The COVID-19 pandemic has had a profound affect on everyone, particularly children with emotional health concerns. Many support structures in place prior to the pandemic to help children thrive have disappeared or been changed significantly, resulting in increased pressure on caretakers and overwhelming stress for children. New and innovative solutions are needed to meet these challenges. Magellan Healthcare’s Emotional Health for Kids by Mightier is a clinically proven video game solution that helps children build emotion regulation skills through play and caregivers build emotionally healthy homes.

Developed at Boston Children’s Hospital and Harvard Medical School, Mightier helps children ages 6 to 14 who are struggling with emotional health concerns, such as irritability, aggression, and anger, as well as children diagnosed with oppositional defiant disorder, attention deficit-hyperactivity disorder, autism spectrum disorder (ASD) and general anxiety disorder.

Mightier’s impact on children’s emotional health

In a pilot program, Magellan provided members access to the Mightier program for a period of twelve weeks during the COVID-19 pandemic. Families were recruited and randomized into a group that received Mightier in addition to applied behavior analysis (ABA), or a group that received only ABA as a control.

• Children engaged with Mightier at a high rate. On average, Mightier families played for 30.4 minutes above the 30 minutes per week recommended to see clinical change.
• Clinical symptoms improved. Eighty percent of children with ASD who used Mightier showed an improvement on primary symptoms, compared to only 50% in the control group.
• Children showed twice as much decrease in aggressive behaviors. Adding Mightier to ABA resulted in a reduction in aggressive behavior in children with autism by twice as much compared to ABA alone.
• Families reported a less stressful and more supportive environment. Families using Mightier showed 50% improvement in family stress, 114% improvement in parent confidence, and 114% improvement in access to resources relative to control.

Visit  Magellanhealthcare.com/kids-emotions-mightier/ to learn more about the pilot and how Mightier helps children build self-regulation skills and supports caregivers in building emotionally healthy homes.

As if 2020 wasn’t already difficult enough with the stressors caused by the COVID-19 pandemic and protests over social justice issues, the upcoming election adds another level of anxiety for many people. A study published by the American Psychological Association in 2019 found that 56% of Americans, regardless of party affiliation, felt stressed about the upcoming presidential election.[1]  If you are feeling overwhelmed by the current political climate, you are not alone.

These feelings can have a negative impact on your emotional and physical health. Symptoms such as low energy, insomnia, loss of appetite, mood swings and tension are signs that you should not ignore. It is important to recognize what you can and cannot control as the election approaches.

You cannot control other people’s opinions, beliefs, reactions or how they express themselves. Nor can you control others’ votes. There are, however, many things you can control during and after the election:

• The amount of time you spend on election news and discussions. While the 24-hour political news cycle on television, radio and the internet is almost impossible to escape, you can limit the amount of time you spend on media each day.
• The coverage, feeds and groups you follow. When you are watching or reading election coverage, avoid negative-leaning discussions, especially if you feel constantly frustrated or upset by them.
• How you interact on social media. Avoid giving angry or emotional responses to posts that do not align with your views. You are unlikely to change other people’s opinions; you are more likely to get unwanted and hostile feedback.
• The time you spend with people. Prioritize your relationships with positive family and friends. Strong social connections can reduce stress and help you feel happier and more energetic. If you and a friend or family member have differing political views, try not to discuss them.
• How much you talk about politics at work. A February 2020 Gartner survey found that 78 percent of employees talk about politics at work; a third of those employees find the conversations stressful or frustrating.[2] Limit or avoid political discussions at work. When you do engage, treat colleagues with kindness and respect, and be aware that political discussions can hamper teamwork and productivity.
• How you deal with stress. Whether it’s meditation, going out in nature, reading a book or working on a hobby, take time every day to do something that makes you feel good. Make sure you get enough sleep and exercise, eat a healthy diet, and avoid using alcohol or drugs to cope.
• How you use your time and talents. Give your time and skills to a cause you believe in. If you have a strong interest in a political cause or candidate, offer to help with a campaign or other event.

Remember that professional help is available through your EAP if stress and anxiety about the election start negatively impacting your quality of life.

[1] https://www.apa.org/news/press/releases/2019/11/americans-significant-stress

[2] https://www.cnbc.com/2020/02/18/47percent-of-workers-say-the-2020-election-has-impacted-their-work.html

Being a parent of a child with physical, emotional, or behavioral problems can be exhausting. Try to take good care of your physical and emotional health. Doing so will help provide you with needed energy to care for your child with special needs.

Schedule time for yourself. Use a calendar or planner to set aside specific times for buying and cooking healthy foods, resting, visiting with friends, and doing other things you enjoy. Don’t be afraid to ask family members or friends for help. Take a break while your child uses community services (such as school programs, social skills training, job training, and counseling). Ask your doctor about other resources that can provide you with needed personal time.

Learn ways to handle the normal range of emotions, fears, and concerns that go along with raising a child with special needs. Seek information about your child’s condition so that you will know what to expect. Use exercise, positive self-talk, relaxation, deep breathing, and other techniques to help you handle stress. Learn how to recognize when you need to use them.

Find out whether there is a support group in your area for parents of children with the same condition. Local and national groups can help connect families and provide much-needed sources of information. It may help you to share your feelings with others or simply to find out how others have addressed common issues. It can be comforting to talk with other parents who also face the challenges and joys of raising a child with special needs.

Seek and accept support from others. Don’t wait for information and assistance to come to you. Consider using respite care, which is a family support service that provides a break for parents and siblings. Trained staff can relieve family members from caregiving duties as needed. These breaks can help families communicate in a less stressful context and allow parents to focus complete attention on their other children for a while.

Allow yourself time to grieve if needed. You may feel a sense of loss about the dreams you had for your child. As you work through your grief, you will be better able to care for yourself and your family. Talk with your doctor or another health professional if you think you or another family member may be depressed or having other emotional difficulties.

Be realistic. In raising any child, there are no guarantees for success. It is important to remember to do the best you can and to know that you can’t control everything.

Believe in yourself. When self-doubts creep into your thoughts, remember to focus on the many good things you do for yourself and your child. If you are having problems dealing with your feelings about your child’s condition, talk with your doctor about whether counseling may be helpful.

Work with family and friends. Your family and friends may have concerns about your child. To address those concerns, you can:

• Talk about how your child’s condition affects you. Be open and honest about your hopes and concerns. Encourage others to talk about their feelings.
• Encourage them to learn about your child’s condition.
• Ask your other children to help with the care of the affected child as much as they are able. Allow them to refuse to help if they do not want to.

For additional information, visit MagellanHealth.com/MYMH

This document is for your information only. It is not meant to give medical advice. It should not be used to replace a visit with a provider. Magellan Health does not endorse other resources that may be mentioned here.