Frontline For Children | February 2021

  1. More than One in Four Latino and Black Household with Children Are Experiencing Three or More Hardship during COVID-19 (Child Trends)

 “During the COVID-19 pandemic, the number of families experiencing hardships across the country has risen dramatically, with a disproportionate impact on Latino and Black communities.… For the analysis presented in this brief, we used nationally representative data from the Census Bureau’s Household Pulse Survey, which has tracked the well-being of U.S. households during the pandemic, to examine seven types of hardships: unemployment, difficulty paying expenses, not being caught up on rent or mortgage, food insecurity, physical health problems, symptoms of anxiety or depression, and lack of health insurance.”

TexProtects Takeaway: The hardships brought on by COVID-19 affecting Black, brown, and indigenous families trickle down to their children. Issues like economic distress, food insecurity, and mental health challenges, exacerbated by the pandemic, impact how families can care for their children during this crisis and in the future. This places more stressors on caregivers, who are less able to help children cultivate the protective factors and resilience that help mitigate adverse experiences in childhood. To read more from TexProtects about the disproportionate impact on these families during COVID-19, click here.

2. Strategies to Virtually Support and Engage Families of Young Children during COVID-19 (Child Trends)

“As preschools and schools continue to reopen, caregivers (e.g., childcare providers and teachers) are quickly pivoting to using virtual platforms to support and engage families in children’s learning. This rapid transition has left little time to assess what we know (and do not know) about family engagement best practices within the virtual space. This brief offers an overview of four best practices and lessons learned from research and practice to assist caregivers and teachers with the transition to engaging families virtually during the COVID-19 pandemic, and beyond.”

TexProtects Takeaway: Virtual learning can be a strain on parents and children’s mental health and time. It is imperative that caregivers and teachers use all the tools necessary to ensure education and resources are provided in the least intrusive, most beneficial ways possible to ensure children, especially those at the critical ages of 0-5, are getting what they need out of virtual learning and early childhood experiences.

3. Buffing Child Maltreatment: School Connectedness as a Protective Factor in a Community Sample of Young Adults(Goldstine-Cole, K.)

“Identified or not, maltreatment increases the risk for substance use disorder, depression, anxiety and post-traumatic stress disorder across the lifespan. This study examines whether school connectedness (SC), the sense of belonging at school derived from affective relationships in the school context and commitment to learning, protects against such effects. Specifically, in paper one, data from 349 young adults who completed the Protective Factor Questionnaire is used to develop a retrospective five-indicator, measurement model of school connectedness for K-12 and elementary, middle, and high school.… Paper two evaluates SC as a moderator in the relationship between childhood maltreatment and mental well-being during early adulthood, ages 18-25. Results indicate that SC buffers against intrafamilial maltreatment as well as five individual forms of abuse and neglect.… These results suggest that schools have roles beyond that of mandatory reporter in supporting the wellbeing of maltreated children.”

TexProtects Takeaway: Child abuse and neglect numbers may have risen during the pandemic and schools’ closures, despite fewer reports. Teachers and school staff are one of the main reporters of abuse and neglect, and with the move to virtual learning for many, picking up on the signs is more difficult. TexProtects is working to spread awareness in schools about staff intervening in abuse or neglect, not just as mandatory reporters. See our resources on recognizing abuse on our website.

4. Trauma-Informed Care in Child Welfare: An Imperative for Residential Childcare Workers (Brend, D. & Sprang, G.)

“Rates of traumatization among residential child welfare professionals are alarmingly high. The well-being of these professionals is associated both with their intention to stay in their jobs and outcomes of children in their care.… This manuscript details experiences empirically shown to have potential negative impacts on professional well-being, discusses why these impacts are of particular concern for residential childcare workers, and describes the types of organizational cultures and climates that appear to mitigate these negative impacts. Trauma-informed care at the organizational level is proposed both as a means to reduce harm to child welfare professionals and promote the rehabilitation of children within the child welfare system.”

TexProtects Takeaway: Organizations and agencies working with children from hard places need to implement trauma-informed care training for all staff. Not only does training help mitigate secondary trauma of professionals, but it also helps professionals best serve the children they are working with. TexProtects worked on HB18 last session to ensure school staff receive trauma training; however, Texas has more work to do to ensure high quality training and implementation are consistent across all sectors that impact children and families.

5. AGED OUT: How We’re Failing Youth Transitioning Out of Foster Care (Cancel, S., Fathallah, S., Nitze, M., Sullivan, S., & Wright-Moore, E)

“To understand the aging out experiences of foster youth, Think Of Us and Bloom conducted in-field discovery sprints using proven human-centered design and participatory research methodologies in five participating locations” (Santa Clara, Solano, San Francisco, and San José counties in California, Hennepin County in Minnesota, and New York City). “During these sprints, we spoke to a total of 206 people in 92 research sessions. The research team conducted in-depth interviews and participatory design workshops with a wide range of foster youth, former foster youth, child welfare staff and leadership, supportive adults, foster parents, and more…Over the course of the project, three key themes began to emerge. To us, these themes represent where the child welfare system is most failing transition-age youth, and where we must urgently focus our attention. These themes are: 1. Healing and dealing with trauma; 2. Centering youth in their preparedness; and 3. Helping youth build a supportive network.”

TexProtects Takeaway: The state must not forget the needs of youth transitioning out of the foster care system. TexProtects is supporting our partners’ work this legislative session to support improved services for transitioning youth. Check out our bill tracker to learn more.

6. Why Do We Focus on the Prenatal-to-3 Age Period? Understanding the Importance of the Earliest Years (Prenatal-to-3 Policy Impact Center at LBJ School of Public Affairs, University of Texas at Austin)

This research brief discusses why researchers and practitioners in early childhood consistently describe the first few years of life as being the most critical period for children’s development. The authors highlight that investing in families during a child’s earliest years can have a lasting impact on children’s lifelong health and well-being. They point to key practices that can strengthen families, and therefore, promote the healthy development of children. Some of these factors include access to quality health care for mothers, safe and supportive childcare settings, and other social services, such as early intervention programs for children with developmental delays or disabilities.

TexProtects Takeaway: TexProtects is part of the Prenatal to Three initiative alongside our partners Children at Risk and Texans Care for Children. We support investment in increasing the following for low-income mothers and infants and toddlers: access to prenatal and postpartum health services; health screening and successful connection to necessary services; and access to high-quality childcare programs. Read more about the initiative.

7. Three Trimesters to Three Years: Promoting Early Development (Princeton University and the Brookings Institution)

“The period from pregnancy through age three is the one in which the most rapid growth of the brain and behavior occurs. Yet most researchers and policy makers have treated the nine months of development during pregnancy separately from the first three years of life. Prenatal experiences are part and parcel of the postnatal experience of mothers and their babies; the postnatal period is sometimes referred to as the fourth trimester, a way to highlight the fact that after a child’s birth, mothers themselves need continuing services and screening. Indeed, children’s wellbeing very much depends on their mothers’ health and wellbeing. The title of this issue of the Future of Children, “Three Trimesters to Three Years,” highlights continuity in development, the continuing intersection of mother and baby, and the rapid growth that occurs from conception to three years of age.”

The prenatal and postnatal periods are critical to a child’s health and development. We advocate for investment in home visiting programs that support families in nurturing their children’s development and resilience from an early age, such as Family Connects and Nurse-Family Partnership. Read more on home visiting programs.

FRONTLINE FOR CHILDREN | HOME VISITING SPECIAL EDITION

In this special edition of Frontline for Children, we take a deep dive into the latest research and resources on home visiting as part of our #HomeVisitingIsEssential campaign.

TexProtects Takeaway: Home visiting saves dollars and makes sense. Investments in home visiting programs demonstrate positive impacts and cost savings across two generations and multiple domains including child abuse prevention, maternal mental health, child health, economic stability, and school readiness. However less than 4% of Texas families that could most benefit from these programs currently have access. Now more than ever, it is critical that we do more of what works and less of what doesn’t. Home visiting works, and Texas needs to do more to support families so that they can ensure healthy beginnings and successful futures for their children.

HOME VISITING RESOURCES FROM TEXPROTECTS

Home Visiting in Texas 4.0

The fourth release of TexProtects’ Home Visiting in Texas report. In it, we overview the landscape of home visiting, including history, families and communities served, funding, return on investment and demonstrated outcomes, and program descriptions. We hope it will serve as a useful resource for those new to home visiting and advocates in need of tools to communicate about its footprint and impact.

Home Visiting Advocacy Toolkit

Resources, templates, and talking points for supporting home visiting during the 87th Texas Legislative Session – all in six steps. Join us as we spread the message that #HomeVisitingIsEssential.

Future Directions for Home Visiting in Texas (with Child Trends)

This report looks to the future of home visiting in Texas by outlining 5 innovative strategies to help increase quality and expand access including partnering with multiple state agencies, leveraging technology, addressing workforce challenges, expanding connections with other systems, and using precision research.

HOME VISITING AND TELEHEALTH

During the COVID-19 pandemic, telehealth can help connect home visiting services to families (Child Trends)

“Two fields—medicine and behavioral health—have explored the use of telehealth, defined as the use of electronic platforms such as video, texting, or online content to support long-distance health services. Studies comparing in-person and telehealth models have generally found similar outcomes across the two modes of service. Because of the overlap between the kinds of services that both telehealth services and home visiting programs provide—including assessment, information sharing, and support—lessons learned from telehealth can be valuable to home visiting.”This blog applies telehealth research to the HV field.

Advancing Home Based Parenting Programs Through the Use of Telehealth Technology (Traube, D., Hsiao, H., Rau, A., Hunt-O’Brien, D., Lu, L., & Islam, N.)

“Home-based parenting programs have demonstrated impact on the prevention of child maltreatment, promotion of child screening and health care, and increased school readiness. However, cost and time resources make access to home-based parenting programs limited. Telehealth delivery systems may help to fill this gap, reducing barriers and expanding the reach of home-based parenting programs. This manuscript describes a pilot feasibility study focusing on model fidelity for delivering a home-based parenting program (Parents as Teachers) via a university-based telehealth interactive video conferencing technology. Results indicate that the program was able to meet all fidelity measures related to supervision, training, and curriculum delivery.”

Implementation of a telehealth-enhanced home visiting programme for families of young children (Jetelina, K., Oke, O., Rodriguez, P., Weerakoon, S., & Barlow, S.)

“A large pediatric healthcare system implemented a telehealth-enhanced home visiting program as an extension of primary care services.” Results of this evaluation suggest that “Once families were enrolled, the program was fairly successful in addressing patient outcomes. The program and visit process was highly regarded by families and the unlicensed healthcare professionals. Future program recommendations, such as small programmatic changes and major improvements in the clinic, should be implemented before widespread dissemination.”

COVID-19’s Early Impact on Home Visiting: First Report of Results from a National HARC-Beat Survey of Local Home Visiting Programs (Home Visiting Applies Research Collaborative – HARC)

“This HARC-Beat survey “took the pulse” of local programs nationally in their early efforts to adapt to disruptions arising from the pandemic. It included all local programs regardless of model or funding sources. It aimed to provide useful information to advance the field overall in helping individual programs adapt to the pandemic, for example through efforts such as the Rapid Response Initiative.” Among other things, the survey asked about social distancing policies, changes to the HV workforce, and challenges in shifting to virtual formats. 

HOME VISITING AND MATERNAL HEALTH

Reflective parenting home visiting program: A longitudinal study on the effects upon depression, anxiety, and parenting stress in first-time mothers (Vismara, L, Sechi, C., & Lucarelli, L.)

“Our study aimed to investigate the effects of a reflective parenting home visiting program in first time-mothers at risk for depression, anxiety, and parenting stress, from three to 12 months after their child’s birth… Our findings confirm the benefits of reflective parenting home visiting programs and underline the need to constantly evaluate the levels of depression, anxiety and parenting stress throughout the perinatal period to target effective prevention programs to foster early mother-child attachment bond.”

Addressing maternal mental health to increase participation in home visiting (Molina, A., Traube, D., & Kemner, A.)

“This study aimed to examine rates of depression among mothers in the national Parent as Teachers (PAT) home-visiting program, whether various high needs characteristics were associated with elevated depressive symptoms, and whether depressive symptomology and initiation of outside mental health treatment were associated with attendance and retention in services, particularly after considering important family risk factors… Results demonstrate that mothers with higher depressive symptoms, including those in the subclinical range, have a harder time participating in home-visiting services, even though they may need the support the most. However, when PAT home-visitors address maternal mental health and mothers initiate treatment, mothers appear to be better equipped to participate in home visiting.”

Addressing maternal depression in home visiting: Findings from the home visiting collaborative improvement and innovation network (Tandon, D., Mackrain, M., Beeber, L., Topping-Tailby, N., Raska, M., & Arbour, M.)

“Maternal depression is common among low-income women enrolled in home visiting programs, yet there is considerable variability in the extent to which it is identified and addressed. This study examines outcomes related to postpartum depression screening, receipt of evidence-based services, and reductions in depressive symptoms among clients of home visiting programs in the Health Resources and Services Administration’s Maternal, Infant, and Early Childhood Home Visiting Program Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN)…” Findings suggest that “Home visiting programs can play an important role in closing gaps in maternal depression identification, referrals, service access, and symptom alleviation.”

HOME VISITING WORKFORCE

Home Visiting Career Trajectories (Office of Planning, Research & Evaluation, Urban Institute)

“A stable and qualified workforce is crucial for the effective delivery of early childhood home visiting services, yet little information exists on this workforce nationally and across home visiting models… The Home Visiting Career Trajectories project launched in fall 2016 to fill this knowledge gap. Using multiple methods, the study examined the characteristics, qualifications, and career trajectories of home visiting staff in local implementing agencies (LIAs) that receive funding through the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program. The findings provide nationally representative descriptive information on the home visiting workforce in MIECHV-funded agencies across the US.”

HOME VISITING AND PARENTAL ENGAGEMENT

Parent Involvement in Maternal, Infant, and Early Childhood Home Visiting Programs: an Integrative Review (Bower, K., Nimer, M., West, A., & Gross, D.)

“Despite the evidence and investment in evidence-based federally funded maternal, infant, and early childhood home visiting, substantial challenges persist with parent involvement: enrolling, engaging, and retaining participants. We present an integrative review and synthesis of recent evidence regarding the influence of multi-level factors on parent involvement in evidence-based home visiting programs.” Findings suggest that “Future research should move beyond the study of parent- and family-level characteristics and focus on program- and home visitor–level characteristics which, although still limited, have demonstrated some consistent association with parent involvement. Neighborhood characteristics have not been well studied and warrant future research.”

Intention to Engage in Maternal and Child Health Home Visiting (Turner, M., Cabello-De la Garza, A., Kazouh, A, Zolotor, A., Kilka, J., Wolfe, C., & Lanier, P.)

“This qualitative study used a Reasoned Action Model (RAM) and a cultural lens to explore factors influencing the engagement of women with low-income in HV programs… The constructs most salient for participants were emotions and affect, behavioral beliefs, and self-efficacy. In the context of an urban public health prenatal clinic, HV marketing and outreach should highlight convenience and social support, as well as clearly communicate program content and intent. In practice, HV programs must be flexible to work around work and home schedules; marketing and outreach should emphasize that flexibility.”

Strengthening Family Retention and Relationships in Home Visiting Programs through Early Screening and Assessment Practices (Barton, J., Jimenez, P., Biggs, J., Garstka, T., & Ball, T.)

“Evidence-based home visiting (EBHV) programs for pregnant women and families of young children prevent child maltreatment and improve maternal and child health outcomes. However, home visiting programs often struggle to retain families long enough to achieve positive outcomes. The current study sought to understand how home visitor relationship building skills and screening practices predict families’ duration in EBHV…  Results suggest that screening practices may help build relationships with families which then enhances retention in services and increases the likelihood of achieving positive maternal and child outcomes.”

HOME VISITING COMPREHENSIVE RESOURCES

National Home Visiting Resource Center

“The NHVRC Reference Catalog features home visiting research and evaluation, including evaluation plans, research briefs, conference and poster presentations, cost studies, and fact sheets.” Resources can be sorted by specific topic, data collection methods, home visiting model type, and date of publication.

Rapid Response Virtual Home Visiting Collaborative (Institute for the Advancement of Family Support Professionals)

“The Rapid Response-Virtual Home Visiting collaborative (RR-VHV) will provide best practice principles and strategies to support all home visiting professionals in maintaining meaningful connection with families during this time of increased anxiety and need. Through collaboration, the RR-VHV will leverage the extensive resources and expertise that exists across home visiting organizations to support the development and distribution of cross-model, cross system approaches and guidance. Providing immediate support for our front-line home visiting staff and the families they serve is our highest priority.”The website houses a host of resources for HV professionals on topics such as family engagement, supervision, technology, and screening, as well as a bank of RR-VHV Webinar Recordings.

Important Home Visiting Information During COVID-19 (U.S. Health Resources & Services Administration, Maternal & Child Health – HRSA)

This page features guidance from HRSA, encouraging “family support programs to offer prevention and family strengthening strategies virtually and through other safe means during the COVID-19 pandemic.” The site also has informational sections covering The Role of Home Visiting During a Public Health Emergency; Identifying Risks (for face-to-face home visits); Precautions for Home Visitors; Self-Care and Managing Stress; FAQs for Home Visiting Grantees; and Additional Resources for women and families, social service providers, and health care professionals.

How To Address Loneliness In Our Youth During COVID-19


Most people feel lonely at some point in their lives, but two landmark Cigna studies found that more than half of respondents reported some degree of loneliness, with young people being the loneliest among all the generations studied. What happens when the loneliness epidemic converges with the COVID-19 pandemic, keeping many students at home away from their friends at school and tethered to their screens for e-learning? In the recent TexProtects Connects Lunch & Learn “Addressing Loneliness in Our Youth During COVID-19” presented by Cigna, Dr. Stuart Lustig, National Medical Executive for Behavioral Health at Cigna, discussed the challenges of e-learning for parents, kids, and teachers–and how to best support everyone involved.

Loneliness is a subjective term related to both body and mind. There is a vast difference between feeling lonely or experiencing loneliness and being alone.  Feeling lonely is about wanting more social contact or different types of social contact than we may currently have. It’s not abnormal to be lonely at different times in our lives, but people who are lonely may have a greater number of physical ailments and experience greater depression and/or anxiety.

In Cigna’s Loneliness study [https://www.cigna.com/about-us/newsroom/studies-and-reports/loneliness-epidemic-america], conducted pre-COVID-19, they surveyed 20,000 adults online across the U.S. Researchers found that 54% of respondents reported feeling lonely based on the UCLA Loneliness Scale. Researchers also found loneliness increased with each younger generation. For example, 43.2% of the Boomer generation reported feeling lonely, and 49.9% of Gen Zers reported loneliness in 2019.  

Loneliness is especially a big issue in our country right now, with kids largely being homeschooled due to COVID-19 (although some school districts across the country and in Texas are beginning to open to in-person instruction). The way a lot of our students are connecting now is through online tools. But lower-income students are less likely to have access to high-quality remote learning. Low-income students are also less likely to have an environment conducive to learning like a quiet space with minimal distraction or high-speed internet. The data shows that only 60% of low-income students are regularly logging into online instruction. This barrier to technology and education can have significant impacts down the road.

With the anxiety of the changes in how school is taught, how can we help our kids navigate the current COVID-19 pandemic and loneliness epidemic with resiliency? Dr. Lustig says children are naturally resilient, but we also need to remember to check in with them, listen without judgment, and without interrupting. Listen to your child until there is nothing else to be heard. Normalize difficult feelings and model that difficult emotions are okay by sharing how you manage your frustrations. Dr. Lustig says we must also help kids master the emotional ABCs: ambiguity, bumps, and change. We must help them practice accepting and not knowing, recognize they can’t control all the outcomes, permit imperfection, and remember how they’ve managed change in the past while staying in the present.

We can also help our kids prepare for online and in-person instruction through shifting routines and sleep schedules into school mode, talking about school differences and similarities, acknowledging their worries, and expressing confidence in their abilities to navigate school in whatever format it takes.

Dr. Lustig says to remember to care for yourself as well. Take a look at the Cigna Stress Plan [https://www.cigna.com/takecontrol/tc/stress/]   to help you figure out how to manage stress, especially since many of us are grieving the freedom and stress reduction techniques we took for granted that are now no longer available to us.

We are unfamiliar ground, without a real playbook for parenting during the pandemic. Good enough is the standard – there are no perfect parents, and mistakes are how we learn. Not only can we help our children thrive through the pandemic, but we can also make sure we succeed as well.    Watch the full webinar for more great information on loneliness and tips on parenting from Dr. Lustig.

TexProtects Stands Up | The Disproportionate Impact of COVID-19

TexProtects’ vision is one where every child is safe, nurtured, and resilient — no matter the color of their skin. This vision cannot be realized while families of color continue to be wounded by systemic racism and injustice. As part of our effort to speak out and stand up against injustice, this blog is part of a series to highlight existing inequalities in our child protection systems. A deepened understanding of these issues can help us know better and do better so that Texas is a safe place to be born – where families can thrive and where every individual is seen and valued equally.

We will only be able to grasp the full negative effects of COVID-19 once the pandemic is behind us, but the disproportionate affect the virus is having on children and families of color is already apparent. The onset of this health crisis has further exposed how systemic racism is creating harmful disparities between white communities and communities of color. The ways in which Black and Latinx or Hispanic communities are negatively affected by the fallout from COVID-19 translate into potentially negative outcomes for their children.

Instances of COVID-19 cases and deaths are disproportionately affecting Black and Latinx/Hispanic communities. Based on the COVID Racial Data Tracker by the COVID Tracking Project, the nation has lost at least 25,932 Black lives to COVID-19 to date. Deaths of Black people from COVID-19 are nearly two times greater than what would be expected based on their population percentage. Latinx/Hispanic people also make up a greater share of confirmed cases than their share of the population. In Texas, 15% of all COVID-19 cases and 16% of all deaths were Black people, when Black people make up just 12% of the total state population. For Latinx/Hispanic people, cases are also disproportionately higher, making up 47% of all COVID cases, when Texas is 39% Latinx/Hispanic.

But these are just the tested and reported numbers available in Texas. Of all tested cases and instances of deaths, Texas has only reported race data for 11% of positive cases and 23% of deaths. This means that the percentages of Black and Latinx/Hispanic deaths could be much greater than what is reported.

But it is systemic racism, not race, that is the risk factor for these communities.

Racism is playing out during the pandemic through examples like a disproportionate number of COVID-19 testing sites in predominantly white communities compared to Black and Latinx/Hispanic communities, and yet they are still disproportionately impacted. One data analysis found, for example, that Dallas had 15 more testing sites in whiter areas and Austin had 7 more. Experts are saying these testing disparities are problematic – if we aren’t testing our most marginalized people, we could miss pockets of infection and have new large areas of virus outbreak. 

Given that there is a higher prevalence of chronic health conditions like hypertension and diabetes in communities of color, Black and Latinx/Hispanic communities are especially vulnerable to COVID-19. These chronic health conditions are a result of centuries of intergenerational trauma and a lack of resources inflicted on these communities. A lack of health insurance, poor access to medical care, and other systemic inequalities also undermine virus prevention efforts in these communities.

Living conditions (e.g. food deserts, minimal nearby medical facilities) in predominantly Black and Latinx/Hispanic areas may also contribute to underlying health conditions. These underlying health conditions may complicate people’s ability to follow health guidelines to prevent getting sick with COVID-19.

The likelihood that a person will test positive for COVID-19 increases in areas where the population of Black residents is higher.  This may be attributable to higher concentrations of Black people living in densely populated areas, which are due to institutional racism in the form of residential housing segregation and fewer access to services. This is also known as redlining — a racist practice denying or putting up barriers to services like for residents of certain areas based on their race. These circumstances make guidelines for social distancing almost impossible to follow safely.

Black and Latinx/Hispanic individuals are also more likely to hold jobs that are deemed “essential”. Essential workers are continuing to work outside the home, putting themselves and their families at risk. According to the CDC, nearly a quarter of Latinx/Hispanic and Black workers are employed in service industry jobs compared to just 16% of non-Hispanic whites nationally. Latinx/Hispanic workers make up 17% of total employment in the U.S. but constitute 53% of agricultural workers. Black workers account for 12% of all employed workers nationally but make up 30% of licensed practical and licensed vocational nurses. Both sectors are areas of work that have continued outside the home during the pandemic.  

These barriers not only make people of color more vulnerable to COVID-19, they also impact how families are able to care for their children during this crisis. This systemic racism apparent in our healthcare and housing systems trickles down to Black and Latinx/Hispanic children. Placing more stressors on parents and caregivers in turn places stressors on children, who are then less able to cultivate protective factors that build resilience.

Protective factors — including social connections, concrete supports for basic needs, knowledge of parenting and child development, social and emotional development of children, nurturing and attachment, and resilience — provide the key to ensuring that risk and adversity in childhood are not predictive of negative outcomes later in life.

We have a lot of work to do to ensure all children and families stay healthy through this pandemic and into the future. The state of Texas is making a small start:  the Texas Health and Human Services Commission has recently announced that it is seeking to remedy the lack of information about how Black and Latinx/Hispanic communities are being affected by the virus  and will work to study this. But answers must also come from communities themselves so that those of us working toward child protection can learn how to best empower community work and strengthen families to ensure they have access to the right supports at the right time. We must use a holistic approach to ensure that their access to resources is distributed equitably.

Another way we can help is through supporting the Texas Prenatal to Three (PN-3) Collaborative (learn more). Through PN-3, TexProtects, Children At Risk, and Texans Care for Children – along with many other organizations across the state – have come together to urge policymakers to ensure all Texas children have equitable access to healthy beginnings, family supports, and high quality early care and education.

COVID-19 Survival Kit

A handy guide for parents and families to thrive during the current health crisis

Parenting is HARD work, and it’s work that can be even more difficult when we are facing stress and adversity. However, we know that there is nothing more important than the parent/child relationship in terms of future learning, behavior, and health. As the unprecedented challenges of COVID-19 continue to unfold, TexProtects wants you all to know we are in this together, Texas! We too are moms, dads and have families – whether we are tending to kiddos out of school and needing guidance, searching for jobs, or finding ways to destress and reduce anxiety, we have put together a Family Survival Kit with some great tips, tools and resources that can help you and your family better weather the storm during these trying times – a parents’ survival guide to ensure your family can thrive.

There are actions each one of us can take to reduce the stress and burden on ourselves and parents we know during this time. Offer to provide childcare so parents and caregivers are not in difficult situations and potentially leaving children unsupervised or in neglectful environments. Deliver a meal. Take a break or ask your spouse or partner to step in and help. Check in on your neighbor to ensure they have what they need, and most of all, remember, there is no way to be a perfect parent but millions of ways to be a good one–so give yourself and your children an extra dose of compassion and care during these challenging days.

General Parenting Support

Help And Hope offers parenting tips (by age and topic), a parent resource libraryfamily activity ideasvideos, and connections to programs in your county. They remind us that focusing on your child for just 15 minutes a day can make a big difference!

Sign up for Bright by Text for free games, tips, and resources sent right to your cell phone. Messages are targeted to your child’s age (ages 0 through 8) and include information on child development, language and early literacy, health and safety, behavioral tips, games, and more! It’s free and available in English or Spanish.

The American Academy of Pediatrics has a parent resource with tips to help families work and learn during the health crisis. Healthy Children breaks the resources out by prenatal, baby, toddler, preschool, gradeschool, teen, and young adult.

The Centers for Disease Control offers free tools and additional resources to help you understand and track your child’s developmental milestones. They remind us that talking is teaching!! Reading, singing, and talking to your child is easy and dramatically increases their language and social development. If your child has not had a developmental screening, you can complete one online for free here.

Support for Fathers

Having an involved father with positive parenting experience can be an important part of a child’s development. The National Center for Fathering has general information on fathering as well as resources on fathering during the COVID-19 health crisis, like how social distancing can mean more father involvement.

The National Responsible Fatherhood Clearinghouse also has tips, hints, and programs about fatherhood for you to peruse, including their dadtalk blog and library of resources related to research and issues impacting responsible fatherhood.

Families Learning Together

Babies are born ready to learn, and they love to learn with their parents. The time you spend together helps their brain grow strong and creates a safe attachment that will encourage them to explore the world and thrive. While every day is rich with opportunities to engage and learn together, the increased time at home and out of school resulting from the COVID-19 may mean that you are looking for new ways to keep your child (and yourself) active and learning. The resources below will provide you numerous ways to take advantage of this time together and have some fun.

KERA Education out of Dallas has put together an At-Home Education Toolkit to help parents and caregivers with kids and teens PreK-12 who are at home, as well as educators who are teaching children remotely. There are more than 60,000 videos, lesson plans, games, activities and other resources in all subject areas–most are aligned to the TEKS and TX PK Guidelines.

Zero to Three offers a library of activities for playing and learning with your child based on their age.

The Kennedy Center offers short tutorials on fun ways to learn together with your child. Take a creative lunch break and draw with your child with the guidance of a fabulous teacher.

Check out a printable list from the National Child Traumatic Stress Network that offers simple activities for your family. Most do not require a screen or any supplies but all of them can create opportunities to make good memories during this difficult time.

Coping with COVID-19

Information and details regarding COVID-19 are changing rapidly. Staying informed about the outbreak and learning how to be prepared can reduce your stress. In addition, managing your own anxiety and emotions is critical to ensuring that your child can cope with their own feelings and worries during this time of uncertainty.

For the latest updates on the COIVD-19 outbreak, visit the CDC site. Included on the site is information to help prepare as a family as well as tips for self-care. While everyone experiences stress differently, the unprecedented challenges resulting from this pandemic will likely create new anxiety for all of us. Remember to take care of your body, take breaks when you feel stressed, stay informed (but limit news exposure), stay connected, and get help if needed.

This resource from the National Child Traumatic Stress Network Parent/Caregiver Guide to Helping Families Cope with the Coronavirus Disease 2019 (PDF; en español) will help you think about how an infectious disease outbreak might affect your family—both physically and emotionally—and what you can do to help your family cope. You can support your child by encouraging their questions, keeping them informed, maintaining routines when possible, and make time for fun and meaningful activities that can help everyone connect and relax.

Prevent Child Abuse America has assembled a great list of activities and resources to help parents and children. They remind us to stay connected and offer ideas for connecting to family, friends, our culture, and ourselves even when we have to be physically apart.

Talking About COVID-19 With Your Children

With news and conversations about COVID-19 everywhere, it’s important to talk to children about what they are seeing and hearing in a way that is developmentally appropriate and reassuring. Children worry more when they are kept in the dark. The resources below can help if you are wondering how to start.

The Child Mind Institute’s article Talking to Your Children about the Coronavirus has a great short video from Dr. Jamie Howard, Director of Trauma and Resilience Services, who goes over quick tips on how to discuss the pandemic with your kids. The most important thing? Be developmentally appropriate.

Last but not least, other organizations also have tips for families to talk with children about the current health crisis. Check out these tips from Zero To Three, and videos, games and activities from PBS Kids and BrainPOP.

What resources did we miss?

Let us know in the comments what has been helping you and your family to stay safe and connected. What has helped your family have fun and learn during this health crisis? How are you and your loved ones growing your resilience together? We want to hear from you!

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