By Tami Silverman, President & CEO, Indiana Youth Institute

What’s not to love about the Holidays – school vacation, extra cookies and treats, and of course, presents? But, like adults, children can easily become stressed or over-stimulated around the holidays. There are a few easy ways to make the season enjoyable, and meaningful, for our kids.

  1. Prepare kids in advance – talk to your children about what gatherings or events you will be attending, who they will see there and how long they will last. Letting kids know what to expect – and what you expect of them – will help prevent meltdowns.
  2. Teach the joy of giving gifts – children often focus on the gifts they hope to receive. As adults, it is our job to help them learn the importance of thinking of others. Engage children in selecting or making gifts for others. Ask children of all ages what they would like to give to those special people on your list – you may be amazed at how observant and insightful young children and teens can be.
  3. Give to others beyond your friends and family – whether it’s volunteering, participating in a toy drive, or giving children a few dollars to donate to a charity of their choice, this is the perfect time to encourage young people to learn about the needs of their community, state and globe.
  4. Keep as many routines as possible – children thrive on stable bedtimes, healthy food, and plenty of exercise. Try not to schedule more than one major holiday event per day and allow downtime between events. If family commitments don’t avoid daily breaks, build them in before and/or after each gathering.

Finally, give yourself a break. Have fun with the important traditions and say “no” to the activities with lesser significance to your family. Set aside time to play games, watch movies, or simply laugh with the children in your life. It is often the unexpected giggles or unplanned moments that make lasting memories.

Three-year grant from Lilly Endowment Inc. will support program integration to activate communities, expand The Promise and build hope for widespread postsecondary achievement.

Indianapolis, IN — The Indiana Youth Institute is excited to share the news that Promise Indiana and its talented staff will be joining our organization.

Since 2003, we have worked throughout Indiana to build college and career pathways. The addition of Promise Indiana adds a network of communities that are focused on building a culture that encourages students to pursue higher education. To date, more than 13,000 elementary students around the state have started a CollegeChoice 529 direct savings account through The Promise, with more than $10 million in total savings for postsecondary education.

“Our schools and communities have told us loud and clear that college and career readiness needs to begin earlier –  ideally in elementary school. Promise Indiana is an innovative and successful program that builds future identity from a young age. We are delighted to add this thriving program to our existing services,” said Tami Silverman, President and CEO of the Indiana Youth Institute.

As the number of local Promise initiatives has grown, so too has interest from other communities around the state. Through Lilly Endowment’s support, IYI will lead the activation of 18 new Promise Indiana communities during the next three years. “Communities are searching for strategies to help students succeed in the classroom and in life. The Promise model is community-centric and designed to help students shape identity and build hope for their future,” said Clint Kugler, Co-Founder of Promise Indiana.

The transition will begin immediately. A formal launch is planned for IYI’s Kids Count Conference on November 27 and 28, 2018. We expect the integration to be completed by early 2019.

With support from the Indiana Education Savings Authority and Lilly Endowment, Promise Indiana began its operations in 2013, as part of the Wabash County YMCA, which has served as the home and backbone organization for the Wabash County Promise. Twenty-four additional communities have launched local initiatives in the five years since the Wabash County effort began.

Indiana Youth Institute (IYI) has been focused on college and career for 15 years, with a track record of launching successful initiatives, including Trip To College Alerts and the annual College and Career Conference.  Founded in 1988, IYI is a statewide organization that champions kids and strengthens communities through services and tools that focus on professional education, organizational capacity building, data and impact solutions, and statewide engagement and advocacy. IYI places an emphasis on increasing P–16 student success including graduation rates and postsecondary planning, achievement, and attainment.

The homeless enrollment in Indiana public schools has increased by 34.2% since the 2010-11 school year.

Who Is Considered Homeless? Under the McKinney-Vento Act, schools are required to keep track of the number of children whom they know lack a fixed, regular, adequate nighttime residence. Students experiencing housing instability may be living in motels, trailer parks, campgrounds, transitional shelters, or sharing housing with others because of economic hardship.

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For many of us, it is easy to see how our childhood experiences influence our adult choices, behaviors, and preferences. Perhaps you like basketball because all the kids on your street played together after school. Or you learned to cook by helping a beloved grandparent make special family meals. Years spent in a scouting program can create a lasting love of exploration. Examples of positive experiences are endless and unique to each of us.

In the same way, stressful or traumatic childhood events also have lasting impact. The importance of Adverse Childhood Experiences, or “ACEs”, was first discovered 20 years ago as a result of a large-scale research study led by Kaiser Permanente and the Centers for Disease Control and Prevention. The resulting ACEs screening tool established a way to gauge the cumulative effect of different types of childhood abuse, neglect or stressful events.

While adverse childhood experiences are very common, as the number of ACEs experienced by a child increase, so does that child’s risk for chronic disease as an adult. Unfortunately, as documented in the Indiana Youth Institute’s September data brief, Hoosier youth have a higher prevalence than their peers nationally in eight of out nine ACEs as measured by the National Survey of Children’s Health.

The good news is that the earlier we can identify a child’s ACEs score, the sooner we can connect them to services to prevent, reverse, or heal the effects. Both physicians and educators are building systems to screen and respond to ACEs.

In many cases, positive childhood experiences can mitigate the stressful or traumatic events. All children need adults that support, trust and love them. Caring adults, whether parents, grandparents, teachers, coaches or mentors, are key to helping children build long-term resilience.

Find more information about ACEs from the following resources:
Indiana Youth Institute ACEs Data Brief
Substance Abuse and Mental Health Services Administration
American Academy of Pediatrics

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The cumulative effect of Adverse Childhood Experiences (ACEs) has a lifelong impact on children. As the number of ACEs increases, there is a greater likelihood of negative wellbeing outcomes such as obesity, depression, and other chronic conditions throughout life.

What are ACEs? Adverse childhood experiences are stressful or traumatic events occurring in childhood and are used to assess the long-term impact of abuse and household dysfunction on later-life health.

  • Nearly half (47.3%) of Hoosier children have experienced one or more ACEs.
  • Indiana has a higher prevalence of children experiencing at least one ACE (47.3%) than half of our neighboring states: Illinois (39.7%), Michigan (46.2%), Ohio (49.5%), and Kentucky (53.1%).
  • Hoosier youth have a higher prevalence than their peers nationally in eight of out nine ACEs as measured by the National Survey of Children’s Health.

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Our kids are going back to school and many of us are thinking about backpacks, school supplies and physicals. With bus schedules, class schedules and afterschool activities, our kids can easily get stressed about the beginning of a new school year. For some children, especially teens, this stress and anxiety exists at a dangerous level.

In Indiana suicide is the 2nd leading cause of death for youth ages 15-24 and the 4th leading cause of death for youth ages 5-14. Experts and teens list several reasons for the increase, including insufficient mental health screening, poor access to mental health services and resistance to seeking care. Suicide ideation and attempt rates are also found to be higher during the school year than in the summer.

Sadly, Hoosier youth are significantly more likely to consider or attempt suicide than their peers nationally, and Indiana faces significant disparities in youth suicide among vulnerable groups.

  • 1 in 5 Indiana high school students seriously considered attempting suicide in the past year. The percentage of students who seriously considered suicide increased from 18.0% in 2005 to 19.8% in 2015.
  • Indiana ranks 2nd out of 34 states in the percentage of students who made a suicide plan and ranks 3rd out of 37 states in the percentage of students who seriously considered attempting suicide.
  • Among our neighboring states, Indiana has the highest percentage of students who seriously considered attempting suicide and the highest percentage of students who made a suicide plan.

For more data on Youth Suicide in Indiana, read IYI’s Data Brief.

Based on these pressing needs, the Indiana General Assembly has passed youth suicide prevention legislation in the past two sessions. Effective June 30, 2018, all teachers and educators for students in grades 5-12 are required to participate in at least two hours of youth suicide awareness and prevention training every three years.

For details about the required training, school responses and effective interventions, go to the Indiana Department of Education’s website.

Child Reaching for Hamburger and Fries

Childhood obesity presents a critical and widespread issue for Indiana children.

One in three Hoosier children ages 10-17 are overweight or obese (33.9%). While childhood obesity presents a concern nationally, this issue is especially relevant in Indiana. Hoosier children are 14.9% more likely to be obese than their peers nationwide. This ranks Indiana as the 9th highest rate of childhood overweight and obesity. In comparison to all neighboring states, Indiana has the highest rate.

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Hoosier youth are significantly more likely to consider or attempt suicide than their peers nationally. Indiana faces significant disparities in youth suicide among vulnerable groups.

Youth Suicide Deaths:

  • In 2016, 57 Hoosier youth ages 19 and younger died by suicide. This represents an increase from 55 deaths in 2015 and 52 deaths in 2014.
  • Suicide is the 2nd leading cause of death for youth ages 15-24 and the 4th leading cause of death for youth ages 5-14.
  • 39% of Indiana’s youth suicide deaths are concentrated in 5 counties: Lake, Marion, Allen, Hendricks, and Porter.
  • 59 of Indiana’s 92 counties had zero youth suicide deaths in 2016.

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As parents, caring adults and community leaders, we must create the conditions for healthy kids to thrive. This means recognizing and addressing the dangers children face when they live in unhealthy environments, reducing health-harming behaviors like smoking and substance use by children and around children, and building communities that make it easier for kids and families to make healthy choices about food and physical activity.

Unfortunately, Indiana comes in 35th for overall children’s health in the U.S. Recognizing this, a new statewide collaboration, the Alliance for a Healthier Indiana, is bringing together business and community leaders to address the health of our citizens. The Indiana Youth Institute is joining this important effort to support building a healthier state from the child up.

Growing up in an environment with trauma and abuse creates lasting negative effects on children’s health, including slowing a child’s social and cognitive growth, raising their likelihood for obesity, tobacco and drug use, and inflicting long term consequences to their health and life opportunities. By understanding the co-occurrence and impact of these Adverse Childhood Experiences (ACEs)*, we are better able to create positive interventions and conditions for change.

If we can reduce child and adult smoking rates, we can have a significant effect on Hoosier health. Indiana ranks 41st in the nation for the percentage of smokers, and an estimated 95 percent of adult smokers start smoking before age 21. More than 4,100 Hoosiers under age 18 become new daily smokers each year. In 2017, nine percent of Indiana high school students smoked cigarettes in the past month, and 14.9 percent of Indiana high school students used electronic vapor products. This is especially concerning, as teens who use e-cigarettes are more likely to subsequently take up cigarette smoking.

Governor Holcomb has challenged Indiana to lower its infant mortality rate, as Hoosier kids infants are 24 percent more likely to die before their first birthday than the national average. Smoking is a significant contributor to problems arising during pregnancy and in the child’s development and health. Almost 1 out of every 7 pregnant women in Indiana smokes during pregnancy, a rate that is 68 percent higher than the national average. Smoking while pregnant is associated with a higher risk of miscarriage, low birthweight, premature birth, some birth defects and Sudden Infant Death Syndrome (SIDS).

Our state’s struggle with opioid use disorder is also taking a tremendous toll on our babies and children. Newborns exposed to opioids in utero have a 60-80 percent likelihood of suffering from Neonatal Abstinence Syndrome, a condition which impacts the child’s long-term growth, behaviors, language abilities, cognitive development, and academic achievement. Last year, Indiana had one of the nation’s greatest percentage increases in the number of children being placed in foster care. The Indiana Department of Child Services reported a sizable increase in the number of substantiated cases of abuse or neglect, with over half of the removals due to parental substance abuse.

Parental overdoses have both an immediate as well as a cumulative impact on children in the home. Children double their likelihood of developing addictive disorders when they come from homes where one or more adults abuse alcohol or drugs. While we do not yet know precisely how many Indiana children are living with adults struggling with opioid use disorder, we do know that these children are suffering and that immediate interventions are needed.

The prevalence of substance use disorder has captured recent headlines, but Indiana’s struggle with obesity is a longstanding problem that we have yet to effectively address. Indiana is the 10th worst state for adult obesity rates, and 1 in 3 Indiana youth ages 10-17 are overweight or obese. According to Julie Burns, CEO of Jump IN for Healthy Kids, in central Indiana the obesity/overweight rate is 25 percent higher than the national average, and three times higher than the goal of 15 percent. Burns stresses the importance of focusing on young children, as habits around food and physical activity are developed by age 5.

Healthy kids grow up with greater chances to be healthy adults, and are more likely to become productive and successful citizens. Far too many Hoosier children face the issues caused by ACEs, smoking, opioid use, obesity and are lost due to infant mortality. We support and applaud the efforts of the Alliance for a Healthier Indiana. Local events to improve Hoosier health are taking place across the state, and we encourage everyone to find a way to contribute by going to www.healthierindiana.org. By collectively dedicating ourselves to these efforts, and by taking a multi-generational approach, we hope to increase the health and success of all Indiana residents.

The well-being of mothers and infants determines the health of the next generation.

In the 2018 State of the State address, Governor Eric Holcomb set the goal for Indiana to become the best state in the Midwest for infant mortality rates by 2024, challenging us to work together to improve conditions for infants. The governor labeled our current infant mortality rate as “unacceptable.” In 2016, 623 Hoosier children died before their first birthday. Indiana ranks 41st nationally for infant mortality, with our babies being 24% more likely to die before their first birthday than infants nationally. Indiana has lagged behind the national average for the past two decades.

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