Sports & COVID-19

Youth sports are back in Michigan…with restrictions

One of the many great disappointments during the pandemic was the loss of sports. From preschool t-ball to professional sports, being active and on a team is such an important part of so many lives. And those that don’t participate, spectate! The rules of the game have changed several times since the beginning of the pandemic, most recently with the resumption of contact sports for Michigan youth.

Beginning February 8th, in-person practice and competitions for sports leagues are now allowed…with some restrictions. For contact sports to resume, masks must be worn at all times during practices and competition. If masks can’t be worn during play, participants must be regularly tested for COVID-19, consistent with MDHHS’s Testing and Additional Mitigation Measures for Athletic Practice and Play guidance according to the state.

If your or your child’s sport of choice is non-contact and played outdoors where the athletes can maintain a social distance, masks will not be required. For all other sports, indoor or outdoor, masks or testing protocol will be required.

Following the guidance outlined by the state is crucial to stop the spread of the virus among athletes and spectators. There will be less people in the stands – up to 250 people are allowed in stadiums that seat fewer than 10,000 people, and up to 500 people are allowed at venues that seat more than 10,000 people, and those that do attend will also need to wear a mask at all times.

General Mitigation Measures for Athletics from the state of Michigan:

  • Wear a face mask at all times in practice and competition.*
  • Wash hands frequently and cover coughs and sneezes.
  • Use separate equipment as much as possible. Frequently clean and disinfect any shared equipment and surfaces.
  • See the MDHHS Guidance for Athletics for more recommendations to mitigate risk and prevent the spread of COVID-19 in sports.

*Exceptions are for athletes in contact sports where face masks pose a safety hazard. In these situations, additional mitigation measures, including testing before unmasked play, are required. Please see the MDHHS Guidance for Athletics for more information

For more details on the how COVID-19 impacts youth sports in Michigan visit: http://bit.ly/3s9XxV5

Kids & COVID-19

When can your kids safely return to school after a positive COVID-19 test?

It’s true fewer children have been sick with COVID-19 when compared to adults, but children can still be infected with the virus, get sick from it and spread it to others, even when they have no symptoms (asymptomatic). If you have or think you or your child might have COVID-19, it is important to stay home and away from other people both outside and inside the home. As much as possible, keep sick members of the family away from well members of the family, especially those that are more likely to become severely ill from COVID-19. Staying away from others when you are sick helps stop the spread of COVID-19. But just how long does a child need to quarantine and when can they return to school? The timing of when your child can return to school/camp/daycare/work after they had COVID-19 symptoms or exposure depends on the situation. Read on for advice from the Centers for Disease Control (CDC) on when it’s safe to return to normal life (or normal pandemic life).

If your child has current symptoms of COVID-19 but did not get tested; They may return to school, camp, daycare or work when:

  • It has been 10 days since symptoms developed AND
  • 24 hours with NO fever (without using any medications) AND
  • Symptoms such as cough and congestion are improving

If your child tested positive for COVID-19; They may return to school, camp, daycare or work when:

  • It has been 10 days since symptoms developed AND
  • 24 hours with NO fever (without using any medications) AND
  • Symptoms such as cough and congestion are improving

We do not recommend testing without symptoms but in some cases, this is a requirement. If your child tested positive for COVID-19 and has NO symptoms; They may return to school, camp, daycare or work when:

  • It has been 10 days since the test was performed
  • IF during this time period ANY symptoms develop (fever, cough, congestion, vomiting or diarrhea) please follow the information above on when they may return to school, camp, daycare or work.

If your child had COVID-19 symptoms and tested negative for COVID-19; They may return to school, camp, daycare or work when:

  • 24 hours with NO fever (without using any medication)
  • Other symptoms are improving

If your child has been in close contact with someone who tested positive for COVID-19, but your child has not been tested OR has tested negative;

Anyone who has been in close contact with someone who has COVID-19 needs to quarantine. What counts as close contact?

  • Your child was within 6 feet of someone who has COVID-19 for at least 15 minutes
  • Your child lives at home with someone who is sick with COVID-19
  • Your child had direct physical contact with the person (touched, hugged, or kissed them)
  • Your child shared eating or drinking utensils
  • They sneezed, coughed, or somehow got respiratory droplets on you

Steps to take: Stay home and monitor your health.

  • Stay home for 10 days after your last contact with a person who has COVID-19 to be sure you don’t develop symptoms. Contact your pediatrician if symptoms develop. (The local Health Department may recommend 14-day quarantine).
  • Continue to watch for fever (100.4°F), cough, shortness of breath or other sick symptoms that may concern you about your child, until 14 days after exposure date.
  • When possible, continue to wear a mask, stay 6 feet from others, especially people who are at high risk for getting COVID-19, avoid crowds, wash hands frequently.

If your child has symptoms of COVID-19 or has been exposed to someone that tested positive for COVID-19, contact your pediatrician for testing and next steps.

Toy Buying Tips

Pediatrician-approved gifts for every child.

The official kickoff to holiday shopping is just days away. Before you check-off your child’s wish list, check-out some pediatrician-approved gifts that every kid will love!

Pretend.

When a child is given the freedom to play without rules or guidelines, their imagination will take over. The American Academy of Pediatrics (AAP) said it best: “Pretending through toy characters (such as dolls, animals, and action figures) and toy objects (like food, utensils, cars, planes, and buildings) help children learn to use words and stories to imitate, describe, and cope with real life events and feelings. Imagination is the key here! Imaginary play is a large part of a child’s social and emotional development.”

Pretend Shopping List:

  • Play kitchen with accessories (food, utensils, plates, etc.)
  • Vehicles (diggers, cars, emergency vehicles, planes, etc.)
  • Dress-up clothing and accessories
  • Microphone
  • Chalk board

Assembly required.

A simple puzzle holds so many benefits for a young mind – problem-solving, fine motor, language and cognitive skills. Looks for age and developmentally appropriate building blocks, puzzles, train tracks.

Assembly Required Shopping List

  • Building Blocks
  • Puzzles
  • Train tracks
  • Magnet tiles

Art

It’s amazing to see what kids are capable of without restrictions. Consider give an art basket to build their creativity and fine motor skills.

Art Shopping List:

  • Crayons/Markers/Color Pencils
  • Age appropriate paints
  • For older children, encourage them to try new media like oil pastels, chalk pastels, ink, etc.
  • Blank sketch books (try different sizes, large and small)
  • Glue
  • Kid-friendly scissors
  • Clay
  • Art accessories: pipe cleaners, pom poms, tissue paper, stickers and anything else you can think of!

Skip the video games.

There are educational apps and video games that work to teach the ABCs, but what they are missing – creative thinking, emotional development and impulse control – are much more important factors in the healthy development of your child. According to the AMA, Research suggests tablet-based toys may actually delay social development for infants and young children, because they don’t include real life facial expressions, gestures, and vocalizations.

Skip the Video Games Shopping List:

  • Match games
  • Card games
  • Board games
  • Age and interest appropriate Books
  • Magazine subscription
  • Busy board with a variety of locks and latches

Play!

Especially in the winter months, getting physical activity is so important – for kids and grown-ups alike! Not only does it help to develop good habits for later in life, but being physically active also holds benefits for emotional health.

Play! Shopping List:

  • Hula hoop
  • Sports gear (football, baseball, basketball – choose based on what interests your child)
  • Twister
  • Indoor bowling set
  • Yoga mat paired with child appropriate exercise classes or DVDs
  • Roller blades (don’t forget the helmet and pads)
  • Gym shoes
  • Push and riding toys for little ones just walking

This post was originally published November 2019.


IHA Urgent Care locations are open on holidays! Don’t spend your holiday waiting in a waiting room. Save your spot in line at an Urgent Care location near you and wait at home.

Trick-or-Treat

COVID-19 means a more frightful Halloween

By Martha Walsh, MD, MHSA, FACOG

Halloween and everything that surrounds it – trick-or-treating, costume parades, bobbing for apples – are fun, but can spread COVID-19 or other seasonal infections, like influenza. While celebrating Halloween this year will look very different from every other year, there are still ways to enjoy all that Halloween has to offer, while protecting yourself and your family from picking up a virus.

Giving Out Candy

  • Avoid direct contact with trick-or-treaters
  • Give out treats outdoors, if possible
  • Set up a station with individually bagged treats for kids to take
  • Wash hands or use hand sanitizer before handling treats, and in between trick-or-treaters
  • Wear a cloth mask

Trick-or-Treating

  • Wear a mask
    • Make your cloth mask part of your costume
    • A costume mask is not a substitute for a cloth mask
    • Do NOT wear a costume mask over a cloth mask. It can make breathing more difficult
    • Masks should NOT be worn by children under the age of 2 or anyone who has trouble breathing
  • Wash your hands
    • Bring hand sanitizer with you and use it after touching objects or other people
    • Use hand sanitizer with at least 60% alcohol
    • Parents: supervise young children using hand sanitizer
    • Wash hands with soap and water for at least 20 seconds when you get home and before you eat any treats
  • Stay at least 6 feet away from others who do not live with you
    • Indoors and outdoors, you are more likely to get or spread COVID-19 when you are in close contact with others for a long time

Make sure you are always doing the following. Every. Single. Day.

  • Wear a mask
  • Stay 6 feet away from anyone that does not live with you – indoors and outdoors
  • Wash your hands or use hand sanitizer frequently

If you decide not to take your kids trick or treating this year, here are some ideas how you can enjoy Halloween safely.

  • Decorate and carve pumpkins
    • Decorate your home for Halloween.
    • Carve pumpkins with members of your household or outside with neighbors or friends.
    • Walk from house to house, admiring Halloween decorations at a distance.
  • Visit an orchard, forest, or corn maze. Attend a scavenger hunt.
    • Go on an outdoor Halloween-themed scavenger hunt.
    • Visit a pumpkin patch or orchard. Remember to wash your hands or use hand sanitizer frequently, especially after touching frequently touched surfaces, pumpkins, or apples.
    • Go to a one-way, walk-through haunted forest or corn maze.
  • Other Ideas
    • Hide Halloween treats in and around your house. Hold a Halloween treat hunt with household members.
    • Hold a socially distanced outdoor costume parade or contest so everyone can show off their costumes.
    • Host a socially distanced outdoor Halloween movie night with friends or neighbors or an indoor movie night with your household members.

Flu Before Boo!

Protect yourself and your family during flu season by getting your flu vaccine before Halloween. Scheduling your flu shot is easy! Click below and choose an appointment time that works for you.

Source: Centers for Disease Control

Busting Myths: Breastfeeding as a working mom

by Lisa A. Hammer, MD, IBCLC

You’ve heard about the benefits of breastfeeding your baby. You know breast milk is best for your baby (the antibodies!). But let’s face it, returning to work after weeks of cozy breastfeeding sessions creates a lot of anxiety and pressure (pun intended) for mom. There’s so much information out there online and from every woman you know that’s ever had a baby. We’re here to breakdown some of the most common concerns around returning to work and continuing to provide breastmilk for your baby. Read on to learn how some common myths around breastfeeding while working are, well, busted.

Myth: Nursing less often will create more milk when I do nurse.
Actually, the more you nurse (or pump), the more milk you will produce. Your body is creating your milk supply based on demand. Feed your baby when they ask (in their own way), and your body will produce the milk they need. If you are returning to work, this will help in ensuring you are producing what your baby needs while pumping.

Myth: My baby won’t breastfeed once they get used to bottles.
You will always be your baby’s favorite way to get their milk. When your baby is with you, they will expect to be breastfeed. If your baby has a predictable feeding schedule, when you return to work ask your caregiver to hold-off on giving them a bottle close to your arrival, so you can breastfeed your baby when you return home. Also, be sure you drink plenty of fluids, avoiding caffeine and alcohol. Staying hydrated is important in general, but especially while breastfeeding.

Myth: I need a freezer full of milk to return to work.
Just when a new mom or dad feels like they are adjusting to life as parents, it’s typically time to return to work. For a mother who is breastfeeding, this transition can be especially difficult. A few weeks before your re-entry into the working world, start mixing some pumping and bottle feeding into your baby’s routine. This will help in two ways; your baby will get some practice with and be more willing to take a bottle and you will have some milk stored for backup. We recommend a minimum supply of two days’ worth of breastmilk for a smooth transition. As you pump at work, you will get into a rhythm of producing what your little one needs. You don’t need a freezer stocked full of milk in order to return to work.

Myth: I can’t breastfeed and pump at the same time.
There’s a balance between pumping and breastfeeding. Once you find it, your body will respond and produce the milk required. To start working pumping into your feeding schedule, pump between breastfeeding your baby. Pump about an hour AFTER you feed, and at least an hour BEFORE your baby’s next feeding. If you are returning to work, take note of when your baby typically eats, and pump based on that schedule. Continue to demand milk consistently and your body will get the signal to produce enough breast milk for your little one.

Myth: I will have to stop breastfeeding when I return to work.
Every mother has a legal right to take breaks from work to pump. That said, many women may still be anxious about taking this time. While you are pregnant and before you go on maternity leave, chat with your boss about a pumping schedule. That way, your boss will know what to expect upon your return and you will have some peace of mind knowing there is a plan in place to ensure you can continue to provide breast milk for your baby. Also, be sure to understand the accommodations available to you in the work place for pumping. Where is the room? Where will you store the milk you pump throughout the day? To get your questions answered, chat with a human resources rep or a colleague that recently transitioned from maternity leave and pumped at your office, to get your questions answered.

Myth: I won’t be successful at work if I have to stop and pump.
For a mother that wants to continue providing breast milk for her baby, taking the time to pump will create peace of mind, and allow you to be more focused when at your desk. You may even want to use the time you spend pumping to catch up on some emails, or read through an article or report that you can’t seem to work into your day while sitting at your desk. Some of your colleagues will understand when you excuse yourself a few times a day to pump, and others may not. The fact is, it’s your right to take time to pump during the work day, so try to focus on your baby and not the opinions of those around you. If you have concerns, talk to a manager or supervisor.

Breastfeeding is a wonderful way to take care of your baby, but it can be a struggle too. If you are feeling stressed about producing milk for your baby, make an appointment to chat with a provider. There is no “one size fits all” when it comes to breastfeeding, and they can provide the support you need as you work through challenges that come with being a new mom.

Originally Posted August 2019


Did you know IHA offers Breastfeeding Medicine? While breast milk is felt to be nature’s first food, breastfeeding does not always come naturally. Breastfeeding is a physiological process that involves both the mother and baby. We provide specialized breastfeeding care for both mother and baby. Learn more about IH Breastfeeding Medicine below.

Practice Safe Sleep

Safe sleep guidelines for parents of infants.

Source: American Academy of Pediatrics (AAP)

According to the Centers for Disease Control, there has been a major reduction in the number of baby deaths during sleep since the recommendation to place babies on their back to sleep was introduced in the 1990s. Today, there are a number of additional safe sleep practices to keep sleeping babies safe and sound. Read on for the latest guidelines for infant safe sleep from the American Academy of Pediatrics.

SAFE SLEEP:

  • Put the baby to sleep in a safety-approved crib. Never place your baby to sleep on a couch, sofa, or armchair. This is an extremely dangerous place for your baby to sleep.
  • Have your baby share your room, not your bed. Place your baby’s crib, bassinet, portable crib, or play yard in your bedroom, close to your bed. The American Academy of Pediatrics recommends room sharing because it can decrease the risk of SIDS by as much as 50% and is much safer than bed sharing. In addition, room sharing will make it easier for you to feed, comfort, and watch your baby.
  • Put baby to sleep on their back. Some babies will roll onto their stomachs. You should always place your baby to sleep on the back, but if your baby is comfortable rolling both ways (back to tummy, tummy to back), then you do not have to return your baby to the back. However, be sure that there are no blankets, pillows, stuffed toys, or bumper pads around your baby, so that your baby does not roll into any of those items, which could cause blockage of air flow.
  • Keep soft objects, loose bedding, or any objects that could increase the risk of entrapment, suffocation, or strangulation out of the baby’s sleep area. These include pillows, quilts, comforters, sheepskins, blankets, toys, bumper pads or similar products that attach to crib slats or sides. If you are worried about your baby getting cold, you can use infant sleep clothing, such as a wearable blanket. In general, your baby should be dressed with only one layer more than you are wearing. Do not overdress as the baby could overheat.
  • If your baby falls asleep in a car seat, stroller, swing, infant carrier, or sling, you should move him or her to a firm sleep surface on his or her back as soon as possible.

SAFE CRIB:

  • A firm, tight-fitting mattress
  • No loose, missing or broken hardware or slats
  • No more than 2 3/8” between slats (width of a soda can)
  • No corner posts over 1/16” high
  • No cutout designs in the headboard or foot board
  • If you are unsure of the safety of your crib, call the Consumer Product Safety Commission (CPSC) at 1.800.638.2772
  • For more information, visit the American Academy of Pediatrics at healthychildren.org and the Consumer Product Safety Commission at cpsc.gov

If you have questions or concerns about safe sleep practices for your baby, get in touch with your pediatric provider. Rest assured, they will help you and your baby get some much needed ZZZ’s, safely.

Active Kids!

Age-based physical activities for children

During these times we are all staying home more to keep our family safe, but remember….kids need physical activity to grow up strong and healthy! All children should be physically active every day, and kids over 6 years old should be moving enough get their heart rate up at least one hour a day. Read on for guidance from the American Academy of Pediatrics on how often your child should be active based on their age.

Infants:
Activity: Tummy time while awake.
Frequency: 30+ minutes throughout the day.

Toddlers:
Activity: Neighborhood walks or free play outside.
Frequency: 3+ hours throughout day.

Preschoolers:
Activity: Tumbling, throwing and catching.
Frequency: 3+ hours a day including 1 hour of moderate to vigorous activity.

Elementary Students:
Activity: Free play and organized sports focused on fun.
Frequency: 60+ minutes of activity most days. Muscle/bone strengthening activities 3 days a week.

Middle Schoolers:
Activity: Activities that encourage socialization. Avoid specializing in one sport.
Frequency: 60+ minutes of activity most days. Muscle/bone strengthening 3 days a week.

Teenagers:
Activity: Activities that encourage socialization and competition when appropriate.
Frequency: 60+ minutes of activity most days. Muscle/bone strengthening 3 days a week.


Don’t skip vaccines or checkups, or ignore concerns about your child’s health. IHA Pediatricians are offering options like telehealth and have implemented strict safety measures in practices. Call to schedule an appointment with your pediatric provider today!

Your Baby’s Best Shot: FAQs About Vaccines

Parents today have no shortage of information and input on raising a child. It’s easy to get overwhelmed, especially for new parents. We want to ensure our children have all that they need to grow and develop normally, but sorting through the mountains of recommendations can be daunting, to say the least. For parents of newborns, a frequent topic of discussion during well visits centers around vaccines. Which vaccines does your child need and when should they receive them? Let’s breakdown the most frequently asked questions around vaccines for our littlest patients.

There are a lot of vaccines out there, does my child need all of them?
Just because a vaccine exists, doesn’t mean it is recommended for your child. Your doctor will discuss with you the routine vaccination schedule, which is based on current recommendations from the American Council on Immunization Practices. This schedule applies for all children living in the U.S. Additional recommended vaccines based on travel, disease outbreaks, or other unique circumstances, can be discussed with your doctor on an individualized basis.

Why does my baby get so many vaccines before they are two?
Vaccines are given based on a thoughtfully developed schedule to ensure children are protected when they are most vulnerable or likely to be exposed to an illness. Pertussis (whooping cough), for instance, can be life threating to an infant, so three doses of the vaccine are given in the first year of life. For illnesses that may not impact a child until adolescence, the vaccine is delivered at a later time.

Is it safe to give my baby several vaccines at one time?
Safety is of the utmost concern when giving a young child vaccines. That’s where the Centers for Disease Control’s Recommended Vaccine Schedule comes in. Extensive study and analysis have demonstrated conclusively that there is no risk or harm in giving multiple vaccines at once. Specifically, the Recommended Child and Adolescent Immunization Schedule in the U.S. has been carefully examined and has been proven to be safe and effective.

Does my child need vaccines?
Definitely. In addition to protecting our own children from serious, life-threatening illnesses, we all need to be mindful of the risks we pose to others to when we don’t vaccinate. We’re constantly interacting with others in public (for example at school, playgroups, parks) and there are many people that are not able to receive vaccines. These individuals include infants or those with compromised immune systems from chemotherapy or other conditions, are at mich greater risk of severe illness or death when exposed to some of these diseases. When you have your child vaccinated, you are helping to eliminate the risk of a harmful disease resurfacing. This not only protects your child, but also helps to protect others who are vulnerable to the spread of vaccine-preventable diseases.

How do I know which vaccines my child will receive for the first two years of their life and beyond?
Your baby’s provider can discuss the vaccine schedule which is right for your child. Talk with your pediatric provider about which vaccines your child needs, and when he or she should receive them.


Don’t skip vaccines or checkups, or ignore concerns about your child’s health. IHA Pediatricians are offering options like telehealth and have implemented strict safety measures in practices. Call to schedule an appointment with your pediatric provider today!

Originally posted June 2019

LIFE 101

Teaching your child to navigate basic life skills

Without a daily commute, extracurricular activities or playdates, you’re going to find yourself with a lot of extra time spent with your family. This presents a perfect opportunity to teach your kids some of the basic life lessons we squeeze in on the weekends and evenings. We’ve got some ideas to make learning these (and teaching) some basic life skills.

Ride a two-wheeler

Be sure your child’s helmet fits their head properly before the pedaling starts. Download this helpful step-by-step guide.

A long weekend is a perfect time to remove those training wheels. Be sure to protect your child from inevitable falls by having them wear jeans and knee and elbow pads. To make your job a little easier you may want to pick-up a grab bar to attach to the bike.

If you prefer to get started with a balance bike rather then jump right into a two-wheeler, give it a try on a grassy area with a slight incline. Learning to balance while rolling down a small hill will give your child a good start when they are ready to try riding a bike.

Tie Shoes

True, it’s much easier to continue to purchase slip-on or velcro shoes, but eventually your child will have a need to tie their shoes. That said, the things we do without really thinking about it can be the hardest to teach. Here are some tips and tricks to help teach the art of tying a shoe:

  • Choose soft, easy-to-hold laces. Many children do better with the wide, flat laces at first.
  • Use light-colored or better yet, two-tone laces for more contrast. Shoe tying will be easier for your child if they can easily see which is which.
  • Use a marker or pen to mark where your child should hold their laces.
  • Be prepared to teach more than one technique in case the first method you show your child doesn’t “stick.”
  • Watch a YouTube video with your child and learn a new knot together. Have your child “teach” you what they learned from the video.
  • There are many shoe tying books and toys available that may be helpful to your child as they learn to tie.

Learn the ABCs and Count

Download a version of the ABCs and a counting song and mix it in with your kid’s favorite playlist. Your child will learn to sing the ABC’s and count to 100 as quickly as they learned Baby Shark (doo doo doo doo doo doo).

Dressing and Undressing

Zippers can be a challenge for a 5-year-old suddenly on their own in Kindergarten (especially if they really have to go to the bathroom). Spend some time practicing zipping and unzipping pants and jackets.

Address an Envelope

Receiving mail during a quarantine is a major highlight of anyone’s day. So, why not brighten someone’s day and teach your children the art of addressing an envelope! You can purchase stamps online to avoid going to the post office in person.


Don’t put-off important checkups and vaccines!

Skipping vaccines and checkups can be dangerous. IHA Pediatricians’ offices are open, and safety measures are in place. Call to schedule your child’s next appointment!

QuaranTEEN

Tips for parenting teens in the COVID-19 crisis

By Kathaleen Bruce, LMSW

This week in Michigan, school was officially cancelled for the remainder of the year in the wake of the COVID-19 crisis. For many students an occasional snow day is a welcomed site, but trading once-in-a-lifetime events like prom and graduation, fun with friends, concerts and performances, sports and end of year class parties for several weeks or months of quarantine is a different story. With the announcement this week, your child, especially teens, may be left feeling a sense of loss. As parents, you want to support your children as they navigate this unprecedented stage of life, but you’re also working through these changes while trying to keep up with working from home, homeschooling and keeping the family healthy. We’ve got you covered! Read on for some quick tips on how to support your teen through quarantine.

It’s OK to feel angry.

High school seniors have lost out on much of what they’ve been working for over the last 12 years, and teens in general are missing out on high school and college rites-of-passage. Understandably, they may be feeling angry, sad, disappointed, and just plain miserable. For parents, expressing empathy for their current situation can go a long way in helping them cope.

Say this: “I’m sorry that you’re missing out on so many things you were looking forward to. This will end and life will get better, but I understand that you feel miserable right now.”

It’s OK to feel happy.

On the flip side, your teen may feel a huge sense of relief with the premature end of the school year. For some, the stress of studies, pressure of performances, or social struggles means quarantine is actually a welcomed change. It’s important to allow your child to feel both disappointment and relief.

Say this: “It’s okay to feel relieved that some of the things you were worried about are now not going to happen.”

Be ready for friction.

For teens, friendships can be as important and their relationships with their family members. Expect that they are not going to enjoy being forced to stay away from their friends for many weeks. Be ready for arguments and anger as you keep them home to keep them well. This will be even more challenging as other parents may not follow the rules and allow their children to interact with friends outside their homes.

Say this: “I’m following the advice of medical experts during this quarantine, and I can’t allow you to go to someone else’s home or have someone over to ours, regardless of the choices your friend’s parents are making.”

Give them a voice.

As you navigate a new family schedule, be respectful of the fact that your teen has their own idea of how they would like to see their day go. Layout your expectations for schoolwork, help with younger siblings and housework. Ask for their input and come to an agreement together.

Say this: “I need some things from you during this quarantine, and I know you have needs too. Let’s look at our weekly schedule together and come up with one that works for both of us.”

Take breaks.

When you’re working from home, it can be more difficult than ever to disconnect from work. It’s important to give your family, and especially your children, undivided attention, sans work. Set aside time every day where you can put your devices away and focus on family.

Say this: “At five-o’clock today, let’s head outside and take a walk before dinner. It’s important to get our work done, but we need to make time for time for each other. Spending time with you is one of my favorite things to do!”

Know when your child needs help.

Despite your best efforts, your child’s response to the stress surrounding COVID-19 may require some outside help. The IHA Pediatric Behavioral Health team is here to support you. Call today to learn more.

Say this: “I can see you’re struggling, and I want to do what’s best to help you. I know someone that can help.”