Do We Put People in Boxes?

This is the second post of a four part series: No Labels…Should Diagnosis Matter at Church? Today, we look at the propensity of  church members to make judgments based upon diagnostic labels and the risks of creating ministry programs for people who fit specific diagnostic categories. 

I’ve seen two practices in the church that cause me to worry about emphasizing clinical diagnoses among those doing ministry with families of kids with disabilities…

Don’t get me wrong…It’s great that there are thousands of churches in the U.S. and beyond launching special needs ministries. Our team at Key Ministry is helping to promote the trend. But something bothers me about some of the ministries we see taking root.

As imperfect people, Christians are all too often quick to judge other people. We make lots of value judgments, including judgments about the causes of the disabilities experienced by kids who come (but are all too often missing) from our churches. We have “good” disabilities and bad disabilities!

Look at the focus of many of our “special needs” ministries…kids with wheelchairs, kids with Down’s Syndrome, kids with cerebral palsy and kids with autism…as long as they have severe challenges with communication and significant intellectual disability. The kids served by our “special needs” ministries are almost exclusively those with disabilities for which there is nearly universal agreement that parents bear no culpability.

Most people “get” what autism is about because of some fabulous public education initiatives. But way too many people think that ADHD is caused by poor discipline at home, anxiety is produced by a lack of faith and that depression persists because the person afflicted doesn’t pray enough. If we get hung up on diagnoses, the value judgments of too many people in our churches becomes an impediment to creating welcoming ministry environments for all kids and families.

The second practice I’m concerned about is the propensity of churches to address the need by starting programs led by people who develop expertise in “special needs” ministry that aren’t fully integrated into the most vital ministries of the church. After all, churches have lots of “silo” ministries…men’s ministries, women’s ministries, singles ministries, children’s ministries, youth ministries, family ministries and sports ministries. It may seem easier to train a team of people to serve kids and families with a defined range of disabilities than to create a culture of inclusion across all ministries that becomes part of a church’s DNA. The challenge is that no two people meeting criteria for a specific disability have the exact same gifts, talents or needs. If you’ve seen one kid with autism, you’ve seen one kid with autism.

I’ve been in psychiatry for 26 years, with a primary focus in child and adolescent psychiatry for 23 years. Figuring out what to do for individual kids and families is getting harder as I get older. I develop an increased appreciation on a daily basis of the complexity of the problems my patients and their families struggle with. The National Institute of Mental Health has a strategic plan focusing on research to make possible personalized medicine in treating people with neuropsychiatric disorders. We need personalized ministry at least as much as we need personalized treatment.

Inclusion ministry is ultimately about sharing the love of Christ with people who were created to be unique. It’s not about putting people into programs…it’s about offering the love of Christ in response to need. Assigning people to diagnostic categories at church doesn’t help us make progress toward that goal.

Addendum: Our friend and colleague Shannon Dingle posted on the topic of how much does a special needs diagnosis matter at church. She expressed what I was thinking as well or better than I did. Check out her post.

Thursday: Communication Breakdown…How Do We Talk to One Another Without Discussing Diagnostic Labels?

About Dr. G

Dr. Stephen Grcevich serves as President and Founder of Key Ministry, a non-profit organization providing free training, consultation, resources and support to help churches serve families of children with disabilities. Dr. Grcevich is a graduate of Northeastern Ohio Medical University (NEOMED), trained in General Psychiatry at the Cleveland Clinic Foundation and in Child and Adolescent Psychiatry at University Hospitals of Cleveland/Case Western Reserve University. He is a faculty member in Child and Adolescent Psychiatry at two medical schools, leads a group practice in suburban Cleveland (Family Center by the Falls), and continues to be involved in research evaluating the safety and effectiveness of medications prescribed to children for ADHD, anxiety and depression. He is a past recipient of the Exemplary Psychiatrist Award from the National Alliance on Mental Illness (NAMI). Dr. Grcevich was recently recognized by Sharecare as one of the top ten online influencers in children’s mental health. His blog for Key Ministry, was ranked fourth among the top 100 children's ministry blogs in 2015 by Ministry to Children.
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1 Response to Do We Put People in Boxes?


    Simply excellent!


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