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Successful Mental Health Month in Vermont

The Center for Health and Learning (CHL) and VT Suicide

Prevention Center (VTSPC) is partnering with the Vermont

Department of Mental Health (DMH) in joining forces to

present information to the public and Vermonters regarding

support and resources for mental health awareness.

According to DMH, “Mental Health Month is a time to

celebrate mental health, and bring awareness to prevention,

early intervention, and treatment resources.”

Mental Health America, a national advocacy group, leads

the national charge each May and encourages states, territories

and organizations to participate in a month-long campaign

to get important local and national information out to

the public.

CHL and VTSPC shared weekly newsletters with helpful

resources as well as amplifying partner messages through

social media. Highlights include reminding community members

of the Text Crisis Line and the National Suicide

Prevention Lifeline number. By texting VT to 741741 and/or

The Key to Unspoiling Your Child

call 800-273-8255, anyone can receive immediate support

with their mental health 24/7.

CHL also worked with the Department of Mental Health to

advise Governor Phil Scott on proclaiming May as Mental

Health Month in Vermont. The proclamation was made, and

every year Vermonters can look for updated resources, educational

events and spotlights on great work happening to support

mental health advocacy during the month of May.

This has been an unprecedented and trying year for

Vermonters with unexpected changes to daily life often being

the norm. These changes have led to amplified struggles in

rural states like Vermont and across America including

increased social isolation, economic stress, negative health

impacts and mental health challenges.

Always remember, help is available and you are not alone

in your struggles. Please consider reaching out. Text VT to

741741 and/or call 800-273-8255

The Importance of Safety When Swimming In Backyard Pools

Backyard pools provide families with ample opportunities

for recreation. It’s easy to be distracted by all the fun when

swimming in a backyard pool, but it is crucial that homeowners

take steps to ensure everyone is safe when spending time

in the pool.

Establish a barrier

The Consumer Product Safety Commission warns that

drowning is the leading cause of unintentional death in children

between the ages of one and four in the United States.

Pools attract curious children, so maintaining a barrier

between the home and the pool is essential. Many municipalities

require some sort of fencing around pools or ladders

that self-latch or can be closed off to climbing.

Locks and alarms on windows and doors that face or provide

access to the backyard also can serve as barriers.

Keep play under control

Children and even adults may be swept up in the fun and

engage in potentially dangerous behaviors. Pool users should

not be allowed to run around the perimeter of an inground

pool, as the cement can get slippery when wet and lead to falls

that can cause injuries

Exercise caution when using diving boards or diving into

pools. It’s easy for divers to hit their heads when diving off a

American Academy of Pediatrics Vermont Chapter (AAPVT)

Offers Guidance to Families with Children on How to

Navigate the Summer and Stay Healthy and Active

Vermont pediatricians are offering guidance to families

with children on how to navigate the summer and stay healthy

and active.

Vaccines are the most effective tool we have to end the

COVID-19 pandemic. Pediatricians are thrilled that Vermont

is nearing the benchmark of 80% of its eligible population

receiving at least one dose of the COVID-19 vaccine. Case

rates, hospitalizations, and deaths have decreased thanks to

these highly effective vaccines. As Vermont moves forward

with its reopening plan, it is important to remember that

young children are not yet eligible for the vaccine and so warrant

special consideration.

All families and child-serving settings will make their own

decisions based on local factors, but AAP-VT is recommending

the following based on current COVID case rates and

rates of vaccination in VT:

• Unvaccinated children over 2 years of age as well as unvaccinated

adults should continue to wear masks indoors when

they are around other unvaccinated people.

• Given the low risk of transmission during outdoor activities,

it is reasonable for unvaccinated children to not wear masks

outside.

Masks have shown to be effective in preventing the spread

of COVID-19 as well as the spread of other respiratory infections.

Pediatric hospitalizations due to respiratory syncytial

virus (RSV), influenza, and other viruses were at a record low

this year even among children attending full-time childcare

and school. As restrictions are loosened, many parts of the

world have seen an increase in common respiratory viruses.

• • •

• • •

• • •

board into a pool due to close proximity of the transition wall

in the deep end of the pool or by diving into shallow water.

The Red Cross recommends a water depth of 11.5 feet for safe

diving and the transition wall should be at least 16.5 feet from

the tip of the diving board. However, the standard depth for

many pools is 7.5 feet of water and a slope beginning seven

feet from the board.

Exercise caution with inflatables

The Good Housekeeping Research Institute found that

inflatable pool toys are especially dangerous. Such toys can

flip easily, putting children at risk for injury (from striking the

sides of the pool) or drowning (especially if the children were

ejected into deep water). Inflatables also can prevent access to

the surface of the water for submerged swimmers.

Choose a backyard lifeguard

At least one person should be designated as backyard lifeguard

when the pool is in use. This person should always direct

his or her focus on the pool, counting swimmers and keeping

track of who enters and leaves the pool. Safe Kids Worldwide

suggests rotating water watchers every 15 minutes.

Pools are fun places to spend summer afternoons, especially

when every step is taken to ensure the safety of swimmers.

These viruses can cause serious illness especially among the

very young. Currently we are seeing an increase in pediatric

hospital admissions in Vermont for respiratory illness caused

by rhinovirus, a common respiratory virus.

• Adults and children who are sick should continue to stay

home whether or not they are vaccinated. Employers can help

in this effort by supporting a flexible sick day policy.

• When planning activities, we encourage families to have

honest and clear conversations about comfort level with other

families regarding masking, vaccination, illness, and other

expectations.

• We are hopeful that children and adolescents will have a fun

and rejuvenating summer. Recently, more summer activity

and job opportunities have been made available. Visit the

Vermont Afterschool website for more details.

• We recommend all adolescents eligible for the vaccine get it

as soon as possible. AAP-VT has hosted a series of virtual

family forums to discuss questions with families and give

parents and caregivers the information they need about vaccination.

Check out the AAPVT website for past recordings

and announcements of future forums.

As always, please feel free to reach out to your child’s

medical provider with any questions or concerns. We anticipate

younger school-aged children will be eligible for the

vaccine in the fall and infants and toddlers may be eligible by

the winter. We are pleased that Vermont is leading the nation

in vaccination rates but pediatricians won’t fully breathe a

sigh of relief until all of our patients are protected from

COVID-19.

Parents have been spoiling me with

questions about what they can do to

make sure they are not spoiling their

child. Well, let me not be selfish and

lavish you with some information on

this topic.

While you can never really spoil an

infant with too much love and attention,

as your infant moves into toddlerhood,

trying to get them to behave by

showering them with gifts or giving in

to something they want to avoid tantrums

is not the way to go. In fact, doing so may prevent your

child from feeling a sense of accomplishment as they figure

out how to problem solve on their own.

If you want to avoid unintentionally creating a spoiled toddler,

I have some suggestions:

Consistency is key. When setting the rules or consequences

for not following your directions, make them clear and

simple even if a tantrum ensues. Do not give in to begging,

whining or pleading.

Allow your child to help you with age-appropriate

chores so they gain a sense of responsibility and learn not to

expect everything to be done for them. Having toddlers help

to set the table shows them they can make a contribution to

the family.

Don’t give your child a million chances to do the right

thing once you’ve threatened consequences or they will simply

manipulate you and others to get their

way.

Don’t be afraid to disappoint your

child since even though your child may

be sad, learning to accept disappointment

at a young age will enable your child to

develop coping skills that will help them

deal with larger emotional stressors as

they get older.

Don’t offer a treat to get your child

to do something—instead, simply praise

your child when they do what you ask

them to do rather than call attention to what they aren’t doing.

Rewarding your child for the right reasons, and not just

because they want something, is the secret to unspoiling a

child. Being firm on limit-setting doesn’t mean you should

say “no” to everything. If your toddler has been doing the

right thing and behaving as you would like them to, and then

makes a request, giving in to that request in the setting of

good behavior is appropriate.

Hopefully, tips like these will do anything but spoil your

understanding of what you can do so as not to spoil your toddler

or young child.

Lewis First, MD, is Chief of Pediatrics at The University

of Vermont Children’s Hospital and Chair of the Department

of Pediatrics at the University of Vermont’s Larner College

of Medicine. You can also catch “First with Kids” weekly on

WOKO 98.9FM and NBC5.

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