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Tag: social workers

  • Education Department launches investigation into Fairfax Co. schools over abortion claims – WTOP News

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    The U.S. Department of Education is launching an investigation into Fairfax County Public Schools over allegations that a school social worker scheduled an abortion appointment for a student and didn’t tell the student’s parents.

    The U.S. Department of Education is launching an investigation in Virginia’s largest school division over allegations a school social worker scheduled an abortion appointment for a student and didn’t tell the student’s parents.

    In a news release, the agency said it has initiated enforcement action against Fairfax County Public Schools and is seeking additional information by mid-October. If the school system doesn’t provide it, they could risk losing federal funding, the agency said.

    The step comes weeks after reports that a Centreville High School social worker allegedly scheduled an abortion for a student during the 2021-22 school year, paid the clinic fee and didn’t tell the student’s parents. The release said the social worker reportedly pressured a second student into having an abortion.

    The action, the Education Department said, could violate the Protection of Pupil Rights Amendment. That amendment requires schools to tell parents about invasive physical examinations and gives parents the chance to opt their child out of them.

    Fairfax County Public Schools emailed a statement to WTOP in response to the Education Department’s announcement of its investigation.

    FCPS has received the latest Department of Education (DOE) letter requesting information, and welcomes the opportunity to answer the DOE’s questions, based on our ongoing review of these 2021 allegations. We want to reiterate that such conduct would be completely unacceptable in Fairfax County Public Schools. Although there is also an ongoing state police investigation, we are committed to cooperating, to the fullest extent possible, with the DOE’s inquiry. FCPS remains focused on our commitment to academic excellence and opportunity for each and every student in a safe and welcoming environment.

    The announcement comes as the school system is also engaged in a legal battle with the federal agency over bathroom policies.

    “It shocks the conscience to learn that school personnel in Fairfax have allegedly exploited their positions of trust to push abortion services on students without parental knowledge or consent,” said Candice Jackson, the Education Department’s acting general counsel.

    “Children do not belong to the government — decisions touching deeply held values should be made within loving families. It is both morally unconscionable and patently illegal for school officials to keep parents in the dark about such intimate, life-altering procedures pertaining to their children,” Jackson said.

    The department is requesting a specific set of information by Oct. 17. The request includes the county’s notice to parents telling them about their rights under the Protection of Pupil Rights Amendment, and a statement indicating whether federal funds were used in connection with sensitive medical services, including abortion-related procedures.

    Separately, the federal agency had threatened to withhold funding to five Northern Virginia school systems, including Fairfax County, if they didn’t change their bathroom policies. The department said policies that allow students to use intimate facilities based on gender identity violate Title IX.

    Several of those school districts have taken legal action to prevent funds from being frozen.

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    © 2025 WTOP. All Rights Reserved. This website is not intended for users located within the European Economic Area.

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    Scott Gelman

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  • Mental health jobs will grow 3 times the rate of all US jobs over the next decade

    Mental health jobs will grow 3 times the rate of all US jobs over the next decade

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    (CNN) — As the demand for mental health care grows across the United States, so will an expected demand for service providers.

    Employment growth in the mental health field — for psychiatrists, psychologists, therapists, counselors, psychiatric aides and social workers — is expected to be triple the projection for a typical US job, according to a CNN analysis of new data released by the US Bureau of Labor Statistics.

    A subset of mental health practitioners — specifically mental health counselors, which include substance abuse and behavioral disorder counselors — is projected to grow even more rapidly. Growth for these roles is set to increase by 19%, going from about 450,000 workers in 2023 to 534,000 by 2033, making it among the top 20 fastest-growing US occupations. These counselors work with people seeking help for problems such as anxiety, addictions and stress.

    Marriage and family therapists are other jobs within the mental health field expected to show notable growth by 2033, with jobs there expected to rise by 16%. And the BLS group “counselors, all other,” a catch-all category that includes jobs such as sexual assault counselors and anger control or grief counselors, is similarly projected to grow 14% by 2033.

    Why and where growth is likely

    Two factors could be increasing demand for mental health services: Decreasing stigma around seeking treatment and increasing uncertainty in peoples’ lives, said Traci Cipriano, a clinical psychologist and assistant clinical professor in the Yale School of Medicine. She told CNN that political divisiveness, economic uncertainty, gun violence and the climate crisis are factors putting particular pressure on Americans.

    “All of these things feel threatening to a certain degree, but each one of us as an individual really has very little control over them,” Cipriano said. “Stress itself can be managed through mental health treatment but if you don’t manage it, it can lead to depression and anxiety.”

    Over the next decade, more Americans are also expected to manage stress outside of formal therapy. CNN’s analysis of BLS job projections also found that holistic workers — such as acupuncturists, fitness trainers and massage therapists — are also set to outpace typical job growth.

    Employment growth specifically for massage therapists is estimated to balloon by nearly 18% by 2033, adding almost 23,000 jobs annually on average. More than half of clients cited relaxation or stress relief as the primary reason for receiving a massage, according to a 2023 survey by the American Massage Therapy Association.

    Access among top barriers to seeking treatment

    The growing demand for mental health workers is one sign of shortages amid what many are calling a health emergency. Nine out of 10 adults said they believed that there’s a mental health crisis in the United States, and young people especially reported deteriorated well-being during and after the pandemic.

    While more adults are seeking treatment in recent years, most struggling with their mental health still do not receive support.

    One reason could be the approximately 122 million Americans who live in areas where there is a scarcity of mental health professionals, according to a 2021 analysis by USA Facts. Rural areas are particularly vulnerable, with Wyoming and Utah leading for the highest proportion of people without access to mental health providers.

    “We’re experiencing a shortage of mental health professionals,” said Cipriano. “People can’t get in and access the treatment they need, so it makes sense there would be a need for job growth.”

    Methodology

    The US Bureau of Labor Statistics (BLS) collects employment projection data for more than 1,100 detailed occupational groups. These group employment categories can represent multiple professions. For example, the occupational group “Therapists, all other” includes art and music therapists but also peripatologists – people who support those who are visually impaired to travel independently. As such, some of the group employment categories analyzed by CNN may include professions not directly connected to mental health services and similarly, some occupational groups omitted from our analysis may include mental health-related jobs.

    To identify mental health professionals as specifically as possible, CNN limited its analysis to occupations in the categories of psychiatrists, psychologists, therapists, counselors, psychiatric aides and social workers. We included the following employment categories (national employment code in parentheses): Substance abuse, behavioral disorder, and mental health counselors (21-1018); counselors, all other (21-1019); marriage and family therapists (21-1013); therapists, all other (29-1129); mental health and substance abuse social workers (21-1023); clinical and counseling psychologists (19-3033); school psychologists (19-3034); psychologists, all other (19-3039); psychiatrists (29-1223); and psychiatric aides (31-1133).

    For holistic workers, CNN included massage therapists (31-9011); exercise trainers and group fitness instructors (39-9031); dietitians and nutritionists (29-1031); acupuncturists (29-1291); and healthcare diagnosing or treating practitioners, all other (29-1299).

    While there are limitations to this analysis because of the broad nature of the BLS’s occupational groups, its purpose is to examine high-level employment trends.

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    CNN

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  • Adult ADHD Is the Wild West of Psychiatry

    Adult ADHD Is the Wild West of Psychiatry

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    In October, when the FDA first announced a shortage of Adderall in America, the agency expected it to resolve quickly. But five months in, the effects of the shortage are still making life tough for people with attention-deficit hyperactivity disorder who rely on the drug. Stories abound of frustrated people going to dozens of pharmacies in search of medication each month, only to come up short every time. Without treatment, students have had a hard time in school, and adults have struggled to keep up at work and maintain relationships. The Adderall shortage has ended, but the widely used generic versions of the drug, known as amphetamine mixed salts, are still scarce.

    A “perfect storm” of factors—manufacturing delays, labor shortages, tight regulations—is to blame for the shortage, David Goodman, an ADHD expert and a psychiatry professor at the Johns Hopkins University School of Medicine, told me. And they have all been compounded by the fact that the pandemic produced a surge in Americans who want Adderall. The most dramatic changes occurred among adults, according to a recent CDC report on stimulant prescriptions, with increases in some age groups of more than 10 percent in just a single year, from 2020 to 2021. It’s the nature of the spike in demand for Adderall—among adults—that has some ADHD experts worried about “whether the demand is legitimate,” Goodman said. It’s possible that at least some of these new Adderall patients, he said, are getting prescriptions they do not need.

    The problem is that America has no standard clinical guidelines for how doctors should diagnose and treat adults with ADHD—a gap the CDC has called a “public health concern.” When people come in wanting help for ADHD, providers have “a lot of choices about what to use and when to use it, and those parameters have implications for good care or bad care,” Craig Surman, a psychiatry professor and an ADHD expert at Harvard and the scientific coordinator of adult-ADHD research at Massachusetts General Hospital, told me. The stimulant shortage will end, but even then, adults with ADHD may not get the care they need.

    For more than 200 years, symptoms related to ADHD—such as difficulty focusing, inability to sit still, and fidgeting—have largely been associated with children and teenagers. Doctors widely assumed that kids would grow out of it eventually. Although symptoms become “evident at a very early period of life,” one Scottish physician wrote in 1798, “what is very fortunate [is that] it is generally diminished with age.” For some people, ADHD symptoms really do get better as they enter adulthood, but for most, symptoms continue. The focus on children persists today in part because of parental pressure. Pediatricians have had to build a child-focused ADHD model, Surman said, because parents come in and say, “What are we going to do with our kid?” As a result, treating children ages 4 to 18 for ADHD is relatively straightforward: Clear-cut clinical guidelines from the American Academy of Pediatrics specify the need for rigorous psychiatric testing that rules out other causes and includes reports about the patient from parents and teachers. Treatment usually involves behavior management and, if necessary, medication.

    But there is no equivalent playbook for adults with ADHD in the U.S.—unlike in other developed nations, including the U.K. and Canada. In fact, the disorder was only recently acknowledged within the field of adult psychiatry. One reason it went overlooked for so long is because ADHD can sometimes look different in kids compared with adults: Physical hyperactivity tends to decrease with age as opposed to, say, emotional or organizational problems. “The recognition that ADHD is a life-span disorder that persists into adulthood in most people has really only happened in the last 20 years,” Margaret Sibley, a psychiatry professor at the University of Washington School of Medicine, told me. And the field of adult psychiatry has been slow to catch up. Adult ADHD was directly addressed for the first time in DSM-5—the American Psychiatric Association’s diagnostic bible—in 2013, but the criteria described there still haven’t been translated into practical instructions for clinicians.

    Addressing adult ADHD isn’t as simple as adapting children’s standards for grown-ups. A key distinction is that the disorder impairs different aspects of an adult’s life: Whereas a pediatrician would investigate ADHD’s impact at school or at home, a provider evaluating an adult might delve into its effects at work or in romantic relationships. Sources of information differ too: Parents and teachers can shed light on a child’s situation, but “you wouldn’t call the parent of a 40-year-old to get their take on whether the person has ADHD,” Sibley said. Providers usually rely instead on self-reporting—which isn’t always accurate. Complicating matters, the symptoms of ADHD tend to be masked by other cognitive issues that arise in adulthood, such as those caused by depression, drug use, thyroid problems, or hormonal shifts, Sibley said: “It’s a tough disorder to diagnose, because there’s no objective test.” The best option is to perform a lengthy psychiatric evaluation, which usually involves reviewing symptoms, performing a medical exam, taking the patient’s history, and assessing the patient using rating scales or checklists, according to the APA.

    Without clinical guidelines or an organizational body to enforce them, there is no pressure to uphold that standard. Virtual forms of ADHD care that proliferated during the pandemic, for example, were rarely conducive to lengthy evaluations. A major telehealth platform that dispensed ADHD prescriptions, Cerebral, has been investigated for sacrificing medical rigor for speedy treatment and customer satisfaction, potentially letting people without ADHD get Adderall for recreational use. In one survey, 97 percent of Cerebral users said they’d received a prescription of some kind. Initial consultations with providers lasted just half an hour, reported The Wall Street Journal; former employees feared that the company’s rampant stimulant-prescribing was fueling an addiction crisis. “It’s impossible to do a comprehensive psychiatric evaluation in 30 minutes,” Goodman said. (Cerebral previously denied wrongdoing and no longer prescribes Adderall or other stimulants.)

    The bigger problem is that too few providers are equipped to do those evaluations in the first place. Because adult ADHD was only recently recognized, most psychiatrists working today received no formal training in treating the disorder. “There’s a shortage of expertise,” Surman said. “It’s a confusing space where, at this point, consumers often are educating providers.” The dearth of trained professionals means that many adults seeking help for ADHD are seen by providers, including primary-care doctors, social workers, and nurse practitioners, who lack the experience to offer it. “It’s a systemic issue,” Sibley said, “not that they’re being negligent.”

    The lack of trained providers opens up the potential for inadequate or even dangerous care. Adderall is just one of many stimulants used to treat ADHD, and choosing the right one for a patient can be challenging—and not all people with ADHD need or want to take them. But even the most well-intentioned health-care professionals may be unprepared to evaluate patients properly. The federal government considers Adderall a highly addictive Schedule II drug, like oxycodone and fentanyl, and the risks of prescribing it unnecessarily are high: Apart from dependency, it can also cause issues such as heart problems, mood changes, anxiety, and depression. Some people with ADHD might be better off with behavioral therapy or drugs that aren’t stimulants. Unfortunately, it can be all too easy for inexperienced providers to start a patient on these drugs and continue treatment. “If I give stimulants to the average person, they’ll say their mood, their thinking, and their energy are better,” Goodman said. “It’s very important not to make a diagnosis based on the response to stimulant medication.” But the uptick in adults receiving prescriptions for those drugs since at least 2016 is a sign that this might be happening.

    The fact that adult ADHD is surging may soon lead to change. Last year, the American Professional Society of ADHD and Related Disorders began drafting the long-needed guidelines. The organization’s goal is to standardize care and treatment for adult ADHD across the country, said Goodman, who is APSARD’s treasurer. Establishing standards could have “broad, sweeping implications” beyond patient care, he added: Their existence could compel more medical schools to teach about adult ADHD, persuade insurance companies to cover treatment, and pressure lawmakers to include it in workplace policies.

    A way out of this mess, however long overdue, is only going to become even more necessary. Nearly 5 percent of adults are thought to have the disorder, but less than 20 percent of them have been diagnosed or have received treatment (compared with about 77 percent of children). “You have a much larger market of recognized and untreated adults, and that will continue to increase,” Goodman said. Women—who, like girls, are historically underdiagnosed—will likely make up a substantial share. Adults with ADHD may have suffered in silence in the past, but a growing awareness of the disorder, made possible by ongoing destigmatization, will continue to boost the ranks of people who want help. On social media, ADHD influencers abound, as do dedicated podcasts on Spotify.

    Until guidelines are published—and embedded into medical practice—the adult-ADHD landscape will remain chaotic. Some people will continue to get Adderall prescriptions they don’t need, and others may be unable to get an Adderall prescription they do need. Rules alone couldn’t have prevented the shortage, and they won’t stop it now. But in more ways than one, their absence means that many people who need help for ADHD are unable to receive it.

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    Yasmin Tayag

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