Posted on November 6, 2024
What’s New?
Did you know asthma-related hospital visits are back on the rise?
Posted on November 4, 2024
By Alena Siddiqui
Data Analyst
For more information on this topic or kids count data, contact Alena at asiddiqui@acnj.org
Asthma is a disease that affects the lungs. Common asthma triggers are air pollution, secondhand smoke, physical exercise, and mold to name a few. Some common symptoms of asthma include shortness of breath, chest congestion, whistling or wheezing sound when breathing out, and frequent coughing.
In 2022, there were 12,929 asthma-related emergency room visits and 2,057 asthma-related admissions to the hospital among children aged 0-17 years old. The graphs below show that 2020 experienced a low number of both scenarios among children–most likely due to the COVID-19 pandemic. But both graphs continued to rise thereafter.
In 2022, Essex had almost 2,000 asthma-related ER visits and over 360 hospitalizations among children–the highest in the state. Other counties with high asthma-related ER visits and hospitalizations were Camden and Middlesex.
According to the CDC, in a classroom of 30 children, approximately three of them are likely to have asthma. Children who are minorities, low-income, and/or live in the inner city are more likely to have emergency department visits, hospitalizations, and deaths because of asthma than the rest of the population. Having a family history of asthma also increases the risk for individuals to be affected with asthma-related symptoms. Black, non-Hispanic children tend to make up the largest percentage of asthma-related ER visits compared to other race/ethnicity groups. In 2022, Black, non-Hispanic children comprised 34% of New Jersey’s asthma-related ER visits amongst children followed by Hispanic children at 31%. Black, non-Hispanic children also made up 32% of asthma-related admissions to the hospital in 2022 while Hispanic children made up 27%.
To best help children manage their asthma, it is important to be informed of their triggers and know how to avoid them. In addition to having the knowledge to avoid the triggers, allergists may prescribe medications to your child depending on the severity of their asthma. Children might be given quick relief medicine, which can help to treat an asthma attack and its related symptoms, and preventative medicine, to suppress asthma attacks and symptoms. Allergists can also help children with asthma by creating an action plan whereby there are parts for when the asthma is under control, when feeling symptomatic, and when experiencing an asthma attack.
It is important to remember that children with asthma can still have healthy and active lives by understanding their triggers and learning to manage their symptoms.
ACNJ Annual Report 2024
Posted on October 28, 2024
Thank You to Our Supporters
As we reflect on this year’s achievements, and look to opportunities ahead, we know our wins for children would not be possible without our many supporters and partners. Thank you for supporting our work on behalf of New Jersey's children.
Nurturing Growth: Who Supports Black Breastfeeding Mothers?
Posted on October 24, 2024
Guest: Toshira Maldonado, M.Ed., CPE, CD (CCI)
Certified perinatal educator, full-spectrum doula, and co-founder of Most Beautiful W.O.M.B.
Interviewer: Al-Nisa Murray, CLC, CHC, MPH
Lactation consultant, co-chair of the Maternal Infant Health Group, and member of ACNJ’s New Jersey Parent Leadership Council
Co-Authored by:
Keith Haddad, Staff Writer and Eloisa Hernandez-Ramos, Outreach and Communications Associate
Reflections from a Perinatal Educator and Doula
In a world where motherhood is often celebrated, in America, breastfeeding remains a quietly controversial subject—especially for Black mothers. The legacy of stigma and trauma surrounding Black lactating women in America runs deep, but change is happening. Al-Nisa Murray, from ACNJ’s Parent Leadership Council, had the opportunity to speak with Toshira Maldonado, a certified perinatal educator, full-spectrum doula, and co-founder of Most Beautiful W.O.M.B. (Women Overcoming Major Barriers), an organization that supports women navigating adversity and trauma. Her 25 years of experience have given her unique insights into the challenges and joys of breastfeeding within the Black community.
Maldonado’s wisdom is simple but profound: "Don't give up. Don't get tired. Don't throw your hands up. Stick with it and recognize that you are doing something only you can do for your baby."
Facing Stigma and Reclaiming Tradition
Maldonado discussed the complicated relationship many Black women have with breastfeeding. Though Black women were once central to caregiving and nurturing in American society, those contributions were often devalued or exploited. Historical traumas—including the legacy of enslaved women forced to serve as wet nurses—linger in ways that still discourage breastfeeding today. Some come from generations where breastfeeding wasn’t an option Maldonado explained, and that stigma has been passed down.
But she sees hope. The rise of initiatives like Black Breastfeeding Week, founded in 2012 by Kiddada Green, Kimberly Seals Allers, and Anayah Sangodele-Ayoka, aims to change these narratives. Through community education and celebration, these movements are giving Black mothers the tools and confidence to reclaim their bodies and their power.
Breastfeeding as Self-Care and Empowerment
Maldonado’s work focuses on more than just the mechanics of breastfeeding—it’s about self-care and empowerment. Breastfeeding is as much for the mother as it is for the baby she asserts. Many mothers she works with tend to neglect their own needs, focusing entirely on their children. Maldonado encourages them to see breastfeeding as a way to nourish both themselves and their babies:
“You don't have to worry about running out of formula, formula shortages, or recalls because your body can produce the nutrition your baby needs.”
She also highlights the benefits on the child’s brain development. Knowing that they are giving their babies the best nutrition available provides mothers with a sense of security and pride. It’s a reminder that their bodies are capable, strong, and essential to their child’s development.
The Power of Community and Peer Support
Maldonado believes that true cultural change starts within the community. She endorses the need “for us, by us” spaces where Black mothers can feel safe, supported, and free to share their experiences." In these spaces—whether through peer lactation counseling or informal gatherings—mothers can find solidarity and empowerment.
One of her most effective strategies is what she calls a “feeding clutch”—intimate gatherings where expectant and new mothers learn from both experts and peers. These conversations allow fears and misconceptions to be addressed openly, creating an environment where every mother feels supported.
“We are all matches,” she says, “None of us are a whole matchbook. So you could start an explosion with just one match.” This is the power of peer support: when one mother overcomes the odds and shares her story, she becomes the spark that inspires others just by being the peer supporter who says, “I breastfed my baby.”
Change Starts at Home
Maldonado stresses that changing the narrative around breastfeeding must begin within the family. She explains “If the family is in tune with this, and if both partners are supporting each other, and everyone is on board with this beautiful occurrence” then this shift in mindset within families has a ripple effect, transforming not only communities but entire generations.
She also emphasizes the importance of nutrition, reminding mothers that what they eat continues to benefit their babies even after birth. When moms eat well, their babies thrive—both inside and outside the womb. It’s a reminder that real change starts with one small act, supported by those closest to us.
A Call to Action: Support and Empower Black Mothers
Maldonado’s passion for breastfeeding and maternal health is contagious. But her message isn’t just for doulas, educators, or healthcare professionals—it’s for all of us. Whether you are a parent, a partner, or simply someone who cares about equity in maternal and infant health, there are ways to help:
- Educate yourself on the benefits of breastfeeding and the challenges Black mothers face.
- Create safe spaces for open conversations about breastfeeding within your community.
- Support initiatives like Black Breastfeeding Week and organizations like Most Beautiful W.O.M.B.
- Encourage and uplift the mothers in your life, especially those navigating stigma or trauma.
Together, we can change the way breastfeeding is perceived and practiced in our communities. By celebrating and supporting Black mothers, we are not only helping babies thrive but also reclaiming traditions and restoring autonomy to those who have been denied it for far too long.
As Maldonado puts it, "A mother who faces disparities and has deficits stacked against her but chooses to breastfeed can revolutionize her entire community. It all starts with one match."
Did you know Infant Mental Health is EVERYONE’S Business?
Posted on October 21, 2024
By Diane Dellanno
Senior Policy Analyst
For more information on this topic, contact Diane at ddellanno@acnj.org
Celebrate Babies Week is here! Join us, along with the NJ Association for Infant Mental Health (NJ-AIMH) and the Montclair State University Center for Autism and Early Childhood Mental Health (CAECMH), as well as the Alliance for the Advancement of Infant Mental Health, and other Infant Mental Health (IMH) associations from across the globe as we celebrate babies, their families, and all those who support them!
Infant and Early Childhood Mental Health (IECMH), sometimes referred to as “early relational health,” refers to how well a child develops socially and emotionally within the context of their relationships. Between the ages of birth to three, babies are learning to form secure, trusting, and caring relationships with the adults around them. Children with positive and engaging interactions in their earliest years are more likely to enjoy good physical and mental health over their lifetimes, while negative experiences during that timeframe can adversely impact brain development, with serious lifelong consequences. Everyone - from parents, to service providers, to policymakers - plays a role in ensuring babies have healthy early relationships and experiences that promote healthy development across a child’s lifetime.
Celebrate Babies Week is the perfect time to reflect on the collective progress made in New Jersey to increase the availability of infant mental health services and to build a well-trained workforce in the arena. As a result of an increased understanding among our state leaders and policymakers over the past few years regarding the unique mental health needs of infants and toddlers, and the recognition that more has to be done to address the current mental health crisis, we are thrilled to celebrate the following wins for babies:
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- Since 2021, over 170 mental health professionals working with young children, including mobile response and intensive in-community clinicians, have received intensive training on infant mental health through a partnership with the Department of Children and Families, Children’s System of Care and Montclair State CAECMH.
- As of December 2023, a total of 98 infant and early childhood mental health professionals have been endorsed by the NJ-AIMH. Since 2020, 20 additional infant and early childhood mental health clinicians have been endorsed. NJ-AIMH is the sole provider of the NJ-AIMH Competencies and Endorsement® system in New Jersey. Grounded in the best practices developed by the Michigan Association for Infant Mental Health (MI-AIMH), the NJ-AIMH Endorsement represents nearly a decade of efforts to bring to the state a highly-regarded professional credential to Infant Mental Health multidisciplinary professionals in the field. Endorsement has been in effect in NJ since 2014.
- Thanks to a partnership between New Jersey Department of Human Services (NJ DOH), Division of Family Development and Montclair State CAECMH, the number of infant mental health consultants in NJ has tripled in the past five years, now serving approximately 160 child care programs throughout the state per year. Infant mental health consultation is a prevention-based approach to facilitating children’s healthy social and emotional development. Specially trained infant and early childhood mental health consultants are paired with early childhood educators to build caregivers’ capacities and skills to facilitate young children’s social and emotional development before more intensive behavioral interventions are needed.
- In January of 2024, the Governor signed into law (PL 2023, c213) legislation requiring Medicaid to reimburse Clinical Social Workers, Professional Counselors, and Marriage and Family Therapists for behavioral health services. This will greatly expand access to mental health services for families enrolled in NJ FamilyCare, including babies!
- Funding has been included in the past two budgets to establish a program through the NJ DOH's Division of Medical Assistance and Health Services, NJ FamilyCare/Medicaid that provides an enhanced payment for well-child and sick visit claims submitted for children under 4 years of age at HealthySteps sites. HealthySteps is an evidence‐based program that serves young children from birth to age 3 and their families in a pediatric healthcare settings. Child development professionals, known as HealthySteps Specialists, are housed in the doctor's office as part of the healthcare team. They serve as liaisons between the child and family and the healthcare team and offer a range of services including mental health screenings, support services and connections to mental health services, as needed. This removes the burden from parents to navigate an often complicated mental and behavioral health system.
- The NJ DOH's New Jersey Early Intervention Services (NJEIS) has embraced early relational health as a central focus of their work. Early intervention services are designed to address a problem or delay in development as early as possible in children aged birth to three years. The NJEIS has partnered with Montclair State University and the NJ-AIMH to provide early relational health training and reflective supervision to their workforce.
- Three New Jersey clinics, Montclair State CAECMH, Children’s Home Society, and Care Plus, were awarded highly competitive infant and early childhood mental health grants from the US Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA). The purpose of this program is to improve outcomes for children, from birth up to 12 years of age, by developing, maintaining, or enhancing infant and early childhood mental health promotion, intervention, and treatment services.
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As the above interdepartmental/interdisciplinary wins indicate, infant mental health is everyone’s business! To learn more about how to make the relational health of infants, young children, and families your business, please visit: