resume life as normal because we are still dealing with the virus. Therefore, we will need to wear masks and maintain social distancing requirements. As a result, we will not be able to attend movies or concerts. Restaurants will not be the same either due to social distancing requirements. Children and teenagers will not be able to attend school in the same manner and our work environments will change significantly too.

Now the quarantine and worry about contracting the virus has already placed a great deal of stress on many people. There now will be people who will be afraid of leaving the house because they are afraid of catching the virus. Besides these people, other people will be feeling stressed and depressed due to all the changes needed to open the economy. They were hoping to return to their lives and they will find out that they have to adjust to an entirely new lifestyle.

In addition to these changes, we will still be facing the issue of needing to take precautions so we do not catch the virus and we will still be worrying about family members who are at high risk due to age or other health underlying health conditions getting the virus. Additionally, we will continue to have family members who contract the virus and die. Just because we open the economy doesn’t mean people won’t be catching the virus and dying. Also it does not mean the economy will return to normal and people will be able to find new jobs. If restaurants are only allowed to operate at 25% capacity and tables need to be six feet apart in addition to having to use disposable menus, would you want to go to a restaurant under those conditions? The answer is most likely no. Therefore, since business will be down in numerous industries, no one will be hiring and people still will be worrying about paying the bills.

As a result of working with trauma victims for over 20 years, I understand the first impulse is to try to resume living your daily life as soon as possible so you feel a sense of control over your life that was taken from you. We have all been traumatized by the Coronavirus. We are the United States and we can handle anything. However, the Coronavirus has turned the tables on us. We are not in control, the virus is in control.

So what’s next? We listen to the medical professionals and we follow their advice. We have made some progress getting a handle on the virus. However, if we move to fast, the virus will come back and many more people will become sick and die. The President is not allowing the professionals to speak out because it is not good for his image. For those of you who say this is wrong, when there was a cruise ship in the San Francisco Bay waiting to dock, the President stood outside the CDC and said, “I don’t want it to dock because the increased numbers don’t look good for me”. We need to consider what is best for the entire country not just the President.

Therefore, as difficult as it maybe, we need to listen to the medical and mental health experts and develop a safe plan to reopen the country. A plan which will minimize the number of people who will become ill and a plan that addresses the mental health issues that will be triggered and exacerbated by reopening the economy.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children, teenagers and trauma victims. For more information about Dr. Rubino visit his website at www. RubinoCounseling or his Facebook page at http://www.Facebook.com/drrubino3.

The Least Restrictive Environment

The Least Restrictive Environment

Many schools are currently closed due to the coronavirus, however they can still have IEP meetings or the meeting will resume when school resumes. This will give parents time to prepare for their IEP meetings. An IEP refers to an Individualized Educational Plan that the parents and school agree upon to help a student who is having difficulties learning at school. This plan is a legal agreement which states the school environment and accommodations a child needs in order to benefit from their education. Unfortunately not all schools tell parents about all of their rights they have at their child’s IEP meetings (Individualized Educational Plan). Also they do not fully explain all the terms. This creates a great deal of confusion and anxiety for parents. Typically any time I write an article regarding IEPs, I receive emails from parents across the country asking if they are being treated fairly in their IEP meetings.

A common term that is used at IEP meetings is Least Restrictive Environment. At times this term is used to deny a child services. Parents may be asking about Resource Assistance or a Special Day Class and the school may say the Resource Room is not an option because it is not the least restrictive environment. They may insist that the child be placed in a general educational classroom. In other words, the typical classroom people think about when they think of a classroom. However, placing a child in a general education classroom or school is not always the least restrictive environment. Also schools and at times parents may worry about how much inclusion their child will be receiving with the proposed IEP.

Inclusion refers to providing children, who need special educational services, access to the general educational atmosphere and students. However, this is not always the least restrictive environment for your child. The least restrictive environment is the environment in which your child will benefit the most from their education. This may not always be a general education classroom. Remember, least restrictive refers to the environment where your child has the least amount of difficulties learning so they can benefit fully from their education. Therefore, a Special Educational Classroom may be the least restrictive environment for your child depending on their educational needs. If they will benefit more from their education in a Special Day Classroom then that is the least restrictive environment for your child.

This can be a confusing term to understand especially since most people have been lead to believe that inclusion is the same thing as the least restrictive environment. I have included a link to a video which further explains this term. I strongly recommend you watch it so you have a clear understanding of what least restrictive environment refers to and what inclusion refers to https://youtu.be/I7HFRF8y288.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers in Special Education. He often assists parents with IEPs and school accommodations. For more information about Dr. Rubino’s work or private practice visit his websites www.RubinoCounseling.com, his Facebook page www.Facebook.com/drrubino3 or www.LucasCenter.org.

Helping Your Child Cope with The Coronavirus

Helping Your Child Cope with The Coronavirus

Many people are concerned about the coronavirus. They are worried about being exposed and they are worried about what happens if they contract the virus. Many people are stock piling water, soap, disinfect wipes and surgical masks. People are even canceling their vacation plans. When so many adults are worried and taking numerous precautions, children begin to worry about their safety. They are afraid to go to school because they don’t want to catch the coronavirus. This excessive anxiety is not good for children. Therefore, parents need to get the accurate information and discuss it with their children.

This is a new virus and spreading faster and easier than expected. However, when you compare this virus to the influenza (the flu), the flu is much more contagious and deadly. According to the CDC, 49,000,000 people in the United States contracted influenza this year, typically referred to as the flu, and 20,000 people died from the flu this year. When you contrast this with the coronavirus, there are currently 500 reported cases and 17 deaths as of March 6, 2020 according to the CDC. While these numbers will rise as we continue to test people, it appears that the flu virus is responsible for more deaths. The coronavirus is getting a great deal of attention because we do not have specific protocols for how to prevent and treat this virus yet. The CDC is still developing guidelines for how we need to respond and are currently working on a vaccine.

Therefore, parents it is important that you calmly talk to your child about the current situation. Explain that this is a new virus and the doctors need time to decide what is the best way to treat it and that the flu is more dangerous than the coronavirus. Explain that until the doctors know the best way to treat the virus that it is very important that they wash their hands after using the bathroom, playing outside or touching things outside of the house. Tell them to sing happy birthday while washing their hands with soap and water. This is a good way to know they have washed their hands long enough. Also let them know if their is no soap or water, they can use hand sanitizer instead and that is good enough. Also remind them to try not to touch their eyes, nose or mouth when they are at school or playing because it is a way to catch germs. Also if they sneeze or cough to cover their mouths. Remind them the doctors are doing everything they need to in order to figure out the best way to deal with the coronavirus so they do not need to worry.

Another aspect to address is if they notice they are coughing, feeling achy and like they have a fever to tell you. If they have these symptoms you will take them to the doctor who will tell you what to do. Remind them they do not need to worry about dying. Remind them more people die from the flu and nothing happened to them. Also point out that the people who have died from the coronavirus were usually around 75 or 80 years old and already had health problems such as problems with their heart. The reports show that children their age have nothing to worry about.

This should help your child’s anxiety about the current virus out break. In the meantime pay attention to the reports from the CDC and look at what you and your family have planned. If you have plans to go to events where there are a lot of people such as sporting events you may want to change your plans until the CDC has developed firm guidelines to deal with the current situation. If you stay calm, your child should stay calm. Make the best decisions for you and your family based on the information you have at the time. If we all stay calm and follow common sense guidelines, we should all be fine. Remember the statistics for influenza are much worse than the coronavirus. The flu virus changes every year too. Therefore, staying calm and following the CDC guidelines is the best approach at this time.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating teenagers and children. He has a sub specialty in medical psychology. For more information about Dr. Rubino’s work or his private practice visit his website at www.RubinoCounseling.com or his Facebook page at www.Facebook.com/drrubino3

Do Not Leave Your IEP at Home when You Leave for College

Do Not Leave Your IEP at Home when You Leave for College

Working with children and adolescents I have had many parents ask about 504 plans and Individual Educational Plans (IEP). Parents tend to focus on the assistance their child may need in elementary or high school due to a learning disability or mental health issues. Over 20 years as a psychotherapist, what I have observed is that children who need assistance in elementary and high school typically need assistance in college. However, many students are not aware that they are entitled to assistance in College too. Right now many students are preparing to leave home and start their new lives in college. Parents are trying to anticipate what their child will need at college, such as laptop etc. However, do not forget their Individual Educational Plan (IEP) so they can arrange for accommodations at their college.

From my experience, most families assume there is no assistance in college. However, typically if a child has an IEP, they are also entitled to assistance in college. Most colleges in their Counseling departments have people and programs designated to help disabled students. A student with a physical or learning disability or mental health issue such as ADHD or depression would qualify for assistance by the Disabled Students Program at a college. I have recently been receiving many questions from Parents about what happens to their child’s IEP when the go to college and questions from parents who have college freshmen asking about their child’s IEP. Therefore, I thought it would be beneficial to provide information about how IEPs are handled by colleges. In addition to an IEP, any student with a learning disability or mental health issue is entitled to accommodations by their college because they are covered by the Americans with Disabilities Act of 1991.

Additionally, if you live in California and you have a physical or learning disability or a mental health issue and if you had or did not have an IEP while in school, you may qualify to be a client of the California Department of Rehabilitation. This Department is responsible for assisting people in California, with a disability, find a job and get the education they may need to find a job. The Department may assist their clients by providing tuition assistance for community or state colleges and provide financial assistance to buy text books and school supplies. What they are able to do depends on the State budget.

This is another reason for parents to insist when their child does need an IEP that the school district places the child on an IEP. The lies schools tell parents that an IEP will prevent their child from getting into a college, the military or getting a job are not true. Another reason to insist on the IEP, if your child qualifies for an IEP, as a result of having an IEP, your child can be granted accommodations on the SAT or ACT. These are tests seniors typically need to take when they are applying to four year universities. The common accommodation most students require is additional time to complete the tests. I have had many teens with ADHD come to me seeking accommodations on the SAT or ACT. A common requirement that the testing boards require is that a student needs to have had an IEP if they are seeking accommodations on these tests.

Therefore, many students who have disabilities or mental health issues can receive assistance in college. While many people may be surprised, it is true. However, for many college students finding the assistance can be confusing and overwhelming. For a Freshman in college, dealing with heath or mental health issues, the confusion and embarrassment the feel at times because of society’s stereotypes can cause students to give up. The best place for a college freshman to start is the student counseling center. They can then direct them to the correct department and they can avoid some of the embarrassment and confusion.

Also I was contacted by bettercollege.com with a resource guide they developed for college students with mental health issues. While their guide was created for students with mental health issues, it can also be used as a guide for students with physical or learning disabilities. This guide can help a student not feel so overwhelmed or embarrassed too.

Since I feel this is a valuable guide to Freshman students and their families, I am including a link to this resource guide below:

Guide to College Planning for Psychiatrically Impaired Students – https://www.bestcolleges.com/resources/college-planning-with-psychiatric-disabilities/

Dr. Michael Rubino is a psychotherapist with over 20 years experience working with children, teenagers and college students. For more information about Dr. Rubino’s work and private practice visit one of his web sites www.RubinoCounseling.com or www.rcs-ca.com or his Facebook page www.Facebook.com/drrubino3.

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The Truth about IEPs and 504 plans

The Truth about IEPs and 504 plans

It’s getting close to the end of the school year and children with 504 plans and Individualized Educational Plans (IEP) must be re-evaluated. Many parents do not know what an IEP is or what a 504 Plan is in regards to a child’s education. Also many parents are not aware of their rights or their child’s educational rights. I receive numerous emails from parents anytime I write about IEPs. Therefore, here is an article describing IEPs and 504 plans for parents. Hopefully this will explain the differences between an IEP and 504 plan and help parents understand what their child is legally entitled to regardless of what the teacher is trying to make you believe.

Parents here is important information about Individualized Education Plans (IEP) and 504 agreements. Besides ensuring that your child receives a good education, you do not need to pay for items such as special computer programs that the school district should be paying for not you. If your child has an IEP the school district is responsible for most educational expenses even a private school if necessary. Please read this article so you understand your rights and your child’s rights.

The beginning of the school year is fast approaching. Besides the mad dash to get ready for school and schools are going to start assessing students to determine if they qualify for an Individualized Educational Program (IEP). I am already hearing from parents how school districts are misleading them and pressuring them to sign an agreement for a 504 before the parents clearly understand the difference between an IEP and 504 plan. The definition for both is further down in this article. An IEP and 504 are not the same. An IEP is legally enforceable and has legal guidelines and time frames. An IEP follows a student from school to school or state to state. A 504 is not legally enforceable and doesn’t follow a child nor are there legal guidelines.

An IEP will not stop your child from getting a job or from getting into college. In fact and college because they still would be entitled to assistance and the State of California may pay for their books. Also educational records are confidential therefore, no one would know your child had an IEP in school.

Many schools say your child must be two grades below in order to qualify for an IEP. If you said your child had a math or reading disability this is true. However, if they have ADHD, Bipolar, school anxiety etc. they can qualify under OTHER HEALTH IMPAIRMENTS. All your child needs is a diagnosis such as ADHD which would interfere with their ability to fully benefit from their learning experience in the classroom. The 2 grade below level qualification doesn’t apply to this category.

Also if you have a child in private school and they would benefit from additional assistance, contact your child’s public school district. Even though they attend private school the public school district is legally obligated to provide your child with services.

One more issue, never pay for outside testing before the school district tests your child. They have the right not to accept any outside testing until they test the child. If you disagree with the district’s testing then you can request an objective testing from an outside professional and you can request that the school district pays for the testing and you can select the evaluator.

An IEP or an Individualized Education Plan is a document that outlines the specialized education services that a student will receive due to their disability. It ensures the student will receive the assistance necessary so they will receive an education.

When most parents hear disability, they usually think of a person in a wheelchair or a student wIth a learning disability. There are various condItions that can qualify as a disability. Depression, Bipolar Disorder or even diabetes. The disability is any condition that will interfere in the student receiving the same education as other students. The students who qualify for an IEP need accommodations which meet the criteria of needing specialized education. As I stated above their are numerous conditions which may qualify a student for an IEP.

if a student does qualify for an IEP, they also qualify for Special Education. Many parents hear this and are afraid or embassies. There is nothing to be afraid of or embossed about. If a student qualifies for Special Education, if the student needs speech therapy or special computer programs, the school district is obligated to provide the services to the student at no expense to the student’s family.

There is also an option called a 504 Plan. This was established in the Rehabilitation Act of 1973. The 504 plan ensures that a student with a disability will receive accommodations so they will receive the same education as other students. However, the 504 plan does not qualify a student for Special Education services and It is not overseen as closely as an IEP plan.

Currently, many districts are telling parents that their child does not need or qualify for an IEP and a 504 plan is just a good. This is not true. Many school districts are telling parents that their child does not qualify for an IEP because the IEP is more expensive for the district and most districts are trying to save money.The districts take advantage of the fact that as parents, you do not know all the differences between an IEP and a 504 so they can talk a family into a 504 plan easily.

If you find that your child is having difficulties at school due to a learning disability, health issue or emotional issue, consult an outside professional before you automatically assume that the school is giving you the appropriate recommendation.

I see many parents who have been told that their child is better with a 504 plan and that is not the truth. You can consult an educational consultant or a therapist who works with children. You can contact me at via my website http://www.rcs-ca.com. I help many families at their child’s IEP meeting. The main thing is, do not be afraid to ask if your child should have a 504 or an IEP. Also don’t let the district make you feel guilty because you want time to think and investigate the options. This is your child and you should never sign anything until you are sure it is in your child’s best interest.

I have added a link to a chart that will help you compare the two and understand the differences.

504 Plan vs. IEP – Education Centerwww.ed-center.com/504This pages lists the differences between an IEP and a 504 plan.

I have also added a link to a video which helps to explain the differences between an IEP and 504 plan.

Dr. Michael Rubino has over 20 years experience working with children and teens. He also has over 19 years experience working with children in Special Education and was an Intern for the AB3632 program which works with children in Special Ed and IEPs. For more information about Dr. Rubino’s practice visit his website at http://www.rcs-ca.com or his new website that deals specifically with IEPs, lucascenter.org.