The Lead Story

Normally, I keep the anonymity of my family pretty tight. It is not their choosing to be main characters in my blog. Today is an exception as my family put themselves in the spotlight.

This week, Jack wrote a story about the Boy's mental health challenges on his workplace's website. Mental health problems are now the leading cause of admission at Seattle Children's. The leading cause of admission used to be asthma, but suicide ideation, self-harm, and generalized anxiety and depression are now taking the lead. Take that, respiratory issues! And this change isn't because there is a new miracle cure for asthma. Are kids more depressed than they were a few years ago, or are we breaking down stigma so parents feel comfortable seeking help? Is the world with people connecting on a screen and not in person taking kids down? Has FOMO (Fear of Missing Out) caused depression? I have no idea, but clearly something is afoot.

When Seattle Children's saw their main cause of admissions changing, they made mental health treatment a priority. When one of the division chief's kids was a PBMU patient, the kid becomes the lead story for the newsletter, beating out Seattle Children's CEO's COVID-19 story.

Here is the full story, for those who are curious. 

Jack and the Boy were both very brave to be in this article which is fine and awesome. 

I have one problem with it, though.

The unwritten story: inequity. 

My family is fortunate enough to afford the treatment for the problem. After having a front row seat with my brother's mental health crisis for decades, I had the will to get it done. 

The poorest of the poor can get the best care at the world class Seattle Cancer Care Alliance. Want to send your kid to Wilderness Therapy for twelve weeks or a therapeutic boarding school (TBS) so they don't kill themselves and then hopefully rejoin to the world as a functioning human? Here is how you pay for it:

• Do you have a good job with great health insurance? Doesn't matter. Insurance won't pay for it.
• Are you rich? If yes, write a check and fly your kid to Utah, Colorado or Montana on a private jet. Maybe take it out of Billy's trust fund. If your kid has a trust fund big enough to cover the cost of all of this, it is likely mom, dad, grandma, grandpa, step-dad, etc. have enough funds to cover this without poaching the child's savings.
• Are you upper middle class? Dig into that money you were saving to send your kid to college. At the rate your kid is going now, they aren't going to college. "Retrench" and adjust how you spend your monthly income. Take that bonus and instead of getting a new Audi or Tesla, you have now paid for six months of boarding school. Italy or Thailand for vacation? Nope. Hello, Durgango, Colorado! (Which is actually lovely.) In the long run, this is going to be cheaper than the cost of having your grown-ass adult child live on your couch for thirty years.
• Even for families with means, sending kids back to the motherland is an option. Maybe you have a kind and gentle grandparent or aunt who lives out of state or out of the country who would be willing to love your kid back into recovery. I have friends whose cousins and siblings were shipped back to rural Michigan, Taiwan and India when their mental illness flared. 
• If you are not in the previous groups, feel free to mortgage your house or empty your retirement account.
• Don't own a house that can be remortgaged or have a retirement account? No extended family that is willing to help? Good luck.
• Are you a person of color? Pray to god your kid doesn't flip out when the cops are around. At best, your kid will be locked up in juvie. At worst...I think we all know what the worst is.

Add on top of the tuition extensive travel costs. I spent twenty-five days out of town between June 1 and December 31, 2019 for the Boy's treatment. Think: airfare, hotels, rental cars and restaurants.

If your kid in inpatient treatment, you had better get your own butt to therapy, so add that to your monthly expenses. Kids don't get to the "sleeping-on-the-couch-all-day" stage of life all by themselves. While I didn't necessarily cause the Boy's problems, our family contributed to them. 

Then there is the spiritual cost. I am in the process of rebuilding my psyche and soul as a result of this emotional trauma, and there isn't a price tag for that.