FARGO, N.D. - A new report confirms that vulnerable families in North Dakota are experiencing more struggles as the pandemic drags on. Households with children say housing payments and health coverage are becoming increasingly out of reach.

This week's report from the Annie E. Casey Foundation looked at all states, using weekly census survey data to get a better sense of what families are experiencing. Fifteen percent of North Dakota households said they're worried they won't be able to cover their rent or mortgage payments in the near future. One in eight households said they can't afford health insurance for their kids.

Leslie Boissiere, vice president for external affairs at the Casey Foundation, said it all adds up to an overwhelming sense of pressure.

"They're also struggling with their mental and their physical health," she said. "Twelve percent of families don't have health insurance, one in three has postponed getting needed medical care, and one in five have experienced depression since the pandemic."

The number of North Dakota households that report feeling down or depressed is one in seven. In addition to boosting mental-health services, the report recommended guaranteeing COVID-19 vaccines be available at no cost, boosting investments in education and ensuring schools are more equitably funded.

Also in North Dakota, 6% of households with children said they didn't have enough food to eat. Xanna Burg, who coordinates the Kids Count program for North and South Dakota and Montana, said that need more than likely runs deeper, since the survey data only covers short periods of time.

"So really, we think that hunger is something that families are struggling with in North Dakota," she said, "even though the snapshot of data in this report maybe indicates a lower percentage."

Burg said these problems of overall family instability stand to have long-term effects on a child's development, but she says that can be mitigated through short-term responses by policymakers, including a new COVID relief package being debated in Congress.

BOISE, Idaho - Simone Biles and other U.S. gymnasts are confronting sexual abuse in their sport, including at a Senate Judiciary Committee this month. Now, with school sports back in session, sexual-abuse prevention advocates want people to think about prevention methods closer to home.

Roger Sherman the executive director of the Idaho Children's Trust Fund, a state affiliate of Prevent Child Abuse America. He said abuse prevention is not so much about finding predators as it is about minimizing the opportunities abusers might have.

"The important thing for us to recognize is that this is fully preventable," said Sherman. "But we have to put systems in place to make sure that if there are predators, they are not able to take advantage of children - of our children."

Some protections are in place for young athletes, including the Safe Sport Authorization Act, which was passed in 2017 in response to the USA Gymnastics sexual-abuse scandal surrounding team doctor Larry Nassar.

But Sherman noted that parents can go further. He said they should ask teams and schools how they are addressing abuse prevention, noting that his and other organizations in the state provide education and training.

"The kind of training that we think is important for preventing child sexual abuse is training first around learning the facts," said Sherman. "Second is around minimizing the opportunity. Third is being willing to talk about it."

Sherman said abuse can be debilitating, leaving lasting scars for those who are abused.

"You can heal, and that's important to know," said Sherman. "But it's better if it never happens, and that's really what our job as adults is. That's what our job as parents is. You know, our job is to ask the right questions and to make sure that the adults responsible for our kids are doing the right thing."

LANSING, Mich. -- Michigan advocates for children and families are praising many of the investments in the 2022 state budget passed this week, and said they hope to see more policy reforms as well.

The budget dedicates $1.4 billion dollars to child care at the state level, to make it more affordable, support childcare providers and the industry as a whole, and strengthen the workforce.

Alex Rossman, external affairs director at the Michigan League for Public Policy, said these investments are especially important for families' economic recovery from the pandemic.

"It's just not economically feasible for parents to pay for child care, when they're ultimately potentially spending more on child care than they're earning at a job," Rossman pointed out.

The budget also includes grants for child-care providers to update their facilitates, get technical assistance and other operational needs. Rossman added more families will be eligible for subsidized child care, and there are investments in maternal and infant health, as well as food and nutrition supports.

Rossman noted the budget is aimed not only at making care more affordable for families, but also ensuring that child-care providers get the support they need, including paying bonuses to child-care workers. He explained jobs in the field are often underpaid, which can lead to high turnover.

"Whether they are center care, franchise businesses or whether they're operating care out of their home, they have had increased financial challenges during the pandemic because of changes in enrollment and attendance there," Rossman observed.

He emphasized a bipartisan package is now in the works to make policy changes aimed at increasing access to high-quality childcare. It will include a bill to increase care for infants and toddlers, and to authorize family child-care networks.

DENVER -- As Congress considers making significant investments in the nation's child-care system, children's advocates say now is the time to make nature-based, high-quality outdoor learning available for all children in Colorado, regardless of their ZIP code.

Sarah Konradi, director of the Early Childhood Health Outdoors (ECHO) program for the National Wildlife Federation, said kids need regular access to spaces where they can play, run and climb.

"We also want them to be able to explore, to imagine, to pretend, to create," Konradi outlined. "And so that may look like a little digging area in the shade of a tree, where they can explore worms and bugs."

ECHO has published new recommendations, calling for broadening investments in playgrounds to include outdoor extensions of the classroom; areas where kids create rules for new games, learn how to work together to build pirate ships, and other activities that help boost cognitive learning and social skills in natural settings.

Konradi pointed out child-care providers also see benefits from outdoor learning environments. Instead of monitoring recess on a traditional playground, educators can engage with kids as they explore winding pathways, plant pollinator gardens and create "mud kitchens."

Konradi noted building outdoor learning spaces does not necessarily require a lot of money or effort.

"Changes that we are advocating for can be extremely cost-effective; they can be done very incrementally," Konradi explained. "This doesn't have to be an extreme playground makeover to be successful."

When children get to spend a part of their day in natural settings, Konradi added, there is also an opportunity to pause, and take a deep breath.

"And spaces where children can just observe, contemplate," Konradi stated. "And with nature around us, we know that as adults going out into those kinds of environments is very restorative, and it can be for children as well."