From the Armchair: Tips for school return from a Child Psychologist

Betsy Gard, Ph.D.

  Drbetsy5151@comcast.net

In April 2020, schools were suspended in 188 countries and over 2.5 billon young people worldwide were not in school. As of February 2021, school systems are reopening, but with tremendous variability in policies.  Almost all children and youth have missed at least 25% of teacher-led instruction.  Some children are actually “missing” and have rarely attended virtually. This is more common in those who come from disadvantaged environments or have special learning needs.  These youngsters will need to be reconnected to their school system. In addition, children have missed being in a social structure,  have not been monitored for academic progress, and in many situations, may not be receiving adequate nutrition,  sleep, or exercise.  They also may not be receiving services such as speech, physical, occupational therapy, or educational assistance as specified in their Individualized Education Plans (IEPs).

Although returning to school may be a relief for many children and their families, the impact of the stressors families and children have experienced over the duration of COVID may be exacerbated, for some, by returning to school. Stress affects physiological, psychological and behavioral reactions but can vary by child. It is common that parents and teachers may be distressed by the child’s externalizing behaviors- irritability, oppositionality, anger outbursts, talking back, quarreling with siblings, or unwillingness to cooperate in the family. They may not realize that these behaviors may be due to their child’s fear, anxiety or depression.

Firearm Injury Prevention: The Importance of Safe Firearm Storage

Sofia Chaudhary

sofia.s.chaudhary@emory.edu

A 12-year-old boy with a gunshot wound (GSW) to the chest is wheeled into the trauma bay, unresponsive, pulseless and undergoing CPR and subsequently dies. The patient’s 6-year old brother found their father’s gun while playing and pointed it at him. The parents now face the shattering loss of their older son and also the psychological impacts for their younger son, the second victim. Tragedies such as this have become too familiar for emergency departments across the US as the number of pediatric firearm deaths continue to climb annually

Firearms are the second leading cause of pediatric death in the US taking the lives of over 1,700 and injuring more than 6,500 children and teens (ages 0-17) in 2019.1 Homicide accounted for a majority of these deaths, but 40% were from firearm-assisted suicide and 5% from unintentional injuries. Middle schoolers and high schoolers in the US are now more likely to die from a gun than from any other cause, including motor vehicle collisions.2 Additionally, 4.6 million children in the US live in a home with at least one unlocked and loaded gun, double the rates of firearm exposure from a decade earlier.3 Access to an improperly stored firearm in the home increases the risk of both pediatric unintentional firearm injury and firearm assisted-suicide (by 2-5x).4-7