Universal Mental Health Screening
Summary of the Issue
President Bush created the New Freedom Commission on Mental Health in 2002,
which released findings in April 2003. The New Freedom Commission's report
called for a universal mental-health screening program to be implemented by
our public education institutions and, eventually, primary care facilities.
This report led the 108th Congress to appropriate funds specifically for the
states to carry out some aspects of the New Freedom Commission's
recommendations. Action is currently underway to limit state use of the money,
in an effort to protect parental rights and individual liberty.
Background
The New Freedom Commission report asserts that "early detection,
assessment, and links with treatment and supports can prevent mental health
problems from worsening" and goes on to say that "strong school
mental health programs can attend to the health and behavioral concerns of
students, reduce unnecessary pain and suffering, and help ensure academic
achievement." In short, the Commission is urging that some form of
mandatory mental health screening system be implemented in schools in order to
identify mental health problems early and then adequately prescribe mental
health medical treatments for those who need it. The Bush administration has
assured HSLDA that they desire no programs that will lead to screening of
citizens for mental illness. Nonetheless, just before recess, the 108th
Congress granted $20 million in funding in HR 4818, the Consolidated
Appropriations Act.
Concern
In House Report 108-636 for H.R. 5006, the House Appropriations Committee
stated its intention to grant a total of $20 million specifically for
"state incentive grants for transformation" of the current
mental-health care system and stated that "the Committee supports the
recommendations made in the July 2003 New Freedom Commission on Mental
Health's report on transforming mental health care in America. These grants
will support the development of comprehensive State mental health plans that
will enhance services and supports to persons with mental illnesses." The
New Freedom Commission is trying to benefit America's mental health by
treating conditions early, and to do so through the public education system.
Given the legislative intent that the $20 million granted by Congress be used
by recipient States to implement the Commission's mental health
recommendation, HSLDA and other pro-liberty groups are concerned that States
will use these grants to implement some form of mandatory, comprehensive
mental screening. Unfortunately, the legislation and the committee's report
never calls for parental permission requirements or prohibitions against
mandatory testing and it acts on the assumption that prescribing medication is
the solution to the problem.
Already, Illinois has taken the Commission findings and used them to
springboard the Illinois Children's Mental Health Partnership. The Children's
Mental Health Act of 2003 says that, "The Illinois State Board of
Education shall develop and implement a plan to incorporate social and
emotional development standards as part of the Illinois Learning Standards for
the purpose of enhancing and measuring children's school readiness and ability
to achieve academic success." In September 2004, the Partnership
published its preliminary goals and, among other things, wants to "ensure
that all children receive periodic social and emotional developmental
screens" and also seeks to take these programs into private schools. The
Partnership plans to "maximize the use of key federal and state program
funds for children's mental health" and coordinate its efforts to receive
this federal funding. The plans do not currently include homeschoolers and are
not a likely threat for homeschooled children, but do directly impact the
public school children of Illinois.
Current Status
Since the federal grant of $20 million (H.R. 4818) to the states for
implementation of the Commission's findings, Representative Ron Paul (TX-16)
has actively opposed this mental health legislation. In September 2004, Rep.
Paul introduced an amendment to H.R. 5006 that called to "prohibit use of
funds in the bill to create or implement any new or universal mental health
screening program." The amendment failed by a 95-315 vote. Rep. Paul
introduced H.R. 5236 late in the 108th Congress, and then re-introduced it to
the 109th Congress in January as H.R. 181 "to prohibit the use of federal
funds for any universal or mandatory mental health screening program."
H.R. 181 currently has twenty-four co-sponsors and has been referred to the
House Subcommittee on Education Reform. According to the Bill, "no
Federal funds may be used to establish or implement any universal or mandatory
mental health screening program" and it would also deny the use of
Federal funds to any jurisdiction that makes child abuse charges based on a
parent's refusal of screening for a child. "Universal or mandatory mental
health screening program" is specifically defined in the bill as
"any program of State incentive grants for transformation to implement
recommendations in the July 2003 report of the President's New Freedom
Commission on Mental Health," purposely counteracting any disputed
actions resulting from the New Freedom Commission findings.
HSLDA
continues to monitor the use of federal dollars for use in mental health
programs in the states. We support Representative Ron Paul's bill, The
Parental Consent Act of 2005.
Please call your Congressman TODAY
Ask them to support Congressman Ron Paul's amendment to the H.R. 3010.
The Congressional Switchboard is: 202-224-3121