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Committed: Kids With Disabilities Increasingly Swept Into Mental Health System Under Baker Act

Martina Faulk, and her daughter, Nadia King, embrace in a photograph
WFSU Public Media
Martina Faulk, and her daughter, Nadia King, embrace in a photograph

Each year, about 36,000 children in Florida are involuntarily committed for psychiatric evaluations under the state's Baker Act and disabled kids are becoming increasingly ensnared.

The Baker Act was not designed for kids, yet the number of children who are involuntarily committed keeps going up. State data shows kids with certain disabilities are becoming increasingly ensnared 鈥 despite language in the law meant to keep them out of the mental health system. The second part of about children who are committed examines why minors with emotional and developmental disabilities are more likely to be sent for involuntary psychiatric exams.

Nadia King鈥檚 class at Love Grove Elementary in Jacksonville was different from others.

鈥淭here were a lot of physically disabled students in her classroom," said Nadia's mother, Martina Faulk. "She was in a class with other kids with disabilities, physical disabilities."

Then 6-year-old Nadia was involuntarily committed for a psychiatric exam under the Baker Act earlier this year after throwing a fit. A police report says she was attacking teachers and trying to run out of the school.

Nadia has a developmental disability and ADHD. Her teachers knew this. It鈥檚 why she was in a separate class alongside other special-needs children, and why her mother had an agreement with teachers and school officials, called an individualized education plan or IEP. The plan outlines how Nadia should be taught.

Faulk chose Love Grove Elementary because the school had experience with special needs kids, she said.

鈥淚t鈥檚 been a struggle to find the right school for her," Faulk said. "Whether public or private鈥擨鈥檝e researched, tried out some things. Then we stumbled across Love Grove elementary."

The Duval County School District declined to be interviewed for this story.

State law says students with developmental disabilities shouldn鈥檛 be committed under the Baker Act, and Nadia鈥檚 Global Developmental Delay falls into that category. But ADHD does not.

Nadia鈥檚 story is tragically common, said Disability Rights Florida attorney Ann Siegel. Kids like her, are 鈥渂eing Baker Acted for the manifestation of their disability,鈥 she said.

Nadia鈥檚 developmental disability wasn鈥檛 enough to protect her. That鈥檚 because there鈥檚 a caveat: The law says children can be committed under the Baker Act for other reasons even if they have a developmental disability. If they are considered a threat to themselves or others, as Nadia was, they can be committed.

But Siegel said when children throw fits, as Nadia did, it's not a compelling enough reason to initiate the Baker Act.

"Oftentimes, when you go back and you look at why the student had that incident鈥攚hether it was a meltdown or not, you鈥檒l find the student had their triggering events that the school was well aware of," she said.

An internet search reveals pages of articles about children with disabilities ending up in mental health facilities.

Florida's law mandates that officers have the sole responsibility of transporting people who are being committed under the Baker Act. They have to do it, even if they disagree. And Siegel says sometimes those officers may not have all the facts.

鈥淪o they come at a child with a snapshot of their life and they make a determination of whether the student meets the criteria 鈥 of being a threat to self and others," Siegel said. "And what we鈥檙e seeing in our cases, we鈥檙e not sure how they reached that determination because the child had already calmed down once they reached the school.鈥

Jacksonville police officers can be heard on body camera questioning whether the Baker Act was appropriate for Nadia. A 2017 task force report on committing children under the Baker Act found.

Michael Shapiro has seen it all. The Gainesville psychiatrist is frustrated.

鈥淲hat you鈥檙e really speaking to, to be honest, is a stigma towards mental illness," Shapiro said. "And the perception of whether people are choosing to feel, think or behave the way they are."

Shapiro got so fed up with the system he wrote an calling on the state to make changes to what he describes as an ineffectual solution to a major problem:

鈥淭he law actually says you鈥檙e not supposed to Baker Act someone for a neurodevelopmental problem that really isn鈥檛 going to get better just by putting them in a hospital for three days."

Children are more susceptible to being involuntarily committed because they have few rights and even less agency, said Shapiro, who is head of the North Central Florida Chapter of the American Academy of Child & Adolescent Psychiatry.

鈥淐hildren have historically been viewed as people to be controlled, and not necessarily people to be understood," Shapiro said. "And I think there鈥檚 鈥 overemphasis on controlling behavior and not understanding behavior, and not understanding why the behavior happens, or what a kid was thinking or feeling or why they think and feel that way.鈥

He has called for the state to do away with its requirement that only law enforcement can transport people in a mental health crisis.

Siegel, with Disability Rights Florida said, if she had a magic wand and could change the system, it would be to move it from a reactive approach to something more proactive 鈥 catching issues before they become crises.

鈥淚 really think we need to invest more time, more resources and more services into our youth," Siegel said. "They are the future of our country and we need to make sure their needs are met they can go on to be as productive, as independent as they can be."

The state has invested more money into school mental health resources, expanding programs like telemedicine and districts have partnered with providers as well. Still, there are gaps, and children are slipping through them.

It鈥檚 all coming to a head in schools, which have become an intersection between education, health, child welfare, and policing. Mental health professionals, disability rights activists, parents and even schools say something has to change.

Part three of on the Baker Act explores the role schools play in having children committed.

This article was conceived and produced as a project between WFSU News and Health News Florida for the Fund for Journalism on Child Well-Being, a program of the USC Annenberg 鈥檚 2020 National Fellowship.

Copyright 2020 WFSU. To see more, visit .

Martina Faulk, pictured here, at her home discussing the moment her daughter Nadia was Baker Acted
Will Brown / WFSU Public Media
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WFSU Public Media
Martina Faulk, pictured here, at her home discussing the moment her daughter Nadia was Baker Acted
Ann Siegel stands outside the U.S. Supreme Court in Washington, D.C.
Ann Siegel / Used with permission
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Used with permission
Ann Siegel stands outside the U.S. Supreme Court in Washington, D.C.
Michael Shapiro, MD, UF Health Child Psychiatrist, UF Department of Psychiatry
Jesse S. Jones / University of South Florida
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University of South Florida
Michael Shapiro, MD, UF Health Child Psychiatrist, UF Department of Psychiatry

Lynn Hatter has served as reporter/producer for WFSU since 2007 with education and health care issues as her key coverage areas. She is an award-winning member of the Capital Press Corps and has participated in the NPR Kaiser Health News Reporting Partnership and NPR Education Initiative.
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