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A
Welcome to another enlightening episode of into the Digital Future. I'm Jordan Shapiro.
B
And I'm Laura Higgins. Jordan, do you remember when we used to think that screen time was the big issue with kids and technology?
A
When everyone talked about screen time? Yeah. It's amazing to think about the way that our collective understanding of digital wellness has changed and evolved. Yeah.
B
And speaking of that evolution, we've got a true visionary joining us today who's been at the forefront of this field for decades.
A
Yeah, that's right. We have a close friend of ours, Dr. Michael Rich, who's also well known as the mediatrician. He teaches pediatrics at Harvard Medical School and he practices adolescent medicine at Boston children's hospital.
B
And Dr. Witch isn't just a doctor and researcher, though. He's also a parent and also recently became an author with his brand new book, the Media Attrition's Guide. A Joyful approach to raising Healthy, Smart, Kind kids in a screen saturated World.
A
I like the title, Laura. It really encapsulates his approach, his positive approach to digital wellness.
B
Yeah, absolutely. And listeners, I'm telling you, you're in for a real treat. Dr. Rich's insights on everything from parental screen news to the debate on smartphones in schools are truly eye opening.
A
Yeah. And he's going to share some fascinating information about the work he does at the Digital Wellness Lab, which both Laura and I have had the pleasure of being involved in.
B
Yeah, that's right, Jordan. And I'm really excited to discuss how Dr. Rich envisioned the future of digital wellness research and practice.
A
Yeah. And one thing I just want to call out from this conversation I really highlight was the way Dr. Rich, you know, his emphasis on really sitting beside young people as they navigate the digital world rather than trying to control or restrict them. So often it's sort of an us them when it comes to grownups and kids and digital. And he really emphasizes this together, this joint meeting, media engagement.
B
Yes, absolutely. It's a really refreshing perspective, isn't it? And it seems to align so well with what we've been exploring on this show about the importance of understanding and guiding rather than fearing technology.
A
Absolutely. So, so, so for parents, educators, caregivers, or even if you're just someone who's just interested in how technology is shaping our lives and our children future and our children's future, this, this episode of into the Digital Future is packed with valuable insights.
B
So if you're ready to gain a new perspective on digital wellness and learn how we can create a better, more integrated digital, physical world for our kids.
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Then dive in with us and Dr. Michael Rich.
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I'm Michael Rich in order of importance. I'm a parent, a pediatrician, a child health researcher and recently an author. I'm an associate professor of pediatrics at Harvard Medical School and I practice adolescent medicine at Boston Children's Hospital where we have both the Clinic for Interactive Media and Internet Disorders and the Digital Wellness Lab.
B
Welcome to the show, Michael. We're so pleased to have you here. Little disclaimer that Jordan and I have both worked with you in many different guises over the years. So we're really happy to have you join us. I'm going to start off with the first question. I'm really excited you mentioned the fact that you fairly recently became an author. So let's talk about your book which came out this year, the Mediatrition's Guide. Tell us all about it.
C
Well, for starters, I'll give the subtitle as well. Which is a joyful approach to raising healthy, smart, kind kids in a screen saturated world. We have a lot of scare stories out there about how social media or smartphones are ruining a generation, causing mental health spike. And what this book is about, I should show it to you, is really that the kids are okay and they can be okay if we educate and empower them to lead into the future in ways that are consistent with what their desires are. Kids don't want to go to dark places necessarily. Kids don't want to be unhealthy, but they are lured there. And so we in preparing this work at both at the Digital Wellness Lab and for this book, it's really about exactly what goes on with the child as she or he develops in a world with screens everywhere. And so the book is broken down into four parts what which explores what the influence of screens are at every stage of development on development. So what where we talk about the risks, the things that people are worried about from their kids. Screen use now what which is how to work our way into the future with Generative AI and the metaverse if it ever happens. The final part is for those who are too busy or who can't get to the whole book. It's actually an ages and stages digital wellness primer at each age and stage. It's giving you the points to watch out for and what to do.
A
Yeah, I got it. I mean, I mean, you know, you and I have always, have always been very aligned in our thinking. I want to ask you a bit. Well, let me start with a story if you don't mind. I was just last night sitting at the dinner table, all four teenagers around me at the dinner table, and I was telling them about how when I was their age, you know, if I needed my father to pick me up somewhere, like I had to tell, tell him at 7 o' clock in the morning, and I had to be there at that time at 6pm and there was no way to call him. And if I called him, you know, someone would be like, well, I don't know if we can disrupt him right now. Is it an emergency? Right. There was no texting. There was no, you know, there was, there was, there was no, there was no way to keep in contact in that, in that, in that ongoing way. And in some ways, as I'm saying it, I'm going, you know, part of me is the dad going, you all don't know how good you have it. And part of me is also thinking, wow, it's really amazing that my kids are able to keep in touch with me in a way that wouldn't have worked in a way that's not so disruptive all the time. All this is a long way to saying is that I went to bed last night thinking, like, where are the things? And this is the question I'm asking you, like, as you just think about it, where are the things where grownups are being sort of curmudgeonly kids these days and where are the things that, that we really should have concerns about?
C
How much time do you have? I think one of the important things that you realize in that conversation with your kids is there are a lot of positive affordances of this technology that we don't even think about. You know, they probably looked at you going, oh my God, that's ancient history, you know, but, but the reality is that we have integrated this into our lives. And one of the things that is both interesting and challenging as we move into more and more immersion with technology is really that we are following three moving targets here. The first one being the developing human from infancy to toddlerhood to childhood to adolescence, the young adulthood. And we know a little something about that. We've been studying it for over 100 years. But we also have it happening in a constantly evolving, often rapidly evolving digital ecosystem that both reflects and affects them. It reflects them because they're posting all the time. It is where they show themselves and represent themselves to the world. But it is also affecting them in a whole variety of ways, some of which can be harmful. And the third moving target which you were alluding to is the change in all of our behavior because we have these devices at our fingertips. And one of the things that kids will often say to me when I ask them after their parents have left the room, what could your parents do better? And almost always the first thing out of their mouths is, pay more attention to me. You be present. And I think we've lost that in many ways when we mindlessly pick up our phones and, you know, check for that all important email after hours.
B
Yeah, I think that's, that's very, very true. And I'm probably guilty of that a little bit myself. So thank you for that great piece of advice there. One of the things, you know that where we've worked very closely together from, from Roblox point of view is with the Digital Wellness Lab. So that launched a couple of years ago, I believe, and is led by Boston Children's Hospital, Harvard Medical, and Roblox was very proudly one of the kind of first members to join, one of the founding members, along with some of our other friends in the tech space. Tell me a little bit about the goals and aspirations of the lab and the sorts of work that you're doing.
C
The lab is built on the foundation of the center on Media and Child health, which for 20 years was essentially a more traditional academic center of excellence placed at Boston Children's Hospital and Harvard Med School, where we did the research and we fed it back to the community through more conventional ways like writing journal articles, et cetera. And what we realized over time is two things. Number one is that kind of work is too slow to be really helpful to parents and teachers and anybody who interfaces with kids to, to be useful. That. And the second part of it is that after probably 10 years of being put on panels, in meetings with someone from the tech space so they could watch us argue, I called it intellectual cage fighting. To walk in, one walks out. Yep, right. And the stance I would take, interestingly, was not, you're doing terrible things to kids, but we've got to stop talking about Internet safety. And they go, what's that about? I said it's because we can't presume that the Internet is unsafe. This is a place that kids are going to need to live in, learn in, be productive in. We have to help them move toward mastery, not towards safety.
A
Right.
C
And no kid wants to be controlled or overseen by their parents anyway. So I think words really matter. We talk about getting rid of the term parental controls because there's no kid on the face of the earth who wants to be controlled by their parents. Let's talk about parental engagement tools. But after a number of these meetings, I was talking with one of your colleagues in the tech industry who was saying, I wish you'd quit, you know, beating us up over Internet safety because it's the one place where an industry which is intensely competitive, intensely secretive, and utterly convinced they are the smartest person in the room actually talk to each other because we have a shared risk. And so I sort of had a eureka moment and I said, why don't we move beyond talking? Why don't we actually work together? Let's get a situation where we can put a pediatrician next to a software engineer next to a neuroscientist next to an educator and see what comes of it, bringing our respective skill sets to bear on this issue. And so that was the origin of the Digital Wellness Lab where we do work that A, has fast turnaround so it's actually useful, and B, we're feeding to both the industry and to consumers at the same time because we are cognizant of the fact that the industry will be the one who changes this ecosystem in the most effective way and that maybe legislation and litigation are not the right answers because we waste a lot of energy and conflict rather than working toward the better self of us.
B
Yeah, it's so true. And it really resonates with me because I've been working with you on some of this stuff and, you know, we have some really engaging conversations. I'm seeing some really great collaboration amongst all of those different groups that you've talked about. So kind of a follow up from me, and this is my slightly cynical side coming out. As you said, this is a particular moment in terms of scrutiny of platforms, algorithms and the sort of AI that we're using, all of those sorts of things. It feels like there's really big momentum of these platforms wanting to work with NGOs, not for profits. You know, what did child development experts, things like that. For me, I've come from that background of charitable sector and now work in the tech industry. So I'm really positive about it in one way. But the cynicism is like, how impactful do you think those conversations really are? Are we seeing, yes, they might turn up and sit at the table, but is it actually affecting change on the platforms? Are they going away and doing what they say they're going to do?
C
Some of them are and I think the others are watching closely because the way we approach this is, you know, tech is no longer the latest bright, shiny thing in our universe. They have to move from a concept of grabbing that shiny thing to sustaining their business. And when we have legislators equating tech to big tobacco, we run the risk that we are going to throw the baby out with the bathwater here and in trying to block it off, which frankly doesn't work. Coppa 1.0 didn't work because nobody enforced it and many people didn't even know about it. But I think that if we work together, you know, it will work. And you know, I hearken back to Margaret Mead's statement, never doubt the possibility of two or three people making change happen because indeed nothing else has ever made change happen.
A
Yeah, yeah, I certainly agree with all, with all of that, but I want to switch, I want to switch gears. I want to get to the move away from the industry for a second and actually get to, I think you started to hint at it when you were talking about the last section of the book, which is, I think you have a way of talking about this that you don't, that I don't hear from almost anyone else, which is, as you know, everyone else talks about age appropriate, everyone else thinks about what's the direct. Right cutoff age. When should, what's the age at which every person's ready to have a cell phone? And you, you know, and you're, you know, you really think about what that means at different ages for different people. And I wonder if you could elaborate on that because I really don't think that's getting through yet to parents or educators or legislators or obviously legislators.
C
Absolutely. Well, I have two issues with age appropriateness, which on a sidebar, the idea of moving toward age appropriate design is absolutely on. Mark. The problems I have with age appropriate design is age and appropriate. All children of the same age are not the same, have the same capabilities, the same vulnerabilities. You line up 13, 13 year olds and they're all going to be at a different stage. But parents know those kids better than anyone else and it's a matter of being an active parent in the digital space. A parent that observes with curiosity, injects creativity as opposed to reprimanding and scolding them. The other word that I don't like is appropriate because that's a values laden word. What's appropriate in Massachusetts and what's appropriate in Iowa or Texas are entirely different things. What we talk about is developmentally optimal. What is development Del? What is developmentally optimal for this child? And one of the reasons we say that is that the idea of age appropriateness, et cetera, is focused only on the so called neurotypical kids. It excludes all the neurodiversity out there. And I firmly believe from working with many, many kids that we're all neurodiverse. We're all different in the ways we observe the world, synthesize the world, act on the world, and in ways we should not be looking for what's best for neurotypical, because frankly, that's defined as someone like me. Right? I am normal. The rest of the world is crazy, you know, So I think that we have to take a step back and really think about the way we talk about it. And we also have to talk about it as inevitable. In other words, we're not going to get rid of smartphones until they're superseded by something even better or powerful, faster. We're not getting rid of social media. In fact, nobody can even define social media anymore. And so I think that what we really need to do is look at the young person with curiosity and optimism and help them move toward their best selves, physically, mentally and socially.
A
Yeah, I mean, I think everyone listening and you know that I agree with that. I want to kind of ask a question in the opposite direction about the same thing, which is you and I were having a conversation recently about the research that shows how distracted kids can be in school by phones and how, whether it's in their backpack, whether it's anywhere in the building, they are thinking about, where's that notification? And you said something I've been thinking about ever since, which was the question of, and I guess this is a question of development. What's developmentally optimal? Right. But to actually have the ability for the parent to constantly say, how did your quiz go? How did your test go? What's going on in school is potentially problematic. Right. Did I understand you, what you were saying?
C
Absolutely. And in fact, again, under the rubric of words matter, I think we've got to stop talking about banning smartphones from schools for the simple reason that along with everyone else, when I hear the word ban, I push back against it. Nobody bans anything from me. Right. But we should be talking about how to best integrate these powerful tools in the task at hand at school. And there are two major tasks at hand. One is the didactic learning of math, science, literature, et cetera, for which smartphones are largely a distraction, if not completely a distraction. The second most important and perhaps even more important is what you just alluded to is the social, emotional learning of kids that, you know, school is the first place where young people get to be themselves, get to be an individual, not someone's child, not someone's relative, not someone's student. But they get to define and invent themselves in this new society that they are building. If mom is in their pocket asking how they did on that quiz and whether she should talk to the teacher or, you know, they're asking someone, picking on you in the playground or whatever, they don't get that opportunity. And sort of one of the most tragic things you'll see is go by an elementary or middle school or high school at break time, and they're not talking to each other, they're not playing with each other, they're leaning against a wall, checking their phones. And so I think we have to understand that these incredibly powerful tools can be used very effectively in schools, but the way they should be used in schools is to teach kids how to use them. And part of teaching them how to use them is knowing when it's not the best tool for the job and putting it down. So I think we need to have a much more nuanced approach to this. A lot of people who want the absolutes are looking for a binary answer to a complex and nuanced question.
B
Yeah, I think. I think you raised some really good points. And actually, it's quite sad to hear that kids aren't sneaking off to the back of the bike sheds and planning and plotting in the corner of the field like they used to.
C
Or kissing under the bleachers.
B
Exactly, exactly. So I'm just sort of thinking about, you know, I know some of the stuff we've done together over the years has been about, you know, support for parents and families particularly. And you've raised a couple of really good points already. But then how do we manage that while respecting the rights of kids and teens? You know, I think digital rights is so important now. There's been a real change. The UN Rights of the child now signed on by many countries around the world, some still to follow, but does respect this kind of, you know, not saying that, but yeah, you know, there's just, you know, access to technology and access to health advice online and all of those sorts of really important topics. So how do we juggle? Where do we start? And what kind of advice would you give that's just like, this is how you could approach it as a parent?
C
Well, a way that I sort of synthesize it for the book and actually when I speak to people is to think of the five M's. The first is model the screen behavior you want to see in Your kids, because they listen to 1% of what we say, but 100% of what we do. So when you come home, put the smartphone down and be present with them. The second one is mentor. Mentor them with each new device, platform, application, Sit down next to them and play that game. No matter how much you hate that game or how. How stupid you think it is, what you're doing then is you're saying, I love you, I respect you. I want to see what engages you here. And then when you finally figure out all the moves it takes to steal a car in Grand Theft Auto and you turn to your child and say, now why would you want to practice this over and over again? You're coming from a very different place, a place of curiosity, a place of actually being their student in many ways. But this is a way of, you know, moving into an open dialogue with them in the digital space. Because parent is more importantly a verb than a noun. The third m, and the one that gets pushed back against the most by both parents and the kids is be able to monitor them, have their usernames and passwords. The parents say, oh, my God, I don't have the time. I can't go everywhere. She goes online. And the kids say, I want my privacy. And we can respect their privacy, just as we respected their privacy in the written diary in the bedside stand. But because we can monitor their behavior and their actions online, they behave differently. It's sort of like random drug testing in the workplace that they act in an environment where they know that you're going to see it. And I tell them to practice what I call the grandma rule, which is don't post anything online you don't want grandma to see, because she can. Now, the 4th and 5th Ms. Are the goodies we get. One is making memories. We don't make memories of what we do online and what we do on a screen. We make memories of walks together, of conversations with someone, of playing ball with someone or making a mistake with someone, but doing that in real life and one on one or more as a group, these are the things that we make memories of and that we treasure into our later lives. And the final one is mastery of these tools. That is ultimately the goal. And mastery means knowing how these tools work, knowing what they work best for, how we can be our best selves on them, and how, when they're not, the best tool for the job, to put them down.
A
Yeah, it's very concise. I like. I like that. I agree with all of it. I might only say to the monitor point, I've always said I don't know why they should have privacy from me when they don't have privacy from every single tech company.
C
You got it. Or the rest of the argument, the rest of the world, Right. And they, and you know, to a 13 year old, privacy means so mom and dad can't see, but they're completely oblivious to all those forces out there who are not as loving and caring and nurturing as their parents who are seeking to exploit them in ways large and small.
A
Yeah, exactly. Well, let's do it. Let me ask you one final question and then we'll wrap up, which is where's the frontier? What's the question that no one's really put much work into yet? Where's the questions we really still need to do work in, think about, start to collect data and research, theorize. I mean, what's there? What is nobody asking yet that we're all going to have to turn to at some point?
C
No one is effectively asking the young people to lead us. And I think that that's where the future is. They do know these devices to a certain degree. What they don't have is the executive functions of impulse control, judgment, future thinking and all of that. And that's how we can interface with them and help them be there. We're still, unfortunately, I think in a mindset of we have to protect the poor innocent kids. And they don't like that paternalistic attitude. They don't like to be, as I say, controlled. So I think that we need to shift our perspective a little bit and sit beside them both, literally when we are introducing social media or a game or a device, but also sit behind beside them figuratively in the sense of let's work this together. Let's not expend energy being fearful or guilty or all the things that seem to be happening now. A lot of energy is going into fighting with each other. Instead of recognizing we're all in this together, why can't we bring all these skill sets to bear on how can we create a better world that is in fact a single digital physical environment that they move seamlessly between?
B
Yeah, I love that, Michael. And so, you know, we did an amazing piece of work together last year where we brought together all these experts from academia, from health, from tech companies, regulators, to sort of hypothesize how we move the needle in making these safer, more civil online spaces.
C
Right.
B
And we, we published a white paper which I'm sure we can share the link on the transcript for this, but it was a really fascinating sort of deep dive into what technology we need, what policies we need, and how we can help to educate and raise awareness. And the overarching thing that came out as the main thing that they really wanted tech companies and regulators to focus on was meaningful partition participation by youth, whether that be co creation, co design, youth boards. We need to get that voice in a proper, meaningful, embedded way to help us make the Internet better and safer. So hear, hear more of that.
C
I will note for you that one of the two keynotes, one was the psychiatrist in chief at Boston Children's Hospital and the other was an 18 year old patient of mine who were the keynote speakers that kicked off that event. And I think that that's the approach we need to bring. We need to bring caring science to it. But we have to use these tools which are great at giving kids voice. In fact, their wonderful way to reach kids who historically were marginalized because they had disabilities, because they were lgbtq, whatever they were, that they did not have their people, they did not have their tribe in their immediate physical proximity, but online they could find people who recognized them, who validated them, who cared for them, and frankly, who loved them. And we don't want to give that up, we shouldn't give that up. These kids need this. But we also need to learn how to, you know, be better, you know, find the better angels of ourselves, as Abraham Lincoln said.
B
Amazing. Thank you, Michael. I agree so much.
A
Thank you. Thanks for this conversation. Into the Digital Future has been brought to you by Roblox and the Joan Ganz Cooney center at Sesame Workshop.
B
Presented by Jordan Shapiro and Laura Higgins,
A
supported by our editor, John Dodato and
B
our technical producer Matt Clark.
A
For more information, visit cooneycenter.org future thanks for listening.
Podcast: Joan Ganz Cooney Center: Into the Digital Future
Date: December 11, 2024
Hosts: Jordan Shapiro & Laura Higgins
Guest: Dr. Michael Rich (The "Mediatrician," Harvard Medical School, Boston Children’s Hospital)
In this insightful episode, Jordan Shapiro and Laura Higgins sit down with Dr. Michael Rich—renowned as the "mediatrician"—to debunk common fears about children and technology. Dr. Rich, a pediatrician, adolescent medicine specialist, and author, brings a joyful and nuanced perspective to digital wellness. Together, they explore how kids can thrive in today’s tech-saturated world, focusing on empowerment, guidance, and the need for adult curiosity rather than control.
Screen Time Isn’t the Whole Story (00:07–00:26)
The hosts reflect on how concerns around children and technology have shifted—from an obsession with screen time to more complex considerations about digital wellness.
Dr. Rich’s Book: "The Mediatrician’s Guide" (03:37–05:20)
Dr. Rich introduces his book, which emphasizes a joyful, developmental approach.
"The kids are okay and they can be okay if we educate and empower them..."
The book is divided into four parts: the influence of screens at developmental stages, identifying risks, moving toward a future with emerging tech, and an “ages and stages” wellness primer.
Grownups as “Curmudgeons” (06:45–08:43)
Dr. Rich notes that while adults often dwell on digital risks, they overlook positive affordances—like improved parent-child communication.
Three “Moving Targets”: (06:45–08:43)
"We're following three moving targets here..." (06:45, Dr. Rich)
Kids Want Presence from Parents (08:25–08:43)
"Almost always, the first thing out of their mouths is, pay more attention to me. You be present." (08:35, Dr. Rich)
Origin and Goals of the Digital Wellness Lab (09:20–12:25)
Created to speed up research-to-practice and foster cross-sector collaboration, moving past adversarial “intellectual cage fighting.”
"We have to help them move toward mastery, not toward safety." (10:30, Dr. Rich)
Partnership between academics, the tech industry, and health professionals, with the belief that industry change is crucial and collaboration trumps litigation.
Shifting Away from “Internet Safety” (10:15–10:45)
Focus on skills for digital mastery, not policing or fear.
"When we have legislators equating tech to big tobacco, we run the risk that we are going to throw the baby out with the bathwater..." (13:50, Dr. Rich)
Warns against heavy-handed legislative approaches that don’t work in practice.
The Trouble with "Age Appropriate" (15:27–17:58)
Dr. Rich critiques standardized age guidelines:
"All children of the same age are not the same, have the same capabilities, the same vulnerabilities..." (15:40, Dr. Rich)
Prefers "developmentally optimal," emphasizing individual observation and curiosity over blanket rules.
Also highlights the importance of considering neurodiversity and moving away from “one-size-fits-all.”
Technology as Inevitable (17:20–17:58)
Technology won’t be "banned"—the focus must be on integration and personal growth, not control.
More than Bans: Integrating Tech in Learning (18:49–21:01)
Rather than "banning" smartphones, focus should be on purposeful integration and teaching students when/when not to use devices.
Two key school purposes:
"If mom is in their pocket...they don’t get that opportunity [to be themselves]." (19:55, Dr. Rich)
Binary Answers Don’t Fit Complex Realities
Emphasizes the need for nuanced, context-driven policies.
“They listen to 1% of what we say, but 100% of what we do.” (22:06, Dr. Rich)
“Parent is more importantly a verb than a noun.” (23:00, Dr. Rich) “Practice what I call the grandma rule: don’t post anything online you don’t want grandma to see, because she can.” (23:30, Dr. Rich)
The Unasked Question: Youth Leadership in Digital Spaces (26:02–27:26)
Dr. Rich advocates for truly empowering young people to lead digital innovation and governance, rather than simply imposing adult frameworks.
“No one is effectively asking young people to lead us. And I think that's where the future is.” (26:02, Dr. Rich)
Adults should shift from protectionism to partnership—“sitting beside” kids both literally and metaphorically.
Real Youth Participation: Co-creation and Youth Boards (27:26–28:21)
Laura and Dr. Rich highlight recent initiatives bringing youth voices into tech policy.
"The main thing that they really wanted tech companies and regulators to focus on was meaningful participation by youth...in a proper, meaningful, embedded way." (27:52, Laura Higgins)
Digital Tools as Connectors for Marginalized Youth (28:21–29:29) Online spaces uniquely allow marginalized youth (disabled, LGBTQ+) to find “validation, care, and love”—a vital benefit that shouldn’t be lost.
"We shouldn't give that up. These kids need this. But we also need to...find the better angels of ourselves, as Abraham Lincoln said." (29:15, Dr. Rich)
This episode encourages a shift from panic and control to thoughtful partnership and guidance in navigating children’s digital lives. Dr. Rich, Jordan, and Laura promote curiosity, co-creation, and empowering young people—advocating for solutions as nuanced as the kids and technologies themselves. Through the “Five M’s,” developmental optimality, and authentic youth participation, the episode offers a practical and hopeful roadmap for parents, educators, and industry leaders alike.