RICHMOND, Va. -- Children in Virginia are better off than in most states, but a new report said the Commonwealth needs to improve health outcomes, especially for children of color.

The Annie E. Casey Foundation Kids Count Data Book shows in 2019, more Virginia children had health insurance than the year before. But in March 2021, the uninsured rate for Latino families with children was 16%, double the number for Virginia families overall.

Lauren Snellings, research director at Voices for Virginia's Children, said undocumented immigrants have struggled to get health care, but the state is working to improve that.

"One positive step is the creation of a workgroup by the Secretary of Health and Human Services, and that actually has started recently," Snellings reported. "And it's to consider policy and funding recommendations to cover all children, regardless of immigration status."

Virginia moved up a notch, to 13th out of 50 states in the report, in four overall measures of how families are faring. The report also includes the U.S. Census Household Pulse Survey data from 2020 to assess the impacts of the pandemic.

Snellings pointed out Virginia made significant strides with Medicaid expansion and increasing health-care access to thousands of families. But efforts to lift kids out of poverty stagnated in 2019.

She emphasized it could change, since Congress voted to boost the Child Tax Credit.

"These enhancements that they made recently, like making it refundable or even increasing the credit amount to $3,600 for kids under six, and being paid directly is great," Snellings contended. "But really, to make sustainable change in childhood poverty, this has to be a permanent solution."

Leslie Boissiere, vice president of external affairs for the Foundation, agreed permanently expanding the Child Tax Credit would reduce long-standing disparities that affect millions of families of color. She noted the impact of poverty on children can last decades.

"We know that children who grow up in poverty have lower health outcomes," Boissiere explained. "They live in substandard housing that has issues like mold and lead that go untreated. Lower-income families live in poorer neighborhoods that have poorer-resourced schools, so their education outcomes tend to be worse."

The report said Virginia children saw gains in overall economic well-being in 2019, but in terms of health, the number of kids who are obese grew by four percentage points.

Tasks like packing a suitcase for summer travel may be difficult for some Illinois children.

Experts said parents and caregivers can help kids over the summer with the skills known as "executive functions." Adults can be alert to a child's difficulties with their ability to adjust thinking and stay on task, as well as impulse control.

Katie Gleason, director of children's mental health consultation for the YWCA of Metropolitan Chicago, said plenty can be done during the summer months to help prepare children for the next school year, not necessarily with assigning homework.

"It's play-based, it's relationships, it's routines," Gleason outlined. "Another thing is making sure we're breaking down big tasks into smaller steps; working on a puzzle, you can help them identify the steps."

Gleason noted rapid growth in executive function skills for children takes place from ages 3 to 5, and then again in adolescence and early adulthood. Gleason said the YMCA is one place to learn more about executive function and what adults can do to encourage these skills.

"An air traffic control system at a busy airport" is how Harvard's Center on the Developing Child refers to executive function skills, and it said they are critical to healthy development.

Gleason agreed, and cautioned parents and caregivers not to blame a child for poor behavior when it may be connected to what is developmentally appropriate.

"If we shift our way of thinking and saying, 'Oh, this child can't do this,'" Gleason urged. "Instead, we need to be thinking as adults, and as education and care systems, 'What are we doing to help the child develop?'"

Reflection Sciences offers a play-based screening tool to assess levels of executive function skills in children. The results can help parents and teachers follow up with strategies tailored to their child's developmental level.


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The last day of school for Texas kids is typically one of elation, but for children in rural areas with high poverty rates, it also can mean isolation, hunger and falling behind academically. The global nonprofit, Save the Children encourages parents to learn more about programs offered through its "Make Summer Fair" initiative.

Claudia Vargas, Texas director for Save the Children, said the 90-day break from the school routine can be hardest on kids who need the most help.

"Summer can mean no more access to books, regular meals, art supplies - and end of exercising and playing with other friends until the next school year comes," she said.

Families can learn more about programs offered in their area to help kids through SavetheChildren.org/MakeSummerFair.

Shane Garver, senior director of national field operations for U.S. Programs and Advocacy, said excitement about the school year's end can produce anxiety for children who live outside of cities.

"We know at Save the Children that while poverty affects millions of children across the U.S. - it's strongest grip is on the lives of children in rural communities, as rural child poverty is higher than urban areas in 40 states," Garver explained.

Vargas added in a state as large as Texas, there is a dramatic variability in "Summer Learning Loss" or SLL, but it is has been shown that kids can lose up to 34% of what they learned during the prior school year.

"Children in low-income families are affected by the summer slide. When you lose learning during the summer in ways that can affect them years into their education and in rural communities, the impact can be higher," Vargas said.

Vargas cites one study that showed 75% of students with a failing grade point average were food insecure, compared with 42% of students with a GPA equivalent to an "A".

Meta, the parent company of Facebook and Instagram, is brushing off calls to investigate the effect its social media platforms have on children's mental health.

Last week shareholders rejected a proposal to hire an independent law firm to evaluate the effectiveness of Meta's audit and risk oversight committee.

The resolution alleges the company regularly breaks pledges to remove content harmful to children.

American Federation of Teachers President Randi Weingarten spoke out in favor of the resolution.

"In classrooms and communities across the country," said Weingarten, "AFT members are witnessing firsthand the impact of students suffering from anxiety, bullying, trauma, body dysmorphia and the eating disorders - as a direct result of exposure to images on Instagram, as well as the violence glorified on Meta's platforms."

Meta's proxy statement advised a "no" vote, saying the company already prohibits harmful content and provides parents tools to monitor their children's activity online.

Last week the U.S. Surgeon General issued a 19 page advisory on adolescent social media use, saying it is predictive of a decrease in life satisfaction for girls 11 to 13 years old and boys 14 to 15.

Weingarten is a member of the AFL-CIO Executive Council. The labor organization's pension fund holds significant shares in the company, and it introduced the resolution at last week's Meta shareholder's meeting.

She said we need more clarity on what Meta is doing to protect children.

"While Meta's audit and risk oversight committee is charged with evaluating risks," said Weingarten, "shareholders have no idea how the committee operates, what information it considers or whether it just cedes its authority entirely to CEO Mark Zuckerberg."

The White House recently called for changes, alleging that Meta uses "manipulative design techniques embedded in their products to promote addictive and compulsive use by young people to generate more revenue."

The Federal Trade Commission is calling for a ban on collecting young children's data.