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Talk to Your Teens Early About Substance Use

Two teens looking at a computer.

Torri Daggett has a reminder for parents of adolescents: Talk to your kids about how alcohol and marijuana have negative effects on their brain development.

She also has words of caution for parents: the marijuana of today, and how itโ€™s used, is different from what you remember from your youth, so donโ€™t be lulled into a sense of comfort.

โ€œBecause of the rapid brain growth of an adolescent, their brains are more vulnerable to the short-term and long-term effects of alcohol and drug usage,โ€ said Daggett, an Ohio Certified Prevention Specialist and executive director of Sylvania Prevention Alliance, formerly the Sylvania Community Action Team.

โ€œTeens and young adultsโ€™ prefrontal cortex is still developing,โ€ she said. โ€œThis is the area that controls planning and decision-making. Drinking or doing any drugs can impact decisions and actions, significantly more than in adults.โ€

She continued, โ€œStudies have proved that heavy marijuana use in adolescents can permanently lower their IQ by eight points.โ€

Thereโ€™s more. โ€œTeen usage of alcohol has been linked to a higher rate of mental health disorders, such as anxiety and depression in youth and even later in life. It has also been shown to cause sleeping problems,โ€ Daggett said. โ€œResearch has shown that alcohol or marijuana usage as a teen significantly raises your likelihood of developing an alcohol use disorder later in life.โ€

Whatโ€™s exacerbating these concerns, she said, is that marijuana has a much higher potency than in the past. Many teens are using marijuana that is 50 to 90 percent THC, the compound that is the main active ingredient of cannabis. For comparison, in 1980 smoking marijuana would have around 4 percent THC.


RELATED: Time to Talk to Teens About Marijuana


โ€œWhat weโ€™re really seeing now is a lot of vaping, especially vaping marijuana,โ€ Daggett said. Teens also are intaking marijuana through dabbing, which is smoking marijuanaโ€™s extract, a higher potency.

โ€œVaping marijuana, dabbing, and edibles are getting popular,โ€ she said, adding the drugโ€™s potency โ€œis getting scary.โ€ She said research shows that this more-potent marijuana is now addictive, especially in dabbing and edibles, the forms most used by teens.

Daggett said there are things parents can do to help:

โ€œThe biggest and most important thing to do is talk to your children about the health risks involved in using alcohol, tobacco, or other drugs as their brain is still developing,โ€ she said. โ€œStart early, be calm and encourage questions. Children will not relate to fear tactics, but it has been shown that children will listen to their parents more often than parents believe they will.

โ€œHave rules regarding alcohol and drug usage and consequences spelled out. Know where your children are spending their time and make sure to get to know your children’s friends’ parents and their rules.โ€

She continued, โ€œAlways secure your alcohol, vapes, or any prescription drugs in a lock box or other safe location. And set a good example. Parents do not always realize how their actions affect their children’s thoughts or actions.โ€

Also, Daggett said, โ€œDon’t permit your underage children to drink. Some parents think that it is safer to have their children and friends drink at home. Teens and young adults whose parents allow them to drink in their presence are more likely to quickly transition into unhealthy patterns of drinking when they are away from them.โ€

Daggett emphasized that parents should โ€œkeep the conversation going and start earlier than you think you need to, to create the best outcome for your kids.โ€



Potty Training Pitfalls: When to Start and What to do When Things go Wrong

Photo from Pexels.
When it comes to helping kids develop healthy bathroom habits, most parents are eager for the day that potty training is over and their child can manage going to the bathroom on their own. But what happens if your child isn’t on schedule? What can you do when they have to pee all the time, wet the bed, or won’t poop? When is it time to make an appointment with a pediatrician, or seek out specialty care from a urologist or pelvic physical therapist?

When can I start potty training my child?

While it isn’t recommended to start before your child is 18 months old, you also shouldn’t start just because they reach a certain age. Some kids are ready at 2, and other kids aren’t ready until 3 or even 4. You have to decide what is right for your child and your family. If your child is 2, but you just brought home a newborn, it may be better to wait until they adjust to having a new sibling. Potty training will be faster and more successful if your child is interested in doing it. Starting too early usually just leads to both the parent and the child being frustrated and feeling defeated.
In order for kids to be successful, they have to have sensory awareness of their bowel and bladder. If your child knows they need a new diaper, or they are toddling away to hide to poop, it is more likely they are ready to start potty training. Another important signal is how long they stay dry for. If your child stays dry for more than 2 hours, or wakes up from a nap with a dry diaper, it’s a good sign their bladder is able to store urine for a while and potty training can begin.
Lastly, communication is key, if your child can’t follow directions, can’t sit still on a toilet, or doesn’t have the language skills to understand potty training, it may be better to wait to start. Kids will have to be able to tell you they need to go, undress themselves, and sit still on a toilet for potty training to work. You also want them to be able to start taking directions about how to clean themselves and wash their hands when they are done.

My child pees a lot…they have a “small bladder”

It is normal for kids to need to pee every 2-3 hours while awake. How much a child has to pee can be impacted by their fluid intake, but restricting fluids doesn’t always help. In fact, this can make the urine more concentrated and irritate the bladder which actually makes them have to pee more often. While peeing frequently can be inconvenient, it can also be a sign of health problems like urinary tract infections or diabetes.
Frequent urination accompanied by excessive thirst is one of the early signs of diabetes. The body demands you drink extra fluids because it is trying to get rid of extra sugar by peeing it out. If your child is peeing too often, it’s best to talk with your pediatrician.

RELATED: Health & Wellness Guide 2024


If they’ve ruled out any concerning illnesses, bladder retraining programs are the next step. While generic programs are available online, pediatric pelvic physical therapists can customize them for your child if you need help.

Why does my child seem to constantly have a UTI?

While many people get occasionally UTIs, they can be painful and frustrating. In terms of anatomy, girls get them more often than boys because the germs have a shorter distance to travel to get into the bladder. One common trigger for UTIs is bubble bath. The body adjusts it’s pH level to the soapy water and lowers it’s defenses against germs. When you get out of the soapy water, the germs find their way in.
The other most common factor is bowel problems. If your kiddo has streaks or small poop pellets in their underwear, these germs can cause UTIs. Kids who are constipated, or stool hoarding are more prone to UTIs. Some studies also suggest the direction that you wipe makes a difference for girls especially. Teaching your kids to wipe front to back can help keep the stool away from the urethra and reduce the risk of infection. If the problem is persistent, your pediatrician may want your child to have a culture taken of their urine to find out what kind of infection they have, or to see a urologist for specialty care.

My child won’t poop!

Some kids struggle with constipation. When this happens, pooping can become painful and uncomfortable. As a result, they may not want to poop because they are afraid it will hurt when they do. This can lead to a condition called stool hoarding. Unfortunately, stool hoarding often makes constipation worse, and the stool becomes larger and harder to pass. Helping your child break the cycle may require some dietary changes, and kid friendly books with education about pooping.
Your pediatrician may prescribe stool softeners for a short period of time, but if the problem is persistent, a pediatric pelvic physical therapist might be needed. Pelvic PTs can work with your child on pooping posture on the toilet, and how to use their muscles correctly to avoid straining to poop. They can also teach kids bowel massage on their bellies, and use TENS units to help reduce constipation as well.

How old is too old for bed wetting?

While night time accidents are common for young children, if a child is still wetting the bed after the age of 5 it is cause for concern. It’s important to talk to your doctor to decide the best course of treatment. Your doctor may first want to make sure that the bed wetting episodes aren’t related to seizures, or diabetes. Afterwards, they may recommend bed wetting alarms, changes in lifestyle habits, or pelvic floor physical therapy. While brands that sell night time disposable undergarments attempt to normalize this, it’s best to get treatment for these issues early.
As they age, kids become more embarrassed and reluctant to talk about it. The time to address the issue isn’t when they are old enough to want to start having sleep overs with their friends. If your child is still bed wetting at age 6, it’s worth making an appointment.
Do you have other pelvic health questions for your kids? Let us know and we’ll ask Dr. Swain, or you can email her directly atย [email protected]

Ohio Kids First: Nonpartisan Advocate for Youth and Families

Logo of Ohio Kids First
Photo from Ohio Kids First on Facebook.

Ohio has a child care crisis that robs the state of $3.9 billion a year in lost earnings, revenue, and productivity, according to Ohio Kids First, a relatively new nonprofit that aims to improve conditions for children and families statewide.

But first โ€“ so to speak โ€“ Ohio Kids First wants parents to know its mission, its goals, and how itโ€™s going about affecting change, and it welcomes people who want to help.

Ohio Kids First is the political action arm of Groundwork Ohio, which works โ€œto ensure that every pregnant mom, baby, toddler and young child in Ohio has the resources and opportunities for a strong state,โ€ according to Groundwork’s website.

โ€œOhio Kids First is a nonpartisan group for children to give them a political voice in Ohio,โ€ said Rachel Selby, Ohio Kids First executive director. โ€œEducation and advocacy on the issues is vital, but it alone is not moving the needle fast enough. We want to be in the political arena, involved in the issues and when necessary to hold elected officials accountable when they are failing, and to support those who are putting Ohio kids first.โ€

She added, โ€œWe engage in issue advocacy, direct lobbying, and campaigns with the goal of fulfilling our vision of an Ohio where every young child has a strong start to life and every Ohioan has the opportunity to thrive. We focus on mission, not political party. Weโ€™re about policy, not partisanship. We will elevate those who elevate the policies that work for children. We are issue-specific.โ€


RELATED: Mental Health Resources for Children and Teens in the Toledo Area


Child care is at the forefront of Ohio Kids Firstโ€™s efforts because โ€œit affects everyone, the business community, families across all incomes,โ€ Selby said. Good child care is โ€œunaffordable and inaccessible,โ€ she said. โ€œItโ€™s dragging primarily women and people of color out of the workforce. Many canโ€™t work as much as they need to or want to because of this.โ€

To help solve this crisis, Ohio Kids First is determined to have the state โ€œinvest in child care and policies to support them,โ€ she said. Other states have policies more child-care friendly. โ€œWe donโ€™t want Ohio to fail,โ€ she said.

For example, she said Ohio is near the bottom in the nation in the level of eligibility for state child care help. To qualify for child care assistance, an Ohio resident must have an income of 145 percent of the federal poverty level. โ€œWe want to see that up to 200 percent of the poverty level,โ€ Selby said. โ€œThat would put us more in the middle in the nation. Some states put that level at 400 percent.โ€

Another possible solution would be Tri-Share โ€“ where the cost of child care is divided equally among the state, the family, and the employer, she explained.

The main point is that parents cannot solve this alone, this problem requires state and public investment to be sustainable, Selby said.

โ€œThereโ€™s not just one thing that would fix this, but multiple things,โ€ she said of child care. โ€œEligibility sits at the bottom, so we have to work on that first.โ€

Selby said Ohio fails to adequately invest in child care. โ€œThere were proposals in the budget as of last cycle that wouldโ€™ve made a huge difference,โ€ she said, but after going through the legislative process, โ€œthe budget killed it. Child care needs to be viewed as important as water and roads.โ€

Selby speaks with some authority, both professionally and personally.

โ€œIn my previous roles at Dayton Childrenโ€™s Hospital and the Youth and Family Ombudsman Office of Ohio, I have learned just how urgent the issues affecting children are,โ€ she said. โ€œWhile Iโ€™ve chosen careers that have afforded me the opportunity to help kids, my most important job has been as a foster parent and now adoptive mother. When I talk about how Ohio is failing kids and families, I say that from both lived experience and community involvement.โ€

Selby has six adopted children, ranging in age from five years to 18 years, all who have been in the foster care system. โ€œI understand the challenge as a single mother working fulltime,โ€ she said.

As part of its nonpartisan mission, Ohio Kids First is surveying candidates for political offices in the upcoming general election to see where they stand on child care issues. The results will be made public, she said.

In addition, โ€œweโ€™re looking to get people involved all across Ohio,โ€ she said. โ€œWe need volunteers, people who want to learn more about us. Advocacy alone can only go so far. All kids deserve to have someone fighting in this arena for them, because they cannot do it for themselves. They need us to step up on their behalf. Ohio is desperate for child champions.โ€

Further information and volunteer registration are available at ohiokidsfirst.org, or through X (formerly Twitter), LinkedIn, and Facebook.

Expert Tips to Keep Kids Hydrated in Summer Heat

Mother and daughter drinking water
Photos via Pexels

Parents should make sure their kids drink plenty of water in the hot summer months to stay healthy and active. John McBride, a respected doctor at Franklin Park Pediatrics, shares important tips for keeping kids hydrated in hot weather.

Drink fluids throughout the day

McBride emphasizes encouraging children to stay hydrated by consistently drinking fluids, particularly water, throughout the day. He suggests regularly consuming small amounts of fluids is more beneficial than drinking a large quantity all at once.

This method helps keep your body hydrated. It prevents discomfort by drinking water in smaller amounts throughout the day. This is better than drinking all your water at once.

Choose water over sugary drinks

When choosing the proper fluids, Dr. McBride suggests that water or flavored water is the best choice 95% of the time. “Electrolyte fluids, like Powerade or Gatorade, are only necessary during intense or prolonged workouts, such as sports practice,” he explains.

While sports drinks can help speed rehydration due to their sugar content, they can contribute to weight gain if consumed outside of exercise. “For everyday hydration, stick to water or low-calorie flavored options like Propel or G2 Gatorade,” he advises.


RELATED: Don’t Let Your Child Become a Summer Couch Potato


Take frequent breaks during sports

Staying adequately hydrated is extremely important when engaging in physical activities. McBride recommends that children take regular breaks to drink water and lower their body temperature while participating in sports. These breaks support optimal hydration and allow the body to recuperate from heat and physical strain effects.

Child drinking glass of water

Tips for picky drinkers

McBride has practical suggestions for children who are picky about non-sugary drinks. “I recommend flavored water, as it can be more appealing to kids than plain water,” he notes. He also mentions that low-calorie sports drinks like G2 Gatorade can be a good alternative.

Another fun and effective way to keep kids hydrated is by offering popsicles made from real fruit juice or incorporating hydrating fruits into their diet. Fruits like watermelon, strawberries, and peaches have high water content, which makes them tasty and boosts hydration.


RELATED: Toledo Family Summer Fun Guide 2024


Practical hydration tips for parents

  • Set a schedule: Encourage your child to drink water regularly throughout the day. Setting specific times for hydration can help establish a routine.
  • Make it fun: Use colorful cups or straws to make drinking water more exciting for kids. You can also involve them in creating their own fruit-infused water.
  • Set a good example: Children frequently imitate the actions of their parents. Make sure to drink water regularly and show enthusiasm for staying hydrated.
  • Keep water accessible: Always have water available, whether you’re at home, at the park, or on a road trip. Portable water bottles can be an excellent investment.

Following these essential tips, parents can help their children stay healthy and well-hydrated during the summer. It’s crucial to ensure that kids remain properly hydrated to support their overall well-being, safeguard against heat-related illnesses, and fully engage in all summer activities.

Dealing With Alexa: The Other Teenager In My House

Alexa in household
Photo from Pexels.

Like a lot of households, we added a new family member recently. Her name is Alexa. Sure, sheโ€™s AI and not human, but Iโ€™ve started talking to her on a regular basis.

Sometimes I ask her to do things for me. Unfortunately, much like my kids, she doesnโ€™t always cooperate.

Yet Alexa is different from my teenagers who โ€œforgetโ€ or hide in the basement when I ask for help. If I ask Alexa to do something she canโ€™t do, she responds, โ€œSorry, Iโ€™m not sure about that,โ€ or โ€œSorry, I donโ€™t know that one.โ€ Fair enough.

Here are 4 Things I desperately wish Alexa could do:

1. Request: Alexa, will you do the laundry?

I ask Alexa to do my laundry almost every day. She conveniently โ€œdoesnโ€™t knowโ€ what Iโ€™m talking about. Surely the creators of a voice-controlled smart speaker could figure out how to get Alexa to do a simple task like laundry, right? There are over 5,000 employees working on Alexa, so Iโ€™m confident they will eventually make her capable of tossing some clothes in the wash.

Compromise: Sorting socks feels less tedious if I say,ย โ€œAlexa, will you tell me a joke?โ€ย Her jokes are corny, but I canโ€™t help but laugh.

2. Request: Alexa, will you cook dinner?

Alexa is a little evasive when I ask her to make dinner. Instead of saying no, she suggests some recipes. Maybe she didnโ€™t understand my question. I have a ton of cookbooks. I donโ€™t need a recipe, I need someone toย physicallyย cook the dinner for me. When I point this out, she says, โ€œCooking is beyond me.โ€ Iโ€™m starting to notice an uncanny resemblance between Alexa and my teens. No wonder they love her so much.


RELATED: 5 Ways to Get Your Teens Outside


Compromise: Once I accepted the fact that I was the only one who was going to make dinner, I took Alexa up on her recipe suggestion. I didnโ€™t feel like thumbing through my cookbooks, so I said,ย โ€œAlexa, just give me a recipe.โ€ย I guess she thought I wanted a recipe with the word โ€œjustโ€ in it, because her recommendation was โ€œJust Chili.โ€ It wasnโ€™t bad, but I still think it wouldโ€™ve been better if Alexa had cooked it.

3. Request: Alexa, will you drive my kid across town to her friendโ€™s house at 9 p.m.?

I was already in my pajamas, reading my book and excited about going to bed early when my daughter asked me to drive her to her friendโ€™s house. I knew better than to think Alexa could help me out, but was it too much to hope that she might be friends with a self-driving Tesla?

Compromise: I suggested to my daughter that she invite her friend to our house instead. โ€œYou can play Escape the Room with Alexa,โ€ I offered. It worked! For the rest of the night, they played the different escape room scenarios available through Alexa. Thanks, Alexa!

4. Request: Alexa, will you clean my kidsโ€™ messy room?

When I ask Alexa to clean, she says, โ€œSorry, Iโ€™m not sure.โ€ So I say, โ€œAlexa, drop in on the basement,โ€ย which allows me to announce to my kids in the basement, โ€œIf I donโ€™t receive some help in the next thirty seconds the wi-fi will be turned off.โ€ The next sound I hear is scampering feet coming up the stairs.

Compromise: After offering to help my teens clean their room, I say, โ€œAlexa, play my playlist โ€˜Clean the House.โ€™โ€ When โ€œAnother One Bites the Dustโ€ blares through the speaker, the cleaning feels a little less daunting for all of us.

Turns out, dealing with Alexa is a lot like parenting teenagers. Weโ€™ve had some rocky moments, but Alexa always seems to find a way to win me over. A lot like my kids.