Mud

Claire Poole, PsyD
Families First Children's Treatment Center Clinical Director

My mother had a simple and effective go-to parenting strategy - go outside and play. "Outside" was the most important part, and my father contributed to the plan by setting aside a little corner in the yard for me to dig in the dirt and make mud. The other kids with their shiny new indoor toys were envious of my mud. To the intuitive mind of the child, this made perfect sense.

As with a lot of psychology, science is now catching up to the intuitively obvious. In recent years there has been an increasing stream of research showing that time spent in nature is good for the mind and body; my intuition tells me it is good for the soul as well. A walk in the park does more to lower blood pressure and stress than an equally strenuous walk on the treadmill. Grade school students in classrooms with windows do better than they do in rooms without windows, and when the window opens up on a garden or even a shrubbery the effect is more pronounced. Families who spend leisure time together in natural surroundings get along better and report higher levels of satisfaction in family life. Sailors on submarines who line up for the chance to see birds and the coastline through the periscope are more efficient and less stressed. Treatment programs for teens struggling with substance abuse, delinquency, or depression often include wilderness treks with positive effects. There is a long list of similar research findings.

This really shouldn’t surprise us. Through the ages wise men and prophets, from Moses and Lao Tzu, to St. Thomas and the Buddha, to Thoreau and Muir, have sought guidance and inspiration in the wild. When most families lived in a tribe, a village, or on a farm the natural world was part of daily existence. It has been like that for 10,000 years and more. In the modern world, really for just the last few generations, a great many people spend their entire lives without ever playing in the mud. I remember being in Grand Central Station in New York and realizing with a start that most of the people there had never seen the stars except for those painted on the station's ceiling. When was the last time you gazed at the Milky Way?

So here's my point. Let's turn off the TV, put down the tablet, and take our kids outside for a walk in the woods. It's good for them, good for the family, even good for the planet. And take it from me, mud squishing through your toes is one of life's little pleasures not to be missed.


For more great parenting tips, parenting resources, suggestions or support call the Families First Support Line at 1-877-695-7996 OR 1-866-527-3264 for Spanish-speaking parents. You can also e-mail SupportLine@FamiliesFirstColorado.org with questions or concerns. Comments provided by non-Families First individuals are not the opinion of Families First.

Inspiring Resilience, Creating Hope

May is National Mental Health Awareness month. We have come a long way as a nation over the last couple of decades in how we view mental health issues, however, we still need to continue to improve the way people with a mental illness are viewed and treated.

Mental health is simply our emotional, mental, and spiritual health. It is just as important as our physical health. In fact, the two go hand-in-hand. It is important for us to realize that people of all ages, race, ethnicity, religion, and incomes are diagnosed with mental health concerns. Nearly every person in America has either had mental health issues at one time in their life or has a close friend or family member who has had mental health issues at some point. The stigma around mental health needs to be broken. Mental health issues should be viewed no differently than physical health issues.

This year’s theme for Mental Health Awareness month is Inspiring Resilience, Creating Hope. There is a great deal of research that has been done in recent years that is showing that resiliency acts as a buffer in all areas of a person’s life, including mental and emotional health. The good news is that resilience is something we are all born with and can be strengthened.

Last month’s blog spoke briefly about parental resilience as one of the protective factors that decreases abuse and neglect and promotes health family relationships. We defined it as the ability to cope with stresses, both the day-to-day stresses, as well as the occasional crisis. This is sometimes described as being a “bounce back” person or family. The same definition applies for resilience in children of all ages.

So, why is being resilient so important? The more resilient a person is the better day-to-day health they have in all areas of their life. Seventy percent of all people will experience at least one trauma in their lifetime. Resiliency helps people deal with the bumps of life, as well as the bigger stressors. It is a good idea to build resiliency before it is needed for a crisis.

There are a number of fairly simple things that adults can do to help promote resilience in children. The number one thing is relationships. Researchers agree that the primary building block for resilience is caring, supportive relationships. Adults can do this by responding to their children’s physical and emotional needs in a timely manner with patience. Another easy way to build relationships is to have fun together. Schedule time every day to get down on the floor or go outside and play with your child.

Adults can also help promote resilience in children by listening and responding to their child in a reflective manner. When your child is talking to you give them your full attention and then make sure to state back to them what you heard them say and any emotions you believe they are experiencing. Then allow your child to confirm or clarify that you got what they were saying and feeling. We all need to be heard and have our feelings supported.

As always, adults can use modeling. It is important for us to model the skills that lead to resilience for our children. We need to make sure our children see us engaging in supportive relationships, having fun, and sharing our thoughts and feelings. These are just a few suggestions for building resilience that you can start working on today for yourself, with your children and in your family, which will lead to improved mental and emotional health.

For more suggestions on ways resilience, additional ways to support your family and for other great parenting tips call the Family Support Line at 1-877-695-7996 OR 1-866-Las-Familias (866-527-3264) for Spanish speakers. You can also e-mail stacy@FamiliesFirstColorado.org with questions or concerns. Check us out on Facebook at Families First Colorado. The Family Support Line offers parenting tips, resources and information only and does not serve as legal or mental health advice. We believe you are the paramount person to decide what is best for your family. Comments provided by non-Families First individuals are not the opinion of Families First.

The Importance of Fathers in Their Children’s Lives

If you knew there was one thing our nation could do to improve every area of a child’s development, would you be in support of that one thing?  Research shows children that have involvement from both a father and mother perform better in all developmental areas.  Children need their fathers to be involved.  For far too long, our country has seen fathers at best as an add-on to what mothers provide for children and in some cases fatherhood has been discounted altogether. 

Families First, Colorado Dads and the state of Colorado value the vital role fathers play in the lives of children.  The Colorado Fatherhood Council, in conjunction with Families First, is holding five Fatherhood Forums across the state this month to share information regarding the Council becoming a Practitioner’s Network as well as to obtain additional input regarding the needs and assets that can be mobilized to promote fatherhood services in Colorado.

In addition, these meetings will try to find additional people to help plan and participate in a Leadership Summit on Fatherhood and/or to be involved in the practitioner’s network.  If you would like to participate in one of these forums please register by going to this link: http://e2.ma/click/jzq7g/jzixfv/vsxdhb.

In the meantime, take a look at some of the research that clearly shows the importance of fathers in all areas of a child’s life and development.  Here are just a few of the stats that can be found online:

Children do better academically when their fathers are involved in their lives.  For example, highly involved biological fathers had children who were 43% more likely than other children to earn mostly A’s and 33% less likely than other children to repeat a grade.  They are also 70% less likely to drop out of school.  Source:  U.S. Department of Education Study 2001

Children with more involved fathers experienced fewer behavioral problems and scored higher on reading achievement.  Source:  Howard, K.S., Burke Lefever, J.E., Borkowski, J.G., & Whitman, T.L. (2006).  Fathers’ influence in the lives of children with adolescent mothers.  Journal of Family Psychology, 20, 468-476.

Children have less high risk behaviors when their fathers are involved.  Even in high crime neighborhoods, 90% of children from stable 2 parent homes where the Father is involved do not become delinquents.  Source: Development and Psychopathology 1993

Adolescent girls raised in a 2 parent home with involved Fathers are significantly less likely to be sexually active than girls raised without involved Fathers.  Source: Journal of Marriage and Family, 1994

Father involvement is important for all ages.  Even very young children who have experienced high father involvement show an increase in curiosity and in problem solving capacity.  Fathers’ involvement seems to encourage children’s exploration of the world around them and confidence in their ability to solve problems.  Source:  Pruett, Kyle D. 2000. Fatherneed:  Why Father Care is as Essential as Mother Care for Your Child.  New York:  Free Press.

Child Welfare Information Gateway summed it up this way; studies suggest that fathers who are involved, nurturing and playful with their infants have children with higher IQs, as well as better language and cognitive skills.  “Toddlers with involved fathers go on to start school with higher levels of academic readiness.  They are more patient and can handle the stresses and frustrations associated with schooling more readily than children with less involved fathers”.  They go on to state, “One study of school-aged children found that children with good relationships with their fathers were less likely to experience depression, to exhibit disruptive behavior, or to lie and were more likely to exhibit pro-social behavior.  This same study found that boys with involved fathers had fewer school behavior problems and that girls had stronger self-esteem.  In addition, numerous studies have found that children who live with their fathers are more likely to have good physical and emotional health, to achieve academically and to avoid drugs, violence and delinquent behavior”.

If you want to have an impact on children and their future, please share the message of the importance of fathers and mothers in the lives of children.  Come on Colorado, let’s champion the cause of Fatherhood!

For more information on Fatherhood Programs, father involvement and additional ways to support your family and for other great parenting tips call the Family Support Line at 303-695-7996 OR 1-866-Las-Familias (866-527-3264) for Spanish speakers. You can also e-mail stacy@FamiliesFirstColorado.org with questions or concerns. Check us out on Facebook at Families First Colorado.  The Family Support Line offers parenting tips, resources and information only and does not serve as legal or mental health advice. We believe you are the paramount person to decide what is best for your family. Comments provided by non-Families First individuals are not the opinion of Families First.

School Avoidance (Part 2 of 2)

As I mentioned in my previous blog, we have had an increase in calls to our Family Support Line related to children refusing to go to school.  If you did not read the previous blog, it would be a good place to start regarding general information on heading off school avoidance in children. 

What is school avoidance?  The website, Human Illnesses, defined school avoidance as “when children and teens repeatedly stay home from school or are repeatedly sent home from school, because of emotional problems or because of aches and pains that are caused by emotions or stress and not by medical illness”.  School avoidance, also referred to as school phobia or school refusal, occurs in approximately 2-5% of school age children.  It is most common in 5-6 year olds and 10-11 year olds. 

Typical behaviors for a child or teen that has school avoidance is for them to come up with reasons not to go to school, to complain of physical symptoms shortly before it is time to go to school, or to make repeated visits to the school nurse or counselor once at school, with similar physical complaints.  Often the complaints are vague or non-specific.  In more severe cases, such as school phobia, common physical complaints are aches and pains, headaches, stomach concerns, muscle tension, and dizziness.  In the most severe case of anxiety, students may complain of difficulty breathing and tightening in the chest, which can be an indicator of a panic attack.  The symptoms typically disappear once the child is allowed to go home and during the weekends or over school breaks.  In addition, when the physical complaints are evaluated by a doctor, there is no medical cause found.  

It should be noted that when children and teens complain of physical complaints it should always be assumed that the complaints are legitimate and a medical appointment should be completed to rule out medical issues.  In some severe cases of anxiety, people can develop ulcers and other health issues that should be addressed medically.    It is also important to note, that even if there is no medical problem, the physical complaints are not fake.  The child likely is experience physical discomfort due to emotional distress. 

Other symptoms that can develop in children with school avoidance is an increase in tantrums or tantrums that are not age-appropriate, separation anxiety, defiance, and in some cases other mental health concerns such as depression and obsessive behaviors. 

I often hear parents say that if it weren’t for the school avoidance they would not have any problems with their child.  They state that other than the avoidance the child follows the rules and does not cause problems in the home.  Most children with school avoidance are of average to above average intelligence.  They are often the children that were quiet and shy in school, but were well liked by adults due to the fact that they were not a disturbance in class and would do what they were told to do. 

Why do children/teens develop school avoidance?  Most parents’ initial response is to assume that there is an issue at school.  This may be the case, especially if there is bullying, conflict with a peer or teacher, existing learning disabilities, or fear of failure.  However, often times the avoidance has less to do with the school setting and more to do with the child’s coping skills and/or home environment. 

 In young children, the school avoidance can be due to fact that they are having some separation anxiety from parents and familiar environment.  With young children they are being introduced to a variety of new challenges, new people, and new environments.  In young children the avoidance may be related to concerns regarding potty training and/or using the bathroom in public.

Children of all ages, including teens, can develop avoidance behaviors when there is a major transition, such as change in the family structure (new siblings, older siblings moving out, separation/divorce, remarriage, military deployment, etc.), moves, or new schools.  Often the avoidance will appear when a student is moving from elementary school to middle school or from middle school to high school.

 It is also important to remember that the adult’s emotional stability can also be a factor.  If parent is stressed or depressed the children may pick up on this.  Children will often have avoidance behaviors if a family member has a serious illness as they are afraid something will happen to the loved one while they are away from the home.  This may also occur after a loved one dies.  The child may feel that they have to stay at home or someone else might die.  If there is domestic violence or substance abuse in the home the child may also feel that they need to be home to protect other family members or to help “keep the peace”. 

What can the adults do to help?  First, the adults need to find out what the underlying reason for the avoidance is.  Sometimes the child does not even know the underlying reason and needs help from the adults to figure this out.  Once the reason is determined then the adults can help the child to work on a plan to address the anxiety/fear of going to school.  It is very important to not allow the child to avoid school.  As with all types of anxiety, avoidance causes the problem to become worse, not better.  The longer a child is out of school, the harder it is to return.  A student may need to ease back into school, but they should be going at least a short time every day to start and the time should increase as the days or weeks go by.  Parents can enlist the help of the school to work out a plan for easing a child back into school.  Other professionals who can assist in the plan are the child’s pediatrician and/or mental health professionals.

Adults should not shame the child or make fun of the child for not attending school.  Adults can talk with the student on a regular basis about their feelings and fears as this helps to reduce the fears and stress.  Do not punish the child for avoiding school, but do not inadvertently reward them either.  If the child refuses school and the parent cannot get them there safely, the child should not be allowed to engage in fun activities while at home for the day.  There should be no television, video games, or special treats.  The home environment should be made to be as boring as possible so that it does not reinforce the child’s desire to stay home. 

For more suggestions on ways to address  school avoidance, additional ways to support your family and for other great parenting tips call the Family Support Line at 1-800-CHILDREN (800-244-5373) OR 1-866-Las-Familias (866-527-3264) for Spanish speakers. You can also e-mail stacy@FamiliesFirstColorado.org with questions or concerns. Check us out on Facebook at Families First Colorado.  The Family Support Line offers parenting tips, resources and information only and does not serve as legal or mental health advice. We believe you are the paramount person to decide what is best for your family. Comments provided by non-Families First individuals are not the opinion of Families First.

Preventing or Decreasing Long-term Problems in Children

Parents/primary caregivers are the most important advocate for their children in all areas of their development, including social-emotional.  May is Mental Health Awareness month.     Children as young as newborns can have social-emotional issues.  Research shows, behavior problems that surface in early childhood are the single best predictor for several long-term outcomes, such as adolescent delinquency, gang involvement, incarceration, substance abuse, divorce, unemployment (Center for Evidence-Based Practice: Young Children with Challenging Behaviors, 2004).  The good news is that there are many preventative and early intervention programs available to help head off mental health issues in young children or to help lessen the intensity of the problems a child may experience. 

The following are some red flags that may indicate that a child could benefit from an assessment.  It should be noted that one or two red flags alone does not necessarily mean a child is having a mental health issue, but it does mean further observation, discussion, and evaluation may be indicated. 

-          Developmental concerns.

-          Not giving eye contact with primary caregiver(s).

-          Over or under reactivity to pain. 

-          Does not allowing soothing from primary caregivers when hurt or upset.  Does not engage in self-soothing behaviors.

-          Has problems with affection, becomes rigid when picked up/cuddled/touched or turns head away when being feed.  Does not initiate affection with those close to them.

-          Overly friendly with strangers.

-          Ongoing sleep and/or feeding issues.

-          Acting out behaviors such as, fire setting, excessive lying, or stealing.  Routinely tantrums or rages for more than 15 minutes for no apparent reason.

-          Intentional cruelty to animals or younger/weaker children.

-          Development of nervous or anxious behaviors that persist, including being easily startled or frightened.  Or routinely crying for 15 or minutes after separated from primary caregiver.

-          Play issues, such as withdraw or avoids playing with other children.  Lack of explorative behaviors/play.

-          Repetitive behaviors

If you are seeing any of these signs or symptoms in your children, regardless of how young they are please talk to your child’s health care provider or your local mental health center.  You can also call 1-800-Children, where we can help direct you to other resources and support.   

For additional ways to support your family and for other great parenting tips call the Family Support Line at 1-800-CHILDREN (800-244-5373) OR 1-866-Las-Familias (866-527-3264) for Spanish speakers. You can also e-mail stacy@FamiliesFirstColorado.org with questions or concerns. The Family Support Line offers parenting tips, resources and information only and does not serve as legal or mental health advice. We believe you are the paramount person to decide what is best for your family. Comments provided by non-Families First individuals are not the opinion of Families First.