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Fish Out of Water

"The trouble with the world is that the stupid are cocksure and the intelligent are full of doubt." - Bertrand Russell
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Bipolar Cleveland shooter asked for help and got none

The country was shocked earlier this week when Asa Coon, a 14 year old boy attending Success Tech Academy in Cleveland, Ohio, managed to sneak weapons into school and went on a rampage, shooting four others before killing himself. Sadly, Coon's actions weren't surprising to those that knew him. Why wasn't more done to help him?  Coon's story illustrates some of the problems faced by children and adults who suffer from emotional disabilities.

The reports emerging from Cleveland this week show that his classmates and teachers all knew that Coon was headed for trouble and didn't take what he was saying seriously. Now a boy is dead, four others have been wounded, and the community and parents nationwide have questions.

As it turns out, Asa Coon spent time in and out of detention centers and youth facilities after he was removed from his home for assaultive behavior. This is not uncommon for children with severe emotional impairments. Unfortunately, the systems in most states, including here in Massachusetts, are heavily weighted towards treating youth with mental illnesses who demonstrate any violent behavior as young offenders -- criminalizing them, rather than treating them.

Coon even attempted to take his own life prior to this incident. Eventually he was suspected of having bipolar disorder, after spending time in a mental hospital. 

Bipolar disorder (once called manic depression) specifically in children and adolescents is relatively new ground for the psychiatric community. Conventional medical wisdom held that children could not develop bipolar disorder. Recent studies suggest otherwise, and it's prevalant enough that children are now routinely diagnosed and treated with pharmaceuticals and behavioral therapy. 

But regardless of whether you're a child or an adult, there isn't a blood test you can take or an MRI scan you can have done to show if you're bipolar -- it's a diagnosis that's inferred from how you behave and how others perceive your behavior, and the disorder presents itself distinctly and differently in children and adolescents than adults.

Treatment, diagnosis and management of disorders like juvenile and adolescent bipolar disorder is still at a very early stage. There is a disturbing lack of qualified psychiatrists in this country trained to help children, and the FDA and drug companies lag in qualifying drug treatments for kids, as well. Most drug treatment happens "off label." In other words, psychiatrists treating children write prescriptions for drugs certified for use with adults suffering similar problems, not vetted for kids. 

Sometimes those drugs work well, sometimes they don't. In this particular case, Coon went off his meds all together, and went wildly out of control as a result. He was also ostracized from his classmates and suspended from class, which I imagine didn't help very much to reduce his sense of isolation and helplessness.

Bipolar disorder is often comorbid -- a medical term meaning present in association -- with other emotional or mental disorders. Studies suggest that comorbidity with other diagnosible mental illnesses is actually the rule for bipolar disorder, rather than the exception. So it's entirely probable that Asa Coon's problems went far beyond bipolar disorder, but we'll never know, because he's dead. After crying out for help and receiving none, he's dead.

In interview after interview with his classmates and others that knew him, it's noted that Coon told everyone that he was going to be violent. In fact, one student interviewed by a local television station claims that she and others at the school had tried to intervene with the school's principal, but couldn't schedule an appointment. "... it would always be too busy for it to happen," she said.

Now the community in Cleveland is reeling from what happened. A city spokesperson says the CEO of the municipal school system is meeting with the mayor of Cleveland today to discuss security. That's putting the cart before the horse: It's going to be yet another wrong-minded discussion about metal detectors, security guards and "Code Blue" drills.

I wish they'd discuss instead how to recognize the warning signs that kids such as Asa Coon are headed for trouble, and how to get them the help they so desperately need, and in Coon's case even asked for, before something like this happens again.

15 comments
Blog posts and comments are entirely the thoughts and ideas of the people who write them and in no way represent the views of CapeCodToday.com, eCape, Inc., or its employees or owners.

10/12/07 @ 2:06 pm
filletofsole [Member] writes:
'Asa Coon grew up in a family where violence seemed commonplace. His older brother, Stephen, was twice charged with both domestic violence and assault by the time he was 13. He was recently released from prison.
Court records show that his father's whereabouts are largely unknown....Asa's home detention officer also noted that the house Asa lived in on West 43rd Street was in a neighborhood plagued by drug trafficking and gangs. Less than a month after the suicide attempt-Asa, then a seventh-grader at Thomas Jefferson School-was suspended for attempting to hurt another student.
'He had issues,' a teacher who once worked at the school said yesterday. 'I was not surprised at all he was the shooter.''
10/12/07 @ 2:16 pm
petercohen [Member] writes:
Dagny:

He *wasn't* taking his meds at the time, and that's part of the problem. I don't disagree with what you're saying, but my point is that he had *asked* for help and they had ignored and neglected him.
10/12/07 @ 2:20 pm
filletofsole [Member] writes:
while both of your viewpoints are valid, it must be recognized that any child who has a developing brain and body and who is taking powerful meds is in harm's way, on or off of them, physiologically. dss, child services, who knows, possibly should have removed him from that environment. too late now.
10/12/07 @ 3:57 pm
Peter Kenney [Member] writes:
This case cries out for a common sense response. Several federal agencies are fighting a turf war because each wants its own funded program to trace gun ownership. The FBI program is (or was) called DRUG FIRE. Simple idea: when a gun is used in a crime the weapon is traced from the crime backward to the day it left the factory and thence throughout the chain of legal ownership. When the legal ownership sequence stops a criminal investigation begins. The idea is that all (most) guns first enter the market legally and at some point fall into the wrong hands through an illegal act...theft, unrecorded sale, improper storage, etc. In cases where the FBI program has followed its course individual guns have been tracked from legal manufacture to dealer purchase to a legitimate gun owner to subsequent sales/transfers and ultimately to the hands of a criminal or perhaps a deranged person with homicide/suicide on his mind. Even total gun control does not address this black market aspect. Let's get smart.
10/12/07 @ 4:15 pm
usgju [Member] writes:
Peter, which federal agencies? the simple idea is clearly not working, although it should. how did asa coon get his arsenal of weapons and ammunition, and what is being done about it? why is there such a black market for weapons such as ak-47s in the u.s. that le feel the need to purchase in order to keep up with the 'hoods'?
10/12/07 @ 6:47 pm
petercohen [Member] writes:
Fillet:

You're right. There's no question this was a "worst case scenario:" A mentally ill young man with a history of violence in a completely inappropriate setting.
10/12/07 @ 8:00 pm
filletofsole [Member] writes:
not worse case, epidemic:
'NORRISTOWN, Pa.-A troubled high school teenager accused of plotting a school attack built up a stash of weapons with the help of his mother, authorities said Friday. Michele Cossey, 46, was arrested Friday on charges of illegally buying her home-schooled son, Dillon, a .22-caliber handgun, a .22-caliber rifle and a 9 mm semiautomatic rifle with a laser scope. Dillon Cossey's arrest came the same day a 14-year-old in Ohio opened fire at his Cleveland high school, wounding four before killing himself. On his MySpace page, Cossey made frequent references to Eric Harris and Dylan Klebold and describes their 1999 massacre at Columbine High School as one of his interests. 'I am pretymuch,' he wrote in a badly spelled post, 'the posterboy for the person that rests upon the line between Geineus and Madman/Pycopath.' The boy's father also tried to buy his son a rifle in December 2005, but was not allowed to because he was a felon, according to court records. Frank Cossey, 56, had pleaded guilty in 1981 to manslaughter and spent about six years in prison.'
10/12/07 @ 8:16 pm
petercohen [Member] writes:
Yeah, I've been reading and watching the news on this one. You have to wonder what was in the woman's head who bought this kid the guns. Her defense so far was that she was trying to make her son happy.
10/13/07 @ 9:23 am
Diana [Member] writes:
I have heard the statistic is 30 - 50 % of our kids are on drugs. I think a lot of the behavior can be treated by teacher who have the ability to manage a classroom and administration who are adept at managing schools. It's unfortunate how many teachers don't have this skill. I think it's a lost art, not something you can read in a book.
10/13/07 @ 1:40 pm
deepbluesea [Member] writes:
It is so good to see you speak out FOR mental health treatment and against criminalization. If this boy had been helped (instead of armed!) before, so much pain would have been saved. Why are we so willing to pay for imprisonment and so unwilling to pay for mental health care?
10/13/07 @ 5:09 pm
Jack Coleman [Member] writes:
Interesting post, Peter, and I like that quote from Bertrand Russell. Another of his, paraphrased - education is the progressive discovery of the extent of one's ignorance.
10/13/07 @ 5:19 pm
petercohen [Member] writes:
Thanks, Jack. Yeah, a couple of BR humdingers about education come to mind: "We are faced with the paradoxical fact that education has become one of the chief obstacles to intelligence and freedom of thought" is one that made me laugh out loud the first time I heard it, in college. The other is "Men are born ignorant, not stupid; they are made stupid by education." ;)
10/13/07 @ 7:06 pm
Diana [Member] writes:
i just think it is so sad when we focus the attention on the kids, like they are the problem. I think when someone in their teens or early twenties acts out this way it's like an alarm on the pulse of the community.
He is crying for help, but it's not just about him needing help. Everyone should have caught on earlier. Overall, what a sad story.
10/20/07 @ 6:28 am
jcprayer [Member] writes:
WAKE UP AMERICA.....We treat our prisoners and criminals a lot better than we do our mentally ill. I have a son that is now missing. I have done everything in my power to get him help. We went so far as to have him committed to a mental hospital. They kept him 4 days and put him on a medication he has already been taken off of because of the adverse reaction it had caused. It made him very aggressive and violent. Please do not tell me that it has anything to do with the way they are brought up. He was a preacher before this horrendous disease hit him. He was a responsible young man that went to college on full scholarship, He was kind and gentle. I have tried in the five years he has had this disease to reach out to mental health facilities, police dept., churches, and much research on the internet. It has been a nightmare for everyone, including him. He is now out there somewhere wandering..I pray he does not hurt himself or anyone else..BUT if he does commit a crime THEN they will at least give him a place to sleep and food in his stomach>>>>How is that right?
10/20/07 @ 7:02 am
bittersweet [Member] writes:
That's not right at all jc. Maybe some kind of criminal charges should be brought against the pharma co. that produced that drug. And the people who gave it to your son. Bill Maher made a joke that "the govt.'s not your nanny, it's your dealer." big $$$ in pharma drugs...safe or not.
And maybe here's another big part of the problem; If you drive down Storrow drive in Boston, you will see a HUGE sign on a building that actually says, "We own your Congress and Senate. The NRA." Think they might be part of the problem too?
De-regulation of the mental institutions too.
Everything for the buck, and human beings suffer as a result. Hope this nightmare will end for all of you.And I totally agree that we in America need to wake the f up!
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About This Blog

fishoutofwaterPeter Cohen washed ashore on Cape Cod more than a decade ago. A child of the 80s, who was told more than once he was wasting his life playing video games, he now gets to write about them for a living for an Apple-focused computer magazine. He and his wife are raising three kids in Mashpee, where they're both very involved in special education-related issues. This blog collects Peter's thoughts on being a dad, a nerd, and occasionally feeling like a fish out of water in a region named after a fish.

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