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Why School Reopening Might Be Challenging for Your Students

Kid in school reopening

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As we return to full-time in-person school reopening, we might be tempted to think our students will easily transition back to their pre-March 2020 lives. As we’ve come to discover in recent weeks, that isn’t necessarily the case.

Lindsay Alexander, Beech Grove School Based II Team Leader with Adult & Child Health, has witnessed this phenomenon firsthand. She completed her Masters in Clinical Psychology from the University of Indianapolis. She has since focused her mental health career in children and adolescent psychology.

Lindsay Alexander

Lindsay is passionate about increasing protective factors in youth to decrease the risk of suicidality, working with caregivers in the family setting, and utilizing play therapy with younger children. She shares her thoughts and expertise on the topic below:

RELATED CONTENT: Adult & Child Health Receives $321,000 Grant from Lilly Endowment to Support Youth Services Under COVID-19

The Return to Normal Isn’t All That Normal

Many parents and educators have asked us how to best prepare their child or student for the change from virtual learning, to hybrid learning, to back to the traditional learning setting and school reopening. We have affectionately been calling this phase the “return to normal,” but it seems our kids may not be adapting well to these back-and-forth changes.

We know our local schools have been working tirelessly toward doing what is best for their students in their district, and educators have been feeling the stress to “return to normal” learning. During this time of change, there can be shifts in a child’s emotional and behavioral language in the classroom and at home.  Many parents expected their child to embrace more hours in the physical classroom, and to have joy regarding some recent changes. Mental health providers have found the opposite to be true, and at our one-year mark of the pandemic, our children are exhibiting more signs and symptoms related to difficulty of constant adjusting.

What to look for during school reopening

Some signs and symptoms that your child or student may be experiencing mental health challenges related to ongoing changes over the past year include: general changes in mood, lack of optimism, anger and irritability, somatic complaints (i.e. headaches, stomachaches), difficulty sleeping, changes in appetite, sadness, and a general state of anxiety.

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What you can do to prepare for school reopening

There are plenty of strategies we teach parents and educators to help prepare your child or student for the continued change and transition from hybrid learning to traditional learning and school reopening. Here are a few of our focal points:

Validate: Validate that “the return to normal” is difficult. Many of us have used phrases like “when we get back to normal” for over a year.  An 8-year-old learner has made up around one-third of their school career of waiting for this “return to normal!” For our older youth who have been engaging in a hybrid system, they may be experiencing big emotions in the back-and-forth this school year brought.

Example: “I know you were looking forward to staying at home. It sounds like you are feeling very disappointed right now with these changes. It is OK to have these feelings.”

Prepare: Prepare your child for change and talk to them about how they feel versus assuming how they feel. Be prepared to continue to check in with them as their feelings (and yours!) are allowed to change.

Example: “I know you were really excited about going to school 5 days a week. How are you feeling about it now?”

Notice: Use your noticing skills to make your child seen and heard.

Examples: “I’m noticing when you come home from school, you want to take a nap every day. How are you feeling?”

“A few weeks ago, you were very excited about a project at school. I notice you haven’t talked about that recently.”

Model: Model how to manage the big feelings and make a point to say how you are feeling and why.

Example: “I was really looking forward to seeing my friend for their birthday how we do every year. I am really sad that I am not able to do that. I think I could call her on video chat today and listen to our favorite music to spend time with her instead.”

Focus on what you can control and stick to your routine

Many of our routines have been flipped upside down this year. But healthy bedtime routines are still a must for your child. Make sure your child is getting enough sleep. Lack of sleep can drastically affect the ability to cope with even minor changes. Create a routine that works for you at home. This could include adding time when the whole family can be together when possible.

As we continue with school reopening, we still have some unknowns despite the goal of “returning to normal” fully by the beginning of next year. Continue to be honest with your child in an age-appropriate level and check in about their feelings.

Example: “I’m not sure exactly what school will look like next year. What are some things that concern you?”

In my career in mental health, I have had the opportunity to read many books on parenting and parent young children myself.  I seem to have forgotten to buy a “How to parent during a pandemic” book. I have found that the best advice continues to be build connection and empathy with your child. You are doing a great job during a really difficult time.

RELATED CONTENT: Adult & Child Health Receives Kendrick Foundation Grant to Provide Support for Morgan County Students in Response to COVID-19.

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Agency News

SHAPE – A Live Arts Event | April 26

Indianapolis band, Frederic and Ronza are partnering with numerous agencies, groups and artists to bring to you, Shape on Saturday April 26th at the Athenaeum Theater, 401 E. Michigan, Indianapolis. The art show starts at 6p.m. and the live performance at 7p.m.  The arts are proven to support positive mental health. “Shape has been in the works for over a year with numerous artists and partners coming to the table with their ideas, talent and resources. This event will show how we have transformed lived experiences into art in a way that celebrates the resilience of those impacted by mental health and substance use issues,” said Kelly Fischer, senior lecturer at Ball State University.  Ball State University has formed a community partnership with Frederic and Ronza and the Consortium of Artists allowing their students to earn course credit as they participate in the process of creating this event, and there are also numerous artists and partners are involved. Through passionate music performances, spoken word, dance and a juried art show, the participating artists will render works that encourage the audience to listen, learn, gain perspective, be empathetic and gain a deeper understanding of these issues. The goal is to reduce stigma, elevate the voice of those affected, and bring hope to all who attend. The show will feature soul band Frederic and Ronza who will share original music. In addition, dancers from Dance Kaleidoscope will share a piece about grief that was choregraphed by Kristin Toner of the Indianapolis ballet.  Her work was inspired by watching a friend grieve the suicide of her brother, using dance to express emotions and inspire others. Toner said, “Art has helped me express my own feelings and thoughts about grief in order to provide a moment of emotion as the dancers connect with the audience.” Additionally, there are numerous others involved including poets and singers who will share their own passion and support for these issues.  All of the music, dance, poetry and spoken word were created or chosen based on the stories we heard during listening sessions. “The listening sessions were an opportunity to hear the stories of those impacted by these issues,” said Frederic and Ronza.  Through the numerous listening sessions, several themes emerged, including the need to reduce stigma, how everyone can help support recovery, and that mental health and substance use disorders can be likened to a storm.  “You will see the storm theme emerge throughout the show as we honor the feedback shared during the listening sessions,” said Frederic and Ronza.  Before the live performance, attendees can enjoy an art exhibit starting at 6p.m.  The art was selected by a jury panel for its excellence in artistic quality and its depiction of the Shape theme.  “We were impressed and moved by the artwork submitted and are sure attendees will be too,” said art juror Cierra Johnson. Artwork is also available for sale.  The event is being presented by Adult & Child Health. Matt Bane, Adult & Child Health, is working closely on the event said, “Having the privilege to be myself and share my personal story of my lived experience with having multiple mental health diagnoses and a substance use disorder has provided me the amazing connection with the SHAPE event.” The organizers, Frederic and Ronza are passionate about issues of mental health and substance use disorders. Knowing the pain and impact on so many, and even the danger of these issues, Frederic and Ronza’s concern led them to collaborate with all of these amazing partners to produce Shape.  “We want people to leave with a willingness to do something, whether that be learning more, talking more, or empathizing more, our goal is to reduce stigma by bringing these issues to light through the power of the arts,” said Frederic and Ronza.  Click here to purchase tickets online.

Agency News

Mental Health America recognizes Adult & Child Health will Gold Bell Seal

Adult & Child Health received the national Gold-level Bell Seal certification from Mental Health America, which recognizes policies, practices and benefits supporting employee mental health and wellbeing.  Every year since 2019, Mental Health America has recognized employers for implementing policies and practices to improve employees’ mental health. Companies across all sectors undergo a 54-point evaluation that includes surveys of employees.  Adult & Child Health employs more than 600 people in southern Indiana, with areas of focus on behavioral health, primary care and treatment for substance use addictions.  “The work our team members perform on a daily basis is challenging, but they continue to live our mission of providing access to quality care for all who need it on a daily basis,” said Dr. Christine Negendank, Adult & Child Health Regional President and Chief Medical Office. “This recognition from Mental Health America is a testament to our team members and the work they do in order to make Adult & Child a great place to work.”  Part of Adult & Child’s recognition comes from a three-pronged strategy to address employee mental health:  1) Adult & Child’s employee assistant program provides mental health services, including short-term counseling and provider referrals. The average time between an employee inquiry and their first session with a provider is five business days. The EAP program provides up to five free in-person or virtual therapy sessions.  2) The HOPE Taskforce is a safe place for non-managerial staff members to convene to discuss work stressors, life stressors, mental health resources and coping strategies in a space that encourages colleagues to support one another.  3) The GROW committee is for leaders to convene and develop support systems for one another.  Mental Health America is the nation’s leading national nonprofit dedicated to the promotion of mental health, well-being, and illness prevention. Its Bell Seal awards recognize an average of fewer than 300 American companies per year.

Sarah Miller, PMHNP-BC

Sarah Miller works with the addictions team, general psychiatry for adolescents and adults, and the competency restoration team. She is board-certified as a Psychiatric Mental Health Nurse Practitioner. Her specialties are working in addictions and with people who experience serious mental illness.

Miller graduated from Indiana University with a psychology degree and went back to school for nursing. She received her nursing degree from Indiana Wesleyan University and worked in a nursing home and also spent time working in a group home with adolescents. She received her master’s degree from Vanderbilt University.

She enjoys hanging out with her family and her two dogs, and going to sporting events.

Joanna Chambers, MD

Dr. Joanna Chambers is a psychiatrist who began seeing Adult & Child Health patients in November 2021. She graduated from Medical College of Georgia with her Doctorate of Medicine in 1996 and completed her residency in psychiatry at Yale University School of Medicine. In addition to bringing a wealth of experience, she currently serves as an associate professor at Indiana University School of Medicine where she teaches Clinical Psychiatry. She is certified in Addiction Medicine and has a special interest in treating pregnant and postpartum women. She is President of the American Academy of Psychoanalysis and Dynamic Psychiatry Organization as well as a sitting member of many medical association boards. Recently, she has won the Residents’ Award for Teaching Excellence in 2020 from Indiana University and has received “Best Doctors Award” in 2010, 2011, and 2014. Dr. Chambers is incredibly active in the medical, academic, and research realms of medicine. She is currently accepting new patients on Wednesdays.