Every day in the U.S., one in five children are struggling with significant mental health issues. These diagnoses take many different forms— attention deficit disorder, depression and anxiety are among the most common— but all of them, left untreated, have the potential to cripple the opportunities of childhood. By only age eight, 14% of youth will have developed a mental, behavioral or developmental disorder; just over half of these children will receive the treatment they need. But unaddressed mental health issues increase the likelihood that treatable diseases will become chronic, leading to cycles of mental health struggles throughout adulthood; in fact, untreated mental health problems cost Americans billions each year in lost earnings. Even before reaching adulthood, youth with a mental health condition are at higher risks of developing co-occurring disorders, like substance abuse issues, and dropping out of school— grievously, suicide is the third-leading cause of death among Americans aged 10-14.

The Sellers had lived in Pell City, Alabama for as long as they could remember. They had been married for over 17 years, established themselves in their local church, and had their first and only child, Sydney, in the city. Sydney was their pride and joy—in 2014, she was off to a successful first year of high school, earning her black belt in Taekwondo and taking honors classes. On December 7, she was “laughing, joking and watching TV;" everything seemed normal until her parents found her...

In the middle of her third grade year, eight-year-old Katie learned that she was transferring to an elementary school across town. As the new kid, she didn’t have anyone to play with at recess—Katie felt lonely and would make excuses to stay inside and finish work with her teachers. As the year went on, Katie lost hope. She began self-harming, and eventually developed an eating disorder. These mental health struggles caused her to miss school and fall behind on her work, only adding to her anxiety; eventually, Katie was hospitalized after expressing suicidal ideations.

Mental health problems, left untreated, can become an unbearable hardship for young students. But if Katie had a comprehensive mental health treatment system in her school—one that intervened and provided support early on in her life—she may have avoided reaching desperation. For students to succeed academically and personally, it’s imperative that schools treat juvenile mental health just as seriously as physical health.

Childhood trauma can cause youth to develop coping mechanisms and behavior that stops social-emotional development and can dramatically impair their academic success. Gang activity, drug use, delinquent behavior, and aggressive attitudes become survival tools to get teens and youth through their traumas.

An article from Cleveland, Ohio gives harrowing stories about the violence in their youth detention centers – staff to juveniles and justice-involved youth to others. Is this article typical of juvenile detention centers across the nation?

On the last day of March, 2017, Chicago’s South Shore neighborhood saw seven people murdered in just twelve hours. Six of those occurred at the hands of gangs.

Elizabeth’s baby was due in June, and that’s exactly when she came— on the very morning of her due date, a new little girl entered the world. Elizabeth was ecstatic to become a mother, sharing the special moment with her partner, but as the newborn was examined, doctors came back with bad news: the baby was unnaturally stiff and had difficulty breathing. Elizabeth’s heart sank as she heard the diagnosis: neonatal abstinence syndrome, or NAS. After years of opioid addiction, beginning with prescription painkillers like Percocet and culminating with heroin usage, her worst fears had come to fruition: Elizabeth’s baby girl had been born with an opioid addiction.

Drug and alcohol use can cause tragedy across all members of society. Perhaps one of the most vulnerable groups is that of juveniles.

Life can just be plain tough sometimes. But for some adolescents who feel anxious, angry, depressed, oppressed, stressed or even bored, drugs are a glamorous escape. Drugs represent a way to avoid life and offer relief from the pain of abuse, a “bad day,” or poor self-esteem.

Natalie*, just 15 years old, snuck out and was inclined to take just one “hit” to forget the disappointment of being denied a night out by her parents. She quickly learned that drugs made it possible for her to forget that she had homework, housework, and a commitment to her family she felt was unwarranted. She had a feeling of pure escape that transcended the circumstances Natalie felt were wrong in her life. She wasn’t a bad kid, just susceptible—which eventually led her to a local juvenile drug court.

The Beginning

It is the beginning of my very first meeting with the Lowe family, and as we sit on their front porch during a hot summer day, Mr. Lowe plops 200 pages of copied material on my lap. Intrigued, I ask what it is. He lets out a sigh and tells me this is the paperwork from all the intensive behavioral treatments his grandson, Tim, has gone through the past 8 years since being in their care.