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Now a trio of economists say they’ve been able to calculate some of these psychological costs.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In a new \u003c/span>\u003ca href=\"https://www.sciencedirect.com/science/article/abs/pii/S0272775723001504?via%3Dihub\">\u003cspan style=\"font-weight: 400\">data analysis published in the February 2024 issue of the Economics of Education Review\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, three economists from the University of Georgia and the Federal Reserve Board found that students are assigned so much homework and signed up for so many extracurricular activities that the “last hour” was no longer helping to build their academic skills. Instead, the activities were actually harming their mental well-being, making students more anxious, depressed or angry. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“We’re not saying that all these activities are bad, but that the total is bad,” said Carolina Caetano, one of the study’s authors and an assistant professor of economics at the University of Georgia. Homework and scheduled activities, she said, were eating away at time for sleep and socializing, which are also important. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The downsides of homework and scheduled activities were most pronounced during the high school years, when students are feeling pressure to earn high grades and load up on extracurriculars for their college applications, the researchers found.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Unfortunately, the researchers weren’t able to put a precise number on how many hours is too much, and Caetano explained to me that the number might not be the same for everyone.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Parents who worry that their children might be overscheduled should ask themselves whether they feel their days are so busy that their children don’t even have time for spontaneous play dates, Caetano said. “If you feel stretched, you’re probably on the too-much side of this,” she said.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Caetano and her research team analyzed the time diaries of 4,300 children and teens, from kindergarten through 12th grade. The diaries had been collected over the years, dating back to 1997, as part of the \u003c/span>\u003ca href=\"https://psidonline.isr.umich.edu/\">\u003cspan style=\"font-weight: 400\">Panel Study of Income Dynamics (PSID)\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, a large nationally representative household survey overseen by the University of Michigan. Children, parents and survey workers kept track of a random weekday and a random weekend day for each child, allowing the researchers to see how children spent every minute.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The researchers described a wide assortment of activities intended to improve children’s skills as “enrichment.” Homework was the largest component, adding up to two thirds of the total enrichment hours. The remainder of the enrichment time was occupied by reading (14% of the enrichment time), followed by before- and after-school programs (7%). In the diaries, relatively little time was spent being read to by parents, tutoring and other academic lessons, and on non-academic lessons, such as piano, soccer lessons or driver’s ed. On average, children spent 45 minutes a day on all of them, ranging from zero to four hours a day.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The researchers then compared time spent on these enrichment activities with academic test scores along with non-cognitive psychological measures, which were based on parent surveys of their children’s behaviors, such as being withdrawn, anxious or angry. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">At first, there seemed to be a strong association between time spent on enrichment and academic skills and positive behaviors. That is, students who were more scheduled also had higher test scores and better behaviors. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But scheduled students also tend to be wealthier. Their families have the resources for tutors, after-school activities, or nannies who enforce homework time. It’s hard to tell how much the activities were responsible for boosting students’ skills or whether these highly resourced children would have done just as well on the tests and non-cognitive measures without the activities. After adjusting for family income and other demographic characteristics, some of these benefits melted away. Still, some association between scheduled activities and academic skills remained. In other words, even between two children with the same demographics and family income, the one that was more scheduled and spent more time on homework scored higher.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">However, these scheduled children of the same income and demographics still differ from each other in important ways. Some are more motivated or conscientious. Some have photographic memories or are hard working. Some have a gift for math or music. The children who choose to do more homework and participate in after-school activities are exactly the ones who are more likely to score higher anyway. It’s a thorny knot to disentangle how much the homework and scheduled activities are driving the improvement in skills.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In this study, the researchers used a new statistical technique for large datasets to disentangle it. And once they adjusted for the effects of the students’ unobservable or inner differences, all the academic benefits melted away, and well-being turned negative. That is, the final or marginal hour of homework and activities didn’t raise a student’s test scores at all and lowered a child’s non-cognitive behaviors.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The researchers also noticed a dilemma in the data. The psychological downsides of overscheduling hit before students’ cognitive skills were maximized. There’s a point where a child could still boost his academic skills by doing another hour of homework or tutoring, for example, but it would come at the expense of mental well-being. With more time spent on these activities, the academic returns eventually fall to zero, but by that time, there’s been a considerable hit to well-being.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">A lot more research is needed to understand if some activities are harming students more than others. One question Caetano has concerns timing. She wonders what would happen if little kids were less scheduled in elementary school. Would they then have more resilience to deal with the time pressures in high school? \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The statistical techniques in this study are new and researchers debate about how and when to use them. Josh Goodman, an education economist at Boston University who was not involved in the study, commented that the causal claims between overscheduling and academic skills and mental well-being aren’t “perfect,” but called them “good enough.” He said on X (formerly Twitter) that “the paper raises some very uncomfortable questions (including about my own parenting decisions!)” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Of course, parents aren’t entirely to blame. Schools assign the homework and their children’s grades will suffer if it isn’t done. College admissions departments value applicants with high grades and activities. Caetano sympathizes with parents who find it hard to individually push back against the current system. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">It’s similarly difficult for one school to unilaterally change homework policies when colleges could penalize their students. Indeed, schools that have tried reducing the pressure have sometimes felt the wrath of parents who are worried that less homework will cause their children to fall behind the competition. Ultimately, Caetano says that education policymakers on the state or federal level need to set policies to ratchet down the pressure for all.\u003c/span>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This story about \u003c/span>\u003c/i>\u003ca href=\"https://hechingerreport.org/proof-points-overscheduling-kids-lives-causes-depression-and-anxiety-study-finds/\">\u003ci>\u003cspan style=\"font-weight: 400\">extracurricular activities\u003c/span>\u003c/i>\u003c/a>\u003ci>\u003cspan style=\"font-weight: 400\"> was written by Jill Barshay and produced by \u003c/span>\u003c/i>\u003cspan style=\"font-weight: 400\">The Hechinger Report\u003c/span>\u003ci>\u003cspan style=\"font-weight: 400\">, a nonprofit, independent news organization focused on inequality and innovation in education. Sign up for the \u003c/span>\u003c/i>\u003ca href=\"https://hechingerreport.org/proofpoints/\">\u003ci>\u003cspan style=\"font-weight: 400\">Proof Points newsletter\u003c/span>\u003c/i>\u003c/a>\u003ci>\u003cspan style=\"font-weight: 400\">.\u003c/span>\u003c/i>\u003c/p>\n\n","blocks":[],"excerpt":"Economists calculated the costs and benefits of homework and extracurriculars. They found troubling mental health costs.","status":"publish","parent":0,"modified":1706900711,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":1247},"headData":{"title":"Overscheduling kids’ lives causes depression and anxiety, study finds | KQED","description":"Economists calculated the costs and benefits of homework and extracurriculars. They found troubling mental health costs.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","socialDescription":"Economists calculated the costs and benefits of homework and extracurriculars. They found troubling mental health costs.","schema":{"@context":"http://schema.org","@type":"Article","headline":"Overscheduling kids’ lives causes depression and anxiety, study finds","datePublished":"2024-02-05T11:00:37.000Z","dateModified":"2024-02-02T19:05:11.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"sticky":false,"nprByline":"Jill Barshay, \u003ca href=\"https://hechingerreport.org/\" target=\"_blank\">The Hechinger Report\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/mindshift/63052/overscheduling-kids-lives-causes-depression-and-anxiety-study-finds","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">Psychologists have long warned that children’s lives are overscheduled, which undermines their ability to develop non-academic skills that they’ll need in adulthood, from coping with setbacks to building strong relationships. Now a trio of economists say they’ve been able to calculate some of these psychological costs.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In a new \u003c/span>\u003ca href=\"https://www.sciencedirect.com/science/article/abs/pii/S0272775723001504?via%3Dihub\">\u003cspan style=\"font-weight: 400\">data analysis published in the February 2024 issue of the Economics of Education Review\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, three economists from the University of Georgia and the Federal Reserve Board found that students are assigned so much homework and signed up for so many extracurricular activities that the “last hour” was no longer helping to build their academic skills. Instead, the activities were actually harming their mental well-being, making students more anxious, depressed or angry. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“We’re not saying that all these activities are bad, but that the total is bad,” said Carolina Caetano, one of the study’s authors and an assistant professor of economics at the University of Georgia. Homework and scheduled activities, she said, were eating away at time for sleep and socializing, which are also important. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The downsides of homework and scheduled activities were most pronounced during the high school years, when students are feeling pressure to earn high grades and load up on extracurriculars for their college applications, the researchers found.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Unfortunately, the researchers weren’t able to put a precise number on how many hours is too much, and Caetano explained to me that the number might not be the same for everyone.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Parents who worry that their children might be overscheduled should ask themselves whether they feel their days are so busy that their children don’t even have time for spontaneous play dates, Caetano said. “If you feel stretched, you’re probably on the too-much side of this,” she said.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Caetano and her research team analyzed the time diaries of 4,300 children and teens, from kindergarten through 12th grade. The diaries had been collected over the years, dating back to 1997, as part of the \u003c/span>\u003ca href=\"https://psidonline.isr.umich.edu/\">\u003cspan style=\"font-weight: 400\">Panel Study of Income Dynamics (PSID)\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, a large nationally representative household survey overseen by the University of Michigan. Children, parents and survey workers kept track of a random weekday and a random weekend day for each child, allowing the researchers to see how children spent every minute.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The researchers described a wide assortment of activities intended to improve children’s skills as “enrichment.” Homework was the largest component, adding up to two thirds of the total enrichment hours. The remainder of the enrichment time was occupied by reading (14% of the enrichment time), followed by before- and after-school programs (7%). In the diaries, relatively little time was spent being read to by parents, tutoring and other academic lessons, and on non-academic lessons, such as piano, soccer lessons or driver’s ed. On average, children spent 45 minutes a day on all of them, ranging from zero to four hours a day.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The researchers then compared time spent on these enrichment activities with academic test scores along with non-cognitive psychological measures, which were based on parent surveys of their children’s behaviors, such as being withdrawn, anxious or angry. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">At first, there seemed to be a strong association between time spent on enrichment and academic skills and positive behaviors. That is, students who were more scheduled also had higher test scores and better behaviors. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But scheduled students also tend to be wealthier. Their families have the resources for tutors, after-school activities, or nannies who enforce homework time. It’s hard to tell how much the activities were responsible for boosting students’ skills or whether these highly resourced children would have done just as well on the tests and non-cognitive measures without the activities. After adjusting for family income and other demographic characteristics, some of these benefits melted away. Still, some association between scheduled activities and academic skills remained. In other words, even between two children with the same demographics and family income, the one that was more scheduled and spent more time on homework scored higher.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">However, these scheduled children of the same income and demographics still differ from each other in important ways. Some are more motivated or conscientious. Some have photographic memories or are hard working. Some have a gift for math or music. The children who choose to do more homework and participate in after-school activities are exactly the ones who are more likely to score higher anyway. It’s a thorny knot to disentangle how much the homework and scheduled activities are driving the improvement in skills.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In this study, the researchers used a new statistical technique for large datasets to disentangle it. And once they adjusted for the effects of the students’ unobservable or inner differences, all the academic benefits melted away, and well-being turned negative. That is, the final or marginal hour of homework and activities didn’t raise a student’s test scores at all and lowered a child’s non-cognitive behaviors.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The researchers also noticed a dilemma in the data. The psychological downsides of overscheduling hit before students’ cognitive skills were maximized. There’s a point where a child could still boost his academic skills by doing another hour of homework or tutoring, for example, but it would come at the expense of mental well-being. With more time spent on these activities, the academic returns eventually fall to zero, but by that time, there’s been a considerable hit to well-being.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">A lot more research is needed to understand if some activities are harming students more than others. One question Caetano has concerns timing. She wonders what would happen if little kids were less scheduled in elementary school. Would they then have more resilience to deal with the time pressures in high school? \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The statistical techniques in this study are new and researchers debate about how and when to use them. Josh Goodman, an education economist at Boston University who was not involved in the study, commented that the causal claims between overscheduling and academic skills and mental well-being aren’t “perfect,” but called them “good enough.” He said on X (formerly Twitter) that “the paper raises some very uncomfortable questions (including about my own parenting decisions!)” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Of course, parents aren’t entirely to blame. Schools assign the homework and their children’s grades will suffer if it isn’t done. College admissions departments value applicants with high grades and activities. Caetano sympathizes with parents who find it hard to individually push back against the current system. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">It’s similarly difficult for one school to unilaterally change homework policies when colleges could penalize their students. Indeed, schools that have tried reducing the pressure have sometimes felt the wrath of parents who are worried that less homework will cause their children to fall behind the competition. Ultimately, Caetano says that education policymakers on the state or federal level need to set policies to ratchet down the pressure for all.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This story about \u003c/span>\u003c/i>\u003ca href=\"https://hechingerreport.org/proof-points-overscheduling-kids-lives-causes-depression-and-anxiety-study-finds/\">\u003ci>\u003cspan style=\"font-weight: 400\">extracurricular activities\u003c/span>\u003c/i>\u003c/a>\u003ci>\u003cspan style=\"font-weight: 400\"> was written by Jill Barshay and produced by \u003c/span>\u003c/i>\u003cspan style=\"font-weight: 400\">The Hechinger Report\u003c/span>\u003ci>\u003cspan style=\"font-weight: 400\">, a nonprofit, independent news organization focused on inequality and innovation in education. Sign up for the \u003c/span>\u003c/i>\u003ca href=\"https://hechingerreport.org/proofpoints/\">\u003ci>\u003cspan style=\"font-weight: 400\">Proof Points newsletter\u003c/span>\u003c/i>\u003c/a>\u003ci>\u003cspan style=\"font-weight: 400\">.\u003c/span>\u003c/i>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/mindshift/63052/overscheduling-kids-lives-causes-depression-and-anxiety-study-finds","authors":["byline_mindshift_63052"],"categories":["mindshift_21504","mindshift_21280","mindshift_21385","mindshift_20874"],"tags":["mindshift_20589","mindshift_21612","mindshift_21070","mindshift_21100","mindshift_563","mindshift_20865","mindshift_20870","mindshift_290"],"featImg":"mindshift_63054","label":"mindshift"},"mindshift_61888":{"type":"posts","id":"mindshift_61888","meta":{"index":"posts_1591205157","site":"mindshift","id":"61888","score":null,"sort":[1687744821000]},"guestAuthors":[],"slug":"4-parenting-priorities-to-prevent-mental-health-summer-slide","title":"4 parenting priorities to prevent mental health 'summer slide'","publishDate":1687744821,"format":"standard","headTitle":"4 parenting priorities to prevent mental health ‘summer slide’ | KQED","labelTerm":{"site":"mindshift"},"content":"\u003cp>\u003cspan style=\"font-weight: 400\">With school on break, along with all the homework, tests and \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/59625/three-reasons-teens-need-later-school-start-times\">\u003cspan style=\"font-weight: 400\">early start times\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> that come with it, parents often assume that young people’s stress and \u003ca href=\"https://www.kqed.org/mindshift/61186/what-parents-need-to-know-about-their-teens-mental-health\">anxiety\u003c/a> will take a pause as well. However, that’s not always the case, especially as the novelty of summer dwindles. \u003c/span>\u003cspan style=\"font-weight: 400\">Without the daily structure of school and extracurricular activities, kids may struggle with boredom or restlessness. “Summer for many of us can feel like this nebulous thing because it is just this endless free time. Additionally, the pressure to make the most of the summer break and fear of missing out on experiences can contribute to feelings of anxiety. That ambiguity spikes a lot of fear and concern,” said Miriam Stevenson, who is an executive director at \u003c/span>\u003ca href=\"https://www.caresolace.org/\">\u003cspan style=\"font-weight: 400\">Care Solace\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, a company that helps schools connect families with mental health services. \u003c/span>\u003cspan style=\"font-weight: 400\">Previously she worked as the director of student services for health and wellness in the Palo Alto Unified School District.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Stevenson said that while Care Solace receives fewer summertime referrals, it’s not because there is less need. It’s because students aren’t at school with extra adult eyes and ears to check in on them. “There’s one less node in our safety net,” she said. When schools succeed at creating \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/61775/how-important-was-your-favorite-teacher-to-your-success-researchers-have-done-the-math\">\u003cspan style=\"font-weight: 400\">a sense of belonging\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, they can be a comforting routine for students or a safe place where they feel socially connected. Stevenson offered advice for \u003ca href=\"https://www.kqed.org/mindshift/61186/what-parents-need-to-know-about-their-teens-mental-health\">parents looking to support their kids’ mental health\u003c/a> over the summer and equip them with the tools to embrace joy, conquer challenges and flourish.\u003c/span>\u003c/p>\n\u003ch2>\u003cb>More free time doesn’t have to mean more screen time\u003c/b>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">With more free time on their hands, it’s easy for kids to get sucked into endless hours of \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/59094/does-my-kid-have-a-tech-addiction\">\u003cspan style=\"font-weight: 400\">screen usage\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, especially because kids are also using their devices to connect with friends that they’re no longer seeing at school everyday. An advisory from the U.S. Surgeon General \u003ca href=\"https://ojjdp.ojp.gov/news/juvjust/us-surgeon-general-issues-advisory-social-media-and-youth-mental-health\">recently warned\u003c/a> that “frequent social media use can contribute to poor mental health.” One study cited in the \u003ca href=\"https://www.hhs.gov/sites/default/files/sg-youth-mental-health-social-media-advisory.pdf\">advisory \u003c/a>\u003c/span>\u003cspan style=\"font-weight: 400\">found that adolescents who spent over three hours per day on social media were twice as likely to have \u003ca href=\"https://www.kqed.org/mindshift/60788/3-reasons-why-seattle-schools-are-suing-big-tech-over-a-youth-mental-health-crisis\">negative mental health outcomes\u003c/a>, such as depression and anxiety symptoms. “Not all young people are good at setting their own boundaries and they might need you to be the bad guy,” said Stevenson.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The first thing parents can do to limit screen time is to \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/60436/when-parents-practice-good-screen-habits-it-rubs-off-on-the-whole-family\">\u003cspan style=\"font-weight: 400\">lead by example with their own devices\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. “They’re going to do what we do, not what we tell them to do,” added Stevenson. By modeling moderation and offering alternatives that get kids moving and exploring, parents can make a well-rounded summer seem more attainable. Summer is an opportunity to be present with one another as a family, said Stevenson. “Have technology-free times together or meals together — moments where there isn’t a screen that’s interfering with your ability to connect,” she suggested. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Additionally, parents can give their children a screen time budget. “They get to decide how they want to use the amount of screen time that they have,” said Stevenson. “That gives them some autonomy and choice.”\u003c/span>\u003c/p>\n\u003ch2>\u003cb>The power of a summer schedule\u003c/b>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">Maintaining a routine during the summer can be a powerful tool for supporting children’s mental health, and parents can play a crucial role in establishing and reinforcing this structure. Stevenson encouraged parents to proactively determine a schedule with kids, including \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/60543/what-parents-need-to-monitor-about-teens-sleep-beyond-the-hour-count\">\u003cspan style=\"font-weight: 400\">bedtimes and wake-up times\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. “There’s great freedom in the summer to allow us to go to our natural circadian rhythms. And unfortunately, as lovely as that might be, it’s going to make waking up early harder when they come back [to school],” said Stevenson. \u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/sleep/about_sleep/sleep_hygiene.html\">\u003cspan style=\"font-weight: 400\">Consistent sleep patterns\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> can improve sleep health, which is closely \u003c/span>\u003ca href=\"https://publications.aap.org/aapnews/news/13792?autologincheck=redirected\">\u003cspan style=\"font-weight: 400\">linked to children’s mental health and wellbeing\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. “If you don’t have morning routines or evening routines as a family, the summer is a good time to experiment,” Stevenson said. Creating a daily schedule that includes dedicated time for physical activity, reading, hobbies and socializing can provide a sense of stability and purpose.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Just because school’s out doesn’t mean learning stops. In fact, it’s the best time to learn because you have the sole choice over what you get to be curious, pursue or inquire about,” she added. Outside of the hustle and bustle of the school year, parents can encourage kids to think about how they’re contributing to their community, which can look like setting the table each night, visiting older relatives or volunteering locally. \u003c/span>\u003c/p>\n\u003ch2>\u003cb>Open communication can help parents recognize warning signs\u003c/b>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">It can be difficult to identify signs that a kid is struggling with mental health, especially if they are older. Although resources with lists of warning signs exist, they can often read like teenagers being teenagers, Stevenson said. “They’re emotional. They’re volatile. They’re withdrawn. They like to sleep all day.” Instead of scrutinizing every potential symptom, Stevenson suggested parents keep an eye on significant changes in behavior, mood, eating and sleep habits. “Trust that you know your kid,” she said. “You know what their baseline is.” Additionally, parents can establish a daily check-in with their child, such as a text asking how they’re doing or a designated time in the evening to share highs and lows from the day.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">If parents notice warning signs of poor mental health, \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/61186/what-parents-need-to-know-about-their-teens-mental-health\">\u003cspan style=\"font-weight: 400\">open and honest communication\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> is vital. Engaging in supportive conversations with their child, expressing concern and actively listening without judgment can create a safe space for them to share their feelings. “Listen and stay in that moment and just let them express themselves. Show them that you can hold very difficult feelings,” said Stevenson. If parents feel out of their depth, they can seek professional help from a pediatrician, therapist or counselor. “Summer can present a lot of great opportunities for intensive mental health support or starting with a therapist,” she added.\u003c/span>\u003c/p>\n\u003ch2>\u003cb>Knowledge is power when it comes to school-year fear\u003c/b>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">At the beginning of the summer, going back to school may be the farthest thing from kids’ minds. But as the school start date gets closer, parents might start to see anxiety levels rise, said Stevenson. “Anytime you’re going to have \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/58462/how-to-help-anxious-students-re-adjust-to-social-settings\">\u003cspan style=\"font-weight: 400\">a transition or there’s an unknown\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, there’s going to be an increase in worry. And if you’re already predisposed or struggling with anxiety, it’s going to exacerbate the challenges that you’re facing,” she said.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Parents can work with kids to find out as much information about the next school year as possible in order to dispel any fear of the future. This is especially helpful when kids are starting at a new school either because of a grade change or a recent move. Parents may encourage students to visit school and see where their classes will be or talk to their friends to see if they will be in the same classes. “As much information as they can have about what their day is going to look like and who they’re going to be with is really helpful,” said Stevenson. Additionally, parents can identify any orientation programs that the school may provide.\u003c/span>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Kids’ mental health needs persist past the end of the school year and through the summer. Embracing this opportunity to reset and focus on mental well-being can set the stage for a fulfilling summer experience and confident start to the new school year.\u003c/span>\u003c/p>\n\n","blocks":[],"excerpt":"While many kids look forward to summer break, it can also be a time when signs of anxiety and depression go unnoticed. Screen time limits and open communication can help.","status":"publish","parent":0,"modified":1687663688,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":1327},"headData":{"title":"4 parenting priorities to prevent mental health 'summer slide' | KQED","description":"While many kids look forward to summer break, it can also be a time when signs of emotional distress go unnoticed. Screen time limits and open communication can help.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","socialDescription":"While many kids look forward to summer break, it can also be a time when signs of emotional distress go unnoticed. Screen time limits and open communication can help.","schema":{"@context":"http://schema.org","@type":"Article","headline":"4 parenting priorities to prevent mental health 'summer slide'","datePublished":"2023-06-26T02:00:21.000Z","dateModified":"2023-06-25T03:28:08.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"excludeFromSiteSearch":"Include","articleAge":"0","path":"/mindshift/61888/4-parenting-priorities-to-prevent-mental-health-summer-slide","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">With school on break, along with all the homework, tests and \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/59625/three-reasons-teens-need-later-school-start-times\">\u003cspan style=\"font-weight: 400\">early start times\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> that come with it, parents often assume that young people’s stress and \u003ca href=\"https://www.kqed.org/mindshift/61186/what-parents-need-to-know-about-their-teens-mental-health\">anxiety\u003c/a> will take a pause as well. However, that’s not always the case, especially as the novelty of summer dwindles. \u003c/span>\u003cspan style=\"font-weight: 400\">Without the daily structure of school and extracurricular activities, kids may struggle with boredom or restlessness. “Summer for many of us can feel like this nebulous thing because it is just this endless free time. Additionally, the pressure to make the most of the summer break and fear of missing out on experiences can contribute to feelings of anxiety. That ambiguity spikes a lot of fear and concern,” said Miriam Stevenson, who is an executive director at \u003c/span>\u003ca href=\"https://www.caresolace.org/\">\u003cspan style=\"font-weight: 400\">Care Solace\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, a company that helps schools connect families with mental health services. \u003c/span>\u003cspan style=\"font-weight: 400\">Previously she worked as the director of student services for health and wellness in the Palo Alto Unified School District.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Stevenson said that while Care Solace receives fewer summertime referrals, it’s not because there is less need. It’s because students aren’t at school with extra adult eyes and ears to check in on them. “There’s one less node in our safety net,” she said. When schools succeed at creating \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/61775/how-important-was-your-favorite-teacher-to-your-success-researchers-have-done-the-math\">\u003cspan style=\"font-weight: 400\">a sense of belonging\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, they can be a comforting routine for students or a safe place where they feel socially connected. Stevenson offered advice for \u003ca href=\"https://www.kqed.org/mindshift/61186/what-parents-need-to-know-about-their-teens-mental-health\">parents looking to support their kids’ mental health\u003c/a> over the summer and equip them with the tools to embrace joy, conquer challenges and flourish.\u003c/span>\u003c/p>\n\u003ch2>\u003cb>More free time doesn’t have to mean more screen time\u003c/b>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">With more free time on their hands, it’s easy for kids to get sucked into endless hours of \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/59094/does-my-kid-have-a-tech-addiction\">\u003cspan style=\"font-weight: 400\">screen usage\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, especially because kids are also using their devices to connect with friends that they’re no longer seeing at school everyday. An advisory from the U.S. Surgeon General \u003ca href=\"https://ojjdp.ojp.gov/news/juvjust/us-surgeon-general-issues-advisory-social-media-and-youth-mental-health\">recently warned\u003c/a> that “frequent social media use can contribute to poor mental health.” One study cited in the \u003ca href=\"https://www.hhs.gov/sites/default/files/sg-youth-mental-health-social-media-advisory.pdf\">advisory \u003c/a>\u003c/span>\u003cspan style=\"font-weight: 400\">found that adolescents who spent over three hours per day on social media were twice as likely to have \u003ca href=\"https://www.kqed.org/mindshift/60788/3-reasons-why-seattle-schools-are-suing-big-tech-over-a-youth-mental-health-crisis\">negative mental health outcomes\u003c/a>, such as depression and anxiety symptoms. “Not all young people are good at setting their own boundaries and they might need you to be the bad guy,” said Stevenson.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The first thing parents can do to limit screen time is to \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/60436/when-parents-practice-good-screen-habits-it-rubs-off-on-the-whole-family\">\u003cspan style=\"font-weight: 400\">lead by example with their own devices\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. “They’re going to do what we do, not what we tell them to do,” added Stevenson. By modeling moderation and offering alternatives that get kids moving and exploring, parents can make a well-rounded summer seem more attainable. Summer is an opportunity to be present with one another as a family, said Stevenson. “Have technology-free times together or meals together — moments where there isn’t a screen that’s interfering with your ability to connect,” she suggested. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Additionally, parents can give their children a screen time budget. “They get to decide how they want to use the amount of screen time that they have,” said Stevenson. “That gives them some autonomy and choice.”\u003c/span>\u003c/p>\n\u003ch2>\u003cb>The power of a summer schedule\u003c/b>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">Maintaining a routine during the summer can be a powerful tool for supporting children’s mental health, and parents can play a crucial role in establishing and reinforcing this structure. Stevenson encouraged parents to proactively determine a schedule with kids, including \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/60543/what-parents-need-to-monitor-about-teens-sleep-beyond-the-hour-count\">\u003cspan style=\"font-weight: 400\">bedtimes and wake-up times\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. “There’s great freedom in the summer to allow us to go to our natural circadian rhythms. And unfortunately, as lovely as that might be, it’s going to make waking up early harder when they come back [to school],” said Stevenson. \u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/sleep/about_sleep/sleep_hygiene.html\">\u003cspan style=\"font-weight: 400\">Consistent sleep patterns\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> can improve sleep health, which is closely \u003c/span>\u003ca href=\"https://publications.aap.org/aapnews/news/13792?autologincheck=redirected\">\u003cspan style=\"font-weight: 400\">linked to children’s mental health and wellbeing\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. “If you don’t have morning routines or evening routines as a family, the summer is a good time to experiment,” Stevenson said. Creating a daily schedule that includes dedicated time for physical activity, reading, hobbies and socializing can provide a sense of stability and purpose.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Just because school’s out doesn’t mean learning stops. In fact, it’s the best time to learn because you have the sole choice over what you get to be curious, pursue or inquire about,” she added. Outside of the hustle and bustle of the school year, parents can encourage kids to think about how they’re contributing to their community, which can look like setting the table each night, visiting older relatives or volunteering locally. \u003c/span>\u003c/p>\n\u003ch2>\u003cb>Open communication can help parents recognize warning signs\u003c/b>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">It can be difficult to identify signs that a kid is struggling with mental health, especially if they are older. Although resources with lists of warning signs exist, they can often read like teenagers being teenagers, Stevenson said. “They’re emotional. They’re volatile. They’re withdrawn. They like to sleep all day.” Instead of scrutinizing every potential symptom, Stevenson suggested parents keep an eye on significant changes in behavior, mood, eating and sleep habits. “Trust that you know your kid,” she said. “You know what their baseline is.” Additionally, parents can establish a daily check-in with their child, such as a text asking how they’re doing or a designated time in the evening to share highs and lows from the day.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">If parents notice warning signs of poor mental health, \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/61186/what-parents-need-to-know-about-their-teens-mental-health\">\u003cspan style=\"font-weight: 400\">open and honest communication\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> is vital. Engaging in supportive conversations with their child, expressing concern and actively listening without judgment can create a safe space for them to share their feelings. “Listen and stay in that moment and just let them express themselves. Show them that you can hold very difficult feelings,” said Stevenson. If parents feel out of their depth, they can seek professional help from a pediatrician, therapist or counselor. “Summer can present a lot of great opportunities for intensive mental health support or starting with a therapist,” she added.\u003c/span>\u003c/p>\n\u003ch2>\u003cb>Knowledge is power when it comes to school-year fear\u003c/b>\u003c/h2>\n\u003cp>\u003cspan style=\"font-weight: 400\">At the beginning of the summer, going back to school may be the farthest thing from kids’ minds. But as the school start date gets closer, parents might start to see anxiety levels rise, said Stevenson. “Anytime you’re going to have \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/58462/how-to-help-anxious-students-re-adjust-to-social-settings\">\u003cspan style=\"font-weight: 400\">a transition or there’s an unknown\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, there’s going to be an increase in worry. And if you’re already predisposed or struggling with anxiety, it’s going to exacerbate the challenges that you’re facing,” she said.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Parents can work with kids to find out as much information about the next school year as possible in order to dispel any fear of the future. This is especially helpful when kids are starting at a new school either because of a grade change or a recent move. Parents may encourage students to visit school and see where their classes will be or talk to their friends to see if they will be in the same classes. “As much information as they can have about what their day is going to look like and who they’re going to be with is really helpful,” said Stevenson. Additionally, parents can identify any orientation programs that the school may provide.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Kids’ mental health needs persist past the end of the school year and through the summer. Embracing this opportunity to reset and focus on mental well-being can set the stage for a fulfilling summer experience and confident start to the new school year.\u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/mindshift/61888/4-parenting-priorities-to-prevent-mental-health-summer-slide","authors":["11721"],"categories":["mindshift_21445","mindshift_20729","mindshift_21280","mindshift_21385","mindshift_20697"],"tags":["mindshift_21093","mindshift_20811","mindshift_20589","mindshift_21070","mindshift_21100","mindshift_20865","mindshift_20568","mindshift_290","mindshift_20816","mindshift_634","mindshift_21083","mindshift_514","mindshift_21159","mindshift_1038"],"featImg":"mindshift_61890","label":"mindshift"},"mindshift_61186":{"type":"posts","id":"mindshift_61186","meta":{"index":"posts_1591205157","site":"mindshift","id":"61186","score":null,"sort":[1678273222000]},"guestAuthors":[],"slug":"what-parents-need-to-know-about-their-teens-mental-health","title":"What parents need to know about their teens’ mental health","publishDate":1678273222,"format":"standard","headTitle":"What parents need to know about their teens’ mental health | KQED","labelTerm":{"site":"mindshift"},"content":"\u003cp>\u003cspan style=\"font-weight: 400\">Years ago, when I was still coaching high school cross country, a teenage girl skipped up to me after practice with a warning: Don’t count on her to race all the time. If her nerves got too intense before races, she might have to bow out in advance. “I have anxiety!” she explained with a nervous grin.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"alignright wp-image-61195 size-thumbnail\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2023/03/EMOTIONAL-LIVES-OF-TEENAGERS-Cover-flat-160x242.jpg\" alt=\"\" width=\"160\" height=\"242\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2023/03/EMOTIONAL-LIVES-OF-TEENAGERS-Cover-flat-160x242.jpg 160w, https://ww2.kqed.org/app/uploads/sites/23/2023/03/EMOTIONAL-LIVES-OF-TEENAGERS-Cover-flat.jpg 298w\" sizes=\"(max-width: 160px) 100vw, 160px\">I recalled this episode while reading psychologist and author \u003ca href=\"https://drlisadamour.com/bio/\" target=\"_blank\" rel=\"noopener\">Lisa Damour’s\u003c/a> refreshing new book, \u003ca href=\"https://drlisadamour.com/books/the-emotional-lives-of-teenagers/\" target=\"_blank\" rel=\"noopener\">“The Emotional Lives of Teenagers: Raising Connected, Capable, and Compassionate Adolescents.”\u003c/a> Damour’s voice is forceful but comforting, and she uses it here to drive home her central point: Achieving mental health does not mean a life without unhappiness, anguish, anger, worry or self-doubt. Rather, these painful emotional states are an unavoidable feature of being human, especially for young people buzzing with hormones and adjusting to operatic moods prompted by recent rewiring of their brains. To best help their developing teenagers, parents should work to build their self-esteem and then guide them in learning how to express and manage these feelings. \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_61194\" class=\"wp-caption alignright\" style=\"max-width: 160px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-61194 size-thumbnail\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2023/03/DAMOUR-Headshot-Small-File-by-Downie-Photo-scaled-e1678251227174-160x160.jpg\" alt=\"\" width=\"160\" height=\"160\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2023/03/DAMOUR-Headshot-Small-File-by-Downie-Photo-scaled-e1678251227174-160x160.jpg 160w, https://ww2.kqed.org/app/uploads/sites/23/2023/03/DAMOUR-Headshot-Small-File-by-Downie-Photo-scaled-e1678251227174-800x800.jpg 800w, https://ww2.kqed.org/app/uploads/sites/23/2023/03/DAMOUR-Headshot-Small-File-by-Downie-Photo-scaled-e1678251227174-1020x1020.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/23/2023/03/DAMOUR-Headshot-Small-File-by-Downie-Photo-scaled-e1678251227174-768x768.jpg 768w, https://ww2.kqed.org/app/uploads/sites/23/2023/03/DAMOUR-Headshot-Small-File-by-Downie-Photo-scaled-e1678251227174-1536x1536.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/23/2023/03/DAMOUR-Headshot-Small-File-by-Downie-Photo-scaled-e1678251227174.jpg 1708w\" sizes=\"(max-width: 160px) 100vw, 160px\">\u003cfigcaption class=\"wp-caption-text\">Lisa Damour \u003ccite>(Downie Photo/Courtesy of Lisa Damour)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">Damour explains how we got to the point of considering unhappiness an aberration from some imaginary blissful norm. To start, advances in antidepressant medications made them safer and more attractive to the masses; she earnestly acknowledges that psychotropic medications improve and sometimes save lives. But prescriptions for Prozac and its medicinal brethren are as ubiquitous today as those for hypertension and cholesterol, making ordinary disappointment seem like a problem in need of a chemical solution. The mental wellness industry, too, \u003ca href=\"https://globalwellnessinstitute.org/industry-research/the-global-wellness-economy-looking-beyond-covid/\" target=\"_blank\" rel=\"noopener\">worth about $131 billion globally\u003c/a>, sells the idea that feeling rotten is avoidable (if you purchase just the right eucalyptus oil or bath bomb). Finally, because \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/61031/teen-girls-and-lgbtq-youth-plagued-by-violence-and-trauma-survey-says\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">adolescents are in fact gloomier today than they were just ten years ago\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, it’s harder for parents and kids to figure out what distinguishes a legitimate mental health crisis from everyday emotional discomfort.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">On this last point, Damour shares the findings of social psychologist Jonathan Haidt and psychology professor Jean Twenge who are \u003c/span>\u003ca href=\"https://docs.google.com/document/d/1diMvsMeRphUH7E6D1d_J7R6WbDdgnzFHDHPx9HXzR5o/edit\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">sounding the alarm about youth mental health\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">: Just before the start of the COVID-19 pandemic, 44 percent of teenagers reported experiencing anxiety, up from 34 percent about ten years ago; 37 percent felt “persistently sad or hopeless”; 16 percent of teenagers said that they’d developed a suicide plan. Those self-reported findings were matched by increases in hospitalizations for self-harm and a surge in the number of completed suicides, mostly since 2012. New \u003c/span>\u003ca href=\"https://www.cdc.gov/healthyyouth/data/yrbs/yrbs_data_summary_and_trends.htm\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">findings\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> released by the CDC in February revealed that \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/61031/teen-girls-and-lgbtq-youth-plagued-by-violence-and-trauma-survey-says\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">girls and LGBTQ+ youth especially are floundering\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. Whether from what Haidt calls the rise in “\u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/61026/10-things-to-know-about-how-social-media-affects-teens-brains\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">phone-based childhoods\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">,” creeping \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/60498/what-parents-should-know-about-eco-anxiety-and-its-impact-on-todays-teens\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">existential despair\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, or the effect of \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/60624/young-adults-are-struggling-with-their-mental-health-is-more-childhood-independence-the-answer\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">too little free and unstructured time\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> — and likely some combination of all these and more — adolescents are struggling today in ways that they weren’t just a decade ago. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">What’s a conscientious parent to do? “One of the most important things we can do for teenagers is help them distinguish between emotions that are uncomfortable (and) emotions that are unmanageable,” Damour told me. \u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Mothers and fathers should help their young children build authentic self-esteem by celebrating kids’ actions and avoiding effusive praise. Encourage girls and boys to be of service to others, not only to interrupt their solipsistic mindset, but also to reinforce their ability to make a difference. Next, urge them to develop an interest that’s unrelated to school or college applications, like cooking or knitting. Indulging an intrinsic interest is protective of kids’ feelings of self-worth. Finally, get going on these pursuits before a child reaches middle school, when even the healthiest child might falter. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The best thing parents can do after this is help their children learn both to express and regulate their emotions. Articulating painful feelings robs the feelings of their power, and learning how to manage them restores kids’ self-control.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">To encourage open expression, \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400\">listen\u003c/span>\u003c/i>\u003cspan style=\"font-weight: 400\">, Damour advises. Be curious about your child’s state of mind. Ask your child to be as verbally precise as possible. Then, repeat back what your child says in her moment of sorrow or fear to demonstrate that you genuinely understand. Once they’ve expressed their heartache, try capturing their hurt in a one-sentence summary — like the editor who creates a headline for a story — and show empathy in return. “Listening attentively and then offering empathy shows them that they are doing exactly the right thing when they seek relief by finding a loving listener (that would be us!) and sharing what’s on their mind,” Damour writes. Above all, defy the temptation to jump in with creative solutions, as irresistible as that may seem.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">For the teenager who resists face-to-face conversations, try other ways of inviting communication. Some children will respond to gentle text messages from parents. Others will be more talkative if they’re strapped into the back seat of the car, spared the awkwardness of direct eye contact. And if parents want their teenagers to talk, they might have to be around more often so that it can happen \u003c/span>\u003ca href=\"https://www.washingtonpost.com/parenting/2023/02/21/teen-talks-night-parents/\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">when the kids are conversational\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. Though they can be mercurial and ornery, teenagers typically like their parents and feel safer when they know where the grown-ups are. Another way to invite emotional expression: Own up to your own mistakes. For example, if you’ve gossiped to a friend about something personal your child has shared with you, and he learns of it, correct your blunder the right way: Apologize for violating his confidence, explain why you did, take responsibility, vow never to blab again, offer to make amends and ask for forgiveness. Because emotional expression is so essential to adolescents’ (and adults’) well-being, parents need to safeguard their kids’ trust. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">After they’ve exhausted their efforts to spur expression, parents can help children learn to self-regulate. Suggest a distraction to interrupt unpleasant rumination. Offer them small comforts tailored to their preferences. \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/60543/what-parents-need-to-monitor-about-teens-sleep-beyond-the-hour-count\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">Check in on their sleep habits\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> and help them reclaim the eight to ten hours they need. When offering advice, tread lightly: Ask if it’s wanted and approach solutions jointly. \u003c/span>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Some children experiencing protracted and irrational sadness and worry need more than a parent or guardian can provide. “I have so much empathy for parents who are trying to figure out if a meltdown is a sign of typical and expectable stress or a sign of a mental health concern,” Damour said. Adults would be wise to seek professional help if their adolescent’s feelings “don’t add up,” or they can’t manage them constructively, or they resort to risky coping strategies. But remember that zig-zagging, capacious feelings are not something to be avoided or feared. “Distress is part of life, and it certainly comes with the territory for teenagers,” she said.\u003c/span>\u003c/p>\n\n","blocks":[],"excerpt":"As teens face a worsening mental health crisis, psychologist Lisa Damour advises parents on how to help young people learn to express and regulate emotions.","status":"publish","parent":0,"modified":1682274038,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":1199},"headData":{"title":"What parents need to know about their teens’ mental health | KQED","description":"As teens face a worsening mental health crisis, psychologist Lisa Damour advises parents on how to help young people learn to express and regulate emotions.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"What parents need to know about their teens’ mental health","datePublished":"2023-03-08T11:00:22.000Z","dateModified":"2023-04-23T18:20:38.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"excludeFromSiteSearch":"Include","articleAge":"0","path":"/mindshift/61186/what-parents-need-to-know-about-their-teens-mental-health","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">Years ago, when I was still coaching high school cross country, a teenage girl skipped up to me after practice with a warning: Don’t count on her to race all the time. If her nerves got too intense before races, she might have to bow out in advance. “I have anxiety!” she explained with a nervous grin.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"alignright wp-image-61195 size-thumbnail\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2023/03/EMOTIONAL-LIVES-OF-TEENAGERS-Cover-flat-160x242.jpg\" alt=\"\" width=\"160\" height=\"242\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2023/03/EMOTIONAL-LIVES-OF-TEENAGERS-Cover-flat-160x242.jpg 160w, https://ww2.kqed.org/app/uploads/sites/23/2023/03/EMOTIONAL-LIVES-OF-TEENAGERS-Cover-flat.jpg 298w\" sizes=\"(max-width: 160px) 100vw, 160px\">I recalled this episode while reading psychologist and author \u003ca href=\"https://drlisadamour.com/bio/\" target=\"_blank\" rel=\"noopener\">Lisa Damour’s\u003c/a> refreshing new book, \u003ca href=\"https://drlisadamour.com/books/the-emotional-lives-of-teenagers/\" target=\"_blank\" rel=\"noopener\">“The Emotional Lives of Teenagers: Raising Connected, Capable, and Compassionate Adolescents.”\u003c/a> Damour’s voice is forceful but comforting, and she uses it here to drive home her central point: Achieving mental health does not mean a life without unhappiness, anguish, anger, worry or self-doubt. Rather, these painful emotional states are an unavoidable feature of being human, especially for young people buzzing with hormones and adjusting to operatic moods prompted by recent rewiring of their brains. To best help their developing teenagers, parents should work to build their self-esteem and then guide them in learning how to express and manage these feelings. \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_61194\" class=\"wp-caption alignright\" style=\"max-width: 160px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"wp-image-61194 size-thumbnail\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2023/03/DAMOUR-Headshot-Small-File-by-Downie-Photo-scaled-e1678251227174-160x160.jpg\" alt=\"\" width=\"160\" height=\"160\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2023/03/DAMOUR-Headshot-Small-File-by-Downie-Photo-scaled-e1678251227174-160x160.jpg 160w, https://ww2.kqed.org/app/uploads/sites/23/2023/03/DAMOUR-Headshot-Small-File-by-Downie-Photo-scaled-e1678251227174-800x800.jpg 800w, https://ww2.kqed.org/app/uploads/sites/23/2023/03/DAMOUR-Headshot-Small-File-by-Downie-Photo-scaled-e1678251227174-1020x1020.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/23/2023/03/DAMOUR-Headshot-Small-File-by-Downie-Photo-scaled-e1678251227174-768x768.jpg 768w, https://ww2.kqed.org/app/uploads/sites/23/2023/03/DAMOUR-Headshot-Small-File-by-Downie-Photo-scaled-e1678251227174-1536x1536.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/23/2023/03/DAMOUR-Headshot-Small-File-by-Downie-Photo-scaled-e1678251227174.jpg 1708w\" sizes=\"(max-width: 160px) 100vw, 160px\">\u003cfigcaption class=\"wp-caption-text\">Lisa Damour \u003ccite>(Downie Photo/Courtesy of Lisa Damour)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">Damour explains how we got to the point of considering unhappiness an aberration from some imaginary blissful norm. To start, advances in antidepressant medications made them safer and more attractive to the masses; she earnestly acknowledges that psychotropic medications improve and sometimes save lives. But prescriptions for Prozac and its medicinal brethren are as ubiquitous today as those for hypertension and cholesterol, making ordinary disappointment seem like a problem in need of a chemical solution. The mental wellness industry, too, \u003ca href=\"https://globalwellnessinstitute.org/industry-research/the-global-wellness-economy-looking-beyond-covid/\" target=\"_blank\" rel=\"noopener\">worth about $131 billion globally\u003c/a>, sells the idea that feeling rotten is avoidable (if you purchase just the right eucalyptus oil or bath bomb). Finally, because \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/61031/teen-girls-and-lgbtq-youth-plagued-by-violence-and-trauma-survey-says\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">adolescents are in fact gloomier today than they were just ten years ago\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, it’s harder for parents and kids to figure out what distinguishes a legitimate mental health crisis from everyday emotional discomfort.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">On this last point, Damour shares the findings of social psychologist Jonathan Haidt and psychology professor Jean Twenge who are \u003c/span>\u003ca href=\"https://docs.google.com/document/d/1diMvsMeRphUH7E6D1d_J7R6WbDdgnzFHDHPx9HXzR5o/edit\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">sounding the alarm about youth mental health\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">: Just before the start of the COVID-19 pandemic, 44 percent of teenagers reported experiencing anxiety, up from 34 percent about ten years ago; 37 percent felt “persistently sad or hopeless”; 16 percent of teenagers said that they’d developed a suicide plan. Those self-reported findings were matched by increases in hospitalizations for self-harm and a surge in the number of completed suicides, mostly since 2012. New \u003c/span>\u003ca href=\"https://www.cdc.gov/healthyyouth/data/yrbs/yrbs_data_summary_and_trends.htm\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">findings\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> released by the CDC in February revealed that \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/61031/teen-girls-and-lgbtq-youth-plagued-by-violence-and-trauma-survey-says\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">girls and LGBTQ+ youth especially are floundering\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. Whether from what Haidt calls the rise in “\u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/61026/10-things-to-know-about-how-social-media-affects-teens-brains\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">phone-based childhoods\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">,” creeping \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/60498/what-parents-should-know-about-eco-anxiety-and-its-impact-on-todays-teens\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">existential despair\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, or the effect of \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/60624/young-adults-are-struggling-with-their-mental-health-is-more-childhood-independence-the-answer\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">too little free and unstructured time\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> — and likely some combination of all these and more — adolescents are struggling today in ways that they weren’t just a decade ago. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">What’s a conscientious parent to do? “One of the most important things we can do for teenagers is help them distinguish between emotions that are uncomfortable (and) emotions that are unmanageable,” Damour told me. \u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Mothers and fathers should help their young children build authentic self-esteem by celebrating kids’ actions and avoiding effusive praise. Encourage girls and boys to be of service to others, not only to interrupt their solipsistic mindset, but also to reinforce their ability to make a difference. Next, urge them to develop an interest that’s unrelated to school or college applications, like cooking or knitting. Indulging an intrinsic interest is protective of kids’ feelings of self-worth. Finally, get going on these pursuits before a child reaches middle school, when even the healthiest child might falter. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The best thing parents can do after this is help their children learn both to express and regulate their emotions. Articulating painful feelings robs the feelings of their power, and learning how to manage them restores kids’ self-control.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">To encourage open expression, \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400\">listen\u003c/span>\u003c/i>\u003cspan style=\"font-weight: 400\">, Damour advises. Be curious about your child’s state of mind. Ask your child to be as verbally precise as possible. Then, repeat back what your child says in her moment of sorrow or fear to demonstrate that you genuinely understand. Once they’ve expressed their heartache, try capturing their hurt in a one-sentence summary — like the editor who creates a headline for a story — and show empathy in return. “Listening attentively and then offering empathy shows them that they are doing exactly the right thing when they seek relief by finding a loving listener (that would be us!) and sharing what’s on their mind,” Damour writes. Above all, defy the temptation to jump in with creative solutions, as irresistible as that may seem.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">For the teenager who resists face-to-face conversations, try other ways of inviting communication. Some children will respond to gentle text messages from parents. Others will be more talkative if they’re strapped into the back seat of the car, spared the awkwardness of direct eye contact. And if parents want their teenagers to talk, they might have to be around more often so that it can happen \u003c/span>\u003ca href=\"https://www.washingtonpost.com/parenting/2023/02/21/teen-talks-night-parents/\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">when the kids are conversational\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. Though they can be mercurial and ornery, teenagers typically like their parents and feel safer when they know where the grown-ups are. Another way to invite emotional expression: Own up to your own mistakes. For example, if you’ve gossiped to a friend about something personal your child has shared with you, and he learns of it, correct your blunder the right way: Apologize for violating his confidence, explain why you did, take responsibility, vow never to blab again, offer to make amends and ask for forgiveness. Because emotional expression is so essential to adolescents’ (and adults’) well-being, parents need to safeguard their kids’ trust. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">After they’ve exhausted their efforts to spur expression, parents can help children learn to self-regulate. Suggest a distraction to interrupt unpleasant rumination. Offer them small comforts tailored to their preferences. \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/60543/what-parents-need-to-monitor-about-teens-sleep-beyond-the-hour-count\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"font-weight: 400\">Check in on their sleep habits\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> and help them reclaim the eight to ten hours they need. When offering advice, tread lightly: Ask if it’s wanted and approach solutions jointly. \u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Some children experiencing protracted and irrational sadness and worry need more than a parent or guardian can provide. “I have so much empathy for parents who are trying to figure out if a meltdown is a sign of typical and expectable stress or a sign of a mental health concern,” Damour said. Adults would be wise to seek professional help if their adolescent’s feelings “don’t add up,” or they can’t manage them constructively, or they resort to risky coping strategies. But remember that zig-zagging, capacious feelings are not something to be avoided or feared. “Distress is part of life, and it certainly comes with the territory for teenagers,” she said.\u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/mindshift/61186/what-parents-need-to-know-about-their-teens-mental-health","authors":["4613"],"categories":["mindshift_21445","mindshift_21345","mindshift_21280"],"tags":["mindshift_21093","mindshift_20589","mindshift_21070","mindshift_21157","mindshift_20865","mindshift_20696","mindshift_20884","mindshift_1038"],"featImg":"mindshift_61188","label":"mindshift"},"mindshift_61031":{"type":"posts","id":"mindshift_61031","meta":{"index":"posts_1591205157","site":"mindshift","id":"61031","score":null,"sort":[1676388927000]},"guestAuthors":[],"slug":"teen-girls-and-lgbtq-youth-plagued-by-violence-and-trauma-survey-says","title":"Teen girls and LGBTQ+ youth plagued by violence and trauma, survey says","publishDate":1676388927,"format":"standard","headTitle":"MindShift | KQED News","labelTerm":{"site":"mindshift"},"content":"\u003cp>\u003cem>If you or someone you know may be considering suicide, contact the \u003c/em>\u003ca href=\"https://988lifeline.org/\" target=\"_blank\" rel=\"noopener\">\u003cem>988 Suicide & Crisis Lifeline\u003c/em>\u003c/a>\u003cem> by dialing 9-8-8, or the \u003c/em>\u003ca href=\"http://www.crisistextline.org/\" target=\"_blank\" rel=\"noopener\">\u003cem>Crisis Text Line\u003c/em>\u003c/a>\u003cem> by texting HOME to 741741.\u003c/em>\u003c/p>\n\u003chr>\n\u003cp>Adolescent girls across the country are facing record levels of violence, sadness and despair, according to new survey data from the U.S. Centers for Disease Control and Prevention. And teens who identify as lesbian, gay, bisexual, questioning and other non-heterosexual identities also experience high levels of violence and distress, the survey found.\u003c/p>\n\u003cp>\"There is no question from this data [that] young people are telling us that they are in crisis,\" says \u003ca href=\"https://twitter.com/ethierka\" target=\"_blank\" rel=\"noopener\">Kathleen Ethier\u003c/a>, director of the CDC's Division of Adolescent and School Health. \"And there is this growing wave of violence and trauma that's affecting young people, especially teen girls and LGBTQ+ youth.\"\u003c/p>\n\u003cp>Every two years, the CDC \u003ca href=\"https://www.cdc.gov/healthyyouth/data/yrbs/yrbs_data_summary_and_trends.htm\" target=\"_blank\" rel=\"noopener\">surveys 9th through 12th graders across the country\u003c/a> about a range of health behaviors and experiences for a report titled, the Youth Risk Behavior Survey. On Monday, it released the results from the most recent survey conducted in 2021, along with the trends over the past decade.\u003c/p>\n\u003cp>While 11% of all teens reported facing sexual violence in the past year, 18% of girls and 22% of LGBTQ+ youth reported the same. Among racial and ethnic groups, American Indian or Alaska Native teens were the most likely to have faced sexual violence.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And more than one in ten girls had been forced to have sex in their lifetime, says Ethier.\u003c/p>\n\u003cp>\"That is just an overwhelming finding,\" she says. \"So, not surprisingly, we're also seeing that almost 60% of teen girls had depressive symptoms in the past year, which is the highest level in a decade.\"\u003c/p>\n\u003cp>Nearly one in three girls also reported seriously considering suicide in the past year – a 60% rise from a decade ago.\u003c/p>\n\u003cp>The report also found that 52% of teens identifying as LGBTQ+ experienced poor mental health in the past year, with 1 in 5 saying they had attempted suicide during that period of time. Among racial and ethnic groups Native American teens were the most likely to have attempted suicide in the year before, followed by Black youth, at 14%.\u003c/p>\n\u003ch3>Trauma plays a role\u003c/h3>\n\u003cp>There's often a history of trauma among teens experiencing a mental health crisis, says\u003ca href=\"https://faculty.medicine.hofstra.edu/7557-vera-feuer\" target=\"_blank\" rel=\"noopener\"> Dr. Vera Feuer\u003c/a>, a child and adolescent psychiatrist at Northwell Health in Long Island, NY, who did not participate in the study.\u003c/p>\n\u003cp>\"Most of the kids presenting to psychiatric emergency rooms and a lot of the kids presenting with suicidal thoughts do have a background that includes trauma,\" she says, and that trauma often stems from, \"some sort of victimization, sexual victimization, as well as bullying, cyber bullying.\"\u003c/p>\n\u003cp>However, there are a whole host of social and environmental factors driving the behaviors and mental health problems among teens, especially teen girls, says \u003ca href=\"https://rogersbh.org/staff/stephanie-eken\" target=\"_blank\" rel=\"noopener\">Dr. Stephanie Eken\u003c/a>, a pediatrician and child and adolescent psychiatrist at \u003ca href=\"https://rogersbh.org/\" target=\"_blank\" rel=\"noopener\">Rogers Behavioral Health\u003c/a> in Wisconsin, which also has a program for adolescent girls.\u003c/p>\n\u003cp>One of those factors, she says, is early puberty.\u003c/p>\n\u003cp>Girls \"are starting puberty early, and we know that hormones certainly start to differentiate issues for females versus males,\" says Eken. \"When we look at research studies, girls, when they start to hit puberty, start to have increasing rates of depression and anxiety. So there are the hormonal factors that we think could play a role.\"\u003c/p>\n\u003cp>Social media also plays a major role, she adds.\u003c/p>\n\u003cp>\"We see that for girls and their social networks, even when they're socializing, they are not socializing in person,\" she says. \"They are socializing through their phone or through some type of device rather than in-person.\"\u003c/p>\n\u003cp>But, she adds, adolescents in general, and girls in particular need in-person social contact.\u003c/p>\n\u003cp>The lack of it, she adds, has created higher levels of loneliness among teens, even before the pandemic. And loneliness is a well known risk factor for suicide.\u003c/p>\n\u003cp>Social media also exposes girls to all kinds of negative social pressures.\u003c/p>\n\u003cp>\"Body type expectations and the images that they're shown with the flood of information that we have available to us has detrimental effects,\" says Eken. \"And they're being exposed to them earlier and earlier in their lives when their brains are not prepared to deal with this information and know what to do with it.\"\u003c/p>\n\u003cp>That's also why there's been a dramatic rise in teen girls with eating disorders in recent years, say Eken and Feuer.\u003c/p>\n\u003ch3>Schools can be part of the solution\u003c/h3>\n\u003cp>Schools are key, the report suggests, to help teens facing these behavioral and mental health challenges.\u003c/p>\n\u003cp>\"Schools are on the front lines of dealing with the mental health crisis that we're experiencing in this country,\" says the CDC's Ethier.\u003c/p>\n\u003cp>She points to a number of things that schools can do to prevent these issues and also to support vulnerable students.\u003c/p>\n\u003cp>\"Things like making sure teachers are well trained in dealing with the mental health issues that are arising in their classrooms, making sure that there are programs in place to get young people out into their communities to provide service and bringing important community members into schools to meet, to provide mentorship,\" Ethier says.\u003c/p>\n\u003cp>The report also points to the need to have school environments where students feel socially connected, not just to their peers, but also to caring adults.\u003c/p>\n\u003cp>\"The role of other trusted adults at school is a big part of that,\" says Feuer.\u003c/p>\n\u003cp>A proven way to protect vulnerable students against despair and suicide is to help them feel like they belong – at school, at home, in their communities.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We know from suicide research that the sense of belongingness and feeling connected is a really, really important factor to consider,\" adds Feuer.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2023 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Teen+girls+and+LGBTQ%2B+youth+plagued+by+violence+and+trauma%2C+survey+says&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Nearly one in three girls reported seriously considering suicide in the past year – a 60% rise from a decade ago, according to the CDC survey data.","status":"publish","parent":0,"modified":1676663168,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":980},"headData":{"title":"Teen girls and LGBTQ+ youth plagued by violence and trauma, survey says | KQED","description":"Nearly 1 in 3 girls reported seriously considering suicide in the past year – a 60% rise from a decade ago, according to the CDC survey data.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Teen girls and LGBTQ+ youth plagued by violence and trauma, survey says","datePublished":"2023-02-14T15:35:27.000Z","dateModified":"2023-02-17T19:46:08.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"nprImageCredit":"Radu Bighian","nprByline":"Rhitu Chatterjee","nprImageAgency":"EyeEm via Getty Images","nprStoryId":"1156663966","nprApiLink":"http://api.npr.org/query?id=1156663966&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2023/02/13/1156663966/teen-girls-and-lgbtq-youth-plagued-by-violence-and-trauma-survey-says?ft=nprml&f=1156663966","nprRetrievedStory":"1","nprPubDate":"Mon, 13 Feb 2023 19:43:00 -0500","nprStoryDate":"Mon, 13 Feb 2023 19:36:56 -0500","nprLastModifiedDate":"Mon, 13 Feb 2023 19:43:45 -0500","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/atc/2023/02/20230213_atc_teen_girls_in_growing_crisis.mp3?orgId=1&topicId=1128&d=238&story=1156663966&ft=nprml&f=1156663966","nprAudioM3u":"http://api.npr.org/m3u/11156690774-af7ff1.m3u?orgId=1&topicId=1128&d=238&story=1156663966&ft=nprml&f=1156663966","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/mindshift/61031/teen-girls-and-lgbtq-youth-plagued-by-violence-and-trauma-survey-says","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/atc/2023/02/20230213_atc_teen_girls_in_growing_crisis.mp3?orgId=1&topicId=1128&d=238&story=1156663966&ft=nprml&f=1156663966","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>If you or someone you know may be considering suicide, contact the \u003c/em>\u003ca href=\"https://988lifeline.org/\" target=\"_blank\" rel=\"noopener\">\u003cem>988 Suicide & Crisis Lifeline\u003c/em>\u003c/a>\u003cem> by dialing 9-8-8, or the \u003c/em>\u003ca href=\"http://www.crisistextline.org/\" target=\"_blank\" rel=\"noopener\">\u003cem>Crisis Text Line\u003c/em>\u003c/a>\u003cem> by texting HOME to 741741.\u003c/em>\u003c/p>\n\u003chr>\n\u003cp>Adolescent girls across the country are facing record levels of violence, sadness and despair, according to new survey data from the U.S. Centers for Disease Control and Prevention. And teens who identify as lesbian, gay, bisexual, questioning and other non-heterosexual identities also experience high levels of violence and distress, the survey found.\u003c/p>\n\u003cp>\"There is no question from this data [that] young people are telling us that they are in crisis,\" says \u003ca href=\"https://twitter.com/ethierka\" target=\"_blank\" rel=\"noopener\">Kathleen Ethier\u003c/a>, director of the CDC's Division of Adolescent and School Health. \"And there is this growing wave of violence and trauma that's affecting young people, especially teen girls and LGBTQ+ youth.\"\u003c/p>\n\u003cp>Every two years, the CDC \u003ca href=\"https://www.cdc.gov/healthyyouth/data/yrbs/yrbs_data_summary_and_trends.htm\" target=\"_blank\" rel=\"noopener\">surveys 9th through 12th graders across the country\u003c/a> about a range of health behaviors and experiences for a report titled, the Youth Risk Behavior Survey. On Monday, it released the results from the most recent survey conducted in 2021, along with the trends over the past decade.\u003c/p>\n\u003cp>While 11% of all teens reported facing sexual violence in the past year, 18% of girls and 22% of LGBTQ+ youth reported the same. Among racial and ethnic groups, American Indian or Alaska Native teens were the most likely to have faced sexual violence.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And more than one in ten girls had been forced to have sex in their lifetime, says Ethier.\u003c/p>\n\u003cp>\"That is just an overwhelming finding,\" she says. \"So, not surprisingly, we're also seeing that almost 60% of teen girls had depressive symptoms in the past year, which is the highest level in a decade.\"\u003c/p>\n\u003cp>Nearly one in three girls also reported seriously considering suicide in the past year – a 60% rise from a decade ago.\u003c/p>\n\u003cp>The report also found that 52% of teens identifying as LGBTQ+ experienced poor mental health in the past year, with 1 in 5 saying they had attempted suicide during that period of time. Among racial and ethnic groups Native American teens were the most likely to have attempted suicide in the year before, followed by Black youth, at 14%.\u003c/p>\n\u003ch3>Trauma plays a role\u003c/h3>\n\u003cp>There's often a history of trauma among teens experiencing a mental health crisis, says\u003ca href=\"https://faculty.medicine.hofstra.edu/7557-vera-feuer\" target=\"_blank\" rel=\"noopener\"> Dr. Vera Feuer\u003c/a>, a child and adolescent psychiatrist at Northwell Health in Long Island, NY, who did not participate in the study.\u003c/p>\n\u003cp>\"Most of the kids presenting to psychiatric emergency rooms and a lot of the kids presenting with suicidal thoughts do have a background that includes trauma,\" she says, and that trauma often stems from, \"some sort of victimization, sexual victimization, as well as bullying, cyber bullying.\"\u003c/p>\n\u003cp>However, there are a whole host of social and environmental factors driving the behaviors and mental health problems among teens, especially teen girls, says \u003ca href=\"https://rogersbh.org/staff/stephanie-eken\" target=\"_blank\" rel=\"noopener\">Dr. Stephanie Eken\u003c/a>, a pediatrician and child and adolescent psychiatrist at \u003ca href=\"https://rogersbh.org/\" target=\"_blank\" rel=\"noopener\">Rogers Behavioral Health\u003c/a> in Wisconsin, which also has a program for adolescent girls.\u003c/p>\n\u003cp>One of those factors, she says, is early puberty.\u003c/p>\n\u003cp>Girls \"are starting puberty early, and we know that hormones certainly start to differentiate issues for females versus males,\" says Eken. \"When we look at research studies, girls, when they start to hit puberty, start to have increasing rates of depression and anxiety. So there are the hormonal factors that we think could play a role.\"\u003c/p>\n\u003cp>Social media also plays a major role, she adds.\u003c/p>\n\u003cp>\"We see that for girls and their social networks, even when they're socializing, they are not socializing in person,\" she says. \"They are socializing through their phone or through some type of device rather than in-person.\"\u003c/p>\n\u003cp>But, she adds, adolescents in general, and girls in particular need in-person social contact.\u003c/p>\n\u003cp>The lack of it, she adds, has created higher levels of loneliness among teens, even before the pandemic. And loneliness is a well known risk factor for suicide.\u003c/p>\n\u003cp>Social media also exposes girls to all kinds of negative social pressures.\u003c/p>\n\u003cp>\"Body type expectations and the images that they're shown with the flood of information that we have available to us has detrimental effects,\" says Eken. \"And they're being exposed to them earlier and earlier in their lives when their brains are not prepared to deal with this information and know what to do with it.\"\u003c/p>\n\u003cp>That's also why there's been a dramatic rise in teen girls with eating disorders in recent years, say Eken and Feuer.\u003c/p>\n\u003ch3>Schools can be part of the solution\u003c/h3>\n\u003cp>Schools are key, the report suggests, to help teens facing these behavioral and mental health challenges.\u003c/p>\n\u003cp>\"Schools are on the front lines of dealing with the mental health crisis that we're experiencing in this country,\" says the CDC's Ethier.\u003c/p>\n\u003cp>She points to a number of things that schools can do to prevent these issues and also to support vulnerable students.\u003c/p>\n\u003cp>\"Things like making sure teachers are well trained in dealing with the mental health issues that are arising in their classrooms, making sure that there are programs in place to get young people out into their communities to provide service and bringing important community members into schools to meet, to provide mentorship,\" Ethier says.\u003c/p>\n\u003cp>The report also points to the need to have school environments where students feel socially connected, not just to their peers, but also to caring adults.\u003c/p>\n\u003cp>\"The role of other trusted adults at school is a big part of that,\" says Feuer.\u003c/p>\n\u003cp>A proven way to protect vulnerable students against despair and suicide is to help them feel like they belong – at school, at home, in their communities.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We know from suicide research that the sense of belongingness and feeling connected is a really, really important factor to consider,\" adds Feuer.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2023 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Teen+girls+and+LGBTQ%2B+youth+plagued+by+violence+and+trauma%2C+survey+says&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/mindshift/61031/teen-girls-and-lgbtq-youth-plagued-by-violence-and-trauma-survey-says","authors":["byline_mindshift_61031"],"categories":["mindshift_21445","mindshift_21280","mindshift_20874"],"tags":["mindshift_20589","mindshift_21556","mindshift_21070","mindshift_20825","mindshift_21339","mindshift_20865","mindshift_20884","mindshift_21159","mindshift_1038","mindshift_21557"],"featImg":"mindshift_61032","label":"mindshift"},"mindshift_59313":{"type":"posts","id":"mindshift_59313","meta":{"index":"posts_1591205157","site":"mindshift","id":"59313","score":null,"sort":[1650266592000]},"guestAuthors":[],"slug":"its-time-to-screen-all-kids-for-anxiety-physicians-task-force-recommends","title":"It's time to screen all kids for anxiety, physicians' task force recommends","publishDate":1650266592,"format":"standard","headTitle":"MindShift | KQED News","labelTerm":{"site":"mindshift"},"content":"\u003cp>An influential panel of experts says all kids ages eight to 18 \u003ca href=\"https://www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/screening-anxiety-children-adolescents\">should be screened regularly for anxiety\u003c/a>. This draft recommendation by the United States Preventative Task Force comes at a time when mental health problems among kids have escalated and are overwhelming the health system.\u003c/p>\n\u003cp>The task force also recommends that kids 12 and older continue to be screened for depression, a recommendation that's been in place since 2016.\u003c/p>\n\u003cp>The screenings are usually done by primary care physicians using standardized questionnaires that parents and/or kids answer, depending on their age.\u003c/p>\n\u003cp>\"We were already seeing rising rates of anxiety, depression and also suicide behaviors and suicide in our young people,\" says \u003ca href=\"https://www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/current-members/martha-kubik-phd-rn\">Martha Kubik\u003c/a>, a professor of nursing at George Mason University and a member of the task force.\u003c/p>\n\u003cp>The goal of the screenings, she says, is to help doctors and other providers identify at-risk kids early on in the trajectory of their illness so that they can be treated before symptoms escalate.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Child and adolescent mental health experts welcome the recommendations.\u003c/p>\n\u003cp>It has increasingly become clear that most mental illnesses manifest in childhood and adolescence, says \u003ca href=\"https://nyulangone.org/doctors/1205956968/jennifer-havens\">Dr. Jennifer Havens\u003c/a>, the chair of Child and Adolescent Psychiatry at NYU's Grossman School of Medicine.\u003c/p>\n\u003cp>But anxiety disorder, one of the most common mental illnesses among children, can go undetected for a long time.\u003c/p>\n\u003cp>\"It can be quiet. Kids who are anxious are often very self-conscious and aren't going to share this with their families or their physicians, necessarily. So screening is a very, very good idea.\"\u003c/p>\n\u003cp>Most cases of anxiety in children can be treated with psychotherapy, she adds. Only kids with severe anxiety need medication. That's why, she says, the earlier a child is diagnosed, the easier it is to treat.\u003c/p>\n\u003cp>Kids with anxiety disorders are at higher risk of anxiety disorders and depression in adulthood, along with related risks like substance abuse, the recommendation notes.\u003c/p>\n\u003cp>Pediatricians have long recognized the need for screening, says \u003ca href=\"https://www.aap.org/en/about-the-aap/aap-leadership/sandy-chung-biography/\">Dr. Sandy Chung,\u003c/a> president-elect of the American Academy of Pediatrics, because they've seen an increasing number of their patients struggle with a range of mental health symptoms for years. Those grew to alarming numbers during the pandemic.\u003c/p>\n\u003cp>\"We are truly in a crisis situation with mental health,\" she adds.\u003c/p>\n\u003cp>In the fall of 2021, the AAP along with the American Academy of Child and Adolescent Psychiatry and the Children's Hospital Association issued a statement calling children's mental health \u003ca href=\"https://publications.aap.org/aapnews/news/17718/AAP-AACAP-CHA-declare-national-emergency-in\">a national emergency\u003c/a>.\u003c/p>\n\u003cp>The AAP had already recommended screening teens for emotional and behavioral problems like anxiety and depression, and many pediatricians are already screening their patients for anxiety and depression, adds Chung.\u003c/p>\n\u003cp>\"We appreciate the task force making the recommendation, but in reality, many pediatricians are already doing the work [already],\" she says.\u003c/p>\n\u003cp>Many of those pediatricians are connected to psychiatrists and psychologists by telephone through what are called mental health access programs, adds Chung, who helped start the \u003ca href=\"https://vmap.org/\">Virginia Mental Health Access program\u003c/a>.\u003c/p>\n\u003cp>Some pediatric clinics that do mental health screens are able to provide follow up care through in-house providers. For example, \u003ca href=\"https://www.montefiore.org/\">Montefiore Medical Center\u003c/a>, which screens about 86,000 children annually for emotional and behavioral problems.\u003c/p>\n\u003cp>\"In our primary care practices, where children go to see their pediatrician, we already screen for pediatric anxiety, depression and also attention problems beginning actually when children are four years of age,\" says \u003ca href=\"https://www.cham.org/patients-families/find-a-doctor/miguelina-german-phd-1053611921\">Miguelina German\u003c/a>, a pediatric psychologist at the center, which has behavioral health providers like herself integrated into the practice.\u003c/p>\n\u003cp>Anyone who screens positive is referred to German or one of her behavioral health colleagues.\u003c/p>\n\u003cp>And the younger a child is when they screen positive for a mental health problem, the easier it is for her and her colleagues to treat them, she adds, because mental health problems worsen with age, if left untreated.\u003c/p>\n\u003cp>\"If I have a 15 year old who's anxious, the odds that she's also going to be depressed are very high,\" says German. \"But once upon a time that 15 year old was 10 years old, and let's say when she was 10 years old, she had some social anxiety. She was having some trouble making friends.\"\u003c/p>\n\u003cp>Also, if providers treat children's problems when they are younger when symptoms start emerging, she says, it often requires fewer sessions than treating a more complex problem in an older child.\u003c/p>\n\u003cp>That's why she hopes this model of integrating mental health care into pediatrician's offices along with universal screening for mental health symptoms will become the standard of care across the country.\u003c/p>\n\u003cp>The panel also looked into the evidence behind screening for suicide, and found insufficient evidence to support the idea.\u003c/p>\n\u003cp>But that decision troubles Dr. \u003ca href=\"https://afsp.org/bio/christine-moutier-m-d\">Christine Yu Moutier,\u003c/a> the chief medical officer of the American Foundation for Suicide Prevention.\u003c/p>\n\u003cp>\"It is of great concern to us that the the task force is not looking at the more recent data that actually shows that screening for suicide risk can be done effectively safely,\" says Moutier.\u003c/p>\n\u003cp>There are more than six recent studies that show that asking kids if they have had thoughts of hurting themselves can really help open up a safe space for them to talk about their distress, she adds.\u003c/p>\n\u003cp>\"We know that many youth who are thinking of suicide do not tell anyone,\" she says. \"And so we do need to screen.\"\u003c/p>\n\u003cp>The AAP and AFSP recently released \u003ca href=\"https://www.aap.org/suicideprevention\">a blueprint for preventing youth suicide\u003c/a>, which recommends screening adolescents for suicide.\u003c/p>\n\u003cp>The draft recommendations are open for public comments until May 9, says Kubik, and the final recommendations will likely be released by the end of 2022.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Moutier hopes the final advice will include a recommendation to screen kids for suicide as well.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=It%27s+time+to+screen+all+kids+for+anxiety%2C+physicians%27+task+force+recommends&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"In light of the growing kids' mental health crisis, the group says it's crucial to identify kids who are struggling. The advice doesn't call for suicide screening, which many experts think is needed. ","status":"publish","parent":0,"modified":1650266592,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":971},"headData":{"title":"It's time to screen all kids for anxiety, physicians' task force recommends - MindShift","description":"In light of the growing kids' mental health crisis, the group says it's crucial to identify kids who are struggling. The advice doesn't call for suicide screening, which many experts think is needed. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"It's time to screen all kids for anxiety, physicians' task force recommends","datePublished":"2022-04-18T07:23:12.000Z","dateModified":"2022-04-18T07:23:12.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"59313 https://ww2.kqed.org/mindshift/?p=59313","disqusUrl":"https://ww2.kqed.org/mindshift/2022/04/18/its-time-to-screen-all-kids-for-anxiety-physicians-task-force-recommends/","disqusTitle":"It's time to screen all kids for anxiety, physicians' task force recommends","nprImageCredit":"Vladimir Vladimirov","nprByline":"Rhitu Chatterjee","nprImageAgency":"Vladimir Vladimirov/Getty Images","nprStoryId":"1093164270","nprApiLink":"http://api.npr.org/query?id=1093164270&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2022/04/17/1093164270/kids-anxiety-screening-uspstf?ft=nprml&f=1093164270","nprRetrievedStory":"1","nprPubDate":"Sun, 17 Apr 2022 12:23:00 -0400","nprStoryDate":"Sun, 17 Apr 2022 11:59:45 -0400","nprLastModifiedDate":"Sun, 17 Apr 2022 12:23:07 -0400","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","path":"/mindshift/59313/its-time-to-screen-all-kids-for-anxiety-physicians-task-force-recommends","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>An influential panel of experts says all kids ages eight to 18 \u003ca href=\"https://www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/screening-anxiety-children-adolescents\">should be screened regularly for anxiety\u003c/a>. This draft recommendation by the United States Preventative Task Force comes at a time when mental health problems among kids have escalated and are overwhelming the health system.\u003c/p>\n\u003cp>The task force also recommends that kids 12 and older continue to be screened for depression, a recommendation that's been in place since 2016.\u003c/p>\n\u003cp>The screenings are usually done by primary care physicians using standardized questionnaires that parents and/or kids answer, depending on their age.\u003c/p>\n\u003cp>\"We were already seeing rising rates of anxiety, depression and also suicide behaviors and suicide in our young people,\" says \u003ca href=\"https://www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/current-members/martha-kubik-phd-rn\">Martha Kubik\u003c/a>, a professor of nursing at George Mason University and a member of the task force.\u003c/p>\n\u003cp>The goal of the screenings, she says, is to help doctors and other providers identify at-risk kids early on in the trajectory of their illness so that they can be treated before symptoms escalate.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Child and adolescent mental health experts welcome the recommendations.\u003c/p>\n\u003cp>It has increasingly become clear that most mental illnesses manifest in childhood and adolescence, says \u003ca href=\"https://nyulangone.org/doctors/1205956968/jennifer-havens\">Dr. Jennifer Havens\u003c/a>, the chair of Child and Adolescent Psychiatry at NYU's Grossman School of Medicine.\u003c/p>\n\u003cp>But anxiety disorder, one of the most common mental illnesses among children, can go undetected for a long time.\u003c/p>\n\u003cp>\"It can be quiet. Kids who are anxious are often very self-conscious and aren't going to share this with their families or their physicians, necessarily. So screening is a very, very good idea.\"\u003c/p>\n\u003cp>Most cases of anxiety in children can be treated with psychotherapy, she adds. Only kids with severe anxiety need medication. That's why, she says, the earlier a child is diagnosed, the easier it is to treat.\u003c/p>\n\u003cp>Kids with anxiety disorders are at higher risk of anxiety disorders and depression in adulthood, along with related risks like substance abuse, the recommendation notes.\u003c/p>\n\u003cp>Pediatricians have long recognized the need for screening, says \u003ca href=\"https://www.aap.org/en/about-the-aap/aap-leadership/sandy-chung-biography/\">Dr. Sandy Chung,\u003c/a> president-elect of the American Academy of Pediatrics, because they've seen an increasing number of their patients struggle with a range of mental health symptoms for years. Those grew to alarming numbers during the pandemic.\u003c/p>\n\u003cp>\"We are truly in a crisis situation with mental health,\" she adds.\u003c/p>\n\u003cp>In the fall of 2021, the AAP along with the American Academy of Child and Adolescent Psychiatry and the Children's Hospital Association issued a statement calling children's mental health \u003ca href=\"https://publications.aap.org/aapnews/news/17718/AAP-AACAP-CHA-declare-national-emergency-in\">a national emergency\u003c/a>.\u003c/p>\n\u003cp>The AAP had already recommended screening teens for emotional and behavioral problems like anxiety and depression, and many pediatricians are already screening their patients for anxiety and depression, adds Chung.\u003c/p>\n\u003cp>\"We appreciate the task force making the recommendation, but in reality, many pediatricians are already doing the work [already],\" she says.\u003c/p>\n\u003cp>Many of those pediatricians are connected to psychiatrists and psychologists by telephone through what are called mental health access programs, adds Chung, who helped start the \u003ca href=\"https://vmap.org/\">Virginia Mental Health Access program\u003c/a>.\u003c/p>\n\u003cp>Some pediatric clinics that do mental health screens are able to provide follow up care through in-house providers. For example, \u003ca href=\"https://www.montefiore.org/\">Montefiore Medical Center\u003c/a>, which screens about 86,000 children annually for emotional and behavioral problems.\u003c/p>\n\u003cp>\"In our primary care practices, where children go to see their pediatrician, we already screen for pediatric anxiety, depression and also attention problems beginning actually when children are four years of age,\" says \u003ca href=\"https://www.cham.org/patients-families/find-a-doctor/miguelina-german-phd-1053611921\">Miguelina German\u003c/a>, a pediatric psychologist at the center, which has behavioral health providers like herself integrated into the practice.\u003c/p>\n\u003cp>Anyone who screens positive is referred to German or one of her behavioral health colleagues.\u003c/p>\n\u003cp>And the younger a child is when they screen positive for a mental health problem, the easier it is for her and her colleagues to treat them, she adds, because mental health problems worsen with age, if left untreated.\u003c/p>\n\u003cp>\"If I have a 15 year old who's anxious, the odds that she's also going to be depressed are very high,\" says German. \"But once upon a time that 15 year old was 10 years old, and let's say when she was 10 years old, she had some social anxiety. She was having some trouble making friends.\"\u003c/p>\n\u003cp>Also, if providers treat children's problems when they are younger when symptoms start emerging, she says, it often requires fewer sessions than treating a more complex problem in an older child.\u003c/p>\n\u003cp>That's why she hopes this model of integrating mental health care into pediatrician's offices along with universal screening for mental health symptoms will become the standard of care across the country.\u003c/p>\n\u003cp>The panel also looked into the evidence behind screening for suicide, and found insufficient evidence to support the idea.\u003c/p>\n\u003cp>But that decision troubles Dr. \u003ca href=\"https://afsp.org/bio/christine-moutier-m-d\">Christine Yu Moutier,\u003c/a> the chief medical officer of the American Foundation for Suicide Prevention.\u003c/p>\n\u003cp>\"It is of great concern to us that the the task force is not looking at the more recent data that actually shows that screening for suicide risk can be done effectively safely,\" says Moutier.\u003c/p>\n\u003cp>There are more than six recent studies that show that asking kids if they have had thoughts of hurting themselves can really help open up a safe space for them to talk about their distress, she adds.\u003c/p>\n\u003cp>\"We know that many youth who are thinking of suicide do not tell anyone,\" she says. \"And so we do need to screen.\"\u003c/p>\n\u003cp>The AAP and AFSP recently released \u003ca href=\"https://www.aap.org/suicideprevention\">a blueprint for preventing youth suicide\u003c/a>, which recommends screening adolescents for suicide.\u003c/p>\n\u003cp>The draft recommendations are open for public comments until May 9, says Kubik, and the final recommendations will likely be released by the end of 2022.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Moutier hopes the final advice will include a recommendation to screen kids for suicide as well.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=It%27s+time+to+screen+all+kids+for+anxiety%2C+physicians%27+task+force+recommends&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/mindshift/59313/its-time-to-screen-all-kids-for-anxiety-physicians-task-force-recommends","authors":["byline_mindshift_59313"],"categories":["mindshift_21280"],"tags":["mindshift_20589","mindshift_21070","mindshift_20865"],"featImg":"mindshift_59314","label":"mindshift"},"mindshift_59089":{"type":"posts","id":"mindshift_59089","meta":{"index":"posts_1591205157","site":"mindshift","id":"59089","score":null,"sort":[1645167233000]},"guestAuthors":[],"slug":"how-supportive-state-policies-can-help-kids-mental-health","title":"How supportive state policies can help kids' mental health","publishDate":1645167233,"format":"standard","headTitle":"MindShift | KQED News","labelTerm":{"site":"mindshift"},"content":"\u003cp>There's a growing consensus that the pandemic has taken a big emotional toll on young people. Among other troubling signs, children's hospitals across the country have seen \u003ca href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6945a3.htm\">more kids showing up in their emergency rooms\u003c/a> for mental health reasons, seeking care for everything from severe anxiety and eating disorders to suicide attempts.\u003c/p>\n\u003cp>The vast majority of Americans – 87% – are concerned about the wellbeing of the next generation, according to\u003ca href=\"https://hopefulfutures.us/research/\"> a new poll\u003c/a>.\u003c/p>\n\u003cp>In response to the crisis, a group of 17 national mental health organizations are calling for a new investment in school-based mental health support for kids. The group published \u003ca href=\"https://drive.google.com/file/d/1exCftDPhZ8bhCZgvoIktLGPcPKM6GzvY/view\">a new report \u003c/a>this week rating states based on how well they are addressing the crisis through programs and services in schools.\u003c/p>\n\u003cp>The report highlights states that have invested in building a culture and system of care at schools that reduces the risk of emotional problems and ensures kids who are struggling don't fall through the cracks.\u003c/p>\n\u003cp>\"This report card really aims to give us a better understanding and overview of what's currently happening in our schools specific to mental health, what are the areas we might be able to improve,\" says psychologist \u003ca href=\"https://wellbeingtrust.org/about/staff/benjamin-f-miller/\">Benjamin Miller\u003c/a>, president of Well Being Trust, which was also involved in the report. \"And most importantly, where should policymakers be prioritizing their limited resources to help our youth in this time of crisis?\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The youth mental health crisis has been growing over many years. Recent studies show that the pandemic made things much worse because of its health and economic impacts on families, isolation, challenges with virtual schooling and ongoing stress and uncertainty.\u003c/p>\n\u003cp>And mental health care experts agree that the solution will involve investments in many sectors, including families, communities, and the health care system. However, schools are increasingly being recognized as central to solving the problem.\u003c/p>\n\u003cp>\"We need to have a range of services that are offered to children [through schools],\" says Miller, so that they can meet the range of needs that kids have.\u003c/p>\n\u003cp>\"Some kids might just simply need to be more supported,\" he says. \"Some kids might actually need to have more intensive counseling. Some kids might need to have access to social services that's going to allow their family additional benefits.\"\u003c/p>\n\u003cp>The report grades states based on how well they've developed eight different kinds of programs and services to improve school mental health.\u003c/p>\n\u003cp>These cover everything from mental health education for students, training for teachers and staff, to access to school counselors and psychologists, says\u003ca href=\"https://www.linkedin.com/in/angela-kimball-0a60219\"> Angela Kimball\u003c/a>, senior vice president of policy and advocacy at \u003ca href=\"https://www.inseparable.us/\">Inseparable\u003c/a>, one of the many advocacy groups involved in the poll. They also include getting funding from Medicaid for eligible kids, developing partnerships with community mental health professionals, and policies that foster a healthy school climate.\u003c/p>\n\u003cp>States like Colorado, California, Washington, Illinois and Nevada were highly rated in the report, says Kimball, because they've adopted a range of measures.\u003c/p>\n\u003cp>For example, she says, Colorado has leveraged Medicaid to cover school-based mental health care – including telehealth services – for all eligible students. The state has adopted anti-bullying and anti-discrimination legislation, which help create a more inclusive environment for marginalized students. (Studies show that discrimination and bullying are associated with a higher risk of mental health struggles.)\u003c/p>\n\u003cp>\"They have a legislation that provides alternatives to exclusionary discipline like suspensions and and expulsions, which disproportionately harm students with mental health conditions, and as students of color,\" adds Kimball. \"In addition, Colorado has also adopted mental health excused absences legislation and suicide prevention programs.\"\u003c/p>\n\u003cp>Some of the lowest rated states were Georgia, West Virginia, Missouri, New Mexico, Nebraska and South Dakota. These are places which have invested very little in mental health support in schools.\u003c/p>\n\u003cp>The good news, says Kimball, is that a growing number of states have adopted legislation to incorporate mental health in K-12 health curricula, so that students have the language to understand, talk about and seek help for their emotional health if necessary.\u003c/p>\n\u003cp>The report also highlights other states for their efforts. For example, New Jersey invested $1 million in 2021 to do regular wellness screenings, so that students who are struggling can be identified and connected to help before their symptoms escalate.\u003c/p>\n\u003cp>Similarly, Kansas was lauded for creating a School Mental Health Advisory Council, which brings together parents, providers, legislators and others to advise the state Board of Education on ways to address students' emotional health.\u003c/p>\n\u003cp>At the federal level, lawmakers are paying attention to this issue, and there is bipartisan support towards addressing it. A law \u003ca href=\"https://www.congress.gov/bill/117th-congress/senate-bill/1390?s=1&r=95\">passed in 2021\u003c/a> making funding available for school-based mental health services, and Senate leaders this year have pledged to put together a legislative package addressing mental health, including improving kids' access to care.\u003c/p>\n\u003cp>There have been several Congressional hearings on the issue recently, where both young people, providers and advocates have testified.\u003c/p>\n\u003cp>Earlier this week, \u003ca href=\"https://www.c-span.org/person/?133016/TraceTerrell\">Trace Terrell\u003c/a>, a 17-year-old in Oregon, \u003ca href=\"https://www.finance.senate.gov/imo/media/doc/Terrell_Written%20Testimony.pdf\">testified\u003c/a> before the Senate Finance Committee about his own struggles with depression and suicide, as well as those of teens across the country.\u003c/p>\n\u003cp>Terrell, who now volunteers at \u003ca href=\"https://oregonyouthline.org/\">Youthline,\u003c/a> a free teen-to-teen crisis hotline, shared messages he's received from kids across the country recently, and urged lawmakers to make schools a focus in their efforts to address this crisis.\u003c/p>\n\u003cp>\"From my experience and many of my peers, mental health efforts in schools are lacking,\" said Terrell. \"Day after day, I hear my friends and those on the line voice about how inaccessible school counselors are due to being overworked and overloaded. This is an especially difficult challenge for the many teens who rely on school mental health professionals for crisis care.\"\u003c/p>\n\u003cp>He argued for investments to \"create a streamlined approach to free mental health screenings and referrals.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"At my school, four out of every five referrals to external resources are not carried out,\" he said. \"Let that sink in: 80% of referrals go nowhere. Someone who needs help, should receive help.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=State+by+state%2C+here%27s+how+well+schools+are+doing+at+supporting+kids%27+mental+health&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Two years of disrupted schooling and limited social contact have been tough on kids. A new report calls out states that do a good job supporting kids' mental health at school — and those that don't.","status":"publish","parent":0,"modified":1645167233,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":1020},"headData":{"title":"How supportive state policies can help kids' mental health - MindShift","description":"Two years of disrupted schooling and limited social contact have been tough on kids. A new report calls out states that do a good job supporting kids' mental health at school — and those that don't.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How supportive state policies can help kids' mental health","datePublished":"2022-02-18T06:53:53.000Z","dateModified":"2022-02-18T06:53:53.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"59089 https://ww2.kqed.org/mindshift/?p=59089","disqusUrl":"https://ww2.kqed.org/mindshift/2022/02/17/how-supportive-state-policies-can-help-kids-mental-health/","disqusTitle":"How supportive state policies can help kids' mental health","nprImageCredit":"SDI Productions","nprByline":"Rhitu Chatterjee","nprImageAgency":"Getty Images","nprStoryId":"1080863226","nprApiLink":"http://api.npr.org/query?id=1080863226&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2022/02/16/1080863226/state-by-state-heres-how-well-schools-are-doing-at-supporting-kids-mental-health?ft=nprml&f=1080863226","nprRetrievedStory":"1","nprPubDate":"Wed, 16 Feb 2022 19:16:00 -0500","nprStoryDate":"Wed, 16 Feb 2022 16:48:06 -0500","nprLastModifiedDate":"Wed, 16 Feb 2022 19:16:34 -0500","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","path":"/mindshift/59089/how-supportive-state-policies-can-help-kids-mental-health","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>There's a growing consensus that the pandemic has taken a big emotional toll on young people. Among other troubling signs, children's hospitals across the country have seen \u003ca href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6945a3.htm\">more kids showing up in their emergency rooms\u003c/a> for mental health reasons, seeking care for everything from severe anxiety and eating disorders to suicide attempts.\u003c/p>\n\u003cp>The vast majority of Americans – 87% – are concerned about the wellbeing of the next generation, according to\u003ca href=\"https://hopefulfutures.us/research/\"> a new poll\u003c/a>.\u003c/p>\n\u003cp>In response to the crisis, a group of 17 national mental health organizations are calling for a new investment in school-based mental health support for kids. The group published \u003ca href=\"https://drive.google.com/file/d/1exCftDPhZ8bhCZgvoIktLGPcPKM6GzvY/view\">a new report \u003c/a>this week rating states based on how well they are addressing the crisis through programs and services in schools.\u003c/p>\n\u003cp>The report highlights states that have invested in building a culture and system of care at schools that reduces the risk of emotional problems and ensures kids who are struggling don't fall through the cracks.\u003c/p>\n\u003cp>\"This report card really aims to give us a better understanding and overview of what's currently happening in our schools specific to mental health, what are the areas we might be able to improve,\" says psychologist \u003ca href=\"https://wellbeingtrust.org/about/staff/benjamin-f-miller/\">Benjamin Miller\u003c/a>, president of Well Being Trust, which was also involved in the report. \"And most importantly, where should policymakers be prioritizing their limited resources to help our youth in this time of crisis?\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The youth mental health crisis has been growing over many years. Recent studies show that the pandemic made things much worse because of its health and economic impacts on families, isolation, challenges with virtual schooling and ongoing stress and uncertainty.\u003c/p>\n\u003cp>And mental health care experts agree that the solution will involve investments in many sectors, including families, communities, and the health care system. However, schools are increasingly being recognized as central to solving the problem.\u003c/p>\n\u003cp>\"We need to have a range of services that are offered to children [through schools],\" says Miller, so that they can meet the range of needs that kids have.\u003c/p>\n\u003cp>\"Some kids might just simply need to be more supported,\" he says. \"Some kids might actually need to have more intensive counseling. Some kids might need to have access to social services that's going to allow their family additional benefits.\"\u003c/p>\n\u003cp>The report grades states based on how well they've developed eight different kinds of programs and services to improve school mental health.\u003c/p>\n\u003cp>These cover everything from mental health education for students, training for teachers and staff, to access to school counselors and psychologists, says\u003ca href=\"https://www.linkedin.com/in/angela-kimball-0a60219\"> Angela Kimball\u003c/a>, senior vice president of policy and advocacy at \u003ca href=\"https://www.inseparable.us/\">Inseparable\u003c/a>, one of the many advocacy groups involved in the poll. They also include getting funding from Medicaid for eligible kids, developing partnerships with community mental health professionals, and policies that foster a healthy school climate.\u003c/p>\n\u003cp>States like Colorado, California, Washington, Illinois and Nevada were highly rated in the report, says Kimball, because they've adopted a range of measures.\u003c/p>\n\u003cp>For example, she says, Colorado has leveraged Medicaid to cover school-based mental health care – including telehealth services – for all eligible students. The state has adopted anti-bullying and anti-discrimination legislation, which help create a more inclusive environment for marginalized students. (Studies show that discrimination and bullying are associated with a higher risk of mental health struggles.)\u003c/p>\n\u003cp>\"They have a legislation that provides alternatives to exclusionary discipline like suspensions and and expulsions, which disproportionately harm students with mental health conditions, and as students of color,\" adds Kimball. \"In addition, Colorado has also adopted mental health excused absences legislation and suicide prevention programs.\"\u003c/p>\n\u003cp>Some of the lowest rated states were Georgia, West Virginia, Missouri, New Mexico, Nebraska and South Dakota. These are places which have invested very little in mental health support in schools.\u003c/p>\n\u003cp>The good news, says Kimball, is that a growing number of states have adopted legislation to incorporate mental health in K-12 health curricula, so that students have the language to understand, talk about and seek help for their emotional health if necessary.\u003c/p>\n\u003cp>The report also highlights other states for their efforts. For example, New Jersey invested $1 million in 2021 to do regular wellness screenings, so that students who are struggling can be identified and connected to help before their symptoms escalate.\u003c/p>\n\u003cp>Similarly, Kansas was lauded for creating a School Mental Health Advisory Council, which brings together parents, providers, legislators and others to advise the state Board of Education on ways to address students' emotional health.\u003c/p>\n\u003cp>At the federal level, lawmakers are paying attention to this issue, and there is bipartisan support towards addressing it. A law \u003ca href=\"https://www.congress.gov/bill/117th-congress/senate-bill/1390?s=1&r=95\">passed in 2021\u003c/a> making funding available for school-based mental health services, and Senate leaders this year have pledged to put together a legislative package addressing mental health, including improving kids' access to care.\u003c/p>\n\u003cp>There have been several Congressional hearings on the issue recently, where both young people, providers and advocates have testified.\u003c/p>\n\u003cp>Earlier this week, \u003ca href=\"https://www.c-span.org/person/?133016/TraceTerrell\">Trace Terrell\u003c/a>, a 17-year-old in Oregon, \u003ca href=\"https://www.finance.senate.gov/imo/media/doc/Terrell_Written%20Testimony.pdf\">testified\u003c/a> before the Senate Finance Committee about his own struggles with depression and suicide, as well as those of teens across the country.\u003c/p>\n\u003cp>Terrell, who now volunteers at \u003ca href=\"https://oregonyouthline.org/\">Youthline,\u003c/a> a free teen-to-teen crisis hotline, shared messages he's received from kids across the country recently, and urged lawmakers to make schools a focus in their efforts to address this crisis.\u003c/p>\n\u003cp>\"From my experience and many of my peers, mental health efforts in schools are lacking,\" said Terrell. \"Day after day, I hear my friends and those on the line voice about how inaccessible school counselors are due to being overworked and overloaded. This is an especially difficult challenge for the many teens who rely on school mental health professionals for crisis care.\"\u003c/p>\n\u003cp>He argued for investments to \"create a streamlined approach to free mental health screenings and referrals.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"At my school, four out of every five referrals to external resources are not carried out,\" he said. \"Let that sink in: 80% of referrals go nowhere. Someone who needs help, should receive help.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=State+by+state%2C+here%27s+how+well+schools+are+doing+at+supporting+kids%27+mental+health&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/mindshift/59089/how-supportive-state-policies-can-help-kids-mental-health","authors":["byline_mindshift_59089"],"categories":["mindshift_21280"],"tags":["mindshift_20589","mindshift_21070","mindshift_20865"],"featImg":"mindshift_59090","label":"mindshift"},"mindshift_58525":{"type":"posts","id":"mindshift_58525","meta":{"index":"posts_1591205157","site":"mindshift","id":"58525","score":null,"sort":[1631894107000]},"guestAuthors":[],"slug":"we-know-students-are-struggling-with-their-mental-health-heres-how-you-can-help","title":"We Know Students Are Struggling With Their Mental Health. Here's How You Can Help","publishDate":1631894107,"format":"standard","headTitle":"MindShift | KQED News","labelTerm":{"site":"mindshift"},"content":"\u003cp>Most kids around the country are back in classrooms by now, but this school year isn't quite the return-to-normalcy that everyone had hoped for. Covid-19 cases are surging again, and many school districts have \u003ca href=\"https://districtadministration.com/school-closings-tracker-where-covid-shut-down-schools-again/\">already closed due to outbreaks\u003c/a>. Others are \u003ca href=\"https://www.npr.org/sections/back-to-school-live-updates/2021/09/13/1036613586/moms-on-both-sides-of-the-back-to-school-debate\">offering remote learning options\u003c/a>. This school year is already feeling uncertain and anxiety ridden for many students.\u003c/p>\n\u003cp>\"Teacher, kids, everybody thought we were going to come back this year and everything would be back to normal,\" says \u003ca href=\"https://www.wellmindsconsulting.com/about.php\">Dr. Nicole Christian-Brathwaite\u003c/a>, a child and adolescent psychiatrist and a senior vice president at \u003ca href=\"https://arraybc.com/about/our-history\">Array Behavioral Care\u003c/a>. \"And now that it's not, how do we prepare kids for another potentially challenging year?\"\u003c/p>\n\u003cp>That's a question she's been getting a lot from schools in recent weeks. So what do you do? Christian-Brathwaite and other mental health experts gave NPR some tips that parents, teachers and all adults can use to help kids cope better in these uncertain times.\u003c/p>\n\u003cp>\u003cstrong>1. Adults, take care of your own well being first.\u003c/strong>\u003c/p>\n\u003cp>\"There are no healthy children without healthy adults,\" says Christian-Brathwaite.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It's important for adults in charge of kids to take care of their own mental health, she says, so they are able to better manage whatever comes their way.\u003c/p>\n\u003cp>Practice things that will support your resilience, advises child and adolescent psychiatrist \u003ca href=\"https://www.northwell.edu/find-care/find-a-doctor/psychiatry/dr-vera-feuer-md-11351332\">Dr. Vera Feuer\u003c/a>, the associate vice president for school mental health at Northwell Health.\u003c/p>\n\u003cp>Feuer suggests doing calming activities like yoga and meditation. In fact, any physical activity can help, she adds, like hiking, dancing or playing sports. It will help you manage your emotions better and stay calm during stressful times, she says. And in the process you can teach your kids or students these important skills, too.\u003c/p>\n\u003cp>\"Kids and parents should understand that we all have anxiety and stress in our lives, and the goal is not to eliminate it, but to learn to manage it,\" adds Feuer.\u003c/p>\n\u003cp>Christian-Brathwaite suggests incorporating calming activities like meditation into the school day — either at the start of the day, or during transitions between classes.\u003c/p>\n\u003cp>\"Something as simple as a regular practice of meditation or mindfulness, it decreases our stress response,\" she says. \"It brings kids out of that fight, flight or freeze, and it brings the adults out of it as well.\"\u003c/p>\n\u003cp>\u003cstrong>2. Talk to kids about their concerns — and validate their feelings\u003c/strong>\u003c/p>\n\u003cp>It's important to start talking to kids about their emotions and their mental health early, and before things reach a crisis point.\u003c/p>\n\u003cp>Families should \"provide kids with open spaces to discuss their concerns,\" says Feuer. \"This generation is changing in terms of their view of mental health. And there is a positive shift in the stigma issue in terms of kids being more willing and able to come forward and talk about things. And really, adults need to continue to support that.\"\u003c/p>\n\u003cp>The same advice goes for schools, too, says Dena Trujillo, interim CEO of Crisis Text Line, which has created \u003ca href=\"https://www.crisistextline.org/school-mental-health/\">a toolkit called Mental Health School Supplies\u003c/a> to help kids cope better during these times.\u003c/p>\n\u003cp>\u003cstrong>\"\u003c/strong>Some of these things seem basic, but they're really important,\" she says.\u003c/p>\n\u003cp>And when kids express their concerns, say about being back in school, or fear of infections, parents and teachers need to accept their concerns as valid, says Feuer, and then teach them tools to manage their anxiety and stress, like yoga, meditation and mindfulness.\u003c/p>\n\u003cp>Even better: practice these skills as a family.\u003c/p>\n\u003cp>\"Combining that with family time to give parents the opportunity to implement these practices, but to open the door for dialogue,\" says Christian-Brathwaite.\u003c/p>\n\u003cp>And be on the lookout for changes in behavior like sleeping and eating patterns, she adds.\u003c/p>\n\u003cp>\"Just being aware of those behavioral changes: Is there a decrease or increase in eating? Is there a decrease or increase in exercise? Who are they hanging out with? What are they doing?\"\u003c/p>\n\u003cp>All of those can be indicators of a child starting to struggle emotionally.\u003c/p>\n\u003cp>\u003cstrong>3. Be ready to provide extra support to students \u003c/strong>\u003cem>\u003cstrong>and \u003c/strong>\u003c/em>\u003cstrong>teachers\u003c/strong>\u003c/p>\n\u003cp>\"I really recommend that you just assume that everyone has experienced some level of pain,\" says Chirstian-Brathwaite. \"Every child that you engage with has some level of trauma.\"\u003c/p>\n\u003cp>But children's pain and emotional struggles often come out in the form of behavioral problems, like being disruptive in a classroom or inability to focus and learn.\u003c/p>\n\u003cp>For kids being disruptive in class, she advises against disciplinary action.\u003c/p>\n\u003cp>\"I'm really asking schools not to implement suspensions or detentions immediately and to really take a more trauma sensitive lens,\" says Christian-Brathwaite. \"Instead of focusing on the behavior, disciplining them, sending them out of school, leading to more disruption in education, let's focus on what's behind that behavior. Where is this pain coming from? What was the catalyst for this child to act out? What's happened at home that may lead this child to misbehave?\"\u003c/p>\n\u003cp>School administrators should take a similar approach toward teachers, she adds. If a teacher is late, or having a hard time, she suggests that the school principal or superintendent ask the teacher what additional support they need to be successful.\u003c/p>\n\u003cp>\u003cstrong>4. Help kids embrace structure and routine \u003c/strong>\u003c/p>\n\u003cp>In a world filled with so much uncertainty, structure and routine are one's friends.\u003c/p>\n\u003cp>\"Some of what is helpful is actually making a schedule,\" says Trujillo. \"As you go back into this new way of living, structure is helpful. Writing down that schedule or having it in your calendar so that you have that sense of control and stability.\"\u003c/p>\n\u003cp>Feuer suggests working ahead of time with your child to come up with a structure and stick to it. \"Be consistent,\" she says.\u003c/p>\n\u003cp>And if a child is worried about past experiences that have stressed them out, she suggests \"collaborative problem solving.\"\u003c/p>\n\u003cp>\"Just talking to kids about what they [can] do if that were to happen and how to manage it and how to talk about what skills they can use in terms of managing it,\" says Feuer.\u003c/p>\n\u003cp>\u003cstrong>5. Know where to turn for help\u003c/strong>\u003c/p>\n\u003cp>If a child is struggling emotionally, or in crisis, know beforehand where to reach for help, suggests Trujillo.\u003c/p>\n\u003cp>The easiest option for kids or their teachers or families is the Crisis Text Line, by texting HOME to 741741 and connecting to a trained counselor.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>If you know a child struggling with thoughts of suicide, you can call the \u003ca href=\"http://suicidepreventionlifeline.org/\">Suicide Prevention Lifeline\u003c/a> at 1(800) 273-8255.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=We+Know+Students+Are+Struggling+With+Their+Mental+Health.+Here%27s+How+You+Can+Help&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Experts say taking care of your own wellbeing first will allow you to help your kids and students. You should also listen to their concerns and teach them tools to manage their anxieties.","status":"publish","parent":0,"modified":1631894107,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":40,"wordCount":1102},"headData":{"title":"We Know Students Are Struggling With Their Mental Health. Here's How You Can Help - MindShift","description":"Experts say taking care of your own wellbeing first will allow you to help your kids and students. You should also listen to their concerns and teach them tools to manage their anxieties.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"We Know Students Are Struggling With Their Mental Health. Here's How You Can Help","datePublished":"2021-09-17T15:55:07.000Z","dateModified":"2021-09-17T15:55:07.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"58525 https://ww2.kqed.org/mindshift/?p=58525","disqusUrl":"https://ww2.kqed.org/mindshift/2021/09/17/we-know-students-are-struggling-with-their-mental-health-heres-how-you-can-help/","disqusTitle":"We Know Students Are Struggling With Their Mental Health. Here's How You Can Help","nprImageCredit":"Annie Otzen","nprByline":"Rhitu Chatterjee","nprImageAgency":"Getty Images","nprStoryId":"1038022995","nprApiLink":"http://api.npr.org/query?id=1038022995&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/back-to-school-live-updates/2021/09/17/1038022995/we-know-students-are-struggling-with-their-mental-health-heres-how-you-can-help?ft=nprml&f=1038022995","nprRetrievedStory":"1","nprPubDate":"Fri, 17 Sep 2021 09:11:00 -0400","nprStoryDate":"Fri, 17 Sep 2021 09:11:16 -0400","nprLastModifiedDate":"Fri, 17 Sep 2021 09:11:27 -0400","path":"/mindshift/58525/we-know-students-are-struggling-with-their-mental-health-heres-how-you-can-help","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Most kids around the country are back in classrooms by now, but this school year isn't quite the return-to-normalcy that everyone had hoped for. Covid-19 cases are surging again, and many school districts have \u003ca href=\"https://districtadministration.com/school-closings-tracker-where-covid-shut-down-schools-again/\">already closed due to outbreaks\u003c/a>. Others are \u003ca href=\"https://www.npr.org/sections/back-to-school-live-updates/2021/09/13/1036613586/moms-on-both-sides-of-the-back-to-school-debate\">offering remote learning options\u003c/a>. This school year is already feeling uncertain and anxiety ridden for many students.\u003c/p>\n\u003cp>\"Teacher, kids, everybody thought we were going to come back this year and everything would be back to normal,\" says \u003ca href=\"https://www.wellmindsconsulting.com/about.php\">Dr. Nicole Christian-Brathwaite\u003c/a>, a child and adolescent psychiatrist and a senior vice president at \u003ca href=\"https://arraybc.com/about/our-history\">Array Behavioral Care\u003c/a>. \"And now that it's not, how do we prepare kids for another potentially challenging year?\"\u003c/p>\n\u003cp>That's a question she's been getting a lot from schools in recent weeks. So what do you do? Christian-Brathwaite and other mental health experts gave NPR some tips that parents, teachers and all adults can use to help kids cope better in these uncertain times.\u003c/p>\n\u003cp>\u003cstrong>1. Adults, take care of your own well being first.\u003c/strong>\u003c/p>\n\u003cp>\"There are no healthy children without healthy adults,\" says Christian-Brathwaite.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It's important for adults in charge of kids to take care of their own mental health, she says, so they are able to better manage whatever comes their way.\u003c/p>\n\u003cp>Practice things that will support your resilience, advises child and adolescent psychiatrist \u003ca href=\"https://www.northwell.edu/find-care/find-a-doctor/psychiatry/dr-vera-feuer-md-11351332\">Dr. Vera Feuer\u003c/a>, the associate vice president for school mental health at Northwell Health.\u003c/p>\n\u003cp>Feuer suggests doing calming activities like yoga and meditation. In fact, any physical activity can help, she adds, like hiking, dancing or playing sports. It will help you manage your emotions better and stay calm during stressful times, she says. And in the process you can teach your kids or students these important skills, too.\u003c/p>\n\u003cp>\"Kids and parents should understand that we all have anxiety and stress in our lives, and the goal is not to eliminate it, but to learn to manage it,\" adds Feuer.\u003c/p>\n\u003cp>Christian-Brathwaite suggests incorporating calming activities like meditation into the school day — either at the start of the day, or during transitions between classes.\u003c/p>\n\u003cp>\"Something as simple as a regular practice of meditation or mindfulness, it decreases our stress response,\" she says. \"It brings kids out of that fight, flight or freeze, and it brings the adults out of it as well.\"\u003c/p>\n\u003cp>\u003cstrong>2. Talk to kids about their concerns — and validate their feelings\u003c/strong>\u003c/p>\n\u003cp>It's important to start talking to kids about their emotions and their mental health early, and before things reach a crisis point.\u003c/p>\n\u003cp>Families should \"provide kids with open spaces to discuss their concerns,\" says Feuer. \"This generation is changing in terms of their view of mental health. And there is a positive shift in the stigma issue in terms of kids being more willing and able to come forward and talk about things. And really, adults need to continue to support that.\"\u003c/p>\n\u003cp>The same advice goes for schools, too, says Dena Trujillo, interim CEO of Crisis Text Line, which has created \u003ca href=\"https://www.crisistextline.org/school-mental-health/\">a toolkit called Mental Health School Supplies\u003c/a> to help kids cope better during these times.\u003c/p>\n\u003cp>\u003cstrong>\"\u003c/strong>Some of these things seem basic, but they're really important,\" she says.\u003c/p>\n\u003cp>And when kids express their concerns, say about being back in school, or fear of infections, parents and teachers need to accept their concerns as valid, says Feuer, and then teach them tools to manage their anxiety and stress, like yoga, meditation and mindfulness.\u003c/p>\n\u003cp>Even better: practice these skills as a family.\u003c/p>\n\u003cp>\"Combining that with family time to give parents the opportunity to implement these practices, but to open the door for dialogue,\" says Christian-Brathwaite.\u003c/p>\n\u003cp>And be on the lookout for changes in behavior like sleeping and eating patterns, she adds.\u003c/p>\n\u003cp>\"Just being aware of those behavioral changes: Is there a decrease or increase in eating? Is there a decrease or increase in exercise? Who are they hanging out with? What are they doing?\"\u003c/p>\n\u003cp>All of those can be indicators of a child starting to struggle emotionally.\u003c/p>\n\u003cp>\u003cstrong>3. Be ready to provide extra support to students \u003c/strong>\u003cem>\u003cstrong>and \u003c/strong>\u003c/em>\u003cstrong>teachers\u003c/strong>\u003c/p>\n\u003cp>\"I really recommend that you just assume that everyone has experienced some level of pain,\" says Chirstian-Brathwaite. \"Every child that you engage with has some level of trauma.\"\u003c/p>\n\u003cp>But children's pain and emotional struggles often come out in the form of behavioral problems, like being disruptive in a classroom or inability to focus and learn.\u003c/p>\n\u003cp>For kids being disruptive in class, she advises against disciplinary action.\u003c/p>\n\u003cp>\"I'm really asking schools not to implement suspensions or detentions immediately and to really take a more trauma sensitive lens,\" says Christian-Brathwaite. \"Instead of focusing on the behavior, disciplining them, sending them out of school, leading to more disruption in education, let's focus on what's behind that behavior. Where is this pain coming from? What was the catalyst for this child to act out? What's happened at home that may lead this child to misbehave?\"\u003c/p>\n\u003cp>School administrators should take a similar approach toward teachers, she adds. If a teacher is late, or having a hard time, she suggests that the school principal or superintendent ask the teacher what additional support they need to be successful.\u003c/p>\n\u003cp>\u003cstrong>4. Help kids embrace structure and routine \u003c/strong>\u003c/p>\n\u003cp>In a world filled with so much uncertainty, structure and routine are one's friends.\u003c/p>\n\u003cp>\"Some of what is helpful is actually making a schedule,\" says Trujillo. \"As you go back into this new way of living, structure is helpful. Writing down that schedule or having it in your calendar so that you have that sense of control and stability.\"\u003c/p>\n\u003cp>Feuer suggests working ahead of time with your child to come up with a structure and stick to it. \"Be consistent,\" she says.\u003c/p>\n\u003cp>And if a child is worried about past experiences that have stressed them out, she suggests \"collaborative problem solving.\"\u003c/p>\n\u003cp>\"Just talking to kids about what they [can] do if that were to happen and how to manage it and how to talk about what skills they can use in terms of managing it,\" says Feuer.\u003c/p>\n\u003cp>\u003cstrong>5. Know where to turn for help\u003c/strong>\u003c/p>\n\u003cp>If a child is struggling emotionally, or in crisis, know beforehand where to reach for help, suggests Trujillo.\u003c/p>\n\u003cp>The easiest option for kids or their teachers or families is the Crisis Text Line, by texting HOME to 741741 and connecting to a trained counselor.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If you know a child struggling with thoughts of suicide, you can call the \u003ca href=\"http://suicidepreventionlifeline.org/\">Suicide Prevention Lifeline\u003c/a> at 1(800) 273-8255.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=We+Know+Students+Are+Struggling+With+Their+Mental+Health.+Here%27s+How+You+Can+Help&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/mindshift/58525/we-know-students-are-struggling-with-their-mental-health-heres-how-you-can-help","authors":["byline_mindshift_58525"],"categories":["mindshift_21280"],"tags":["mindshift_20589","mindshift_21343","mindshift_21070","mindshift_20865","mindshift_21359"],"featImg":"mindshift_58526","label":"mindshift"},"mindshift_57600":{"type":"posts","id":"mindshift_57600","meta":{"index":"posts_1591205157","site":"mindshift","id":"57600","score":null,"sort":[1617002905000]},"guestAuthors":[],"slug":"18-books-to-help-grieving-children-and-teens-heal","title":"18 Books to Help Grieving Children and Teens Heal","publishDate":1617002905,"format":"standard","headTitle":"MindShift | KQED News","labelTerm":{"site":"mindshift"},"content":"\u003cp>\u003cspan style=\"font-weight: 400\">Kids have dealt with a lot in the last year, says \u003c/span>\u003ca href=\"https://twitter.com/ashlm_12\">\u003cspan style=\"font-weight: 400\">Ashley McCall\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, a third grade teacher in Chicago. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Our students have had COVID-19, have watched relatives struggle through COVID-19, and lost relatives. And yet the world keeps spinning around them with seemingly little interruption or change in what's expected of them,” she said. To help students \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/tag/social-emotional-learning\">\u003cspan style=\"font-weight: 400\">name their emotions\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> and develop coping strategies, McCall and her colleague Lindsay Singer developed social studies and \u003c/span>\u003ca href=\"https://www.donorschoose.org/project/processing-our-purpose-and-place-during/5345352/?rf=email-system-2021-01-proposal_message_donation&utm_swu=9681&utm_source=dc&utm_medium=page&utm_campaign=project&utm_term=teacher_1614753\">\u003cspan style=\"font-weight: 400\">reading units\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> centered around children’s books about “big feelings.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In Brooklyn, when schools were closed last spring, social worker Maria Garcia also turned to books to connect with grieving students. She partnered with a \u003c/span>\u003ca href=\"https://www.bookmarkshoppe.com/\">\u003cspan style=\"font-weight: 400\">local bookstore\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> to send “bereavement baskets” to students at her Brooklyn elementary school who lost family members to coronavirus. Garcia said the baskets were a way to “acknowledge their grief until we were able to provide something more solid in terms of counseling and services.”\u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/Adriana_Edu\">\u003cspan style=\"font-weight: 400\">Adriana White\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, a middle school librarian in San Antonio, Texas, also sees the value in literature about loss. She has shared books with grief themes through individual recommendations and \u003c/span>\u003ca href=\"https://view.genial.ly/5fb3ee7eb637790d16dfc412/horizontal-infographic-review-childrens-grief-awareness-day\">\u003cspan style=\"font-weight: 400\">a virtual book display\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. “Kids may not be ready or willing to talk about their feelings of grief right away,” she said. “They need time to process. And books about grief can help bridge that gap between being alone in your pain and reaching out to others for healing.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Even as vaccination efforts offer hope for the pandemic’s end, and as more schools reopen, \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/57511/why-helping-grieving-students-heal-matters-so-much\">\u003cspan style=\"font-weight: 400\">the road to healing may just be starting\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> for many students. Here are 18 books recommended by educators to help along the way.\u003c/span>\u003c/p>\n\u003ch1>\u003cb>Picture Books\u003c/b>\u003c/h1>\n\u003cp> \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/39293561-the-invisible-string\">\u003cb>\u003cimg class=\"wp-image-57607 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Invisible-String.jpeg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Invisible-String.jpeg 1000w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Invisible-String-800x800.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Invisible-String-160x160.jpeg 160w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Invisible-String-768x768.jpeg 768w\" sizes=\"(max-width: 200px) 100vw, 200px\">\u003c/b>\u003c/a>\u003cb>\u003ca href=\"https://www.goodreads.com/book/show/39293561-the-invisible-string\">The Invisible String\u003c/a>\u003cbr>\nwritten by Patrice Karst and illustrated by Joanne Lew-Vriethoff \u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">This picture book was one included in the bereavement baskets for Garcia’s students. First published in 2000, it has become a staple for educators, therapists and caregivers helping children cope with loneliness and loss. It revolves around the idea of children being connected to adults through an invisible string of love. In 2019, Karst co-authored \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400\">The Invisible String Workbook: Creative Activities to Comfort, Calm, and Connect\u003c/span>\u003c/i>\u003cspan style=\"font-weight: 400\">, with art therapist Dana Wyss.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/220223.When_Someone_Very_Special_Dies\">\u003cb>\u003cimg class=\"alignleft wp-image-57608\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-Someone-Very-Special-Dies-Children-Can-Learn-to-Cope-with-Grief.jpg\" alt=\"\" width=\"200\" height=\"152\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-Someone-Very-Special-Dies-Children-Can-Learn-to-Cope-with-Grief.jpg 499w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-Someone-Very-Special-Dies-Children-Can-Learn-to-Cope-with-Grief-160x122.jpg 160w\" sizes=\"(max-width: 200px) 100vw, 200px\">When Someone Very Special Dies: Children Can Learn to Cope\u003c/b>\u003c/a>\u003cb>\u003ca href=\"https://www.goodreads.com/book/show/220223.When_Someone_Very_Special_Dies\"> with Grief\u003c/a>\u003cbr>\nby Marge Eaton Heegaard\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">This one is an activity book with spaces for children to draw and reflect while processing emotions. It was also included in the bereavement baskets for Garcia’s students.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/238136.I_Miss_You\">\u003cimg class=\"alignleft wp-image-57636\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-Dinosaurs-Die-and-I-Miss-You.png\" alt=\"\" width=\"200\" height=\"372\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-Dinosaurs-Die-and-I-Miss-You.png 241w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-Dinosaurs-Die-and-I-Miss-You-160x297.png 160w\" sizes=\"(max-width: 200px) 100vw, 200px\">\u003c/a>\u003c/p>\n\u003cp>\u003cb>\u003ca href=\"https://www.goodreads.com/book/show/242824.When_Dinosaurs_Die\">When Dinosaurs Die: A Guide to Understanding Death\u003c/a>\u003cbr>\nby Laurie Krasny Brown and Marc Brown and \u003c/b>\u003cbr>\n\u003ca href=\"https://www.goodreads.com/book/show/238136.I_Miss_You\">\u003cb>I Miss You: a First Look at Death\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Pat Thomas\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Well-meaning grown-ups sometimes talk about heaven, sleeping forever or someone being in the sky instead of directly explaining death to kids. Garcia said those ideas can cause confusion, fear and anxiety. She uses both of these books in her office to give children clear information about death. Particularly for children under age 7, who struggle to understand the permanency of death, didactic books can be important, Garcia said. “Because adults understand story based books they often feel like it’s a better way to explain it to kids, but developmentally that’s not always true. It depends on where the student is in their understanding of death.”\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/goodbookpusher\">\u003cb>\u003cimg class=\"alignleft wp-image-57610\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Remembering-Crystal.jpeg\" alt=\"\" width=\"200\" height=\"145\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Remembering-Crystal.jpeg 264w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/Remembering-Crystal-160x116.jpeg 160w\" sizes=\"(max-width: 200px) 100vw, 200px\">Remembering Crystal\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Sebastian Loth\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Featuring a friendship between an aging turtle and a young goose, Abby Harrison, a school librarian in Addison, Texas, said this picture book is her go-to purchase for grieving families. And its comforting words and images aren’t just for children. “It helped me as an adult when I lost my beloved grandmother and my kids when they lost their grandfather,” she said.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cimg class=\"alignleft wp-image-57611\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Rabbit-Listened-by-Cori-Doerrfeld.jpeg\" alt=\"\" width=\"200\" height=\"199\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Rabbit-Listened-by-Cori-Doerrfeld.jpeg 225w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Rabbit-Listened-by-Cori-Doerrfeld-160x159.jpeg 160w\" sizes=\"(max-width: 200px) 100vw, 200px\">\u003ca href=\"https://www.goodreads.com/book/show/35248504-the-rabbit-listened\">\u003cb>The Rabbit Listened\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Cori Doerrfeld\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">A simple story with a profound heart. When things come crashing down (literally) in Taylor's world, a stream of animals offer advice on ways to cope. But the rabbit offers what Taylor needs most of all: a steady presence and listening ear. Reading teacher Dena Rice \u003c/span>\u003ca href=\"https://twitter.com/denarice/status/1032733393149218817\">\u003cspan style=\"font-weight: 400\">wrote on Twitter\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> that the empathetic takeaway from this book resonates with middle schoolers, too.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cimg class=\"alignleft wp-image-57612\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Death-Is-Stupid-by-Anastasia-Higginbotham.jpeg\" alt=\"\" width=\"200\" height=\"199\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Death-Is-Stupid-by-Anastasia-Higginbotham.jpeg 225w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/Death-Is-Stupid-by-Anastasia-Higginbotham-160x159.jpeg 160w\" sizes=\"(max-width: 200px) 100vw, 200px\">\u003ca href=\"https://www.goodreads.com/author/show/8511578.Anastasia_Higginbotham\">\u003cb>Death Is Stupid\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Anastasia Higginbotham\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Part of the author’s “Ordinary Terrible Things” series, this frank picture book acknowledges that grief is hard and adults’ platitudes aren’t always helpful. Illustrated in magazine cut-outs and fabric scraps on a grocery bag background, it gives voices to the frustrations children may feel in addition to sadness after losing a loved one.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/36206220-one-wave-at-a-time\">\u003cb>\u003cimg class=\"alignleft wp-image-57613\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/One-Wave-at-a-Time-A-Story-about-Grief-and-Healing.jpeg\" alt=\"\" width=\"200\" height=\"164\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/One-Wave-at-a-Time-A-Story-about-Grief-and-Healing.jpeg 248w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/One-Wave-at-a-Time-A-Story-about-Grief-and-Healing-160x131.jpeg 160w\" sizes=\"(max-width: 200px) 100vw, 200px\">One Wave at a Time: A Story about Grief and Healing\u003c/b>\u003c/a>\u003cbr>\n\u003cb>written by Holly Thompson and illustrated by Ashley Crowley\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">With lyrical text and washes of color conveying waves of emotion, Kai moves through daily routines as he heals from his father’s death. “This book shows that there is no one way, no right way and no wrong way to experience grief,” said McCall.\u003c/span>\u003c/p>\n\u003ch1>\u003cb>Middle Grade\u003c/b>\u003c/h1>\n\u003cp> \u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/27064348-ms-bixby-s-last-day\">\u003cb>\u003cimg class=\"alignleft wp-image-57614 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Ms.-Bixbys-Last-Day.jpeg\" alt=\"\" width=\"184\" height=\"274\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Ms.-Bixbys-Last-Day.jpeg 184w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/Ms.-Bixbys-Last-Day-160x238.jpeg 160w\" sizes=\"(max-width: 184px) 100vw, 184px\">Ms. Bixby's Last Day\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby John David Anderson\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Adults forget that kids feel especially powerless. They have no agency to make things better and very little life experience to equip them with ways to handle grief,” said Harrison. In this novel, three boys who “most people don’t expect much from” take action to give their beloved and terminally ill teacher a special day. Though their teacher’s death “forever changes them” they also realize “that her life will forever shape them,” Harrison said.\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003cimg class=\"size-full wp-image-57615 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/After-Zero.jpeg\" alt=\"\" width=\"183\" height=\"275\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/After-Zero.jpeg 183w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/After-Zero-160x240.jpeg 160w\" sizes=\"(max-width: 183px) 100vw, 183px\">\u003ca href=\"https://www.goodreads.com/book/show/32194556-after-zero\">\u003cb>After Zero\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Christina Collins\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Featuring a main character coping with anxiety that has progressed to mutism, this is “a story that is both heartbreaking and hopeful,” said White. “Elise's struggles with mental health and grief will resonate with anyone who has ever felt like the world was too loud, too demanding or too overwhelming.”\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/44575111-king-and-the-dragonflies\">\u003cb>\u003cimg class=\"size-full wp-image-57616 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/King-and-the-Dragonflies-.jpeg\" alt=\"\" width=\"183\" height=\"276\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/King-and-the-Dragonflies-.jpeg 183w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/King-and-the-Dragonflies--160x241.jpeg 160w\" sizes=\"(max-width: 183px) 100vw, 183px\">King and the Dragonflies\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Kacen Callender\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Not long after 12-year-old King’s brother dies, his best friend goes missing. In this middle grade novel set in rural Louisiana, the author “explores how grief affects families while also masterfully tackling larger issues like race, masculinity, and identity, including LGBTQ identity,” said White.\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/44901877-when-you-trap-a-tiger\">\u003cb>\u003cimg class=\"size-full wp-image-57617 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-You-Trap-a-Tiger.jpeg\" alt=\"\" width=\"182\" height=\"276\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-You-Trap-a-Tiger.jpeg 182w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-You-Trap-a-Tiger-160x243.jpeg 160w\" sizes=\"(max-width: 182px) 100vw, 182px\">When You Trap a Tiger\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Tae Keller\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“This is a story about a girl whose family moves in with her grandmother, but it is also so much more,” said White. A “tale of grief, family and identity,” the book is interwoven with Korean folklore and shows its main character, along with readers, the power of stories.\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003ch1>\u003cb>Young Adult\u003c/b>\u003c/h1>\n\u003cp> \u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/21490991-the-boy-in-the-black-suit\">\u003cb>\u003cimg class=\"size-full wp-image-57618 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Boy-in-the-Black-Suit-.jpeg\" alt=\"\" width=\"180\" height=\"279\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Boy-in-the-Black-Suit-.jpeg 180w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Boy-in-the-Black-Suit--160x248.jpeg 160w\" sizes=\"(max-width: 180px) 100vw, 180px\">The Boy in the Black Suit\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Jason Reynolds\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Jason Reynolds is “known for writing about tough topics in an authentic way that respects the emotions and struggles of his young readers,” said White. In this novel, the protagonist, Matt, works at a funeral home while simultaneously grieving the loss of his mother. \u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/43334416-the-truth-is\">\u003cb>\u003cimg class=\"size-full wp-image-57619 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Truth-Is-by-NoNieqa-Ramos.jpeg\" alt=\"\" width=\"184\" height=\"275\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Truth-Is-by-NoNieqa-Ramos.jpeg 184w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Truth-Is-by-NoNieqa-Ramos-160x239.jpeg 160w\" sizes=\"(max-width: 184px) 100vw, 184px\">The Truth Is\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby NoNieqa Ramos\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">While coping with the recent death of her best friend, Verdad finds herself falling for a new classmate, who is transgender. Her new relationship prompts questions about her own identity and tension with her mother. “Many teens not only struggle with grieving for the loss of a loved friend or family member, but as they come-of-age, they grieve for childhood, broken friendships and misguided parents,” according to Harrison. This novel, she said, “shines a light” on those challenges.\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003cimg class=\"size-full wp-image-57620 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Early-Departures-by-Justin-A.-Reynolds.jpeg\" alt=\"\" width=\"184\" height=\"274\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Early-Departures-by-Justin-A.-Reynolds.jpeg 184w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/Early-Departures-by-Justin-A.-Reynolds-160x238.jpeg 160w\" sizes=\"(max-width: 184px) 100vw, 184px\">\u003ca href=\"https://www.goodreads.com/book/show/45734692-early-departures\">\u003cb>Early Departures\u003c/b>\u003c/a>\u003cb>\u003cbr>\n\u003c/b>\u003cb>by Justin A. Reynolds\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Themes of grief and loss aren’t limited to realistic teen fiction. High school English teacher Laura Malafarina \u003c/span>\u003ca href=\"https://twitter.com/lauramalafarina/status/1368337989131243527\">\u003cspan style=\"font-weight: 400\">described \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400\">Early Departures\u003c/span>\u003c/i>\u003c/a> \u003cspan style=\"font-weight: 400\">as “a poignant exploration of friendship & grief, with a sci-fi twist” featuring “smart, witty banter and dynamic characters.”\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/41941681-patron-saints-of-nothing\">\u003cb>\u003cimg class=\"wp-image-57621 size-full alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Patron-Saints-of-Nothing-by-Randy-Ribay-e1616695626443.jpeg\" alt=\"\" width=\"149\" height=\"225\">The Patron Saints of Nothing\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Randy Ribay\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Words Alive, a nonprofit that organizes teen book clubs and other literacy programs in San Diego, \u003c/span>\u003ca href=\"https://twitter.com/WordsAliveSD/status/1369343552770035712\">\u003cspan style=\"font-weight: 400\">wrote on Twitter\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> that this 2019 National Book Award finalist “is a favorite for our students. It's a beautiful novel about grief, guilt, and the risks a Filipino-American teenager takes to uncover the truth about his cousin's murder.”\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/35604686-the-astonishing-color-of-after\">\u003cb>\u003cimg class=\"size-full wp-image-57622 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Astonishing-Color-of-After-by-Emily-X.R.-Pan.jpeg\" alt=\"\" width=\"183\" height=\"275\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Astonishing-Color-of-After-by-Emily-X.R.-Pan.jpeg 183w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Astonishing-Color-of-After-by-Emily-X.R.-Pan-160x240.jpeg 160w\" sizes=\"(max-width: 183px) 100vw, 183px\">The Astonishing Color of After\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Emily X.R. Pan\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">After Leigh’s mother dies by suicide, the biracial teen becomes convinced that her mom has turned into a bird. So Leigh travels to find her in Taiwan, where she also meets her maternal grandparents for the first time. “Pan's writing is beautiful and magical, and Leigh's grief is wonderfully interwoven with issues like identity, stigma, family, love and so much more,” said White.\u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/50010932-dancing-at-the-pity-party\">\u003cb>\u003cimg class=\"size-full wp-image-57623 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Dancing-at-the-Pity-Party-by-Tyler-Feder.jpeg\" alt=\"\" width=\"184\" height=\"273\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Dancing-at-the-Pity-Party-by-Tyler-Feder.jpeg 184w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/Dancing-at-the-Pity-Party-by-Tyler-Feder-160x237.jpeg 160w\" sizes=\"(max-width: 184px) 100vw, 184px\">Dancing at the Pity Party\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Tyler Feder\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In this graphic memoir, Feder recounts losing her mother to cancer while in college and the difficult moments that followed, such as cleaning out her mom’s closet or celebrating holidays without her. “This book is part memoir, part how-to, and most importantly a celebration of her mother's life,” said Harrison. “It's the perfect book for someone who has suffered a loss and the perfect book for someone trying to understand a friend who has suffered loss.”\u003c/span>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp> \u003c/p>\n\n","blocks":[],"excerpt":"COVID-19 related deaths may mean teachers, librarians and caregivers need books about death for kids who are grieving, especially if it's a student who lost a parent. ","status":"publish","parent":0,"modified":1617002905,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":48,"wordCount":1571},"headData":{"title":"18 Books to Help Grieving Children and Teens Heal - MindShift","description":"COVID-19 related deaths may mean teachers, librarians and caregivers need books about death for kids who are grieving, especially if it's a student who lost a parent.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"18 Books to Help Grieving Children and Teens Heal","datePublished":"2021-03-29T07:28:25.000Z","dateModified":"2021-03-29T07:28:25.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"57600 https://ww2.kqed.org/mindshift/?p=57600","disqusUrl":"https://ww2.kqed.org/mindshift/2021/03/29/18-books-to-help-grieving-children-and-teens-heal/","disqusTitle":"18 Books to Help Grieving Children and Teens Heal","path":"/mindshift/57600/18-books-to-help-grieving-children-and-teens-heal","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">Kids have dealt with a lot in the last year, says \u003c/span>\u003ca href=\"https://twitter.com/ashlm_12\">\u003cspan style=\"font-weight: 400\">Ashley McCall\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, a third grade teacher in Chicago. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Our students have had COVID-19, have watched relatives struggle through COVID-19, and lost relatives. And yet the world keeps spinning around them with seemingly little interruption or change in what's expected of them,” she said. To help students \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/tag/social-emotional-learning\">\u003cspan style=\"font-weight: 400\">name their emotions\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> and develop coping strategies, McCall and her colleague Lindsay Singer developed social studies and \u003c/span>\u003ca href=\"https://www.donorschoose.org/project/processing-our-purpose-and-place-during/5345352/?rf=email-system-2021-01-proposal_message_donation&utm_swu=9681&utm_source=dc&utm_medium=page&utm_campaign=project&utm_term=teacher_1614753\">\u003cspan style=\"font-weight: 400\">reading units\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> centered around children’s books about “big feelings.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In Brooklyn, when schools were closed last spring, social worker Maria Garcia also turned to books to connect with grieving students. She partnered with a \u003c/span>\u003ca href=\"https://www.bookmarkshoppe.com/\">\u003cspan style=\"font-weight: 400\">local bookstore\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> to send “bereavement baskets” to students at her Brooklyn elementary school who lost family members to coronavirus. Garcia said the baskets were a way to “acknowledge their grief until we were able to provide something more solid in terms of counseling and services.”\u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/Adriana_Edu\">\u003cspan style=\"font-weight: 400\">Adriana White\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, a middle school librarian in San Antonio, Texas, also sees the value in literature about loss. She has shared books with grief themes through individual recommendations and \u003c/span>\u003ca href=\"https://view.genial.ly/5fb3ee7eb637790d16dfc412/horizontal-infographic-review-childrens-grief-awareness-day\">\u003cspan style=\"font-weight: 400\">a virtual book display\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. “Kids may not be ready or willing to talk about their feelings of grief right away,” she said. “They need time to process. And books about grief can help bridge that gap between being alone in your pain and reaching out to others for healing.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Even as vaccination efforts offer hope for the pandemic’s end, and as more schools reopen, \u003c/span>\u003ca href=\"https://www.kqed.org/mindshift/57511/why-helping-grieving-students-heal-matters-so-much\">\u003cspan style=\"font-weight: 400\">the road to healing may just be starting\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> for many students. Here are 18 books recommended by educators to help along the way.\u003c/span>\u003c/p>\n\u003ch1>\u003cb>Picture Books\u003c/b>\u003c/h1>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/39293561-the-invisible-string\">\u003cb>\u003cimg class=\"wp-image-57607 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Invisible-String.jpeg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Invisible-String.jpeg 1000w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Invisible-String-800x800.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Invisible-String-160x160.jpeg 160w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Invisible-String-768x768.jpeg 768w\" sizes=\"(max-width: 200px) 100vw, 200px\">\u003c/b>\u003c/a>\u003cb>\u003ca href=\"https://www.goodreads.com/book/show/39293561-the-invisible-string\">The Invisible String\u003c/a>\u003cbr>\nwritten by Patrice Karst and illustrated by Joanne Lew-Vriethoff \u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">This picture book was one included in the bereavement baskets for Garcia’s students. First published in 2000, it has become a staple for educators, therapists and caregivers helping children cope with loneliness and loss. It revolves around the idea of children being connected to adults through an invisible string of love. In 2019, Karst co-authored \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400\">The Invisible String Workbook: Creative Activities to Comfort, Calm, and Connect\u003c/span>\u003c/i>\u003cspan style=\"font-weight: 400\">, with art therapist Dana Wyss.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/220223.When_Someone_Very_Special_Dies\">\u003cb>\u003cimg class=\"alignleft wp-image-57608\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-Someone-Very-Special-Dies-Children-Can-Learn-to-Cope-with-Grief.jpg\" alt=\"\" width=\"200\" height=\"152\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-Someone-Very-Special-Dies-Children-Can-Learn-to-Cope-with-Grief.jpg 499w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-Someone-Very-Special-Dies-Children-Can-Learn-to-Cope-with-Grief-160x122.jpg 160w\" sizes=\"(max-width: 200px) 100vw, 200px\">When Someone Very Special Dies: Children Can Learn to Cope\u003c/b>\u003c/a>\u003cb>\u003ca href=\"https://www.goodreads.com/book/show/220223.When_Someone_Very_Special_Dies\"> with Grief\u003c/a>\u003cbr>\nby Marge Eaton Heegaard\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">This one is an activity book with spaces for children to draw and reflect while processing emotions. It was also included in the bereavement baskets for Garcia’s students.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/238136.I_Miss_You\">\u003cimg class=\"alignleft wp-image-57636\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-Dinosaurs-Die-and-I-Miss-You.png\" alt=\"\" width=\"200\" height=\"372\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-Dinosaurs-Die-and-I-Miss-You.png 241w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-Dinosaurs-Die-and-I-Miss-You-160x297.png 160w\" sizes=\"(max-width: 200px) 100vw, 200px\">\u003c/a>\u003c/p>\n\u003cp>\u003cb>\u003ca href=\"https://www.goodreads.com/book/show/242824.When_Dinosaurs_Die\">When Dinosaurs Die: A Guide to Understanding Death\u003c/a>\u003cbr>\nby Laurie Krasny Brown and Marc Brown and \u003c/b>\u003cbr>\n\u003ca href=\"https://www.goodreads.com/book/show/238136.I_Miss_You\">\u003cb>I Miss You: a First Look at Death\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Pat Thomas\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Well-meaning grown-ups sometimes talk about heaven, sleeping forever or someone being in the sky instead of directly explaining death to kids. Garcia said those ideas can cause confusion, fear and anxiety. She uses both of these books in her office to give children clear information about death. Particularly for children under age 7, who struggle to understand the permanency of death, didactic books can be important, Garcia said. “Because adults understand story based books they often feel like it’s a better way to explain it to kids, but developmentally that’s not always true. It depends on where the student is in their understanding of death.”\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/goodbookpusher\">\u003cb>\u003cimg class=\"alignleft wp-image-57610\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Remembering-Crystal.jpeg\" alt=\"\" width=\"200\" height=\"145\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Remembering-Crystal.jpeg 264w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/Remembering-Crystal-160x116.jpeg 160w\" sizes=\"(max-width: 200px) 100vw, 200px\">Remembering Crystal\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Sebastian Loth\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Featuring a friendship between an aging turtle and a young goose, Abby Harrison, a school librarian in Addison, Texas, said this picture book is her go-to purchase for grieving families. And its comforting words and images aren’t just for children. “It helped me as an adult when I lost my beloved grandmother and my kids when they lost their grandfather,” she said.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cimg class=\"alignleft wp-image-57611\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Rabbit-Listened-by-Cori-Doerrfeld.jpeg\" alt=\"\" width=\"200\" height=\"199\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Rabbit-Listened-by-Cori-Doerrfeld.jpeg 225w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Rabbit-Listened-by-Cori-Doerrfeld-160x159.jpeg 160w\" sizes=\"(max-width: 200px) 100vw, 200px\">\u003ca href=\"https://www.goodreads.com/book/show/35248504-the-rabbit-listened\">\u003cb>The Rabbit Listened\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Cori Doerrfeld\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">A simple story with a profound heart. When things come crashing down (literally) in Taylor's world, a stream of animals offer advice on ways to cope. But the rabbit offers what Taylor needs most of all: a steady presence and listening ear. Reading teacher Dena Rice \u003c/span>\u003ca href=\"https://twitter.com/denarice/status/1032733393149218817\">\u003cspan style=\"font-weight: 400\">wrote on Twitter\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> that the empathetic takeaway from this book resonates with middle schoolers, too.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cimg class=\"alignleft wp-image-57612\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Death-Is-Stupid-by-Anastasia-Higginbotham.jpeg\" alt=\"\" width=\"200\" height=\"199\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Death-Is-Stupid-by-Anastasia-Higginbotham.jpeg 225w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/Death-Is-Stupid-by-Anastasia-Higginbotham-160x159.jpeg 160w\" sizes=\"(max-width: 200px) 100vw, 200px\">\u003ca href=\"https://www.goodreads.com/author/show/8511578.Anastasia_Higginbotham\">\u003cb>Death Is Stupid\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Anastasia Higginbotham\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Part of the author’s “Ordinary Terrible Things” series, this frank picture book acknowledges that grief is hard and adults’ platitudes aren’t always helpful. Illustrated in magazine cut-outs and fabric scraps on a grocery bag background, it gives voices to the frustrations children may feel in addition to sadness after losing a loved one.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/36206220-one-wave-at-a-time\">\u003cb>\u003cimg class=\"alignleft wp-image-57613\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/One-Wave-at-a-Time-A-Story-about-Grief-and-Healing.jpeg\" alt=\"\" width=\"200\" height=\"164\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/One-Wave-at-a-Time-A-Story-about-Grief-and-Healing.jpeg 248w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/One-Wave-at-a-Time-A-Story-about-Grief-and-Healing-160x131.jpeg 160w\" sizes=\"(max-width: 200px) 100vw, 200px\">One Wave at a Time: A Story about Grief and Healing\u003c/b>\u003c/a>\u003cbr>\n\u003cb>written by Holly Thompson and illustrated by Ashley Crowley\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">With lyrical text and washes of color conveying waves of emotion, Kai moves through daily routines as he heals from his father’s death. “This book shows that there is no one way, no right way and no wrong way to experience grief,” said McCall.\u003c/span>\u003c/p>\n\u003ch1>\u003cb>Middle Grade\u003c/b>\u003c/h1>\n\u003cp> \u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/27064348-ms-bixby-s-last-day\">\u003cb>\u003cimg class=\"alignleft wp-image-57614 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Ms.-Bixbys-Last-Day.jpeg\" alt=\"\" width=\"184\" height=\"274\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Ms.-Bixbys-Last-Day.jpeg 184w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/Ms.-Bixbys-Last-Day-160x238.jpeg 160w\" sizes=\"(max-width: 184px) 100vw, 184px\">Ms. Bixby's Last Day\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby John David Anderson\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Adults forget that kids feel especially powerless. They have no agency to make things better and very little life experience to equip them with ways to handle grief,” said Harrison. In this novel, three boys who “most people don’t expect much from” take action to give their beloved and terminally ill teacher a special day. Though their teacher’s death “forever changes them” they also realize “that her life will forever shape them,” Harrison said.\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003cimg class=\"size-full wp-image-57615 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/After-Zero.jpeg\" alt=\"\" width=\"183\" height=\"275\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/After-Zero.jpeg 183w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/After-Zero-160x240.jpeg 160w\" sizes=\"(max-width: 183px) 100vw, 183px\">\u003ca href=\"https://www.goodreads.com/book/show/32194556-after-zero\">\u003cb>After Zero\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Christina Collins\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Featuring a main character coping with anxiety that has progressed to mutism, this is “a story that is both heartbreaking and hopeful,” said White. “Elise's struggles with mental health and grief will resonate with anyone who has ever felt like the world was too loud, too demanding or too overwhelming.”\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/44575111-king-and-the-dragonflies\">\u003cb>\u003cimg class=\"size-full wp-image-57616 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/King-and-the-Dragonflies-.jpeg\" alt=\"\" width=\"183\" height=\"276\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/King-and-the-Dragonflies-.jpeg 183w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/King-and-the-Dragonflies--160x241.jpeg 160w\" sizes=\"(max-width: 183px) 100vw, 183px\">King and the Dragonflies\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Kacen Callender\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Not long after 12-year-old King’s brother dies, his best friend goes missing. In this middle grade novel set in rural Louisiana, the author “explores how grief affects families while also masterfully tackling larger issues like race, masculinity, and identity, including LGBTQ identity,” said White.\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/44901877-when-you-trap-a-tiger\">\u003cb>\u003cimg class=\"size-full wp-image-57617 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-You-Trap-a-Tiger.jpeg\" alt=\"\" width=\"182\" height=\"276\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-You-Trap-a-Tiger.jpeg 182w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/When-You-Trap-a-Tiger-160x243.jpeg 160w\" sizes=\"(max-width: 182px) 100vw, 182px\">When You Trap a Tiger\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Tae Keller\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“This is a story about a girl whose family moves in with her grandmother, but it is also so much more,” said White. A “tale of grief, family and identity,” the book is interwoven with Korean folklore and shows its main character, along with readers, the power of stories.\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003ch1>\u003cb>Young Adult\u003c/b>\u003c/h1>\n\u003cp> \u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/21490991-the-boy-in-the-black-suit\">\u003cb>\u003cimg class=\"size-full wp-image-57618 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Boy-in-the-Black-Suit-.jpeg\" alt=\"\" width=\"180\" height=\"279\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Boy-in-the-Black-Suit-.jpeg 180w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Boy-in-the-Black-Suit--160x248.jpeg 160w\" sizes=\"(max-width: 180px) 100vw, 180px\">The Boy in the Black Suit\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Jason Reynolds\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Jason Reynolds is “known for writing about tough topics in an authentic way that respects the emotions and struggles of his young readers,” said White. In this novel, the protagonist, Matt, works at a funeral home while simultaneously grieving the loss of his mother. \u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/43334416-the-truth-is\">\u003cb>\u003cimg class=\"size-full wp-image-57619 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Truth-Is-by-NoNieqa-Ramos.jpeg\" alt=\"\" width=\"184\" height=\"275\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Truth-Is-by-NoNieqa-Ramos.jpeg 184w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Truth-Is-by-NoNieqa-Ramos-160x239.jpeg 160w\" sizes=\"(max-width: 184px) 100vw, 184px\">The Truth Is\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby NoNieqa Ramos\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">While coping with the recent death of her best friend, Verdad finds herself falling for a new classmate, who is transgender. Her new relationship prompts questions about her own identity and tension with her mother. “Many teens not only struggle with grieving for the loss of a loved friend or family member, but as they come-of-age, they grieve for childhood, broken friendships and misguided parents,” according to Harrison. This novel, she said, “shines a light” on those challenges.\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003cimg class=\"size-full wp-image-57620 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Early-Departures-by-Justin-A.-Reynolds.jpeg\" alt=\"\" width=\"184\" height=\"274\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Early-Departures-by-Justin-A.-Reynolds.jpeg 184w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/Early-Departures-by-Justin-A.-Reynolds-160x238.jpeg 160w\" sizes=\"(max-width: 184px) 100vw, 184px\">\u003ca href=\"https://www.goodreads.com/book/show/45734692-early-departures\">\u003cb>Early Departures\u003c/b>\u003c/a>\u003cb>\u003cbr>\n\u003c/b>\u003cb>by Justin A. Reynolds\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Themes of grief and loss aren’t limited to realistic teen fiction. High school English teacher Laura Malafarina \u003c/span>\u003ca href=\"https://twitter.com/lauramalafarina/status/1368337989131243527\">\u003cspan style=\"font-weight: 400\">described \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400\">Early Departures\u003c/span>\u003c/i>\u003c/a> \u003cspan style=\"font-weight: 400\">as “a poignant exploration of friendship & grief, with a sci-fi twist” featuring “smart, witty banter and dynamic characters.”\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/41941681-patron-saints-of-nothing\">\u003cb>\u003cimg class=\"wp-image-57621 size-full alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Patron-Saints-of-Nothing-by-Randy-Ribay-e1616695626443.jpeg\" alt=\"\" width=\"149\" height=\"225\">The Patron Saints of Nothing\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Randy Ribay\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Words Alive, a nonprofit that organizes teen book clubs and other literacy programs in San Diego, \u003c/span>\u003ca href=\"https://twitter.com/WordsAliveSD/status/1369343552770035712\">\u003cspan style=\"font-weight: 400\">wrote on Twitter\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> that this 2019 National Book Award finalist “is a favorite for our students. It's a beautiful novel about grief, guilt, and the risks a Filipino-American teenager takes to uncover the truth about his cousin's murder.”\u003c/span>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/35604686-the-astonishing-color-of-after\">\u003cb>\u003cimg class=\"size-full wp-image-57622 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Astonishing-Color-of-After-by-Emily-X.R.-Pan.jpeg\" alt=\"\" width=\"183\" height=\"275\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Astonishing-Color-of-After-by-Emily-X.R.-Pan.jpeg 183w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/The-Astonishing-Color-of-After-by-Emily-X.R.-Pan-160x240.jpeg 160w\" sizes=\"(max-width: 183px) 100vw, 183px\">The Astonishing Color of After\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Emily X.R. Pan\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">After Leigh’s mother dies by suicide, the biracial teen becomes convinced that her mom has turned into a bird. So Leigh travels to find her in Taiwan, where she also meets her maternal grandparents for the first time. “Pan's writing is beautiful and magical, and Leigh's grief is wonderfully interwoven with issues like identity, stigma, family, love and so much more,” said White.\u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://www.goodreads.com/book/show/50010932-dancing-at-the-pity-party\">\u003cb>\u003cimg class=\"size-full wp-image-57623 alignleft\" src=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Dancing-at-the-Pity-Party-by-Tyler-Feder.jpeg\" alt=\"\" width=\"184\" height=\"273\" srcset=\"https://ww2.kqed.org/app/uploads/sites/23/2021/03/Dancing-at-the-Pity-Party-by-Tyler-Feder.jpeg 184w, https://ww2.kqed.org/app/uploads/sites/23/2021/03/Dancing-at-the-Pity-Party-by-Tyler-Feder-160x237.jpeg 160w\" sizes=\"(max-width: 184px) 100vw, 184px\">Dancing at the Pity Party\u003c/b>\u003c/a>\u003cb>\u003cbr>\nby Tyler Feder\u003c/b>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In this graphic memoir, Feder recounts losing her mother to cancer while in college and the difficult moments that followed, such as cleaning out her mom’s closet or celebrating holidays without her. “This book is part memoir, part how-to, and most importantly a celebration of her mother's life,” said Harrison. “It's the perfect book for someone who has suffered a loss and the perfect book for someone trying to understand a friend who has suffered loss.”\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/mindshift/57600/18-books-to-help-grieving-children-and-teens-heal","authors":["11487"],"categories":["mindshift_21280"],"tags":["mindshift_20589","mindshift_20997","mindshift_21070","mindshift_21419","mindshift_21339","mindshift_20865","mindshift_21422","mindshift_21423"],"featImg":"mindshift_57605","label":"mindshift"},"mindshift_57627":{"type":"posts","id":"mindshift_57627","meta":{"index":"posts_1591205157","site":"mindshift","id":"57627","score":null,"sort":[1616747375000]},"guestAuthors":[],"slug":"how-to-talk-and-listen-to-a-teen-with-mental-health-struggles","title":"How To Talk — And Listen — To A Teen With Mental Health Struggles","publishDate":1616747375,"format":"standard","headTitle":"MindShift | KQED News","labelTerm":{"site":"mindshift"},"content":"\u003cp>\"It just is really sad to see what was supposed to be the best years of your life, like, go down the tubes.\"\u003c/p>\n\u003cp>That's how E., a 16-year-old who lives in Alexandria, Va., described her state of mind right now. E. is among many teenagers who have struggled during the pandemic with the loss of routines and milestones. (We're not using her name to protect her privacy.) When school went remote last spring, she started staying up late into the night. Once a cross-country runner, she became less physically active. Her grades slipped from A's and B's to F's. She lost friendships and felt lonely. She compared living with her mother to being \"in solitary confinement.\"\u003c/p>\n\u003cp>Not sleeping, failing classes, and expressing severe pain and turmoil — these are all what \u003ca href=\"https://www.mghclaycenter.org/about-us/our-team/khadijah-booth-watkins/\">Dr. Khadijah Booth Watkins\u003c/a>, a psychiatrist and associate director of The Clay Center for Young Healthy Minds at Massachusetts General Hospital, calls a \"loss of function.\" They could be indicators of a serious mental health problem.\u003c/p>\n\u003cp>There's not much solid data on this, but some clinicians, like Dr. Booth Watkins and \u003ca href=\"https://www.elisanebolsine.com/\">Elisa Nebolsine\u003c/a>, a cognitive behavioral therapist in Falls Church, Va., say that the \u003ca href=\"https://www.cidrap.umn.edu/news-perspective/2021/03/teens-mental-health-claims-skyrocket-pandemic\">levels of distress, including suicidality, in their adolescent patients\u003c/a> is among the highest they've seen in their careers. Nebolsine says that's because the pandemic is making it hard for teenagers to meet basic developmental needs. \"I mean, \u003ca href=\"https://www.npr.org/sections/ed/2014/10/04/351187049/q-a-plumbing-the-mysteries-of-the-teenage-brain\">their brain is wired for new experiences\u003c/a>, for new learning, for social connection, for romantic connection, for status and hierarchy and all these different developmental tasks that they are not getting access to.\"\u003c/p>\n\u003cp>If you are worried about a teenager you care about, here's how to start the conversation and when to get professional help.\u003c/p>\n\u003ch3>Spot the red flags\u003c/h3>\n\u003cp>Beyond loss of function, which could include sudden and severe changes in eating, sleeping, or even basic hygiene, red flags could include language about wanting to hurt yourself or not wanting to be around anymore. (If you have any questions about talking to a young person who may be suicidal, our mental health reporter \u003ca href=\"https://www.npr.org/sections/health-shots/2021/02/02/962185779/make-space-listen-offer-hope-how-to-help-a-child-at-risk-of-suicide\">Rhitu Chatterjee did a whole article\u003c/a> about that.)\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nebolsine, the therapist in Falls Church, Va., adds that depression manifests itself in talk that is PPP — personal, pervasive and permanent. Personal, meaning they're internalizing whatever's going wrong and experiencing it as a personal flaw. Pervasive, meaning the bad feelings cross many areas of their lives from school to socializing. And permanent, like E., who told us, \"Everything is hard because there's no end to it.\"\u003c/p>\n\u003ch3>Validating and modeling\u003c/h3>\n\u003cp>\u003cstrong>\"\u003c/strong>The biggest tool in the toolbox of a parent is being able to model,\" says Dr. Booth Watkins. \"So being able to model resilience, being able to model self-compassion, being able to model mindfulness.\" Of course, this means parents need their own support system and self-care practices in place if they want to help their children thrive.\u003c/p>\n\u003cp>Modeling self-compassion includes what Dr. Booth Watkins calls \"the best friend test.\" \"Would you tell your best friend, 'that was stupid'?\" Probably not, she says, and we should ask our teens not to talk to themselves that way either.\u003c/p>\n\u003cp>Modeling resilience doesn't mean belittling or downplaying our children's concerns. Dr. Booth Watkins says we need to validate and empathize with their feelings about missing a birthday party or a baseball season, even if it seems small in the grand scheme of things. Only then can you move to trying to creatively problem-solve with them.\u003c/p>\n\u003ch3>Getting help\u003c/h3>\n\u003cp>After having one of these conversations, you might want to seek out help from a professional. \u003ca href=\"https://www.npr.org/2020/04/03/826726628/how-to-get-therapy-when-you-cant-leave-the-house\">Teletherapy has made therapy more accessibl\u003c/a>e during the pandemic. Here are some resources and ideas:\u003c/p>\n\u003cul>\n\u003cli>Google for \"sliding scale therapy\" in your location to find clinicians who accept lower fees based on patients' income.\u003c/li>\n\u003cli>Check with a local graduate school to see if they have student therapists available. Check in with your teen's school for resources.\u003c/li>\n\u003cli>\u003ca href=\"https://openpathcollective.org/\">Open Path Collective\u003c/a> is a nonprofit committed to affordable therapy\u003c/li>\n\u003cli>\u003ca href=\"https://www.teencounseling.com/\">Teencounseling.com\u003c/a> is an online platform for teens created by the company BetterHelp. (BetterHelp is an NPR sponsor. A full list of NPR podcast sponsors is available \u003ca href=\"https://www.nationalpublicmedia.com/podcastsponsors/\">here\u003c/a>.)\u003c/li>\n\u003c/ul>\n\u003cp>With help from a therapist and medication, E. pulled her grades up from F's to C's. And she was excited to return to school in person this month.\u003c/p>\n\u003chr>\n\u003cp>\u003cem>The podcast version of this episode was produced by \u003c/em>\u003ca href=\"https://www.npr.org/people/747369843/audrey-nguyen\">\u003cem>Audrey Nguyen\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003cem>We'd love to hear from you. Leave us a voicemail at 202-216-9823, or email us at \u003c/em>\u003ca href=\"mailto:LifeKit@npr.org\">\u003cem>LifeKit@npr.org\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>For more Life Kit, \u003c/em>\u003ca href=\"https://www.npr.org/newsletter/life-kit\">\u003cem>subscribe to our newsletter\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+To+Talk+%E2%80%94+And+Listen+%E2%80%94+To+A+Teen+With+Mental+Health+Struggles&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Over a year into the pandemic, many teens are missing milestones and struggling with their mental health. Here's how to spot red flags and when to get help. ","status":"publish","parent":0,"modified":1616747375,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":17,"wordCount":792},"headData":{"title":"How To Talk — And Listen — To A Teen With Mental Health Struggles - MindShift","description":"Many teens are struggling with depression and anxiety during a period of their lives that's supposed to be filled with exciting milestones. Here's how to spot red flags and some resources on how to get help.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How To Talk — And Listen — To A Teen With Mental Health Struggles","datePublished":"2021-03-26T08:29:35.000Z","dateModified":"2021-03-26T08:29:35.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"57627 https://ww2.kqed.org/mindshift/?p=57627","disqusUrl":"https://ww2.kqed.org/mindshift/2021/03/26/how-to-talk-and-listen-to-a-teen-with-mental-health-struggles/","disqusTitle":"How To Talk — And Listen — To A Teen With Mental Health Struggles","nprByline":"Anya Kamenetz","nprStoryId":"980776808","nprApiLink":"http://api.npr.org/query?id=980776808&profileTypeId=15&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/2021/03/24/980776808/how-to-talk-and-listen-to-a-teen-with-mental-health-struggles?ft=nprml&f=980776808","nprRetrievedStory":"1","nprPubDate":"Thu, 25 Mar 2021 00:03:00 -0400","nprStoryDate":"Thu, 25 Mar 2021 00:03:09 -0400","nprLastModifiedDate":"Wed, 24 Mar 2021 20:57:32 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/lifekit/2021/03/20210325_lifekit_life_kit_-_teens_and_mental_health__-_final.mp3?orgId=1&topicId=1029&aggIds=676529561&d=1327&p=510338&story=980776808&t=podcast&e=980776808&ft=nprml&f=980776808","nprAudioM3u":"http://api.npr.org/m3u/1981038872-9a8027.m3u?orgId=1&topicId=1029&aggIds=676529561&d=1327&p=510338&story=980776808&t=podcast&e=980776808&ft=nprml&f=980776808","path":"/mindshift/57627/how-to-talk-and-listen-to-a-teen-with-mental-health-struggles","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/lifekit/2021/03/20210325_lifekit_life_kit_-_teens_and_mental_health__-_final.mp3?orgId=1&topicId=1029&aggIds=676529561&d=1327&p=510338&story=980776808&t=podcast&e=980776808&ft=nprml&f=980776808","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\"It just is really sad to see what was supposed to be the best years of your life, like, go down the tubes.\"\u003c/p>\n\u003cp>That's how E., a 16-year-old who lives in Alexandria, Va., described her state of mind right now. E. is among many teenagers who have struggled during the pandemic with the loss of routines and milestones. (We're not using her name to protect her privacy.) When school went remote last spring, she started staying up late into the night. Once a cross-country runner, she became less physically active. Her grades slipped from A's and B's to F's. She lost friendships and felt lonely. She compared living with her mother to being \"in solitary confinement.\"\u003c/p>\n\u003cp>Not sleeping, failing classes, and expressing severe pain and turmoil — these are all what \u003ca href=\"https://www.mghclaycenter.org/about-us/our-team/khadijah-booth-watkins/\">Dr. Khadijah Booth Watkins\u003c/a>, a psychiatrist and associate director of The Clay Center for Young Healthy Minds at Massachusetts General Hospital, calls a \"loss of function.\" They could be indicators of a serious mental health problem.\u003c/p>\n\u003cp>There's not much solid data on this, but some clinicians, like Dr. Booth Watkins and \u003ca href=\"https://www.elisanebolsine.com/\">Elisa Nebolsine\u003c/a>, a cognitive behavioral therapist in Falls Church, Va., say that the \u003ca href=\"https://www.cidrap.umn.edu/news-perspective/2021/03/teens-mental-health-claims-skyrocket-pandemic\">levels of distress, including suicidality, in their adolescent patients\u003c/a> is among the highest they've seen in their careers. Nebolsine says that's because the pandemic is making it hard for teenagers to meet basic developmental needs. \"I mean, \u003ca href=\"https://www.npr.org/sections/ed/2014/10/04/351187049/q-a-plumbing-the-mysteries-of-the-teenage-brain\">their brain is wired for new experiences\u003c/a>, for new learning, for social connection, for romantic connection, for status and hierarchy and all these different developmental tasks that they are not getting access to.\"\u003c/p>\n\u003cp>If you are worried about a teenager you care about, here's how to start the conversation and when to get professional help.\u003c/p>\n\u003ch3>Spot the red flags\u003c/h3>\n\u003cp>Beyond loss of function, which could include sudden and severe changes in eating, sleeping, or even basic hygiene, red flags could include language about wanting to hurt yourself or not wanting to be around anymore. (If you have any questions about talking to a young person who may be suicidal, our mental health reporter \u003ca href=\"https://www.npr.org/sections/health-shots/2021/02/02/962185779/make-space-listen-offer-hope-how-to-help-a-child-at-risk-of-suicide\">Rhitu Chatterjee did a whole article\u003c/a> about that.)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nebolsine, the therapist in Falls Church, Va., adds that depression manifests itself in talk that is PPP — personal, pervasive and permanent. Personal, meaning they're internalizing whatever's going wrong and experiencing it as a personal flaw. Pervasive, meaning the bad feelings cross many areas of their lives from school to socializing. And permanent, like E., who told us, \"Everything is hard because there's no end to it.\"\u003c/p>\n\u003ch3>Validating and modeling\u003c/h3>\n\u003cp>\u003cstrong>\"\u003c/strong>The biggest tool in the toolbox of a parent is being able to model,\" says Dr. Booth Watkins. \"So being able to model resilience, being able to model self-compassion, being able to model mindfulness.\" Of course, this means parents need their own support system and self-care practices in place if they want to help their children thrive.\u003c/p>\n\u003cp>Modeling self-compassion includes what Dr. Booth Watkins calls \"the best friend test.\" \"Would you tell your best friend, 'that was stupid'?\" Probably not, she says, and we should ask our teens not to talk to themselves that way either.\u003c/p>\n\u003cp>Modeling resilience doesn't mean belittling or downplaying our children's concerns. Dr. Booth Watkins says we need to validate and empathize with their feelings about missing a birthday party or a baseball season, even if it seems small in the grand scheme of things. Only then can you move to trying to creatively problem-solve with them.\u003c/p>\n\u003ch3>Getting help\u003c/h3>\n\u003cp>After having one of these conversations, you might want to seek out help from a professional. \u003ca href=\"https://www.npr.org/2020/04/03/826726628/how-to-get-therapy-when-you-cant-leave-the-house\">Teletherapy has made therapy more accessibl\u003c/a>e during the pandemic. Here are some resources and ideas:\u003c/p>\n\u003cul>\n\u003cli>Google for \"sliding scale therapy\" in your location to find clinicians who accept lower fees based on patients' income.\u003c/li>\n\u003cli>Check with a local graduate school to see if they have student therapists available. Check in with your teen's school for resources.\u003c/li>\n\u003cli>\u003ca href=\"https://openpathcollective.org/\">Open Path Collective\u003c/a> is a nonprofit committed to affordable therapy\u003c/li>\n\u003cli>\u003ca href=\"https://www.teencounseling.com/\">Teencounseling.com\u003c/a> is an online platform for teens created by the company BetterHelp. (BetterHelp is an NPR sponsor. A full list of NPR podcast sponsors is available \u003ca href=\"https://www.nationalpublicmedia.com/podcastsponsors/\">here\u003c/a>.)\u003c/li>\n\u003c/ul>\n\u003cp>With help from a therapist and medication, E. pulled her grades up from F's to C's. And she was excited to return to school in person this month.\u003c/p>\n\u003chr>\n\u003cp>\u003cem>The podcast version of this episode was produced by \u003c/em>\u003ca href=\"https://www.npr.org/people/747369843/audrey-nguyen\">\u003cem>Audrey Nguyen\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003cem>We'd love to hear from you. Leave us a voicemail at 202-216-9823, or email us at \u003c/em>\u003ca href=\"mailto:LifeKit@npr.org\">\u003cem>LifeKit@npr.org\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>For more Life Kit, \u003c/em>\u003ca href=\"https://www.npr.org/newsletter/life-kit\">\u003cem>subscribe to our newsletter\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+To+Talk+%E2%80%94+And+Listen+%E2%80%94+To+A+Teen+With+Mental+Health+Struggles&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/mindshift/57627/how-to-talk-and-listen-to-a-teen-with-mental-health-struggles","authors":["byline_mindshift_57627"],"categories":["mindshift_21280"],"tags":["mindshift_20589","mindshift_21344","mindshift_21343","mindshift_21070","mindshift_20865","mindshift_21159"],"featImg":"mindshift_57628","label":"mindshift"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. 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Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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You ask the questions. You decide what Bay Curious investigates. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. 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