County’s boast of success for Handle With Care program includes no data on outcomes

CATEGORY: GOVERNMENT PROJECTS: COUNTY

Zoe Lyons, Michigan Department of Health and Human Services, Jackson County Director

Source: Washtenaw County government
Read time: 3.4 minutes
 
This Happened
On April 9, 2024, Washtenaw County government posted on their website about how their Handle With Care Program is successful.
 
Who Is Doing This?
Washtenaw County, MI, and the Michigan Department of Health and Human Services
 
The Premise
The Handle With Care program appears at first glance to be a simple and innocent-looking intervention. According to the Michigan Implementation Guide: "The Handle With Care Model: If a law enforcement officer encounters a child during a call, that child’s name and three words, HANDLE WITH CARE, are forwarded to the school before the school bell rings the next day. The school implements individual, class and whole school trauma-sensitive strategies so that traumatized children are “Handled With Care.” If a child needs more intervention, on-site trauma-focused mental healthcare is available at the school."[1]
 
The types of situations officers are instructed to report include life-threatening traumas and everyday stressors of neglect, betrayal of trust, the normal loss of a loved one, illness in a caregiver, bullying, and witnessing police activity.
 
The program was first piloted in West Virginia in 2013. Headquartered at the West Virginia Center for Children’s Justice, the program spread to other states. In 2017, the program was launched in Michigan by Zoe Lyons of the Michigan Department of Health and Human Services in Jackson County. The program next spread to Eaton and Washtenaw counties in 2018, and now, according to Second Wave Michigan [2], it is in 49 of 83 Michigan counties.
 
The post noted that since February 2018, when the program was launched, Washtenaw County schools–public and private–have received 3,796 Handle With Care notices from law enforcement officers. The post did not include the number of children in the notices or the base rate of the number of total students in the county.
 
Each notice can include multiple children. Based on a different source [2}, each notice averages 1.5 children, meaning that the 3,796 notices probably involved over 5,700 children. This averages to over 1,100 children annually. The Washtenaw Intermediate School District (WISD) website lists a base rate of 43,482 total students in approximately 130 schools. Hence, notices are received on about 2.5% of students annually.
 
How do schools handle these children differently? First, teachers are instructed to observe for signs of distress, such as inattention, crying, anger, or withdrawal. Then, teachers may reteach a lesson, postpone a test, or suggest the student can go to the nurse’s station to take a nap. If distress is more severe, teachers can call in the school counselor who may meet with the student and may or may not decide to contact parents in order to initiate a referral to outside counseling.
 
The only type of evidence of success in the post was an anecdote when “a substitute teacher looked up to see a student in her class crying. Because she’d seen the notice, she knew to check in with the girl right away, and to refer her to the school social worker for follow-up care.”
 
Analysis
“Wanting to help is not the same as helping.”
Abigail Shrier, Bad Therapy (2024)
 
This program raises at least five concerns.
(1) It is probably not harmless. The program is an intervention for individuals and families who are not seeking one. The field of psychology has been down this road before with research on critical incident stress debriefing which showed repeatedly that making people talk immediately following stressful events often made them worse. The Handle With Care program advises teachers to not ask children to talk about their events, but if they proceed to the higher step of sending them to school counselors, that seems inevitably what will happen.
 
(2) It is a breach of confidentiality. This program flies past the safeguards that other professions, such as health care systems, work under. Federal laws protect the privacy of patients. Doctors face sanctions for disclosing details about patient visits and even for acknowledging that patients attended their clinics. The privacy laws serve to prevent health care professionals from disclosing sensitive information about individuals that could harm the reputations of patients or influence the services they receive (or do not receive). There are few extreme situations where doctors are allowed to violate that privacy.
 
(3) Parents are left out of the loop. The school does not call the student’s home when notices are received or acted upon. It’s a concern that some teachers may use this sensitive information to gain confidence with children or drive wedges between their parents. With the recent revelations that a subset of teachers and schools have implemented critical race theory teaching open racism towards whites, and fostered gender transition activities hidden from parents, it’s not so clear any more how some teachers perceive their role in society.
 
(4) Teachers don’t need notices to pay attention to their students. Teachers already observe their students and make accommodations as needed every day. Also, there are already federal laws for public schools to create accommodations for children with emotional and behavioral problems. The program seems to assert, without data, that teachers don’t already notice changes in their students or make accommodations. It’s not clear that this program provides skills to teachers that they don’t already have.
 
(5) The program is impossible to evaluate. There are no data on what teachers actually do with notices or whether the things they do make any difference for children. It is conceivable that 99% of the notices are unnecessary because children are not distressed, and/or teachers ignore the notices. There is no way to measure whether the effort and taxpayer money invested in the programs make a substantial difference. The only testimony that the program helps is anecdotes. The old maxim, however, “anecdotes are not evidence” is fitting.
 
Why Is This Happening?
The program teaches the unproven doctrines of adverse childhood experiences (ACE) and toxic stress that stress and trauma permanently damage brains and physical health. If this is believed, then interventions must be implemented to prevent and alleviate stress on a massive public health scale. This program creates another entry point to indoctrinate professionals in the ACEs and toxic stress narratives.
 
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REFERENCES
[1] Michigan Department of Health and Human Services (2019), Handle With Care Michigan Implementation Guide. https://www.michigan.gov/-/media/Project/Websites/mdhhs/Folder4/Folder12/Folder3/Folder112/Folder2/Folder212/Folder1/Folder312/Handle_With_Care_Implementation_Guide_Final.pdf?rev=f6d24de6ca41417494783ffb6f37518e. Accessed 5/7/2024.
[2] Slootmaker E (December 8, 2022), State program helps Michigan schools handle students with extra care if they've experienced trauma, Second Wave Michigan. https://www.secondwavemedia.com/features/handlewithcare12082022.aspx. Accessed 5/7/24.