Indiana’s children face many significant health issues, with our opioid crisis and an alarming increase in nicotine use being two of the most urgent. Our state needs all its children to be healthy and have the opportunity to become the strong workforce and leaders of tomorrow.
Children are often the unseen victims of the opioid crisis, with kids of all ages both directly and indirectly affected. Family and community opioid abuse often affects younger children, while older youth may combat opioid addiction themselves. Hoosier children whose parents struggle with substance use disorder are more likely to experience abuse or neglect than other children.
Research shows a clear connection between parents’ substance abuse and child maltreatment, and the number of Indiana kids negatively affected by substance use disorder is growing. Parental substance abuse is the primary factor in more than half (52.2%) of Indiana cases where a child was removed from their home. The addictions crisis also has contributed to a crisis in foster care for the state, with the number of children in foster care having risen 50.2 percent from 2012 to 2015.
Although we may not hear as much about Indiana’s alarmingly high rates of tobacco use, the toll it is taking on our kids is no less dire. The use of any type of tobacco product is unsafe for young people. Experts agree that whether a teen smokes or vapes, the nicotine is both addictive and damaging to their developing brains.
Youth are sensitive to nicotine addiction and feel dependence earlier than adults. Each year, over 3,500 Hoosier children under 18 become new daily smokers. Nearly 9 out of 10 smokers start before age 18, and three out of four teen smokers become adult smokers. The brain continues developing until age 25 and adolescent use of products containing nicotine can harm the part of the brain responsible for mood, learning, and impulse control.
Today, the most commonly used tobacco product among teens are e-cigarettes. When adolescents use vaping products, they are both more likely to use cigarettes, and more likely to increase their use of cigarettes and vaping products over time. Teens who would otherwise be deterred from tobacco cigarettes may be attracted to e-cigarettes because of their unique qualities such as flavorings, design, and perceived social acceptance. The top reasons why teens use e-cigarettes are the use of the product by a friend of family member, availability of flavors, and the belief that vaping is less harmful than other forms of tobacco.
Smoking and substance use are just two of the health issues impacting young Hoosiers – overall, we rank 34th in kids health. We can, and must, do better. We will not change these trends without investing in our kids and our communities. Distressingly, we are 49th out of the 50 states in per-capita spending on public health issues like smoking, drug addiction and obesity.
The Indiana Youth Institute is part of a broad coalition of health, business and youth leaders that are coming together around a plan that calls for improving health outcomes by raising the state cigarette tax as part of next year’s biennial budget. A $2 increase in the state cigarette tax—which is currently under $1 and even lower than Kentucky—would significantly lower the appeal of cigarettes to young, price-sensitive people. It also would generate $360 million in the first year alone that could go toward funding opioid treatment and prevention, educating and protecting youth from e-cigarettes and smoking, addressing our state’s infant mortality concerns and strengthening the Healthy Indiana Plan.
Kids and families benefit from these initiatives. We have the potential to move from bottom ten states in public health spending to the top 10. By raising cigarette user fees in next year’s budget, we can make meaningful and transformative investments to improve our kids’ health.
Our kids are our future. They have limitless potential. Let’s ensure they have the good health needed to become Indiana’s next generation of citizens, innovators, and leaders.
(Tami Silverman is the president and CEO of the Indiana Youth Institute)
What are your goals for 2018? For adults, the most popular resolutions include exercise more, quit smoking, learn a new skill, and manage money better. What about for kids? Should they also be making New Year’s resolutions? Studies show child goal setting can build their resilience, confidence and motivation. Yet it is important that we understand how goal setting is different for children. With the right approach and tools, building our children’s ability to set appropriate goals can put them on a path to long-term success.
As caring adults, we can set the conditions for our children to learn the benefits of goal setting. In fact, experts agree that most children learn how to set goals by continually watching their parents and mentors. Teaching children how to set and achieve goals helps them learn the values of reflection and self-improvement. And reflective self-improvement, also called a growth mindset, has been found to be a better predictor of future success than IQ.
To be effective, children must drive the goal-setting process. To ensure that the goals are truly those of the child and not a reflection of adult overreach, caring adults must play a supporting role, allowing the child to identify their unique goals. One approach, the ABCs of Goal Setting, from Psychology Today, highlights that goals should be achievable and believable, while involving personal commitment. EdWeek proposes a simple “noun plus verb” structure, such as “read every night” or “attend homework groups.” With any approach, it’s important to review plans regularly and to anticipate that setbacks may occur and adjustments will be needed.
While goal setting can be started with children as young as 3 or 4, it is important to adjust the approach based on the child’s age. At any age, start the conversation by simply asking children what they would like to do this year. Michelle Borba, parenting expert and author of the recent book “UnSelfie,” suggests then using this formula: “I will” plus “what,” “when” and “how.” For younger kids, the formula simplifies to “I will” plus “what.” Goals such as learning to tie shoes or memorize simple addition facts are realistic for little ones and can later grow to be more complex.
Psychology Today says a key in goal setting is to listen to the child and focus on the process of improvement rather than the product. We also can help by ensuring that our kids don’t set too many goals or select goals that are too complex or too simplistic. Many experts suggest that by selecting goals that are just out of reach we can teach children to try new things.
At the same time, kids need to see and understand that self-improvement takes time and that setbacks are normal. Show them the struggles you’ve encountered to reach your own goals. There are many great biographies, such as those of Benjamin Franklin, Thomas Edison and many Olympic athletes, that highlight the essential connection between goals, failure and success.
Goal setting holds the promise of helping kids in many parts of their lives, and experts recommend looking beyond academics. When youth are overscheduled and stressed, they may need to identify goals and action steps that foster relaxation and fun as part of their lives. Borba recommends we promote this balance by helping children set and achieve character goals. Character goals aim at cultivating “we-thinkers” instead of “me-thinkers,” helping kids become better individuals and community members through building traits such as caring, courtesy, respect, patience, generosity and truthfulness. Another way to reinforce the importance of these character goals is for the entire family to identify and work towards a shared goal, such as listening more or reaching out to elderly relatives.
In 2018, instead of just telling your child they are smart, you can teach them that they are capable of taking on challenges that can result in growth. Listen to their goals, help them define the larger strategy and necessary daily actions, then provide lots of cheering, encouragement in the face of setbacks, and unconditional support. As we aim to grow and nurture our future leaders, goal setting may be the key to building motivated, resilient and hopeful kids. And it’s a goal we can all share.
(Tami Silverman is the president and CEO of the Indiana Youth Institute. She may be reached at firstname.lastname@example.org or on Twitter at @Tami_IYI)
• Psychology Today: The ABCs of Goal Setting
• EdWeek: 10 Tips for Setting Successful Goals
• Dr. Michele Borba: Helping Kids Become Goal Setters