Archive for: Coronavirus

Archive for Coronavirus

Screen Time & COVID-19

Written by Caroline Segal, PhD

Screen time was already a contentious issue for parents and children before coronavirus hit. But now that everything is digital – school, work, social engagements, even extracurriculars – many families are struggling to figure out what limits are appropriate.

Pre-corona, the American Academy of Pediatrics (AAP) recommended avoiding all screen time for children under 18 months (other than video chatting with family and close friends, which, if the person is engaging directly with the child, can actually help develop early social skills!). For children 18-24 months, a small amount of screen time can be introduced (about 25 minutes tops per day). Ideally, however, this is high-quality educational programming that is viewed with the parent, so the parent can help the child engage meaningfully with the material. For children ages 2-5, parents are advised to keep screen time to one hour or less per day (and ideally only high-quality educational programming with parent involvement).

The guidelines are less specific for children age five and older, with the emphasis more on what children use screens for than for how long. The AAP basically advises parents to limit screens to the best of your ability and to preview any shows/games/apps kids and teens are using to make sure they’re developmentally appropriate. Whatever your household rules are, the AAP encourages you to stick to them, and make sure that screen time does not interfere with your child’s other needs (sleeping, eating, physical activity, social time, and studying).

A New Normal

But now that everything is digital, parents are struggling to figure out where to draw that line. Many are concerned with the risks of increased screen time, such as physical inactivity (which can lead to obesity), sleep disruption, and attentional, behavioral, and social issues. The good news is that these risks are smaller than we think. Additionally, they can be at least partially mitigated by intentional screen time (more on that below) and parent involvement/supervision.

These days, there is simply no avoiding screen time. In fact, in the age of #WorkFromHome, this very article is being written with a five-month-old in my arms. To help alleviate any guilt about additional screen exposure (while still maintaining control of the household!), read on for some guidance about navigating screen time while stuck at home.

Be Flexible, But Don’t Throw Everything Out the Window.

Whatever rules you had about screen time before have probably been shifted by now. That’s okay! Letting your children use screens for more time per day is not a sign of giving up or giving in. Like the AAP says, it’s more important to consider what your children are using screens for than to harp on how much they’re using them.

Children are currently facing bigger risks than screen exposure. Their access to education has drastically shifted, so they need screens for their learning. Children (and adults, too!) are also now at risk for social isolation, so they need screens to stay connected to peers. Depending on your living situation and family resources, children may also be limited in terms of space to engage in physical activities or access to extracurricular activities. Again, enter screens… child-friendly exercise videos or online classes (think art classes, cooking classes…even karate classes are available online now!).

So yes, it is warranted these days to flex your screen time rules to make space for all the ways screens are currently helping our children thrive. That said, if you throw the rules out the window completely and let your kids have access to screens all day long (and without any guidelines about what they can use screens for), it might be difficult to walk it back when life goes back to normal. It pays to try to find a balance somewhere in the middle that still allows your kids some free time on screens (in addition to screen time used for school, friends, family, and engaging activities), but also encourages them to use some hours of the day for screen-free activities, like spending time with household members, reading books, playing outdoors, etc.

Make a Corona-Specific Family Media Use Plan.

The AAP has a free and easy-to-use Family Media Plan generator that you can individualize for each child in your home based on their age and your household rules. The media plan includes personalized ground rules for screen use as well as a system to help parents decide how many hours per day to allow each child in the family to use screens. 

In general, when deciding your corona system for screen time allowance, it can help to consider making a more specific plan about how much time can be used for different types of screen exposure (i.e., how many hours can be used on social media apps such as TikTok, Snapchat, or Instagram; how many hours can be used on educational programming, how many hours can be used watching YouTube videos, etc.). To help you keep track of your children’s screen use, you might even consider using an app to monitor how they use their screen time.

Encourage Healthy Activities

Coronavirus has led to wonderful displays of generosity from individuals and companies around the globe in terms of supporting children’s engagement in healthy and stimulating activities while at home. Help your kids use screens in ways that support their development by guiding them towards online activities such as…

 

Keep Evenings Screen Free

Finally, to avoid disruptions to sleep, you may want to institute a Screen “Curfew”. In other words, create a time of night ideally an hour or more before bedtime where children hand over their devices to be charged in a room other than their bedroom. This will avoid loss of sleep due to staying up scrolling on their Instagram feeds or disruptions to their circadian rhythms because of blue light exposure.

However you decide to manage your family’s screen use, make sure you find a system that works for you. What matters most is that everybody is able to thrive, that family conflict not soar through the roof, and that everybody in the house is able to maintain some safe connections to the outside world. If that means screen time goes up substantially, that’s okay! At the end of the day, you are doing what you need to do for your family, and that is what parenting is all about.

As always, contact Sasco River Center if you need help with your child, or parenting in general.

Services Update 03-13 (COVID-19)

Hello Sasco River Center, Southfield Center, Sensory Kids Clients & Extended Community,

We remain open, but we have options for those who aren’t able to come to a clinic

We hope you and your family are well in these uncertain times we are experiencing with the recent global focus upon the coronavirus. We know that this uncertainty can lead you and your children to experience various emotions including frustration, anxiety, sadness and confusion. We also know that predictability and routines are best for everyone’s psychological and emotional well-being, so we are examining the many safe and creative ways that we can continue to support you and your family. As we are hearing about schools that are closing and other schools considering this action, we wanted to continue to communicate clearly about what we are doing at Sasco River Center to place your safety as our top priority while we continue to provide the expert care that you’ve come to rely upon from our clinical team.

Here is a helpful link from the CDC on keeping our workplaces, schools and homes safe. Note that we are following the advice that “mental health and other medical facilities should stay open” from the head of the CDC, appearing on CNN morning of 3/12.

Cleaning

We remain vigilant and prepared throughout this dynamic situation. We are closely monitoring local, state and federal sources for specific guidance, and are stringently adhering to all guidelines relating to cleanliness, personal space, and absolute restrictions on admittance of any person with any cold or flu-like symptoms in any of our spaces. While we have always focused on cleaning and sterilizing our therapeutic spaces, over the past two weeks we have increased our cleaning to daily across all spaces, with additional wiping down of therapeutic spaces between client sessions. We have also reviewed with our team members proper greeting and space recommendations, along with expectations for frequent handwashing and usage of hand sterilizer. While we believe that this greatly reduces the transmission of germs, we absolutely understand that many clients are seeking additional ways to maintain services while limiting contact with multiple people in confined spaces.

Services Accommodations

For all our clients, we are offering the opportunity to be met outside of the building and escorted by your clinician to their therapy space so that time in the waiting room is unnecessary. If you would like to access this option, please email your clinician or contact our receptionist so this can be arranged.

TELEHEALTH SESSIONS:

In addition, for any service for which videoconferencing or telephone guidance would be appropriate (psychotherapy, occupational therapy/sensory processing, psychiatric medication management, behavioral consultations, parent coaching, learning services), each of our team members has been equipped with and trained on technologies that will allow ongoing remote connection in a safe and confidential fashion. In a telehealth session, we can guide you on what to do with your child and/or we can continue to work directly with your child over video technology to continue progress toward therapeutic goals. To take advantage of these remote therapeutic opportunities, we will need you to sign a telehealth consent form. Your clinician will be contacting you and providing the form that needs to be signed.

TESTING:

For all children being tested, we have now created a reduced number of smaller spaces in each center that can be more easily sterilized between students rather than conducting testing across several spaces. These rooms and testing materials will be sterilized between students.

Sensory/OT, Therapy and/or Psychotherapy:

We are offering the following options:

  • For those of you continuing with sessions at one of our clinics, as noted above, we will be happy to meet you and your child in the parking lot, to avoid congregating in the waiting room. We are scheduling each child individually in therapeutic spaces to avoid contact with other clients. In addition, we are spreading out sessions to allow time to clean and sanitize between sessions.
  • For those of you that wish to continue this important in-person therapeutic work but do not want to come to one of our centers, we have developed additional options. We are able to meet at designated local playgrounds that we have already researched for safety and access to therapeutic activities. In addition, our team of sensory experts would be happy to do in-home sessions as well. We will do our best to extend hours and options so that we can meet the scheduling needs of as many of our clients as possible.
  • SENSORY ADDITIONAL: As an added opportunity during this time when your children might be out of school for an extended time, our team of sensory experts can provide sensory consultations that will address sensory strategies for you to support your child’s sensory needs while away from school.

Of course, we recognize that many of you will want to maintain the same level of in-person services and our team of clinicians will continue to offer their expertise in the highly individualized and personal way that we always have. In addition to the enhanced cleaning noted above, we are taking other precautions to increase your safety.

Other Options (Stay Tuned)

Finally, we are in the process of developing some opportunities for your children to participate in fun and therapeutic activities outside of the center. For example, our occupational therapists are trained to provide bike riding classes to help get the kids out and keep moving, while optimizing their time off while the weather is nice. We are also working on some small camp ideas. Stay tuned for details on these opportunities.

Thank You

As always, we thank you for the trust you place in us. We want to assure you that safety along with high quality care are our top priorities. Please reach out with any questions and we look forward to continuing our work together. Note that we will continue to update you as the situation unfolds.

Stay healthy,

Chris Bogart + Melissa Kahn

Executive Directors, Sasco River Center