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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:

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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

A&C 75th Anniversary and Irvington Clinic Grand Opening

Integrated health care is a concept that recognizes how a person’s physical health and behavioral health affect their overall wellness and quality of life. Adult & Child Health celebrated integrated health at a combined celebration of history and growth at its Irvington clinic in Indianapolis April 30.  The event served as both a 75th anniversary celebration for the Adult & Child Health organization, and as a grand opening for the clinic on Washington Avenue, which opened in early 2025.  Adult & Child operates three clinics in Indianapolis and one clinic in Franklin. At the Irvington clinic, primary care providers, psychiatric care providers and licensed therapists see patients in the same building.  “Our goal is to help people live happy and healthier lives and have them be able to succeed in whatever it means for them,” Dr. Christine Negendank, President and Chief Medical Officer at Adult & Child Health said. “Many of our patients have been stigmatized — even in the health care setting — so we are very careful to make sure everyone is welcome here, no matter their circumstance and no matter their level of illness.”  Clients of all ages come to the Irvington clinic for psychiatric and primary care. “Integrated care clients,” as they are called, can come to the Irvington clinic to have multiple needs addressed in one place. It’s a combination of providing the best practices and ease of care for each client.  “It’s so wonderful to see a patient who tells me, ‘I’m out of my blood pressure meds,’ or ‘I have a severe headache,’ and I can say, ‘Well, you know, we have primary care across the hall; why don’t we go get you connected?’” Negendank explained.  A client can get primary care, psychiatric care, therapy and connections to housing programs in a single trip to the Irvington clinic.  “They leave with so much more hope,” Negendank said. “We really try to make it easy for our patients when we can. We offer someone a safe place to come, to feel welcome, to leave feeling better and to leave feeling better about themselves.”  A&C offers addictions treatment at the Irvington clinic. Addictions treatment involves one-on-one therapy, medication assisted treatment (MAT), activities of daily living support, psychoeducation, peer recovery services and case management. The average wait time for a new patient to schedule their first appointment is less than three weeks.  Be Well Bell art installation  The Be Well Community movement is designed to ring in a new narrative about brain health through a variety of programs, including the public display of ceremonial bells that symbolize hope and healing. The bell in Indianapolis was unveiled to the public during Adult & Child’s 75th Anniversary event April 30. Be Well Initiatives works with community partners to bring visibility to the mental wellness movement. The Be Well Bell program offers blank bells to be painted with a meaningful design by an artist(s) or as a community arts project.    Brightli Director of Be Well Initiatives Bailey Pyle, LPC, explained that the art installation includes a QR code that smartphone users can scan to access information on the Be Well program and on mental health services available at Adult & Child in the Indianapolis metro area.  “These aren’t just bells that we’re creating and plopping down into a community, but they are truly reflective of the community in which they exist,” Pyle said. “We know from lots of research that that’s when the bells are the most impactful and meaningful.” The Be Well Bell at the Irvington clinic is the 21st for the program and the first Be Well Bell in Indiana.  Adult & Child Health’s history  Photo Gallery

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.