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August 18, 2021

To Our Community:

We are psychologists, social workers, and pediatricians from across Northeast Tennessee who want
to support parents as they guide and protect their children during COVID-19.

We want to reassure parents there is no known connection between wearing a mask and poor
mental health, such as depression, among children or teens. We feel confident children and teens
who wear masks in the classroom can do so without risk for harm and doing so will reduce the
spread of COVID-19.

Research shows that COVID-19 has increased behavioral or emotional problems for some children
and adolescents; however, experts agree that the specific causes of those concern are major
changes and events such as:
• family economic loss and loss of resources,
• trauma around the loss/sickness of a family member,
• isolation,
• and major disruption of routine, particularly school attendance.

Parents should know that decades of family science research shows that even when families face
major challenges such as these, children who are supported by strong family leadership, including
loved ones who consistently nurture, guide, and protect them, will fare well.

Parenting during this pandemic has been very hard. The uncertainty and disruption in our lives has
increased demands on caregivers. We offer our community the following resources:

• A national non-profit that promotes scientifically based guidance for early childhood
development, Zero to Three, advises that young children do best with routine and
consistency and that mask-wearing is a safe and developmentally appropriate expectation
even for younger children. It is important for caregivers to “keep it simple, not scary” when
talking to children about masks.
• The National Child Traumatic Stress Network offers guidance to families on how to keep
children safe and promote resilience during the pandemic and how to notice signs of distress
at different developmental stages.
• The American Psychological Association offers information for those caring for loved ones
during COVID-19 including young children, teens, and older adults.
• Since parents’ well-being is so closely linked to child well-being, we strongly encourage you
to seek help if you are experiencing symptoms related to anxiety, depression, or substance
abuse. Call the Tennessee Statewide Crisis Hotline (855-274-7471; 855-CRISIS-1) or talk to
your doctor.

Let’s keep our children in school this year by helping them mask up!

In Health,
Jodi Polaha, PhD, Licensed Psychologist, Professor, ETSU Family Medicine;
Director, Institute for Integrated Behavioral Health
Matthew Tolliver, PhD, Licensed Psychologist
Assistant Professor, ETSU Pediatrics; Assistant Director, Institute for Integrated Behavioral Health
Tom Burns, PhD, Licensed Psychologist, Kingsport
Courtney Lilly, PhD, Licensed Psychologist, Elizabethton
K. Ramsey McGowen, PhD, Licensed Psychologist, HSP, Professor Emeritus,
Dept. of Psychiatry & Behavioral Sciences, James H. Quillen College of Medicine
Heather Beaudry, PhD. Licensed Psychologist, Johnson City
Laura Freeman, PhD, Licensed Psychologist, Veteran’s Affairs Medical Center
Michael R. Floyd, EdD, Licensed Psychologist, Jonesborough, Emeritus Professor, Family Medicine
James H. Quillen College of Medicine
Andrew H. Bloch, PsyD Licensed Psychologist, Johnson City
Martha Rubenstein PhD, Licensed Psychologist, Private practice, Kingsport
Bess Lewis, PsyD, Licensed Psychologist, Johnson City
Thomas E. Schacht, PsyD, ABPP, Professor Emeritus, Psychiatry & Behavioral Sciences
James H. Quillen College of Medicine
Jessica Turner, Ph.D., HSP Licensed Psychologist; Johnson City
Brandi Johnson, LMSW, Licensed Master Social Worker, Johnson City
Gayatri Bala Jaishankar, MD, FAAP, Professor, Department of Pediatrics. Medical Director,
Pediatrics Clinic, ETSU HEALTH, Quillen College of Medicine, East Tennessee State University
Karen Schetzina, MD, MPH, FAAP, Professor and Chief, Division of Academic Pediatrics,
Department of Pediatrics; Director, Child and Family Health Institute, ETSU
Eric Roth, PsyD, Licensed Psychologist,
Roth Neuropsychology and Behavioral Health Associates, Johnson City
Judith G Tudiver, PhD, Licensed Psychologist, Johnson City
Jerome Cook, PhD, Licensed Psychologist; Johnson City
Maureen Bibby, PhD, Licensed Psychologist, Jonesborough
Adam Love, PsyD, Licensed Psychologist
Jennifer Correll, PhD, Licensed Psychologist, Johnson City
Julie Culligan, PhD, FAIHM, NBC-HWC, Licensed Psychologist, Johnson City
Savannah LeBarre, PsyD, Licensed Psychologist, Marion, Virginia
Christine Adler, PhD, Licensed Psychologist, Johnson City
Kerry Holland, PhD, Licensed Psychologist, Johnson City
Dan Jones, PhD ABPP, Counseling Center, ETSU, Chief Psychologist and Director
Judy B. Millington, Ph.D., Retired Clinical Psychologist, Kingsport
Donald Larkin PhD, Licensed Psychologist, Johnson City
Bridget R. Jeter, PhD, Licensed Psychologist, Bristol, VA
Mandi Deitz, Ph.D., Licensed Psychologist, Newport
Demetrio Macariola MD, Professor in Pediatrics, Quillen Medical College-ETSU
Jodi Gage MD, FAAP, Assistant Professor, ETSU Pediatrics, Associate Program Director
Dianna C. Puhr, MD, FAAP, General Pediatrician
Tennessee Chapter of the American Academy of Pediatrics
Resources

Zero to Three: A national non-profit that promotes scientifically based


guidance for early childhood development advises that young children do
best with routine and consistency and that mask-wearing is a safe and
developmentally appropriate expectation even for younger children.
• https://www.zerotothree.org/resources/3593-mask-up-talking-to-
young-children-about-wearing-masks

The National Child Traumatic Stress Network offers guidance to families


on how to keep children safe and promote resilience during the pandemic
and how to notice signs of distress at different developmental stages.
• https://www.nctsn.org/sites/default/files/resources/fact-
sheet/parent_caregiver_guide_to_helping_families_cope_with_the_c
oronavirus_disease_2019.pdf

The American Psychological Association offers information for those


caring for loved ones during COVID-19 including young children, teens,
and older adults.
• https://www.apa.org/topics/covid-19/parenting-caregiving

Tennessee Statewide Crisis Hotline:


• www.tngov/crisisline
• 855-274-7471 (855-CRISIS-1)

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