Thank you for highlighting the crisis in access to mental health services among our youth as rates of depression, anxiety and suicidal thinking are at all-time highs in your cover story of December 27, 2022.
While the pandemic has exacerbated the struggles of children and teens, the difficulty in finding timely and affordable quality mental health care isn’t new. In 2017, North Shore Child & Family Guidance Center conducted extensive research, spotlighted in our Project Access report, shining a light on the longstanding problem and advocating for strategies to effect change.
Throughout our 70-year history, we have been providing mental health services to the children and families of Nassau County within just days of receiving their call, and no one is ever turned away for inability to pay. Kids in crisis can’t wait weeks or months for help.
Kathy Rivera
Executive Director/CEO
North Shore Child & Family Guidance Center
Roslyn Heights, NY
By Dr. Nellie-Taylor Walthrust, this story was published in Anton Media.
Many parents worry throughout the year about their teens’ exposure to alcohol and drugs, but the concern is magnified when talk of New Year’s Eve parties enters the conversation.
While you don’t want to spoil their opportunity to ring in the New Year with their friends, especially after nearly three years of pandemic disruption, the thought of them being at parties where alcohol and possibly drugs are being used is justifiably concerning.
The biggest risk that kids face on New Year’s Eve – or any day of the year, for that matter – is being involved in a car accident. According to the Centers for Disease Control and Prevention, motor vehicle crashes are the leading cause of death for U.S. teens, with eight teens ages 13 to 19 dying every day from motor vehicle crash injuries.
Additional statistics point out the risks:
23% of teens admit they have driven under the influence of alcohol, prescription drugs or marijuana.
Teen drivers 16-19 have a fatal crash rate almost three times as high as drivers ages 20 and older.
60% of all teen deaths from car accidents involve alcohol.
24% of teens reported that within the previous month, they had ridden with a driver who had been drinking alcohol or using drugs.
As a parent, what can you do to minimize the risks?
If your teens plan to go to a party, make sure you talk to the parents where the festivities are being held. Your teen might be horrified at this prospect, but you have every right to discuss your expectations with the hosts. Ask if alcohol is being served (and if your teens are under 21, the answer should be a resounding no). Ask if the parents will be home at all times during the party. If they won’t, don’t be afraid to tell your teens they aren’t allowed to go.
Once you are assured that parents will be there to supervise and the party is alcohol-free, nail down the details. That means finding out who is driving them and taking them home (the safest choice is for you to take on that role). Set a reasonable curfew based on their age. Young teens don’t need to be out past midnight, and even older kids can call it quits shortly after the clock strikes 12.
Establish a plan to check in several times during the night. Make it clear ahead of time that if you call or text and get no answer, you will be heading over to get them.
Not comfortable with the level of supervision at the party? Help your teens create alternative plans. The best way to know your kids are safe and in a supervised environment is to host the gathering at your home. Give them free reign in choosing decorations, food, music and other entertainment ideas, but make it clear that alcohol and drugs are forbidden.
Despite taking all precautions, the reality is that your teens may find themselves in a situation where they are being pressured to drink or use drugs. Tell them that you will be willing and able to get them at any time during the night—and that if they or their friends have been drinking, the most important thing is for them to contact you for a ride.
As parents, we must do all we can to educate our kids about the dangers of underage drinking, but we also need to face the reality that even “good” kids can start heading down a dangerous path. Keep the lines of communication open, and if you suspect there may be a problem, consider contacting a professional who is trained in alcohol and substance use.
Dr. Nellie Taylor-Walthrust is the Director of at North Shore Child & Family Guidance Center’s Leeds Place, which operates an Adolescent Outpatient Chemical Dependency Treatment Program. Substance use services include counseling youths who are alcohol and drug abusers, children who live in families with a parent who is suffering from alcoholism or drug addiction and youths who have co-occurring chemical dependency and mental health problems. Prevention services are offered to local school districts. Call (516) 626-1971 to find out more.
The holidays are here, and it’s not uncommon for people of all ages, including children, to pack on extra pounds. The sugary treats and heavy meals are abundant, and many kids tend to be less active during the colder weather.
But regardless of the season, it’s always a good time to talk to your kids about healthy eating—especially with many adults and children alike having put on weight from stress eating and inactivity due to the pandemic.
Sadly, being significantly overweight is common. According to the Centers for Disease Control and Prevention, the percentage of children and adolescents affected by obesity has more than tripled since the 1970s. Today, nearly 1 in 5 school age U.S. children and young people (6 to 19 years) is considered obese. When you factor in those who are considered overweight but not yet obese, the figure rises to 31%.
Why the dramatic increase? Behavior and habits are the most likely factors, with technology playing a big role. Many families have become sedentary, with TV, computers and videogames as the culprits. And it’s not just the kids; parents, too, are often modeling these behaviors.
Of course, shaming a child for being overweight is never appropriate. From a very early age, parents should nurture a positive body image with their kids, focusing on their bodies as the miracles they are! But if your child’s or teen’s weight has become a health concern, you can address it in a loving, non-critical way.
Approach the issue as a family topic rather than focusing on an individual child. The message should be that we all need to eat more healthy foods like fruit, vegetables and lean proteins and less fatty, fried or sugary foods so we feel better and have more energy. You don’t want to make your child feel badly about themselves, so focusing on healthy eating and activity rather than appearance is extremely important.
Here are some guidelines when broaching the subject of weight with your children, as per recommendations from The Academy of Nutrition and Dietetics:
Foster open dialogue. Encourage your kids to share their thoughts and feelings about body image. When children discuss feelings about weight, be sure to listen and acknowledge that the feelings are real. Explain that people come in all different shapes and sizes, and you love your child no matter what.
Don’t make negative comments. Judging your own body or your child’s can result in lasting detrimental effects to your child’s body image and relationship with food. Set a good example for children in the way you talk about your own body as well as others.
Take action. Children learn fast, and they learn best by example. Teach children habits that will help keep them healthy for life. Make it easy for kids to eat smart and move often. Look for ways to spend fun, active time together.
Avoid the blame game. Never yell, scream, bribe, threaten or punish children about weight, food or physical activity. If you turn these issues into parent-child battlegrounds, the results can be harmful. Shame, blame and anger are setups for failure.
Talk with your healthcare provider. If a health professional mentions a concern about your child’s weight, speak with the professional privately. Discuss specific concerns and ask for suggestions on making positive changes in your family’s eating habits and activity levels.
Seek advice. Look for a registered dietitian with a specialty in pediatric weight management. Many hospitals and clinics have comprehensive programs with education and activities for both kids and adult family members. Some of these options may be covered by your health insurance plan.
An important final note: If you are among the Long Islanders whose financial issues make it difficult to access healthy, fresh foods, don’t despair. Community Solidarity shares nutritious food to those in need, with 50% of that being fresh produce. To find out more, visit communitysolidarity.org.
Dr. Sue Cohen is the Director of Director of Clinical Services at Right from the Start at North Shore Child & Family Guidance Center, the leading children’s mental health agency on Long Island. Learn more at www.northshorechildguidance.org.
On November 18, 2022, Guidance Center Executive Director/CEO Kathy Rivera and Associate Executive Director Jennifer Rush were the guests on this podcast that informs listeners about the amazing contributions and happenings of Long Island’s non-profit community. Thank you Tommy DiMisa for shedding light on the important work of the Guidance Center to combat the epidemic of mental health challenges in our youth.
Roslyn Heights, NY, December 12, 2022 —When a child faces a mental health challenge, the entire family is impacted. But while people may sympathize with parents and siblings, they often forget that grandparents also struggle with feelings of sadness and helplessness.
That’s why North Shore Child & Family Guidance Center (the Guidance Center) runs a free support group just for grandparents whose grandchildren are on the autism spectrum: GASAK, for Grandparent Advocates Supporting Autistic Kids.
GASAK’s mission is to support, inform and advocate for grandparents with autistic grandchildren. At meetings held on the last Thursday of each month, GASAK participants network and share information on issues critical to families impacted by autism. New members are welcome to join at any time.
While the program isn’t new, it recently returned to in-person meetings at the Guidance Center’s Marks Family Right from the Start 0-3+ Center in Manhasset after being virtual since the start of the pandemic.
While there are many programs for parents of autistic children, few if any address the specific issues that come up for grandparents, said Dr. Sue Cohen, Director of Clinical Services at Right from the Start. “Sometimes the parents are overwhelmed dealing with their children’s needs,” she said. “At GASAK meetings, grandparents can share their own concerns with their peers.”
One GASAK member said, “A lot of times your friends can’t relate to what you’re going through, but when you walk into the GASAK group, you feel comfortable instantly. Nobody judges you.”
The program occasionally features guest speakers, including education lawyers, social workers, special education advocates and others. “When a grandparent leaves a meeting,” said Cohen, “they walk away with information that can make a huge difference in the lives of their children and grandchildren.”
But the camaraderie members experience is perhaps the most important benefit of the group. Case in point: one grandmother who has two autistic grandsons who were nonverbal until they were three years old. When one of them said “Mom” for the first time, the GASAK group celebrated her good news. “There is such compassion among members,” she said. “And by sharing our worries as well as our joyful moments, we give new members hope.”
In addition, the Guidance Center provides a variety of therapeutic services for children on the autism spectrum, as well as their parents and other family members. They also provide testing for preschool-age children to young adults.
To learn more about the GASAK group and all the Guidance Center’s services, contact Cohen at 516-484-3174 or email scohen@northshorechildguidance.org.
About Us:
As the preeminent not-for-profit children’s mental health agency on Long Island, North Shore Child & Family Guidance Center is dedicated to restoring and strengthening the emotional well-being of children (from birth – age 24) and their families. Our highly trained staff of psychiatrists, psychologists, social workers, vocational rehabilitation counselors and other mental health professionals lead the way in diagnosis, treatment, prevention, training, parent education, research and advocacy. The Guidance Center helps children and families address issues such as depression and anxiety; developmental delays; bullying; teen pregnancy; sexual abuse; teen drug and alcohol abuse; and family crises stemming from illness, death, trauma and divorce. For nearly 70 years, the Guidance Center has been a place of hope and healing, providing innovative and compassionate treatment to all who enter our doors, regardless of their ability to pay. For more information about the Guidance Center, visit www.northshorechildguidance.org or call (516) 626-1971.
