TeenScreen—What is it?


TeenScreen attempts to illegally sidestep parental consent for psychiatric screening

TeenScreen officials appear to have been having a hard time getting their program accepted by schools, parents and students across the U.S. — so hard a time that they've experimented with various methods to sidestep the written parental consent they MUST GET BY LAW for a student to participate in their screening program. One of the methods they've used is Passive Consent Forms, wherein if a parent DOESN'T sign, it is assumed they have approved their child to be screened. Click to see a copy of one of their Passive Consent Forms used at Penn High School in Mishawaka, Indiana. In one Wisconsin school, parents were informed of the screening with a notice posted in the "back to school" section of the local newspaper. (Hayden & Lizasuain, 1998) If parents there did not want their child to be screened they would have had to write a note and send it into school asking to exclude their child from screening. When was the last time you read the "back to school" section of your local newspaper? If you didn't, you just consented.

A new dodge—make TeenScreen part of the curriculum
A federal law known as the Protection of Pupil Rights Act, requires written parental consent before a child undergoes any survey, analysis or evaluation. TeenScreen’s newsletter, Fall 2003, Vol 2, Issue 2, discusses making screening a part of the school's curriculum as a method to bypass this law and use passive consent instead. The fact of the matter is that active consent by parents has produced dismal results for the program, as admitted by TeenScreen officials.

TeenScreen's Fall 2003 Newsletter falsely states:

“If your local mental health screening program is approved by the Board of Education as part of the educational program, you are not required to get active parental consent under PPRA. Passive consent is sufficient in this circumstance...

…if the screening will be given to all students, as opposed to some, it becomes part of the curriculum and no longer requires active parental consent (i.e., if all ninth-graders will be screened as a matter of policy, it is considered part of the curriculum).”


TeenScreen's "curriculum dodge" refuted by U.S. Dept. of Education
When TeenScreen’s statements were brought to the attention of the United States Department of Education, their lie was exposed. Here is Jim Bradshaw's response, correcting the false announcement:

From: Jim Bradshaw
U.S. Department of Education
Wednesday, November 30, 2005 2:25 PM
Subject: Protection of Pupil Rights Amendment (PPRA)



The statement made by Columbia [TeenScreen/Columbia University] is not quite right. ("If your mental health screening program is approved by the Board of Education as part of the educational program, you are not required to get active parental consent under PPRA.")

The question whether "active" consent is required under PPRA is not based on whether the program is part of the school's education program.

Rather, PPRA requires schools to obtain prior written consent ("active") before a student is required to take a survey that is funded by the U.S. Department of Education (in whole or in part) and that asks questions from any of the eight areas listed in the law.

However, it should be noted that the No Child Left Behind Act of  2001 amended PPRA to require that schools "directly notify" parents about any survey — regardless of the funding — being given to their children that includes questions from the eight protected areas. An explanation of the requirements of PPRA are included in the letter that we sent to all superintendents that is on our web site:

http://www.ed.gov/policy/gen/guid/fpco/hottopics/index.html

We don't mean to imply that NCLB took away the active consent part.

Rather, it added to it. The old requirement stands; the new requirements extend consent — but more passive — to any survey, regardless of funding, as long as the school receives funds from any program of the Department, which all public schools do.

Also, the Family Educational Rights and Privacy Act (FERPA) may come into play in some of these situations because FERPA would not permit a school to disclose a student's education records to a mental health provider without prior parental consent.

Jim Bradshaw
U.S. Department of Education Press Office
Washington, DC
202-401-2310


Why didn't TeenScreen simply follow the law and have parents sign approval slips so their children can be psychologically screened?
From transcripts of presentations given by TeenScreen staff (Laurie Flynn and Leslie McGuire) they freely admit that it is difficult to get parents to sign the approval forms. This seems to be why they resort to various dodges such as Passive Consent and Curriculum Bypass as shown above. Could it be that there is a general public mistrust of psychological and psychiatric screening by American parents? You be the judge—and let us know if anything like this has happened in your area.

New Update - TeenScreen changes their consent policy
In May of 2006, possibly due to pressure from concerned parents and organizations, TeenScreen changed their consent policy to say that all school-based screening sites must now use their new "active" consent forms. However, their new policy also states that written consent is to be gotten from participants themselves rather than their parents if the student is 18 or older. All Teen Screen has to do is wait till the child is 18, get the permission from the student in writing, and administer the test without any written permission from the parent. Since most children are 18 at some point during their senior year, TeenScreen has just improved their chances of getting your child screened, all they need to do is wait.

Also of concern is that this policy refers to school screening sites only. What about the screenings that take place in school-based health care (SBHC) programs? These programs are run by outside mental health care providers in a setting other than the school. And what about the screenings that occur in foster care, juvenile detention or run-away homes? TeenScreen's new policies do not cover these points.

Is TeenScreen free? How much is it actually costing your school?
TeenScreen says its program is free. However, we found their cached pages of the actual costs in thousands of dollars to schools using the TeenScreen program depending on which "screening model" the school chooses. Where will this money come from, especially with schools across the nation that are chronically short of funds. Note that it appears TeenScreen intentionally deleted the original pages containing this information from their site, but not before we were able to save copies of them via Google's cached pages feature. The graphics that were originally on the pages are no longer available. Click to view.

In one study done by David Shaffer and Leslie McGuire, they estimated screening costs at $37 per student screened; $250 per student referred for further clinical assessment, and $25,000 per 1,000 students screened (Shaffer & Craft, 1999), [Craft is McGuire's maiden name] although neither the exact formula or any details on calculating costs was included in
the paper. With the high rate of false-positives the majority of the students go on to "further clinical assessment" at $250 a pop. In another study, (Gutierrez et al. 2004) it was found that without the financial and staffing support of the research team, the school staff would not have been capable of administering the screening program.

Perhaps this is why Columbia University funds a number of the TeenScreen programs being run at the schools. In one school district, Columbia University gave a total of $20,000 to the City of Erie, PA for them to be able to run their TeenScreen program (page 14). The question now is: "What's the vested interest here?"

The TeenScreen Assent Form:
Answer every screening question or you're a "positive"

When it is time for the child to do the screening they are given an Assent Form to fill out. Part “d” of this form states:

“d) I have been told that participation in this program is voluntary and that I am not required to do any of these things if I don't want to. I may also refuse to answer any and all questions.”

This is true, a student can refuse to answer any questions. However, TeenScreen's own materials state that if a child refuses to answer a question, the answer should be taken as a "positive screen". Any child that doesn't wish to disclose personal information will automatically be labeled as testing positive in regards to that question. This seems a convenient method of diagnosis with no information.

Through inquiries to schools around the nation, it has been discovered that the TeenScreen computer test is set up so that you can not refuse to answer any questions, the computer will not allow you to skip, the child must answer the questions or be automatically labeled as "positive".

On TeenScreen’s paper and pencil screening, if you refuse to answer, TeenScreen says that is an indication, in and of itself, of a positive screen and you are then directed to the clinician!

When a Positive is a Negative
Even TeenScreen's terminology seems designed for acceptance of psychiatric labels. It's interesting that a child tests "positive" for a "negative characteristic". This terminology is a borrowing from medical doctors and is an attempt at legitimizing the psychiatric viewpoint that problems are physical "diseases". A person who has a particular microbe, virus or bacteria "tests positive" in medical terminology, yet not one single test has yet to produce any kind of diagnostic indicator of mental disorders as actual diseases. If this information were well known, mental health practitioners might not be able to bill insurance companies for their fees and medications.

From TeenScreen’s web site:

A CHS [Columbia Health Screen] score is “Positive” if:

        • Youth refuses to answer question(s) after screener calls attention to unanswered item(s)


TeenScreen claims that: “The TeenScreen Program makes no treatment recommendations”
There can be many physical causes for depression and “mental illness” in a child. Symptoms can be due to various medical conditions, such as allergies, toxic reactions, nutritional deficiencies and infections to name a few. But does TeenScreen ever recommend a regular, thorough medical checkup?

Here's the definitive response from TeenScreen:

"Following are the most important principles that all local TeenScreen programs must reflect in their screening plans and practices — all of which are emphasized in the TeenScreen site development process and training.”

• Youth identified through the screening as needing further evaluation must be offered a referral to an appropriate mental health service provider(emphasis added)

• Relationships with a diverse group of local mental health service providers must be made to accommodate the youth who will be identified through the screening as needing further evaluation.  (emphasis added)

• Parents of identified youth must be informed of the screening results and referral recommendations, and provided assistance with securing an appointment with a qualified mental health professional for further evaluation.  (emphasis added)

TeenScreen claims to have nothing to do with treatment recommendations — but they only funnel their "product" into mental health treatment, never any other type of treatment, including medical!

9 out of 10 children in psychiatric hands are on drugs
Consider this awful fact: A survey of recently trained child psychiatrists found that 9 out of 10 children in their practices receive a medication (Stubbe et al, 2002).
It stands to reason that by funneling our children into the mental health profession, TeenScreen is making recommendations. Henry Ford once said about his Model T car that customers could have it in any color as long as it was black. TeenScreen says children can have any type of treatment as long as it's through a mental health professional.