A conference dedicated to mental health inclusion ministry

shutterstock_486319768Catherine Boyle from OutsideIn Ministries has graciously shared with our readers a series of blog posts (here, here and here) describing her church’s process (and progress) in developing a mental health inclusion ministry. Our team is very excited to come alongside Catherine and the leadership of her church as they prepare to take the next steps in launching their ministry, and we’d like to invite as many of our friends and colleagues to join us and other champions for mental health outreach and inclusion at a special event next month for church leaders throughout the mid-Atlantic region and the East Coast.

OutsideIn_horizontalOutsideIn Ministries and Ironbridge Baptist Church are offering a one-day conference on Mental Health Ministry in the Local Church on Saturday, November 19th from 8:30 AM-1:00 PM at the church’s campus in Chester, VA (a suburb of Richmond). The goal of the conference is to provide answers to common questions church leaders ask when considering the launch of a mental health inclusion initiative. Among the questions to be addressed…

  • What does ministry to people and families impacted by mental illness look like?
  • How does my church get started?
  • What are the costs?
  • How many people are needed?

Catherine and the team from Ironbridge have assembled an excellent lineup of speakers:

Dr. Ananda Pandurangi, Professor and Vice-Chair of the Department of Psychiatry and Director of the Schizophrenia and Brain Stimulation Therapy programs at Virginia Commonwealth University Health System will be speaking on The Science Behind Mental Illness.

fullsizeoutput_2263Dr. Mark Jordan, (pictured at right) Lead Pastor at Ironbridge Baptist Church will be presenting a message on Biblical Support for Mental Health Ministry.

Robert W. Lesniak is an attorney in public law practice who serves as counsel for individuals who are hospitalized involuntarily under temporary detention orders. He is scheduled to speak on Legal Issues and Legal Tools for Churches to Help the Mentally Ill.

I’m honored to be serving as the keynote presenter for the conference and I’ll be sharing two presentations. In the keynote presentation, Mental Health Inclusion Ministry – The Mission Field Just Outside Your Door, I’ll be casting a vision for evangelism and outreach to children, teens and adults with common mental health conditions and their families and introduce seven barriers to church involvement for persons impacted by mental illness.

I’ll be concluding the conference with Seven Strategies for Promoting Mental Health Inclusion in the Local Church. In the closing presentation, I’ll present the model for mental health inclusion our Key Ministry team has developed to guide churches as they seek to connect with individuals and families in their local communities affected by mental illness and offer a process to assist mental health inclusion teams in identifying and minimizing the obstacles to worship service attendance and engagement in ministries of the church that serve as catalysts for spiritual growth. Attendees will be able to access “beta” versions of ministry planning tools under development for our ministry’s book on mental health inclusion, scheduled for release by Zondervan in February, 2018.

In addition to the above presentations, information will also be available on child abuse prevention and ministry and mental health training for churches.

ironbridgeOnline registration for the conference is now available through this link to the events page at OutsideIn Ministries. Thanks to their support and the support of Ironbridge Church, the conference is being made available for only $25.00. We encourage our readers to register today, and to share information on the conference with friends and associates who share our passion for helping everyone impacted by mental illness to find a local church where they might come to know Jesus, grow in their faith and use their gifts and talents alongside their brothers and sisters in Christ to advance the purposes of his kingdom.

Hope to see old friends – and meet lots of new ones in Richmond on Saturday, November 19th!


Posted in Advocacy, Hidden Disabilities, Inclusion, Key Ministry, Mental Health, Training Events | Tagged , , , , , , , , , | Leave a comment

The mental and physical health crisis of kids in foster care

shutterstock_211439761Using data from the 2011-12 National Survey of Children’s Health, a new study featured in the November 2016 issue of Pediatrics seeks to compare parent-reported mental and physical health outcomes of children placed in foster care to those for children who have never been in foster care, children adopted from foster care, children from different family structures (traditional, single parent, step-parents, grandparents, cohabitation, etc.) and children with multiple indicators of socioeconomic disadvantage. Some of the findings and conclusions are startling.

When compared to kids in the general population, children placed in foster care were:

  • Twice as likely to have learning disabilities (14.7% vs 7.6%), developmental delays (7.3% vs 3.4%), asthma (18.0% vs 8.7%), obesity (24.1% vs 15.7%), and speech problems (11.2% vs 4.7%)
  • Three times more likely to have ADD/ADHD (21.8% vs 7.4%)
  • Five times more likely to have anxiety (14.2% vs 3.1%)
  • Six times as likely to have behavioral problems (17.5% vs 2.9%)
  • Seven times as likely to have depression (14.2% vs 2.0%).

The differences in mental health outcomes (ADD/ADHD, depression, anxiety, behavioral or conduct problems) were statistically significant while the differences in physical health outcomes never reached that threshold.

I was surprised to discover how many children in America have firsthand experience of the foster care system. While approximately 1% of U.S. children are placed in foster care at any given point in time, between 5% and 6% of US children will spend some time in foster care. The numbers increase to 10% among African-American children and 15% for Native American children. This is a big problem.

Several years ago, we did an entire series on the impact of trauma in kids, including a look at the impact of adverse childhood experiences on mental and physical health. It’s not a surprise that kids exposed to the types of abuse and neglect that result in foster care placement have more mental health issues. Nevertheless, the authors of this study shared a couple of interesting conclusions.

First, they suggested that foster care placement in and of itself may represent a risk factor for mental and physical health problems. Quoting from the authors,

Although some of the mental and physical health differences of children in foster care compared with other children were explained by characteristics of these children and their households, many of the differences in mental health persisted after adjusting for these child and household characteristics, suggesting possible effects of foster care placement on mental health. However, unlike much other research in this area, our primary goal was not to ascertain whether foster care placement has an effect on children. Rather, our goal was to use these large and representative cross-sectional data to provide a descriptive portrait of the health of children in foster care relative to other children.


In Shannon Dingle’s series on adoption and the church, she often wrote of the relationship between adoption and trauma. Might it be fair to hypothesize that foster care placement represents an additional trauma for kids who by definition have already experienced significant trauma or neglect?

Another interesting finding…the mental health and physical health of children adopted from foster care is generally worse than that of kids currently placed in foster care. One explanation: Children in foster care only become available for adoption after parental rights have been terminated. Compared to the foster care population as a whole, they may have experienced more maltreatment. The authors also put forth the hypothesis that subsidies offered in some states to promote adoption of children with more significant special needs may also be a contributing factor.

More and more churches and Christian families are becoming involved in foster care as a missional outreach…and we’re being asked to help. When I was working in residential treatment, I was often very concerned that the foster families available to our patients following discharge weren’t capable of meeting their needs. The infographic below notes that that nearly 40% of foster families have incomes at or below 200% of poverty. They are disproportionately located in urban school systems that often have limited resources to meet the special education needs of the kids they serve.

We need good foster homes…and the church is a great place to find loving parents with the resources to support them. But churches that encourage their families to serve in the foster care system or encourage families to adopt from the foster care system need to be prepared to come alongside them for the long haul. Families may need support to access the medical, mental health and educational services their children will need. And the church needs to be prepared to include children and teens with a broad range of mental health needs and their families into the full range of activities and experiences available for promoting spiritual growth.


OutsideIn_horizontalSAVE THE DATE! Key Ministry is pleased to partner with Outside In Ministries to offer Mental Health Ministry in the Local Churcha one-day conference for pastors, ministry leaders and faithful Christians seeking to take the next steps in helping their churches welcome, serve and disciple children, adults and families impacted by mental illness. The conference will take place on Saturday, November 19th, from 8:30 AM – 1:00 PM at Ironbridge Baptist Church in Chester (suburban Richmond), Virginia. Tickets are currently available here.

Hope to see you on November 19th!

Posted in Adoption, Controversies, Families, Foster Care, Inclusion, Key Ministry, Mental Health | Tagged , , , , , , , , , , | Leave a comment

Preparing to fight the good fight


Finally, brothers, whatever is true, whatever is honorable, whatever is just, whatever is pure, whatever is lovely, whatever is commendable, if there is any excellence, if there is anything worthy of praise, think about these things. What you have learned and received and heard and seen in me—practice these things, and the God of peace will be with you.

Philippians 4:8-9 (ESV)

I’m struggling with the feeling of being powerlessness as the culture around me changes in ways that will make life much more difficult and painful for my children and my children’s children, and result in a last chapter of my life very different from anything I’d imagined.

We’ve lived in a country where up until now, most of our fellow citizens have at least paid lip service to the message of the Gospel, shared a common understanding of right and wrong rooted in Judao-Christian teaching and tradition. American citizens have experienced historically unprecedented freedom not just of worship, but freedom to live out one’s public life in accordance with their faith.

I’ve heard from many friends in recent weeks who share my fears that our way of life is rapidly disappearing. A palpable sense of desperation is in the air as many realize that no political solution is forthcoming. At the same time, fear of the future doesn’t make for a good witness. When Christians try to defend the indefensible out of fear for the future – even though our fears are very legitimate, the reputation of Christianity as a whole becomes tarnished and the credibility of our witness becomes compromised.

Authentic Christianity is both difficult and divisive. Jesus himself said  it would be.

Do you think that I have come to give peace on earth? No, I tell you, but rather division. For from now on in one house there will be five divided, three against two and two against three. They will be divided, father against son and son against father, mother against daughter and daughter against mother, mother-in-law against her daughter-in-law and daughter-in-law against mother-in-law.”

Luke 12:51-53 (ESV)

As Christians, we find ourselves (as Jesus predicted) on the unpopular side of some very divisive issues. Leaders of political, economic and educational systems have made an implicit bargain with the people. Under the guise of “diversity” or “tolerance” the institutions of society agree to protect the people from unwelcome intrusions upon conscience in exchange for their support.

For when Gentiles, who do not have the law, by nature do what the law requires, they are a law to themselves, even though they do not have the law. They show that the work of the law is written on their hearts, while their conscience also bears witness, and their conflicting thoughts accuse or even excuse them on that day when, according to my gospel, God judges the secrets of men by Christ Jesus.

Romans 2:14-16 (ESV)

Scripture teaches us that we’re born with an innate sense of right and wrong, or as Paul put it… “the work of the law is written on their hearts.” Living out the Christian life represents an assault upon our modern culture. And there will be consequences for those who threaten our newly established cultural consensus. You will be made to care. I don’t envision “persecution” coming to our country in the sense that Christians in other parts of the world face imprisonment, torture or death for practicing their faith, but I do think many of us will face some very uncomfortable decisions in the years ahead.

Anyone who works for an organization that receives significant funding from the government (education, health care, social services, state and local government) will likely face pressure to endorse practices and behaviors in conflict with traditional Christian teaching. Faith-based hospitals that refuse to perform abortions will be threatened with catastrophic losses of funding. Adoption agencies with moral reservations about placing children in non-traditional families will be shut down. Persons in occupations that require licensure will be expected to comply with the new cultural norms.  I fear that my daughter who will be applying to medical school next year won’t be able to practice medicine ten years from now if physician-assisted suicide becomes a “right” in the U.S., as has occurred in Canada and she refuses to participate.

Woe to those who call evil good
and good evil,
who put darkness for light
and light for darkness,
who put bitter for sweet
and sweet for bitter!

Isaiah 5:20 (ESV)

As a leader of a ministry organization that helps churches serve families of kids with disabilities, I find myself wondering why would families without a strong faith in Christ WANT to be part of church, given the trends in the culture? They’re already fighting a fight they didn’t ask for as parents of a child with a disability. Who would voluntarily join a church when living in accordance with the teachings of that church (if the church’s theology is more traditional/orthodox) will likely result in more social isolation, and the possibility of economic hardship? They WON’T…unless they see an irresistible quality in the lives of the Christians with whom they come in contact.

How shall we prepare now to fight the good fight in the years ahead when we’ll likely pay a price for practicing our faith?shutterstock_271791929

We’ll need to be more purposeful and intentional about pursuing and maintaining Christian community. We’ll need one another more than ever as the pressures to conform to the expectations of the culture become more intense. Our kids will need to know that there are other kids and families who believe what they believe and that they’re not alone. From a practical standpoint, we’ll need to be better networked with one another and look after one another in educational and business as if we’re members of a cultural minority -because we will be in many professions. To be the “salt” in the culture, we’ll need to do a very good job of maintaining our “saltiness.”

Consider the witness you wish to present in a culture hostile to God. Want a role model for how to respond in a hostile environment? Consider Daniel. He remained faithful to God when he had every reason in the world to compromise. The combination of his personal integrity and the excellence of his service to the king led him to a position of great influence. Daniel also attracted lots of unwanted attention because of his insistence upon living out his faith when doing so violated the laws of his country. His faith was such that he was willing to trust in God for his protection even when the dangers were great.

Live out the Gospel. I happen to believe a great way of doing so is by caring for and advocating on behalf of persons with disabilities, especially children. When culture rejects God’s law, the most vulnerable among us will be at the greatest risk. Just last month, the first report of physician-assisted suicide of a minor under the law permitting the practice in Belgium. In the Netherlands, physicians have been killing babies with severe disabilities for years, even though the practice is illegal there in children under the age of 12, and sufficiently emboldened to publish their protocol for doing so in the New England Journal of Medicine.

In the early days of the church, Christianity made an impression upon the people of the Roman Empire through the selflessness with which Christ followers cared for destitute or disabled children who had been abandoned by their parents and attended to the sick at great personal risk during the plagues that ravaged the empire. We find ourselves surrounded by casualties of a culture war. We fight back by…

  • Caring for the children who find themselves in the foster care system as a result of trauma, abuse and neglect.
  • Teaching the kids who aren’t well-served by our current educational system – including kids with special education needs.
  • Pursuing truth, honor, justice, purity, beauty and excellence.

We’re called to be witnesses to truth in a time when our culture is collectively exchanging the truth of God’s Word for a lie.

Game on!

In those days there was no king in Israel. Everyone did what was right in his own eyes.

Judges 21:25 (ESV)


OutsideIn_horizontalSAVE THE DATE! Key Ministry is pleased to partner with Outside In Ministries to offer Mental Health Ministry in the Local Churcha one-day conference for pastors, ministry leaders and faithful Christians seeking to take the next steps in helping their churches welcome, serve and disciple children, adults and families impacted by mental illness. The conference will take place on Saturday, November 19th, from 8:30 AM – 1:00 PM at Ironbridge Baptist Church in Chester (suburban Richmond), Virginia. Tickets are currently available here.

Hope to see you on November 19th!

Posted in Culture of Life, Key Ministry, Leadership | Tagged , , , , , , , , , , | 3 Comments

Ten ways for churches to serve families impacted by mental illness


“Small things done with great love will change the world.”

Those words are carved above the entrance to the main campus of Vineyard Cincinnati, a church that does an extraordinary job of sharing the love of Christ with the people of their surrounding community and region. They also represent an important strategy for connecting with families who may be skeptical about Jesus because of negative experiences with Christians or church.

If we’re to impact individuals and families affected by mental illness currently outside the church, we first have to get better at meeting the practical needs of families impacted by mental illness who already have some connection to the church. Put yourself in the shoes of someone struggling with mental illness or the burden of being a caregiver to someone with mental illness. Imagine the reaction of someone in the church desperate for care and support who feels overlooked while the church pours into others!

At the same time, we need to be intentional in our efforts to enter into relationships with those in our community – with or without mental illness who lack a relationship with Jesus and a church community. Our ministry colleague and former teammate Mike Woods frequently reminds us of the importance of “outwardly-focused inclusion.” Given the social isolation that families of children with mental illness and trauma often experience, we can’t wait for them to come to us – we need to be intentional about going to them.

I’d like to share ten suggestions for churches seeking to serve kids, teens and adults with mental illness and their families…

  • Intercessory prayer: How often have you heard your pastor or another pastor pray for people impacted by mental illness during a worship service? Regularly scheduled public prayer is a powerful strategy for affirming attendees struggling with mental illness and conveying a sense of welcome to visitors.
  • Casseroles: Every church that I’ve attended church in my adult life had some type of ministry to provide food to families following the birth of a baby or during an illness. Would your church make sure that a family with a child in the hospital has something to eat? What if their child is in a psychiatric hospital? 
  • Hospital visits: In many churches a pastor or member of the pastoral care team will seek to visits members/attendees in the hospital or another extended or long-term care facility. Would a child or teen in a psychiatric or residential treatment facility get a visit from the children’s or student pastor? What about the adult child of a church member admitted to a state-operated psychiatric hospital?
  • Counseling: Many adults or kids with anxiety disorders or depression could very much benefit from counseling but are unable to afford it. A local church that makes available excellent counseling services for low or no cost helps to address a very pressing need.
  • Community: Persons with mental illness and their family members frequently lack support. Many churches offer Stephen Ministers or confidential caregivers to support hurting people. Some offer Biblically-based peer support groups, including Fresh Hope and Celebrate Recovery,  or “Grace Groups” offered through Mental Health Grace Alliance that provide educational materials, skills and tools to specifically work to improve mental health wellness and recovery.
  • Compassion: Many churches have a benevolence or “deacon’s fund” to provide financial assistance to persons with pressing financial needs. Churches may consider supporting families with no other way of addressing short-term mental health needs – one-time consultations, prescription refills, transportation needs or child care for parents in need of treatment.
  • Respite care: Our team has found that church-based respite events for families of kids with special emotional, behavioral, developmental or healthcare needs is greatly appreciated by parents who often struggle to find affordable childcare and represents an effective outreach strategy that often leads to attendance at weekend worship services. rEcess from 99 Balloons and Buddy Break from Nathaniel’s Hope are two outstanding ministries that train churches to offer respite outreach.
  • Mental health-focused worship services: Many churches will designate a specific weekend as a “Disability Ministry” or “Special Needs Ministry” Sunday. In our home area, we’re seeing churches host worship specifically for families with identified special needs. Why not host a worship service with a mental health-specific theme with appropriate worship music and teaching promoted to families of kids and adults with mental illness who lack a church home?
  • Referral services: Many families don’t know where to turn when mental illness strikes. Churches can provide a valuable service by directing those in search of mental health services to practitioners and agencies equipped to meet their needs.
  • Prison/homeless ministry: You’ve likely never considered your church’s homeless ministry or prison ministry as components of your mental health outreach. One in five homeless persons are characterized by the Substance Abuse and Mental Health Services Administration (SAMSHA) as having “severe mental illness.” According to statistics from the U.S. Department of Justice, approximately, 24% of jail inmates, 15% of state prisoners, and 10% of federal prisoners reported at least one symptom of a psychotic disorder. Local jail inmates had the highest rate of symptoms of a mental health disorder (60%), followed by State (49%), and Federal prisoners (40%). How can your church better support the mental health needs of persons you serve through these ministries?


What good is it, my brothers, if someone says he has faith but does not have works? Can that faith save him? If a brother or sister is poorly clothed and lacking in daily food, and one of you says to them, “Go in peace, be warmed and filled,” without giving them the things needed for the body, what good is that? So also faith by itself, if it does not have works, is dead.

James 2:14-17 (ESV)


OutsideIn_horizontalSAVE THE DATE! Key Ministry is pleased to partner with Outside In Ministries to offer Mental Health Ministry in the Local Churcha one-day conference for pastors, ministry leaders and faithful Christians seeking to take the next steps in helping their churches welcome, serve and disciple children, adults and families impacted by mental illness. The conference will take place on Saturday, November 19th, from 8:30 AM – 1:00 PM at Ironbridge Baptist Church in Chester (suburban Richmond), Virginia. Tickets are currently available here.

Hope to see you on November 19th!

Posted in Advocacy, Key Ministry, Mental Health, Strategies | Tagged , , , , , , | 1 Comment

Disability Inclusion on Mission Trips

untitled-2Inclusion is one of the top buzz words in the disability community. Extensive research has been done on inclusion, countless articles have been written and everyone seems to have an opinion on appropriate levels of inclusion in schools. I think we can all agree that there are clear benefits to inclusion.

In the church world, the conversation on inclusion almost always is centered on children and the world of children’s ministry. Obviously, there are more possibilities for inclusion outside of children’s ministry.

Many in the church world are waking up to the fact that children with disabilities don’t stay children forever. Special needs ministries often struggle to keep children engaged when they grow older. We must continually look for more opportunities for inclusion as our friends age.

Have you ever heard someone say, “They may be 20 years old, but have the mental ability of a 5 year old.” Too much emphasis is placed upon cognitive ability and social and emotional needs often get ignored. This mentality not only stifles people with disabilities from achieving what God wants them to do, but also puts up roadblocks to meaningful inclusion opportunities.

At First Christian Church in Canton, OH we took the conversation of inclusion to a whole new level. For the past few years we have been talking about a philosophical switch in our approach to disability ministry. The conversation is about moving beyond just doing disability ministry “for” or “to” people with disabilities. We realized that this approach made our friends the objects of our ministry and that was never our intent. We wanted to move beyond that and become a place where we do disability ministry “with” people with disabilities. They are our ministry partners as our brothers and sisters in Christ. Ultimately we simply want to empower our friends to “do” ministry.

We finally saw this play out in a very unique way through my friend, Nick. Nick is a young adult in our Hidden Treasures Sunday morning adult class. Nick was going through a difficult time last December. He found himself stuck in depression. After weeks of counseling I challenged Nick to go into the worship service and to simply pray. I asked him to pray that God would help him discover what he could do that would be positive. Nick was so consumed by negatives in his life at the time. After the worship service that Sunday, Nick’s entire countenance had changed. He was no longer slumped over and dragging about. He was completely upbeat and wore a smile on his face as he approached me. He could barely contain himself as he told me that God had answered his prayer. He felt convicted that God wanted him to plan a mission trip.

A mission trip planned by and for people with disabilities was exactly what we were hoping for as we were making our philosophical switch. Note that it was not something anyone from my leadership team came up with. It was an idea that was birthed by God through our friend Nick.


Mission trips are incredible experiences that have the ability to accelerate spiritual growth. Persons with disabilities rarely go on mission trips – a typical experience that should be made available to “all people.”

We wanted to see inclusion work here too, so 9 months of planning started after that conversation with Nick. Trust me – along the way I had all the reasons why it couldn’t work bouncing around in my mind. Who gets to go? What are we going to do? What about medications? Am I going to be able to get consent from families or guardians? What about traveling out of state? What if we had an emergency? How are our friends going to be able to raise the money necessary? And the questions kept coming.

During our planning stages we were blessed to find Dutton Farm, The House of Providence, and Woodside Bible Church. All three ministries are located close together in Michigan. All three ministries also shared our same philosophical approach to Disability Ministry and were excited to play a part in our trip.

Along the way God answered all of our questions. On August 25-28 we went on our first-ever Disability Ministry Mission Trip. God was faithful to Nick. God spoke to Nick. Nick listened and acted in obedience to God. Because of his obedience, God blessed our little adventure.

So inclusion is even possible on mission trips!

If you’d like to see some of the highlights from our trip check out our video…

In addition to his work for Key Ministry, Ryan Wolfe serves full-time in the position he has held since 2010 as Developmental Disabilities Pastor at First Christian Church in Canton, Ohio. At First Christian, Ryan has developed a faith-based day program & employment program for adults with developmental disabilities. First Christian Church also hosts respite events, an annual prom, Sunday morning ministries for both children & adults, a volunteer guardianship program, and more to support persons with disabilities.

shutterstock_138372947Know a family impacted by disability in need of help finding a local church? Encourage them to register for Key for Families. We can help connect families with local churches prepared to offer faith, friendship and support, while providing them with encouragement though our Facebook communities. Refer a friend today!

Posted in Advocacy, Intellectual Disabilities, Ryan Wolfe, Special Needs Ministry, Stories, Strategies | Tagged , , , , , , | Leave a comment

ADHD, suicide, African-American boys…and how churches might help

shutterstock_30354046A study published yesterday in Pediatrics examined all reported deaths by suicide of children between the ages of 5-14 in a 17 state area between the years 2003-2012. The study authors (from Ohio State University, Johns Hopkins University and the National Institute of Mental Health) report startling differences between the mental health histories  and ethnicity of children of elementary school age (age 11 and under) who commit suicide versus those of early adolescents (ages 12-14) who took their own lives.

Among the key findings of the study…

Males constituted 85% of completed suicides in the elementary school age population, versus 70% of early adolescents.

36.8% of suicides among the elementary school age population involved African-Americans, versus 11.6% in the early adolescent population.

Elementary school age kids whose mental health history was known were significantly more likely to have been diagnosed with ADHD (59.3% vs 29.0%), die by hanging, suffocation or strangulation (80.5% vs 64.1%) and to have experienced relationship problems with a family member or friend (60.3% vs 46.0%) than early adolescent decedents.

Elementary school age decedents were significantly less likely to have been diagnosed with depression or dysthymia (33.3% vs 65.6%), leave a suicide note (7.7% vs 30.2%), use a firearm (13.8% vs 29.5%) or report a problem with a boyfriend or girlfriend (0.0% vs 16.0%) when compared with early adolescents.

So…what should we make of the study findings?

Parents, teachers and healthcare practitioners have been very focused on screening for symptoms of depression in identifying kids who may be at heightened risk of suicide and in need of mental health intervention. Impulsivity is also an important risk factor for suicide in kids. In school age children, impulsivity may be a more important risk factor for suicide than depression.

Is the stigma against treatment of mental illness generally, and treatment of ADHD specifically a contributing factor to the difference in rates of completed suicide among African-American children and other ethnic groups? This review article summarizes the research on diagnosis and treatment of ADHD in African Americans. One systematic review found that African American children showed more ADHD symptoms than did white children but were diagnosed less often, possibly related to parental beliefs about ADHD and poorer access to treatment.  Compared with white children, African-American children were significantly less likely to receive an ADHD diagnosis from kindergarten to eighth grade and were less likely to be using medication than were white children diagnosed with ADHD.

The authors of the study suggest interventions to help promote interpersonal problem-solving skill development and building positive emotional and interpersonal skills early in childhood as possible suicide prevention strategies in children of elementary school age. I’d suggest another strategy with a strong evidence basis.

John Bartkowski published this article in Social Science Research examining the impact of family religious practices on child development, examining data from the Early Childhood Longitudinal Study. He found that kids whose parents regularly attended religious services talked with their kids about religion were rated by both parents and teachers as having better self-control, social skills and approaches to learning than kids with non-religious parents. Here are a few key excerpts from his study…

The findings that emerge from the present investigation are robust and quite clear. The religious attendance of parents (individually) and couples (together) generally has a positive effect on child development. When measured as parents’ worship service attendance (essentially, caregivers’ integration within religious networks), religion is good for kids.

These findings, when examined in concert with the generally robust effects of religious homogamy, suggest that a couple’s shared faith commitments are a noteworthy asset for healthy child development. With regard to religious homogamy and child development, it can be said that parents’ attendance has a multiplicative effect not reducible to either mothers’ attendance or fathers’ attendance. Put differently, it is not simply generic homogamy (couple similarity regardless of religiosity) but rather the amount of religion (e.g., stocks of ‘‘religious capital’’) that a couple can jointly import into the family that bolsters child outcomes, particularly for child performance outside the home.

In many of the developmental domains featured here, the children who are doing the best are in households where both parents attend worship services frequently. In fact, the effects of parents’ religious attendance are stronger and more persistent than those related to the family’s religious environment, thereby underscoring the importance of parental integration (and, likely, children’s integration) in religious networks for steering youngsters toward positive developmental outcomes. Consistent with the adage that ‘‘it takes a village to raise a child,’’ it is likely that the network closure provided by congregations (that is, interaction and instruction provided to youngsters by non-parental adults who reinforce parental values) is a vital part of promoting pro-social outcomes in children.

While suicide among children of elementary school-age children is far less common than suicide among teens (rates are thirty times lower among children ages 11 and under compared to rates in 12-17 year olds), suicide still represents one of the top ten causes of death in that age group.

Here are a couple of thoughts on how pastors and children’s ministry leaders might help…

Churches in general should consider how they might reach out to families in their communities of kids who struggle with self-control. Kids who attend church with parents who attend church are likely to have significantly better developmental outcomes, and kids and parents benefit greatly from the influence of others in the church. In particular, churches that minister with African-American families might consider how they might play a role in overcoming the stigma regarding mental health care and kids, and embrace the opportunity to welcome kids likely to experience extra benefits from being part of a family of faith.



shutterstock_126776312Check out Key Ministry’s resources for church leaders and families on ADHD. Readers will discover our blog series on ADHD and spiritual development and discover video presentations and websites for deepening understanding about the most commonly diagnosed mental health condition in kids. Click here to learn more.

Posted in ADHD, Depression, Hidden Disabilities, Key Ministry, Mental Health | Tagged , , , , , , , , , , | Leave a comment

Celebrating Shannon

img_0858Shannon shared the news that she’s transitioning off our ministry team with readers of her personal blog this past week.

Our team is grateful for the time Shannon served with us. She’s a unique figure in the disability ministry movement in that she brings such a broad range of experience to her advocacy. She’s worked with at-risk kids as a special education teacher, served as a special needs ministry director at a large church, is a parent of a biological child and three adopted children with identified disabilities, and has personal experience of disability from rheumatoid arthritis, trauma and mental illness. She’s been extraordinarily productive while managing to keep lots of balls in the air.

Shannon has served as a passionate and capable champion for a number of important causes in the church…special needs ministry, adoption, foster care, mental illness, trauma and children who are HIV positive. She’s has a gift of being able to write about painful and difficult subjects in a manner that leaves readers feeling that someone truly understands their experiences. She’s truthful and transparent. She’s willing to speak into topics that others are reluctant to touch.

One of our goals as an organization at the time Shannon was hired was to develop resources for churches seeking to support adoptive and foster families. We’d struggled with getting churches to appreciate the need for ministry supports for children and teens with mental illness and trauma, and research and experience suggested that the need for supports would be most readily apparent to churches promoting adoption or foster care ministry. We couldn’t have asked for a better person to develop resources for adoptive and foster families than Shannon.

We encourage our readers who followed Shannon’s posts here to bookmark her new website and blog and to follow her on Facebook and Twitter, because God writes the best stories.

Shannon…Thanks for your invaluable contributions to the work of Key Ministry over the last couple of years! We’re honored to have served with you and look forward to the contributions you’ll make to the disability ministry movement for many years to come!

C4EC adoption series image 3 - Version 2


thegirlsCheck out Shannon Dingle’s blog series on adoption, disability and the church. In the series, Shannon looked at the four different kinds of special needs in adoptive and foster families and shared five ways churches can love their adoptive and foster families. Shannon’s series is a must-read for any church considering adoption or foster care initiatives. The series is available here.

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