Thread by @tylerblack32

@ashleypmiller Well both, sorta. I mean definitely the second. They very selectively and inappropriately cited those studies. A review of evidence that concludes that school decisions should be made cautiously and using best available evidence shouldn't be summarized as a stat about PTSD.
/1

@ashleypmiller as to whether "school closure negatively impacts kids" - it's quite complex and nuanced. As any child psychiatrist will experience, there is significant relationship to "schools being in session" and "psychiatric distress." Suicides rise, ER presentations increase.... /2

@ashleypmiller fights with families over school expectations, social expectations at school, bullying, etc.... we all know that summertime vs school months is markedly different and not in schools favor.

At the same time, school unquestionably helpful for child development.

/3

@ashleypmiller We don't have a ton of evidence that in person schooling is superior to at home schooling or distance schooling, and I'm also quite confident that "Grandma died of COVID" is as traumatic as not going to school.

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@ashleypmiller So... I think making large statements about the MH risk of closure such as "it's good" or "it's bad" is a huge mistake.

I'm very confident that having as few people die from COVID as possible is a better strategy than a strategy that leads to more families losing loved ones.