“Making sure that we ensure parity was our first way to fix the workforce problem. Now, it’s not going to fix it overnight. But we really need to address the workforce issue before we can address any gaps in the mental health service coverage,” said Kim H. Jones, executive director of Georgia’s chapter of the National Alliance on Mental Illness.
Georgia still has a long road ahead to improve mental health care access in the state. Following the paths set by the WHO, here are ways the state can improve mental health care.
Awareness normalizes mental health and should be a priority in all sectors of society. Increasing awareness and making it a priority in all sectors promotes inclusion and breaks down the stigma around mental health.
In Georgia, 1 in 3 workers said they would quit their jobs for mental health or burnout reasons, according to Business Wire. Mental health was the second most popular answer for why workers would leave their jobs.
“What I say to leaders is to be intentional. If you think about physical health, for example, and think about how many times in conversations, at your office or just in life in general, we talk about how much we need to exercise or how we exercise and we track it and we monitor it and we’re proud of it. We want to see that same process happen for people’s mental health.” Jones said.
“Creating open dialogues and promoting conversations around mental health on a daily basis will help to tackle the stigma (of mental health),” CEO of the Center for Global Health Innovation, Maria Thacker Goethe told the Atlanta Journal-Constitution. “For example, schools can incorporate daily opportunities for students to reflect on their mental health and feelings. It is important to recognize that each individual has ‘good’ mental health days and ‘bad’ mental health days.”
Reshaping environments
The community around us affects and influences mental health. Whether that is our workplaces, schools or our own neighborhood.
Schools in Georgia face a shortage of mental health resources. The recommended ratio of students to school psychologists is 500:1. However, that ratio is 6,390:1 in Georgia, according to a June investigation by The Atlanta Journal-Constitution. Increasing access to resources and professionals in school improves physical and psychological safety of students and their academic performances, according to the National Association of School Psychologists. Georgia social workers receive some of the lowest starting salaries compared to the rest of the nation, according to Social Work License Map. Salaries for health care social workers rank ninth lowest, mental health social workers rank 16th lowest, and child, family and school social workers rank the 17th lowest in the nation.
“I went to the University of Georgia to get my degree in social work,” Jones said. “Then I realized how much I was gonna get paid and was like, I need to do something else because I can’t pay my bills on what a social worker makes.”
Nearly 2 million people with serious mental health issues are placed in jail every year for nonviolent crimes such as loitering or vagrancy. Currently, 368 Georgians deemed incompetent are in jail, awaiting treatment to stand trial, according to Kaiser Health News. Jail can worsen mental health conditions and those awaiting transfers to inpatient facilities face longer delays due to the pandemic.
The WHO suggests strengthening mental health care by “changing where, how, and by whom mental health care is delivered and received.” While HB 1013 addresses some of the large issues facing mental health care in Georgia, the workforce shortage limits access to mental health services.
“We have beds that are currently available that are not being used because there aren’t (enough) mental health nurses and mental health providers to meet the minimum ratios to keep those beds open,” Jones said.
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Instead, show concern and create a space in which they can feel comfortable to express themselves. Then you can redirect them to seek help."},{"_id":"ACXHXTLNAVEBNB4BYOD4QYQEVE","additional_properties":{"inline_comments":[],"comments":[],"_id":1656074042537},"type":"text","content":"“There’s a good chance that even if it’s not current, (anxiety) can show up in somebody that we love or know and care about.” Fogleman said. “(Don’t) be afraid of these conversations that so many folks go through and at some point, in your own life, you may go through them yourself. And it will feel really good to open that door and realize that it doesn’t have to stay closed.”"},{"_id":"RTXBQ6GSTJENHCPKLMQP24L27Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1656074042538},"type":"text","content":"“There are 100 to 200 emotions that we can as human beings experience, but if you ask people, they have two words for emotions, ‘I feel good, and I feel bad,’” Kazmi said. “A part of knowing whether I am anxious — and this is true for men and women — is identifying what really anxiety is. 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Lipner cautions against exfoliating — using a loofah or scrubbing brush — while in the shower, however."},{"_id":"JORF5JRRGRFR7KR5WEV7BD3YX4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655997602956},"type":"text","content":"It’s important not to put ice directly on your sunburn, Insider cautions. 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Although many work in hospitals, jobs for critical care nurses are available in many areas. “Becoming a critical care nurse is seen as one of the most coveted positions in nursing,” Nurse.org wrote, “as these nurses possess a very high level of critical thinking and nursing skills.”"},{"list_type":"unordered","_id":"LNF3JN4MW5AIBEAY3BTKAZDZNA","additional_properties":{"inline_comments":[],"comments":[]},"type":"list","items":[{"_id":"2Z6VUBJS45DGZFAHIFJNYT4A3Y","additional_properties":{"inline_comments":[],"comments":[]},"block_properties":{},"type":"text","content":"Salary: $120,243 mean annual salary, according to ZipRecruiter. 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With anger, the tendency to avoid can result in various automatic reactions that aren’t always helpful and can even increase anger over time."},{"_id":"CEJ7OQKWL5EWXCRPT7GY6G7WMY","additional_properties":{"inline_comments":[],"comments":[],"_id":1655471664444},"type":"text","content":"For example, lashing out at someone may make you feel better in the moment. But it doesn’t often help in the long term and may even make you feel worse, such as feeling guilty for yelling at your children or a co-worker."},{"level":2,"_id":"IMDVEIU4PFGNHFNSHBVEWG4VQE","additional_properties":{"inline_comments":[],"comments":[],"_id":1655471664445},"type":"header","content":"Listen to anger’s message about what you value"},{"_id":"GC5XP3ZL5RCGNM6NKNEXVXVJCE","additional_properties":{"inline_comments":[],"comments":[],"_id":1655471664446},"type":"text","content":"Choosing to allow anger — along with associated thoughts, emotions, physical sensations and urges — to be present without automatically trying to avoid or get rid of it creates freedom and flexibility to choose effective and meaningful actions."},{"_id":"ZWBFIQI6GFD6PAT73V7QW5ILT4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655471664447},"type":"text","content":"Accepting anger is an active choice, not a passive resignation. It doesn’t mean you’re accepting the situation that may have led to anger or that you’re giving up on what you care about. It means you’re choosing to put energy toward effective action rather than focusing solely on trying to control the uncontrollable."},{"_id":"RVKCBQJV2BGKVFALB2TFMVEDXA","additional_properties":{"comments":[],"_id":"KMU4ZDYQ5FBQBHYXGMLNRCRZPQ"},"type":"interstitial_link","content":"7 places to meditate in metro Atlanta if you are easily distracted","url":"https://www.ajc.com/pulse/7-places-to-meditate-in-metro-atlanta-if-you-are-easily-distracted/WJKL4ZFO4IIBVAAEIQGEWP6HP4/"},{"level":2,"_id":"BXIHSI2GQZCMZC2BDT4Z2OGTSM","additional_properties":{"inline_comments":[],"comments":[],"_id":1655471664448},"type":"header","content":"Choose effective action"},{"_id":"UCOMZGH7WJF5VK6W72DUPK5V6A","additional_properties":{"inline_comments":[],"comments":[],"_id":1655471664449},"type":"text","content":"Once you’ve slowed down to listen to the message anger is sending you, choose your next effective action. You may not be able to control what others say and do, or even what you think and feel, but you can control how you respond."},{"_id":"NAGECLL6KZDBRGR6QCXUJ5L64U","additional_properties":{"inline_comments":[],"comments":[],"_id":1655471664450},"type":"text","content":"“People will continue to have disagreements about social distancing and gathering, about public policies related to the pandemic, about work restrictions and any number of other pandemic-related situations,” says Bigaouette. “There are many things out of our control during these uncertain times, and our feelings related to these experiences are natural and appropriate. 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What you save at the drive-thru, however, might cost you more in health care bills if you indulge in too many of them."},{"_id":"WLTXU7Q43VAD3D6VYMYYJZTHAI","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820856},"type":"text","content":"Recently, Eat This, Not That analyzed these meals and found these combos will put you over the limit for calories, sodium, fat and sugar “before you’ve even finished your meal.”"},{"_id":"EWLVXPZUH5EZJCNBWO3QXYO4MU","additional_properties":{"comments":[],"_id":"G3W3WRS4JFCZRA6NZYHZ6LU3VU"},"type":"interstitial_link","content":"Study: Boomers have more medical woes than their parents did at same age","url":"https://www.ajc.com/pulse/study-boomers-have-more-medical-woes-than-their-parents-did-at-same-age/IKVEPLNZU5DFPFQHJ3RFWSSBG4/"},{"_id":"HYV2STMN3ZEZLCMYI2H7WTE4Z4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820857},"type":"text","content":"“If you are eating these occasionally and you feel good, there’s nothing to worry about,” holistic nutritionist Kristen Ciccolini told the website. “The main thing I’d be concerned with if consuming these meals regularly is the sodium content.”"},{"_id":"ZPC55XUV2JGCJFAJU4X3BDQSDQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820858},"type":"text","content":"For context, the 2020-2025 Dietary Guidelines for Americans recommends fewer than 2,300mg of sodium per day; Cleveland Clinic recommends about 44-77g of fat per day if you eat 2,000 calories; and the Mayo Clinic says between 900 and 1,300 calories of a 2,000 calorie diet — or 225-325g — should be from carbohydrates."},{"_id":"Z5MKJ46OMBH4HLHGL4DDGCGDLQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820859},"type":"text","content":"If you’re trying to eat healthier, these are 7 meals you’ll likely want to avoid."},{"level":2,"_id":"KNOYRWAQXZC2NIZT32HZCB5O5U","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820860},"type":"header","content":"McDonald’s Big Mac Combo Meal"},{"_id":"FIAGWBXPQBBYDLKRDTPSF7563M","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820861},"type":"text","content":"Per meal: 1,080 calories, 45g fat (13g saturated fat), 1,325mg sodium, 144g carbs (7g fiber, 65g sugar), 30g protein"},{"_id":"A3JBRJSQK5A3ZM6JD46NSD6HWY","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820862},"type":"text","content":"“Two all beef patties, special sauce, lettuce, cheese on a sesame seed bun” made for a good commercial, but not for a healthy meal. “This meal contains artery-clogging fat coming from the meat and cheese, along with added sugar from the soda to make you want to skip it,” Lisa Young, RDN, told Eat This, Not That."},{"level":2,"_id":"7DHH6OHAG5FULJHOLKBZQBJXSM","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820863},"type":"header","content":"Arby’s Chicken Club Wrap Meal"},{"_id":"ZSUETK4RWRDP5PSGUQIEADKG3E","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820864},"type":"text","content":"Per meal: 1,220 calories, 57g fat (12g saturated fat), 2,310mg sodium, 140g carbs (9g fiber, 56g sugar), 46g protein"},{"_id":"UQR4JVQG35ARBADN666AA2KVTI","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820865},"type":"text","content":"Wraps are healthy, right? 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But when you pair them with curly fries and a soft drink, it negates any benefits. “With 1,220 calories, this meal contains more than half of your calories for the day so I suggest skipping it,” Young said. “And both the fries and soda provide virtually no health value; the fries are high in fat and the soda high in added sugar.”"},{"_id":"Z752OWEQ4VHGTFOFCHXCNXUYOI","additional_properties":{"comments":[],"_id":"33ZQPQ7GLNCJJHT6MS7O25WMNA"},"type":"interstitial_link","content":"Study: One sugary drink a day increases chance of liver cancer in women","url":"https://www.ajc.com/pulse/study-one-sugary-drink-a-day-increases-chance-of-liver-cancer-in-women/VZXDEDYIOBFHXDTU4TLYHS2QCU/"},{"level":2,"_id":"475B3IINKNAYPAQ6CVGWIBT6CQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820866},"type":"header","content":"McDonald’s Double Quarter Pounder with Cheese Meal"},{"_id":"HYPXK7ZYQ5AXRAK5BCODNN3XME","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820867},"type":"text","content":"Per meal: 1,260 calories, 57g fat (22g saturated fat), 1,685mg sodium, 140g carbs (7g fiber, 63g sugar), 53g protein"},{"_id":"AQBAT5RXBNEIZL6MIZWLQYCBS4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820868},"type":"text","content":"According to Young, this meal has too much sodium. “This meal contains over 70% of the daily value for saturated fat and more than 60% of the daily value for sodium, making you want to skip it,” she said."},{"level":2,"_id":"NNIDV675SFGMNN2QXOTYBUR7RQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820869},"type":"header","content":"Arby’s Roast Turkey Ranch & Bacon Sandwich Meal"},{"_id":"JMJKIKB7PVH2JGNXYHEGXXGCR4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820870},"type":"text","content":"Per meal: 1,380 calories, 57g fat (13g saturated fat), 3,360mg sodium, 172g carbs (10g fiber, 60g sugar), 51g protein"},{"_id":"KMRMHLHZDJA7HFPLW27EKXOLZY","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820871},"type":"text","content":"It’s got turkey, lettuce and tomato, so it should be healthier than a burger. The key words in that sentence are “should be.” This meal has 1,000mg more sodium than you should consume all day. “People with high blood pressure may want to avoid these foods,” Ciccolini said."},{"level":2,"_id":"73XWJZRFZBC6LJEINJG725Q2VU","additional_properties":{"inline_comments":[],"comments":[],"_id":1655747820872},"type":"header","content":"Arby’s Half Pound Beef ‘n’ Cheddar Meal"},{"_id":"TWWF2RB4FJBU7FIJP7VK7HTUDM","additional_properties":{"inline_comments":[],"comments":[],"_id":1655754430958},"type":"text","content":"Per meal: 1,310 calories, 61g fat (17g saturated fat), 3,370mg sodium, 141g carbs, 54g protein."},{"_id":"GA5M5NEUMFFMFLZGFLUHRMCUBM","additional_properties":{"inline_comments":[],"comments":[],"_id":1655754430959},"type":"text","content":"Ciccolini urges caution for anyone craving melted cheese over a half-pound of beef. This one meal has more sodium, and more than enough fat and carbs, for the entire day. It also has one of the higher saturated fat contents of the value meals."},{"_id":"IGK2SGSVQBBBTM3LTFRLBMEHA4","additional_properties":{"comments":[],"_id":"3QPOSZENUFGTTJGB3CRKYMK5SE"},"type":"interstitial_link","content":"Vegetarian vs. meat-eating kids: How they differ","url":"https://www.ajc.com/pulse/vegetarian-vs-meat-eating-kids-how-they-differ/357SB5PXENAA3N7NZNZ52MPOFY/"},{"level":2,"_id":"F4MJMKY3TRFPXD3I7DM73RYC6M","additional_properties":{"inline_comments":[],"comments":[],"_id":1655754430961},"type":"header","content":"Burger King BLT Chicken Jr. Meal"},{"_id":"CVAGQN2TMBFSZGYJWZWBXENO4Y","additional_properties":{"inline_comments":[],"comments":[],"_id":1655754430962},"type":"text","content":"Per meal: 1,310 calories, 61g fat (17g saturated fat), 3,370mg sodium, 141g carbs (7g fiber, 53g sugar), 54g protein"},{"_id":"QV4K6AUQANBXNM4HREEEYBC34E","additional_properties":{"inline_comments":[],"comments":[],"_id":1655754430963},"type":"text","content":"The sandwich by itself is nearly 500 calories, with regular size sides bringing it to more than 1,300. If you want to go ahead and blow your calorie budget completely, upsize to a large. That will top your meal out at 1,790 calories."},{"level":2,"_id":"JZ7PR4AIRNBGDLLLFR32JINTNE","additional_properties":{"inline_comments":[],"comments":[],"_id":1655754430964},"type":"header","content":"Taco Bell Classic Combo"},{"_id":"XG5EY2VAZRHGVK2KVI3DYLVYA4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655754430965},"type":"text","content":"Per meal: 1,240 calories, 34g fat (11g saturated fat), 1,780mg sodium, 212g carbs (13g fiber, 125g sugar), 27g protein"},{"_id":"WPFXEXNUDNEZJAYLHVP4LKDXJQ","additional_properties":{"inline_comments":[],"comments":[],"_id":1655754430966},"type":"text","content":"This combo of a beefy five-layer burrito, crunchy taco, cinnamon twists and large soda packs more carbs than some other value meals on the list. “Also, the smattering of lettuce on the taco doesn’t count as a veggie,” Eat This, Not That wrote."},{"_id":"G6NKOBYDTNGRBFHPR224IPC4FM","additional_properties":{"inline_comments":[],"comments":[],"_id":1655754430967},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"35FDZ2OWQNBJ5M2U2Z2QNCGVQ4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655754430968},"type":"text","content":" "}],"display_date":"2022-06-20T19:55:45.646Z","headlines":{"basic":"7 of the least healthy fast food value meals"},"first_publish_date":"2022-06-20T19:55:45.646Z","taxonomy":{"sections":[{"path":"/pulse","parent":{"default":"https://www.ajc.com/"},"_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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She’s also a labor and delivery nurse at Northside Hospital — well, at least until school starts back in the fall."},{"_id":"K76WH5TSIJD3TP5Y6UKEGNGMPA","additional_properties":{"inline_comments":[],"comments":[],"_id":1654138622971},"type":"text","content":"Tortoriello is part of Northside’s Nurse Extern Program, designed “to engage nursing students a little bit earlier in their school career to give them an opportunity to get acclimated to an inpatient environment, develop some relationships with nurses and former external residents, and to build their confidence as they transition from student to nurse,” said Teal Edmeade, manager of talent acquisition at Northside."},{"_id":"TARDLHGASJBURJ2MQLQD3HQR44","additional_properties":{"comments":[],"_id":"UC43UESEBFH3RFYZQA5ETPGHZI"},"type":"interstitial_link","content":"Sisters come full circle at Northside labor and delivery","url":"https://www.ajc.com/pulse/sisters-come-full-circle-at-northside-labor-and-delivery/673FBYKMBVCZRDY7BADEI5AZ2A/"},{"_id":"PYMFTH5QHBCEDJAIGQBGZ2E7Z4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655292244717},"type":"text","content":"Although the program is only a year old, it is already popular with students. For the 100 spaces available its first year, Edmeade said she received 200 applications."},{"_id":"XIAHUH3FQZHPLGDMD7K7H4UOU4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655724730476},"type":"text","content":"Those who qualified — meaning, among other things, they had completed at least one round of clinicals and could begin working by the time the hiring event began in December — were invited to the hospital, given tours and introduced to staff. Then the race was on, because spaces were filled on a first come, first hired basis."},{"_id":"MIUY4H7BERAHFNHGERE2W4AQRI","additional_properties":{"inline_comments":[],"comments":[],"_id":1655728855789},"type":"text","content":"“In the introduction to Northside, they got to really tour each patient care area,” Edmeade said. “They got to understand the nuances between the specialty areas, had lots of patient contact, and learned a little bit more about to process.”"},{"_id":"5CCN6TB4PFCZPKA6LRG7MVE5KA","additional_properties":{"inline_comments":[],"comments":[],"_id":1655728855790},"type":"text","content":"She said this is important for many, because it’s their first job in health care."},{"_id":"A3F65EIUVFG5VL4WY5HJAQCONA","additional_properties":{"inline_comments":[],"comments":[],"_id":1655738268537},"type":"text","content":"“Going into a facility that’s huge and daunting and not knowing where you’re going, or to a unit where you’ve never met anybody and you’re not sure exactly what you’re going to be doing, and you’re not sure of your skills, that can be perceived as a really negative experience,” she said. “And so, having them come to this program and feeling like they know somebody there, so when they start they get to see some of the same people they’ve been in communication with, somebody that’s training them and that they met previously, you automatically have a level of comfort when you’re starting out. I think that makes the difference of whether or not they want to stay with us and complete their residency with us.”"},{"_id":"YVJPJT5EXBFKRDWE3P67DMZ5JE","additional_properties":{"comments":[],"_id":"WUKDGYJB4ZGRPAQBFVS3RSJWQA"},"type":"interstitial_link","content":"5 best non-bedside jobs for nurses","url":"https://www.ajc.com/pulse/5-best-non-bedside-jobs-for-nurses/BEYH44DXWFHLNN6UT4Z2Z663ME/"},{"_id":"AOQMMT46KRFEVG5RC5P5BCY6AU","additional_properties":{"inline_comments":[],"comments":[],"_id":1655738268539},"type":"text","content":"With the ever-growing nursing shortage, it’s important to attract care providers early. There’s no better time than while they’re still in school. Edmeade said one reason students should choose Northside’s program is its flexibility."},{"_id":"CGNISG6MC5HCDNFBTAO2UFBHK4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655738268540},"type":"text","content":"“A lot of times it’s difficult to consider working because the classes are so demanding. Then you have your clinicals on top of your classes, and then study time,” she said. “So we really do understand that nursing school takes priority. So this program is so flexible, that you can work as little or as much as you want to. 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If you’re at home, taking a cold bath can also help."},{"_id":"T6FKYG3LXJEH5KQZZBSBQTAMFY","additional_properties":{"inline_comments":[],"comments":[],"_id":1624623028701},"type":"text","content":"If you're helping someone who might have a heat-related illness, make sure the person is not becoming disoriented."},{"_id":"A2HRIP4HQRHZBP2H6OAYFYIUTU","additional_properties":{"comments":[],"_id":"2PEO3FL725HZ5IYYC2PE23AJ3M"},"type":"interstitial_link","content":"How to prepare to race in the hot weather","url":"https://www.ajc.com/news/world/how-prepare-race-the-hot-weather/W7SQlkqzpZnrQe4dRAC4mK/"},{"_id":"OHHFURVOUJEL7EBHOWHYG26MTE","additional_properties":{"inline_comments":[],"comments":[],"_id":1624623028703},"type":"text","content":"When should you get help?"},{"_id":"NVIYHIBWSFDR3NZ3ZDVTVZZSTI","additional_properties":{"inline_comments":[],"comments":[],"_id":1624623028704},"type":"text","content":"If a person is still weak and isn’t able to tolerate hydration, medical personnel should monitor the situation. 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All she knows is that she had to squint to see the whiteboard at school."},{"_id":"4XOCUILVGJBW3C5J65ANLN2LX4","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"It wasn’t until last fall when her eighth grade class in Bloomington, Indiana, got vision screenings that Jessica’s extreme nearsightedness and amblyopia, or lazy eye, were discovered."},{"_id":"654DPOGR5JDKVKIGD3RI2LPZJU","additional_properties":{"comments":[],"_id":"G3G5GL34T5E4ZD6HSX2FPSXVRQ"},"type":"interstitial_link","content":"Georgia among worst states for children’s health care, WalletHub finds","url":"https://www.ajc.com/life/georgia-among-worst-states-for-childrens-health-care-wallethub-finds/N4EMKP3Q7FFDJHU6U4I44GZ66A/"},{"_id":"4Z47M6MDQNEZNDSQ3OWDCVMLOY","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"She’s been going through intense treatment since then, and her optometrist, Dr. Katie Connolly, said Jessica has made great improvements — but her lazy eye, which causes depth perception problems, may never go away. The chances of it being completely corrected would have been much higher if her condition had been caught earlier, said Connolly, chief of pediatric and binocular vision services at Indiana University’s School of Optometry."},{"_id":"RT25ZFXP2NAO3FWM2WFJEK3DBI","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"Jessica is one of the countless students falling through the cracks of the nation’s fractured efforts to catch and treat vision problems among children."},{"_id":"UQA4ZSPYIFFJBHUTNSNRR6JEWE","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"The Centers for Disease Control and Prevention in Atlanta estimates that more than 600,000 children and teens are blind or have a vision disorder. A recent opinion article published on JAMA Network notes that a large number of these children could be helped simply with glasses, but because of high costs and lack of insurance coverage, many are not getting that help."},{"_id":"5HKPUDPGMVHOJL5IXRX5KLR424","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"Yet the National Survey of Children’s Health, funded by the federal Health Resources and Services Administration, found that in 2016-17 a quarter of children were not regularly screened for vision problems."},{"_id":"ZNLDPKZVGRHRBNA2MKLTUYXAP4","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"And a large majority of those vision impairments could be treated or cured if caught early, Connolly said."},{"_id":"DPRAMC3PSFH7ND6C5MSQI6X57M","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"“Screenings are important for kids because kids don’t realize what’s abnormal,” said Connolly. “They don’t know what their peers around them — or even their parents — are seeing to realize their experience is different.”"},{"_id":"LOPBWPJTGFCIZJIIVRMT3LHZDM","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"Eye exams for children are required under federal law to be covered by most private health plans and Medicaid. Vision screenings are mandated for school-age children in 40 states and the District of Columbia, and 26 states require them for preschoolers, according to the National Center for Children’s Vision and Eye Health at the nonprofit advocacy organization Prevent Blindness."},{"_id":"2GMFULCZPVDGJFZTGDSXHE2PO4","additional_properties":{"comments":[],"_id":"WNYYB3BBWNG4JNK3RR5O3TU4MI"},"type":"interstitial_link","content":"Too much fat and sugar as a kid can have long-term health effects, study finds","url":"https://www.ajc.com/life/too-much-fat-and-sugar-as-a-kid-can-have-long-term-health-effects-study-finds/DUASSYHDO5CR7N2HB4VSQ5H44I/"},{"_id":"ZEYFAMA2ERD4PDSDWKFQX4SLWM","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"Still, many children who are struggling to see clearly are being overlooked. The pandemic has only exacerbated the issue since classes moved online, and for many students in-school vision screenings are the only time they get their eyes checked. Even when campuses reopened, school nurses were so swamped with covid testing that general screenings had to be put to the side, said Kate King, president-elect of the National Association of School Nurses."},{"_id":"AEOGFXBYGJCB7NDF22455POFJA","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"“The only kids who were getting their vision checked were the ones who were complaining about not being able to see,” King said."},{"_id":"PKTWBLXEKNAPREVOTEMNYWPDIQ","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"The problem is most prevalent among preschoolers, according to the national center. It points out that the federal survey of children found that 61% of children 5 and younger had never had their vision tested."},{"_id":"XCPHLGGYS5FLDPGYG3ADD6YWSE","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"Kindergarten, Connolly said, is a critical time to check a child’s vision because not only are they old enough to cooperate with eye exams, but it’s when vision problems are more likely to be identifiable."},{"_id":"4VXH2CDMUJE6FIMSQI2PQY5WNI","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"The CDC survey also found that 67% of children with private health insurance had their vision screened, compared with 43% of those who were uninsured."},{"_id":"2RHXX7IDTFH3FFQCUNH2VTPTLI","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"Optometrists, physicians and school nurses are concerned not only about children’s visual acuity, but also their ability to learn and overall quality of life. Both are strongly linked to vision."},{"_id":"H5YCKLMZ2NFVTHCVXEG3BT6D74","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"“There seems to be an assumption that maybe if kids can’t see, they’ll just tell somebody — that the problems will sort of come forward on their own and that they don’t need to be found,” said Kelly Hardy, senior managing director of health and research for a California-based child advocacy group, Children Now. But that’s not the case most of the time because children aren’t the best advocates for their own vision problems."},{"_id":"UDLAUDCBIVGUZJZXRLVE6BWFUQ","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"And when left untreated, those problems can worsen or lead to other serious and permanent conditions."},{"_id":"FSSFA7MH6ZEJNF2TBYZMA3KNUM","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"“It feels like a pretty low-tech, pretty easy intervention to make sure that kids have a chance to succeed,” Hardy said. “And yet there’s kids going around that haven’t had their vision screenings or haven’t had an eye exam, and that seems unacceptable, especially when there’s so many other things that are harder to solve.”"},{"_id":"UM6V5POXHJCATCVGFASWRCSLRY","additional_properties":{"comments":[],"_id":"UPHG5SVDBJBQXPU2757NPGBNAE"},"type":"interstitial_link","content":"Diabetes in American children is rising; here’s how to fight back","url":"https://www.ajc.com/life/health/diabetes-in-american-children-is-rising-heres-how-to-fight-back/D6HCXX5VVJD6BHSTRUJM4T5YZQ/"},{"_id":"6CFAWJS55ZCCXHWU3KHKBXOVNM","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"Connolly’s visit to Jessica’s school last year marked the first time Jessica had her vision checked."},{"_id":"GB3RRHDIZZEKPLZJED4OQ4MGP4","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"Her brother, Tanul Oberoi, 7, tagged along on her follow-up visit to Connolly’s clinic and had his vision screened for the first time. His serious astigmatism was identified, and he now wears glasses. Since his condition was caught early, there is a good chance his eyesight with glasses will improve and that over time his prescription will be reduced."},{"_id":"K5JLQBSD2RHDLHOL7DBXQLA3UU","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"“It was surprising to me that they have trouble seeing because they didn’t say anything to me before,” said Sonia Oberoi, Jessica and Tanul’s mom. “They usually tell me when they have a problem, and I watch them when they read something. I didn’t know.”"},{"_id":"TLN24PMSNNHGVPTJSLVYGRK4EI","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"Getting vision screenings is only part of the battle, Connolly said. Purchasing glasses is a stretch for many families lacking coverage since the average cost without insurance is $351 a pair. The JAMA article points out that in developing countries, sturdy glasses made from flexible steel wire and plastic lenses can be manufactured for about $1 a pair but that option is not generally available in the U.S."},{"_id":"D6JN45VSM5A2DBJRBUPZF55PGA","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"Since Jessica and Tanul are not insured, their mom said the family would have to pick up the cost of their glasses. Connolly’s clinic worked with several programs to completely cover their treatment and glasses, plus contacts for Jessica."},{"_id":"5D3MUIZQP5HNPDIKEIZLWPIANU","additional_properties":{"comments":[],"_id":"7XAWMA5BCJBXDIWQJOCABGCOVQ"},"type":"interstitial_link","content":"Tips for keeping your kids safe and healthy while swimming","url":"https://www.ajc.com/pulse/tips-for-keeping-your-kids-safe-and-healthy-while-swimming/HNWM6X5HSJDJTGP7ZJFZK7F62U/"},{"_id":"OMQZ6QDWEFFXHHAIZONNZJ7YBI","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"The issue goes beyond poor eyesight and overlooked vision problems. There is a strong link between children’s vision and their development — especially the way they learn. Struggling to see clearly can be the beginning of many downstream problems for children, such as low grades, misdiagnosed attention-deficit disorders, or lack of self-confidence."},{"_id":"NLQH3WTKGVCPXM3EUSLKCG7W3M","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"In a 2020 study by researchers in Spain published by the International Journal of Environmental Research and Public Health, students who had “bad academic performance” were twice as likely as those with “good academic performance” to admit that they can’t see the blackboard properly. Additionally, those who performed poorer academically were also twice as likely to get tired or suffer headaches while reading, according to the study."},{"_id":"AUGHLL6325HHJPFIP2MWUIIZYQ","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"“Kids do better in school and they do better socially if they’re not going around with uncorrected vision problems,” said Hardy. “And so it feels like a no-brainer that we need to make sure that we’re doing better to make sure that kids are getting the care they need.”"},{"_id":"DGUGYDVGBRDRLLSTCI2DEQ4QD4","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"King, who works at a middle school in Columbus, Ohio, said that even before the pandemic students’ vision problems were being overlooked."},{"_id":"7GCJNKAGQFGZBHBUJM4XKR3OWA","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"Of all the optometrist referrals she sends home, she said just around 15% of children are taken to an eye doctor without her having to reach out to parents again. “An overwhelming majority actually don’t follow up and don’t get a comprehensive exam,” King said."},{"_id":"V7X5RPDY7JE67ECKPFKJZ5V6B4","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"Another issue is that Medicaid and private insurance usually cover one pair of glasses every year or two, which King said is not ideal for growing and clumsy kids."},{"_id":"RQJIJNGCTBD2LNFS2KMM74KAF4","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"“School nurses are experts at glasses repair,” King said, while chuckling. “Often we need to put in a new nosepiece or put in a new screw, or get them fixed because a classmate sat on them.”"},{"_id":"NFEDT3TWDJDIDBBF7JSXEWGL4U","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."},{"_id":"VAPO3FMTSFAITBNGDEBSDH5SCQ","additional_properties":{"comments":[],"_id":"CKTGYBD5RBFQFHLM5PDJO5IGO4"},"type":"divider"},{"_id":"WR5YZH4EKBAGVLFRG4BK5C454Y","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":"Kaiser Health New) is a national newsroom that produces in-depth journalism about health issues. Together with policy analysis and polling, KHN is one of the three major operating programs at Kaiser Family Foundation. KFF is an endowed nonprofit organization providing information on health issues to the nation."},{"_id":"DPFSARZ45BE5FJLSXVCLOE3XGY","additional_properties":{"inline_comments":[],"comments":[]},"type":"text","content":" "}],"display_date":"2022-06-16T14:07:56.755Z","headlines":{"basic":"Children’s vision problems often go undetected, despite calls for regular screening"},"first_publish_date":"2022-06-16T14:07:56.755Z","taxonomy":{"sections":[{"path":"/pulse","parent":{"default":"https://www.ajc.com/"},"_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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Treviño, Ph.D., assistant professor in the Division of Health Equities and Department of Population Sciences at City of Hope."},{"_id":"N6NXZP5EDFFSLLOLXUMDJ3Y7QE","additional_properties":{"inline_comments":[],"comments":[],"_id":1655232702195},"type":"text","content":"“One reason for the higher risk of breast cancer may be exposure to harmful chemicals called endocrine-disrupting chemicals in hair and personal care products. These chemicals mimic the effects of hormones on the body,” she said in a press release."},{"_id":"TOJ7U3SOGJH4XGSO7XXDE7KAE4","additional_properties":{"inline_comments":[],"comments":[],"_id":1655232702196},"type":"text","content":"“Black women are more likely to buy and use hair products with these types of chemicals, but we do not have a lot of data about how parabens may increase breast cancer risk in Black women,” Treviño said. “This is because Black women have not been picked to take part in most research studies looking at this link. 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A 2018 study found that in 18 products, “including hot oil treatments, leave-in conditioners and hair relaxers, a total of 45 endocrine disrupters were found, with each product containing from four to 30 of the target chemicals. 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