Los Angeles Times

Poverty’s toll on young brains

One huge cost of letting the expanded child tax credit die: harm to neurologic­al growth.

- By Rebecca Schwarzlos­e and Joan Luby

Decades of research tell a clear and sobering story: Poverty is harmful to the developing brain. The research demonstrat­es how experienci­ng the adversity of poverty in childhood places children at risk for later hardships. It also shows how modest investment­s to protect today’s children from this adversity can lower the roadblocks and burdens they may face as tomorrow’s adults.

The federal government has been actively making such investment­s since July, when monthly payments of up to $300 per child were made through the expanded child tax credit authorized by the American Rescue Plan, a COVID relief package. These payments reached 27 million children from families with taxable earnings too low to benefit from the annual tax refund provided by the previous child tax credit. The result has been an unpreceden­ted reduction in childhood poverty and hunger.

Yet the expanded child tax credit is poised to become another Beltway failure. The provision expired at the end 2021. If it is not renewed or replaced with something equally supportive of struggling families, an estimated 9.9 million American children will fall back or sink deeper into poverty.

President Biden has proposed extending the policy for another year through his “Build Back Better” plan, but disagreeme­nt in Congress over the details of the extension threatens its future.

Studies in our lab and others have shown that living in poverty affects brain developmen­t, restrictin­g the natural growth of the hippocampu­s and amygdala, two structures deep within the brain that support learning and guide emotional responses.

Research suggests that these structural effects may be longlastin­g. Using brain scans, scientists have shown that adults in their 60s who were under economic strain in childhood tended to have smaller hippocampa­l structures than their peers who did not face this childhood adversity, irrespecti­ve of their financial circumstan­ces later in life.

The brains of children are particular­ly vulnerable to environmen­tal exposures because they are rapidly growing and changing, and highly influenced by experience. That is why children must be protected from public health hazards such as lead in drinking water and neurotoxin­s in baby food that increase their risk for neurologic­al and emotional problems. But neuroscien­ce research shows us that poverty can be toxic to children as well.

Although poverty may affect brain developmen­t through many routes — including poor nutrition and reduced cognitive stimulatio­n — extreme and chronic physiologi­cal stress is clearly one of them. Studies that measure children’s cortisol levels suggest that chronic stress is the missing link connecting childhood poverty to reduced growth of the hippocampu­s. Research shows that programs such as the expanded child tax credit, which provide financial assistance directly to families in need, measurably reduce this harmful strain on children in poverty.

We already know too well that children’s exposure to poverty and food insecurity casts a long shadow, placing them at greater risk for mental illness and substance abuse later in life. A child growing up in poverty is 69% more likely to develop a mental illness than peers who have more financial security. Data from a study we have conducted for 17 years show how the effects of early-life poverty on brain developmen­t across childhood place children at greater risk for cognitive difficulti­es and problems with emotion regulation in adolescenc­e.

These studies do not tell us about the capabiliti­es or potential of individual children or adults who grew up amid the adversity of poverty. Instead, they tell us about risk to a population, about burdens that these children are more likely to face because we have failed to protect them. Although many people will appreciate the value of protecting children from poverty’s harmful effects, most will see it as an unattainab­le goal. Thankfully, it is not.

Many other countries have mitigated the effects of childhood poverty with subsidized child care, universal preschool and child allowances, or monthly payment programs. With the expanded child tax credit, the U.S. briefly joined their ranks. U.S. Census Bureau data show that 59% of low-income families receiving this money spent it on food, and 91% spent it on necessitie­s, including utilities and rent, or on education.

Yet no check will be sent out this month. If Washington does not take swift action, we will lose the significan­t progress the country has made in reducing the damaging effect of poverty on American children.

Extending the expanded child tax credit or replacing it with a comparable child allowance would reduce the number of children in poverty by an estimated 40% and generate an estimated $800 billion in long-term savings and benefits to society, including improvemen­ts in health, higher educationa­l attainment and earnings, and reduced use of child protective services and criminal justice services.

Protecting children from poverty is not only a moral imperative — it is also a wise investment in a brighter and more equitable future for us all.

Rebecca Schwarzlos­e isa cognitive neuroscien­tist in the department of psychiatry at Washington University School of Medicine and author of “Brainscape­s.” Dr. Joan Luby is a professor of child psychiatry and a practicing child psychiatri­st at Washington University School of Medicine.

 ?? Gary Coronado Los Angeles Times ?? REP. MAXINE Waters and House Speaker Nancy Pelosi promote the expanded child tax credit in August in L.A.
Gary Coronado Los Angeles Times REP. MAXINE Waters and House Speaker Nancy Pelosi promote the expanded child tax credit in August in L.A.

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