RICHMOND, Va. - As Virginia schools plan to reopen their doors again on Monday, changes from virtual learning during the pandemic have raised concerns about the challenges faced by multigenerational families and grand-families.

More than 180,000 grandparents, often in high-risk age groups for COVID infection, are living with their grandchildren in the Commonwealth, according to U.S. Census data. And more than 63,000 grandparents bear sole responsibility for grandkids.

Charles Pyle, director of communications for the Virginia Department of Education, said school divisions took this issue into account when planning their reopening.

"When you have a situation because of a multigenerational household with high-risk members," said Pyle, "our school divisions have been making those decisions to bring the children back into the buildings with all of the proper mitigation strategies. They're also providing those virtual options for those who just aren't ready to come back yet."

Pyle pointed to research showing children with special learning needs benefit more from in-person instruction, and some students have fallen behind in math and reading with virtual learning.

He sought to reassure grandparent caretakers that the school systems will be safe and following Centers for Disease Control and Prevention guidelines when they reopen.

Multigenerational families are caught between the danger of catching COVID from in-person learning, and issues around knowing how to use technology for virtual learning.

Jaia Peterson Lent, deputy executive director with Generations United and co-director of the National Center on Grandfamilies, said some seniors had trouble getting broadband access and helping grandkids operate online.

"We're seeing with grand-families, particularly near the beginning of the pandemic, wanting to support their child and distance learning," said Peterson Lent. "But they had six different classes with six different links to find multiple places. And perhaps if you have a caregiver who's just less comfortable with technology, it was really difficult to support that child."

Gov. Ralph Northam acknowledged this week that some multigenerational families are hesitant to return children to the classroom. He said for now, schools will continue to provide virtual learning to support those families.


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APPLETON, Wis. - The pandemic paused many facets of life, and a new report says wellness checkups for children were among them. With school resuming this fall, Wisconsin families are urged to get caught up on preventive care.

According to the Georgetown University Center for Children and Families, new findings suggest there was a 27% decline in the United States in pediatric office visits in 2020. Dr. Sharon Rink, an Appleton-based pediatrician at ThedaCare Physicians-Darboy, said now's the time for kids to reconnect with their family physician to ensure their growth and development wasn't hindered.

"With younger children, it's just to make sure that their speech is progressing, that their gross motor is progressing," she said. "With older teens, it's just a good time to regroup: 'How is your family doing?'"

She said those conversations can help kids rid themselves of unhealthy habits they may have developed, such as too much screen time. While health experts say there are rare cases in which standard immunizations aren't called for, they urge following up on missed shots that are required for most children as they grow.

The report said 11 million routine vaccinations were missed during the pandemic. Dr. Lee Beers, president of the American Academy of Pediatrics, noted the importance of staying on track.

"If too few people in a community are vaccinated against a particular disease, it means that we might see an outbreak of that disease; we've seen this before, with measles and with pertussis," she said. "And so it's so important to make sure that your child is vaccinated, not just to protect themselves, but also to protect everyone around them."

Rink said keeping kids healthy allows them to stay in the classroom, adding that they don't want to miss any more in-person learning, as so many did during COVID lockdowns.

"The devastation from the last year-and-a-half has been terrible in terms of mental health, physical health, academic progress," she said.

For families who avoided doctor visits out of safety concerns, Rink said offices still are carrying out protocols to prevent the spread of COVID. For those who have suffered financially because of the crisis, she recommended reaching out to county human service departments to learn more about resources for wellness visits.

HELENA, Mont. - A Montana campaign is renewing its efforts to help identify developmental delays in young children.

The Centers for Disease Control and Prevention's "Learn the Signs. Act Early" program is aimed at parents and people who work with children from birth to age 5. As part of that effort, Act Early Montana has launched a website to provide free resources to help folks recognize developmental disabilities.

Marcy Hanson, a registered nurse and the Montana Act Early ambassador, said most developmental delays or disorders aren't identified until kids reach school.

"What we know is early identification and intervention is really the best for overall health outcomes," she said. "So, the goal is to get these resources in parents' hands before they hit those early school-age years, so that we can get them the resources and the tools they need."

Because of COVID-19, she said, Montana Act Early has seen a dip in referral to services and wellness visits for children. With restrictions easing, the group hopes to ramp up services and outreach again. Hanson noted that one in four kids from birth to age 5 is at moderate or high risk for developmental, behavioral or social delays.

One in six children between ages 3 and 17 has a developmental disability that can affect how they play, learn, speak, act or move, according to the CDC. Hanson shared some of the milestones they look for in young children.

"Is your child meeting eye contact when you talk with them, when you interact with them? We also look for things like hearing, and feeding themselves, and walking and babbling and rolling over," she said, "all of those fun little milestones that kiddos progress through."

Hanson said the CDC provides a milestone tracker app that can be useful for parents and folks who work with young children, such as child care, education and health-care providers.

LOUDOUN COUNTY, Va. -- Beginning last week, thousands of Virginia families with children saw more money in their bank accounts as the federal government started distributing Child Tax Credit payments to eligible families.

Vilma Hernandez-Morales is a mother of four with three children younger than 17 who qualify for the monthly payments. A legal resident of Loudoun County, originally from El Salvador, she supports her entire family by babysitting and taking on part-time jobs.

Her daughter Esmirelda said they will use the money for everyday expenses that have piled up during the pandemic.

"The way she will use it will be like, in medical situations, she has to pay for food, for clothing, for supplies," Hernandez-Morales explained.

A year and a half after the pandemic started, many Virginia families sorely need the extra cash, particularly Latino families. About 14% of Virginians with children sometimes or often didn't have enough to eat in the previous week, according to U.S. Census data from June. That number was much worse for Latino families, with almost half reporting not having enough to eat.

Jennifer Lassiter Smith, director of U.S. programs for INMED Partnerships for Children in Loudoun County, pointed out her group is educating low-income families on qualifying for and accessing payments.

She said if taxpayers received refunds deposited to their bank accounts, the payment will automatically show up. But many don't realize if they received an IRS check in the mail, they need to be sure they have registered a forwarding address if they moved since filing tax returns.

"For the people who need it the most, housing has been precarious this year," Lassiter Smith observed. "So if they don't live in the same place now as they did six months ago, then there could be a problem there. So that's another thing that we're letting them know."

The Child Tax Credit expansion is part of President Joe Biden's American Rescue Plan, and nearly 1.6 million Virginia kids are expected to benefit.

Experts say the expanded tax credit could cut child poverty in the nation almost in half if it's made permanent. About 85,000 children in Virginia alone would be elevated out of poverty.