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The semiannual OTC derivatives statistics provide data on notional amounts outstanding and gross market values for all types of over-the-counter derivatives contracts. They are reported by large dealers in 12 countries on a worldwide consolidated basis.

Gold and silver prices often move in tandem, but the gap between them widened by 31% January through April in line with a trend that began nine years ago.

Staying active and maintaining physical fitness has many benefits to all elements of wellness, including mental and emotional well-being that may be taxed during social distancing. At Penn State Mont Alto, the athletic department has been releasing weekly at-home workout and challenge videos that are accessible on our Facebook and Instagram pages to keep our student-athletes engaged.

Apple's Jeff Williams says that supply chains are running well and that the company is optimistic about the future for the economy both for itself and for America as a whole.

Qualcomm CEO Steve Mollenkopf in an interview on Thursday said the chipmaker's relationship with Apple has greatly improved since the two companies ended a bitter legal battle over patent licensing and royalties in 2019.

OM Montenegro put on a two week Beach Outreach in the city of Bar.

Denver Newsroom, May 7, 2020 / 05:29 pm (CNA).- A Notre Dame sociologist is using data to challenge a Harvard Law professor’s assertions that homeschooling is “dangerous”, and detrimental to society.

The controversy stems from a recent paper by professor Elizabeth Bartholet in which she calls for a presumptive ban on homeschooling in the United States.

Bartholet, as quoted in a Harvard Magazine piece based on her paper, points to unspecified “surveys of homeschoolers” to assert that “up to 90 percent” of homeschooling families are “driven by conservative Christian beliefs, and seek to remove their children from mainstream culture.”

“Some” homeschooling parents are “‘extreme religious ideologues’ who question science and promote female subservience and white supremacy,” she writes.

David Sikkink, associate professor in the Department of Sociology at the University of Notre Dame, analyzed surveys of homeschooling families— including a 2016 government survey—  and found that these families are not overwhelmingly Christian nor religious, and are not as universally closed-off to the outside world as Bartholet asserts.

In the analysis Sikkink conducted, just 16% of homeschooling parents said they were homeschooling primarily for religious reasons. The number one reason homeschooling parents cited was a concern about school environment, such as safety, drugs, or negative peer pressure.

Eleven percent of parents reported homeschooling because their child has special needs.

While approximately half of the homeschooling parents surveyed mentioned religion as a factor in their decision to homeschool, Sikkink notes that the parents who cited religion as a reason were, on the whole, more highly educated than those parents who did not.

In terms of Bartholet’s assertion that some homeschooling parents “believe that women should be totally subservient to men and educated in ways that promote such subservience,” Sikkink’s analysis did not find evidence that religious households oppose higher education for girls.

Among the homeschooling families in the survey who use a religious curriculum, there was no difference in their self-reported educational expectations— i.e., what education level they expected their children to reach—  for their male children vs. their female children.

Several past studies have shown that homeschool students typically outperform their public and private school counterparts on things like standardized tests and college performance. A 2016 study from the National Council on Measurement in Education showed that, when adjusted for demographic factors, homeschool students were on par academically with their demographically-similar peers.

Moreover, the data Sikkink analyzed suggests that after family background and demographic controls are accounted for, about 64% of homeschoolers “completely agree” that they have much in life to be thankful for, compared to 53% of public schoolers.

On feelings of helplessness, or lack or goals or direction in life, homeschoolers do not substantially differ from their public school counterparts, the analysis suggests.

In the Arizona Law Review, Bartholet argues that while homeschool children may perform as well as their peers on standardized tests or in college, they are also often isolated from their peers and denied experiences and exposures that would make them more productive citizens.

Bartholet claims in her article that “a very large proportion of homeschooling parents are ideologically committed to isolating their children from the majority culture and indoctrinating them in views and values that are in serious conflict with that culture.”

“Isolated families,” she asserts, “constitute a significant part of the homeschooling world.”

In contrast, Sikkink’s analysis found that among the schooling groups surveyed, homeschooling families had the highest level of “community involvement” of all school sectors.

“Community involvement” activities included attending sporting events, attending concerts, going to the zoo or aquarium, going to a museum, going to a library, visiting a bookstore, or attending an event sponsored by a community, religious, or ethnic group.

Homeschooling graduates are almost identical to their public school counterparts in likelihood to vote in federal and local elections, Sikkink found.

Furthermore, the total number of volunteer and community service hours for homeschooling graduates is very similar to or slightly higher than public school graduates, the analysis found.

Bartholet asserts that some homeschoolers “engage in homeschooling to promote racist ideologies and avoid racial intermingling.”

In contrast: “The reality is that about 41% of homeschooled children are racial and ethnic minorities,” Sikkink writes.

“When asked about four closest friends, about 37% of young adult homeschoolers...mention someone of a different race or ethnicity—exactly the same as public schoolers.”

This diversity also extends to schooling practices— increasingly, Sikkink says, homeschooling adopts new forms, including “hybrids” that combine the benefits of home and institutional schooling.

“About 57 percent of homeschoolers are using some form of instruction outside the family,” Sikkink told CNA in an email.

“That includes using tutors, private or public schools, colleges or universities, or homeschooling coops. That percentage would be higher if we included those who reported obtaining curriculum from formal institutions, such as public schools.”

Moreover, about a third of homeschooling parents obtain their curriculum or books from a public school or school district.

“Altogether, 46% of homeschoolers have some pedagogical relationship with public schools,” Sikkink asserts.

Bartholet argues that homeschooling puts children at risk of abuse by their parents, while if children were in public schools, they would be among teachers who are mandatory reporters of any suspected abuse that may be taking place.

“The issue is, do we think that parents should have 24/7, essentially authoritarian control over their children from ages zero to 18? I think that’s dangerous,” Bartholet asserts in the Harvard Magazine piece.

“I think it’s always dangerous to put powerful people in charge of the powerless, and to give the powerful ones total authority.”

Sikkink says Bartholet’s image of a child confined to the home “24/7...from ages zero to 18” is not consistent with the data.

“When we look at the use of homeschooling for each year of the child's upbringing, we only find a small percentage that report that the child was homeschooled for all their years of schooling,” Sikkink told CNA in an email.

Many of these students are part-time public schoolers— about 25% of homeschoolers receive some instruction in public schools during their school-age careers, he wrote.

Homeschooling regulations vary widely by state. Sikkink told CNA he hopes future studies will examine the effects of state-level variation in regulation on homeschooling quality.

“The question of schooling oversight remains, of course, but it would be short-sighted not to keep homeschooling and other creative schooling options in the mix, including the hybrid models that cross sector boundaries,” Sikkink concludes.

 

Subsequent to the publication of this story, Sikkink told CNA he had revised his assessment of the percentage of homeschoolers using instruction outside the family, from 64% to 57%. The story has been updated to reflect that assessment.

This is a SOLIDWORKS Tutorial for a drop out bowl mold. The mold is designed to create a slip cast ceramic bowl. The tutorial focuses on the combine tool, and the use of undercut analysis, which evaluates the design of the bowl for possible issues for molding. It is essential to test a model in this way before molding to avoid the model getting trapped in the mold.

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CNA Staff, Apr 21, 2020 / 02:19 pm (CNA).- Indigenous rights groups are warning that many families in Bangladesh who have lost jobs and income because of the coronavirus pandemic are not yet receiving aid, and many are facing starvation.

A joint statement from three Bangladeshi indigenous rights groups warns that the vast majority of those living in rural areas are day laborers, and are now out of work.

Bangladesh, a low lying county situated just east of India, has 3,400 confirmed cases of COVID-19 and has recorded 110 deaths. Officials say actual numbers are likely higher due to a lack of testing kits.

Romen Kisku, a Catholic father of five and member of the Santal ethnic group, told UCA News that his family has received a small amount of food aid from a charity, but he worries it will not be enough to feed his 10-member family. He and his family live in the northern region of Dinajpur, and he said he hopes to find work in a neighboring region as a paddy farmer.

“Three men of our family are day laborers and our income pays for everything. Now we cannot go to work and government aid has not reached us. The minimal aid was too little for our family, so we have to go on starving if things don’t improve,” Kisku told UCA News.

Ethnic-minority Santal people live mostly in northwestern Bangladesh as well as parts of India and Nepal. About eight percent are Christian.

Bangladesh has a low percentage of Catholics— as low as 0.3% in some areas— and the Catholic aid group Caritas is struggling to raise funds for the poor.

“We have made an appeal to people in our parishes and areas, so they come up with whatever they can to assist those having hard times during this crisis. The suffering of people will intensify if the crisis lingers, so we need to help people any way possible,” Bishop Sebastian Tudu of Dinajpur told UCA News.

Though the government and charitable organizations are mobilizing to provide relief, the remoteness of the areas where many indigenous people live mean that in some areas, very few families have yet received government assistance.

Though Catholic Relief Services is active in providing aid in refugee camps in Bangladesh, a CRS spokesperson confirmed to CNA that CRS is not currently active in the Dinajpur region.

The branch of Caritas in the southeastern port city of Chittagong has taken two emergency cash handouts of 2,250 taka (US$27) and 1,547 taka to support 950 families on the hills, UCA News reported.

Bangladesh’s government started food relief and subsidized food sales at the end of March, aiming to support about 50 million poor and needy people across the country, UCA News reports.

Bangladesh imposed a nationwide lockdown March 26, with a restriction of no more than five people allowed to congregate in prayer in a mosque, the New York Post reported. Despite this, on April 18 a crowd of some 100,000 people gathered for a funeral in Brahmanbaria, in the eastern part of the country.

CNA Staff, Apr 27, 2020 / 11:30 am (CNA).- The number of Catholics in South Korea increased by less than 50,000 in 2019, continuing a trend of slowing growth after a peak following the 2014 apostolic visit by Pope Francis to the country. 

According to the Catholic Bishops' Conference of Korea, there are 5.91 million Catholics in South Korea’s 16 dioceses; an increase of 48,000 over to 2018’s total. Catholics make up 11% of the national population. 

Overall, the number of Catholics in the country increased by 0.8%, which is slightly lower than last year’s increase of 0.9%. In recent years, the Catholic population in South Korea has grown by an average of 1% each year. 

Like many countries, South Korea’s Catholic population is aging. About one in five South Korean Catholics are over the age of 65, and only 8.5% of Catholics are age 19 or under. A total of 14% of priests are over the age of 65.

South Korea’s flock saw the largest overall percentage increase in 2014, when it increased by 2.2%. Pope Francis visited the country in August of that year, the third visit by a pope to the country. Pope John Paul II visited South Korea in 1984 and again in 1989, when the country hosted the 44th International Eucharistic Congress.

These numbers come as South Korea is grappling with an outbreak of COVID-19, a disease which has seen much of its spread in the nation come from a single member of the Shincheonji Church of Jesus. About half of South Korea’s nearly 11,000 confirmed coronavirus infections stem from “Patient 31,” a member of that church who did not abide by isolation rules after coming down with COVID-19. 

The Catholic Bishops’ Association of Korea refers to Shincheonji Church of Jesus as a “pseudo-religious organization” and a “cult.” The church was founded in 1980 by a man who believes that he is the second coming of Jesus. 

In 2017, the conference created the "Korean Catholic Task Force on Newly-risen Religions” specifically to combat the growing popularity of the Shincheonji Church of Jesus. 

Another source of outbreak were 30 Catholic pilgrims who tested positive for the illness after returning to South Korea from a trip to the Holy Land. Korean Air Lines restricted travel to Israel after these infections were discovered.  

South Korea suspended the public celebration of Mass in late February, and re-opened churches--albeit with strict social distancing requirements--on April 26.

Hanta, a committed young Christian from a rural village in Madagascar, learns that if she’s willing to obey God, He provides a way.

Starting a Christian micro-finance programme has been a long-time dream for OM Madagascar. In partnership with OM Hong Kong, this will soon become a reality.

Workers with OM Hungary minister to the weary and burdened in a local refugee camp.

Many schools experienced a new international flavour this year when the OM puppet outreach team was joined by a supporting Finnish church.

The impact of baseball on young people’s lives in Hungary goes far beyond learning how to play a new sport.

Two young Hungarians share about their experiences serving abroad with OM on Logos Hope and in the UK.

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To preserve Southern Africa’s relative peace in the face of rising challenges and threats, Southern African Development Community (SADC) member states must collectively reinforce its peace and security architecture.

After listening to the Gospel a self-proclaimed atheist encouraged Christians to go tell others this Good News.

The Passover season leads to a young Israeli woman asking about the Passover Lamb.

An incorrect GPS coordinate leads a worship team to the end of the road, yet God has another route planned.

The Hope of Israel outreach team visits Yoqneam, a biblical city without a church.

When specific medicine is not available during a medical outreach, OM Guatemala sees God miraculously provide for one mother in need.

The spiritual life of a young student is a challenge to us all not to become stale.

CNA Staff, May 8, 2020 / 07:00 am (CNA).- A new “dial-a-Mass” service enabling Catholics with no internet connection to listen to Sunday Masses is proving a success, an English bishop has said. 

Bishop Terence Drainey of Middlesbrough said that 100 people used the Mass-by-Phone service when it launched May 3.  

Public Masses were suspended in England from March 20 and churches ordered to close days later. The government has not indicated when churches will be allowed to reopen. 

The Diocese of Middlesbrough, in northern England, decided to introduce the phone line -- believed to be the first of its kind in England -- when it became clear that some Catholics were unable to follow livestream Masses because they didn’t have smartphones or Wi-Fi.

Bishop Drainey told CNA: “We’re trying to reach out to as many people as possible. But it became obvious to us that there are some people who aren’t on the internet and they are being completely missed and also wanting to somehow take part in the Mass.”

“As a result of that, talking to our communications people, we came up with this idea of having a ‘dial-a-Mass’ system.”

When Catholics call the service, they hear a brief message welcoming them to St Mary’s Cathedral in Middlesbrough. A recording of the Sunday Mass then begins. 

The Knights of St Columba Council 29 is funding the service, which the diocese believes is the first in England that doesn’t require special access codes.

Bishop Drainey said the line was part of the Church’s creative response to restrictions imposed by the government to prevent the spread of COVID-19.

“One of the things that this crisis situation has brought out is people’s imagination: how to initiate new ways of praying, new ways of getting in touch with the larger Church, participating virtually in liturgical celebrations,” he said.

He added that the service was likely to continue after the crisis passed. He recalled that an 86-year-old woman had phoned him just before the lockdown to talk about livestreamed Masses:

“I said we’re about to do it. ‘That’s fine, great,’ she said. ‘But when all this is finished, you need to continue livestreaming. People like me who can no longer get out, we long to be able to somehow be in contact with the Mass. So promise me there you'll really encourage livestreaming after this has all passed.' And I said: 'Yes, absolutely. I agree.'”

In addition to livestreaming Masses and Mass-by-Phone, the diocese is planning to hold a virtual pilgrimage to Lourdes after it was forced to postpone its regular trip to the French shrine at the end of May. The online pilgrimage will include services on Facebook as well as special prayers and reflections. 
 

Alcoholism in both men and woman is a huge problem in Poland. One young woman decides she’s had enough and turns to Christ.

CNA Staff, May 8, 2020 / 07:00 am (CNA).- A new “dial-a-Mass” service enabling Catholics with no internet connection to listen to Sunday Masses is proving a success, an English bishop has said. 

Bishop Terence Drainey of Middlesbrough said that 100 people used the Mass-by-Phone service when it launched May 3.  

Public Masses were suspended in England from March 20 and churches ordered to close days later. The government has not indicated when churches will be allowed to reopen. 

The Diocese of Middlesbrough, in northern England, decided to introduce the phone line -- believed to be the first of its kind in England -- when it became clear that some Catholics were unable to follow livestream Masses because they didn’t have smartphones or Wi-Fi.

Bishop Drainey told CNA: “We’re trying to reach out to as many people as possible. But it became obvious to us that there are some people who aren’t on the internet and they are being completely missed and also wanting to somehow take part in the Mass.”

“As a result of that, talking to our communications people, we came up with this idea of having a ‘dial-a-Mass’ system.”

When Catholics call the service, they hear a brief message welcoming them to St Mary’s Cathedral in Middlesbrough. A recording of the Sunday Mass then begins. 

The Knights of St Columba Council 29 is funding the service, which the diocese believes is the first in England that doesn’t require special access codes.

Bishop Drainey said the line was part of the Church’s creative response to restrictions imposed by the government to prevent the spread of COVID-19.

“One of the things that this crisis situation has brought out is people’s imagination: how to initiate new ways of praying, new ways of getting in touch with the larger Church, participating virtually in liturgical celebrations,” he said.

He added that the service was likely to continue after the crisis passed. He recalled that an 86-year-old woman had phoned him just before the lockdown to talk about livestreamed Masses:

“I said we’re about to do it. ‘That’s fine, great,’ she said. ‘But when all this is finished, you need to continue livestreaming. People like me who can no longer get out, we long to be able to somehow be in contact with the Mass. So promise me there you'll really encourage livestreaming after this has all passed.' And I said: 'Yes, absolutely. I agree.'”

In addition to livestreaming Masses and Mass-by-Phone, the diocese is planning to hold a virtual pilgrimage to Lourdes after it was forced to postpone its regular trip to the French shrine at the end of May. The online pilgrimage will include services on Facebook as well as special prayers and reflections. 
 

Javier left Mexico eight months ago to be a missionary in South Asia. Here he shares why he thought it would be an easier job.

10 challenges, 3 people, 0 phones and 1 awesome God.

Name: Sam Castro Home: Pachuca, Mexico Born in: March 1988 Joined OM Ships: September 2013 Previous employment: Veterinarian Current job on board: Shift leader in the book fair

From 21 July - 19 August, Logos Hope brought the hope of the Gospel to over 50,000 people who visited the ship in Incheon, South Korea.

Vatican City, May 5, 2020 / 03:30 am (CNA).- Pope Francis prayed for those who have died alone during the coronavirus pandemic at his morning Mass Tuesday.

At the start of Mass in the chapel at Casa Santa Marta, his Vatican residence, he said May 5: "Today we pray for the deceased who have died because of the pandemic. They have died alone, without the caresses of their loved ones. So many did not even have a funeral. May the Lord welcome them in His glory."

More than 250,000 people have died of COVID-19 worldwide as of May 5, according to Johns Hopkins University Coronavirus Resource Center.

In his homily, the pope reflected on the day’s Gospel reading (John 10:22-30), in which Jesus is asked to declare openly whether he is the Christ. Jesus replies that he has already told his listeners, but they have not believed him because they are not among his sheep.  

Pope Francis urged Catholics to ask themselves: “What makes me stop outside the door that is Jesus?”

One major obstacle is wealth, the pope said.

“There are many of us who have entered the door of the Lord but then fail to continue because we are imprisoned by wealth,” he said, according to a transcript by Vatican News. 

“Jesus takes a hard line regarding wealth… Wealth keeps us from going ahead. Do we need to fall into poverty? No, but, we must not become slaves to wealth. Wealth is the lord of this world, and we cannot serve two masters.”

The pope added that another barrier to progress towards Jesus is rigidity of heart.  

He said: “Jesus reproached the doctors of the law for their rigidity in interpreting the law, which is not faithfulness. Faithfulness is always a gift of God; rigidity is only security for oneself.”

As an example of rigidity, the pope recalled that once when he visited a parish a woman asked him whether attending a Saturday afternoon nuptial Mass fulfilled her Sunday obligation. The readings were different to those on Sunday so she worried that she might have committed a mortal sin. 

Rigidity leads us away from the wisdom of Jesus and robs us of our freedom, he said.

The pope named two further obstacles: acedia, which he defined as a tiredness that “takes away our desire to strive forward” and makes us lukewarm, and clericalism, which he described as a disease that takes away the freedom of the faithful. 

He identified worldliness as the final obstacle to approaching Jesus. 

“We can think of how some sacraments are celebrated in some parishes: how much worldliness there is there,” he said. 

“These are some of the things that stop us from becoming members of Jesus’s flock. We are ‘sheep’ of all these things -- wealth, apathy, rigidity, worldliness, clericalism, ideologies. But freedom is lacking and we cannot follow Jesus without freedom. ‘At times freedom might go too far, and we might slip and fall.’ Yes, that’s true. But this is slipping before becoming free.”

After Mass, the pope presided at adoration and benediction of the Blessed Sacrament, before leading those watching via livestream in an act of spiritual communion.

The congregation then sang the Easter Marian antiphon "Regina caeli."

At the end of his homily, the pope prayed: “May the Lord enlighten us to see within ourselves if we have the freedom required to go through the door which is Jesus, to go beyond it with Jesus in order to become sheep of His flock.”

Vatican City, May 5, 2020 / 08:10 am (CNA).- The Vatican’s migrant and refugee office has released a booklet with guidance on how the Church might respond to the problem of people internally displaced within their own countries due to conflict or disaster.

Many people might be unaware of the existence of internally displaced people, or IDPs, Cardinal Michael Czerny, under-secretary of the migrants and refugees section, said May 5.

Speaking during a livestreamed press conference, he noted that internal displacement “is a current, contemporary reality in a surprising number of countries.”

Internally displaced persons are defined as those who have had to flee their home or residence due to violence, conflict, disaster, or development projects to find refuge in another part of the country. Since IDPs have not crossed international borders, they do not have the legal status of refugee or migrant and do not receive the legal protections those categories can give.

Czerny’s office, which is a part of the Dicastery for Promoting Integral Development, published a booklet May 5 called “Pastoral Orientations on Internally Displaced People.”

The document is directed primarily at dioceses, parishes, Catholic NGOs, and other Catholic organizations. It has short paragraphs on key issues related to the welcome, protection, promotion, and integration of IDPs, interspersed with quotes from relevant Church documents and speeches by Pope Francis.

The importance of spiritual care for Catholics who are internally displaced in their countries is one of the topics addressed. Cardinal Czerny said Tuesday he would like to highlight the response an average Catholic parish might give when it “discovers IDPs in its midst and learns how to reach out to them.”

“To me, this is a great sign of hope,” he said.

“When the Holy Father asks us to go to the peripheries, we might think of going to a faraway foreign land where we will do exotic things,” the cardinal said. “But the real peripheries which hurt are the ones that are very near at hand, the ones where people among us are invisible, are set aside, are discarded, are overlooked.”

According to data from the Internal Displacement Monitoring Centre (IDMC), at the end of 2019, 45.7 million people were living internally displaced from their homes worldwide for reasons of conflict. Including other causes of displacement, the number of IDPs is more than 50 million.

The IDMC reported that the countries with the highest numbers of internally displaced people are Syria, Democratic Republic of Congo, Afghanistan, Iraq, Yemen, and Colombia, though nearly every country in the world has IDPs.

In the United States, the IDMC says there were 916,000 people newly displaced internally due to disaster in 2019. The majority of these new displacements were caused by Hurricane Dorian and the California wildfires.

The Church can do something so that “those among us who have been forced to flee and find themselves among us will receive Christian welcome and the response the Body of Christ wants to give them,” Czerny explained.

He said the aim of “Pastoral Orientations” is for the more than 50 million IDPs “to be recognized and supported, promoted and eventually reintegrated, so that they can play an active, constructive role in their country even if powerful causes, both natural and unjust human causes, have forced them to flee from home and take refuge somewhere.”

“In the post-COVID-19 world that is emerging, their contribution will be very much needed,” the cardinal added.

He explained that publishing the document on internal displacement is “not a lessening on the priority of refugees, migrants, asylum seekers, victims of human trafficking,” but a matter of “continuing to respond to the full range of people’s needs and vulnerabilities,” even in the midst of a global pandemic.

“There are very many needs which didn’t go away just because we were focused on other things in the past weeks,” he underlined. “It’s not a question of COVID-19 displacing priorities. It’s a question of both/and…”

Problems such as internal displacement were already there, “and, on top of it all we also have the challenge as a human family of resisting and overcoming this pandemic.”

The Church, he said, is able “to take on a new challenge without jettisoning other problems as if they suddenly became irrelevant.”

A French couple attended the Off The GRID discipleship programme in New Zealand, where they learned about missions and God.

BACKGROUND:

Long delays between parents’ initial concerns about their children’s development and a subsequent autism spectrum disorder (ASD) diagnosis are common. Although discussions between parents and providers about early ASD concerns can be difficult, they are critical for initiating early, specialized services. The principles of shared decision-making can facilitate these discussions. This qualitative study was designed to gain insights from parents of young children with ASD about their experiences communicating with primary care providers with the goal of identifying strategies for improving conversations and decision-making regarding the early detection of ASD.

OBJECTIVES:

To determine if a multicomponent intervention was associated with increased use of first-line antibiotics (cephalexin or sulfamethoxazole and trimethoprim) among children with uncomplicated urinary tract infections (UTIs) in outpatient settings.

Youth suicide is a national and global public health crisis. Pediatricians can use primary and secondary prevention strategies to intervene with youth before or after the onset of suicidal behaviors. Universal suicide risk screening programs can be used to identify youth in medical settings who may otherwise pass through the health care setting with undetected suicide risk. Pediatricians are uniquely positioned to help foster resilience in their young patients and equip families of at-risk youth with safety plans and lethal means safety counseling. Pediatricians on the frontlines of this critical public health crisis require education and training in detecting suicide risk, managing those who screen positive, and connecting their patients to much needed mental health interventions and treatments. Evidence-based suicide risk screening and assessment tools, paired with interventions, are feasible and potentially life-saving in the medical setting.

Various states have legalized marijuana for medical purposes and/or decriminalized recreational marijuana use. These changes coincide with a decrease in perceived harmfulness of the drug and an increase in its use among youth. This change is of critical concern because of the potential harmful impact of marijuana exposure on adolescents. Marijuana use has been associated with several adverse mental health outcomes, including increased incidence of addiction and comorbid substance use, suicidality, and new-onset psychosis. Negative impacts on cognition and academic performance have also been observed. As the trend toward legalization continues, the pediatric community will be called on to navigate the subsequent challenges that arise with changing policies. Pediatricians are uniquely positioned to provide innovative care and educate youth and families on the ever-evolving issues pertaining to the impact of marijuana legalization on communities. In this article, we present and analyze the most up-to-date data on the effects of legalization on adolescent marijuana use, the effects of adolescent use on mental health and cognitive outcomes, and the current interventions being recommended for use in pediatric office settings.

In response to the growing impact of the current opioid public health crisis in the United States on adolescents and young adults, pediatricians have an expanding role in identifying opioid use early, preventing escalation of risky use, reducing opioid-related harms, and delivering effective therapies. Research and expert consensus suggest the use of brief interventions focused on reducing risks associated with ongoing opioid use and using motivational interviewing strategies to engage youth in treatment. Because fatal opioid overdose remains a major cause of opioid-related mortality among youth, delivering overdose education as part of any visit in which a youth endorses opioid use is one evidence-based strategy to decrease the burden of opioid-related mortality. For youth that are injecting opioids, safe injection practices and linkage to needle or syringe exchanges should be considered to reduce complications from injection drug use. It is crucial that youth be offered treatment at the time of diagnosis of an opioid use disorder (OUD), including medications, behavioral interventions, and/or referral to mutual support groups. The 2 medications commonly used for office-based OUD treatment in adolescents are extended-release naltrexone (opioid antagonist) and buprenorphine (partial opioid agonist), although there is a significant treatment gap in prescribing these medications to youth, especially adolescents <18 years of age. Addiction is a pediatric disease that pediatricians and adolescent medicine physicians are uniquely poised to manage, given their expertise in longitudinal, preventive, and family- and patient-centered care. Growing evidence supports the need for integration of OUD treatment into primary care.