"Children Learning, Parents Earning, Communities Growing"
Issue #44                                         November 4, 2019
CAPPA's monthly "Featured Agency" segment will highlight amazing work being done by Alternative Payment Programs (APPs) child development contractors throughout the state of California. From border-to-border, APPs support working families and children with services to support self-sufficiency, stability of children in child care, and a host of services coordinated to help break the cycle of poverty.  Many APPs also have been called on to serve as a community life-support of information and resources during natural disasters.  We are pleased to continue this tradition and bring focus to the untapped potential that is the 40 plus year APP community-based system. 

If you would like to be featured,  please email us!
November 2019 Featured Agency of the Month 
Infant/Child Enrichment Services

In 1980, Infant Child Enrichment Services (I.C.E.S.) opened to begin operating a child care center with grant funding from the California Department of Education. Two years after that, ICES was awarded a state contract to operate a Child Care Resource and Referral Program (CCR&RP) in Tuolumne County and one year later, opened a CCR&RP in Mariposa County.

In 1986, ICES began operating the subsidized Alternative Payment Program in both M ariposa and Tuolumne Counties. In a span of 6 years, the agency grew from one subsidized child care center program to an incorporated, independent non-profit agency operating in 2 counties.

Both Mariposa and Tuolumne County implement CalWORKS Stage 1 in addition to Stage 2, 3 and CAPP. While new staff have joined the Mariposa and Tuolumne offices within the last 3 years, our Mariposa office has one employee who has been dedicated to AP work for 20 years which is a real testimony to the meaningful work we do to provide families with state-funded child care subsidies.

In 2007, Tuolumne ICES was awarded a CDBG grant to allow us to purchase a building in East Sonora that serves as ICES' main office. Upon 
the move, due to space constraints, the child care center operations were discontinued

Today, Infant Child Enrichment Services has grown to employ 16 staff who are committed to provide quality community services and fills an important role in both Mariposa and Tuolumne County. We also are very pleased to have remodeled both office's to create parent
 appointment areas that is both appealing and welcoming to children and families.

**Thank you to Chris Mackenzie, Executive Director, for the submission!**
Quick Links
CAPPA Member Shout-Outs
Visit by Senator Archuleta
On October 31, Senator Archuleta and staff Hector Chacon toured the Mexican American Opportunity Foundation's center at Pico Rivera!

This experience gave the Senator the opportunity to learn about the children and families served by MAOF in his district.

Senator Bob J. Archuleta, a former Presidential Appointee and Pico Rivera city mayor, has dedicated his life to serving his community and his country proudly.

He was elected in November 2018 to the California State Senate to represent the 32nd Senate District, which includes portions of Los Angeles County and Orange County.
Do you have success news to share with us?! We love to hear what our members are up to and where they're going! Submit your accomplishment(s) big OR small by emailing us!

CAPPA Member Only Benefits
CAPPA Member Benefits now available on the Members Only website:
Best Practices
CAPPA would like to support you with more samples of Best Practices being used in the field.  Currently, we host a number of SAMPLE Best Practices in our online library
Visit the Member's Only website to view today!

Just added to the Member's only website:

Visit the  CAPPA Member's Only website  for more information on this webinar series and other benefits available to CAPPA Members.  
CAPPA's  2019-20 Board of Directors
Rick Richardson
Child Development Associates

Vice President

Karen Marlatt
Valley Oak Children's Services


Beth Chiaro
Child Care Resource Center 

LaVera Smith
Supportive Services Fresno

Past President
Martin Castro
Mexican American Opportunity Foundation

Public Policy Co-Chair
Jeffrey Moreira
Crystal Stairs, Inc.

Public Policy Co-Chair
Phillip Warner
Children's Council San Francisco 

Tina Barna
Choices for Children

Abby Shull
YMCA Childcare Resource Service 
Leslie Reece
Family Resource & Referral of San Joaquin County

Jeanne Fridolfs
Napa County Office of Education

Mike Michelon
Siskiyou Child Care Council

Marco Jimenez
Central Valley Children's Services Network

Jasmine Tijerino

Michelle Graham
Children's Resource & Referral of Santa Barbara County

Joie Owen
Glenn County Office of Education

Denyne Micheletti Colburn
Management Bulletin 19-07: Continued Funding Application Fiscal Year 2020-21
Fiscal Year 2019-20 Two-Day Fiscal Training for Center-Based Contractors.   Additional information regarding location details and how to sign up for these trainings will be forthcoming
Job Openings

Is Your Organization Hiring?
Post your job announcement here for thousands to see!
There is no charge for CAPPA members.
Non-members will be charged a fee of $75.
Please email us your posting!

Child Care Subsidy Coordinator
The Resource Connection

Public Affairs Manager
California Head Start Association
Colusa County Office of Education

Director of Alternative Payment Programs
Hively (Formerly Child Care Links) Alameda County

Solano Family and Children's Services

International Institute Los Angeles

Manager Early Childhood Special Education
Napa County Office of Education
Children's Council San Francisco  
Field Happenings
The CAPPA Board has made it a priority to support our field with a coordinated calendar to note upcoming statewide conferences, federal conferences of relevance, CDE and DSS stakeholder meetings and legislative and budget deadlines and hearings.
NOTE: If you would like to share your newsletter or items of interest with our field via the Monday morning e-Newsletter, then please  email us  a link.  Please make sure that you have a link included to an online version or viewing.
Become a Monday 
Update Partner! 

Our Monday Morning Update supports our Early Learning & Child Care field with timely information about what is going on in California and nationally; as well as dates to be aware and upcoming events. 

Our weekly (50 times per year) Monday morning distribution is to more than 4,000 federal and state local agencies, resource and referrals, contractors, legislators and their staffs', centers, parents, providers, state departments and advocates.  

To help support the continuation of this resource and or advertise in the Monday Morning Update, click 

You can also make a donation to CAPPA and CAPPA Children's Foundation 
The Children's Foundation is a non-profit organization (501(c)3), Taxpayer Identification Number is 
03-0521444. Your generous donation is tax deductible.
Of Interest

What's Happening

The final actions on bills have been made.  To see those vetoed, signed (Chaptered),  or are two-year bills  click here.  

For all, while legislators are back in their districts, please make it a priority to educate them about your programs, families and children served, ideas for better delivery of services, etc.  

While on recess, informational hearings may be scheduled throughout the state that may be of interest.  
  • Monday, November 4, 2019 - Joint Hearing SEN Health & ASM Health  - 10:00 am in Room 4202  - Informational Hearing - Medi-Cal: Access to Care in the Regional Model and Children's Preventative Health Services
  • Tuesday, November, 5, 2019 - ASM Select Committee on Orange County Chronic Homelessness - 9:00am at Buena Park City Council Chambers
  • Friday, November 15, 2019 - ASM Labor & Employment Committee (Los Angeles) - Building a Secure Future for Workers: Training, Retraining, and Removing Employment Barriers
Click here to see calendar of field events/interests and legislative hearings and deadlines.  If you would like something added to the field calendar, click here and submit details.
Upcoming CAPPA Events
Regional Technical Assistance Trainings-Fall 2019

November 13, 2019- Concord (Contra Costa County)
1035 Detroit Avenue, Suite 200
Concord, CA 94518
Hosted by CocoKids 

November 18, 2019- Fresno
Central Valley Children's Services Network (CVCSN)
1911 N. Helm Ave
Fresno, CA 93727
Hosted by Central Valley Children's Services Network (CVCSN)

CAPPA member agencies, with the support of CAPPA & Children's Foundation, have put together a series of Informational and Networking Sessions that will be coming to a region near you!  
This series will offer a variety of Hot topics for the field and ALL staff are encouraged to attend.  
If you would like to add any topics to the agenda, please let us know!


Best Practices Session (10:00am-11:45am):
  • Discussion on Unpredictable and Intermittent Income
  • Review of Variable Work Schedules
  • Review of Broadly Consistent
  • Clarifications on Continuity of Care
  • Conversation on 12-Month Regulations:
    The 12-Month Eligibility Regulations are nearing the end of the comment period. The next draft of the regulations are anticipated to be out by these TAs.
Lunch (11:45am-12:15pm)

CAPPA Legislative Update (12:15pm-1:00pm)
During this portion of the agenda, we will discuss CAPPA's Legislative Proposals for 2020.

Peer-to-Peer Networking Session  (1:00pm-2:00pm):
This portion of the agenda will allow attendees to share their successful strategies, tools and ideas.

CAPPA Audit Training, in partnership with CDE

December 4, 2019
KVIE, Sacramento

CAPPA, in partnership with the CDE Audits and Investigations Division, will be delivering a training for our field focused on auditing. There will be a training from CDE on auditing changes and requirements, as well as a training from a CPA on how agencies should be preparing and complying with the different requirements.
Presentation from CDE Audits and Investigations Division 
The California Department of Education's Audits and Investigations Division will provide an overview of federal and state requirements that apply to agencies administering the child development programs including cost allowability, audits, and certified public accountant selection.
Presentation from a CPA
How agencies should be preparing and complying with the different requirements.  This portion of the training will cover audits and internal controls as applied to the contractors. 

**Lunch will be included.**

Interested in Sponsoring this Event?   
Learn more here.

This day of advocacy is a day where all groups that support lifting families up with supports to break poverty stressors, support the working needs of families, or the nurturing and educational needs of children starting at birth can come together with a united message.

Click here t o add your logo to the growing list above.  
Profiled Bills of the Week!
Governor Signs Additional Bills to Support California's Children and Families

In making his decisions, the Governor prioritized fiscal restraint, citing concerns that California will soon be facing an economic contraction. Overall, it was a historic year of investment in Early Childhood Education, and we expect more progress in the years to come.

The Governor signed the following bills relating to early childhood:
  • AB 378 permits childcare providers in California to unionize and collectively bargain with the state. Governor Newsom's signature caps the end of a fifteen-year battle to allow workers to unionize - similar bills have passed the Legislature and been vetoed six times by Governor Schwarzenegger and Governor Brown. This new law will lead to higher-quality early learning across the state by improving training, professional development, and retention for the caregivers of our youngest infants and children through their ability to collective bargain. 
  • AB 1004 requires pediatricians who serve Medi-Cal patients to use appropriate, evidence-based screening tools and regularly assess for developmental disabilities in young children. Despite such screenings being a Medi-Cal requirement, currently only 36% of children receive screenings at the appropriate time, and many physicians rely on informal observations rather than objective assessments. AB 1004 builds on the $54M investment that the Legislature allocated earlier this year to provide developmental screenings for young children.
  • AB 577 provides mental health services to mothers on Medi-Cal with postpartum depression for up to 12 months after the birth of their child. Previously, such services were capped at 60 days.
  • AB 464 requires all providers who work with pregnant women and new mothers to receive implicit bias training. Currently, African-Americans face maternal and infant mortality rates that exceed other populations, and there is a growing body of evidence that African-American women are often treated unfairly and unequally in the health care system. Implicit bias training is an effort to create better birth outcomes and reduced maternal mortality for black mothers.
  • AB 406 requires that the application to receive paid family leave be translated into languages spoken by 5% or more of people eligible for the program. Currently, women of color are far less likely to take paid leave (which is paid for through employee contributions) after the birth of a child than other mothers. This bill will help families apply for benefits to which they are entitled.
  • SB 234, the "Keeping Kids Close to Home Act," will increase childcare availability by allowing family childcare providers to operate a large childcare home (up to 14 children) without having to comply with additional permitting or regulations from the city or county in which they live. Previously, small providers who wished to expand were sometimes prevented from doing so by local laws that required expensive permitting or regulations they could not comply with (for example, by providing a certain number of parking spaces). This law will allow providers to serve more children, providing families with greater flexibility and choice. 

Link to page.
CDE Information & Updates
California Preschool Development Grant Birth through Five - Early Childhood Integrated Data System Workgroup Webinar

Are you a stakeholder in an early learning and care program? Are you interested in hearing about ideas being considered for an Early Childhood Integrated Data System Workgroup as a part of California's Preschool Development Grant Birth through Five (PDG)?
As you may know, in December 2018 the U.S. Department of Health and Human Services awarded California with a Preschool Development Grant, which supports the state in initial conversations around developing an Early Childhood Integrated Data System (ECIDS) to evaluate and improve services to children and families in California. The California Department of Education is contracting with the Santa Clara County Office of Education (SCCOE) to convene a Local Integrated Data Systems Workgroup. The workgroup will support CDE in gaining an understanding of the landscape of the data across the State to inform recommendations regarding data elements, reporting capabilities, and users and owners. 
The Local IDS Workgroup is comprised of 10 counties and will meet via webinar meetings on the following 3 dates and times:     
  • November 4, 2019, from 10 to 12 pm
  • November 15, 2019, from 10 to 12 pm
  • December 4, 2019, from 10 to 12 pm
Please use the link below to register as a listener for the first webinar on November 4, 2019.
Please feel free to extend this invitation to stakeholders in your jurisdiction to listen to the webinar and participate by submitting questions and possibly answering polling questions. Such stakeholders could include, but are not limited to, representatives of child care resource and referral programs, alternative payment programs, CalWORKs child care, Head Start/Early Head Start, California State Preschool Program, contracted center-based programs, First 5 county commissions, county offices of education, school-based providers, private center-based care providers, and family child care homes.
These webinar meetings will discuss the following:
  • A well-communicated purpose and vision for local and state level ECIDS and how the ECIDS contributes to the long-term early childhood policy and program goals and guides decisions and direction for linkage to a state longitudinal data system;
  • Input on a potential project management plan, scope of work, outcomes, timeline, and responsibilities for the development and implementation of theECIDS, including a data governance structure to address data sharing and secure data transfers;
  • Agreements on necessary draft memorandums of understandings (MOUs) between entities involved in sharing the necessary data; and
  • Recommendations for State level ECIDS
We hope that you can attend and listen to the ECIDS Workgroup.
Webinar Wednesday announcement from the Field Services Office

The ELCD Field Services Office will host a series of webinar titles called Webinar Wednesdays to provide technical assistance to ELCD contractors. Below you will find the topic, date, time, and log-in information for each webinar. It is not necessary to pre-register for these webinars.
PAST - October 23, 2019, 9:00 a.m. - RECORDING NOT YET POSTED
Fiscal Year 2019-20 Contract Monitoring Review (CMR) - Before, During, and After the Review for Center-Based Programs

PAST - October 23, 2019, 1:00 p.m. - RECORDING NOT YET POSTED
Fiscal Year 2019-20 Contract Monitoring Review (CMR) - Before, During and After the Review for Alternative Payment Programs
October 30, 2019, 9:00 a.m.- RECORDING NOT YET POSTED
 Some Contract Requirements Center Based
October 30, 2019, 1:00 p.m.- RECORDING NOT YET POSTED
 Some Contract requirements Alternative Payment Programs
2020 Election Information
Information on Upcoming Initiatives

November 2020 Eligible Statewide Ballot Measures 

1840. (17-0044, Amdt.#1)
Restricts Parole for Non-Violent Offenders. Authorizes Felony Sentences for Certain Offenses Currently Treated Only as Misdemeanors. Initiative Statute. )

1851. (17-0055, Amdt.#1)
Requires Certain Commercial and Industrial Real Property to be Taxed Based on Fair-Market Value. Dedicates Portion of Any Increased Revenue to Education and Local Services. Initiative Constitutional Amendment.

Link to initiative page.

Link to this initiatives page.

Attorney General Information: Initiative and Referendum Proposals Pending Review By Attorney General

The following are initiative that are active measures:
Upcoming Senate, Assembly, and Presidential Elections:

2019-20 State Budget Update
2019-20 State Budget Information

Click here to see the 2019-20 Budget materials, details and reference documents.
2019-20 Federal Budget Update
Kids' Share 2019: Report on Federal Expenditures on Children through 2018 and Future Projections

Public spending on children aims to support their healthy development and help them fulfill their human potential. As such, federal spending on children is an investment in the nation's future. To inform policymakers, children's advocates, and the general public about how public funds are spent on children, this 13th edition of the annual Kids' Share report provides an updated analysis of federal expenditures on children from 1960 to 2018. It also projects federal expenditures on children through 2029 to give a sense of how budget priorities may unfold absent changes to current law.

A few highlights of the chartbook:
  • In 2018, the federal government spent about $6,200 per child younger than 19, less than in 2017 after adjusting for inflation. This decline is driven by a reduction in federal spending on education and nutrition programs and a temporary reduction in child-related tax credits.
  • As a share of the economy, federal investments in children fell to 1.9 percent of GDP in 2018, the lowest level in a decade.
  • Medicaid is the largest source of federal support for children, followed by the child tax credit and the earned income tax credit. More than three-fifths of federal expenditures on children are from health or tax provisions.
  • The share of federal expenditures for children targeted to low-income families has grown over time, reaching 61 percent in 2018.
  • Looking forward, children's programs are projected to receive only 3 cents of every dollar of the projected $1.5 trillion increase in federal spending over the next decade.
  • Assuming no changes to current law, the children's share of the budget is projected to drop from 9.2 percent to 7.5 percent over the next decade, as spending on Social Security, Medicare, Medicaid, and interest payments on the debt consume a growing share of the budget.
  • By 2020, the federal government is projected to spend more on interest payments on the debt than on children.
  • Over the next decade, all categories of spending on children except health are projected to decline relative to GDP. Most categories also see declines or remain at similar levels in real dollars.
Link to full report.

Partner Updates

Monique is a parent leader from Parent Voices San Diego, and a single parent raising her amazing son Makai. In 2019, she's been in San Diego, Los Angeles, and Sacramento fighting for parents in poverty. When we listen to the powerful voices of parents, we know without a doubt that all our kids can thrive. In May, Monique shared her story in front of a crowd of about 200 people at Castle Park High School in Chula Vista. Watch Monique's speech here

Link to the full article.

Collaboration between school-day, afterschool, and summer program staff leads to successful SEL implementation.

Partnership for Children & Youth launched the Expanded Learning 360°/365 initiative in 2015 to address an overlooked opportunity: school districts' interest in social-emotional learning (SEL) was growing just as California's expanded learning system was simultaneously working to improve social and emotional outcomes. A professional learning community of diverse school districts focused on planning, aligning, and implementing SEL across the school day, afterschool, and summer. American Institutes for Research evaluated the professional learning community from January 2017 to December 2018.

Link to the full report.

Can teaching and learning practices that foster "deeper learning" among all students-not just the most advantaged-be successfully replicated across large numbers of schools? The answer is an unqualified "yes," according to findings in the new LPI Report, Deeper Learning Networks: Taking Student-Centered Learning and Equity to Scale. The study examines how three school networks representing mostly students of color from low-income families have successfully taken student-centered learning and equity to scale.
Deeper learning approaches, including project-based learning, experiential work-based learning, and performance assessments, allow students to explore their interests in personalized and inquiry-based ways, learn core academic content, and develop key skills such as collaboration, communication, and critical problem solving that enable them to apply their knowledge in ways that prepare them for college, career, and citizenship. The new study features three case studies and a cross-case report and brief that take an in-depth look at how three networks of schools successfully overcame major barriers to instituting complex teaching and learning practices in a variety of settings and enabled positive outcomes for their students. The networks-with a combined 271 schools and 90,000 students in the United States and abroad-are Big Picture Learning, the Internationals Network for Public Schools, and New Tech Network.

Link to the full report.

Rene Chavarria, a student at Santa Rosa Junior College, was supposed to take two tests this week. Instead, he's taking shelter with his parents, sisters and grandmother at an evacuation center in Petaluma, about 30 miles south of where the Kincade fire has burned more than 76,000 acres in Sonoma County this week.

But classes weren't top of mind as he sat with his family and pet birds on Tuesday, three days since their family was displaced from their home in Windsor due to the Kincade fire. "Right now, I'm just thinking of when we will get to go back home," he said.

Sonoma State University, located south of the Kincade fire, evacuated the 3,000 students who live on campus and will remain closed until Monday, Nov. 4. The university moved about 30 students and five staff members to a workforce housing facility it owns off-campus. All public schools in Sonoma County also closed this week and many will remain closed
through Friday.

Link to full article.

The California School Boards Association and its partners last week took the next step toward putting a $15 billion tax initiative for K-12 schools and community colleges on the ballot, setting up the possibility that two competing tax measures will go before voters in November 2020.

Neither measure's backers favor that prospect, but neither side is showing any sign of backing down. Both sides see next year's presidential election, with a large turnout expected in a Democratic state, as an opportunity for higher taxes. The behind-the-scenes maneuvering over the next several months, with what some hope will be mediation by Gov. Gavin Newsom, will determine what will go before voters.

The school boards association, together with the Association of California School Administrators and the Community College League of California, filed papers last week with the California Attorney General for its initiative and expects to begin gathering signatures in a few weeks. Called Full and Fair Funding , the initiative would increase taxes on individuals and corporations earning more than $1 million. It would produce enough money for K-12 and community colleges to raise California's per-student funding to the national average, according to the sponsors. Its calculations are based on a state ranking system that incorporates California's high living costs.

Link to the full article.
National News

By increasing public investment in child care from birth to age 5, the early care and education system can be made more equitable for parents and children. Today, families with greater resources have many more choices when it comes to child care. For most parents, child care choices are constrained by the high cost of providing care for an infant or toddler. With few affordable options, some parents leave the workforce out of necessity rather than choice, which can have a compounding effect on lifetime earnings and savings. This circumstance disproportionately affects women and has been identified as one of the primary reasons that the United States now trails other economically developed nations when it comes to female labor force participation.

Currently, child care is most expensive and hardest to find when children are in their first few years of life, making infant and toddler care a promising investment in the financial security of families and the well-being of young children. The price of infant care today is higher than public college tuition in most states. Accordingly, the supply of infant and toddler care is three times scarcer than child care for preschool-age children. Together, these linked factors of cost and scarcity are cited by 3 in 5 parents as the primary challenge to finding infant or toddler care.

The tendency of many states and cities has been to invest in preschool, since they can link these programs with the public education system. While preschool is an excellent public investment, child care policy should begin at birth rather than in the year or two before kindergarten. In fact, a preschool-only approach can have unintended consequences on the price and supply of infant and toddler child care; many providers use revenues from larger classes of older children to subsidize the high costs associated with infant care. 8 When public preschool crowds out the market for private tuition preschool, providers can no longer cross-subsidize the cost-intensive care of infants and toddlers, leading to fewer slots and higher prices.

This report analyzes the economic effects of access to child care for families with children under the age of 3. The author uses the U.S. Census Bureau's Survey of Income and Program Participation (SIPP) to understand the challenges facing families with very young children and the opportunity to improve their lives by investing when children are young. This dataset contains information on what families report spending on child care, the types of care arrangements that they use, as well as the dynamics of income and debt for parents with very young children.
Link to findings and report.
The Hidden Force Behind Child Poverty Rates In The U.S.

Democratic presidential candidates are raising awareness about the issue of poverty in the United States with a specific focus on how to help impacted children.

Almost  39 million Americans are living in poverty, and  17% of children in the U.S. are impoverished. The number of kids living below the poverty line has fluctuated around the same level  since 1969, according to the Pew Research Center.

The problem of poverty in the U.S. is systemic - generation after generation of people who are born into poverty remain stuck in the cycle, says Nisha Patel, managing director of narrative change and national initiatives for Robin Hood, a New York City-based nonprofit focused on fighting poverty.

"One of our U.S. partnership members put it best when he said, 'Today, when it comes to poverty in the United States, zip code matters more than genetic code,' " Patel says. "So where we are born and where we grow up can have a huge impact on future outcomes."

Link to full article.
Paid leave may widen the 'mommy gap' but increase time with children

Cumulatively, new moms taking up paid leave had fewer children and had earned about $25,681 less by 2014, reflecting a gain in wage replacement dollars but also income losses over 10 years. One in 10 new mothers also had one less child after 10 years.

"California increased the availability of paid leave by about six weeks, which is still very stingy compared to European policies. We were surprised that this modest policy seems to be nudging mothers out of the labor force," said Bailey, professor of economics and research professor at the Institute for Social Research's Population Studies Center at U-M.

Despite the fact that California's PFLA also gave men paid leave for family and infant care, the study found no impact on men's employment or annual wage earnings. California's PFLA seems to be encouraging men and  women into traditional gender roles rather than leveling the playing field at work, according to Bailey.

"At the end of the paper, we looked at what might be going on: are firms pushing women out or are women opting out?" she said.

Link to full article.
Interesting Reads

los angeles times Kids and smoke exposure: Don't buy masks. 
Do take these steps

When a wildfire burns, every parent's first thought is to protect their kids. But scroll through the internet, or browse local hardware stores, and you'll have surprising difficulty finding a respirator mask from a reputable brand designed for infants and small children.

That's because they don't exist. While certified "N95" or "P100" masks can filter smoke and ash particles and improve air quality for adults, they are not designed for children.

So what should you do? First, do not buy an adult-sized mask in the hope that it may protect your child.

Link to full  article.

Study finds youth suicide rates rise with community poverty levels

Research being presented at the American Academy of Pediatrics (AAP) 2019 National Conference & Exhibition shows that U.S. children living in counties with the highest poverty level are more than one-third more likely to die by suicide than those living in the least impoverished counties. The association is most pronounced for suicide by firearms.

An abstract of the study, "Pediatric Suicide Rates and Community-Level Poverty in the United States, 2007-2016," will be presented on Sunday, Oct. 27, at the Hilton New Orleans Riverside.
Youth suicide has nearly doubled in the last 10 years, making it the second leading cause of death for children and adolescents between ages 10 and 19 years old in the United States.

"Understanding risk factors for youth suicide is critically needed to inform prevention efforts," said abstract author Jennifer A. Hoffmann, MD, FAAP, a pediatric emergency medicine physician at Ann & Robert H. Lurie Children's Hospital of Chicago and an Assistant Professor of Pediatrics at Northwestern University Feinberg School of Medicine.

For the study, researchers conducted a retrospective, cross-sectional analysis of suicides among U.S. children ages 5-19 years old from 2007 to 2016 using Centers for Disease Control and Prevention and U.S. Census data.

Link to full  article.

los angeles times Kids and smoke exposure: Don't buy masks. 
Do take these steps

When a wildfire burns, every parent's first thought is to protect their kids. But scroll through the internet, or browse local hardware stores, and you'll have surprising difficulty finding a respirator mask from a reputable brand designed for infants and small children.

That's because they don't exist. While certified "N95" or "P100" masks can filter smoke and ash particles and improve air quality for adults, they are not designed for children.

So what should you do? First, do not buy an adult-sized mask in the hope that it may protect your child.

Link to full  article.