Surgeon General Advisory Wants Kids to Live ‘Beyond the Confines of Screens’

“The U.S. Surgeon General’s office issued a warning yesterday about the harms of extended uses of screens on children, raising concerns about its impact on academic performance, physical health and mental well-being. The advisory follows a contentious debate over screen time that has been fraught in recent years as schools that implemented 1-to-1 device ratios amid the pandemic now struggle with student attention, behavioral and mental health issues that took root around the same time. The latest advisory urges kids to pursue — and for the adults in their lives to encourage — a “broader world, beyond the confines of screens,” Health and Human Services Secretary Robert F. Kennedy Jr. said in an opening letter. The role of U.S. surgeon general has been vacant since January 2025, but the advisory was issued by a committee led by Kennedy Jr. The report encapsulates what researchers and education experts have been long saying : Excessive time in front of devices like smartphones and tablets can worsen mental health and academic outcomes for students. The American Academy of Pediatrics took a more nuanced approach to a similar report it released, Whitney Raglin Bignall, associate clinical director of The Kids Mental Health Foundation, tells EdSurge. Researchers rolled back their specific limits on screen time in favor of “family media plans” that set boundaries for media consumption. The Surgeon General’s advisory calls on schools to implement plans that many districts are already adopting or considering: bell-to-bell cellphone bans , or bans that do not allow the use of phones during the entirety of the school day, including passing periods and lunchtime. It also proposes screen time limits. The advisory specifies that screen time limit exceptions should be made for students who have individualized education programs or other needs for assistive devices — something about which disability advocates have expressed worry. It also urges schools to teach digital citizenship and digital literacy along with offering students social and physical activities that don’t involve screens. The report hits back against tech companies, like those that recently lost a California civil case over social media addiction. They were called by the advisory to eschew designing their apps for engagement in favor of user well-being by incorporating warnings about harmful screen use every time a user opens the app. The advisory also calls for tech companies to encourage children to socialize with friends and play outside, and get rid of features like recommendation algorithms and notifications. Correlation, Not Causation Raglin Bignall, associate clinical director of The Kids Mental Health Foundation, cautions that while research has found a correlation between screen time and poor mental health, there’s not yet cause-and-effect evidence. “There might be kids who need less [screen time], or those who are doing lots of different types of things with that content that's interactive that is not harmful,” Raglin Bignall says. “Nevertheless, it should be monitored. By doing that, we make sure that we're not doing too much [with screens], and that whatever we are doing is beneficial.” Teachers might notice students being distracted, not listening, being irritable or having a hard time being away from screens, Raglin Bignall says. Fatigue or lack of sleep among students may also be signs of too much screen time. She adds that screen time should especially be monitored for children who have attention or hyperactivity disorders. Not all screen time or content is equal, Raglin Bignall says. Teachers don’t need to rush to boot quality, evidence-based education apps from their lesson plans. The warning calls attention to harmful online behaviors like bullying and gambling. The content children encounter on these platforms can encourage risky behaviors like self-harm and substance use, the advisory claims, or put them in the path of exploitative strangers. In general, good content is educational, slow-paced and isn’t trying to market any products, Raglin Bignall says. Adults should pay special attention to what teens and tweens are seeing online, as those who struggle with confidence could be particularly vulnerable to harmful content like accounts that promote eating disorders. “I wouldn't want to make it seem that all screen time is bad,” Raglin Bignall says. “I often recommend co-watching with adults during those younger ages. As kids get older, it's still important for adults to monitor the level of content and what is being offered to them.”

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