Showing posts with label Stats. Show all posts
Showing posts with label Stats. Show all posts

Thursday, September 15, 2016

34

There has been some stir lately over another blog post discussing the average life expectancy of a person affected by FASD.  The statistics currently published state average life expectancy for someone affected by an FASD to be 34 years of age. 

34

Let that sink in a moment.

Now an average life expectancy is just that - an average.   So by definition some people will live longer, even much longer, but some will live shorter, even much shorter.  The thing about the number 34 that makes an impact on me in a logical sense is that the average life expectancy for the general population in the US is 78 years, in the UK 81 years, Canada also 81years, but the average expectancy for persons with FASD is 34. Will some people live longer than 78- 81 years in the US, UK and Canada - sure. Will some live shorter - absolutely.  But the difference in average life expectancy is MORE than 50%!!!

To put it in an even wider perspective – people affected by FASD have a lower average life expectancy than  the average person in countries with the lowest overall life expectancies in the world (per the World Health Organization’s most recent statistics).  Sierra Leone, the Central African Republic, the Democratic Republic of the Congo, Guinea Bissau, Lesotho, Somalia, Swaziland, Angola, Chad, Mali, Burundi, Cameroon, and Mozambique all have average life expectancies that fall between 48 and 60 years.  It’s no accident that these are also listed as the poorest countries in the world. 

It is absolutely unacceptable that the average life expectancy of someone with a neurocognitive disability be less than half of that of the general population of the same country.  That the difference in average life expectancy for persons living in a first world country to compare so unfavorably to the poorest of the poor boggles my mind. Especially because those with FASD do NOT have to have such reduced life expectancy. If our countries were putting more time and effort into studying the real health challenges associated with FASD and supporting the neurocognitive differences associated with it that average could absolutely be improved.

To look at the number yet another way – Autistic persons have an average life expectancy of 54 years – lower than the general population in 1st world countries but significantly higher than 34.  The average life expectancy for Autistic persons has also been increasing – at a slower rate than that of the general population but with a noticeable trend.  The statistic for those with FASD has not. 



34

I never would have believed that one number could loom so large.  

34

My Little Man just turned 10.  

34

If we both live out the average life expectancy for the population we fall within, my son will die 2 years before I do.  


Impossible


No


Just, NO


I cannot and will not accept 


34

Thursday, January 14, 2016

8 out of 10

There are a lot of people touting an 80% divorce rate for parents of special needs children.  The statistic gets so widely hyped that although there is NO research to back it up its almost universally believed.  There are some limited studies showing less shocking increases in the rate of marriages failing for special needs families but honestly my heart is not in the search for an objective truth at the moment.  Because you see my marriage is going to become a part of those statistics.  That is a hard, dreary, depressing thing to type.  Knowing you have failed at something so important is, well, it's not an exaggeration to say it shakes me all the way to my core.  My very identity feels shaky.

I'm not going to talk about fault or who has done what to whom here for a lot of reasons.  I've never been comfortable with the extent to which people seem to live all of life out in the public eye these days.  And although I can see many of the mistakes or missteps that happened in our relationship along the way (on both sides) I can't quite grasp how we went from having the usual stresses and dissatisfactions that occur in any relationship to where we are now.  Finally, as one of the two people in the relationship ending - I could never be an objective reporter and airing only one side of a disagreement strikes me as fundamentally unfair.  

I will say this, our children - both of them, are not to blame for this.  No matter their issues or the stresses those issues may cause - they are children and not in any way at fault.  Fault, if blame must be laid, rests on my husband and I.  We are the adults that made promises to each other and we are the ones choosing to lay those promises aside.  I know I have not handled this well up to this point.  I've let anger and grief and fear have the upper hand.  That can't continue.  

And so I'm taking some time, to put myself back together, to find a new vision of what my future looks like, and a make a new plan for how to get there.  I'll try not to take too long.  I promise to be back.  

Thursday, March 6, 2014

Oh My God – They are all LOOKING at me!!!

(Is that worse than no one looking?  I don’t know.  Pull your self together.  Head up.  Shoulders back.  Smile.)

Today I received an e-mail that made me laugh and cry at the same time.  I’ve been going through a rough patch and so when I received a draft of the post that  A Diary of a Mom  will be posting tomorrow I desperately needed the validation and spirit boost it offered.  We are currently staring into another round of surgeries for my son to correct physical birth defects caused by fetal alcohol exposure, adding to that stress is the crushing indifference both our latest FASD fundraiser and training class have been meeting with locally.  (We are doing better in other locations but to be so dismissed where I live is demoralizing)  Our family also continues to struggle with lack of understanding at school for Little Man’s sensory needs.  Oh, and just a few days ago, I experienced a computer crash that has wiped out 2 years’ worth of work, personal and professional.  Yeah, you might say my spirits have been “a bit” low so the incredible generosity from Jess, whom I both respect and admire, overwhelming me?  Not really a surprise. 

What was surprising was the rush of fear that followed that lift.  Diary has a huge audience.  Not only is the scope of the audience daunting but, well, Jess is an awesome writer.  She blows me away with just about every post she writes.  (I actually would like to be her when I grow up)  Anyone that came from her page would be comparing me to that.  OMG!! What have I done?!? Is the web page ready?  I don’t know.  Maybe.  The blog is not ready. I’m sure of that.  It’s not well edited enough. There are not enough posts.  It’s not persuasive enough.  There are no colors or visuals.  It doesn’t have enough factual information.  I’m not qualified enough for this.  I’m not eloquent enough. I’m not anything enough. (Danger! Danger! Whirling red lights.  Blaring sirens.  Panic attack in process.  Total system shut down imminent!)

As I slowly resurfaced from that that moment of sheer terror something crystalized into conviction for me.  Too much of my parenting, too much of my LIFE, from the moment I finally accepted Little Man’s FASD diagnosis and started researching it, has come from fear.  This is not a new thought for me.  I had already brushed up against that topic here. 

Anyone researching FASD runs into statistics that range from grim - about 40% of individuals affected by FASD will not finish school, to terrifying - 70% will be institutionalized in their life for alcohol and drug problems, mental health reasons, or crimes committed due to their impulsivity and vulnerability.  But it is time to think beyond those statistics.  It is not time to bury my head in the sand (been there done that) or even to just say “No way not for my son” (been there for a long time too) but time to find things to say YES to,  things for me as well as for him.   Fear is not where I am willing to live anymore.  If you get back from the world what you put into it I have to stop living from a place of fear, negativity, isolation, and anger because that is not what I want for my son, our family, or for myself. 

“Be the change you want to see in the world” Mahatma Gandhi says.  I want a joyous, positive, connected life for my son, and for all of my family.  So I have to start living from this place:  My son is enough.  He is more than enough he is a wondrous gift to me and the world.  I am enough.  I am, in his words, the best mommy in the whole world.  There is enough for us to make a change; enough love, compassion, connectedness and enough people willing to help.  Those horrible statistics are what has been true but they are not inevitably true for the future. 


And in the spirit of living in a world where there is enough and I am enough,  instead of rushing to change, update, correct, and otherwise scramble to be worthy of the generosity Jess has extended,  this blog – as it stands - is what I have for you in all its imperfection.  I hope you will consider taking action on the advocacy letter.  And I sincerely hope you will come back from time to time.  

Thursday, December 13, 2012

Legal Eagle***

Since I’ve been pushing folks to write their senators in support of s2262 legislation Advancing FASD Research, Prevention, and Services Act here, on Facebook, and in person pretty hard I thought it might be interesting for folks to know the status of legislation regarding FASD in general.  I make it a habit to keep up with the Substance Abuse and Mental Health Services Administration (SAMHSA) Fetal Alcohol Spectrum Disorders (FASD) Center for Excellence’s (the Center)  Fetal Alcohol Spectrum Disorders Legislation Report which comes out biannually.  The latest issue of the report was published in October 2012 so the results are quite current.

I find it a bit peculiar that the report looks at legislative activity at the state level but not the federal.  I also thing that the report tends toward an overly optimistic tone, in part because of how it divides the statistics.  The current issue covers legislation introduced between 2003 and April 30, 2012, as well as any status changes as of October 22, 2012.  During that time frame there have been 290 bills (or resolutions, memorial motions, or other pieces of legislation) either entirely or partially related to FASD, identified across 45 States and the District of Columbia.  Of the 290 identified 87 or 30% have been passed / adopted.  The Report is very upbeat about the 30% “pass rate” vs. an average 4% pass rate for bills introduced overall.  This is a bit of an overly rosy interpretation in my opinion.    The 4% rate is determined by looking at all bills (not resolutions, memorial motions etc.) introduced and passed per year.  Not only is the population they are using different the time frame, 9 years’ worth of passes vs one prevents a real apples to apples comparison.
The report also segments the data by “categories” that the legislation addresses like Prevention, Treatment, Funding and Criminalization.* They report the prevalence of legislation as follows:
Prevention                                             43%
Funding                                                 24%
Criminalization                                    13%
Treatment                                             12%
But the categorization method is misleading.  Treatment in this structure covers both treatment of individuals affected by FASD and treatment of alcohol addictions aimed at preventing FASD.  Also funding in much of the legislation is directed by the legislation at a specific target – Prevention, Awareness, or Treatment.    If you look at the details of the items in the Funding and Treatment categories in that light you end up with a very different picture of the legislative makeup:
Prevention **                       72%
Criminalization                    14%       
Treatment of FASD            7%
Also, looking at the pass fail rate of the categories is instructive:
Prevention**                        65% pass rate
Criminalization                    29% pass rate
Treatment of FASD            7% pass rate
If you strip out non-binding resolutions and memorandums passage of legislation aimed at improving the lives of individuals with FASD is WORSE than the 4% average.  So, I’m pushing a bill I think makes a difference.  Is it perfect?  No but what in this world is.  It contains elements of prevention and awareness which are important.  It advances research to better understand FASD.  It also addresses diagnosis and treatment of individuals already suffering.  If you are reading here and you haven’t yet taken action to encourage your senators to advance S2262 please do.  It’s not hard.

*Criminalization is the introduction of criminal penalties against women who have alcohol exposed pregnancies. 
** Prevention including treatment of alcoholism aimed at preventing FASD births.
*** The education I'm getting from trying to effecively advocate for my son is amazing.  Neurobiology, Law, Public Policy, Education Theory, man you name it.

Monday, November 26, 2012

Fuming again

We’ve hit a bit of a snag in the charity concert we are organizing for FAFASD (Families Affected by Fetal Alcohol Spectrum Disorders) and I am royally pissed off about it.  FAFASD is the brilliant brain child of a virtual friend Adrienne.  She envisions a group that would provide training and support to families helping them help their FASD affected child (or adult) succeed.  It’s long been known that the number one success factor for people with FASD is a family, caregiver, or support system that is knowledgeable about the condition and their needs.  Great cause, right?  Who could object?
Back to my snag.  We’ve had some trouble with the school district about using the high school performing arts center as a venue.  As far as snags go it’s not catastrophic.  We will still do the event, we may be delayed and certainly are inconvenienced but it’s not like losing the main act or something.  So it’s not the fact that we have a snag that pisses me off.  I mean who could organize a large event and not expect a few of them.   (Granted I am kind of a control freak and fairly anal about making and sticking to a plan but even I know this kind of thing comes up.  That’s why you have contingency plans.  So you can just regroup, adjust to plan B and move on.  Which is what we will do.)
What pisses me off is WHY we are having trouble with using the school’s venue.  I know, I know, me having an issue with my local school district, hard to believe isn’t it?  We had a date, agreed to by the school, and had confirmed with our performers and then out of nowhere we were told that we could not have the performing arts center without paying a ridiculous fee.  Ridiculous enough that it might make the whole event unable to bring in any proceeds for the charity and one we know is not charged to others who have done the same sort of event.  (I know this without doubt because I was part of organizing those events too – it’s where I got the idea from.)  When asked why the sudden change we were told – and oh this REALLY frosts my cookies- “Well your son is not the only child in this area with problems, there are lots of others with needs.”    What the hell!?!
First of all, MY SON won’t benefit from this in any particular way.  The idea is to raise funds to train parents who don’t know how to cope with FASD.  I’ve done a mighty fine job seeking that info out for myself already, thank you very much.  At some point if we are able to organize a camp for kids with FASD I expect my son will attend at the same cost as any other child and might get some peripheral benefit that way, but for the moment all he is getting out of it is a somewhat distracted and busy mom.
More importantly, no kidding there are other kids than mine with needs, DUH that is what this is all about.  I know I’ve gone over statistics before but forgive me for going there again.  By the most conservative CDC estimates there are 40,000 children with FASD born A YEAR.  So let’s define children as anyone under 18.  That says there are almost three quarters of a million children with FASD in our country.   And if you want to look at adults suffering (and FASD is not curable – it NEVER goes away).  There’s another 2 million people.  There are more children right here in this school district  with FASD whether they want to acknowledge it or not.  FASD affects more people than, Downs Syndrome, Spina Bifida and Autism COMBINED.  I didn’t see the school having any issues with the program for national Autism week. 
I firmly believe this is discrimination.  I don’t know that it is intentional but I do know people don’t want to talk about FASD.  They don’t want to think about it and they certainly don’t want to address it.  No one wants to think about how their wife, sister, daughter may have done permanent brain damage to their child, grandchild, niece or nephew.    That doesn’t happen to nice normal middle class people.  Only degenerates, alcoholics, and druggies hurt their children that way.  Guess what people, one drink could be too much for some women.  How much is too much depends on too many other factors to ever give a safe threshold.  If your tolerance is low, if you have a cold or infection temporarily impacting your liver’s ability to filter the alcohol, if you are genetically predisposed to alcohol sensitivity, if you have not eaten well on the day you drink, ALL can impact how much of the alcohol passes through to your child.
And let’s be clear on this one too - there is NO safe time frame either.  Long before most women even know they are pregnant critical parts of a baby’s brain have started to form.  What if a theoretical nice normal middle class woman, who has no idea she is pregnant, goes out to a bachelorette party for her best friend.   Would anyone blame her for having a margarita (or even three too many)?  As long as she didn’t drive herself home no one would even blink.  Or the women told by well-meaning but misinformed friends, relatives and even doctors that a few drinks here or there won’t cause any harm.  When their children are born looking and behaving perfect in every way months later would anyone even stop to wonder about if they drank, how much, or when?  No.  Not with that healthy happy baby right there.  Unfortunately, the more subtle forms of damage from FASD won’t be seen in those children until they are elementary or even middle school age.  Then, when they have troublesome “behaviors” no one will think, “Hey this may be a symptom of brain damage caused by fetal alcohol exposure.”  Oh no.  They will think “Oh my, that child has ADHD” and put them on medication designed for that specific issue.  Sorry, FASD cannot be solved with Ritalin.  Or they will say – “That child has bad parents.  Nothing wrong with them that some discipline won’t cure.”  Except discipline can’t make a blind child see, or a deaf child hear, and it can’t heal brain damage.  
My son is going to be fine.  He has, I guess you could say, mid-range impairment on the spectrum.  It is enough to notice, enough to get attention and help, AND he has parents knowledgeable about his disability.  Children at the mid to low functioning range of the Fetal Alcohol Spectrum actually tend to do better than children on the higher end in the long run.   It’s the children of our theoretical nice middle class women, who did nothing intentionally wrong, that will never get a diagnosis or the help they need.  Their parents will be clueless as to why everything they try just doesn’t work, especially if it works with their other children.  Those children will grow up in a word that is too fast, too loud, and too damn ignorant to ever get them the help they need.  Looking at the statistics, they will end up frustrated and depressed.  43% will not finish school.  About 50% of them will think about or try to commit suicide.  70% will be institutionalized in their life for alcohol and drug problems, mental health reasons, or crimes committed due to their impulsivity and vulnerability.  80% will not be able keep a job unless they are provided with appropriate supports, increasing their risk for homelessness, depression, substance abuse, etc. It becomes a vicious circle and it doesn’t have to be that way.  With support most people with FASD can learn and they can be gainfully employed.  Except, who’s going to identify what they need?  Who’s going to help them get it? 
And that is what pisses me off most about this snag, those children (who are not my son) with special needs that are not and will not be helped because no one wants to talk about FASD.

Tuesday, September 11, 2012

Baited Breath

So tomorrow is the IEP meeting - to discuss his services - even though his evaluations will not be complete.  The cynical cerebral part of me can't wait - it ought to be a real farce.  The desperately emotionally involved mother in me dreads it.  Why can't they see how important this is?  Duh - because they are clueless. 
80% of people with FASD, Fetal Alcohol Spectrum Disorders, cannot keep a job without on-going support regardless of age. 70% will be confined sometime in their life for mental health reasons, alcohol and drug rehab, or for committing a crime caused by FASD’s effect on impulse control. 60% of people with FASD will not finish high school. And over 50 % will have at least one suicide attempt in their lifetime.   Remember all this applies to MY BABY!!
 One of the key factors for positive life outcomes for children with FASD is positive school experiences and healthy peer relationships.  So while I know it seems like I am being totally overwrought about my son’s kindergarten experience – I’m probably not.  It does really matter that much.  Not each and every second is critical – but the sum of his experience, the tone it sets for his school experiences overall, his ability to connect with his peers in some meaningful way,  oh yeah it matters. 

Monday, August 27, 2012

Why I Get so Worked Up

Children affected by alcohol in utero are NOT a rare occasion. Each year in the United States, by the most conservative estimates,  40,000 babies are born with FASD.  (Centers for Disease Control and Prevention, 2010).  Recent in-school studies suggest that cases of FASD among live births in the U.S., previously reported as approximately 9 per 1,000 (Sampson et al., 1997) could, in reality, be closer to 50 per 1,000 (May, 2009). In addition, recent retrospective analyses of hospital admissions data indicate that under-reporting of alcohol misuse or harm by women may further disguise true prevalence rates (Morleo et al., 2011).  According to data released from the Centers for Disease Control and Prevention in 2012, thirty-seven percent of babies born in the U.S. are unplanned. Also published from current CDC research, 1 in 2 women not trying to conceive have reported drinking alcohol in the past thirty days.  Doing the math, as many as 18.5% of the babies born in the US could be accidentally exposed to Alcohol before their mothers even know they are pregnant!!!


If you want some comparison points, less than 1% of children in the US have Autism Spectrum Disorders or Asperger’s, 3% are diagnosed with Down’s.  FASD afflicts a larger percentage than all 3 combined! But the amount of medical resources and scientific research directed at FASD is miniscule compared to the others. In fact the only childhood affliction to outpace FASD is ADHD/ADD – and in many cases children being treated for this are in fact children with FASD.  Fully 80% of the trickle of money that is directed to FASD is spent on education campaigns to try and stop women from drinking while pregnant. Don’t get me wrong – I think that is important but SO IS HELPING THE CHILDREN THAT ALREADY HAVE THIS ISSUE.

What kills me how hard I have to fight for Little Man to get help anywhere no less in the school system. I mean I will take it out of the personal for a minute and just look at the numbers. If we take a conservative estimate - 7% of the children in the US have alcohol related disabilities - then it’s reasonable to assume 7% of the kids in our county do, yes? For our county that means 405 kids!!! If you want to limit that to just full blown FAS at 3 % we are still talking about 173 children. Heck if we want to arrow in on just the population in Little Man’s primary school and stick with the 3% you still have 15 and if you look at the full range of affected children you have 35.
(Since my husband is active with the local rescue squad and we have friends and relatives in the police and social services for the county, I’m pretty comfortable telling you that this area would have to be at or above the national averages for alcohol related issues.) 

35 children, 35! That's more than a full classroom. So why the hell am I the one educating my son’s teacher on FASD and what children with it need from the school and class room environment? This is a freaking epidemic people.   I don't think teachers or administrators are bad.  Most are pretty awsome in fact, but they are always stuck trying to do too much with too few resources.  That is what makes me so damn mad.
Since the key to getting people’s attention appears to be money – let’s talk cost.

FASD costs the US an estimated
$5.4 billion annually.

Surely we could spare some money toward effective interventions to cut down on that tab, eh?