Gov. Andy Beshear has signed legislation clarifying the definition of child abuse and neglect, and allowing the state to move faster on suspected abuse cases, along with a host of other reforms.

Sen. Julie Raque Adams, R-Louisville, sponsor of Senate Bill 8, said the law changes the risk requirements needed for state services to intervene and begin helping families.

"So rather than enter these homes and situations when they're very critical, we are now able to work with families on the front end," Raque Adams explained. "Maybe get the addiction treatment that they need, maybe get the counseling that they need, maybe get the mental health services that they need, so we can start to heal that family while it's intact."

The latest federal child maltreatment report finds domestic violence and drug abuse are among the highest risk factors for child victims of abuse and neglect. In Kentucky and nationwide, children younger than one year old experience maltreatment at a higher rate.

The bill also changes Medicaid rules, so community partners can get reimbursed for the full cost of care.

Caroline Ruschell, executive director for Children's Advocacy Centers of Kentucky, said the current reimbursement rate for child sexual-abuse medical exams is not enough to cover the cost, which can be as high as $2,000 per exam.

"Those involve a mental-health screening," Ruschell explained. "Photo documentation -- which is really important -- of the abuse, they are done in a trauma-informed way with a medical professional who has been specially trained in how to do this."

Ken Reiss, board chair of Kosair Charities, said the legislation is a step forward, but more work needs to be done to keep Kentucky kids safe.

"The numbers are not yet in, relative to the COVID years," Reiss pointed out. "There is a fair amount of fear within the medical community that it could be even worse for kids. So we have little victories, we have a lot of support, and no one is giving up."

Kosair Charities' Face It Movement serves as a resource for families and community members looking for prevention, recognition and reporting information during Child Abuse Prevention Month and beyond.

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.

Two regional pediatric immunization symposiums are being held this month in Morehead and Owensboro, where experts will share strategies to promote vaccine dialogue and resources - as families get back on track for routine vaccinations disrupted by the pandemic.

Amber Mallot - health communicator program manager for the Immunize Kentucky Coalition and Kentucky Rural Health Association - encouraged families to check up on what routine vaccinations are needed before kids head back into the classroom.

"We want parents and caregivers to start thinking and planning for that," said Mallot, "because we know that it can be overwhelming to get into a provider's office and get those appointments scheduled, sometimes a month out."

The pandemic disrupted many kids' routine vaccination schedules - and according to the Centers for Disease Control and Prevention, the number of kindergartners nationwide who received routine childhood vaccinations during the 2020-'21 school year dropped by around 1% compared with the previous school year.

For more information on the symposia, visit 'immunizeky.org.'

Kelly Taulbee, director of communications and development with Kentucky Voices for Health, pointed out that kids can resume their routine immunizations that were disrupted when the pandemic hit.

"They can pick right back up where they left off," said Taulbee. "There's not any sort of delay in the care now. So please talk to your pediatrician. Get into the doctor. Tell them you're interested, if you want to talk and go through questions first. "

Malott said the Coalition is currently focused on building competence among providers to address vaccine questions with patients.

"Be able to address any of the particular questions that caregivers may have specifically in regard to making the informed choice to vaccinate their children," said Mallot, "not just for required vaccines, but recommended vaccines - HPV, COVID, flu, things of that nature."

A Pew survey released last month found most adults have a lot or some confidence in their own health care provider to give an accurate picture of the health benefits and risks of childhood vaccines.





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