An increasing number of children are likely to face mental health screening when they return to school this fall. But experts warned those screenings pose more risk than benefit — and urged parents to opt out their child.
“While early identification sounds responsible, in practice it risks doing more harm than good,” Gretchen Watson, Ph.D., a clinical psychologist and researcher, told The Defender.
School-based routine or universal mental health screening “often functions as an entry point into a therapeutic culture that pathologizes normal childhood distress, erodes resilience and funnels children toward psychiatric labels, therapy, and medication,” Watson said.
Nearly one-third of U.S. schools now conduct some form of mental health screening — and that number is likely to increase, as more states work to pass mental health screening mandates.
Last year, Illinois became the first state to require students in grades three through 12 to undergo a mental health screening each year.
In January, lawmakers in South Carolina proposed a bill that would create a statewide mental health screening program for students in grades six through 12. The bill is in committee.
It’s a trend that has experts like Watson worried.
Watson is one of the foremost authorities in the U.S. on the overmedicalization of children with psychiatric drugs. She is also the author of the forthcoming book, “The Prescription Affliction: Why We Overmedicate Young Minds with Psychiatric Drugs ― and How to Stop It.”
Mental health screening tools flag many false positives, Watson said. For example, a child grieving the loss of a grandparent, or who is simply more intense or imaginative than the average student, can easily be flagged as needing further evaluation.
“That evaluation can start a cascade: a label, a treatment plan and, in many cases, medication,” she said.
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