Cayman Parent 2022 by Acorn Media

www.caymanparent.com

PUBLISHERS

Joanna Boxall Charles Grover EDITOR

Jessica Wright COPYWRITERS

Clare-Louise McGrath Mina Whorms SALES

Deborah Roberts DESIGN & PRODUCTION

Julian Dalton Michelle Pankhurst PROOFREADING

Claire Rohleder INTERNS

EDITOR'S LETTER Another year and another exceptional edition of Cayman Parent Magazine. On the front cover we celebrate four generations of Caymanian women ranging in age from 15 to 93. Their love, warmth and deep familial bonds are something to aspire to; as is their altruism within the community and church, all whilst forging successful careers. These strong family bonds have carried many of us through the past year and the power of this loving support cannot be underestimated. Many families in Cayman aren’t so lucky and our Poverty in Cayman article shines a light on their circumstances: families living in deplorable conditions without money for food and unable to access basic amenities. Although a painful read, the realities of how marginalised communities are living must be brought to the fore. We have a duty within our wealthy firstworld country to take action, learn more on pages 19-22. Our jam-packed 5th edition of Cayman Parent also includes a new Wellbeing chapter which covers everything from Prenatal Exercise, Sleep Therapy and Aesthetic Treatments to the Menopause! Something for all ages, whatever stages of life and parenting you are at. You will also find our usual mix of practical and emotional support including: advice on decoding Jolly Phonics, literacy milestones, part-time jobs for teens and how to navigate the minefield of teens and underage drinking. As our Islands re-open to the outside world again I, as a mum of two, have been reflecting on how lucky our children are to have been able to enjoy a largely care-free life this past year, unencumbered by restrictions, lockdowns and school closures. Many of you will hopefully be travelling abroad this autumn and beyond to be reunited with families and friends that Covid-19 has kept us apart from, and I wish you the happiest of reunions.

Amy Gillies Rosita Ritch COVER Photography: Rebecca Davidson Shoot location: The National Gallery of the Cayman Islands Make up: Kadian Edie from Rock Gorgeous Hair Hair: Amanda Darcy & Francis Campos from Rock Gorgeous Hair Clothing & accessories: Funky Monkey CONTRIBUTORS

Lindsay Bridgeman Kary Claybourn Lisa Donalds Will Doran Dr. Kate Horgan Dr. Lisa Joels Nick Joseph Dr. Jasmina Marinova Andrew McCartney Amy Miller Clare Miller Kay-Lee Nowers Dr. Maeve O'Doherty Dr. Barry Richter Cynthia Rowe Andrew Vincent Dr. Sara Watkin Natasha Were Kayla Young ADDITIONAL PHOTOGRAPHY

Rebecca Davidson Photography, Daria Keenan, Bouke Maddock, Julie Corsetti and Lisa Reid.

Jessica Wright

PS. Do visit www.caymanparent.com for the latest family events, and lots of extra advice and information that we couldn’t cram into these pages. Acorn Media Co Ltd. PO Box 31403, Grand Cayman KY1-1206, Tel: (345) 946 3200 Email: info@acorn.ky, www.acorn.ky. Cayman Parent is published annually in September. Complimentary copies can be found throughout the Island. The information can also be found at www.caymanparent.com. All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means: electronic or mechanical, including photography and recording without the prior consent of the publisher. While every effort has been taken to provide information that is accurate as possible, the publishers and respective contributors and researchers do not accept any responsibility for injury, loss or damage occasioned to any person as a result of material in this book.

Cayman Parent Magazine

SPECIAL THANKS TO

The National Gallery of the Cayman Islands for letting us shoot at their incredible location. Many thanks to Natalie Urquhart for all her help and fantastic recommendation to feature our front cover family. Last, but certainly not least, thank you to our front cover family, Mrs Francine, Jennifer, Rita and Elizabeth for the hospitality and kindness they showed the Cayman Parent Team!

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CONTRIBUTORS

What do you consider the best thing about parenting in Cayman? CYNTHIA ROWE "I have the privilege of meeting children from all over the world working here. There is such joy in watching them learn and appreciate different perspectives and worldviews, to help better understand the world around them. At the heart of this is Cayman, with its own unique and cherished way of life.” Cynthia is a Clinical Supervisor and Speech-Language Pathologist at KidsAbility, working with both children and adults. With 18+ years of experience, she is passionate about creating meaningful change in the lives of her clients.

KARY CLAYBOURN “As my children grow older I have realised how lucky we are to be part of this supportive and caring community made up of kind people from all backgrounds and cultures.” Kary was born and raised in England and worked in the residential and commercial property industry in both London and Hong Kong for 15 years before she and her family moved to Cayman in 2013. Kary has been an Associate at Blue Point Consultants Ltd since 2015. She and her husband Paul have three children.

KAY-LEE NOWERS “Cayman is just an endless toybox full of activities, fun and sunny days! We are so blessed to be able to raise the future leaders of this country in such a safe and loving community.” Kay-Lee is a Registered Dietitian of the Cayman Islands, working at Chatterbox Therapy Centre. Throughout her career, Kay-Lee has always had a passion for helping children reach their optimal nutritional potential. She considers every one of her little patients as being one of her own.

LISA DONALDS “The best thing is the opportunity to parent with my family. I am grateful to have them as part of my support system.” Lisa founded the firm Phoenix Legal in 2019 with the mission of providing accessible legal advice to the community. She obtained her legal experience by working with other offshore magic circle firms and the Portfolio of Legal Affairs. She is an experienced family law specialist with a broad range of experience. She is also the mother to a 12 year old boy and a newborn girl.

Cayman Parent Magazine

DARIA KEENAN “The best thing is enjoying the 'endless summer' and spontaneity all year round! When school is out we can grab an ice cream and then head to the beach on a random weekday.” Daria is an award-winning family and newborn portrait photographer. She once had a thriving career in HR but traded the heels for flip flops when she moved to the Island in 2013. When she’s not capturing memories for her clients, she’s creating them with her own family on the shores of Seven Mile Beach.

KAYLA YOUNG “While I am not a parent, I love how community-oriented and familyfriendly it is in Cayman. We are lucky to live in a place with so many events and beautiful beaches to enjoy with family and friends.” Kayla is a journalist who writes about community, environment and whatever topic captures her interest. Kayla studied journalism at the University of Texas and began her news career covering student protests in Chile. In Cayman, her focus has been on community reporting, including investigative pieces and coverage of Covid-19.

LINDSAY BRIDGEMAN “In Cayman, we see children grow up in a safe, multicultural environment with a great sense of community. We are so lucky to have so many opportunities and activities for them to explore and enjoy.” Lindsay is a licenced physiotherapist, women's health specialist and the owner of Cayman Physiotherapy Ltd. Lindsay trained in Glasgow and worked abroad before moving to Cayman 30+ years ago. She and her husband David have two grown up children.

DR. MAEVE O'DOHERTY “I have four children ranging in age from 8 to 13. Cayman is a wonderful place to raise children, especially when they're young. I moved here when my twins were six weeks old, they lived in their baby vests and no shoes!” Dr. O'Doherty is an Irish doctor who qualified after studying medicine in Ireland and completing 10 years of surgical training. After performing several fellowships, she moved to Cayman in 2013 and worked with the HSA. She joined Dr. Foley's Eye Clinic five years ago.

TABLE of Contents FIRST WORD

2022

A Seat at the Table With Four Generations p10 | Breaking Cycles: Changing the Narrative on Childhood Poverty p19 | Teens & Underage Drinking p24

NUTRITION

The Importance of Breakfast p28 | Baby Food Without the Chemicals p32 Sneaky Ways to Incorporate Healthy Food into Your Kid’s Diet p35 Take Your Taste Buds Travelling p38 | Nutrition Book Club p40 | The Listings p41

WELLBEING

EDUCATION

How to Choose a Preschool p62 | The ABCs of Active Reading p64 Literacy Development Milestones p66 | Schooling in Cayman p70 Homeschooling in Cayman p76 | Tutoring in Cayman p78 Inspiring Educators Q&As p80 | Boarding Schools p82 Ask a Boarding School Student p89 | Smart Scholarship Strategy p90 Saving for College Fees p95 | Applying to Overseas Universities p96 Local Colleges & Universities p100 | Trade & Vocational Training Courses p102 Education Book Club p105 | The Listings p106

HEALTH

121

ESSENTIALS

169

Preparing for Natural Disasters p170 | Hurricane Checklist p172 Finding Your Forever Home p174 | The Logistics of Hiring a Helper or Nanny p176 Applying for a Passport p177 | Immigration Rules for Kids p178 | Family Breakdown p182 | The Divorce Dilemma p185 Welcoming a Pet Into Your Home p187 Securing Your Family's Financial Future p188 | Guide to Writing a Will p190 Bank Accounts for Children p192 | Essentials Book Club p194 | The Listings p195 6

Cayman Parent Magazine

197

PREGNANCY

Fertility Options in Cayman p198 | New Baby Must Haves p200 Designing A Stylish Kid's Bedroom p202 | Pregnancy & Childbirth Q&As p204 The Costs of Having a Baby in the Cayman Islands p206 OB/GYNS, Midwives & Hospitals in Grand Cayman p208 Bump, Baby & Beyond p210 | The Ultimate Hospital Bag Checklist p212 Newborn Complications p214 The Importance of Well-Child Checks p216 Pregnancy Book Club p218 | The Listings p219

221

EARLY YEARS

Childcare Choices: Nanny or No Nanny? p222 | Decoding Jolly Phonics p224 Early Years Book Club p227 | Childproofing Your Home & Pool p229 Cayman's Super Nannies Q&As p230 | 30 Fun Free Things To Do p232 Parks & Playgrounds p234 The Listings p236

239

SCHOOL AGE

The Importance of Fostering Musical Appreciation in Children p240 Keeping Cayman Kind: How to Spot & Stop Bullying p242 Winning the Homework Battle p246 | Sun Safety for Kids p248 Raising Children with Faith p249 | The Gift of Giving: Volunteering in Cayman p250 School Age Q&As p252 | The Perfect Party Checklist p254 After-School Classes & Activities p258 | Getting the Most Out of Your Library p260 School Age Book Club p262 | The Listings p263

271

ADOLESCENCE

Part Time Jobs for Teens p272 | Disordered Eating p274 Parenting the Next Generation p276 | Teen Sports & Injuries p279 Having 'The Talk' p280 | Menstruation 101 p281 Low Cost & Free Activities for Adolescents p282 | Cayman’s Young Activists Q&As p284 Money Management Skills p286 | The Importance of Work Experience p288 Interview Tips p289 | Learning to Drive & Rules of the Road p290 Adolescence Book Club p292 | The Listings p293 www.caymanparent.com

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FIRST WORD

First Word

Photo by Rebecca Davidson Photography

Meet four generations of strong Caymanian women and hear their take on parenting, giving back and faith.

Contents

A Seat at the Table With Four Generations p10 | Breaking Cycles: Changing the Narrative on Childhood Poverty p19 | Teens & Underage Drinking p24

www.caymanparent.com

FIRST WORD

A Seat at

the Table With Four Generations by Clare-Louise McGrath

Mrs Francine Jackson, Jennifer Dilbert MBE JP, Rita Powell, and Elizabeth Powell offered Cayman Parent a unique multi-generational perspective on maintaining meaningful family relationships alongside professional success and the pressures of everyday life.

Over the course of two days, Cayman Parent was offered the unique privilege of a seat at the table with four generations of Caymanian women, who took turns sharing their own defining moments. From these, arose relevant conversations on empowerment, ambition, faith, community, parenting – and insight into what it takes to maintain intentional, meaningful family relationships while juggling professional success and the pressures of everyday life. This is what Mrs Francine, her daughter Jennifer, her granddaughter Rita, and her great-granddaughter Elizabeth had to say.

Cayman Parent Magazine | First Word

Photography by Rebecca Davidson Photography

“You can’t just pick one moment”, says Mrs Francine Jackson, when asked what the proudest moment of her life was to date. Sat with her at her dining room table surrounded by walls adorned from top to bottom with pictures of loved ones and achievements that illustrate an incredibly full life – she might well be right.

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Vernon have given their blessing to over 8,000 unions since establishing their wedding planning and officiant business, Cayman Weddings, in 1984. Today, Mrs Francine still officiates one to two weddings a week, and the beautiful wedding ceremonies that she and her husband wrote continue to be used.

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Mrs Francine Jackson

After pause for thought, Mrs Francine eventually did settle on her proudest moment: “My proudest moments are through my family.” It is a humble answer from someone with a resume as remarkable as Mrs Francine’s: teacher, insurance agent, Cayman’s longest serving civil registrar, founding member of the United Church’s Women’s Fellowship, recipient of the Gold Medal of Merit, wife, matriarch and renowned hostess. Even in graciously offering you a seat at her table, you are struck by the realisation that, as an influential figure in the women’s suffrage movement in Cayman, Mrs Francine has enabled generations of women to occupy a seat at any table.

This trait of selflessness is present in how she operates personally too and is something Mrs Francine and Vernon both endeavoured to instil within their children. “Growing up, it wouldn’t be unusual for everyone to have to take a bit of food off their own plate to make up enough for a needy neighbour”, remembers her daughter, Jennifer.

Born in Bodden Town, Mrs Francine was raised in West Bay by her adoptive parents, Caleb and Mabel Powell. There she met and married her late husband Vernon Jackson OBE JP who was trained as a schoolteacher. In 1956, the couple relocated to Bodden Town after Vernon was offered the position of headmaster at the Bodden Town All Age School. Vernon went on to carve out an impressive career in Government Service, mostly in Education. During this time, Mrs Francine, by then a mother of three, and a group of notable women, including Evelyn Wood, Nettie McCoy, Marie Rankine, and Evangeline McLaughlin, reinvigorated the local push for women’s suffrage. Prior to receiving the vote, Mrs Francine explains that women’s voices carried no real weight in Cayman society: “Men were the elders, the managers, the committee members…”. Through a concerted effort, these women lobbied to change that. Handwritten meeting minutes were carried from district to district, a petition was circulated, and women from across the Island made their way to George Town (a major logistical feat in those days!) to demonstrate in front of the Town Hall. With a total of 358 signatures, the petition was a success. Mrs Francine cast her first vote in 1959 and smashed through another glass ceiling as one of the first four women to stand for political office that same year. In short, Mrs Francine’s professional strides have been empowering. She leads by creating opportunities for others and her influence has spanned generations. She is a founding member of the Lighthouse School, which has enabled learning opportunities for thousands of children since its formation, she was a locally travelling insurance agent whose clients came to resemble something closer to friends, and together she and

Mrs Francine, the late Mr Vernon and their three children, Jennifer, Joy and Andre. / Photo by Rebecca Davidson Photography

Mrs Francine with 12 of 13 her great-grandchildren / Photo by: Maggie Jackson of Déjà vu Photos

It was this same table that Mrs Francine, Vernon, and their three children (daughters Jennifer and Joy, son Andre) sat around three times a day to share meals. The institution of communal mealtime has always been upheld in the Jackson household: “It is where you can sit and talk as a family,” explains Mrs Francine. “Nowadays it’s very different altogether. People are a lot busier. But I still feel good about the fact that we weren’t so busy in my day to sit and eat together.” As her children have grown up and started families of their own, daily meals together are augmented by weekly gatherings at Mrs Francine’s house. On any given Sunday evening you can find the matriarch surrounded by many members of the extended Jackson clan, including some of her 13 great-grandchildren, and various friends, enjoying her famous High Tea. The takeaway from such a tradition is clear: spending time together is a priority. What this looks like may vary from family to family – but for the Jacksons, carving out time to congregate around a table, eat and catch-up on each other’s week, is a significant part of preserving their close relationships. Perhaps belonging to the United Church’s caring community for over 90 years, during which she helped found the Women’s Fellowship and has consistently remained an active member, informed Mrs Francine’s values on relationships. “I thank God constantly for my Church family,” she says. She has had prayers answered alongside these people, celebrated life’s highs, and navigated life’s lows. She feels a deep sense of connectedness with the John Gray Memorial United Church community – and she reminds each member of it when she calls them each year on their birthday! www.caymanparent.com

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Growing up in Bodden Town, “life was good”, recalls Jennifer. “My siblings, Joy and Andre, and I spent a lot of time outdoors and in those days, you could safely walk the beach from one end of the district to the other even as a child. Everyone knew you and played a part in bringing you up.” After attending primary and secondary school in Cayman, Jennifer left the Island for Brock University in Canada, where she studied Economics. Shortly after completing her degree, she returned to Cayman where she began her civil service career in the statistics office (now ESO) and managed the 1979 Population Census. That same year she was crowned Miss Cayman, and after a busy year of travel and promoting Cayman, she married teenage sweetheart Leonard Dilbert, also a civil servant.

Jennifer with her parents and husband, Leonard, after receiving her MBE.

So began an over 30-year long career in the civil service, during which she headed the Financial Services Supervision Department (the precursor to the Cayman Islands Monetary Authority), remained a key figure in the development and drafting of the Cayman Islands legislation for financial regulation, served as the Cayman Islands Government Representative in the United Kingdom for eight years, established the Cayman Islands’ Freedom of Information Office, and held the post as Cayman’s first Information Commissioner. Leonard and Jennifer both rose up the ranks of the civil service to become Chief Officers, while raising their two daughters Rita and Juliette.

Juliette in tow, took a year-long sabbatical on Vancouver Island in Canada. Despite both Leonard and Jennifer’s rapidly advancing careers, the focus that year was on family. When asked about their parenting style, Jennifer echoes the same sentiments that were bestowed upon her by her parents: “Spending time together as a family is just so important. Sitting at the dining room table, chatting – that is how values get passed down.”

FIRST WORD

Jennifer Dilbert, MBE JP

All families have a set of beliefs, values, and attitudes that are handed down from generation to generation. Jennifer Dilbert, daughter of Francine and Vernon Jackson, confirms this to be true with the inheritance of a strong set of guiding principles and a career as impactful and diverse as both her mother’s and father’s.

Jennifer describes her almost decade-long stint working in the UK Cayman Islands Government offices as busy but rewarding. She advocated for Cayman through the Houses of Parliament and the European Union, she was a founding member of what is now Cayman Connection, she set up the UK Friends of Cayman group, and she re-established the All-Party Parliamentary Group. A flip through her photo albums (of which she has one printed for every year!) illustrates fond memories of her many official events such as Buckingham Palace Garden Parties, Opening of Parliament, and her Annual Office Receptions. She recalls enjoying dozens of the famed summer classical music ‘Proms’, outings with her father, mother and Leonard as well as days at Ascot and Glyndebourne, and picnics in the park or back garden with friends when the weather was nice. It was this same circle of friends that Jennifer got to ‘clink’ her Champagne glass with when she heard the news she was to be appointed a Member of the Order of the British Empire (MBE). “On the morning it was supposed to be in The Times, I got up early to buy a copy. I remember sitting on a bench on the way home, flipping through the paper – just to check it was really there!” With so much to be thankful for, Jennifer has always been interested in giving back to the community: “I had so much support – I want to pay it forward”. She is on several Boards and Committees, including the Board of the National Gallery, Board of Elders for the John Gray United Church, and the National Executive of the Women’s Fellowship. Along with her mother, she assists with the Church’s ministries such as Young Parents Programme, visitation of the elderly, support for bereaved families, food pantry, Christmas meals, soup kitchens and more. Life has carried Jennifer many places and in moments of indecisiveness she has leant into her faith. Her favourite Bible verse, Proverbs (3:5-6), perhaps sums up her approach to life best, “Trust in the Lord with all your heart, and lean not on your own understanding. In all your ways acknowledge Him and He will direct your paths”.

Jennifer’s parents instilled in her a self-confidence and sense of self-worth, “without which I could not have progressed in my career or life in general”, she explains. However, she believes her long list of accolades would not have been possible without an incredible support system. Their nanny, the late Lorine Hylton, and their parents, always pitched in to help Leonard and Jennifer balance work and home life. “I’m really sorry for people who have to juggle it all without any support – because it’s hard even with a lot of help”, Jennifer says, “and I’m particularly blessed to have a husband who has always supported me both practically and emotionally“. Prior to relocating to the UK for the Cayman Islands Government Representative position, the couple, with their daughters Rita and

Jennifer and Leonard with their daughters Rita and Juliette.

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FIRST WORD

Rita and Elizabeth Powell

Sitting with Rita and Elizabeth Powell, we are reminded of two things. Firstly, that our values are most clearly demonstrated in how we choose to spend our time and energy. Secondly, of the power strong familial bonds hold for uplifting the next generation. For Rita Powell, daughter to Jennifer Dilbert, granddaughter to Francine Jackson and mother to four children of her own – her interest has always been in service to the community. “I had many role models growing up in West Bay. My mum, dad, grandmother and grandfather were all in public service, so this is something that became a core value of our household.” Upon completing a degree in Art, Media and Design, Rita decided on a career in education and enrolled in teacher training, receiving a PGDE, a Post Graduate Diploma in Education. At the helm of her own classroom, she noticed that there were certain students who were having a harder time than others. Further study and completion of a dyslexic remediation course opened her eyes to a world of learning disorders, and she turned her focus to special needs education and transitioned into the role of Special Education Needs Coordinator. Rita presently works at John Gray High School as an on-site Inclusion Specialist where she implements interventions for children who may be experiencing social, emotional and/or learning difficulties so that they are able to cope in a general education setting. She is also studying for a Master’s in Mental Health Psychology. Reflecting on her professional achievements, Rita explains that anything she involves herself in “is to fill a need. Although we have made so much progress, there is still so much to be done to assist the vulnerable children in our community.” Alongside busy careers, Rita and her husband Dominique pour their time and energy into raising their children: Elizabeth (15), Alexander (12), Lionel (7) and Eli (3) and are proud of Dominique’s daughter Glory (19) who is studying abroad. Like the values passed down from her mother and grandmother, the couple firmly believes there is no substitution for spending quality time together as a family: “We have dinner every night at the table. We communicate, we swap jokes, we tell each other about our day. We have a wonderful time!” It is, nonetheless, a huge mission to make sense of six schedules. Thankfully, Rita has many helping hands to keep things ticking along: “My parents and Dominique’s mother, who has the affectionate title ‘Mum-Mum’, all are willing to do everything they can to help out,” she shares. “And of course – a giant whiteboard is essential!” On the topic of Rita and Dominique’s approach to parenting, Rita explains there is no ‘one-size-fitsall’ method, however she shares three things that work for their family: “We try to keep up-to-date on what is best practice. We recognise all four of our children as individuals with individual needs, so that we can respond accordingly. And finally, we try not to repeat mistakes.” Rita has learned many lessons from her roles as educator and mother, but one which she wants to impress upon others is to remember to praise the process and keep positive. She explains that children ultimately just want to be loved and make others proud, “I see it in my students at school as they try every single day to do their best, and my own children are no exception.

Cayman Parent Magazine | First Word

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They are such kind and compassionate people, and I am very thankful for the efforts they make.” It seems this gratitude is mutual. “I am lucky to be growing up surrounded by family members – there is always someone to keep me company and talk to”, shares Elizabeth, Rita’s eldest child who currently attends Cayman Prep and High School. These connections give way to a deeply rooted mutual respect and genuine care for each other, visible in Elizabeth’s easy relationship with her mother, the laughs she shares with her grandmother and the way she is sure to greet her greatgrandmother first when she enters a room. When asked what the best part is about growing up in Cayman, she answers “the sense of community”. Like the family members before her, Elizabeth is interested in preserving this community for future generations. She volunteers at the National Art Gallery, acts as Key Club Treasurer and volunteers with her mother and grandmother at the John Gray Memorial United Church. Her future stretches out wide in front of her and she is excited for what is to come! She plans to travel abroad for university – supported by the family and community that has always encouraged her to chase her dreams. Sitting around the table with these four women, one thing is certain: there is power in people coming together. There is strength in having a common purpose and it flows easily through the branches of this family tree. At points, this common purpose has been lifting each other up to feel supported personally and professionally, raising a child, embracing the role of grandmother, mother, sister, and daughter, working to better the community and always being each other’s biggest cheerleaders. Families come in many shapes and sizes, and they are never without their challenges. Mrs Francine, Jennifer, Rita, and Elizabeth have experienced their own share of hardships, disappointment, stress, and frustration – however in these moments they have found comfort in the arms of family and kept faith in God that it is all going according to His plan.

Rita and Dominique with their children Elizabeth, Alexander, Lionel and Eli and Dominique's mother, Margaret Powell.

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FIRST WORD

Breaking Cycles: Changing the

Narrative on Childhood Poverty By Kayla Young

A participant of ARK’s MER Programme

Baby Sophia began taking her first, clumsy steps shortly before her first birthday. Now, when she stumbles and falls, she is typically quick to soothe and quick to return to her mission to touch, taste and explore the world around her. By all means, she is a 'happy' baby who easily charms with her big smile and a head of soft, black curls. She is still, mostly, unaware of the instability around her. In her first year, she changed addresses three times – from a studio apartment, to a shared house, to a one-bedroom duplex. Her crib sits dismantled in the hallway, as it is too large to fit in the family bedroom. These days, she shares a bed with mum and dad, who have struggled to secure stable, full-time work during the Covid-19 crisis. This first year of Sophia’s life came as both a welcome and an immensely challenging experience for her parents. Between inconsistent construction work for dad and a smattering of housecleaning jobs for mum, Sophia’s family is stuck in survival mode – an increasingly common reality families face in the Cayman Islands since the border closed. While childhood poverty is not new to Cayman, its presence has been amplified by a tourism economy on hold and a lingering global crisis.

Even with a 16.6% drop in the non-Caymanian labour force in 2020, Caymanian unemployment reached 8.3% in the second half of the year, compared to 3.5% the year prior, according to the fall Labour Force Survey. While the long food pantry lines that made headlines early in the crisis have since faded from view, the suffering behind closed doors has not, explained Tara Nielsen, director of the local charity Acts of Random Kindness (ARK). Sophia and her parents are just three of thousands who have received emergency food and housing assistance from ARK in the past year. As of spring 2021, ARK director Tara Nielsen estimated that the privately funded charity was supporting around 3,300 individuals with food, housing and utilities. In comparison, government’s Needs Assessment Unit assisted an estimated 2,500 families with food and housing in all of 2020, according to official statistics. Many of the families, like Sophia’s, who were declined NAU assistance turn to ARK as a lifeline. “It's catastrophic,” Nielsen said. “If we opened the doors even more, there would be more people.” Despite the organisation’s best efforts, and those of other community workers, Nielsen fears the impact of the crisis could www.caymanparent.com

FIRST WORD

linger for years to come, as parents struggle to pay off debts and children suffer the consequences of persistent household stress.

programmes to make sure that that child is in a place where they are ready to go to school and learn,” Nielsen said. “There's no point paying for top-of-the-line intervention teachers if a child is coming home and hasn't slept all night, has bug bites everywhere, rats in the bedroom or is in an abuse situation. You have got to go home to something that represents a safe space for that child, with the basic needs met. We want water, food, a bed, bedding and safety for the child and the mum.” Nielsen’s vision is to expand the programme beyond George Town Primary to every elementary school in Cayman. Currently, ARK is working to reach students in West Bay, expanding MER to include 24 children and their siblings. The value of her ambition to reach low-income children across the Islands is backed by research. Studies have shown that early investment in children pays off for communities in the long term.

The Brain Science Behind Childhood Investment A MER kid and ARK Volunteer

The charity’s work has already transformed countless lives through its efforts to remodel unfit homes and to mentor schoolaged children. The Covid-19 crisis, however, has rapidly multiplied the need for immediate assistance, and ARK has more demand than it has capacity. She describes the extreme poverty lived by many ARK clients – situations where food, shelter and other supports are chronically lacking – as a trauma. The daily anxiety of making ends meet has a lasting impact on mental health, increasing incidents of depression, domestic violence and even suicide attempts. Nielsen sees the desperation every day. Families struggling to meet basic needs for housing and food have little capacity to address much else, Nielsen explained. “It takes a lot to be a really good parent and you need a great deal of things to be going right. You need a lot of support, positivity and consistency,” she said. “When you take all of those things out from underneath the [family] … it's very difficult to be the type of parent that's going to attend to the emotional, physical, mental wellbeing of a child.”

Cost-benefit analysis of well-designed, early childhood intervention programmes has shown that every dollar invested results in $1.80 to $17.07 in return to society, according to the RAND Corporation – an American non-profit global policy think tank. The best returns come from programmes that include home visits and parent education, combined with good quality early childhood education. These interventions result in better academic achievement, improved behaviour, greater success in the labour market and lower rates of delinquency and crime.

Dr. Erica Lam, a trauma and attachment specialist with Aspire, explains that many of the benefits of early intervention come down to brain development. By the time children reach age four to five, their brains have already developed to around 90% of their adult volume. This means that before a child has even entered kindergarten – or qualified for many of the early intervention programmes currently available to low-income families in Cayman – their brains have already been wired in ways that will guide their temperament, their ability to selfregulate emotions and behaviours, and their language and thinking skills.

The things she and her team have witnessed in the most impoverished corners of Cayman are “chilling”, she says. But she remains a true believer, that such suffering is preventable, if only enough support could be generated in the community. ARK’s school programme, Mentor-Educate-Reinforce (MER), seeks to change the trajectory of young lives with early, holistic intervention. With sponsorship of $5,000-$7,000 a year, the programme is first able to produce a psychoeducational report to identify a child’s individual needs and adapt tools to get their learning on track. Then, ARK tackles the home environment by going in and performing renovations to ensure each child has a safe, suitable place to rest and restore. “We use all of our 20

Cayman Parent Magazine | First Word

Tara Nielsen, Director of ARK

FIRST WORD

Before and after housing renovations completed by ARK

Children who grow up in unstable and unenriching environments will struggle to cope with stress, suffer higher levels of anxiety, face health problems and have trouble keeping up in school. When Dr. Lam takes in a new patient, she first maps their brain structure to determine which areas of development are lacking. This allows her to craft her therapeutic intervention to meet individual, neurological needs. She describes brain development as a sort of staircase, built from the bottom up. When the bottom stairs, the foundation of brain development, are missing, children cannot be expected to ascend to the top on their own. They first need help rebuilding the structure of their staircase to achieve success. “For a child to have a better future, we have to look at the brain first,” Dr. Lam said. “Is it the roof that needs sorting out or is it the foundation?” Putting a child who has not properly developed their language skills into Talk Therapy, for example, can be a formula for failure and frustration. “They're going to find it really, really threatening,” Dr. Lam said. “So why don't we rebuild the lower part of the brain? Give him/her all of those stimulations that they missed. Rebuild the bottom of the stairs and then we can address each part of the brain as we go.”

Finding Community

Outside of a clinical setting, a common thread among children from situations of poverty is not just lack of money or resources but often a lack of community, Dr. Lam explained. Children stuck at home, left to supervise themselves, are denied the developmental benefits of playing with other children and just being kids. Connecting at-risk children with their community can change lives. At the Nadine Andreas Foster Home, children placed in the facility often experience that chance to just be kids for the first time, said care manager Nasaria Suckoo Chollette. When children first arrive at the NCVO facility, most are scared, angry and may struggle with releasing the reins and allowing

an adult to nurture and care for them. “But they're grateful to have a place where they can rely on food,” Suckoo Chollette said. “They're not going to wake up in the middle of the night and find that there are insects crawling on them or anything like that. They finally get to relax and not be the adult in their life.”

MER kids enjoy a day at Camana Bay

While placement in foster care can come with a stigma, Suckoo Chollette emphasises that the 5 to 13 year-olds placed in her care are not 'bad kids'. They are resilient, adaptable and full of untapped potential. The hurdle placed before these children is overcoming the cycle of multigenerational poverty. Their parents, grandparents, great grandparents and so on likely faced many of the same social struggles, trapped in a seemingly endless loop. “Their handicap is what happened to somebody else before them that causes them to have to live in these circumstances of poverty,” Suckoo Chollette said. “In a lot of our parents, we can see it. It's undiagnosed trauma. It's trauma that hasn't been dealt with and, therefore, they become something else other than what they were meant to be.”

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FIRST WORD Mehr Petkovsek, FRC Programme Facilitator.

A New Vision of Parenting

While children in care learn to adjust and just be kids, their parents are tasked with reforming their own lives to facilitate the ultimate goal of family reunification. It can be difficult, however, to step into parenting classes and accept that a different path is possible. Parents who envision a different future for their families are faced with the difficult task of breaking multigenerational patterns, explained Charmaine Miller, programme coordinator at the Family Resource Centre.

She describes the transformation that happens in the centre’s parenting classes as a way of changing the narrative. “By narrative, I mean breaking the cycle of abuse and trauma that they've experienced,” she said. “There is a shift in their way of thinking of how to parent a child efficiently, not abrasively, not in a punitive way, but more so coming from a place of nurturing.” When a teen, for example, enters the Family Resource Centre’s programme for young parents, the centre also becomes their advocate. The goal isn’t just to create successful parents but to create successful adults. The centre’s classroom includes chairs that accommodate breastfeeding and a window that provides a view of the nursery, so parents can keep an eye on their babies while studying. The learning area also includes a kitchen, a playroom, and a storage area full of donated baby supplies. The space has been planned to recreate the home experience. While learning good parenting techniques, participants also learn how to become more employable. The centre offers a closet full of professional clothes for those who lack interview attire and transportation is provided to ensure students make their appointments on time. As an incentive to complete the requirements of the programme, parents receive financial and childcare support to ensure they are able to reap the full benefits of the experience. Every client is assigned a programme facilitator who works with them individually and develops a bespoke treatment plan. “We definitely are seen as a safety net and a source of support and resource that they may not have had in their lives,” Miller said. Many enter the programme with a sense of shame about their 22

Cayman Parent Magazine | First Word

situation, often reinforced by their own families or communities. Through the programme comes the opportunity to build trust and to view themselves in a different light. “By the time they're done with the programme many of them reveal that, ‘It feels like family. It feels like something I didn't have before’,” Miller said. The parents who complete the programme together often become their own support network, even stepping up as babysitters for one another. By learning and growing together, Miller explained, natural bonds form. The women enjoy a sense of community that they previously lacked. Time and time again, Cayman’s child advocates emphasise that need for community – for more people to step up as good neighbours, as professionals or otherwise and provide a helping hand to families in need. “Whatever utopia you want to live in,” Suckoo Chollette said, “you actually have to help create it for the person next to you. As long as they're living in your society, the same place that you are, if they're not okay, you're not going to be okay in the long run.”

How to Help ARK is a non-profit organisation which relies solely on the generosity of individuals, foundations and businesses to fund its efforts. If you are in a position to help Cayman's vulnerable children and families please consider donating. www.arkcayman.org/donate-online. The Nadine Andreas Foster Home is a residential care facility which caters for up to nine children from birth to seventeen years old who are placed there for their care and protection. The Ministry of Community Affairs, Gender & Housing contributes a monthly fee which assists with some costs; the remainder is funded through donations. If you are able to help, please consider donating, or even volunteering your time. www. caymangiftcertificates.com/ncvo.

FIRST WORD

Acts of Random Kindness works in the Cayman Islands to “change lives, one life at a time”. ARK’s focused initiatives include Mentor-Educate-Reinforce for at-risk students, and ARK relies entirely on private, charitable donations to deliver its programs.

To find out more about ARK’s other programmes visit www.arkcayman.org

Cayman’s

Events App 100s of events to keep you and the family entertained

WhatsOnCayman.ky

Culture • Food & Drink • Entertainment • Arts • Community • Parties • Charity • Toddler • Sports

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FIRST WORD

Teens & Underage

Drinking

It is illegal in the Cayman Islands for anyone under the age of 18 to consume or purchase alcohol. Despite this fact, a recent Cayman Islands Student Drug Use Survey (CISDUS) conducted by the National Drug Council (NDC) found that 44% of the 3,478 participating students admitted to using alcohol at least once during their lifetime. An alarming 16% of students revealed they had drunk alcohol at some point during the last 30 days. – Clare-Louise McGrath Alcohol is the number one drug of choice amongst teenagers in the Cayman Islands, according to the CISDUS 2020 findings. However, proper parental intervention can influence children to make smart and informed decisions surrounding alcohol and underage drinking.

Why Teens Drink

Understanding the contributing factors which can lead to underage drinking ensures you are coming from a place of empathy when you approach your child about the risks.

Peer Pressure Teens' still-developing brains can make it hard to resist the pull of peer pressure and consider the consequences of their choices. Instead, the immediate reward of feeling liked or a part of the group outweighs the risks of giving in to underage drinking. Mixed Messaging On an Island where brunch is a cultural institution and coolers filled with alcoholic beverages are a boat day fixture, alcohol is regularly shown to be synonymous with fun, which can be a confusing message for children. Moreover, studies suggest the positive portrayal of alcohol in the media (social media, TV, radio, print) can sway children into early use. Coping Mechanism According to The National Centre on Addiction and Substance Abuse (CASA), highly-stressed teens are twice as likely to smoke, drink, and use illegal drugs. Mounting achievement pressure paired with a seesaw of hormones and emotions may lead teens to believe the easiest way to cope is by numbing their feelings with substances. Natural Inclination to Push Boundaries As your teen develops their own values and sense of self, they may be inclined to challenge the boundaries parents set for them. Simply telling your teen not to do something can have the opposite of the desired effect.

The Dangers

Underage drinking can carry serious and lasting implications for the user. Some of these include:

Cayman Parent Magazine | First Word

Health Risks Alcohol is a depressant, and its effects are exaggerated in teenagers. Alcohol can slow down brain activity for up to two weeks after consumption and repeated alcohol abuse from a young age can carry long-term consequences for brain development. Some of the areas which can be permanently impacted include memory function, motor function, learning ability and attention span. Additionally, more life-threatening health concerns, such as heart disease, liver disease, cancer, nerve damage and respiratory infections may emerge over years of heavy drinking. Impaired Judgement Drinking impairs your judgment and while under its influence you may make decisions you otherwise would not have made when sober. Generally, teens who drink are more likely to engage in risky sexual behaviour, experiment with other illicit substances, get into fights and commit crimes. Against the Law The bottom line is it is illegal to buy or possess alcohol if you are under the age of 18 in the Cayman Islands, even in the privacy of your own household. You also risk losing your licence for a minimum of 12 months if you are found to be under the influence of drugs or alcohol while driving. Depending on the level of intoxication, you could be subject to a CI$1,000 fine and face up to six months of imprisonment for the first offence, and a CI$2,000 fine and up to 12 months of imprisonment for a repeat offence.

Tips for Talking to Your Child About Alcohol

35% of students surveyed in the NDC Cayman Islands Student Drug Use Survey identified their parents as having the most influence on their decision to not experiment with drugs or alcohol. The most effective way to inform your child’s values on drinking is to start talking about it – whether you are trying to prevent them from drinking in the first place, or curb any existing alcohol use. Start Young Children begin to formulate their own opinions on drinking from an increasingly young age – meaning parental intervention should start early. By age 10 children will have already been

FIRST WORD

GET THE FACTS • The National Institute on Alcohol Abuse and Alcoholism in the US states that more than 90% of all alcoholic drinks consumed by young people are consumed through binge drinking. • People who begin drinking by age 15 are five times more likely to develop an alcohol dependency than those who begin drinking after age 20. • Alcohol is the leading cause of accidental death for youths aged 15-24 years. exposed to positive messaging surrounding alcohol, especially those with easy access to the internet. Answer any questions children have and encourage an ongoing dialogue. Get the Setting Right Forgo a formal sit-down talk as that can come across like a lecture. Instead, aim for frequent and casual conversations that are revisited when relevant. Look out for conversational triggers, such as TV shows that positively depict underage drinking, or advertisements for alcohol on the television. Use these as an opportunity to highlight the contradictory messaging around drinking and ask their opinions on the matter. Take Accountability Prevention begins at home and parents can set a good example early on. Demonstrate positive ways to handle stress and avoid statements like "I need a drink" after a long day, as this can perpetuate drinking as a coping mechanism. Show your children examples of responsible drinking, such as turning down a drink when you are driving and not drinking to excess. Discuss reasons why people may choose not to drink to normalise abstinence as a socially acceptable option. Set Expectations Set and enforce clear rules against drinking and uphold certain consequences if they fail to abide by your rules. Link responsible actions to freedoms, such as a later curfew or use of the family car, so your expectations carry some weight. Speaking about drinking is a tough, but necessary topic to tackle with your children. Ultimately you want to remain as approachable as possible – when children feel that you’re being honest with them, they’ll be more likely to respect your rules and feel comfortable coming to you when they have any questions.

Resources

To learn more about underaged drinking or obtain referrals to programmes in your community, contact one of the following organisations: National Drug Council Tel: (345) 949 9000 Email: info@ ndc.ky Web: www.ndc.ky. The Parents as Preventers programme (see info box to the right), is designed to educate parents and caregivers on some of the early warning signs that determine if a child is using a substance, as well as provide them with the

information and skills that can help them take a positive approach in dealing with teens and developing effective drug-prevention. Department of Counselling Services Tel: (345) 949 8789 Email: foi.dcs@gov.ky The Wellness Centre Tel: (345) 949 9355 Email: info@ wellnesscentre.ky.

Parents as Preventers Knowing What to Say • Respecting Their Privacy • Validating the Facts Parents as Preventers is an empowerment tool designed to assist parents/caregivers with when to start the conversation, how to detect early warning signs through easy to apply methods for talking with children and teens about alcohol and other drugs.

The Guides & Workshops:

Why Scare Tactics Don't Work • Marketing that Targets Children • Never Say This! Strength and Confidence in Communicating • What's in my Backpack? • The Secrets Your Child Will Not Share With You • Subliminal Messaging for Teen Drug Use • Emergency Planning Together - Designating a Trusted Adult as an Emergency Contact No child is safe until you have the conversation. Contact us today at www.ndc.ky.

(345) 949 9000 info@ndc.ky | www.ndc.ky www.caymanparent.com

FIRST WORD

Stowe, Swanbourne House and Winchester House Schools are educating a generation of Change Makers ready to transform the world.

We are Change Makers Yes, we teach pupils how to excel in exams, but we also teach them how to collaborate, how to solve problems and how to think critically. We equip them with the skills, resilience and ideas they need to adapt and thrive in a world that’s changing faster than ever before. We are co-educational boarding and day schools just 30 minutes from London by train and 45 minutes from Heathrow Airport. Together we offer education for pupils aged from 3 to 18 years.

stowe.co.uk

Cayman Parent Magazine | First Word

Nutrition

Contents

Nutritious breakfasts, baby food, travelling taste buds & more...

The Importance of Breakfast

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Take Your Taste Buds Travelling

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Baby Food Without the Chemicals p32

Nutrition Book Club

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Sneaky Ways to Incorporate p35 Healthy Food into Your Kid’s Diet

The Listings

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The Importance of Breakfast:

Start Your Kids Day Off Strong As the saying goes, breakfast is the most important meal of the day. However, in the rush to get everyone out the door in the morning, it’s not always easy to provide kids with a healthy and nutritious meal that will set them up for the day.

The Benefits of Breakfast

Breakfast means “breaking the fast” and with kids it could be up to 10 hours since they ate their last meal. When children wake up, the blood sugar (glucose) that their body needs to make their muscles and brain work their best is usually low. Breakfast helps replenish it. Studies have shown that there are many benefits to encouraging your child to eat a healthy, nutritious breakfast every day. These include:

• Refuelling your kids in the morning helps increase their concentration level and improves their ability to learn. After eating they will feel bright and alert, rather than tired, hungry and restless. • It helps them to maintain a healthy weight and decreases the likelihood of childhood obesity as they are less likely to crave junk food or overeat. • A balanced morning meal provides essential vitamins and nutrients. If a child skips breakfast, they are less likely to get all the nutrients their bodies need for their growth and development.

Cayman Parent Magazine | Nutrition

While all parents want to give their child the best possible start to the day, the reality is that busy parents are juggling so many balls that it can be challenging to provide children with a nutritious breakfast every day. And that assumes your child won’t reject the meal you’ve worked so hard to prepare and insist on sugary cereals instead! TOP TIP: Avoid fruit juice as it contains lots of sugar,

instead opt for fresh fruit or fruit infused water. To help Cayman parents out, we’ve come up with some easy ways to provide your child with a quick and nutritious breakfast that will help fuel active muscles and busy brains. Ideally children need a combination of protein, carbohydrates and fats every morning, which will keep them going until their next meal and give them plenty of energy to run around and play sports.

Here are some top tips to help give yourself the best chance of making a healthy breakfast a reality: • Stock your kitchen with good breakfast options, such as healthy cereals, eggs, fresh fruit and wholemeal bread. • Prepare as much as you can the night before (get dishes and cutlery ready and cut up fruit). • Get everyone up 10 minutes earlier. • Let kids help plan and prepare breakfast and store your healthy cereal in easily accessible containers so your child can help themselves. • Have grab-and-go alternatives including fresh fruit, plain yoghurt cups and pre-made frozen muffins, for days when there is little or no time to eat.

Quick & Healthy Breakfast Options

TOP TIP: Lead by example. Let your kids see you making

time to enjoy breakfast every day and show them how important it is to face the day only after refuelling your brain and body with a healthy morning meal. When it comes to serving cereals – variety is key. Try not to give the same breakfast every day as this could lead to picky eating. Here are some good options for cereals that can be bought at Foster’s, Kirk Market and Hurley’s. Cheerios: Made with whole grain oats, contain three grams of fibre and are fortified with B-vitamins and iron. Nature’s Paths Organic Heritage Flakes: Full of whole grains, including wheat, quinoa, spelt, barley, millet, and oats, as well as five grams of protein and seven grams of fibre. Kashi 7 Whole Grain Puffs: A sugar-free cereal with plenty of fibre and protein. Shredded Wheat: A classic breakfast cereal with 100% whole grain that is low in sodium and added sugar. Instant or Steel-Cut Porridge: Supplies vital nutrients, fibre and provides slow-release energy throughout the day. Weetabix: A family favourite that is high in protein and fibre while low in sugar and fat.

Cereals Cereals are the go-to option for many parents as they are affordable, quick and stress-free, however, many cereals marketed at children are low in fibre and high in sugar. Avoid those and go for healthier options that are readily available in Cayman’s supermarkets. We recommend studying the nutrition labels because although a cereal is branded as ‘natural’, ‘healthy’, ‘sugar-free’, ‘reduced fat’ or ‘cholesterol free’, it does not mean the product is good for children. The healthiest cereals have the shortest ingredient lists with recognisable names. They will also include whole grains, plus at least three grams of fibre and protein and less than five grams of sugar per serving. You can increase the nutritional value of cereals by adding a dollop of Greek yoghurt, a spoonful of nut butter, sliced fruit such as bananas, strawberries or blueberries and a spoonful of ground flaxseeds, chia or pumpkin seeds.

Toast Another convenient breakfast option that's quick and can be enjoyed in a variety of ways. The type of bread you offer and what you decide to put on the toast, however, makes a huge difference nutritionally. In the Cayman Islands, many bread options lack nutritional content and contain added sugar. Although more expensive,

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bread produced in the UK, such as Robert’s, which can be found in the frozen sections of Kirk Market and Foster’s, has no added sugar and is low on salt. Go for the wholemeal or whole grain options which contain a lot more fibre than white bread. Other nutritious bread options available in Cayman include sourdough bread, pumpernickel and Ezekiel.

handful of spinach, a teaspoon of nut butter, 1/2 teaspoon ground cinnamon and a cup of milk or almond milk. • Super Berry Smoothie: 1 cup of frozen berries, 1 banana, ½ cup of Greek yoghurt, ½ a cup of coconut milk. • Avocado Smoothie: ½ a ripe pear, 1 banana, 1⁄3 ripe avocado, 2 dates, 1 cup of milk.

The possibilities for toast toppings are endless and kids will love experimenting with different options. Be careful not to slather toast in butter – a scrape of unsalted butter will do. Stick to healthy options during the week and save any treats for the weekend. Good healthy choices include:

While the following recipes call for more ingredients and prep time, a little bit of planning and preparation can make a healthy breakfast a breeze on chaotic mornings!

Plan Ahead Breakfast Recipes

• Mashed avocado: Full of healthy fats, vitamins and minerals. • Nut butter with sliced banana and blueberries on top: Provides healthy fats with protein and fibre that will keep your child full for longer. • Mashed hard-boiled egg: A great source of protein, fat, and other nutrients. Serve with some sliced oranges. • Plain yoghurt and mashed fruit: Packed with calcium, protein and vitamins.

Overnight Oats Packed with fibre and other good stuff, overnight oats are surprisingly simple to make and will ensure you always have something quick to feed children on busy mornings.

Smoothies These are a great option for breakfast in a rush. Smoothies taste great and are loaded with nutrition from the fruits and vegetables. Keep the freezer stocked with plenty of frozen fruit so you have a variety of options at your fingertips. Remember to leave the skin of the fruit on when blending as this is where most of the fibre is stored. You can up the nutritional value by adding a spoonful of ground flaxseed, chia seed and pumpkin seeds. Here are some good smoothie options that are packed full with healthy ingredients: • Oatmeal Smoothie: A banana, 1/2 a cup of oats, a

Cayman Parent Magazine | Nutrition

Ingredients • 1/2 cup rolled oats or old fashioned oats • 1 tbsp chia seeds • 1/4 tsp cinnamon • 1/2 banana, mashed • 1 tbsp peanut butter • 1/2 cup almond milk (or milk of choice) Method › Add oats, chia seeds, cinnamon to a glass jar and stir to combine. › Add the mashed banana, peanut butter and a splash of the milk. Stir to fully combine. › Add the remaining milk, stir, cover and refrigerate overnight (or for a minimum of four hours) › Uncover and enjoy from the container/bowl the next day. Thin with a little more milk if desired and add toppings of choice.

Apple Cinnamon Oat Muffins These wholesome muffins are delicious and full of goodness. You can even freeze them so you always have extras on hand for breakfast on the go. Ingredients • 12⁄3 cups quick oats • 1 cup all-purpose flour • 3/4 cup coconut sugar (or light brown sugar if you prefer) • 2 tsp cinnamon • 1 tsp baking soda • 1 tsp baking powder • 1 tsp salt • 2 eggs • 1 tsp vanilla • 11/2 cups low fat buttermilk • 11/2 cups peeled, grated apples Method › Preheat oven to 400 degrees Fahrenheit. › Place oats in a food processor. Pulse 5-6 times until oats resemble a coarse flour. › Put oat flour in a large mixing bowl and add the flour, cinnamon, baking soda, baking powder and salt. Mix thoroughly until well combined. › In a separate bowl, beat eggs then incorporate buttermilk, sugar and vanilla. Whisk to combine then stir in grated apple. › Add wet ingredients to dry ingredients and mix thoroughly. › Spoon batter into liners (about three tbsp of batter per cup). If desired, sprinkle sugar on top of each muffin for aesthetic appeal. › Bake at 400 degrees for 18-20 minutes or until muffins spring back slightly when touched and a toothpick inserted into the centre comes out clean. › Remove from oven and let cool on a wire rack.

Healthy Protein Pancakes These sugar-free pancakes are healthy and packed full of protein and fibre. They are suitable for freezing too. Ingredients • 3/4 cup rolled oats • 3/4 cup all-purpose flour • 2 tbsp coconut sugar • 2 tbsp ground flaxseed • ½ tsp ground cinnamon • 1 tbsp baking powder • ¼ tsp salt • 1¼ cups dairy or non-dairy milk or more as needed • 1 large egg • 4 tbsp unsalted butter, melted, plus more for skillet (or substitute with coconut oil) • 2 tsp vanilla extract Method › Place the rolled oats in a high power blender and pulse until the oats reach a fine, powdery consistency. › Add the flour, flaxseed, coconut sugar, ground cinnamon, salt and baking powder and pulse to combine. › Add the milk, egg, butter and vanilla extract and pulse until combined. › If the batter is too thick, add more milk (1 tbsp at a time) and pulse until it reaches the right consistency. › Lightly grease a non-stick skillet with melted butter or coconut oil. › Heat the skillet over medium heat until hot. › Drop 1⁄8 cup of batter for each pancake onto the hot skillet. › Cook until small bubbles begin to form on the top. › Carefully flip the pancakes and cook on the other side 6090 seconds or until cooked through. › Serve with fresh berries.

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Baby Food

Without the Chemicals From the age of about six months, you will be able to introduce your baby to the wonderful world of food! This is a messy but oh so fun stage of your baby’s life as they start to explore new tastes and textures. – Kay-Lee Nowers, Registered Dietitian at Chatterbox

When planning your baby’s menu, one of the most important things to consider is the quality of food your little one is consuming. Parents will want to ensure that their child is getting the best nutrients possible while keeping preservatives, chemicals and other undesirable additives to a minimum. KayLee Nowers, a Registered Dietitian from Chatterbox, is an expert in childhood nutrition and has outlined some easy ways to wean a baby in the Cayman Islands.

When to Start Weaning

Around the age of six months a baby’s digestive system is developed enough to cope with solid foods. The following signs are good indicators that your baby may be ready for solids: • They can sit up alone, or with support, and hold their head steady. • They are grasping objects and bringing things to their mouth. • They can swallow food rather than spit it back out. At this stage breastmilk or formula should be your baby’s main source of food as he/she will only be able to eat small quantities of solid foods.

Cayman Parent Magazine | Nutrition

You may decide to start with purées or follow a 'Baby Led Weaning' approach, both have their pros and cons and you may even decide on a mix of both. We advise you speak to your paediatrician or a dietitian for advice on what the best option is for your baby.

First Foods

There is no scientific rule as to what type of foods you should start with. Use a variety of vegetables, fruit, meats, lentils and fats when first introducing food to your baby. Include foods that are high in antioxidants such as avocado, bananas, beans, berries, broccoli, butternut squash, carrots, eggs, fish, sweet potato, red meat, tomatoes, yoghurt and whole grains. Some people like to introduce vegetables rather than fruit first so the child doesn’t develop a preference for sweet foods, although there is no scientific evidence to prove such a theory. When introducing solids, a combination of foods offers multiple nutrients and more diversity. It allows you to use family made meals that you would typically serve at dinner time for yourself and your baby. A dish like roast chicken, sweet potato wedges and mixed roasted vegetables could be blended into a purée or served as finger food for your baby.

To start with, offer solids once a day and 15-30 minutes after giving breast or formula milk. Focus on making mealtimes a positive playtime experience for your baby. Allow them to develop their feeding skills and don’t worry if mealtimes get messy; embrace it as a learning experience. If your baby is not feeling well, is teething or is tired at mealtime then do not stress about them having solids that day. If your baby is showing signs that they want more food, then offer them seconds. Do not serve foods that could be a potential choking hazard such as hot dogs, whole grapes, sweets, nuts, seeds, raw carrots or popcorn.

Premade Baby Foods

Many commercially produced baby foods have low nutritional value and a high concentration of hidden sugar, salt, preservatives, and other additives. Organic baby food is often very expensive and not accessible to the average consumer. Recent studies have shown that there is a concern around heavy metals, including arsenic, cadmium, lead and mercury, being found in store-bought baby food (US House Committee on Oversight and Reform 2021). Heavy metals are found naturally in soil, however, due to poor agricultural practices it has led to high concentrations being absorbed by plants. Chemicals are also added in the production of baby food in the form of food additives which may also contain heavy metals. There is no “safe” number of heavy metals for babies and even organic baby food can have heavy metals in it.

concentration of pesticides in the US, which is where most of Cayman’s food is imported from.

Meat & Fish

When it comes to buying fish, try to buy locally caught fish and seafood as it contains less mercury than commercially caught fish. When buying imported fish, steer clear of swordfish, shark, or albacore tuna and go for cod, snapper, wild ocean salmon, or mahi mahi. Buy wild fish where possible as farmed fish is often fed a diet of hormones and antibiotics. Organic meat is the best option for children, however, it’s prohibitively expensive for many. Instead, look for labels that say the animal was ‘100% grass-fed’. Poultry and lamb are good choices for babies. Best Dressed Chicken, which is available in Cayman supermarkets, is recommended as it doesn’t contain any antibiotics. Eggs are also a great source of protein and Omega-3s and are produced locally. Be sure to avoid processed meats such as ham, sausages, bacon and deli meats as they are high in salt and other additives. Superfood Recipes To get you started here are a few delicious baby food recipes that make use of locally grown produce.

Baby foods that have higher levels of heavy metals than others include: • Infant rice cereal • Infant rice puff snacks • Teething biscuits and rice rusks • Fruit juice If you are buying baby foods in the supermarket, try to go for the products that have no added sugar and less than 200mg of sodium per serving. Foods should also be rich in iron and have at least two grams of fibre.

Make your Own & Buy Local

One way to ensure optimal nutrition for your baby, and reduce their exposure to heavy metals and other additives, is to prepare your own baby food, ideally using locally grown produce which contains fewer pesticides than those imported. Most of Cayman’s supermarkets now sell locally-grown produce and you’ll find plenty of roadside fruit and vegetable vendors across the Island. The other option of course is to grow your own produce. If you do not have a garden then try planter boxes which you can purchase from Cayman Seed located in George Town. Growing your own produce means you have fresh, low cost and chemical-free food right on your doorstep. Where we must buy imported produce, make use of the EWG's Shopper’s Guide to Pesticides in Produce. Their ‘Clean 15’ list states which fruits and vegetables contain the lowest

Local Mango Purée Ingredients • 1 cup of diced ripe local mango • 2 tbs-¼ cup of water, formula or breastmilk Method › Wash the mango thoroughly. Cut the skin off and remove the flesh. › Place the mango into a blender. › Purée while gradually adding just enough water or breastmilk to reach a smooth consistency. www.caymanparent.com

Local Pumpkin & Carrot Purée Ingredients • ½ cup local carrots • ¼ cup sweet corn fresh or frozen • ¼ cup local pumpkin Method › Cut the skin off the pumpkin, cut in half, scoop out the seeds and cut into small pieces. › Peel and wash the carrots and cut into small pieces. › Bake the pumpkin and carrots at 400 degrees Fahrenheit for 30 minutes. › Steam the corn for 3-5 minutes. › Purée the cooked pumpkin, carrots and corn in a food processor or blender until smooth. › Add extra water, formula or breastmilk as needed to reach desired consistency. This purée can also be used as a pasta sauce when your child is ready for finger foods.

Local Spinach, Sweet Potato & Gouda Mash Ingredients • 1 small onion finely cut • 150 grams of sweet potato • 1 medium sized carrot, peeled and diced • A handful of grated Gouda cheese • A handful of local spinach • 2 tbsp of breastmilk or formula • 1½ tsp of unsalted butter Method › Bake the sweet potato at 350 degrees Fahrenheit for 20 minutes. › Steam the carrots for 10-12 minutes until soft. › In a saucepan add in half of the butter and onion, sauté for three minutes. › Once the sweet potato and carrot are done mash them using a potato masher. › Add the mashed sweet potato and carrot to the saucepan and add in the remaining butter, spinach, milk and cheese. Stir over a gentle heat until the spinach has wilted.

TOP TIPS FOR COOKING BABY PUREES:

• Do not overcook foods as this will decrease the nutrient content of the foods. • Steam your vegetables as 60% of nutrients are lost by boiling vegetables.

• Batch cook baby food to save time and freeze it up to six weeks. • Ensure all seeds and fibres are removed by putting purées through a stainless-steel strainer.

Kay-Lee Nowers is a Registered Dietitian based at Chatterbox Therapy Center. She works with a variety of paediatric patients, who have issues with picky eating, food allergies or childhood obesity. She is passionate about providing nutrition advice to pre-and post-natal mothers. Kay-Lee has experience with helping adults manage their diabetes, hypertension or gastrointestinal disorders. She uses holistic medical nutrition therapy methods to help each of her patients.

Cayman Parent Magazine | Nutrition

Sneaky Ways to Incorporate Healthy Food into Your Kids Diet Childhood is a time of rapid growth and development and as a result, children have higher energy and nutrient requirements compared to adults. It is therefore important that they are offered a diet that provides adequate energy and nutrients for their needs. As we all know, many children have a strong dislike for healthy options so it’s up to parents and caregivers to get creative and try and sneak in highly nutritious food options where possible. Nutritional needs vary amongst children as each child is unique, but there are a few basic guidelines to follow. – Kay-Lee Nowers, Registered Dietitian at Chatterbox

Childhood Dietary Requirements

During childhood, protein, carbohydrates and healthy fats are needed to support children’s growth. There is only a limited amount of food that your child can eat in a day, so it makes sense to spend their calorie budget wisely by providing food with the greatest variety of nutrients. The most nutrient dense foods include salmon, kale, egg yolks, garlic and blueberries, to name just a few.

For the average healthy child, meals should be offered 4-5 times per day with additional nutritious snacks offered 1-2 times per day. The number of mealtimes depends on the child’s eating habits. On average, children need approximately 2-3 servings of fruit and vegetables, 6-11 servings of carbohydrates and grains, 2 servings of proteins and 2-3 servings of dairy per day. Serving size depends on the developmental stage and age of the child. Make sure to include all five food groups in your child’s daily meals. The more

variety a meal has the more nutrients your child will receive.

Food Groups • Protein: Ground meat, eggs, hummus, plain yoghurt, tofu, lentils, snapper, mahi-mahi, turkey, chicken, nut butter, mozzarella, gouda or cottage cheese. • Fats: Oil-based dressings, salmon, sardines, guacamole or avocado. • Drinks: Milk or milk alternatives, water or fruit-infused water. • Fruit and vegetables: Sweet potatoes, peas, carrots, zucchini, pineapple, berries, bananas and apples are some of the most nutritious options. • Starch: Whole grains, wheat bread, beans, bran, bulgur wheat, wholegrain pasta, quinoa, oatmeal or peas.

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Fibre is also an essential part of a healthy childhood diet as it will help prevent digestion and constipation issues. Ensure your child enjoys fruit and vegetables every day as they are a great source of fibre. Encouraging your child to drink plenty of water is also important in order to prevent dehydration and to sustain a good functioning body. Fruit juices, fizzy drinks, sweetened iced tea and flavoured water are high-calorie drinks that are one of the contributing factors to early childhood weight gain and obesity around the world.

Vitamins

Vitamins and minerals are necessary for a healthy functioning gut, brain and immune system. Try to include a variety of food sources of vitamins and minerals in your child’s diet such as:

• Vitamin C: Citrus fruit, dark green vegetables, cantaloupe, peppers, tomatoes and guavas. • Vitamin A: Orange and yellow fruits, liver, eggs, butter and dairy milk. • Iron: Liver, poultry, chicken, red meat, fish, eggs and whole-grain bread. • Iodine: Seafood and iodized salt. • Zinc: Whole grain cereals, legumes, meat, eggs, seeds, nuts and shellfish. • Calcium: Sardines, dairy, collard greens and kale.

Make the Health Food Shift!

Try to make small changes to your child's diet here and there and

before you know it, you'll be making a big difference to the amount of nutrient-dense food your child is consuming.

• Replace fruit products with added sugar with fresh fruit slices. • Swap processed meats like sausages and ham with slices of chicken, ground meat or chickpea falafels. • Replace deep-fried chips with oven-roasted vegetables. • Swap cereals with added sugar for oats, cream of wheat or wheat flakes. • Replace white pasta and rice with wholegrain or lentil versions. • Instead of sweets or salty snacks, provide sliced fruit and vegetables with a nut butter dip. • Choose oat-based crackers instead of rice-based crackers which are heavier in metals. • Swap sugary drinks with fruit infused water (where you add fruit slices like lime, kiwi, oranges or strawberries to the water).

Picky Eaters

We all know mealtimes can be a time-consuming battle when your child is a picky eater! Here are some tips on how to include vegetables into your child’s diet without them even knowing.

• Add grated carrots, finely cut green and red peppers to spaghetti bolognese. • Add grated carrot or zucchini to your breakfast muffins. • Add butternut squash, cauliflower or broccoli to mac and cheese. • Offer homemade, oven cooked hamburger patties that have blended cauliflower, spinach or broccoli in them. • Make a vegetable juice popsicle with cucumber, watermelon, lime, spinach and pineapple. • Chicken, pork and beef stew can hide blended peas, broccoli, carrots or tomatoes. • Blend onion, red pepper and cauliflower and add them to a frittata. • Add spinach and beetroot to your fruit smoothies.

Cayman Parent Magazine | Nutrition

Healthy Recipes

Here are a few recipes to help get nutrient dense food into your child’s diet. These are good options for picky eaters.

Wiggly Wheat-Free Pumpkin Pancakes

Funky Cauliflower Cheese Egg Muffins

Yield: 12 Preparation time: 10 minutes Cook time: 15-20 minutes

Ingredients • 4 cups cauliflower • 5 eggs • 1 cup grated cheese Method › Chop up cauliflower and place it in a blender, blend till fine texture. › Whisk the eggs. › Add the grated cheese and cauliflower to the egg mixture. › Fill a silicone muffin tray with egg mixture. › Bake at 350 degrees Fahrenheit for 15-20 minutes until cooked.

Yield: 10 mini pancakes Preparation time: 15 minutes Cooking time: 35 minutes (includes pumpkin/butternut squash roasting time)

Ingredients • 1 cup cubed roasted pumpkin or butternut squash • ½ cup cottage cheese or Greek yoghurt • 1 egg • ½ cup rolled oats • 1 tbsp honey • ½ tsp cinnamon • ½ tsp ground ginger • ¼ tsp nutmeg • A dash of vanilla essence Method › Place all the ingredients into a blender and blend until they form a smooth consistency. › Heat a pan on medium to low heat. › Lightly grease the pan with olive oil. › Drop a large spoonful of the mixture into the pan and wait till bubbles appear on the top then flip it. › Cook until golden on both sides. › Serve with fresh fruit and a drizzle of honey.

Yummy Smoothies with Fruit & Vegetables • Orange smoothie: Orange, mango, pineapple, carrot, cashew nuts and peeled zucchini, water, plain yoghurt, dairy milk or almond milk. • Berry smoothie: Blueberries, strawberries, broccoli, cucumber, vanilla essence, water, plain yoghurt, dairy milk or almond milk. • Banana smoothie: Banana, mango, spinach, almonds, water, plain yoghurt, dairy milk or almond milk. TOP TIP: Consider swapping water in smoothies for nutrient dense coconut water. It’s packed with potassium, calcium, magnesium and antioxidants.

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Take Your Taste Buds Travelling

For menus and more family-friendly restaurants visit www.caymangoodtaste.com Jamaica

Peppers

United States of America

Hard Rock Café

With sweeping waterfront views and a laidback vibe, Hard Rock Café is an ideal family-friendly dining out spot. Their tasty All-American cuisine ticks even the pickiest boxes and with the purchase of one adult entrée, children 12 and under eat free. *T&C’s may apply.

Peppers’ casual indoor/outdoor setting is perfect for families looking to enjoy a tasty and affordable bite to eat. Their menu offers lots of authentic Jamaican offerings, including a long list of sides that you can mix and match.

Mexico

Coccoloba

Coccoloba boasts a casual, beachside dining experience perfect for families with little ones in tow. Cool down after a day in the sun with their housemade popsicles and enjoy an array of finger-friendly Mexican/Caribbean street food dishes.

Peru (Peruvian/Italian Fusion)

Agua

Agua offers families a breezy respite after a day spent wandering around Camana Bay. Children can fill up on nourishing Peruvian/ Italian-fusion cuisine, made with organic, locally-sourced ingredients.

Cayman Islands

Tomfoodery Kitchen

Tomfoodery's cool fast-casual concept is ideal for parents wanting a no-fuss dining experience. Children will find lots of the ‘local-ish’ dishes on the menu appealing and they'll be wowed by the larger-than-life handmade sea grape tree which sits in the centre of the dining room. 38

Cayman Parent Magazine | Nutrition

Caribbean

Kaibo

Enjoy locally sourced Caribbean food in a fun-filled beachfront setting. Kids will love splashing in the shallow water and playing in the sand, before coming back to the table to enjoy something tasty from the 'Kaibo Kids' menu.

Italy

Andiamo

Classic Italian cuisine, a casual poolside setting and housemade gelato served from a whimsical cart makes Andiamo perfect for a fun family dining experience. Turn it into dinner and a movie at their adjacent open-air theatre. European

Harbour Grille

Comfortable outdoor seating and an on-site children’s play area keeps everybody happy at Harbour Grille. Their menu features pizza, pasta and an array of tasty signature dishes with a European influence. Visit Salty's next door for some American classics.

India

Southern Spice

Families can enjoy a casual lunch or dinner out at Southern Spice. With a cool, authentic décor and vast menu featuring tasty Indian staples – you can mix and match your favourites or try something new!

Spain

Spanglish

Spanglish is a fun, casual restaurant located in the heart of Seven Mile Beach that serves delicious Spanish food and boasts live music on the weekends – making it a fun outing for the whole family. Their affordable menu includes sharing dishes and a ‘Ninos' section.

China

China Village

Enjoy hearty Chinese offerings in China Village’s comfortable and family-friendly dining room. Order a variety of dishes to enjoy familystyle or visit on a Sunday for China Village’s famous and affordable Dim Sum Brunch. Japan

Kazoku

Kazoku Japanese Bistro boasts a variety of Asian fusion dishes that keep your dining options open. Introduce children to more exotic flavours with sushi or hibachi or go the familiar route with one of their pasta or burger dishes.

Australia

Tukka

Now with locations in East End and West Bay, Tukka is well-loved for their breezy, laidback vibe and hearty Australian/Caribbean cuisine. Kids will love watching the daily frigate bird feedings at 5pm at their East End location and their Sunday brunches are very family-friendly. Thailand

Thai Orchid

Thai Orchid’s expansive menu has something for everyone – including classic Thai dishes, authentic Japanese sushi and delicious entrée and noodle plates. They also offer an all-youcan-eat Saturday and Sunday lunch buffet served in their comfortable dining room. www.caymanparent.com

Nutrition Best for Parents

Best for Children Find yourself struggling to whip up a delicious meal after a busy workday? Thomson’s cookbook teaches the importance of finding joy in cooking with and for your children, featuring a variety of simple, nutritious dishes that any parent can make at 5pm.

With a beautiful collection of food photography, Gleeson’s book makes fun recipes simple for kids to follow independently. Gleeson’s focus on simplicity and freshness will inspire any little one to be creative with cooking!

This book shares the secret to superhuman parent dinners amidst time constraints, anxiety, and fear of clean up! Filled with simple strategies to enjoy family dinnertime, this book is great for those who need ideas for homecooked meals.

This cookbook will take your little ones on a cooking adventure! Martin promotes healthy foods as giving kids ‘superpowers’, helping them realise the importance of nutrition from a young age. Checkout the ‘banana sushi’ and ‘pizza for breakfast’ recipes!

Say goodbye to the faff of multiple pots or the struggle of feeding stubborn little ones: Wilson gives 130+ recipes for parents and babies that can be made in one pot, in just under 30 minutes!

This book tells the story of renowned American chef Edna Lewis – a great inspiration of farm-to-table cuisine. Illustrated beautifully with watercolours and foodiesongs, this book is sure to inspire any budding young chef.

Best Digital for Parents SideChef Recipes An app with over 18,000 step-bystep recipes personalised to your preferences. You can search by ingredients, your daily inspiration, or even your grocery list. Free on Android and iOS.

Book Club

Cayman Parent Magazine | Nutrition

Best Digital for Children Cooking Mama: Let’s Cook! A popular game, Cooking Mama, is now available as a mobile app. Choose from a selection of yummy recipes and cook tasty meals with taps and swipes. Suitable for Ages 4+. Free on Android and iOS.

the

Listings Dieticians, Supermarkets and Farmers Markets

Allergy Specialists There are two different types of allergy testing done in the Cayman Islands. There is the environmental allergy testing for things like dust, grasses, weeds, blossoms, and pet hair. You would use this test if you are breaking out in hives, have a persistent rash or your skin is very itchy and you have a constant runny nose. The other test is a food intolerance test and there are now two options for that: the ALCAT Test and MRT Mediator Release Test which both uncover food and chemicals that trigger chronic inflammation internally. Cayman Clinic 493 Crewe Road, George Town. Tel: (345) 949 7400 Email: cayman.clinic@gmail.com Web: www.caymanclinic.ky. Cayman Clinic conducts the ALCAT food intolerance test. Dr. Louis A. Cona MD The Strand Medical Centre, The Strand Shopping Centre, off West Bay Road. Tel: (345) 945 7077 Email: thestrandmedicalcentre@candw. ky Web: www.caymandoctor.ky. Dr. Cona conducts the ALCAT food intolerance test. Dr. Frank Glatz MD FABO FAAOHNS FAAOA Cayman E.N.T. Associates, 2 Alexander Place, Dorcy Drive, George Town. Tel: (345) 945 3822 Email: drbob@candw.ky Web: www.entcayman. com Dr. Glatz can test for environmental allergies. Dr. Ulrich Ecke MD, ENT, Head & Neck, Otolaryngology ENT in Cayman, Pasadora Place, 94 Smith Road, George Town. Tel: (345) 745 3253 Email: info@ entincayman.com Web: www.entincayman.com ENT in Cayman' s allergologist offers a range of tests to help diagnose allergies.

Dieticians & Nutritionists Andrea Hill BCHN, MS Tel: (345) 938 4246 Email: andreahill.nutrition@ gmail.com Web: www. andreahillnutrition.com A Holistic Nutrition Educator and Board Certified in Holistic Nutrition. Specialises in weight management, hormone balance and digestive wellness.

Brandi Propas MHSC, RD, CCDE International Medical Group, 30 Pasadora Place, Smith Road. Tel: (345) 945 2881 Email: bpropas@intmedicalgroup.com Web: www. intmedicalgroup.net. Cayman Islands Hospital 95 Hospital Road, George Town. Simone Sheehan, Tel: (345) 244 2655 Email: simone.sheehan@hsa.ky. Tamara Riley, Tel: (345) 244 2663 Email: tamara.riley@hsa.ky. Cayman Nutrition 227 Smith Rd, GT. Tel: (345) 525 2019. Chad Collins RD Email: caymannutrition@gmail.com Jessica Watterworth RD (Paediatrics Specialty) Email: caymannutritionjessica@gmail.com Nutritional advice as well as counseling on various nutrition related concerns. They also offer allergy testing. Kay-Lee Nowers (Registered Dietitian) Chatterbox Ltd, Bermuda House, 36c, Dr. Roy’s Drive, GT. Tel: (345) 949 7065 Email: chatterbox@candw.ky Web: www. chatterboxcayman.com Chatterbox offers individualised medical nutrition therapy for children and adults. They offer a paediatric feeding clinic, including responsive feeding and pregnancy workshops. Kristen Lomas RD MBA Seven Mile Medical Clinic, Queens Court Plaza, West Bay Road. Tel: (345) 949 5600 Email: klomas@sevenmileclinic.ky Seven Mile Medical Clinic offers the ALCAT food intolerance test. Total Health The Grand Pavilion Commercial Centre, Bougainvillea Way, 802 West Bay Road, SMB. Tel: (345) 333 2222. Email: info@totalhealth. ky. Web: www.totalhealth.ky. Nutritional management for weight loss, diabetes management, inflammation and sports and exercise nutrition.

Supermarkets Chisholm's Grocery 1240 North Side Road, North Side. Tel: (345) 947 9418. Open seven days a week selling a full range of groceries.

Foster’s – Five locations: > Airport Centre, Tel: (345) 949 5155 > Camana Bay, Solaris Avenue, Tel: (345) 945 3663 > Republix Plaza, West Bay, Tel: (345) 949 3214 > Countryside Shopping Village, Savannah, Tel: (345) 943 5155 > East End (opposite Morritt’s), Tel: (345) 947 2826 Web: www.fosters-iga.com They offer a friendly in-store experience with all the food options needed for a growing healthy family. They also carry Waitrose products. Hurley’s Supermarket Grand Harbour, Red Bay. Tel: (345) 947 8488 Web: www.hurleys.ky A good choice of baby food, children’s food, plus child and baby essentials. Kirk Market 413 Eastern Avenue, George Town. Tel: (345) 949 7022 Web: www.kirkmarket.ky An exceptional selection of baby and children’s food with a good choice of organic options. Baby and childcare essentials such as nappies, formula, bibs, cutlery and more.

Farmers Markets Camana Bay Local Harvest Market The Paseo, Camana Bay. Web: www. camanabay.com Every Wednesday 12pm7pm. Local purveyors offer fresh produce and farm goods as well as an eclectic selection of artisanal products and handicrafts. The Market at the Cricket Grounds Huldah Avenue, next to the cricket pitch in George Town. Web: www. caymanfarmersmarket.com Monday to Saturday from 7.30am-6pm. Fresh local fruits, vegetables and herbs, fresh fish and all-natural meats and eggs. Arts, crafts, beauty products and locally made jewellery are also for sale.

Vitamins GNC Queens Court, West Bay Road. Tel: (345) 945 7690. Country Corner, Savannah. Tel: (345) 946 7235. Island Naturals Tropic Centre, off West Bay Road. Tel: (345) 917 4480 Email: retail@islandnaturals.ky.

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Dr. Anne Dancey

WELLBEING

FRCS(Plast), MBChB(Hons), MMedSci(Hons), MCh(PASP)

Plastic & Reconstructive Surgeon at Cayman Orthopaedic Group Dr. Anne Dancey is a well-respected, UK trained, fully qualified Plastic Surgeon who has just recently joined the Cayman Orthopaedic Group team after practising as one of the only female plastic surgery consultants in the UK. Dr. Dancey's main areas of specialist interest are in aesthetic and reconstructive breast surgery (including gynecomastia for men); lymph node transfer; body contouring; liposuction; female genital surgery; aesthetic facial surgery; fat transfer and weight loss surgery. Prior to having an initial consultation, Dr. Dancey will support you every single step of your journey. Herself and her dedicated team of specialists are all committed to making every detail of your surgery count, from initial consultation to your complete aftercare. Dr. Dancey also uses Crisalix, a virtual reality (VR) simulation app designed to support her work. By creating a 3D image and with the use of goggles, you can see yourself in virtual reality and compare with what you may look like after surgery.

Highlights:

• UK Trained, Fully Qualified Plastic & Reconstructive Surgeon • Utilises Evidence Based Medicine (EBM) • 22 Years of Experience

Hours of Operation: Monday-Friday, 9am-3.30pm

Services Include:

Accepts all major insurance providers in the Cayman Islands.

• Botox & Dermal Fillers • Breast Augmentation • Breast Implant Removal • Breast Reconstruction • Capsulectomy • Eyelid Surgery • Fat Transfer to Breasts, • Face and Neck • Inverted Nipple Correction • Liposuction • Lymph Node Transfer • Male Breast Reduction • Nipple Reconstruction & Tattooing • Scar Revision • Skin Lesion Removal • Specialised Liposuction for Lymphoedema & Lipoedema • Thigh Lift • Tummy Tucks

1 (345) 945 8380 | Unit #1, Smith Road Plaza, GT | plasticsurgery@cog.ky | www.cog.ky 42

Cayman Parent Magazine | Wellbeing

Wellbeing

Contents

Exercising while pregnant, the menopause, self care and more...

Exercising for Pregnancy & Beyond

p44

Aesthetic Treatments to Turn Back the Clock

p46

Sleep Therapy: The Importance of Sleep

p50

The Menopause: Demystified p53 14 Ways to Practise Self Care

p56

Wellbeing Book Club

p59

The Listings

p60

www.caymanparent.com

WELLBEING

Exercising for Pregnancy & Beyond Many women wish to commence or continue with their exercise programmes during and post pregnancy to maintain their health and quality of life. Exercising during this period is completely safe and recommended by obstetricians. However, there are some guidelines to follow to ensure the safety of you and your baby. Lindsay Bridgeman from Cayman Physiotherapy has provided Cayman parents with a guide on how to safely exercise during pregnancy and once your baby has arrived.

Prenatal Exercise

Prenatal Exercise Options

The NHS recommends that pregnant women should aim for 150 minutes of moderate intensity physical activity each week. This should be spread out over at least three sessions. Even 10 minute sessions are great, and being active every day is encouraged.

Swimming & Water Workouts This is the perfect activity for mums-to-be. Not only do you feel weightless, but it takes all the pressure off your joints. Don’t forget that you can still overheat in the water, so be careful not to overexert yourself.

Pregnancy is the perfect time to adopt a healthy lifestyle and give your baby a great start to life. Regular exercise during pregnancy helps control excessive weight gain, improves cardiovascular fitness and decreases the risk of gestational diabetes. Exercise can also help you sleep better, increase your energy levels, improve your mood, reduce back pain and help prepare your body for childbirth.

If you are experiencing any pregnancy complications you must speak to your obstetrician or midwife first. What exercise is right for you in your pregnancy? If you are already active then keep going! Most women will have to adapt as the pregnancy progresses – remember, don’t bump the bump! If you’re not already active then start gradually. This is not the time to start any new strenuous exercise, but it is a good time to get moving and improve strength in preparation for labour and delivery. Remember to stop exercising immediately if you feel dizzy or lightheaded. 44

Cayman Parent Magazine | Wellbeing

Pelvic Floor Exercises During pregnancy your pelvic floor muscles will loosen due to hormonal changes in your body. This, along with your growing baby pressing on your bladder, may cause you to leak urine when you cough, laugh, sneeze or exercise. Doing daily pelvic floor exercises, such as Kegels, will strengthen these muscles and help reduce the chance of any accidents.

Walking Walking is one of the best cardiovascular exercises for pregnant women. It strengthens the heart and lungs and builds stamina. Prenatal Pilates & Yoga These gentle exercises help increase strength, balance and flexibility. Prenatal Pilates and yoga breathing techniques might also help you reduce or manage shortness of breath later during pregnancy.

As a rule of thumb, the ‘talk test’ is a good check when carrying out your chosen sport or activity – you should be able to hold a conversation as you’re participating. And don’t forget to keep hydrated, especially in the Cayman heat! Exercises to Avoid During Pregnancy Be sure to steer clear of scuba diving, skiing, climbing, horseback riding, Bikram Yoga and any contact sports. Also avoid exercising on your back after the first trimester as the weight of your bump presses on the main blood vessel bringing blood back to your heart. This could cause low blood pressure and make you feel dizzy.

Postnatal Exercise & Common Problems

Diastasis Recti This is the separation of the abdominal muscles that happens when your growing womb pushes the muscles apart, making them longer and weaker. It’s very common but often easily fixable. Getting help from a women’s health physio can help you restore the muscles and prevent problems in the future. Back, Shoulder & Pelvic Pain This can be a problem after birth as a result of hormonal changes. It can then be exacerbated by holding a newborn for long periods of time and adopting a bad posture while breastfeeding. Seek specialist advice to prevent back and pelvic pain becoming a long term problem.

Some mums are keen to start exercising soon after pregnancy but it’s important to take things slow. The idea of ‘bouncing back’ is an outdated concept and women need to take the time to heal and recover without any pressure to look or feel a certain way.

TOP TIP: Breastfeeding isn’t a barrier to exercising after childbirth. It’s important to wear a well fitted supportive sports bra and to stay well hydrated.

Exercising before you’ve healed can also lead to all sorts of problems, from incontinence to even a prolapse. How soon you can exercise again will depend on what type of birth you had.

Lindsay Bridgeman is a licenced physiotherapist and owner of Cayman Physiotherapy. Lindsay has worked as a physio in the Cayman Islands for more than 30 years, after having trained in Scotland. While Cayman Physiotherapy has a multidisciplinary team tackling all aspects of physiotherapy, Lindsay and her women’s health team specialise in the treatment of pelvic pain, incontinence pelvic organ prolapse and pre and postnatal musculoskeletal problems. Visit www. caymanphysio.com to learn more.

Current guidelines advise waiting three months before returning to high impact activity. After a caesarean birth mums may be advised to avoid high impact activity for up to six months. Here is some basic advice for the first six weeks, but remember to listen to your body. Week 0-2 Pelvic floor exercises, basic gentle core exercises (pelvic tilts) and slow walking. Week 3-4 Increase the time and speed of your walks and keep doing your pelvic floor exercises multiple times a day. Week 5-6 Now you can add low impact exercise like the stationary bike (if that feels comfortable) or cross trainer but start gradually. Keep going with the pelvic floor exercises! After your six week post-natal check up with your obstetrician or midwife, it is a good idea to see a specialist women’s health physiotherapist for an assessment prior to embarking on a vigorous exercise programme. This involves the therapist checking your abdominal and pelvic floor muscles as well as any other post-natal issues. Based on this assessment, you can have an exercise programme tailored to your post-natal needs and you will get personalised advice for returning to the activities you enjoy.

Women’s Health Treatment Cayman Physiotherapy offers an innovative approach to women's health in a peaceful, supportive environment. Our treatment program is designed by women for women.

Common Postnatal Problems

Urinary Leakage This is completely normal after childbirth as pelvic floor muscles are weakened during pregnancy and childbirth. It’s advised that all mothers have their pelvic floor assessed after child birth, no matter how they delivered their baby. One in three women suffer from urinary incontinence after pregnancy but in most cases it can be easily fixed with the correct treatment.

Phone: 345.949.8828 Email: physio@candw.ky Web: www.caymanphysiotherapy.com 26 Pasadora Place Smith Road, George Town Grand Cayman

Appointments Available Mon-Fri 7.30am - 7.00pm Sat 8.00am - 3.00pm

Direct Billing Available to all Local Insurance Companies

www.caymanparent.com

WELLBEING

Aesthetic Treatments to

Turn Back the Clock

Time, stress, lifestyle choices and sun exposure all take their toll on our faces and bodies – so much so that sometimes what we see on the outside doesn’t match how we feel on the inside. For some of us, the visible signs of ageing can make us selfconscious and be a blow to our self-esteem. If what you see in the mirror is affecting your outlook and your overall happiness, or if you would simply like to look as young as you feel, it might be time to consider rejuvenation treatments. Whether you want to erase lines and wrinkles, tighten loose skin, restore volume or regain that youthful glow, there are various treatments available that target all the different signs of ageing. Unlike the invasive facelifts of old, many of these procedures are non-surgical and don’t require extended, or indeed any, downtime. Often, they can be performed in under an hour, so it’s possible to get a treatment in your lunch hour and get right back to your life, without anybody needing to know. For a list of aesthetic treatment providers in Grand Cayman please turn to page 60.

What Non-Surgical Treatments Are Available?

Botox One of the most commonly performed rejuvenating procedures worldwide, Botox is a quick, safe and effective way to reduce visible lines and wrinkles. Botox (botulinum toxin) is a neurotoxin that, when injected into muscles, weakens or paralyses them. It is typically injected into muscles in the upper portion of the face, where it softens frown lines, crow’s feet and the lines between the eyebrows. It is administered using very fine needles and is relatively painless. Because Botox prevents your muscles contracting to form the creases that eventually become permanent lines, when used consistently, it can prevent new wrinkles forming. Results take a week or two to show fully.

Procedure time: 15-30 minutes Downtime/side effects: Some light bruising is possible Duration of result: 4-6 months Anaesthetic used: Ice to cool the area, pre and post-injection Approximate cost: CI$150-CI$450 Dermal fillers As we age, facial tissue thins out and volume is lost, giving a hollowed out look. Dermal fillers are gel-like substances that are injected beneath the skin to plump it up, smooth out lines and restore the contours of the face. Fillers are most commonly injected into the cheeks, nasolabial folds and lips.

Cayman Parent Magazine | Wellbeing

Most fillers are formulations containing hyaluronic acid, a substance that occurs naturally in the skin, helping to keep it hydrated and plump, so it is well tolerated. There are numerous brands of dermal filler on the market, including Juvederm, Radiesse, Sculptra and Restylane, each offering different product lines for different applications. Your aesthetician will help you decide which is the most suitable filler depending on your skin type, age and areas to be treated. Some results are visible immediately but the full effect takes up to four weeks to show. It is worth noting that some fillers are reversible (they can be dissolved by injecting another substance), if you are unhappy with the result. For those that are not, the body will reabsorb the filler over the course of several months. Procedure time: 30-60 minutes Downtime/side effects: Localised redness, bruising and swelling is possible, but settles in a few days Duration of result: 6-24 months, depending on the filler Anaesthetic used: None Approximate cost: CI$250-CI$650 Profhilo The most highly concentrated hyaluronic acid formulation on the market today, Profhilo is an injectable gel that works on a deeper level than dermal fillers. Rather than adding volume, it stimulates the production of four types of collagen and elastin, to improve the quality and laxity of the skin over the long term, resulting in a lifting effect. Profhilo is administered using ultra thin needles at specific points on the face. It can also be used on the neck and décolletage. It requires two treatments, spaced four weeks apart and full results are not seen until four weeks after the second treatment. Procedure time: 30 minutes Downtime/side effects: Small bumps and/or bruises at the injection site may persist for a few hours Duration of result: 6 months Anaesthetic used: None Approximate cost: CI$450

Platelet Rich Plasma (PRP) Originally developed to treat sports injuries and wounds, PRP uses your own platelets to accelerate the healing process. The treatment involves drawing a small vial of your blood which is placed in a centrifuge to separate and concentrate the growth factors. These are then injected back into the area to be treated, triggering the body to repair damaged tissue. The treatment is sometimes combined with micro-needling (known as a 'vampire facial') which makes multiple tiny perforations in the skin that induce collagen production and help the PRP penetrate the skin. PRP is typically used to reduce scarring, uneven skin tone and fine lines, and can be used on the face, décolletage and stretch marks. It has also been found to be effective in preventing hair loss. Because it uses your own blood, and no pharmaceuticals are involved, there is no risk of rejection, making it very safe. Results are visible after three weeks, with the best results appearing after three months. Procedure time: 30-45 minutes. 2-3 sessions may be needed. Downtime/side effects: Small bumps or bruises at the injection site may persist for a few hours. Bruising and redness when combined with micro-needling may last several days. Duration of result: 6-18 months Anaesthetic used: Topical anaesthetic may be applied Approximate cost: CI$275-CI$375

Polydioxanone (PDO) Thread Lift A PDO thread lift is a minimally-invasive alternative to a surgical facelift. PDO threads are made from medical grade suture material, which is engineered to be reabsorbed by the body over the course of several months. The procedure involves inserting a mesh of these ultra-fine, barbed threads below the skin, and pulling them to tighten the skin. The threads have a twofold effect however, as they also stimulate collagen production, which in turn restores volume and elasticity. PDO threads can be used to lift the face, jawline, breasts, upper arms, abdomen and more. The best results appear around three weeks after the procedure. Procedure time: 45-60 minutes Downtime/side effects: A little bruising is possible for up to a week Duration of result: 1-2 years Anaesthetic used: Topical anaesthetic may be applied Approximate cost: CI$500-CI$1,500 Chemical Peels Chemical peels involve painting an acid solution onto the area of skin to be treated, usually the face, which removes the top layers of skin to reveal fresh, younger skin underneath. While these treatments can reduce fine lines, they will not tighten sagging skin. They are most effective at treating acne-prone and scarred skin, uneven skin tone, hyperpigmentation and enlarged pores.

Non-Invasive Skin Treatment Services Non-invasive treatments give you the opportunity to prevent ever needing to have major aesthetic surgery. When fine lines are managed from a young age using subtle procedures, there is often no need for drastic measures at a later stage. Services Offered Deep cleansing facial and acne control Microdermabrasion Mini glowing facial Platelet Rich Plasma (PRP) Anti-aging facial Brightening facial HydraFacial Carboxytherapy Sculpting body treatment

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The chemicals used depend on the depth of the peel: light peels use salicylic acid, medium peels use glycolic or trichloroacetic acid and deep peels use phenol. After a light peel, some flaking of the skin during the first week is normal as old skin is shed and new skin is uncovered. The procedure is usually repeated five or six times, two to four weeks apart, to achieve the desired results. For deeper peels, the results are much more pronounced so one treatment is often sufficient. Recovery time, however, can take up to a month or more and may involve soreness, redness and crusting. Procedure time: 30-90 minutes depending on the strength (deeper peels take longer) Downtime/side effects: 1-4 weeks. Deeper peels result in more extreme after-effects Duration of result: 2 months to several years, depending on the depth of the peel Anaesthetic used: Local anaesthetic and/or sedative may be administered for deep peels Approximate cost: From CI$125

Before You Book, Do Your Research

Although these treatments are non-surgical, that does not mean they are totally risk-free. We have all heard stories of botched cosmetic procedures, whether due to being carried out by unqualified individuals, or because they used 'cheap' chemicals

– or both. So before booking any kind of procedure, do your research. First, make sure you know what the potential risks or complications of any treatment may be. Next, choose a reputable, well-established clinic. Most treatments (with the exception of some peels) can only be performed by medically qualified individuals, such as a surgeon, doctor, dentist or nurse, so make sure you know who will be administering the treatment and that they have the appropriate experience. Before going ahead with a procedure, book a consultation. Reputable clinics generally offer free consultations so that you can discuss your desired results and the medical professionals can advise on the right treatment, or combination of treatments. Don’t assume you know which treatment will work best for you, as it may depend on your age, skin type, body type, health and other factors. Remember to keep your expectations realistic. These are not full face-lifts and you are not going to emerge from a one-hour treatment looking 20 years younger. Results are subtle and natural, and the full effect of the treatment may take several days or weeks to show. While non-surgical treatments are relatively affordable – hence their widespread popularity – it’s important to note that the results are temporary, so maintaining the results will require regular touch-ups.

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Sleep Therapy:

The Importance of Sleep

A decent night’s sleep is as important for your mental and physical wellbeing as a healthy diet and regular exercise. The consequences of poor sleep go far beyond feeling fatigued: lack of sleep impacts brain function, can increase your risk of heart disease, diabetes and high blood pressure, and is linked to depression.

What is ‘Good’ Sleep?

The National Sleep Foundation advises that healthy adults require seven to nine hours of sleep per night, teens require eight to ten, and babies can need up to 17. However, getting the right kind of sleep is just as important as the duration. Throughout the course of the night, the body goes through various sleep cycles, each of which has four defined stages. During the ‘deep sleep’ stage, our heart rate decreases, our muscles relax and our brain waves slow down: this is the most restorative sleep stage, when our bodies release human growth hormone (HGH) which gets to work repairing and regrowing tissues, resetting our brains, consolidating memories, and strengthening our immune system. As you age, the amount of deep sleep you get each night naturally decreases. It then becomes increasingly important to make sure your lifestyle choices and sleep habits are conducive to a good night’s sleep.

Improve Your Sleep Quality

We all have an internal body clock that runs continuously in the background, regulating when we wake and when we sleep. Known as the circadian rhythm, this 24-hour cycle drives the release of certain hormones that control whether we feel alert or drowsy. Certain lifestyle habits can influence this cycle and affect when and how we sleep. To maximise your sleep quality, consider the following:

Cayman Parent Magazine | Wellbeing

1. Develop a consistent sleep routine Sleep experts agree that establishing a regular sleep routine is essential to ensuring you fall asleep easily and stay asleep. The key is to set a regular wake-up time and stick to it, regardless of how tired you are. If you’re getting enough sleep, you shouldn’t need an alarm to wake up, so if you are struggling to get up in the morning, bring your bedtime forward. Avoid long lie-ins, even on weekends, and don’t give in to long daytime naps, as these will disrupt your internal body clock and leave you feeling less tired when bedtime comes around. If you need a power nap, keep it to a maximum of 5-20 minutes. 2. Exercise early Exercise is essential to overall health, and because it tires you out physically, it can help you fall asleep quicker. But there is a caveat: when you exercise can affect how you sleep. Because working out elevates your heart rate, speeds up your metabolism and stimulates the release of cortisol (the hormone that makes your feel alert and energised), intense exercise right before bedtime can end up keeping you awake. Aim to exercise earlier in the day and stick to breathing exercises or gentle stretches in the evenings.

3. Avoid caffeine, alcohol and too much liquid Caffeine is a well-known stimulant, and for many, it’s an essential to getting going in the morning. However, its effects linger in the body for six to eight hours, so avoid caffeinated products after around 4pm. Alcohol, too, can cause interrupted sleep. Although a nightcap can act as a sedative and help you fall asleep faster, as it wears off it has the opposite effect. This is why so many people report falling asleep fast but waking up at 2am or 3am after drinking. For a restful sleep, avoid drinking excessively or late in the evening. Waking up in the night to use the bathroom and not being able to get back to sleep is also a common complaint. If this sounds familiar, try not to drink fluids of any kind for an hour or two before bed to minimise your chances of waking up in the night. If you do wake up, try to get to the bathroom and back without turning on any lights to avoid waking up completely. Consider a small night light in the bathroom to guide the way. 4. Reduce blue light exposure before bed Because our circadian rhythm is heavily influenced by light, exposure to bright lights before bedtime can trick our bodies into being more wakeful. Blue light in particular – the light emitted by TVs, tablets and phones – is known to suppress the release of melatonin, the hormone that causes drowsiness.

Of course, we all like to wind down at the end of the day by watching a movie or scrolling through social media, but consider dimming the lights when you do so and imposing a blue light curfew whereby electronic devices must be switched off one to two hours before you go to sleep. 5. Wind down for bed Once you’ve turned off those devices, spend the next hour or two engaging in activities that will help you unwind and prepare you for sleep. This might be reading a book, listening to music or putting an audio book on. For some, having a warm bath or shower is a great way to relax. For others, writing a to do list for the following day, getting the next day’s outfit ready

Sleep better at any age… At The Mattress Gallery by Tomlinson Furniture we know that your perfect night’s sleep is unique and we believe your mattress should reflect that. We promise to help make your mattress buying experience easier by offering our Sleep Better Guarantee so you can buy in confidence. 9 Walkers Rd, Tomlinson Building, George Town (345) 949-5383 or (345) 526-2337 e: info@tomlinsonfurniture.my l www.tomlinsonfurniture.ky

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or preparing the kids’ packed lunches can all help to make you feel more organised and therefore less prone to running through mental lists when you get into bed.

Plenty of people find noise a major impediment to sleep. Electric fans are a great way to create white noise that drowns out other irritating sounds – and keep you cool at the same time. An alternative is to listen to a sleepcast (a podcast designed to send you to sleep) which talks you through some relaxing breathing exercises and sends you off to the land of nod. 7. Make sure your bed is up to the task Did you know that mattresses should be replaced every five to eight years? A bad mattress and the wrong sort of pillow can cause back and neckache and really impact your sleep quality. A good mattress, on the other hand, can solve aches and pains, and even make you look forward to going to bed!

6. Make your bedroom an oasis of sleep Create the right conditions for sleep. This generally means a space that is cool, dark, and quiet. For most, the ideal temperature is around 24 C/75 F, so turn the air-conditioning down, put the fan on, and if necessary, get a blanket out. Most people also sleep better when a room is darker, so if your windows let in a lot of light, whether from the morning sun or street lights outside, invest in some heavy curtains or blackout blinds.

Talk to the experts at The Mattress Gallery or The Mattress Experts for advice on the best type of mattress, pillow and bedding depending on whether you prefer soft or firm, whether you sleep on your side, back or front, and whether you tend to feel warmer or cooler at night. TOP TIP: When to Seek Professional Help Everyone can experience sleep problems from time to time, however, you should speak with your doctor if your quality of sleep is interfering with your daytime activities and your ability to function. For a list of medical professionals who can advise you, see page 152.

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Cayman Parent Magazine | Wellbeing

The Menopause : Demystified The two great transitions in a woman’s life – puberty and menopause – are fraught times when our bodies do strange and unpredictable things and our moods can take us completely by surprise. But unlike puberty, menopause is often regarded as somehow unsavoury – an issue best kept under wraps. The taboo surrounding menopause means many of us are woefully ill-informed about an unavoidable phase in our lives. Not only do women not talk about the more difficult aspects of the menopause amongst themselves, but it’s so overlooked, that medical practitioners in the US and UK receive no mandatory training in it, and employers often offer no support to women going through it. Granted, some women will sail through the menopause with no adverse effects, but at least 25% suffer debilitating symptoms – both physical and mental – that seriously impact their quality of life and sometimes their ability to continue working. However, because it’s not talked about, many women don’t know that they can safely get relief from the symptoms and decrease their risk of other diseases at the same time. That wall of silence is starting to crack though. Celebrities and TV personalities are opening up about their experiences of the menopause, how it is affecting their lives, and their challenges in getting treatment. And that is sparking a wider conversation and reassuring women all over the world that there is no shame in talking about this common experience.

What is the Menopause?

Quite simply, the menopause refers to the end of a woman’s menstrual cycle. A woman is considered menopausal when she has not had a period for more than 12 months. The average age for this is 51, although it can vary by several years either side of that. Menopause usually lasts between five and seven years, but again, it can be longer or shorter. Once menopause symptoms stop, a woman is considered post-menopausal. For some women, periods will stop suddenly, but many others will experience irregular periods that may be heavier or lighter than normal, some years before they stop completely. This phase, when hormone levels are fluctuating, is the perimenopause and is often accompanied by menopausal symptoms. Perimenopause usually begins in your 40s, although occasionally it can start in your 30s, and lasts several years. The distinction is not particularly important though, says Dr. Richter, OB/GYN and certified menopause practitioner at NovoClinic, as any treatment seeks to manage the symptoms, rather than the stage a woman is in.

Symptoms of Menopause

Menopause is driven by hormones. As we approach the end of our fertile years, our ovaries slow down and eventually stop functioning: not only do they stop producing eggs, but they

also stop producing the hormone oestrogen. Because there are oestrogen receptors in every tissue and organ in the body, oestrogen affects not only our menstrual cycles and reproductive organs, but also our urinary tracts, heart and blood vessels, bones, breasts, skin, hair, mucous membranes, pelvic muscles, and brains. So when levels of this vital hormone decrease we feel it in a perplexing variety of ways – so much so that many women fail to connect the symptoms they are experiencing with the menopause. The most recognised physical symptom – and for many the most debilitating – are the hot flushes. These tend to affect the upper part of the body and usually occur later in the day, but can also occur during sleep (night sweats) which then cause fatigue and can in turn lead to a low mood and irritability. However, the symptoms women experience vary widely and present in different combinations. Other physical symptoms include aching joints, weight gain, tingling skin, headaches and heart palpitations. Because the tissue of the bladder thins during menopause, symptoms can also include frequent UTIs, overactive bladder, and incontinence. More difficult for many to talk about is the loss of libido and the vaginal dryness, which is also caused by thinning tissue and, if not treated, can make sex painful and day to day life uncomfortable. In addition to these unquestionably unpleasant physical symptoms, are the severe mental and psychological symptoms that can accompany this time. An estimated 40% of women do not even know about these, so that when gripped by extreme mood swings, anxiety, anger, poor memory and mental fog, they think they are losing their minds. These symptoms don’t only impact relationships, but also leave some women feeling unable to continue in their jobs, or to pursue more senior career roles. TOP TIP: Set up a support group with friends so that you

can share symptoms and grumbles about the menopause. There is also a Facebook group called 'Cayman Hot Flush Menopause Support' which is a kind and friendly support group for women wanting to know or share information about menopause. Being able share your frustrations with others who are going through the same experience is great for your mental health.

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When To See a Doctor

recommendation is to administer the lowest dose for the shortest possible time (not more than five years), a growing number of menopause experts like Dr. Louise Newson advocate taking HRT even if you have no symptoms and in some cases staying on it long-term, to reduce your future risk of osteoporosis, heart disease and Alzheimer’s.

The best time to see someone is as soon as you start to feel symptoms, but if your doctor is not knowledgeable about menopause – and bear in mind that only 20% of US gynaecologists have training in menopause, and even fewer GPs – seek out a medical professional who specialises in this aspect of women’s health.

Risks of HRT Available since the 1960s, HRT was widely prescribed until the early 2000s. Then, in 2002, a large-scale study by the Women’s Health Initiative, which evaluated the effect of HRT on health in postmenopausal women, published its preliminary findings. These showed a link between HRT and increased risk of breast cancer, stroke, heart disease and clots – although it was the breast cancer link that made headlines. Almost overnight millions of women stopped taking HRT and doctors around the world stopped prescribing it.

Too many women soldier on, ignoring the symptoms as best they can, looking forward to the calm after the storm. However, by not seeing a medical professional, we are not doing ourselves any favours, as treatments can dramatically improve one's quality of life.

GPs may hear 'insomnia, low mood, weight gain, anxiety and irritability' and assume they are dealing with depression, rather than menopause. Equally, Dr. Richter points out that, perspiration, hot flushes, low mood and depression can also be a sign of thyroid issues, so it’s essential to rule out other conditions. The other reason to see a doctor, whatever your symptoms, is because certain health risks increase post-menopause. After the symptoms abate, low oestrogen levels stay with women for the rest of their lives. As UK menopause expert Dr. Louise Newson emphasises, post-menopausal women are in effect living with a hormone deficiency. That deficiency can affect their health in multiple ways: most importantly, it dramatically increases women’s risk of osteoporosis, heart disease and Alzheimer’s. Up until a century or so ago, when life expectancy was much lower and women tended not to live long beyond the menopause, this hormone deficiency was not particularly significant. These days, however, many women will live up to a third of their lives after the menopause, so it’s essential to consider the long-term health impacts of low oestrogen.

Hormone Replacement Therapy (HRT)

The single most effective treatment available for menopausal symptoms is Hormone Replacement Therapy. The aim of HRT is not to delay or stop the menopause but rather to manage the symptoms by topping up hormone levels. There are two main types of HRT: oestrogen-only and combined oestrogen and progestogen (a synthetic form of progesterone). Women who have had a hysterectomy can take oestrogen-only HRT, but because oestrogen can cause a thickening of the uterus and increase the risk of endometrial cancer, women who still have their wombs are also given progestogen to reverse that risk. Occasionally, testosterone is prescribed for sexual issues. Oestrogen is best delivered through the skin so that it is not metabolised by the liver; this can be in the form of patches, gels or sprays. Progestogen is usually taken as a capsule whereas testosterone mainly comes in gel-form. There is no one-size-fits-all HRT treatment: every case is treated individually and it may require trying different formulations to find the right dose and combination for the individual. HRT is best started at the onset of symptoms. While the standard

Cayman Parent Magazine | Wellbeing

Those initial findings have been widely discredited, and investigators involved in the study now emphasise that it was poorly designed and that the risk identified was not statistically significant. But it is the sensational headlines that have stuck in people’s memories and kept women in fear of HRT. Twenty years on, only a minority of menopausal women now take HRT. There have been several studies since, some of which show an increased risk of disease, and others that do not – but that should not be cause for alarm. "The worst case scenario," Dr. Richter says, "is that there might be a slightly increased risk, but it’s definitely not as much of a concern as it’s made out to be. It’s been blown out of proportion by the media." For the majority of women, HRT is safe and effective. The key points to bear in mind regarding the risks are: • Women on oestrogen-only HRT do not have an increased risk of breast cancer. • Women on combined HRT have a slightly higher (0.4%) chance of developing breast cancer – but this should be viewed in context: drinking two units of alcohol per day increases your risk by 0.5% and obesity by 2.4%. • Starting HRT before age 60/within 10 years of the onset of menopause is preferable. Starting at age 70+ carries more risk. • The increased risk of breast cancer is related to how long you take HRT and falls when you stop. • HRT does not increase your risk of cardiovascular disease and oestrogen-only HRT may offer protection. • There is a very small increased risk of stroke associated with oral oestrogen but most doctors now prescribe transdermal oestrogen. • HRT is widely accepted as protecting against osteoporosis. • Menopause specialists agree that the benefits of HRT far outweigh the risks. Stopping HRT can cause menopause symptoms to return, particularly if you do so suddenly. It may be best to reduce the dosage gradually. If you’re on HRT and want to stop, discuss it with your doctor first and decide on the best approach.

Body-Identical vs Bio-Identical HRT Body-identical hormones have the same molecular structure as the hormones in your body and are derived from yams or soy. This is the type of HRT usually available on the NHS, for example. Estradiol and micronised progesterone are body-identical hormones commonly prescribed by doctors, including Dr. Richter, and are available in standard off-the-shelf formulations. Bioidentical hormones – marketed as more natural and tailored to the individual – are essentially the same plant-derived hormones but are compounded in pharmacies into 'bespoke' doses, according to doctor’s orders. These are only available through private clinics, often at great expense, but as they are not produced in labs and are not regulated, their quality, safety and purity are not guaranteed. There is no evidence to show bioidentical hormones are more effective and in some cases the side effects are worse.

Lifestyle Changes

Whether you choose to take medication to assist you through the menopause or not, certain lifestyle changes will also help to manage the symptoms. Exercise: At a time when low mood and depression can be a daily battle, physical activity is a great way to release endorphins and can also be a great sleep aid for those struggling with insomnia. Weight-bearing exercise strengthens bones and protects against osteoporosis and any aerobic exercise will help to protect against heart disease. Diet: It’s important to support your body through this change by giving it the nutrients it needs. Eat plenty of plant-based foods for fibre and lean proteins. Avoid excessive salt, which can adversely affect bone density, and make sure you eat calcium-rich foods to keep your bones strong. To keep your heart healthy, avoid saturated fats. Pelvic Floor Health: Keeping your pelvic floor muscles strong is the best way to prevent or control urinary incontinence and pelvic prolapse, which can be a distressing effect of menopause. The women’s health physiotherapists at Cayman Physiotherapy and Elevation Health & Physiotherapy both create individualised treatment plans to help women in this stage of life. Caffeine and Alcohol: Both of these can contribute to hot flushes, mood changes, interrupted sleep and the need to urinate more frequently, so are best consumed in moderation. Supplements: To keep your bones strong, it may be a good idea to up your calcium and vitamin D intake with supplements once you enter menopause. For those who prefer natural alternatives to HRT, there is a huge choice of supplements that claim to relieve mild menopause symptoms, particularly hot flushes. Black cohosh, red clover, soy, flax seeds and ginseng are some of the most popular ones. However, there is no solid evidence to support the claims. In fact, black cohosh is not recommended for anyone with liver issues, and phytoestrogens, such as soy, may be risky for women who still have their uterus. Remember, herbal supplements can interact negatively with other medications or cause side effects, so consult your healthcare provider before using supplements.

Menopause can be a messy, confusing and unpredictable time. The fact that it often coincides with a phase in women’s lives when they are also dealing with grouchy teenage children, ageing parents, marriage breakdowns and reaching the peak of their careers, makes it all the more stressful. The fact that we so often don’t talk about it adds an unnecessary extra burden. But this transition isn’t one we have to grin and bear alone and in silence: we can – and should – be more open about it, both at home and at work. And rather than enduring it in ignorance, we should seek out medical professionals who are knowledgeable about menopause, and do our own research, so that we are armed with facts, not fiction. For a list of doctors and clinics in Cayman that specialise in women's health, please see page 60. TOP TIP: Managing Hot Flushes in the Cayman Heat: Keep hydrated, wear loose layers, and keep a

towel in the freezer. When you feel a hot flush coming on turn the air con down, put your cold towel on your face, position yourself in front of a standing fan – or get a hand-held fan – and if all else fails, put your head in the fridge! Further Reading • Megs Menopause www.megsmenopause.com • Menopause Matters www.menopausematters.co.uk • My Menopause Doctor www.menopausedoctor.co.uk

Board Certified Obstetrician & Gynecologist Board Certified Urogynecologist European Society of Aesthetic Gynecology certified Certified Menopause Practitioner (SAMS) I have been practicing as an OB/GYN for over 30 years and helping women safely deliver their babies was my passion for a very long time. A change of focus led me to specialise in endoscopic and laparoscopic surgery, a practice that which I also taught my colleagues. I also continue to pursue advanced continuous medical education in progressive infertility surgery, cancer surgery, aesthetic surgery and urogynecology. This has equipped me with the ability to offer various solutions to help women with a wide range of gynecological issues such as incontinence, menopause, hormonal fluctuations, aesthetic gynecological concerns, pelvic floor related issues, pain and fibroids. I am a SAMS Menopause Practitioner, who helps women navigate through the process of menopause, including perimenopause and postmenopause. Women’s Health matters are very individual and complex. That is why I strongly believe in offering any patient a uniquely tailored treatment plan which is always in alignment with the patient’s choices and personal preferences. Empowering women to be an integral part of their own health care leads to improved outcomes of many conditions. By offering an open, safe, no taboo space to address any concerns a patient might have I have been able to help thousands of women and I am looking forward to doing so for many more in the future. NovoClinic Ltd. BritCay House, 236 Eastern Avenue

(345) 746-6082 frontdesk@novocayman.com

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14 Ways

To Practise Self Care

The parenting juggle is hard. Taking care of children can be draining and leave parents feeling tense and overwhelmed. Now that the end of the pandemic is (hopefully) in sight, we mustn’t forget the lesson we have learnt: that taking care of yourself isn’t a luxury, it is essential.

Whilst it is often hard to put ourselves first, research has shown that self care helps reduce stress, increase productivity and inspire feelings of happiness.

helping to reduce stress and lowering anxiety. Gradually work up to 150 minutes of moderate intensity activity a week and reap the benefits of all that vitamin D.

So why not fill your cup from some of the suggestions in this article. Self care doesn’t have to be extravagant or pricey but it does have to be all about YOU!

2. Book a Hair Appointment

TOP TIP: If child-free time is an issue consider reciprocal childcare: you watch a friend’s children for a couple of hours and they return the favour!

1. Go for a Run or Walk

Getting outside and taking in the natural surroundings leads to significant health benefits; luckily we live on a beautiful island with a climate that allows us to get outside, exercise and appreciate nature everyday. Take a walk, run or cycle around your neighbourhood or better yet head to the beach for a walk or a swim and really get those endorphins flowing! NHS UK states that a brisk daily walk for as little as 10 minutes has lots of health benefits including boosting your wellbeing and mood,

Cayman Parent Magazine | Wellbeing

Having your hair done is a real confidence booster and a great excuse to sit down and unwind for a few hours! Who doesn't love a hair wash and relaxing scalp massage? Uniko Eco Salon and Studio 54 both offer a wide range of services to help you look your best including haircuts, colour and blowdrys. Or why not book an additional treatment such as Hair Botox from Uniko or a deep conditioning mask from Studio 54? Both salons use natural hair products that are cruelty-free and vegan so you are also doing your bit for the environment. Men don’t need to feel left out either and can take advantage of haircuts and grooming services and even facials.

3. Take a Yoga Class

We could all do with a bit more zen in our lives so roll out your mat and take a class at one of Cayman’s yoga studios such as Body Works or Cayman Yoga Club. Or why not check out an online class? We recommend the Yoga Studio app or Yoga

With Adriene on YouTube. The practice of yoga encourages the connection between your mind, body and breath which aids relaxation, improves flexibility and strengthens your muscles.

4. Treat Yourself to New Skin Care Products

The very act of looking after your skin is comforting and soothing. Numerous skincare boutiques in Cayman are packed full of incredible skin care options suitable for all skin types; why not talk to their knowledgeable staff about what options are best for you? Turn your routine into a ritual by scheduling time once a week to really focus on your skin: wash your face with a cleansing balm and use an exfoliator to remove any dead skin. Next, apply a mask, lie down, close your eyes and relax for 10 minutes. Remove the mask with warm water and finish by applying eye cream, a serum and a night cream. Stress will melt away and you will enjoy the added bonus of brighter and more radiant skin!

5. Take a Long Bath

For the ultimate in relaxation, take some time out to enjoy a long soak in the bath. For added indulgence pour in some bubble bath or essential oils and light a scented candle. You might choose to unwind to some music, an audio book or a podcast, or even treat yourself to a glass of wine. Emerge feeling like you’ve been to the spa and prepare to fall into a deep slumber.

6. Read a Book

Escape reality by losing yourself in a good book. Head to Next

BARBERSHOP

Chapter in Camana Bay and choose a title from their vast selection. Whatever genre you are interested in: murder mysteries, romance, autobiographies or dystopian thrillers, they have something to suit all tastes. Then simply sit back, relax and let the pages transport you to another world.

7. Take a Break from Social Media

Social media is wonderful in many ways but the desire to constantly stay connected can also have a negative impact on mental health – so why not schedule a break? Step away from the scrolling and step into the moment by committing to switching off from Instagram, Twitter and Facebook for a whole day once a week.

8. Enjoy a Relaxing Nail Treatment

Pamper yourself with a manicure or pedicure at Studio 54. Sit back in their comfortable chair and zone out while you soak your feet in a warm bath before enjoying a relaxing treatment. Your beautician will exfoliate your hands and feet to remove dead skin followed by a blissful massage that helps improves circulation. Emerge from the salon feeling wonderfully relaxed having taken some time for yourself.

9. Take Time to Meditate and Pray

Meditation and prayer provide the opportunity to clear your mind of all the chaos and focus on what’s really important. Meditation has many benefits both physically and emotionally:

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WELLBEING

It reduces stress and feelings of depression, manages anxiety and connects you to your inner self. A journey of self discovery through meditation increases emotional intelligence and selfawareness, igniting feelings of gratitude. We recommend trying the app 'Headspace' for a gentle guided meditation. For those who are looking for a more spiritual connection, saying a prayer can smooth the path for your day ahead and help you endure difficult times. A relationship with a higher power offers more than just hope — it strengthens emotional health too.

10. Try Something New

Open yourself up to feeling challenged by trying a new hobby or learning a new skill. Keep it fun and enjoyable without putting too much pressure on yourself and revel in your sense of accomplishment. It could be immersing yourself in a new language, taking up painting or drawing or having a go at a sport outside of your comfort zone – the possibilities are endless! Visit the 'Social Clubs' and 'Sports & Fitness' pages on www. caymanresident.com for some inspiration!

11. Write a Gratitude List

Research has shown that one of the best ways to reduce anxiety and improve your overall well-being is to write a list of the things you are grateful for. Keeping a Gratitude Journal helps you gain a new perspective on what is important to you and what you truly appreciate in your life. By noting what you are grateful for, you gain clarity on what you want to have more of in your life, and what you can cut from your life. At the end of each day spend

10 minutes recording your appreciation; it can be as general or specific as you want. You will find lovely notebooks in Next Chapter, Book Nook and Kirk Market.

12. Book a Staycation

Whilst travelling isn't quite back to normal, there is still time to take advantage of holidaying on our beautiful Islands. There are an abundance of hotels, condos and cottages to enjoy a break at and escape the daily grind, you may find a spot you didn’t even know existed! Choose from the five star hotels on Seven Mile Beach with their decadent spas to a desert island escape of dreams in Little Cayman. Perhaps you prefer the rugged beauty of Cayman Brac or the stunning vistas of Cayman Kai? Re-create the best parts of a good getaway without straying too far from home: no packed schedules, no clutter, a change of scenery and a pristine space to return to at the end of the day. Take the opportunity to unplug, book a spa treatment or simply enjoy the beauty of the Cayman Islands without any demands on your time.

13. The Power of Sleep

Sleep is an often overlooked part of self care, we all want more yet we don’t invest in it. Daily stresses, multiple night wakings from children and falling asleep scrolling through our phones translates into an empty tank. According to Matthew Walker, author of ‘Why We Sleep’, we need at least six hours of uninterrupted sleep per night for our DNA to regenerate and between seven and nine hours of sleep for optimal mental and physical health. A good night's slumber will recharge your parenting powers (i.e. patience!) too so don’t scrimp on the snoozes, prioritise sleep! For tips on how to achieve a good night's sleep, see our article on Sleep Therapy: The Importance of Sleep on page 50.

14. Say No To Others, Say Yes to Self Care

We are the only certified EcoSalon in Cayman We use only DAVINES cruelty free formaldehyde free products made with sustainable ingredients We adopt energy & water saving practices We are paper free & offer refills on hair products We do great hair in a comfortable Eco ambience 3 Bay Harbour Centre, WB Rd North, Next to Grand Pavilion (Kaaboo BLDG) t: +1 345-769-5400 e: unikosalon@gmail.com www.unikosalon.com

Cayman Parent Magazine | Wellbeing

Sometimes the hardest thing to do is carve time out, away from family and friends, to invest in yourself. It can feel self-indulgent and guilt ridden but our mental health should be seen as a priority. The next time somebody asks you to do something for them just as you are on your way out to a yoga class or the phone rings as you are sitting down with a good book, think to yourself: can I put myself first here? Give yourself permission to say yes and reap the benefits.

Self Care for Dads While self care is a buzzword for mothers, fathers need to take care of their health and wellness too. All of the duties and responsibilities involved in being a husband and father leave little time for hard-working men to take time to properly care for themselves. Like mums, dads often sacrifice sleep, exercise, nutrition, and hobbies for their families. All of the tips in this article can also be applied to men, so make sure the man in your life gets to recharge his batteries too!

Wellbeing Best for Parents

Book Club Best for Children

A book that truly inspires you to be you. King teaches readers to combat toxic energy, self-doubt and to ‘go with the flow’. Drawing on his own personal experiences, King shows us that the world around you starts to change when you change your perspective on life.

An activity book jam packed with exercises, games, puzzles and stickers to help children manage their breath, thoughts, and feelings. This is the perfect activity book for those seeking tranquillity in these turbulent times.

A straightforward look at the menopause written by a well-known specialist in the field. It details stages, symptoms and treatments. Migraines, depression, anxiety, osteoporosis, low libido, relationships, diet and HRT are just some of the areas covered in this concise manual.

Make yoga magic with this interactive book. Pull the levers, turn the wheels, and watch as 13 children come to life to act out 13 yoga poses. Kids will delight in seeing the sun rise over the mountain pose, boats float beneath the bridge pose, and branches blossom during the tree pose.

A comprehensive, eyeopening exploration of what dreams are, where they come from, what they mean, and why we have them. Written by two world-renowned sleep and dream researchers, it debunks common sleep myths and reveals the mysteries of dreams.

Ruby loves being Ruby until, one day, she finds a worry. At first it's not such a big worry, and that's alright, but then it starts to grow. A perceptive and poignant story that is perfect for discussing childhood worries and anxieties, no matter how big or small they may be.

Best Digital for Parents Balance has been designed by menopause specialists to help you become more informed about the menopause It allows you to track symptoms, access expert content and share stories. Free on iOS and Google Play.

Best Digital for Children Mindful Powers invites kids on a journey to be more mindful through a series of 'stories' or meditations. The aim is to help kids focus, calm their thoughts, and be more mindful of their actions. Free, available on iOS and Google Play.

www.caymanparent.com

WELLBEING

the

Listings Gyms, Women's Health and Aesthetic Treatment Providers

Gyms/Exercise Studios 345 Personal Training Tel: (345) 926 2117 Email: 345personaltraining@ gmail.com Offers weekly group pre and postnatal circuit classes and personal training. Align 45 Market Street, Camana Bay. Tel: (345) 640 5050. Web: www.align.ky Pilates studio with pre and postnatal classes. Anytime Fitness Market St, Camana Bay. Tel: (345) 946 4748. Full service 24 hour gym. Offers a Bump to Baby total body conditioning programme. Balance Cayman Caribbean Plaza, West Bay Road. Tel: (345) 326 8111 Web: www.balancecayman.com Small group classes and personal training. Cayman Crossfit Market Street, Camana Bay. Tel: (345) 929 8450 Web: www.crossfitcayman.com High intensity fitness classes. Cayman Physiotherapy Two locations: Suite 26 Pasadora Place, Smith Road & West Shore Center, West Bay Road. Tel: (345) 949 8828 Web: www. caymanphysiotherapy.com Physio led Pilates 1:1 and small classes including pre and post-natal specialised classes. Energy Essential Fitness Cricket Square. Tel: (345) 946 6006 Web: www. energycayman.com A wide range of fitness classes including weekly prenatal Pilates. F45 The Strand, SMB. Tel: (345) 925 1733 Web: www. f45training.com/caymanislands High intensity group training with new workouts weekly. Fitness Connection Glen Eden Road, South Sound. Tel: (345) 949 8485 Web: www.fitness.ky A family fitness and aquatic facility. Powerhouse Gym 861 Crewe Road, Red Bay. Tel: (345) 946 5464 Web: www.kingssportscentre.com Full gym and fitness studios. Personal training available. Ryde Cayman The Crescent, Camana Bay. Tel: (345) 746 7933 Web: www.rydecayman.com Performance cycling on stationary bikes set to music.

Cayman Parent Magazine | Wellbeing

7 Mile Strength & Fitness Cannon Place, George Town. Tel: (345) 925 1456 Email: info@7mile.life Offers a postpartum core restore programme. Universal Fitness Countryside Shopping Village, Savannah. Tel: (345) 947 5464 Web: www.universalfitness.ky Full service gym and group fitness classes. World Gym Snooze Lane, Seven Mile Beach. Tel: (345) 949 5132 Large gym with a good selection of machines and classes.

Women's Health Clinics There are several high qualified and experienced women’s health experts onIsland which we have listed below. You can also speak to your family doctor for help and advice. Please see page 152 for a full list of General & Family Doctors. Cayman Physiotherapy Two locations: Suite 26 Pasadora Place, Smith Road & West Shore Center, West Bay Road. Tel: (345) 949 8828 Web: www. caymanphysiotherapy.com Offering an innovative women's health programme, pre and post-natal Pilates, 1:1 women’s health specialist physio, specialist post-natal check ups (Mummy MOT) acupuncture, massage therapy and more. NovoClinic – Dr. Barry Richter MBChB, MMed, FRCS(C) Eastern Ave, George Town. Tel: (345) 746 6082. Email: clinic@novocayman.com Web: www.barryrichtergyn.com Specialised care in gynaecology, urogynaecology, the menopause and feminine aesthetics. Total Health The Grand Pavilion , West Bay Rd. Tel: (345) 333 2222 Email: info@totalhealth.ky Web: www. totalhealth.ky A flexible and personalised approach to women's healthcare. Elzke Hoehler PT, OMT & Certified Pelvic Health Therapist Elevation Health & Physiotherapy, 2nd Floor, Fidelity Financial Centre, 1 Gecko Link. Tel: (345) 623 6663 Email: info@ehphysio.ky Web: www.ehphysio.ky Assisting women with all aspects of personal healthcare at every stage of life.

Aesthetics Clinics Aesthetics Cayman 2nd Floor Fidelity Financial Centre, SMB. Tel: (345) 943 7001 Web: www.aesthetics-cayman. com Convenient and effective aesthetic services including Botox, dermal fillers and injectable facial rejuvenation treatments. Beauty Shape The Strand, West Bay Rd. Tel: (345) 233 3322 Email: info@beautyshape.ky Web: www. beautyshape.ky Offers a range of innovative treatments to target and burn specific areas of fat and cellulite. Cayman Rehab Services Eucalyptus Building, Shedden Rd. Tel: (345) 943 7974 Email: caymanrehab@gmail.com Web: www. caymanrehabservices.com Microdermabrasion, facials, Platelet Rich Plasma (PRP) Facial Rejuvenation, sculpting treatments and more. Cayman Orthopaedic Group – Dr. Dancey FRCS(Plast), MBChB, MMedSci, MCh(PASP) Smith Road Plaza, GT. Tel: (345) 945 8380 Email: plasticsurgery@cog.ky Web: www.cog.ky A UK trained, fully qualified Plastic Surgeon offering aesthetic and reconstructive breast surgery, body contouring, liposuction, female genital surgery, aesthetic facial surgery, fat transfer and weight loss surgery. Da Vinci Centre Park Place Plaza, West Bay Road. Tel: (345) 943 2002. Web: www.davinciwellnesscentre.com Botox, fillers, Carbossi Therapy, microneedling, laser services and more. derma – Dr. Rebeca de Miguel Madurga MD PhD The Grove, 1358 West Bay Road. Tel: (345) 925 2512 Web: www.derma.ky Dermatological intervention and treatment for clinical and cosmetic issues and procedures. Dr. Maeve O’Doherty MD MB BCH BAO, MRCPI, FRCSI Dr. Foley's Eye Clinic, 107 Claude Hill Road, off Smith Road, GT. Tel: (345) 946 4944 Web: www. drmaeveodoherty.com A UK trained and certified surgeon offering Botox and fillers. NovoAesthetic BritCay House, 236 Eastern Ave, GT. Tel: (345) 746 6082 Email: clinic@novocayman.com Web: www.novoclinic.ky Botox, fillers, PRP Skin Rejuvenation, chemical peels, dermaplaning, microneedling and more.

Education

Photo courtesy of Cayman Prep & High School

Everything from preschool to university, at home & abroad...

p62

Boarding School Students

p89

The ABCs of Active Reading Literacy Development Milestones

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Smart Scholarship Strategy

p90

p66

Saving for College Fees

p95

Schooling in Cayman

p70

Applying to Overseas Universities

p96

Home Schooling in Cayman

p76

Local Colleges & Universities p100

Tutoring in Cayman

p78

p102

Teacher Q & As

p80

Trade & Vocational Training Courses

The Benefits of Boarding Schools

p82

Education Book Club

p105

The Listings

p106

Contents

How to Choose a Preschool

www.caymanparent.com

Preschool

Photo courtesy of Little Trotters, by Bouke Maddock

How to Choose a

If you are new to the Cayman education system, or this is your first child, you might want to know that all schools are inspected regularly by the Office of Education Standards. This department is a division of the Cayman Islands Government, and their incredibly dedicated team produces highly insightful school reports. You can glean a wealth of insider knowledge about a school before you even call to get a tour! We highly recommend you scour their reports, read between the lines and either make a beeline for the schools with 'Good' or 'Excellent' reports, or hold the other schools accountable and require them to raise their standards. Children’s brains develop connections faster in the first five years than at any other time in their lives. This is the time when the foundations for learning, health and behaviour throughout life are established. Therefore it is absolutely crucial that you choose the right preschool for your child. Here are some pointers:

10 Markers of an Excellent Preschool

1. Passionate teachers and staff If your child’s preschool can instil a desire for discovery into the hearts of your children, this will stand them in excellent stead for their lifelong learning journey. 2. Fun and interactive activities Your preschool should encourage lively and collaborative play, including water play, role playing and sensory play. This fosters creativity, teamwork and a strong sense of self. 3. Literacy and numeracy development Every school has a different approach, but the goal of preparing children for school should be universal. Ask the preschool(s) you visit about their literacy and numeracy programmes, as well as their approach to teaching the correct pencil grip. 62

Cayman Parent Magazine | Education

4. A structured – but flexible – routine and syllabus Children need a routine, but within this there should be a healthy mix of free play and small group lessons that are structured to your child’s needs. Likewise, there should be some flexibility within the education syllabus to allow children to follow their individual interests. 5. Music and dancing Children love listening to music, and through doing so they will learn about different rhythms, sounds, songs, percussion instruments and how to make music with their own bodies through movement and dancing. 6. A shady and stimulating outdoor space The facilities should include a shady garden or play area where children can engage with nature and enjoy fresh air and physical play out of the sun. 7. Weekly educational themes New topics to explore each week spark curiosity, with new books, activities and mini lessons firing children’s imaginations and learning.

8. Caring for animals Whilst not possible at all preschools, guinea pigs or rabbits make perfect nursery pets. Looking after and cuddling animals fosters responsibility, nurtures compassion and reduces anxiety in kids. 9. Limited or zero exposure to screens Most children get all the screen time they need at home, so check what your school’s policy is on this. Whilst the exact amount of screen time kids should be allowed is still being debated, it’s clear that short bursts of educational and age-appropriate programming are better than hours spent in front of a TV. 10. Gentle guidance on kindness, respect and good manners Preschool provides endless opportunities for socialising and teachers should embody the kindness and respect you’d like your child to develop. Of course, there are also practical considerations to take into account when choosing a preschool, including location, hours of operation, and those all-important ‘good feels’! It’s worth noting that the best preschools in Cayman often have long waiting lists. Sign your children up early and be prepared that you may not get your child into your first choice of nursery. If this is the case, do not despair, choose the next best one you can find and whose prices are within your budget.

Photo courtesy of Little Trotters, by Lisa Reid

Fun Activities

for Preschoolers All children love water! Why not have an industrious soap-sud-covered morning washing the car? This encourages team work, builds character and self worth, and develops gross motor skills. The benefits abound! Make mud pies! Add fragrant herbs and spices like thyme and rosemary, which are abundantly available in Cayman and can be bought at the Farmers Market. Then let the mud pies bake in the sun and enjoy the fragrance of the cakes that afternoon.

Photo courtesy of Little Trotters, by Bouke Maddock

Leap into the world of make believe and role play by providing fabric for tent building and fancy-dress garments to stretch the imagination, build confidence, and evoke dramatic play and storytelling. Equip young explorers with a magnifying glass and a torch and go on a bug hunt in the undergrowth of the garden. Photo courtesy of Little Trotters, by Bouke Maddock

www.caymanparent.com

The ABCs of Active

Reading

If you want to send your children to school with a head start, reading with them, rather than to them, is the best way to begin. Reading does not need to be a daunting or over-complicated endeavour for your child – it should be an enjoyable activity that they look forward to. Reading is, without a doubt, the foundation of all learning, and the correlation between good readers and good learners has been extensively documented. However, the foundations for reading are laid out long before your child goes to school. They begin at home, with picture books and bedtime stories, and it’s the way those stories are read that is just as important as the reading itself. Over time, consistent active reading can significantly improve your child’s language and literacy skills.

What is Active Reading?

Active reading, also known as interactive or dialogic reading, is reading in a way that makes your child an active participant. In other words, it’s reading with, rather than to, your child. Instead of simply reading aloud from beginning to end, active reading allows the book to become a tool or prompt for you to have a two-way conversation with your child. Active reading involves not only following the text, but also looking at and talking about the pictures, asking questions, explaining new words, and discussing the story. This more interactive style of reading helps children expand their vocabulary, greatly improves their comprehension, and encourages them to think analytically from an early age.

Ask Questions As you read, pause often to ask questions that prompt a conversation about the story. With toddlers, you may ask them what a story book is about based on the front cover, or use the pictures inside to help develop their language skills. Have them count objects, name colours, or point out animals. For pre-schoolers, ask questions about the story: What is the boy doing? Where is the family going? Who is inside the house? Open-ended questions like this encourage children to think about the story and to express their understanding in their own words. As they progress, questions might arise about why they do or don’t like the story, what they think will happen next, or why a character might be feeling scared, happy or excited. These types of questions not only check their understanding, but also encourages them to make inferences about things that are implied but not specifically stated. Build Vocabulary Use pictures to teach your toddler new words. For example, point to a picture of a cow and pronounce the word. Later, ask them to point to a cow on another page.

There are many acronyms that have been suggested to guide parents and caregivers in making reading interactive, but the simplest is the 'ABC' one:

How to Read Actively with Your Child

As your child grows older, take time to pause at new words and phrases, sound them out and explain their meaning or act it out. This could be whispering the word 'whisper' or demonstrating scratching, stroking or snoring sounds/actions.

A Ask questions B Build vocabulary C Make connections

Stories expose children to vocabulary they may not encounter in every day conversation at home, and the wider a child’s vocabulary is, the easier they will find learning to read.

Cayman Parent Magazine | Education

Make Connections When you talk about the story or introduce new words, try to make connections between them and your child’s experiences, whether that is explaining that a 'bungalow' is a one-storey house 'like Grandma’s house', or illustrating that 'rough' can mean wavy, 'like the sea on a windy day'. By relating words and events in the story to things your child has encountered or experienced — be it people, places, or emotions — they will absorb new words and ideas faster.

Benefits of Active Reading

Sitting your child on your lap to read their favourite story is an experience to be cherished. Not only does the intimacy of the experience build strong bonds with your child, but the positive associations your child makes with books — especially when reading is fun and interactive — helps foster a lifelong love of reading. As the esteemed children’s author Julia Donaldson told Cayman Parent, "Reading broadens the mind and stimulates the imagination — and it’s one of life’s great pleasures." Although children will be exposed to new words and become familiar with sentence and story structure with all styles of reading, when reading is interactive, children are more engaged, and therefore learn concepts faster. They are pushed far beyond listening to and thinking for themselves. Their comprehension therefore improves, and their attention

span is longer. In fact, a 2013 study found that reading to a child in an interactive style raised his or her IQ by over six points. Given that 90% of a child’s brain development occurs before the age of five, the sooner they are introduced to language, literacy and comprehension, the better.

Tips to Keep Children Engaged in Reading

Look at pictures: As you read, prompt your child to name colours, count objects or identify animals in pictures.

Check understanding: Ask your child to tell you in their own words what the story is about, who the characters are, or what they might do next. Allow interruptions: Interactive reading is a two-way communication, so keep it unstructured and let your child make comments and ask questions. Know when to stop: If your child is restless or not paying attention, don’t force it. Put the book away and try again later. Make it fun: Put on voices for different characters, act out movements and make the story fun so that your child thinks of reading as an enjoyable activity. Repeat: Toddlers love repetition, so if they want to read the same story over and over, don’t resist. They will soon be able to finish sentences and fill in the blanks in well-loved books.

Next Chapter Independent book store

Next Chapter is a haven for book lovers across Cayman. Offering an unparalleled selection of books, magazines, toys, games and unique gift ideas, all backed by their Lowest Price Guarantee. The store is also home to regular literary events, including a local and international author series, children’s events, poetry evenings and book clubs, all of which make the store a popular community gathering place.

Highlights:

• Independent book store • Unparalleled selection of fiction and non-fiction titles • Toys • Unique gift ideas • Home to regular literary events • Free gift wrapping • Lowest price guarantee

Programmes:

Next Chapter hosts a range of local and international author readings, and monthly wellness presentations by local physicians and wellness professionals, all free of charge.

Details:

Open Monday to Friday 10am-6pm, Saturday 9am-6pm and Sunday 10am5pm.

(345) 640 2665 | www.nextchapter.ky | Market Street, Camana Bay www.caymanparent.com

Literacy Development Milestones From being able to read labels on medication, identify road signs and order food at restaurants to browsing the internet and emailing and messaging friends, literacy plays a significant role in our everyday lives. The most basic definition of literacy is the ability to read and write, but it is so much more than that. Having strong literacy skills means we are able to communicate effectively and make better sense of the world around us. – Cynthia Rowe, Clinical Supervisor & Speech-Language Pathologist at KidsAbility Literacy is quite possibly the most important factor contributing to academic and social success. Children who struggle with reading and writing often find themselves struggling in other subjects as well. Even children who excel in subjects like Maths may not reach their full potential if they aren't proficient in reading and writing. In addition to having a negative impact on a child's overall academic progress, poor reading skills can also affect a child's social well-being. For example, having to repeatedly ask for help and struggling when reading aloud in class can be embarrassing for a child – this can cause a decrease in self-esteem, and may cause children to withdraw or shut down, resulting in an even greater learning gap. As a parent, you might be wondering, “How do I know if my child is falling behind in regards to their reading and spelling skills?”. Although children generally follow the same path and stages in their literacy development, each child is unique and may well learn and progress at a different rate to another child of the same age. The stages below can be used as a tool to help parents become more aware of typical development of reading and spelling, so we can better help or guide children when and if that is necessary.

Stage 1: The Pre-Reader or Emergent Reader (typically 6 months — 6 years)

Closer to the beginning of this stage, children will... • “Pretend” to read • Sing their ABCs (but may not be able to single out particular letters) • Recognise the first letter of their name • Recognise environmental print, such as their street name • Have some favourite books memorised and can “read” them • Be curious about words and may ask, “What’s that word?” Closer to the end of this stage, children will… • Be able to “read” some words that are important to them, such as their name • Prefer writing uppercase letters over lowercase letters • Begin to write from left to right

Cayman Parent Magazine | Education

• Know most letter names and most consonant sounds • Be able to 'play games' with word sounds, such as rhyming words and counting syllables • Begin to match letters to sounds in words • Confuse letters that sound and/or look the same such as b, d, p, and q • Use spacing in between words more regularly, but can still be random at times.

Stage 2: The Initial Reader and Decoder (typically 6 years – 7 years)

Closer to the beginning of this stage, children will… • Move from pretend reading to real reading • Attempt unknown/unfamiliar words, even if they don't make sense • Sound very laborious when reading (word-by-word) • Begin to recognise sight words for example 'the', 'and' and 'up' • Be very focused on reading the words correctly hindering comprehension • Finger point to words when reading • Consistently be able to rhyme and 'play' with sounds in words • Be able to match the written letters in words to letter sounds more consistently • Spell mostly with the beginning and ending sounds, as they are easiest to hear and feel in the mouth (e.g. ball spelled BL and seat spelled ST) • May reverse some letters.

Closer to the end of this stage, children will… • Attempt unknown words, but begin to realise that their guesses need to make sense • Starting to add vowels in the middle of words, whereas before they were left out (e.g. fall may be FOL and boat may be BOT) • Use context clues to help with unknown words when sounding out doesn’t work • Develop more of an awareness that text should make sense; begins to self-correct more when an error is made • Begin to spell most short-vowel patterns (CVC) correctly • Start to spell consonant blends (fr, gl, sn, etc.) and digraphs (th, sh, ch) correctly

• Reverse letters less often, but it may still happen on occasion.

Closer to the beginning of this stage, children will… • Be able to hear and count individual sounds in words (phonemes) • Self-correct more when what is read doesn’t make sense • Read more fluently • Focus more on comprehension as decoding becomes easier • Be able to recognise more high frequency words by sight • Spell most one-syllable short vowel patterns correctly • Spell most common sight words correctly, such as 'the', 'like', 'play', etc.

Photo courtesy of LIFE Cayman

Stage 3: The Confirmation and Fluent Reader (typically 7 years – 9 years)

should you actually start to worry? According to Today's Parent, some kids just get it — they seem to be reading naturals and are practically self-taught by kindergarten, or they’ll learn it in school rapidly no matter what method a teacher uses. For other children, it takes more time to decode language by making the connection between letters and sounds, and different teaching styles may be needed before it finally 'clicks'.

Closer to the end of this stage, children will… • Begin to read many two or even three syllable words if there’s enough context to support them • Discuss what’s read in more depth as texts become longer and more complex • Recognise sight words more frequently • Read sounds more fluently, as readers think beyond wordby-word to more phrase-by-phrase • Spell common long vowel patterns correctly (CVCe and CVVC) • Begin to spell less common long vowel patterns correctly, like 'igh' or 'ew' • Still confuse the spellings of other ambiguous vowels like 'oi' or 'au' • Begin to spell words with more complex consonant patterns correctly such as –tch, str– or thr– (still may confuse them).

According to Molly Ness, Ph.D. and Associate Professor in the Graduate School of Education at Fordham University, in her March 2020 article for Psychology Today, "We now know that the precursors of dyslexia are visible as early as age three, demonstrated in weakness in phonological skills, letter knowledge, rapid naming, and working memory (Gaab, 2017)." Even without a family history of literacy difficulties, it may be important for a child to undergo an early literacy assessment in

Stage 4: The Comprehending Reader (typically 9 years – 15 years)

A multidisciplinary paediatric therapy clinic.

At this stage, children will: • Read to learn new ideas • Read to gain new knowledge • Read for pleasure • Read to learn new attitudes • Explore ideas from multiple perspectives • Read to study textbooks, reference works, trade books, newspapers, and magazines that contain new ideas and values, new vocabulary and syntax.

Stage 5: The Expert Reader (typically 16 years and older)

At this stage, children will: • Read from a broad range of complex materials • Read from a variety of viewpoints • Read for one’s own needs and purposes (professional and personal) • Read to integrate one’s knowledge with that of others • Read rapidly and efficiently.

What if Your Child Isn't Learning to Read?

Children learn to read at different speeds, but at what point

KidsAbility KidsAbility is a multidisciplinary therapy clinic that offers Psycho-educational and Neuropsychological Assessments, Clinical Psychology Services, Speech-Language Therapy, Occupational Therapy, Physiotherapy, Feeding Therapy, Literacy Services and Workshops for parents, educators and allied health professionals. Our clinical and administrative staff work together to provide the highest quality, efficient and effective care for our clients and their families in a confidential manner.

Highlights:

Psycho-educational Assessments • Neuropsychological Assessments • Clinical Psychology Services • SpeechLanguage Therapy • Occupational Therapy • Feeding Therapy • Physiotherapy • Literacy Services • Workshops for parents, educators and allied health professionals

Details:

Open: Monday-Friday 8am-5pm & Saturday 8am-4pm (345) 943 5437 | 8 Midtown Plaza, 273 Elgin Avenue, GT info@kidsability.ky | www.kidsability.ky www.caymanparent.com

order to determine whether intervention is warranted. There is no reason to wait for a child to fail and then see if they require intervention. Instead, we can identify at-risk children early, provide high quality intervention before failure occurs, and, in most cases, make significant progress in their reading skills. According to Dr Kirstina Ordetx's article for The Institute for Multi-Sensory Education (IMSE) titled 'Early Signs of Dyslexia' (July 2020), and in line with current research, "Evidence-based reading intervention provided in the early years can better prepare the child to confront reading at the word, sentence, and passage level. Screening can be administered as early as preschool and should check for developmental skills in the essential areas of reading including phonological awareness, letter-sound association, blending, word recognition fluency, word identification, vocabulary, oral reading fluency, and comprehension." It is also important to note that children presenting with language and literacy deficits will not outgrow these deficits on their own. For this reason, it is crucial that language and literacy difficulties are identified in children at an early age in order to ensure their optimal educational and social outcomes. So, what can parents do about it? The first thing is to speak to your child's school. Advocate for your child if you believe that something is not quite right. Schedule a consultation with a Speech-Language Pathologist and/or Psychologist to discuss your concerns and pursue clinical testing.

Providing scientiﬁcally-based Applied Behavior Analytic (ABA) interventions for children & adolescents

• Locally and internationally licensed healthcare practitioners

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Cayman Parent Magazine | Education

Red Flags to Watch Out For – Early Warning Signs in Preschool

1. A family history of Dyslexia The most common indicator that a child will struggle with reading is whether they have a family history of reading or learning difficulties. Twenty years worth of research shows that there is a heavy genetic component to reading difficulties. 2. History of delayed speech and/or difficulty pronouncing words When kids learn to read, they need to hear differences in sound — this is called ‘phonological awareness’ — and they need to grasp how language works. Children identified as having speech and language delays will almost certainly have lingering weaknesses in phonological processing. This is why it is crucial to initiate speech and language therapy as early as possible if your child needs it. 3. History of chronic ear infections A history of ear infections may hamper a child’s ability to learn word sound structures, affecting their development of reading skills. 4. Difficulty learning the alphabet As well as trouble recalling numbers, days of the week, colours, shapes and how to write his or her name. 5. Difficulty with rhyming An early red flag is difficulty in learning to rhyme. Many times these children do not want to play rhyming games as preschoolers or kindergarteners. 6. Difficulty with sequencing and following directions Knowing the directions from A to B is about memorising a sequence of actions. If a child has difficulties following simple steps, such as setting the table in the right order or routinely gets the days of the week muddled up, these might be symptoms of a problem with sequences of information. You may also notice things like mistaking dinner and lunch, or being unable to tie shoe laces correctly. 7. Avoiding reading at all costs In preschool and kindergarten, the majority of children love being read to and can’t get enough of books, letters and numbers. Most want to grab a crayon and start trying to print their name. It’s the opposite in kids who go on to struggle with reading, experts say. They often don’t have a curiosity about being introduced to letters as they’re getting towards school age. So those kids who enjoy being read to get more out of it; those who don’t get left behind.

Warning Signs in Elementary & Middle School

1. Frequent spelling mistakes Children with reading difficulties often confuse letters that sound alike. Vowels and vowel combinations can be tricky. They may mix up the order of letters (blet for belt). They may also misspell common sight words, even after a lot of practise. 2. Letter or number reversals after first grade Repeatedly mixing up similar letters (for example, b and d) can be a red flag if it goes on long enough. By eight years of age, all reversals should have been corrected.

3. Slow, choppy reading Slow or choppy oral reading with words omitted, substituted, or misspoken are important clues that a child is not on track to becoming a skilled reader. 4. Poor memory for sight words Sight words are common words that kids recognise instantly without sounding them out. Recognising words by sight helps kids become faster, more fluent readers. Many sight words are tricky to read and spell as they aren’t spelled the way they sound. 5. Difficulty focusing or paying attention Teachers report that they are struggling in class. It may be that there are underlying difficulties with reading and that an assessment is required. People may also mistakenly assume that their child is lazy or bored because of their avoidance of school work. 6. Right and left confusion Problems with direction and issues with words often go together. 7. Difficulty learning to tie shoe laces Shoe-tying, like reading, requires a certain level of spatial awareness. If your child is struggling with both tasks, that is a red flag. 8. Difficulty with clock reading Learning to read an analog clock is an important part of child development, but for some children this can be a difficult and frustrating process. Children who are struggling to learn to read often find that it is hard to learn how to tell the time when using a clock that has hands and numbers.

Literacy Programmes

Below is a list of well-known Literacy Programmes. Some of these are used at schools for students who struggle with reading and some are being incorporated into intervention programmes at many of the treatment clinics in the Cayman Islands.

Literacy Programmes - Seeing Stars® by Lindamood-Bell - The Orton-Gillingham Approach - The Wilson Reading System® (WRS) - Nessy, the Davis Reading Programme for Young Learners - Fast ForWord If you have concerns about your child’s reading, speak to their school about the programmes they have available. It may also be recommended that you schedule a consultation with a Speech-Language Pathologist and/or Psychologist to discuss your concerns and the programmes they have available. Cynthia Rowe is a highly qualified Clinical Supervisor and Speech-Language Pathologist at KidsAbility. Cynthia has over 18 years of experience providing speech and language intervention and is passionate about providing client and family-centred services in order to create meaningful changes in the lives of her patients.

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Cayman

Photo courtesy of St Ignatius Catholic School

Schooling in

In Cayman, it is compulsory for all children from the age of five to 17 to attend school or be home-schooled. However, the reality is that most children in Cayman start preschool at two, primary school at four and don’t finish high school until 18 (if in the private school system, and 17 if in the government school system). If you are Caymanian, have Caymanian Status or work for the Cayman Islands Government, then you can send your child to a government school. If you are an expat, then you are expected to send your child to a private school. However, if there is space at a government school then you are welcome to apply and try to get your child in. The outer districts sometimes have space. The cost difference between public and private schools is significant but there are other factors to consider. The education in Cayman is good but invariably the quality fluctuates between schools and indeed between classes within the same school. The children who excel the most have parents who are constantly on top of their children’s academic progress. Knowing, for example, that 90% of children should be able to read quite comfortably by the age of six should raise a red flag if your child is not. See the Literacy Development Milestones article on page 66. Parents who keep in very close contact with their child’s school, insisting on solutions to any problems, and who are willing and able to help their child with their reading and homework, will find their children do not fall through the cracks. It’s worth every effort you can make: education has been proven to be the best way of pulling people out of low incomes and poverty, and provides access to highly skilled and highly paid professions. The Office of Education Standards (www.oes.gov.ky) has an amazing team of fair and highly experienced ex-educators who conduct regular school inspections. From their reports, which

Cayman Parent Magazine | Education

include everything from teachers and students performance to where a school’s strengths and weaknesses lie, you can make either an informed choice on where to send your child or where you might need to assist your child so that they fulfil their full potential at school. Most schools are inspected once every two years, unless they are graded 'weak' and then they are inspected again six months later. The OES began their new cycle of inspections in March 2021 so be sure to check out whether your chosen school is performing well or not. School Statistics According to the 2020 Education Data Report, there are 1,565 children enroled in the 43 preschools, and a total of 8,045 children enroled in the 27 private and government schools spread across the three Islands with 766 teachers teaching these students. In primary and secondary education there are 3,409 students in private schools, 2,352 in government primary schools, 2,284 in government secondary schools and 120 students enroled in the Lighthouse School, the country’s school for special needs, with 18 teachers teaching them. Approximately 150 children are home schooled.

Factors to Consider

Cost Although government schools are free for Caymanians, if the school in your catchment area has had inspection results in the “satisfactory” or “weak” range (and not “excellent” or “good” results), and you can afford to privately educate your child, consider having a tour of a few of Cayman’s private schools. Class sizes, discipline, manners, special needs support, standard of teaching and the consistent dedication of the teachers are all things to be considered. However, the cost can be considerable: private school fees range from CI$3,650 to over CI$20,000

per year depending on the grade level and the school. Curriculum Government schools follow the National Curriculum and students take CXCs and GCSEs in Year 11. Students then have various options for their 12th and final year of high school, such as UCCI, attending a private school for A Levels, or CIFEC, where they can do BTECs, retake CXCs or GCSEs or get involved in work experience and internships or take one of the many vocational courses now being offered in Grand Cayman. British private schools take GCSEs or IGCSEs, then A Levels. The American system leads to a US High School Diploma and AP (Advanced Placement) credits. The highly regarded International Baccalaureate is available in Grades 11 and 12 at Cayman International School. Class Sizes Class sizes vary from school to school. All government school class sizes are capped at 24 students per class for Kindergarten and Year 1, and 28 students in other years. In private schools, it ranges from 13 students to 25 students. All government schools and most private schools also have a full-time qualified learning assistant helping the teacher in a class of 25 children. In some schools, this additional teaching resource runs through all Primary year groups. Religious/Non-Religious Most of Cayman’s schools have a strong Christian tradition and celebrate the Christian faith. If you would prefer a school that is not affiliated with a church or religious group, then there are a few to choose from – see pages 106 to 114. Location Entry to a government school is determined by catchment area. Private schools are spread between West Bay and Prospect, so you’ll need to consider location when making your choice. Exam Results The Ministry of Education publishes a very detailed report each year which explains in detail the student enrolment data for both government and private schools, plus student attendance and performance data from government schools. The reports are very thorough and make for interesting reading. You can view them on www.education.gov.ky, listed under National Education Data Reports. School Inspection Reports Check the school's inspection report and read in detail how they are doing. See the 'School Standards & Inspections' page of the Cayman Resident website. There are also reports available on how each school handled the home learning requirements during the Covid-19 lockdown.

Key Preparations Prior to Starting School

Health Screenings Every year until the summer of 2021, new students entering either private or government schools for the first time would normally have a school medical exam before the new school

year begins in September. These tests were invaluable for schools as they identified previously uncaught speech and language, sight or hearing issues just before the child started at primary school. (Most therapists agree that this test should be done at 2.5 and not 4.5 so that remedial therapy can begin well before the child goes to primary school). However, due to ongoing Covid-19 programmes, activities and outreach within the Cayman community, the annual school entry screening has been cancelled. Nevertheless, in order to ensure that all students entering school for the first time are up to date on their immunisations, there will be extended and additional immunisation clinics to ensure that children aged four and five are up to date with their required vaccinations. For further information please contact the Public Health Department on (345) 244 2648/244 2889. In Cayman Brac and Little Cayman, school entry screenings can be done through the Public Health Nurse, Kadine Hyde, at Faith Hospital. She can be reached at: (345) 948 2243 or (345) 244 7643. Uniforms & Dress Codes Each school in Cayman will have approved vendors that sell uniforms and some schools sell them directly to parents. Every school will have different rules, but most maintain a strict policy on such things as uniforms, hair accessories, jewellery and hair length on boys. Parents should read the school’s dress code policy very carefully, as there is little flexibility and their rules are strictly enforced. Transferring Schools Moving your child from one school, either private or government, to another private school will involve some written assessments to determine the level your child is currently working at, or capable of. Many schools will now assess applicants using some form of CAT (Cognitive Ability Test) which assesses the child’s innate skills and ability for learning. If this is the case then it does not necessarily matter what areas your child is strong or weak in but rather how able they are. Some schools will also assess English and Maths using traditional tests, to determine gaps in learning, so that teaching is directed accordingly, rather than to ascertain the level the child is currently at. Of course, there are no guarantees of a place at any private school and some children who have been considered as working at a high level in their current school may find that the new school’s assessment criteria is more stringent.

Cayman School Acronyms 101

CSEC: Caribbean Secondary Education Certificate GCSE: General Certificate of Secondary Education BTEC: Business and Technology Education Council CXC: Caribbean Examination Council CAPE: Caribbean Advanced Proficiency Test IB: International Baccalaureate CIFEC: Cayman Islands Further Education Centre CIS: Cayman International School IGCSE: International General Certificate of Secondary Education

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Other things to consider are that your child must have an upto-date medical record that includes vaccination details, and a completed transfer form signed by the previous school. Along with a standard report on the child’s performance and behaviour, this form must clearly state whether financial commitments have been met. This is an essential component of the acceptance process for students transferring within the private school system.

Government Schooling in Cayman

Enrolment Policy Limited space, resources and high demand for public education results in Caymanians (including status holders) being given priority when it comes to enrolment in government schools. After this, spaces are offered to expats children who work for the government and then, if there is space, other expats. Some schools in the outer districts do sometimes have spaces available which expats can fill. Caymanians do not have to pay for their schooling, although external exams are charged at cost, and there are usually a few other incidental fees. However, if an expat child gets into a government school, then their parents are required to pay CI$750 per year for primary school, CI$900 per year for middle school and CI$1,200 per year for high school. For Government schools everyone must now register online. See https://schools.edu. ky/Pages/SchoolRegistration.aspx and make sure to have all your documents ready to upload. These include your child’s birth certificate, residency documents, immunisation record, two forms of proof of your street address plus a previous school report or transcript (Years 1-11) and any Educational Psychological reports if they apply. School System Caymanian students in the Cayman Islands have the option to enter Government primary schools either at the age of 4 or at the age of 5. If they are 4 by September 1st then they will enter Reception, and if they are 5 by September 1st they will enter Year 1. Compulsory education starts at the age of 5. Non-Caymanian children who have been accepted at a government primary school cannot start in Reception; they have to start in Year 1 or above. From Year 1, students follow the Key Stage 1 Cayman Islands National Curriculum which is adapted from the English National Curriculum and follow this until the end of Year 2. Key Stage 2 begins in Year 3 at primary school and runs through to Year 6 covering ages 7-11. Some primary schools also follow the International Baccalaureate Program. Students then move from their Government primary school at the end of Key Stage 2 (Year 6) and enter one of three Government high schools, or a private school, for Key Stage 3 which covers Years 7-11. In Year 9 students choose their options for GCSE or CXC and then begin Key Stage 4 in Year 10 and study towards internationally accredited external examinations, following the relevant syllabi depending on what they are taking. Students complete this two year programme of classes (Years 10 and 11) in the core subjects of English, Maths, Science, PE* and Life Skills* (*these do not count towards your child's 5 passes if they are moving on to a private school to do A Levels) and they have the option of taking three additional subjects of their choice. Students then take exams set either by a UK exam board (GCSE) or the Caribbean 72

Cayman Parent Magazine | Education

Examinations Council (CXC). Students take, on average, seven GCSE/CXC but many students take more. Some Government high schools offer the Goal Accelerated Programme (GAP) where higher performing students are guided through a far more rigorous academic programme. This includes mentoring and extensive work with the student’s parents to ensure that the children are pushed but supported. This programme ensures that goal-oriented students take additional GCSEs in Years 10 as well as in Year 11 when all the other students take their GCSEs. The Government school system also offers the Caribbean Secondary Education Certificate (CSEC) examinations which are commonly referred to as CXC examinations. CXCs are taken by students after five years of secondary school, usually at the age of 16, at the same time or instead of GCSEs. CXCs are graded I-VI with Grades I-III being considered the equivalent of a GCSE pass at A*-C or 9-5 in the newer GCSE exams. For example, a Grade I result means you have attained a comprehensive grasp of the subject and a Grade VI result means you have attained a very limited grasp of the subject. If a student reaches the required level at CSEC, or equivalent, they may also be given the option of taking a Caribbean Advanced Proficiency Examination (CAPE) subject, which is the Caribbean equivalent of an A Level. The grading system is similar to CXC exams, with Grade I representing an excellent performance, whereas Grade VII represents an unsatisfactory performance. Grades I–III are the equivalent of an A*-C at A Level. All students are then automatically enroled in the compulsory Year 12 (one academic year) programme at the Cayman Islands Further Education Centre (CIFEC), where they can take an array of business and technology courses (BTEC), get involved in work experience and internships, or retake CXC or GCSE exams to improve their grade standing. There is also the option for students to enrol in a ‘dual entry programme’ such as A Levels at St. Ignatius or Cayman Prep and High School, an approved accredited school overseas (this option at the student’s expense), or attend the University College of the Cayman Islands and work on an Associate's Degree. After completing their Year 12 programme, students graduate from their original respective secondary schools at the compulsory school leaving age of 17. Those taking A Levels will carry on with their education until the age of 18. Students who do not have the minimum five external passes (at CSEC or GCSE) including English and Mathematics (after graduating from high school), may have the opportunity to be admitted to UCCI’s Pre-College Matriculation programme, where they can obtain transferable college credits. This programme allows students to take foundation level courses in Maths, English and college skills in order to prepare students to transition into an Associate's Degree programme.

Graduation Rules & Exams Until June 2014, government high school students graduated with a High School Diploma based solely on attendance and behaviour, and a clutch of external exams (usually CXCs or GCSEs) if they had taken any. However, for a student to now officially graduate with a High School Diploma, they must pass a minimum of five subjects, including passes in Maths and English. They are then graded into one of four academic levels: Level 2 with High Honours, Level 2 with Honours, Level 2 Diploma, Level 1 Diploma – the highest being Level 2 with High Honours. In addition, during their last three years (Years 10-12) they must have at least a 90% or more attendance record, along with less than 14 days of suspension. The levels are based on the number of CXC, GCSE or BTEC exams they pass. For example, the Level 2 Diploma with High Honours means that the student has passed at least 9 subjects at A*-B. The 9 subjects must include English and Maths. For the last two years an additional requirement to graduate has been the completion of at least 10 hours of volunteering or community service. For entry to an A Level programme, a minimum of five passes at CXC or GCSE, including Maths and English, are considered necessary. Further requirements include a minimum grade pass at A*-C or 1-3 are essential if applying for a government scholarship. For those in the US system, a 2.75 GPA is considered necessary for entry to a university course, but a 3.0 GPA is necessary to qualify for a Cayman Islands Government university scholarship.

For those who go on to Level 3 (International Baccalaureate or Advanced Placement diplomas, A Levels or an Associate’s Degree at UCCI) after leaving high school, the passing of this level indicates suitability for pursuing tertiary education. Exam Fees It is worth noting that whilst all education is free for Caymanians (at government schools), parents must still pay exam entry fees, i.e. they have to pay for every CSEC, GCSE or BTEC course (British and Technology Education Council) that is taken. Fees are approximately CI$25 per subject for CSECs, CI$50 per GCSE and between CI$110 and CI$250 per BTEC vocational qualification, depending on the subject and the level. Government Scholarships for A Levels All Caymanian students accepted at a private school to take A Levels or an Associate’s Degree at UCCI can apply for a scholarship to help pay for their school fees. If a student is accepted from a government school, they get the first year’s fees paid in full (plus text books) and then either CI$7,000 or CI$5,000 paid for the second year. The amount is decided on a points system based on the student's GCSE results. They also must have higher passes in GCSE and/or CXC English Language and Mathematics to secure funding. Current Caymanian students at St. Ignatius and Cayman Prep and High School can apply for funding when they enter Year 12 (and 13). All students must obtain a minimum of three Cs in their AS levels at the end of Year 12 in order to get the funding for the second year of Sixth Form.

NEW HIGH SCHOOL OPENED IN

JANUARY

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The application period for local scholarship funding is 1st March to 30th April. Late applications will not be considered. For more information please see pages 90-94. Please note that all scholarship funding is now means tested to ensure that only those who really need financial assistance receive the funds. International Baccalaureate System in Government Schools The IB Primary Years Programme (IBPYP) is offered at three government primary schools in Grand Cayman from Kindergarten to Year 6. These schools are: Prospect Primary School, Savannah Primary School and Sir John A. Cumber Primary School. The IB curriculum which they cover focuses on the development of the whole child as an enquirer, both in the classroom and the world around us. The curriculum focus for these schools mirrors those presented in schools worldwide; such as Languages, Social Studies, Mathematics, Arts, Science, Personal, Social and Physical Education. The most significant and distinctive feature of the IB PYP is that the curriculum is presented through six transdisciplinary themes. This allows students the opportunity to make connections and identify the relevance to the local and global platforms. These transdisciplinary components help the children explore their beliefs and values; their mental, social, physical and spiritual health; how human relationships work between cultures, communities and families; and the inter-connectedness of individuals and civilisations. The tenets of the programme are all very relevant to the Cayman Islands, which is a melting pot of over 130 different nationalities. The IB Middle Years Programme from ages 11 to 16 is not currently offered in Cayman. (Note: The IB Diploma Programme is offered at Cayman International School for certain students in Years 11 and 12 — see page 75 for more on this.)

Private Schooling in Cayman

The Ministry of Education recognised years ago that they needed to conduct regular support visits to all schools in the Cayman Islands. For preschools, they wanted to make sure that children were being better prepared socially and academically for their entry into compulsory school at the age of five. There are now standards that must be met on how school staff interact with the children and ensure that the children are being properly stimulated through exposure to age appropriate activities. In all schools there is now a requirement that a Special Education Needs Co-ordinator (SENco) be on staff so that children with developmental delays or difficulties can be identified early and given help so that they are better prepared for primary school and life beyond. The Office of Education Standards inspects all schools once every two years, and more often if they are graded 'Weak' on their inspection report, and these reports are available on the Cayman Resident website. We highly recommend that you review these to ensure that you are choosing the best possible school for your child.

Cayman Parent Magazine | Education

Cayman has a selection of excellent private schools, each following either the British or American curriculum. In both systems the main student intake is for Kindergarten (British) and Pre-K (US). The most popular schools have very few places available in Year 1, so think carefully if you are offered a place and decide to delay your child's entry for a year. Students can then remain in their chosen school up to Year 13 (UK system) and Year 12 (US system). Schools following the UK system take GCSEs and A Levels and the US system offers either the IB programme or prepares students to take the Scholastic Aptitude Test (SAT) and attain a US High School Diploma. Some schools also offer Advanced Placements (APs) and the Government's Further Education Centre (CIFEC) offer BTEC courses. British Education System Children entering the British school system have to be four years old by 1st September. They enter Kindergarten and then stay in primary school until the end of Year 6 or the year they are turning 11 (a total of seven years). They then go to high school for Year 7 through to Year 13. In Year 11 (when they are 16) students take GCSEs or IGCSEs and all students are required to take a science, a language, as well as Maths and English. Many international schools that teach the British curriculum often offer IGCSEs, which is widely considered to be more rigorous than the GCSEs. After finishing GCSEs, the two-year A Level programme commences in Year 12 and is completed in Year 13 when students are turning 18. However, students studying in Cayman are expected to take AS Levels in Year 12 and their results are used as a benchmark for universities to predict how the student will do in their A Levels. Since government high schools in Cayman finish at 16, and do not offer A Levels, Government students will often move to the British system for the start of year 12. Exams Students usually take between 8 and 11 GCSE subjects and they need to have passed Maths and English and get three A Levels with grades A*-E to get into a university. Students will often start doing four A Levels and then drop their weakest subject at the end of AS Levels. Exam passes at A Level are graded A*, A, B, C, D and E. (Note: Most Montessori schools that extend into Primary follow the Montessori philosophy, whilst aligning with UK curriculum standards). American Education System Most American schools in Cayman offer a Pre-K3 programme, so your child can start at the age of four. These children will be given preference for Kindergarten places when other children start at the age of five. Children then move up to Grade 1 when they are six and stay in school for a total of 13 years, graduating at 17 or 18, when they are in Grade 12. They usually graduate with an American High School Diploma and students are taught the ins and outs of sitting SATs (Scholastic Assessment Test). Cayman International School (CIS) also offers the International Baccalaureate diploma (IB) for students in Years 11 and 12. Triple C School offers Advanced Placement (AP) courses.

Exams To graduate with an American High School Diploma, students need to obtain at least 20 credits, split between English (4), Social Studies and a Foreign Language (6), Math (6), Arts/Drama/ Music (1) and Physical Education (2). Credit requirements for graduation are different for every school, and will depend on how a school’s curriculum is structured. Having said this, all have standard requirements for core subjects such as English, Math, Science and Social Studies, and then elective credits for other classes. Parents should familiarise themselves with the credit requirements of their child’s school, keeping in mind that some will require a minimum Grade Point Average (GPA) for graduation. The GPA is the grade (number/percentage) representing the average value of the accumulated final grades and ranges from 0.0 to 4.0. For example, 4.0 = A, 3.0 = B, 2.0 = C, 1.0 = D and 0.0 = F. Most universities in the United States will require a specific High School GPA before a high school graduate can even be considered for admittance, so it is very important for parents to be aware of what the requirements are for any college or university to which their child may be applying. Students should also be aware of this, if hoping to secure a scholarship. See page 99 for more information on this. The International Baccalaureate at CIS The IB Diploma Programme (DP) is offered at CIS (Cayman International School). The curriculum is made up of three core components a) Theory of Knowledge (TOK); b) Creativity, Activity and Service (CAS) and c) Extended Essay – plus

six subject groups. Students must participate in all three core subjects and also choose one course from each of the six subject groups. The six subject groups are: language and literature, language acquisition, individuals and societies, sciences, maths and the arts. Three or four of these are taken at Higher Level, and the rest at Standard Level. Students sit exams for the Diploma Programme in May. They are graded from 1 to 7 (7 being the highest) for each of their six subjects. Additionally, the Theory of Knowledge and Extended Essay are also graded, and together can add up to an additional 3 points. The maximum score one can therefore achieve is 45. The pass rate is 24, and anything over 34 is considered very solid. Universities will also publish the IB scores they require for the subject you want to study. For example, if someone wants to study medicine at university, they need to get an IB score in the 40s. Architecture would be in the high 30s. Montessori Education System There are two Montessori schools in Cayman who offer the Montessori schooling system beyond preschool. Montessori By The Sea and Village Montessori teach children up to the age of 12. Both implement an enriched Montessori curriculum that emphasises inquiry-based study, cross-curricular integration and life skills education, complemented by specialised instruction in French, ICT, Physical Education, the Arts and Music. One is located in Prospect, across from the beach, and the other in Camana Bay. See also pages 109 and 111.

CAYMAN PREP & HIGH SCHOOL

Primary School: (345) 949-5932 High School: (345) 949-9115 www.cayprep.edu.ky www.caymanparent.com

Homeschooling

in Cayman

The number of children being homeschooled has exploded in the Cayman Islands. Whether parents are choosing this due to practical reasons or philosophical preferences, their concerns are the same: how to provide the best home-based education they can. Children in the Cayman Islands can be homeschooled with prior approval from the Department of Education Services (DES), and like any educational programme, there is an application process and certain requirements to be met, which are discussed below. We also give an overview of the advantages, disadvantages and resources available for homeschoolers. In the 2020-2021 school year, approximately 150 children were enroled in a homeschooling programme in Cayman. Homeschooling may be a suitable option in cases where: • A child is waitlisted but has not yet been offered a place in a private school • A child has special educational requirements that schools may not have the resources to deal with • A child has been the victim of bullying at school • The cost of private schooling is prohibitive for low income families and/or those with multiple children • Families travel frequently and wish to be able to take their children with them • Parents want their children to follow a more flexible and individually-tailored programme • A child speaks a different first language and needs to learn English before transferring to a mainstream school The Department of Education Services assess individual requests for homeschooling on a case-by-case basis as they know there are some exceptional circumstances. They do not want children to get lost in the system. They understand that for schooling to work for some children it might need to involve the use of special services, such as Speech and Language Therapy, and this can of course be included as part of the five hours per day of schooling.

How to Apply for Homeschooling Approval

The Department of Education Services in the Cayman Islands now expects all applications for homeschooling to be made online. See their Registration for Homeschooling page (https:// schools.edu.ky/Pages/SchoolRegistration.aspx) where you will find the forms and submit your supporting documentation. If you need to visit Nicki Samuels at the DES, then their address is 130 Thomas Russell Avenue, George Town, which is just off the Cayman National Bank roundabout. You will be required to create an Individualised Homeschool 76

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Plan (IHSP) which must include: • The child’s name, age and grade level • Location and address of the homeschool • A list of the syllabi, curriculum materials, textbooks, or plan of instruction to be used in the core subjects • A timetable which shows the subjects covered on which days and at what time. This would also include any outside activities or online classes • The dates for submission of semi-annual reports • Names and qualifications of individuals providing instruction • A statement confirming the child will be meeting compulsory educational requirements of the Education Law 2016 (Regulations) For parents wishing to apply after the start of the school year (end of August), written notice must be provided within 14 days of arrival to the Island. Once a family or child is a resident then the child must be registered with a school. The Director of the Department of Education Services will inform parents if their application has been approved within 10 days of receipt. If approved, a homeschooling certificate is issued, valid until the end of the school year (30th June). This must be renewed prior to expiration each year if the parent wishes to continue homeschooling. All applications must be submitted by July 1st for the upcoming school year.

Qualifications for Homeschoolers

Depending on the age of the child, the parent or tutor providing instruction must hold the following qualifications:

• Primary – the parent(s) must have at least a high school diploma • Secondary – the parent/tutor should have a minimum of a bachelor’s degree from an accredited institution. This is a recommendation and it is not mandated. The Department of Education Services strongly recommends that an accredited programme for homeschooling be used. If you visit www.homeschool.com you will find lots of suggestions. Alternatively, look into the UK-based homeschooling group Wolsey Hall, Oxford, or you could try Abeka. Accredited programmes such as K12 have online teachers who can help.

However, if a parent wanted to use a programme that is not accredited (which many parents choose to do), the DES will consider the programme and make a decision based on whether the curriculum meets their standards. (Finding and using an accredited programme is something many parents get worried/stressed about, and knowing there is room to use a programme that is not accredited [as long as it is approved by the DES] can sometimes set their minds at ease.

guaranteeing there will be plenty of other kids around to play with.

Teaching Requirements

The 'Cayman Homeschoolers' Facebook group was set up specifically so that parents and children could connect with other homeschooling friends. These children go on field trips with other parents and children and time is specifically set aside each week to socialise with the other kids. A homeschooling family can become just as busy with extra-curricular activities as any other public/private school family.

The curriculum must include the areas of reading, writing, mathematics, sciences and social studies, and although it does not have to be an accredited programme, it is encouraged. Parents/tutors must maintain a record of attendance and submit semi-annual reports on the students’ progress to the Department of Education Services. If there are any changes to the programme the DES must be advised in writing.

The Cayman Homeschoolers Group have worked diligently to create a dedicated homeschooling website which provides everything needed to homeschool in the Cayman Islands. It includes the application procedures and documents, curriculum list, resources for tutoring/educational assessments/therapy, how to write your reports, FAQ, etc. You can also sign up to their emailing list so that you can be kept in the know on when any events and gatherings are happening. See their website here: https://homeschoolcayman.ky.

The DES requires that the school day be at least five hours, excluding recess and lunch, and that there be at least 185 days of instruction in the school year.

The DES will conduct at least two site visits, one scheduled, one impromptu, each year and where necessary will liaise with the Office of Education Standards for assessment and reporting.

Pros & Cons of Homeschooling

The main advantages homeschooling parents report is being able to spend more time with their children and having the ability to adapt the teaching to a child’s learning style and interests, ensuring they receive a quality education and plenty of individual attention. The flexibility homeschooling offers is also key: classes can be held in any location and at the time one chooses, enabling parents to fit schooling around other commitments. On the other hand, homeschooling is time-consuming for the parent (or tutor) providing instruction, and thus means that one parent usually cannot work, and therefore cannot contribute to the family’s income. It also means the ‘teaching’ parent may get little or no time apart from their children.

Socialisation & Friendship for Homeschooled Children

One of the most frequently asked questions that parents of homeschooled children get asked is whether there is a danger that a child might miss out on socialising with their age group and have fewer friends than a regular school student. It’s a valid concern, but there is much that can be done to ensure a child does not become isolated. Enroling kids in extra-curricular activities, sports lessons, church groups, music and art lessons all ensure they meet and socialise with kids of their age. Where one lives can also be influential: some residential areas are particularly family-friendly,

Resources for Cayman Homeschoolers

There are also a growing number of educational programmes for homeschooled students to participate in: High Achievement Academy have highly qualified and experienced teachers from the UK and USA if you want your child to have additional tutoring in a specific subject. Footsteps also offer one on one and group tutoring services as well as homework help. Chatterbox offers individualised classes for children needing help with handwriting, reading and speech and language. Clever Fish works alongside the homeschooling community and offers an after-school enrichment programme that includes homework supervision, academic intervention and activities such as robotics, arts and crafts and more. They also offer activity camps in collaboration with Cayman Sea Elements during school holidays. Homeschooled students have a variety of opportunities available to them. They are invited/allowed to participate in many competitions offered to the schools (Sea Perch, Inter School Chess Tournament, First Robotics, Inter School Math Competition and the Rotary Club Science Fair). Please Note: Whilst private tutoring centres and other activity providers can be an excellent supplemental resource for homeschooled children, the Department of Education has emphasised that the majority of homeschool instruction must be delivered at home. This means that you cannot rely on private tutoring centres to provide the bulk of your child’s learning programme.

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Tutoring

in Cayman

Over ten years ago, finding a good tutoring company in Grand Cayman was a rather difficult thing to do. Times have changed in a big way! Cayman now has a wealth of highly qualified and well-trained teachers and tutoring professionals who work out of busy and dedicated tutoring companies. But why hire a tutor in the first place? A tutor can help your children stay on top of their homework and coursework, help improve their grades and, more importantly, give them confidence in their school work. This rise in qualified and exceptionally good tutors has been particularly game-changing for children within the public school system: one-to-one tuition can exponentially improve results and open up enhanced opportunities at college and beyond. So, what do you need to consider when choosing a tutor? When Cayman Parent asked qualified teachers at the top schools about this subject, here is what we learnt:

Phonics & Reading Support

We have been told that most children should be reading quite comfortably between the ages of six and seven. However, if your child is really struggling then something could be wrong and there is no time to waste. Your child might have dyslexia and, if so, will need reading intervention. This would 78

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come in the form of a qualified individual who is trained in either the Wilson Program or the Orton-Gillingham dyslexia instructional approach. This is an essential step, so ask your tutor if they have a certificate or qualification proving that they can teach either of these courses. If you suspect your child has ADHD then a diagnosis of dyslexia often comes with it, so that is something to consider as well. One easy thing that all parents (and preschools) can do is buy a colourful poster (available on Amazon) with the alphabet on it. Make sure it does not just have capital letters though, you need the lower case letters as well. Find one that has a picture for each letter (e.g. an apple for Aa). Then put it somewhere that your children will see it a lot – in front of the loo or the back of the bathroom door is a good place! Your child will then see it every day and will slowly, ideally from the age of 18 months, begin to absorb what the letters look like and sound like.

Maths Support

If you are looking for a Maths tutor, be aware that children in the US system learn Maths in a very different way to those in the UK system. In the US system, students learn Maths in themed branches (algebra, geometry, advanced algebra, trigonometry and then calculus); in the UK system, students learn a broad cross-section of the whole subject of Maths and then build on it each year. Enquire as to what experience the tutor has with the curriculum, and if they don’t seem to have enough knowledge of it then find one that does.

All children in Cayman are now required to have mastered their times tables by the age of nine. To help them achieve this, one simple thing you can do is order a times table poster from Amazon and put it somewhere they will see it a lot. Opposite the toilet or the bath is ideal. While they are in the bath you can test them and, over time, your child will learn them. Try and put it up there while they are still very small.

Homework Help

Many parents look for help getting their children to do their homework, and as a bonus a tutor will also work out very quickly where the gaps are in your child’s knowledge of the current subjects they are studying. Tuition should always supplement the learning already taking place inside the school classroom. A good way to aid this is to regularly forward class newsletters, spelling lists, school reports, etc., to the tutor for inclusion in the tutoring sessions. Your child’s tutor can then make sure that their students are on top of their subjects.

GCSE, IB Diploma or A Level Exam Help

If you are looking to have your child tutored for their GCSE, A Level or IB Diploma exams, make sure to find a teacher who has experience teaching the current curriculum your child should be learning for that specific subject. Also, make sure they have specific experience getting children through those exams and have not just taught the subject up to an earlier grade. At this level of your child’s education it is seriously important that your child’s tutor is a qualified teacher. Although a teaching assistant can help guide a child with special needs and teach children at primary school, you would do well to find a qualified teacher for your child’s external exam tutoring.

Costs

Expect to pay on average CI$50-CI$55 an hour for oneon-one tutoring. It is money well spent. The tutor will not move on until they know that your child has grasped the subject properly. This is something you cannot guarantee in a school classroom setting with 25+ students.

See pages 116-117 for a comprehensive list of the major tutoring companies in Grand Cayman.

10 Reasons to Hire

a Tutor

Better grades: A tutor can quickly work out where the student has gaps in a subject or area and work one-on-one to remediate it. Confidence in school: The confidence a child gains from not only knowing they can keep up, but that they are actually very capable cannot be understated. Increased social confidence: Academic success can improve overall self-esteem. Different perspective: Sometimes a tutor can offer new insight or approaches to a subject than school teachers or family members. One-on-one time: Tutors can dedicate their full attention to each student. Shy students might be too embarrassed to ask questions in class or tell others that they are struggling. Meet new friends: Children can create a new circle of friends in their tutoring environment. Allows for extra family time at home: At the end of the day, children and parents are exhausted and it can become stressful to start tackling difficult homework tasks. Tutors can relieve some of this pressure and allow for more enjoyable family time. Simplifying core concepts: Tutors can simplify core concepts to create a deep rooted, thorough understanding of subjects at a young age before schoolwork becomes more complex; providing a solid toolkit of problemsolving skills and a confidence in their ability to tackle difficult work in the future. Excelling in exams: Many parents hire a tutor for their children so that they can feel prepared and confident in exams. A tutor will often help the student tackle past test papers. Keep the level of knowledge up: A tutor will help maintain a child's skills over school holidays to ensure the student does not fall behind.

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Q&A Andy Allom

Jonathan Clark

Who was your favourite teacher at high school and why? Mr Chris Allom, my Maths teacher. He was my cousin and had not long started teaching when I began high school. He was young, enthusiastic and fun. Plus, I used to get a ride home every evening in his old Austin Cambridge classic car. He only retired about nine years ago. At least he outlasted his car!

How has teaching changed or evolved since you first became a teacher? I have been working in education for over thirty years and the value of good teaching, and teachers, has always been important. Expectations are higher for all students now and we aim for nobody to be left behind. The use of technology has transformed the world, so it is important that we incorporate it into teaching and learning.

How do you handle or deal with disruptive behaviour in class? I use ‘behaviour boards’. These are poster boards with photos of each student and small envelopes underneath. Rather than writing student’s names on the whiteboard, I just drop a slip in the envelope. It is a visual reminder to stay on task and usually needs to go no further than that. However, second and third slips result in consequences. It works very effectively.

What’s your favourite way to spend your time off on the weekend? Time spent with family is very precious to me. If I have a free day, you can usually find me sailing my boat, enjoying a sunset, or grilling steaks and fish for friends.

Which of your current or previous colleagues do you admire the most and why? Mr Steven Clark. Steve is an incredibly gifted and devoted teacher, with a special quality of understanding and patience that makes him perfect for his role as Deputy Principal at CHHS. His approach to potentially difficult situations is always to defuse first, then deal with the problem after. What’s the best piece of advice you would give older students? Think about what YOU want to do and plan accordingly. It may be college. It may be work. It may be travel. Don’t feel as though you have to journey a path you haven’t chosen for yourself, but don’t blame anyone else for your choices. You want to take your students on a working holiday. Where would you take them and why? My son missed out twice on working school visits to Guatemala with “Habitat for Humanity”. Once because of panicky parents and the second time because of Covid travel restrictions. I would take my students there, with my lad as a team leader.

Andy Allom, originally from Newcastle, UK, teaches at Clifton Hunter High School and has lived and worked in Cayman since 1994.

What’s the best piece of advice you would give older students? Make sure you learn something from everyone you meet, not just parents and teachers. Dream big and follow your dreams relentlessly. Who was your favourite teacher at high school and why? My Physical Education teacher, and high school basketball coach, David Conway, was my favourite teacher. He was firm but fair and helped me to appreciate that individual differences bring strength to a team. He encouraged us to pursue our dreams but taught us that it was hard work that would make us successful. He eventually moved on to teach children with special needs, and his journey helped me to learn the importance of no child ever being left behind. Who is your favourite author and why? In recent years, I have enjoyed reading books by British Author, Matthew Syed, including Bounce, Black Box Thinking, The Greatest, and an empowerment book for students called You Are Awesome. Much of his work is based on the ideas of Malcolm Gladwell, but also aligns closely with my philosophy of education, the power of a positive mindset, and my passion for improving lives.

Jonathan Clark, from the UK, set up a new Sports College in conjunction with the 2012 London Olympics, and he was seconded by the British Council to help build a school in Tanzania as part of the Olympic Legacy Project, before becoming Principal of John Gray High School.

Inspiring Educators

Mairead Joannou

Michael Neeland

When did you decide to become a high school teacher or work in education and why? I decided to become a teacher when I was a teenager. This came from conversations that I would have with mum while she would do the housework. Growing up in Ireland in a working-class family, my parents wanted more for their children than what they had growing up and so we were taught the value of education, of being able to make a better life for ourselves born out of hard work and dedication to our studies.

How do you handle or deal with disruptive behaviour in class? I try to develop relationships early to lessen the amount of disruptive behaviour. Mutual respect goes a long way with most students. Understanding that behaviour isn’t always personal — we all have our moments. Pulling a student aside to check in when things seem off helps.

Do you think there should be more opportunities for high school students to do work experience in a variety of companies on island? Absolutely! We are constantly preparing our students for future jobs, some of which have not even been created yet, to solve problems that have not even arisen! It is a competitive market out there and we should equip them with more opportunities to exercise the skills that we teach and encourage. For example, showing initiative, resilience, collaboration, empathy and capitalising. Your ideal two months summer break — where, doing what and who with? This would most certainly be with the immediate and extended family. After Covid-19 restrictions I feel that the ‘where’ and ‘what’ no longer matter so much. Do you think financial planning should be part of the school curriculum? Yes, financial literacy teaches students the basis of money management, budgeting, saving, debt, investing and giving. These are the foundation to building strong money habits that help avoid mistakes that lead to financial struggles. You want to take your students on a working holiday. Where would you take them and why? Zambia, Ecuador and Honduras have missionary opportunities for teens to get involved with construction, helping finish the building of dormitories or classrooms as well as helping fit children with new shoes. They would have opportunities to engage with local children and to share the Gospel.

Mairead Joannou is from Northern Ireland and teaches Religious Studies to Years 7-13 at St Ignatius Catholic School.

Which famous comedian would you invite to entertain your class? Trevor Noah. He adapts his comedy to the audience and comes from an interesting background. I think he would be able to connect with the students. What competitions and programmes would you recommend students take part in? I have been impressed with the opportunities like Minds Inspired, which includes the Math Challenge and Robotics Challenge offered to students on the island. The CCMI programme is also amazing. What’s the best piece of advice you would give older students? Keep your options open early as you go further in your education. You never know what opportunities might happen. Do you have any tips for parents who struggle to get their teenagers to study for exams? Make it about the learning not the grades. What is your favourite movie and why? October Sky. Great movie that shows the true story of a group of boys striving to succeed using science. If you hadn’t become a teacher what career might you have chosen? Working at a big zoo. I enjoyed my electives that involve animals — ornithology and mammalogy. I have some friends that became zoo educators.

Michael Neeland, from the USA, is a Grade 8 teacher at Cayman International School. He has lived and taught at American or International schools in Spain, Taiwan, Dominican Republic, China and the Netherlands.

Schools

Photo courtesy of Cottesmore School, England

The Benefits of Boarding

Although Cayman has excellent schools, many parents will look to broaden their children’s horizons by enroling them in an overseas boarding school. Over the years, the image of boarding schools has changed immeasurably; the transformation from the hardship and coldness of Dickens’ Dotheboys Hall to the spellbinding excitement of Hogwarts has been both evolutionary and revolutionary. But the changes in perception and the reality are not works of fiction; boarding schools in Britain and North America are flourishing and should be a real consideration for Cayman families thinking about the future schooling of their children. Why Choose Boarding School?

There are many reasons for choosing a boarding school, from the standards of teachers and teaching, to the friends and connections that are made. The following are all key factors to consider when deciding if boarding school is right for you and your child. 1. First Rate Education The reputation of leading schools in the UK, USA and Canada is not just a label of prestige from the past; the academic, sporting and social success of these schools is evident. Academic excellence, their successes in international exams and their students winning places at Ivy League and Russell Group universities speak for themselves. The structured independence helps teenagers to thrive. 2. All-Round Education Boarding schools are concerned with much more than academic prowess; pupils achieving their potential in the classroom is paramount, but the ability to be involved in whichever sporting, creative or intellectual pursuit that stimulates a child is of huge importance too. All these things are on the student’s doorstep; schools are extremely busy places where children are seldom bored or lonely.

Cayman Parent Magazine | Education

3. Support Success is achieved through sound teaching plus individual care and attention. Staff at boarding schools are with their students for most of the day and are there to ensure that children are happy and performing well, addressing problems swiftly. Boarding schools are well-equipped and qualified to support most learning requirements. Plus a wide range of schools offer specialist ‘Additional Support’ for learning and emotional needs. 4. Facilities Boarding schools have some outstanding facilities and offer beautiful spaces in which students can grow and develop. Academic, arts and sporting facilities can be state-of-the-art, and boarding houses are designed to offer the comforts of a home away from home. 5. Friends A boarding education exposes children to a wide array of people from a variety of backgrounds – some of whom will become life-long friends. The ability to live and work with such a diverse group of people is what gives boarding school students the confidence, maturity and independence to excel in their future worlds. Exposure to the wider world and internationalism also helps prepare students for the world of business.

Preparation

Boarding schools can be very competitive and many schools fill their places several years in advance of entry. Therefore, give yourself plenty of time to choose the right school. In addition to allowing time to visit schools you should allow time for your child to be prepared for the entrance exams* and for the transition to boarding school. Parents often underestimate how much time should be given to these steps, but at least one or two years in advance is the best time to begin the process. The most important thing to remember is to involve your child in the process from the very beginning, as this will allow them to become comfortable with the prospects of going away to a boarding school. *Since Covid-19 some schools have become 'Test Optional Schools' and you can request not to do the entry test. Speak with an educational consultant who can advise on which schools now offer this option.

General Age of Entry to Boarding Schools

American schools are typically set up to accept boarders from Grade 8 (aged 13-14 or Year 9 in the British system) but there are some which will accept boarders from Grade 6. In Canada, most schools accept students for boarding in Grade 9 (one year later than the US system). In the UK, your child can board from the age of 8 (Year 4) but the majority of students from Cayman usually either start boarding at the end of primary school (i.e. they finish Year 6 in Cayman and then leave) or they wait and go straight to a senior school in the UK when they are 13 (for the start of Year 9).

the Common Entrance Examination is taken. If your child is not in a UK prep school, and will be going straight to a UK senior school from a Cayman school, they will take the entrance tests at each of the schools to which you have applied. Not all Senior Schools use the ISEB Pre-Test route and will consider children for entry on a much more flexible basis, although early application is, of course, still advisable. Each school will have its own way of conducting the admissions process but, in general, it will consist of a visit to the school, followed by an interview and testing (in English, Maths, Verbal Reasoning and Non Verbal Reasoning). The interview can often be conducted via Zoom and it might be possible to arrange for testing to be taken in Cayman. 16+ Entry (Years 12-13) Most schools have a sizeable entry into the Sixth Form. Deadlines vary but many schools test and interview prospective pupils in mid-late September of the year before entry (often through special Sixth Form Assessment Days) and offers are made at the beginning of December. *Although these are rough guidelines, there is now considerable flexibility in the system, so it is always worth enquiring with individual schools about availability. US Senior Schools Start your review of potential boarding schools at least 2-3 years in advance, especially if they are very popular, and

Boarding School Timelines & Entry Tests

UK Boarding Schools - Prep Schools (Years 4-8) Because it is the job of preparatory schools to prepare pupils for the Common Entrance Exam (CE) at the end of Year 8, they prefer to have pupils for two or three years beforehand, so that they have sufficient grounding in all the academic subjects (including Latin and French). There are no fixed deadlines for entry to prep schools, although the most popular ones will fill their places several years in advance. Testing is ‘light touch’ and is generally conducted during a child’s visit to the school. They often ask pupils to spend a day and night at the school as a ‘taster’. UK Boarding Schools - Senior Schools (Years 9-13) 13+ Entry (Year 9) Many very popular UK senior schools will expect you to bring your child to have a tour of the school while they are in Years 4, 5 or 6. Then you are expected to register your child before the end of Year 5 (schools such as Eton, Harrow and Radley) or Year 6 for most other schools. In October or January of Year 6 or Year 7, your child will take the ISEB Common Pre-Test which is a timed computer-based test which measures your child’s ability and attainment. The tests include Verbal Reasoning, Non-Verbal Reasoning, English and Mathematics. Prior to, or just following the UKiset test, enroled children will be invited for an interview and an assessment day. This takes place in December or January of Year 7. Very shortly after this, an offer of a place is given, subject to your child achieving the requisite average mark at Common Entrance. Finally, in May of Year 8,

YOUR BOARDING SCHOOL EXPERTS IN CAYMAN

(345) 936 3676 | (345) 925 4610 | (345) 949 8268 admin@dormandday.ky | www.dormandday.ky • Informed advice with on campus research. • Successful boarding school matches in USA, Canada and UK.

• Arrangements for school visits and interviews. • Expertise in financial aid and scholarships.

Personalised service for every family.

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arrange for a prospectus to be sent to you. Once you have decided on a short-list of two or three schools, arrange a visit and register with your favourite one. One really good tip is to sign your child up for the school’s summer programme: a few weeks at their summer camp will help you and your child gain a better understanding of the school, the culture and whether your child likes the other children. An even better option is to have an educational consultant interview your child and suggest a school which will suit your child academically, socially and will compliment their interests and favourite sports. Depending on which year you will be applying for, you will need to register to take the required standardised test. If you will be applying to Grades 9 or 10 then you will be required to take the Secondary School Admission Test (SSAT) or the Independent School Entrance Examination (ISEE). If you are applying to Grade 11, you have to take the SSAT, ISEE, SAT, PSAT or ACT. The SSAT tests can be taken at Cayman International School. For Grade 12, students have to take SAT or ACT. Please make sure you get the prospective school’s testing codes so that the test results can be sent directly to the school you want to apply for. Another test that many schools are now requiring or recommending that applicants take is the Character Skills Snapshot test. This test measures eight character traits including resilience, open-mindedness, responsibility, teamwork, social awareness, self-control, intellectual curiosity and initiative. Once the tests have been taken you can schedule an interview with the Admissions Office. An interview is always a required part of the application process. Some schools may require you to fill out a Candidate Profile along with a detailed application, which is often done entirely online. Make sure to have documents scanned and PDF documents made, which you can then upload. For most schools, you will need to submit a copy of a recent writing assignment which has been corrected and graded by a teacher, plus a recent school report, current grades, a recommendation from your current maths and English teachers as well as your Head of School, a personal recommendation and a parent statement. Canadian Senior Schools You will want to start your search for a boarding school which suits the interests and strengths of your child ideally at least two years before entry, but many schools will consider applications much later. If you are unfamiliar with Canadian boarding schools, then plan to visit one of the Schools Fairs held in Cayman every November. There is always a very good representation of schools. Once you have done some research, plan to visit two or three of the schools to get an idea of what you like and what you don’t like. Once you have a shortlist, it is recommended that you check their website to see what documents they need to see and what entry tests they will ask your child to take. Some schools, especially those in Toronto, ask students to sit the Secondary School Admissions Test (SSAT) but many other schools have their own tests. The SSAT is a standardised test which some Canadian private schools use to assess a student’s overall aptitude, rather than their knowledge of specific subjects, but also offers the

Cayman Parent Magazine | Education

Character Skills Snapshot, which looks at a students overall attitude/character. However, some schools do not use such standardised testing and use their own test papers instead. Canadian boarding schools generally accept applications for students coming into Grade 9, 10 and/or 11 (Years 8-12) with the preference to starting the programme at the beginning of high school – in Grade 9 (age 12-13). Education is a provincial matter in Canada, so students work towards a High School Diploma granted by the province in which they are studying, with some schools offering Advanced Placements or the International Baccalaureate Diploma.

How to Choose a Boarding School

Narrowing down which international boarding schools to visit is a monumental task. Here are some tips from parents who have gone through the process:

• For families who live full-time in Cayman, choosing a fullboarding school opposed to a weekly boarding school is the very first thing to consider. Many schools are moving towards weekly boarding, so be sure to check this out. Why is this important? For two reasons: firstly schools that don’t have many students left in school at the weekend don’t put on many activities for the ones that are, and you don’t want a bored teenager. You also don’t want your child to be lonely. Secondly if your child’s best friend happens to be a day-girl/boy, or a weekly boarder, then they won’t be around to support your child at night and at the weekends when they are needed the most. • Schools are often strong on one specific team sport – for example soccer/football or rugby, but invariably not both. If your child is massively into one sport, but not keen on another, then find a school which plays that sport. Work out what your child is really keen on, then see if you can find a school which can play to that strength and interest. • Is the school kind? Does it have good pastoral care? Will my child be happy? What support is there in place if my child gets homesick? Childhood should be a happy time, so choose a school which has a reputation for being nice. • If your child needs educational support, check out schools who can help with that. Ask what additional help your child would be offered and whether the school could cater to your child’s needs. • Bear in mind that schools located within an hour of a major metropolis and an international airport (London, Toronto or New York for example) will attract a lot of overseas students. Most schools now limit the percentage of children hailing from a single nationality, but it is worth asking the school what their policy is on this. • It's worth repeating again; do consider talking to an educational consultant. This is one of the most important

and costly things you can do for your child. An educational consultant will know what sort of school will suit your child and if they are worth their salt will recommend one they know well and will be the best fit for your child. Expect to see one school a day (a typical tour is 3-4 hours long). The visit, which you must book well in advance, usually starts at 10am, so book accommodation near the school for the night before if you can. Ask if your visit will include lunch with the students – if it does it will give you great insight into the type of students your child will be boarding with.

Other Things to Consider

Location Deciding where to send your child to school is extremely important, but first you need to decide what system of schooling you want your child to participate in. For example, to attend 6th form in the UK, it is often extremely helpful if the student has taken GCSEs or the equivalent. It is also important to consider whether you are looking for a school near family and friends. Although the support systems provided by schools are very good, it is also beneficial to have a support system outside of school and people there to keep an eye on your child when you cannot. Understanding Your Child’s Needs It is vital to find the school in which your child will be happy and will thrive. Friends and acquaintances may offer school suggestions based on their own children’s success (or otherwise!). But a school being right for their children is no guarantee that it will be right for yours. Choose a school based on your child’s specific interests and needs, even if this is wildly different to that chosen by others. Make sure that the school offers the qualifications (International Baccalaureate; GCSE; A Levels; SATs; vocational courses) bestsuited to your child and their intended higher education and career path.

for children with learning differences, using that first-hand personal knowledge to find the right fit for your child and help you to make an informed choice of school. They guide you throughout the admissions process which includes reviewing transcripts, preparing shortlists, helping with applications and financial aid forms, finding scholarships for talented athletes and high academic achievers, scheduling and preparing for tests and interviews, arranging boarding school visits and communicating with schools from application to arrival. Tel: (345) 936 3676 or (345) 925 4610, email: admin@ dormandday.ky or visit www.dormandday.ky. • BvS Education: Owned and run by Niall Browne, BvS gives impartial insider advice based on many years of experience of teaching in leading British independent schools, taking pride in having a thorough knowledge of a wide range of UK based schools and the admissions processes for them. They offer a bespoke service which is centred on finding the right school for your child. They also now offer advice for entry to Canadian schools. Niall Browne visits Cayman when he can (Covid-19 allowing) to meet Island families but he also conducts WhatsApp and Zoom calls with interested parents. BvS also conducts the UK Independent Schools’ Entry Test (UKiset) in Cayman – an invaluable tool in helping overseas parents to select the right schools based on their children’s academic ability. Email: niall@bvs-education.com, call: +44 (0)28 9532 0374 or visit www.bvs-education.com.

THE VANGUARD SCHOOL LAKE WALES, FLORIDA

Where to Get Help

Celebrating Spectrums of Diversity through Learning

• Dorm & Day: Based in Grand Cayman, Dorm & Day offers a schools placement advisory service for education in Cayman and overseas. Owned and run by Amanda Roberts, every year they visit a diverse range of boarding schools in the USA, Canada and the UK, including schools

Co-ed Boarding / Day School for Grades 6-12 www.vanguardschool.org admissions@vanguardschool.org

Educational Consultants Educational consultants are very knowledgeable about different boarding schools and will explain things that you cannot read about on a school's website or school prospectus. For example, does it run a house system and if so what are the benefits; how many students are weekly boarders and is the school moving towards that; does it cater well to children who need learning support; will your child flourish academically there or drift to the bottom third of the academic group. Also, it is worth asking how the schools handled remote learning during the Covid-19 lockdown. Also make a point of visiting the school fairs when they are held (post Covid) as its a great way to chat to the schools which you have narrowed down. Two school consultants who specifically work with Cayman families include:

www.caymanparent.com

Clongowes Wood College

Jesuit education in Ireland since 1814 (ages 12 – 18) Description: Established in 1814, Clongowes is Ireland’s leading seven day boarding school for boys aged from 12 years old. A Catholic school in the Jesuit tradition, they aim to develop young men of conscience, compassion and competence. They are home to 450 boys from Ireland and further afield. They offer a broad academic programme as well as a diverse co-curricular programme of sports, drama, debating and music. That which sets them apart is their approach to ‘the care of the individual’ – nourishing each boy’s talents and supporting them on a pastoral level. Clongowes is a very special place, set in 550 acres just 40 minutes from Dublin airport. Curriculum: Irish education is broad and balanced. They are a non-selective school with a wide range of learning styles and abilities supported by their dedicated staff. The teaching and learning programme is across six years with state exams at Junior Certificate (3rd year) and Leaving Certificate at 6th year. Facilities: Facilities for living and learning are top class, including: an abundance of rugby and soccer pitches, a golf course, athletics track, cricket pitch, tennis courts, basketball courts (indoor and outdoor), very large sports hall, weights gym, 25m indoor swimming pool, music practice rooms, modern science and computer labs, the James Joyce Library, the Bellarmine Learning Centre, etc.

Other Services: They believe that learning extends beyond the classroom based curriculum and so their co-curricular programme is rich and varied, e.g. an orchestra, three choirs, traditional Irish music group, debating, drama, art, structured study in the evening, many sports on site including rugby, soccer, GAA, golf, athletics, swimming, cricket, basketball, tennis etc. They have a full competitive fixture list for all sports with visiting teams and trips to other schools throughout the year.

Highlights:

• Cohesive boarding community of all seven day boarders • Excellent facilities and co-curricular programmes • Irish education system is broad and balanced • Convenient location for the airport

Details:

Headmaster: Mr. Chris Lumb Student Population: 450 boys Annual Fees: €20,800 per annum (2021-2022)

Sibling Discount: 7.5% for 2nd brother if 2 brothers attending. For 3 brothers 10% for 2nd boy and 20% for 3rd boy.

Mission “The hallmark of any good boarding school is that it should mirror the very best of family life and the family home. This is what we aspire to do, and more, in Clongowes Wood College.” Mr Chris Lumb, Headmaster

+353 (0)45 838 258 | admissions@clongowes.net | www.clongowes.net Clongowes Wood College SJ, Clane, Co Kildare, Ireland 86

Cayman Parent Magazine | Education

Stowe, Swanbourne House & Winchester House (ages 3-18) We are Change Makers

Stowe was founded 100 years ago to be a school to disrupt conventional orthodoxies, encourage individuality and change independent schools forever. In 2021, Stowe formed The Stowe Group with Swanbourne House and Winchester House schools. Together we are creating a community of Change Makers ready to transform the world. Yes, we teach pupils how to excel in exams, but we also teach them how to collaborate, to solve problems, to think critically and to reflect. We equip them with the skills, resilience and ideas they need to adapt and thrive. With empathy, versatility, originality and creativity, The Stowe Group’s three schools have inclusive communities transforming how young people are prepared to enter adult life.

Curriculum: Change Maker Award, GCSEs, BTECs, EPQ, A Levels, Pre Med. Facilities: Athletics Track; Watson Art School; Astro-Turfs; state-of-the-art Worsley Science Centre with its Sixth Form Study Centre; The Chung Music with 24 practice rooms, 200-seat auditorium and recording studio; Swimming Pool; StoweBucks Sixth Form Centre and Café; New 9-hole Golf Course; 400-seat Roxburgh Theatre and Dobinson Studio Theatre; Equestrian Centre and Cross-Country Course; Well-being Centre; all set in 750 acres of beautiful parkland.

Extracurricular: Service@Stowe Volunteering; Junior and Senior Congreve Drama Societies; Biomed Society; Quantum Society; Pitt Society; English Literary Society; Model United Nations; Debating; Geography Society; Gaussian Group (Maths Society); Golf Academy; Robotics Club; Chess Club; Modern Languages Society; Open Mic Night; Choir; Orchestra; Crossfire (Christian Society) and LGBTQ+ Society.

"We believe that we should prepare pupils for a new world that is changing faster than ever before with jobs and technology that do not yet exist. We are doing this so every pupil can go out into the world and make positive change, create new opportunities and build a better future for all. This is how we make change."

Highlights: • Rated Excellent in Academic and Pupil Personal Development by the Independent Schools Inspectorate • Every pupil is educated in Change Maker Core Skills • Within The Stowe Group we have education provision for 3-18 year old boys and girls (boarding, day and day in boarding) • Set in a Ducal Palace in the worldfamous landscape gardens, just 30 minutes from London and 45 minutes from Heathrow

Details:

Head: Dr Anthony Wallersteiner Student Population: 880 pupils at Stowe (1,300 across The Stowe Group) Annual Boarding fee (2021-22): £12,951 per term Discount: 10% annual discount on boarding fee for pupils coming from The Group’s Prep Schools to Stowe Average class size: 15-22

+44 (0)1280 818000 | Stowe, Buckingham MK18 5EH, United Kingdom enquiries@stowe.co.uk | www.stowe.co.uk www.caymanparent.com

Cottesmore School

Everyone has a talent (ages 8 – 13)

Cottesmore won the Times Educational Supplement ‘Boarding School of the Year Award' in 2019 and the Tatler 'Prep School of the Year' award in 2020. Cottesmore is an academic boarding prep school for boys and girls set in the verdant countryside of West Sussex its proximity to airports and London make it a popular choice for expats and those with connections to Britain. They have been providing excellent preparation for senior boarding schools since 1894 and has long term connections with schools which share Cottesmore’s belief in a nurturing, rounded and dynamic academic education - schools like Eton, Harrow, Downe House and Benenden. Cottesmore achieves excellent academic results. The strength of Cottesmore’s academic programme lies within its breadth. There are 21 different curriculum subjects taught: sports and the arts are strong. Through this rich variety of intellectual and practical experience, each girl and boy finds her or his particular strength and this in turn lifts their academic potential.

Highlights:

Nurturing • Family • Academic boarding school for girls and boys • Suitable for those ‘flying in’ from abroad • Bespoke education • 33 different sports played at Cottesmore • Purpose-built Art, DT & IT facilities • The Sopwith Centre Indoor • Swimming Pool • Annual Chess Congress • Christian principals

Details:

Head: Mr Tom Rogerson Number of Children: 200 Average Class Size: 10-14 Boarding fees: £9,550 per term Winner of ‘Prep School of the Year', Tatler 2020

+44 (0) 1293 520648 | admissions@cottesmoreschool.com | www.cottesmoreschool.com Buchan Hill, Pease Pottage, West Sussex, England

Sedbergh School

Community. Participation. Resilience

(ages 3 – 18)

Founded in 1525, Sedbergh School is a diverse co-educational boarding school for pupils aged 3 to 18 (boarding from 7) set in the beautiful countryside between the Yorkshire Dales and Lake District. This magnificent location means pupils can enjoy school life in a safe and dynamic environment. Sedbergh is among the top 10% of schools in the country for value added and while academic study is central for every pupil; the experiences of a Sedberghian are never confined to the classroom. The opportunities for outdoor activities are almost unlimited - from a walk in the hills to mountain biking, or the calm of fishing to high performance sailing. Whilst Sedbergh is also synonymous with the highest standards of participation and achievement in team sports: rugby, netball, hockey and cricket, individual sports also abound with golf, shooting, tennis, Fives and more. The boarding houses with in-house dining offer a warm and nurturing environment with each pupil feeling part of an extended family. The ethos of kindness, respect and inclusion underpins everything the school does.

Highlights:

Idyllic setting • 98% full boarding • Strong academic results • Famous for its sporting success • Top rugby, cricket, hockey and netball school • Outstanding sports and music facilities • Family spirit and a nurturing environment • 90 min drive from Manchester and Liverpool international airports

Details:

Preparatory Headmaster: Will Newman Senior School Headmaster: Dan Harrison Number of Children: 750 Average Class Size: 17 Boarding Fees: £7,074 - £11,618 per term

+44 (0) 1539 871 826 | schoolsecretary@sedberghschool.org | www.sedberghschool.org Sedbergh School, Sedbergh, Cumbria, LA10 5HG, England 88

Cayman Parent Magazine | Education

Ask a Boarding School Student Meet two individuals from Grand Cayman who have attended overseas boarding schools and get the real scoop on life as a boarder. Alex Grover, 13, Cottesmore School, West Sussex, England.

Alex finished his final year at Cottesmore in 2021 and has now started at Sherborne, England. What is the best thing about being at boarding school? There are a couple. First of all, definitely the best thing is getting to play sports every day and because of this I am rapidly getting better at the sports that we play. Also on Wednesday and Saturday we get to play matches against other schools. Another one of my favourite parts of being at boarding school is relaxing upstairs in the dorms, playing board games and chatting with my mates. I found that Sundays are amazing because you’ve worked all week and to get a full day off is so relieving and there are loads of activities to do. How well did your school manage remote learning and what was it like doing it from Cayman? My school understood everything that they had to do and we didn’t miss any school days because the school set the online learning up so quickly. I found that, because I was in Cayman, I had to wake up at 3.30am (2.30am in the summer term) to get into the first lesson but I managed fine and I enjoyed the rest of the day because my classes finished at 11.30am Cayman time. What is the hardest thing about boarding? I found that when I first started boarding I felt homesick all the time, but I learnt that if I kept myself busy it helped with the homesickness. Then when I came back from weekend exeats I would feel sad that night. But now that I have adjusted to the change, homesickness doesn’t affect me that much anymore. What advice would you give a student about to start boarding school? Keep yourself busy so that you don’t feel homesick as much and know that over time the homesickness will go away and you will love being away. You should try to make superb first impressions with the other kids because friends will help you get through the hardship of being away from family and make school more enjoyable. What is the food like? The food at Cottesmore is amazing! I have even asked my mother if she can cook more like they do at Cottesmore! Match tea is worth visiting for, it includes brownies, chocolate eclairs, assorted cakes, flapjacks, tea and hot chocolate. We all want our parents to come to the matches so we can get more of the tea!

Hector Paschalides, Stowe School, England.

Hector started boarding at Port Regis in Dorset at the age of 11, then moved to Stowe School at 13 and after A Levels, he went on to Queen Mary, University of London and the Paris-Sorbonne University. He graduated with a BA (Hons) in French and Business Management and now works as a digital profile and reputation consultant for UHNWIs, family offices and successful individuals. What was the best thing about being at boarding school? If I had to narrow it down, it would be the people you meet. Everyone comes from different backgrounds and cultures — this brilliant blend of characters makes for some truly wonderful friendship groups. To this day, I am still close to my boarding school friends. And when we do all meet, we reminisce and cherish our boarding school days. Truly, there is no camaraderie quite like it. What advice would you give someone about to start at boarding school? Get stuck in. Sure, it can be daunting at first, but there is no better way to slot in and make friends than by getting involved with all the activities, classes and events. It’s also a great way to discover new things — you may find a new sport that you excel at, a new language to master, or a new hobby that you love. One of the best things about boarding school is that it opens your horizons. At the start, you want to make the most of everything the school has to offer. Did you experience homesickness and how did you overcome it? I think everyone does to some degree. It doesn’t matter if you’ve come from just down the road or from a small island across the Atlantic. Starting out in a new environment with new people is daunting for everyone. But it’s what you all have in common and that’s why friendships come so naturally. That’s why it’s so important to get stuck in. Before long, you’ll be anxious to get back to your school friends after a holiday back home. What were your favourite extracurricular activities and why? These changed as I grew older. At the start, I loved country activities such as beagling, clay pigeon shooting and riding. Then, as I got older, I discovered an interest in fitness and sports. I was a member of Stowe’s 1st team for squash and played in matches against other schools. There were also frequent inter-house competitions such as water polo and athletics that I was involved in.

www.caymanparent.com

Smart Scholarship Funding for Caymanian Secondary School Students

Caymanian students enroled in Government schools do not pay tuition fees from primary school to the end of high school (Year 11), but Year 12 is a compulsory year. Therefore, the Government, through the Ministry of Education, have made certain financial scholarships/grants available to families of Caymanian high school students so that they can take A Levels, or their equivalent, and qualify to go to university. The students who leave one of the Government high schools to enter a private school (or ICCI or UCCI) are given what is called ‘DualEnrolment’. This simply means that these students are tracked to the end of Year 12.

A Level Students

If a Caymanian Government high school student has the qualifying grades and is formally accepted into the A Level programme at either Cayman Prep & High School (CPHS) or St. Ignatius Catholic School, the student can get funding of up to CI$12,500 towards tuition fees for the first year, and then up to CI$7,000 for the second year of the course. Students do not need to apply to the Scholarship Secretariat for the funding but they must get approval from the Department of Education Services. Parents need to be prepared to pay for all incidentals, including PTA (Parent Teacher Association) fees, uniforms and external exam fees. To qualify for the aforementioned financial assistance, students need to have achieved a minimum of 5 IGCSE/GCSE/CXC (PE and Life Skills cannot count towards the five) passes at grade C or higher, and have passed English and Mathematics. To qualify for funding in the second year of the course students must achieve a minimum of C, C, C in their AS Level exams at the end of the first year of their A Level course. Any money received from the Scholarship Secretariat is paid directly to the school and cannot be used for uniforms or any other incidentals. An additional contribution is also made towards books. The Education Council implemented Means Testing for local scholarships as of September 2018. The Means Testing requirements are a part of the application, and require completion in order for the application to be submitted. See further in this article for more information on means testing. Some children also leave Cayman at age 16 and go to England to take A Levels or a BTEC Level 3 Extended Diploma at a Sixth Form college. In the UK state school system (government schooling), if a child has a British passport then they are ‘feefree’ until they turn 19 years of age. The Scholarship Secretariat will then contribute up to CI$7,000 towards the student’s living expenses, but only if the A Level/BTEC are not available locally. Caymanian students who have attended a private school in

Cayman Parent Magazine | Education

Strategy

Cayman, and have been accepted into the A Level programme, having achieved a minimum of 5 IGCSE/GCSE/CXC passes at grade C or higher including English and Maths, can also apply for assistance with the fees for their A Level course. On achieving a successful application these students can get financial assistance of up to CI$7,000 for each of the two years of their A Level course. Students must have achieved grades C, C, C in their AS Levels to get funding for their second year.

Associate’s Degree Students

If a Caymanian Government high school student chooses to finish their secondary education doing an Associate’s Degree at UCCI or ICCI then they can apply for the fees to be paid. However, all students who have not achieved either an A or B grade in English and Maths are mandated to take remedial Maths and English at college level, as well as College Skill classes and Career Classes. History has shown educators that if a student fails English and Maths at IGCSE/GCSE/CXC then they are likely to fail their Associate Level course. That fail then remains in their academic record, affecting their university accumulative performance, the student’s ability to get into other universities, and their ability to get a scholarship to help with funding. The Associate's Degree takes about 2.5 years at UCCI (with 68 credits), 18 months at ICCI (which is a quarter-term institution) and you will graduate with an Associate’s Degree worth 90 credits. If any other Caymanian student wants to do an Associate’s Degree at UCCI/ICCI, they can also get funding towards both years of their course if they have achieved enough passes in external exams to qualify to take the course.

AP, CAPE & IB Students

Scholarship funding of up to CI$7,000 is available to Caymanian students who are going into their final two years of studying Advance Placements (AP), Caribbean Advanced Proficiency Examinations (CAPE), or the International Baccalaureate (IB). Students must have already completed the first year of their course and have taken the minimum number of courses required by the Scholarship Secretariat in their first year of AP, CAPE or IB, and have achieved minimum grade passes of C/3 or a GPA of 3.25 (with no Ds or Fs).

BTEC Diploma Students

If a student would rather do a course which includes lots of hands-on special project assignments and work experience then they might want to choose a BTEC Level 1, 2 or 3 Diploma, depending on their prior skills, experience and qualifications. The Government high schools in Cayman offer BTEC Level 1 and 2 courses, and CIFEC offers BTEC Level 1 and 2 courses, as well as the first year (only) of the BTEC Level 3 Extended

Scholarship Opportunities for Qualified Caymanians LOCAL Scholarships

Application Period: 1st March – 30th April 2022 The local scholarship can facilitate a Fall 2022 or Spring 2023 start date at UCCI, ICCI, UWI Open Campus, Truman Bodden Law School, St. Matthew’s University, A levels, BTEC Level 3 or the final year of CAPE, International Baccalaureate or Advanced Placement.

OVERSEAS Scholarships

Application Period: 15th November 2021 – 31st January 2022 The overseas scholarship can facilitate Fall 2022 or Spring 2023 start date. Scholarships are available to pursue overseas tertiary studies; TVET, Associate, Bachelor, Master, & PhD studies.

For both Local and Overseas Scholarships:

*NO applications can be made in advance or after the application periods stated. Do not delay applications because grades or acceptance letters are not yet available. Applications must be made online or they will not be accepted! To apply and obtain application forms, criteria and required documentation visit:

www.education.gov.ky/scholarships

Contact the Scholarship Secretariat at: Phone: 244-2482 • Email: scholarships@gov.ky

Diploma. For students to complete their Level 3 Diploma (which is considered the equivalent of taking 3 A Levels) they will need to go to England to take the second year. To qualify for an overseas undergraduate scholarship, students taking the BTEC Level 3 Extended Diploma will need to finish the two-year course with a minimum grade of triple merit (known as MMM). CIFEC currently offers two BTEC Level 3 Extended Diplomas in Creative Media Film & TV and Business but only to Certificate and not Diploma level (since you can only attend CIFEC for one year and the full diploma is a two year course).

Means Testing

Means testing is in place in order to prioritise those students whose parents or legal guardians have a combined income of less than CI$400,000 per year. This allows for the allocated budget to be utilised for those students who really need the financial support and have less resources to pay for college/ university and its related costs. However, if an applicant is above the threshold but there are “special” circumstances then they may ask the Education Council to consider their application. The qualifying criteria for a local or overseas scholarship can be quite complicated and vary according to which type of degree or course you choose to take. For detailed lists and application forms see the Scholarship section of the following website: www.education.gov.ky/scholarship.

Technical Vocational Study Programmes (TVET)

To be considered for an overseas scholarship for a Technical/ Vocational Study Programme (TVET) such as Auto Mechanics, Computer Engineering, Building Construction Technology or Radiography Technician, you must have 5 higher level GCSE/ CXC subject passes with A, B or C grades including Maths and English Language, or 3 higher GCSE/CXC passes with A, B or C grades with 99 Foundation Maths and English with A or B grades from UCCI or ICCI. Alternatively, you could also have a cumulative high school GPA of 2.75 or higher including Maths and English Language passes with A, B or C grades, or a cumulative GPA of 2.5 in your first year of study at UCCI or other institution with professional or academic work in the desired course of study. Mature candidates will be reviewed on a case-by-case basis.

Scholarship Funding for Tertiary Education & University

In an effort to ensure that Caymanians have the opportunity to fulfil their educational and career goals, the Ministry of Education, District Administration and Lands, through the Education Council and administered by the Scholarship GPA Explained: A GPA — or Grade Point Average — of 4.0 is the equivalent of an A, 3.5 GPA is the equivalent of a B+, 3.0 GPA is the equivalent of a B and a 2.0 GPA is the equivalent of a C. To qualify for an overseas scholarship to attend university, the student must finish with a GPA of at least 3.0 or 3 x A Levels at C grade or above.

Cayman Parent Magazine | Education

Secretariat, offers scholarships and grants to all Caymanian students who qualify to pursue either a local or an overseas tertiary education. Students can apply for an overseas scholarship between November 15th and January 31st annually, and a local scholarship between March 1st and April 30th. No late applications are accepted. Students need to apply to a university prior to their scholarship application, but they do not have to have received an acceptance letter prior to applying. The qualifying criteria for a scholarship varies depending on whether you are aiming to take a Technical and Vocational course, a Bachelor’s degree, a Master’s or a PhD. The minimum age at which you can qualify for an overseas scholarship is 17, but the expectation is that you will turn 18 during that academic year. There is no upper age limit on applying for a scholarship.

Undergraduate Degree Scholarships

To be considered for an overseas scholarship to study a Bachelor’s degree programme you must have passed your AP, IB, A Levels, BTEC, SATs or Associate's Degree to a certain criteria set out in the Scholarship Secretariat’s application form. • International Baccalaureate (IB): You must have taken and passed the full IB diploma, must have 3 x higher Level IB certificates with a minimum of 13 points, and no grade lower than 4, and 2 x standard Level IB subjects at the 12th grade level with a cumulative high school GPA of 3.25. Alternatively you can have 5 x standard level certificates with no grade lower than 4. • Advanced Placement (AP): The points system for APs has recently changed, so please refer to the scholarships website for current AP requirements. • A Levels/CAPE: Three A Levels/CAPE Unit 2 with a minimum grade of Grade C/3 in each A Level/CAPE Unit. • Associate's Degrees: Must have a cumulative GPA of 3.00 or higher, or Associate level studies with a minimum 3.0 cumulative GPA. • BTEC Level 3: Must have an Extended Diploma with a minimum MMM grade average, SAT score of 1100 or ACT score of 22. However, The Education Council may award an overseas scholarship to students who do not have advanced standing (IB, A Levels, CAPE, AP) if they meet one of the following two criteria: 1) 7 x GCSE/CXC passes at A or B grade, including Mathematics and English, or 2) A combined cumulative High School GPA of 3.25 or higher and an SAT score of 1100 or ACT score of 22.

Undergraduate Funding Levels & Subsequent Years

To maintain your scholarship, you must achieve a 2.75 GPA or a 2:2 in the first year of study, and a 3.00 GPA or a 2:1 in your subsequent years. The Education Council has a requirement that you do at least 12 credits per semester/term in your first year and then 15 credits per term in the subsequent years. Overall, a Bachelor's degree should take 120 credits to complete. Each year you should be doing a minimum of 30 credits for a four year course, and 40 credits for a three year course.

Annual Scholarship Programme OVERVIEW

The Ministry of Tourism (MOT) Scholarship Programme represents the Government’s efforts to facilitate more Caymanian involvement in the tourism industry. It is designed for students who demonstrate a financial need and strong evidence of their desire and intent to pursue a Bachelors or Masters Degree in tourism or a tourism related discipline.

SCHOLARSHIP DETAILS

Since its inception in 1996, this annual scholarship has awarded over 150 students full or partial scholarships. Many of these students have gone on to work full time in the tourism industry, and now some hold senior positions at the Department of Tourism and other tourism establishments. Historically MOT scholars have earned degrees in disciplines such as marketing, public relations and communications, tourism and environmental management, hotel management, travel tourism and hospitality and the visual arts at universities and colleges in the US, England and Canada.

HIGHLIGHTS: • A full scholarship can be awarded for a maximum of four years • US$25,000 is available per academic year • Partial scholarships may be awarded at the committee’s discretion • Students are required to return to Cayman and work in the tourism field for the period of time equivalent to their scholarship • Students must maintain at least a 2.5 cumulative grade point average in the first year and a 3.0 cumulative grade point average, with no failures thereafter • Scholars are required to complete at least one eight-week internship during their studies

REQUIREMENTS: • Be Caymanian or hold Caymanian status • Be at least 17 years of age • Be resident in the Cayman Islands for a minimum of four years prior to applying

Laurent Bodden

Caitlyn Seymour

“Graduating from university this year, “The Cayman Islands Ministry of could not have been possible without Tourism scholarship supports my the help of the Cayman Islands Ministry future career aspirations and set in of Tourism scholarship. I am beyond motion my path with all the resources grateful for their investment in me and needed. The scholarship provided me look forward to when I can provide my with an opportunity to gain knowledge services in the tourism industry. The MOT and experience in my chosen career scholarship not only gave me a sense of field as well as represent my islands financial security but also a heightened internationally. In studying business sense of patriotism. I represented the and medicine, I have realized my Cayman Islands in the way I interacted potential for entering the medical with my peers and spoke highly of my tourism field and supporting my country to anyone I could find. Interacting community in the future. The MoT with other students from neighboring scholarship has allowed me to Caribbean countries showed me how challenge myself as a student and unique our tourism product truly is. Today, continue to strive daily for success as I am a more well-rounded and motivated I acquire the necessary tools to create Hospitality and Tourism Professional with a better future for both myself and my much hope for the future!” community.”

• Be accepted to a competitively ranked accredited institution and have the necessary academic background to achieve success • Be a strong communicator with good interpersonal skills, work ethic and character

APPLICATION DEADLINE: All applications must be submitted by the end of the first week of May. For further information please contact Tunisia Barnes at the Department of Tourism. Tel: (345) 244 1283 Email: motscholarship@caymanislands.ky

(345) 244 1252 | motscholarship@caymanislands.ky | www.ourcayman.ky www.caymanparent.com

The Secretariat’s annual audit of your scholarship will measure this and your funding may be suspended if you are taking less than the credit requirements. Funding comes in twice a year and is based on your declared expenses. Qualifying students can get funding of up to CI$20,000 per year for a maximum of four years. If they are reading Medicine then that can be extended to six years and beyond if the student is specialising in a chosen field and needs to take internships. Also, based on budgetary considerations, mandatory summer funding can be made available to students once per degree. This is capped at CI$4,000 and is dependent on specific guidelines being met.

Undergraduate Application Process

The application form for an overseas scholarship is not unduly onerous. Applicants must apply online and a number of documents must be uploaded with your online application. These include your completed scholarship application form, your medical certificate, academic/character references, official high school or college transcripts, a passport photo, a personal statement, a degree plan outlining the courses to be taken throughout your programme of study, a letter of acceptance on your chosen course (and any transfer of credits where this is applicable), an Excel spreadsheet with all the costs outlined (tuition, housing, meals, flights, books, etc.) plus your birth certificate along with your Right to be Caymanian/ Status Certificate and a cover letter. It is worth noting that the Scholarship Secretariat wants to know that you have looked into your course in great detail. They want to know exactly what modules you will be studying each year and whether there are any specific A Levels (like Maths) that you need to have taken to get into your chosen course. Another part of the overseas scholarship application process is a mandatory interview for short-listed applicants. That interview includes at least two professionals in the field that the student wants to study. The interview is to determine whether or not the student is ready to undertake the study and whether they understand how they will apply their degree to a job. The panel of interviewers will then score the candidate and determine whether the student is ready, whether they understand the field that they are going to study and whether their university of choice is suitable for them. Some students choose a university because of a family attachment or because the university itself has been a popular choice with other students, rather than because of the course they can take or whether it is the best university for the subject they want to study. Your parent’s ability to assist financially will be taken into account for all scholarships, and a ‘Declaration of Income and Expenses’ for all sureties will be required to be submitted. You will then have to sign a student bond with your surety if you are awarded a scholarship committing you to a) successfully completing your proposed studies and b) then working in the Cayman Islands for a specific period of time after your studies finish. If you fail to meet either of these two requirements, you will have to repay all the scholarship funds that you have received. Having said that, you have a 12-month window in

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which you should return to Cayman after your degree finishes, or you can apply to the Council for an extension to your return date if you have the opportunity to gain further experience in your field prior to returning home.

Tracking Undergraduate Scholarship Expenses

Each semester, students must go through a detailed submission process for their scholarship funds to be continued. This process includes submitting a detailed grade and transcript record, along with receipts of how the money they received was spent. All the paperwork will then be reviewed in great detail. The Scholarship Secretariat reviews the student’s expenditures to ensure that they were applied towards agreed fees/expenses, and then they review the student’s performance and grades. Only after this review is it determined whether the next disbursement of funding can be released. In addition to the Ministry of Education’s scholarships, students can also apply for a private sector scholarship as long as both scholarships do not exceed their total costs. Although the process of getting a scholarship may seem overwhelming, the Secretariat must have a way of measuring that a student’s performance is within the requirements set by the Education Council. They also require the students to go through a costing procedure. Each student must fill in a spreadsheet which automatically tables their expenses and identifies the different costs which they should be thinking about (tuition, room and board, food, dorm supplies, school supplies, groceries, books, utilities, transportation at university, flights home, etc.).

Masters & PhD Scholarships

Scholarships for a Masters or PhD are available and students must have achieved a cumulative GPA of 3.0 or an Upper Second Class Degree (2:1) in their undergraduate degree. They must also have had work experience that is relevant to the course they have chosen to study. Those studying for a Masters Degree can get up to CI$25,000 per year for two years, and those studying for a PhD can get up to CI$75,000 over three to five years.

Private Scholarships

There are numerous private scholarships available in the Cayman Islands, and these can be combined with a government scholarship. The amount available annually varies, but the large law and accounting firms offer between US$20,000– US$30,000 per year. Remember that you will have to keep meticulous records on exactly how you spent your scholarship money and this includes receipts for everything. You will usually be required to work for the firm in your summer holidays and on completion of your degree. A list of private scholarships can be found on the www.caymanresident.com website, where they have outlined the scholarships by industry. Remember that it is absolutely crucial that you get amazing references from the companies you have been interning with, or from your teachers, and to have some interview practice (should you be invited for one). These companies are looking for the best, most motivated Caymanians who will work hard and give back to the Cayman Islands community in a meaningful way.

Saving for College

Fees

Saving for your children’s university and college fees is something that ideally needs to be started when your child is very young. Here we offer some suggestions on how, with good and early planning, college fees can be saved without tipping the family finances over the edge. Plan, Plan, Plan

Saving for college is no different from any other financial goal in that it needs a plan. Your starting point is where you are today and what you have accumulated so far. Take an honest look at your current financial situation. From there, start to make some guesses as to how much you may need and when you will need it (the latter being the easier bit). Then, with the help of an online calculator, you can start to work out the monthly savings needed to get you to where you want to go.

pay ‘overseas fees’ of between £15,500 and £35,000 per year depending on the degree (lab based degrees, including Maths and Engineering, incur higher fees). The fees for the UK are still a little over half of the cost of the US. Of course, adding another dimension to this is the fact that many parents will have two children (or more) overlapping at college at the same time. See ‘Applying to University or College’ article for more on the costs involved.

There are lots of online tools that can help you calculate how much you need to save. There is a particularly good one on the FINRA website: https://tools.finra.org/college_savings/

The reality is, the earlier you start the less you have to save each month. Growing your money at more than the rate of inflation is really important, as over time inflation erodes your purchasing power and means that you have to save more to get to the same point. Consider investing in the stock market, however, it is important to consider your time frame before jumping in. It is impossible to know whether the stock market will go up or down in the short-term, and therefore it is only a sensible option if you have some years ahead of you. Time enables you to ride out the ups and downs and benefit from the long-term growth.

Discuss College Education Early

Having conversations early on with your child is critical to assessing how much you may need. Is there a burning desire to attend a top US university, or will they look to you for direction on where they should go? How much might you be able to fund and how much are you expecting them to fund themselves? It is important to have open and candid discussions with your children so that they have an understanding of the expectations being placed upon them.

If you are struggling with where to begin, try starting with 1/3, 1/3, 1/3 principle; with you covering 1/3, the child being responsible for 1/3 (either through part-time work or student loans) and 1/3 being raised from scholarships or grants. If the plan involves your child taking responsibility for part of the funding, you will need their participation well before college starts. Keeping grades up and researching the scholarships takes work and dedication. Saving earnings from their part-time summer employment takes discipline. Creating a plan early on and sitting down to revisit it regularly is critical to success.

US versus the UK?

For many in Cayman, the US is a logical choice, simply because it is closer. However, for both Caymanian and expat students, the UK is considerably cheaper. In the US, tuition fees tend to be between US$30,000 and US$80,000 per annum, with living costs adding another US$20,000 to US$30,000. In the UK, a Caymanian student will pay the local UK tuition fees of around £9,250 per year, with another £10,000 per year for living costs (not including flights to and from the UK). An expat student will

How Much Should I Save and for How Long?

Financial Commitments

One of the most important pieces of advice is to ensure that your college savings plan is considered alongside your other financial goals: retirement, caring for elderly parents, paying off mortgages, having emergency cash balances, etc. To put your college savings in context, it is worth seeking the advice of a professional financial planner. A good advisor will help you create a plan that is right for you, your priorities and your life. Look for someone who is dedicated to education. They will recommend the correct assets to invest in (investing in the stock market is not for everyone), and more importantly, they will act as your accountability partner to keep you on track over the years to come.

Final Word

As a final note, remember that your financial security is important too. Money is emotional and it is easier to give freely, without resentment or blame when your cup is full (or being filled). Money is not love, and love is not money. Teaching your children good financial planning practices will set them up for life, and help them pay off any student loans more quickly and efficiently. Sadly, there are no loans available for retirement. For that, you simply have to save!

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Applying to Overseas The path to university is not all about your grades, as your school’s college counsellor should advise you. Yes, universities will want to see your grades (passes as well as fails) from the start of Grade 9 (US) and Year 10 (UK) and these will all appear on your school transcript, but universities are interested in the whole student. They will want to see all the extracurricular activities you have taken part in for your the last four years of school, including community service, volunteer work, clubs you have joined, internships, work shadowing and any leadership training opportunities. Having said that, the vast majority of universities will have minimum academic entry requirements and these vary according to the university and course. The good news is that regardless of which country you studied in, and whether you took A Levels, the IB, SATs, APs or some other High School Diploma, universities understand the various scoring systems and will consider you if you have the grades they want. Please read on for a list of the various entry exams to university.

North America - SAT & ACT Entrance Exams

Most American colleges and universities require students to take one of two standardised aptitude tests: the SAT (Scholastic Assessment Test) or the ACT (American College Test). SATs are geared more towards testing critical thinking and problem solving skills, while the ACT tests what you have learned in High School. These tests are an easy way for colleges to compare all applications, and admissions officers will review your SAT or ACT scores alongside your High School GPA, recommendation letters from your teachers, your own personal statement – which should list, amongst other things, your extracurricular activities, work experience and charity work – and any other details including the subjects you took in high school. Most High School students are encouraged to take the SAT twice: the first time in May of Grade 11 (their second to last year of High School) and the second time either in August or early October of Year 12. This will give you enough time to study over the summer holidays and take the test again, before early university applications are due on October 15th of Year 13 (UK system) and Grade 12 (US system). Students in Cayman can take the SAT at Cayman International School, even if this is not the school they are enroled at. The test is offered in August, October, November, December, March, May and June, although you need to be registered 5 weeks in advance. The test is three hours long and includes a Maths portion and an Evidence-Based Reading and Writing section. You can also take an optional essay section, which is reported separately and takes an additional 50 minutes. Each section of the SAT is scored on a 200 to 800 point scale. The highest 96

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Universities

possible score is 1,600, but 1,200 is considered to be a very solid score. In 2020, more than 2.2 million students took the SAT exam and 1.6 million students took the ACT exam. It is unclear how many students took both, but experts say it is now common practice for students to tackle both exams. The ACT exam includes four sections: English, Reading, Maths and Science and it also includes an optional 40 minute writing test. Each section of the ACT is scored on a scale from 1-36. Your final score is the average of your four-section scores. The maximum score you can receive is 36 and the average score is 21. The average SAT score for the class of 2020 is down slightly at 1,051 compared to 1,059 for the class of 2019. In terms of college readiness, 45% of SAT takers in the class of 2019 met or exceeded both the Evidence-Based Reading and Writing (ERW) and Math benchmarks, indicating a high likelihood for success in creditbearing college coursework. This is holding steading on 2019's score of 45%. Note: You can take free full-length practice tests online for both the SAT and ACT. Also note, lots of schools do not ask for the ACT from international candidates.

UK - A Levels

In the British school system, A Levels are the 2-year Advanced Level qualifications which universities use to gauge the academic level of a potential student. Students usually take 3 to 4 subjects and are graded A* to U (A* to E are a pass). It is worth noting that unlike the UK where AS Levels have been phased out, they are still taken in Cayman in Year 12. This gives Cayman students an advantage, as their AS Level results give both the school and the university a benchmark to predict how the student will do at A Level in Year 13. AS Levels also contribute 40% of the marks of a full A Level. Students then have the chance of retaking their AS Levels in January of Year 13 if they need to. Some US and Canadian universities offer students credits for their first year if they have taken certain subjects at A Level, and these credits are applied when you get to the university. You often have a choice of whether you want to apply the credits at the beginning of the course, and skip a few courses, or apply the credits at the end and completely blow your final result out of the water! The policy varies from university to university, so make sure to investigate what they offer. The benefit of delaying taking the credits is that you will ace your first years’ worth of courses (some of it might seem very easy after A Levels). This will potentially put you on the Dean’s List and line you up to get a scholarship or get access to better courses. Your university counsellor will advise you on your options.

If the university does not want to give you credit for your A Level course, it is often because they don’t understand the depth of the course you took. In such cases, your Cayman school is always very willing to send the US or Canadian university the syllabus of the course you took. Once they see this they will be far more likely to understand the depth and breadth of your A Level and be willing to give you credit for it.

Advanced Placements (AP)

Advanced Placement is a programme that allows students to take college-level courses whilst still in High School. About

Top Tips for Applying to

Universities or Colleges Find out which Universities are ranked best for your chosen course; you can Google “best universities for XYZ in England/USA/Canada” and get a good idea of which ones are highly ranked. You can also visit https:// unistats.ac.uk to compare official data on undergraduate courses at each university in the UK, and see what jobs and salaries graduates can expect after completing the course. Top Universities (www.topuniversities.com) lists courses which are available in the USA, UK and Australia. Pay Scale (www.payscale.com/college-salary-report) does the equivalent for North America but also ranks colleges by salary potential. Decide whether you prefer a campus university, where all the facilities and accommodation are in one location, or a city university, where you have the upside of a more diverse social and cultural life, but will be split across locations and accommodation options. What location works best for you? Do you need to be near an international airport? Or on a direct flight path home? Whilst the quality of the course and University should be key factors, there will also be practical considerations to take into account. Try and do a tour (online or in person) of at least a couple of your favourite universities before applying; they can often feel quite different in reality to the prospectus. Make your personal statement as unique as possible; take a look at YouTube videos by college lecturers to gain insights into exactly what they are looking for. Don’t feel like College or University is the only route to success; there are a huge number of vocational programmes available in Cayman and overseas. Talk to a school guidance counsellor if you’re unsure about what would suit you best.

40 courses are offered and these are scored 1 to 5 (5 being the highest). Students who score 3, 4 or 5, can request college credits for the class. Many colleges accept AP classes as additional points to your GPA. For highly selective schools, such as Ivy League schools, it’s common for accepted applicants to have taken between 7 and 12 AP classes throughout high school. The average student will take about 5 AP courses.

International Baccalaureate (IB)

The International Baccalaureate Diploma Programme is accepted by universities around the world and is highly regarded. It is a rigorous programme that focuses not only on academic performance, but also on students’ personal, ethical and emotional development. The programme is studied in Grades 11 and 12 and prepares students very well for the challenges of university. The curriculum is made up of three core components a) Theory of Knowledge (TOK); b) Creativity, Activity and Service (CAS) and c) the Extended Essay – plus six subject groups. Students must participate in all three core subjects and also choose one course from each of the six subject groups. The six subject groups are: Language and Literature, Language Acquisition, Individuals and Societies, Sciences, Maths and the Arts. Three or four of these are taken at Higher Level, and the rest at Standard Level. Students sit exams for the Diploma Programme in May. They are graded from 1 to 7 (7 being the highest) for each of their six subjects. Additionally, the Theory of Knowledge and Extended Essay are also graded, and together can add up to an additional three points. The maximum score one can therefore achieve is 45. The pass rate is 24, and anything over 34 is considered very solid. When you start researching the subject you want to study, you will see what scores at IB that university want. For example, if someone wants to read medicine at university, they need to get an IB score in the 40s. Architecture would be in the high 30s. Because admission to US universities is decided in December or January and the IB examinations do not take place until the following May, places for IB students are often based on their predicted scores. The advanced nature of the IB curriculum is such that some US universities will allow IB students to go directly into the second year, thus shortening their degree course significantly. The IB high school programme is offered at CIS.

Entry to a UK University

About 75% of students who go through the British system in Cayman (Cayman Prep and St. Ignatius) go on to UK universities. The remainder go to US or Canadian universities, and a small percentage go to a local Cayman university. The main reason these students go to the UK is the cost: a Caymanian is eligible for ‘home fees’, which means that the tuition fees are a fixed £9,250 per year. If you want to go to a UK university but don't qualify for home fees, then overseas student fees range from £15,500£35,000 per year depending on the subject you choose to study. With board and lodging, food, flights, books and extras on top, the all-inclusive cost of going to a UK university is in the region of £20,000/US$28,000 per year. The US equivalent is www.caymanparent.com

US$30,000-$80,000 per year for tuition alone. In contrast to US universities, where courses run for four years and start with a liberal programme covering many subjects, UK degree courses specialise right from the beginning and run for only three years (except in Scotland where four year courses lead directly to a Master’s Degree), unless you are doing Medicine, Veterinary Science, Dentistry or studying a foreign language. There is also a lot of movement between countries now as many North American universities have partnerships with UK universities and offer a ‘Study Abroad’ term or year. This is a nice compromise for those students who really don’t know which country they want to study in! UCAS There is only one way to apply to a UK university and that is through UCAS. This centralised provider gathers all the student’s information and university choices, and then disseminates it to the universities your child has chosen. The cost of the UCAS application is £25. Students register with UCAS in June of Lower 6th Form (Year 12). Over the summer holidays students and their families research what courses are available at which universities and begin to hone in on the course that will fit best. For most courses you can apply to up to five universities. If you want to read Medicine, Dentistry or Veterinary Science, however, you can only apply to four. You cannot apply to five universities for two or three different subjects though. Incidentally, if you want to apply to Oxbridge, you have to choose to apply for either Oxford or Cambridge – you cannot choose both. The UCAS application should include the student’s residency paperwork, a reference from school, choice of five universities, transcripts of all their grades (passes, as well as fails) from GCSE, CXC and AS Levels, their work experience record and their personal statement. The personal statement is a crucial part of the application and can take between 10 and 12 hours to complete a first draft. Cayman schools will check your statement, offer advice on what it should contain and edit it so that it is grammatically correct. Crucially, universities will be expecting to read your motivation for wishing to study your chosen subject, and will want to see what you have done to further your knowledge and passion for the subject beyond the narrow confines of your school’s curriculum. This is where extensive outside reading and subject-related work experience will be highly beneficial. For those students that have done SATs, APs or the IB, UK ENIC (www.ecctis.com) is the UK’s national agency for the recognition and comparison of international qualifications. The deadline for UCAS applications is October 15th for Oxbridge and January 15th for all other universities. It is very important that Cayman students do not leave their application until the deadline of January 15 – the reason being that many universities come back with the ‘you have been assessed as an overseas student for fees purposes’, which will then trigger a fee appeal.

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If this happens, Cayman schools will speak on the student’s behalf and explain to the university that under this guideline and this law the student does qualify for home fees. Students can also send a short email explaining. Although there have been a few close calls, schools in Cayman have never lost a fee appeal. However, if you leave the application until January and there is a problem, then places may have already been offered and accepted by other students. For more information about home or overseas fees visit www.ukcisa.org.uk and read the guidelines very carefully. In an ideal world, students get their UCAS applications in early, and by Christmas they know what their offers are and what grades they need to get in their exams that summer. The sooner you apply, the sooner you will start receiving offers. If you apply later, many of the popular courses and universities will already have made all their offers. It also helps when you are applying for a government scholarship – which is unbelievably hard in terms of paperwork and what you need to gather – to know what courses and universities you are aiming for. Once applications have been assessed, universities either offer an unconditional place, a conditional place based on grades they want you to get, or they turn you down. Offers are always based on three A Level subjects; it will never be offered on four A Levels. A high-achieving student might take four A Levels though, as it will give them more UCAS Tariff Points, which, if applied by the university, will give the student greater flexibility over the grade combination needed to meet the university’s requirements. Many leading universities will require students applying to read subjects such as medicine, veterinary medicine, dentistry and biomedical science, to sit additional entrance assessments, such as the Biomedical Admissions Test (BMAT). Once the student has received their offers, they have to confirm which one they will firmly accept, but are allowed to choose a second offer as an ‘insurance’ policy in case they do not get the grades required for their first choice. They then contact both the universities and discuss everything, including accommodation. At this point the only thing you don’t do is book your flight. Results then come out around August 20th, and university begins in late September or early October. Schools in Cayman are very clear on the fact that UK universities do not give students coming from overseas any advantage over UK resident students. The universities all know the qualification options (IB, APs, SATs) and there is a level that they want students to be at. Similarly, applying as an international student using a different passport can prove problematic when trying to attain a student visa, as this will likely be denied if in fact you hold a British Passport. Students taking a gap year can apply a year later when they already have their results. Alternatively, and preferably, students can apply and request entry after their gap year. If a student is planning a gap year they must ensure that they share

their plans for the gap year in their personal statement. There is an advantage to applying after you have received your results, as universities can tell the students right away “yes” or “no” based on their results. Cayman schools keep all the students’ references on file, along with their grades, and welcome past students back so they can work on their application.

Entry to US Universities

As is the case in the UK, the US has a similar central portal called the 'Common App', which lists more than 800 colleges and universities. See www.commonapp.org for more information and how to apply. There is also the 'Coalition for Access, Affordability and Success', which is a group of US colleges and universities (about 140 in total) who have united in their mission to support lower-income, under-resourced, and/or first-generation university students. They make sure that

The 'Gap' Year According to the Gap Year Association, taking a break before or after university has numerous benefits for the student. There are reams of anecdotal and qualitative data on the positive reasons for taking a gap year and these include such things as increased maturity, greater ownership of the student's education, increased selfawareness, greater global awareness, fluency in a foreign language and, of course, the self-confidence earned from successfully completing a gap year. Universities have reported that students who have taken a Gap Year engage more in campus life and are statistically more likely to graduate on time. Students have reported that their year away helped them socially and gave them something interesting to say in conversations, in essays and in job applications. They felt that their year away helped confirm their choice of career and academic major, and it added to their employability. If you are planning on taking a gap year, make sure that you have a good gap year plan and that whatever you do is worthwhile, has value and will feed into your course. There are lots of fabulous gap year websites which can give you an idea of great things to do on your year off. The British schools we spoke to in Grand Cayman were all very much in favour of students taking a gap year. The schools stressed that they would always be available to help past students with their applications, and they keep all their references on file. Gap years are also becoming increasingly popular in the US and colleges such as Harvard particularly encourage this practice.

these students have access to financial aid and that the access to higher education is made clearer and easier. See www. coalitionforcollegeaccess.org for more information. Students interested in going to an American university create a profile in these portals, input a personal statement and then their current school fills in their part, which includes their GPA, curriculum, a transcript of their grades and subjects from Years 7 to 13, and teacher recommendations/references. American universities accept students from all over the world, so they have to understand the different grading systems between A Levels, Advanced Placements, the International Baccalaureate (IB) and of course their own SAT and ACT tests. Cambridge University in England has done a lot of work lobbying Ivy League universities so that they understand the A Level system and what the various grades are worth. To work out your own GPA, go to www.cambridgeinternational.org, click on the ‘Programmes and Qualifications’ link and then the ‘Recognition and Acceptance’ section.

Entry to Canadian Universities

Ontario has the vast majority of the universities in Canada, and similar to UCAS and the Common App, Ontario has the ‘Ontario Universities Application Centre' (OUAC) where you will input your application, list your chosen course and universities, and upload your grades, personal statement and references amongst other things. For all other universities, including McGill in Quebec, you will have to apply to the schools directly. All-in, the fees plus living expenses are about CA$27,000 (US$20,000) per year, so Canada is a good option for Cayman students. Canadian universities understand the British GCSE and A Level system, as well as the IB. It is worth looking at the admissions requirements for each Canadian university which you are interested in. For example, the University of Toronto requires a minimum predicted IB score of 27, and higher for more competitive subjects. If you have gone through the British system they require at least five IGCSE/GCSE subjects and four AS Levels or three A Levels. They do not generally accept people who have taken BTEC courses unless the BTEC includes sufficient academic content. For those that have gone through the US system in high school, a Canadian university will want to know your GPA and will look at your results in Grade 11 and 12. They do not require SAT or ACT test scores, although they may request them if your GPA is lower than they want. Knowing this information in advance is very helpful as it will help you know what you have to aim towards in your exams. Some degrees also stipulate that a certain subject (for example Maths) is studied at A Level. Make sure to check. TOP TIP: Caymanian students with the right grades can apply for a Cayman Islands Government and/or private scholarship to pay for some (and sometimes all) of the costs associated with going to university. See pages 90-94 for more on this.

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& Universities

Photo courtesy of St. Matthew’s University School of Medicine

Local Colleges

With the local post-secondary landscape developing rapidly, it’s no surprise that a number of students are choosing to stay in Cayman to pursue their higher education degrees. With an incredible location and competitive fee schedules, Cayman has also become a hotspot for foreign students to come and study professional degrees, especially in the fields of Law and Medicine. University College of the Cayman Islands

The 1980s were a key time for the development of tertiary education options in the Cayman Islands. The Government at the time made it a priority to centralise the administration of Cayman's handful of tertiary education options, and so three privately owned schools were combined to create one college. One of the schools focused on Hotel Training, the second on Marine and Trades, and the third on the Secretarial/Business sectors and by becoming one school they were named the Community College of the Cayman Islands. The name was later changed to the University College of the Cayman Islands (UCCI). Fast forward to 2021, today UCCI offers international accreditation for its courses and has 1,400 students and 75 fulltime faculty and staff. They also have international partnerships with other universities, so students enjoy various options to study abroad while local students can select from many internship opportunities. They have a very strong STEM programme, thanks in part to the establishment of the Dr Wm Hrudey Observatory in 2012. Their Associate, Bachelor and Master's programmes work well alongside UCCI's strong Performing Arts programme that includes a choir, a dance troupe and a multi-awarded steelpan band, the UCCI Pandemix. A few years ago, those in the local hotel and restaurant industry 100

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recognised that Cayman would benefit from a hospitality school, and so UCCI's School of Hospitality Studies was born. The school offers an internationally accredited hospitality/tourism studies programme that aims to meet existing and future needs of the Islands' tourism industry. UCCI also houses the Island’s only official Microsoft IT Academy and Cisco Networking Academy for the preparation, training and testing of a variety of Microsoft certification exams and Cisco training programs. UCCI also offers a Nursing programme and a post-graduate diploma in Education.

International College of the Cayman Islands

Established in 1970, the International College of the Cayman Islands (ICCI) is the longest standing institution of post-secondary education in Cayman. With humble beginnings as a not-for-profit organisation, the school has long been known as the birthplace of higher education in the Cayman Islands. The school offers online, face-to-face and hybrid classes and awards certificates, Associate, Bachelor’s and Master's degrees. Since 2002, it has been accredited locally and in 2016 by the International Assembly for Collegiate Business Education (IACBE) in the US, and the Accreditation Service for International Schools, Colleges and Universities (ASIC) in the UK. With a key focus on career placement and personal development, ICCI challenges students with rigorous academics coupled with excellent service and care for students.

The Truman Bodden Law School

Established in 1982, the Truman Bodden Law School has been affiliated with the University of Liverpool in the UK since the late 1980s. This association validates and awards the undergraduate (LL.B) and Masters (LL.M) Degree programmes. The University of Liverpool is a Russell Group University (equivalent to the US Ivy League) and the degree is internationally recognised. The LL.B Degree is also recognised as a Qualifying Law Degree by the Joint Academic Quality and Standards Committee of England and Wales and the Cayman Islands’ Legal Advisory Council. This recognition makes LL.B graduates eligible to pursue postgraduate professional qualifications in both Cayman and the UK as well as other common law jurisdictions. TBLS also offers a Masters in International Finance (LL.M) and a Diploma in International Finance (PGDip). At a postgraduate professional level, TBLS also enjoys an affiliation with Oxford Brookes University (“OBU”). Successful completion of the law school’s nine month long Professional Practice Course (the precursor to Articles of Clerkship) leads to the award of the OBU Diploma in Legal Practice.

Other Local Further Education Options

semesters a year) of Basic Science and Pre–Clinical studies in Grand Cayman, and are then transferred to do clinical rotations at teaching hospitals in the US, Canada or UK to complete their medical degree programme. St. Matthew's School of Veterinary Medicine Veterinary students complete seven semesters (three semesters per year) of Basic Science instruction in Grand Cayman before doing a year of clinical instruction at an affiliated US or Canadian veterinary school. Northwestern Caribbean Baptist Theological Seminary Cayman's first seminary, founded in conjunction with Dr Randy Von Kanel and the Cayman Islands Baptist Church, offers coursework towards a Bachelor's Degree taught by credentialed professors. Students can also study for a Master’s Degree through online work with an accredited US seminary. University of the West Indies, Cayman (UWI) The UWI Open Campus is a virtual campus delivering accredited undergraduate and graduate-degrees.

St. Matthew’s University School of Medicine Cayman has a thriving medical school called St. Matthew’s which attracts most of its student population from America and other overseas countries. Students complete five semesters (three

For websites and contact information for these institutions, see The Listings on page 293. There are also many vocational training options in Grand Cayman. See pages 102-104.

UCCI

Truman Bodden Law School

University College of the Cayman Islands Transformative • Inclusive • Nation building For over 45 years, the University College of the Cayman Islands (UCCI) has been transforming the lives of Cayman’s residents as the nation's premier provider of tertiary education. Offering a university education on your doorstep, UCCI offers innovative programmes that prepare students for a lifetime of personal and professional successes. With a variety of certificates, undergraduate and graduate degrees, as well as continuing and professional education and workforce training programmes, we are prepared to assist students at any chapter of their story.

Programmes Offered:

Associate, Bachelor's and Master’s degrees • Certificate programmes • Professional development programmes • Continuing education • TVET and IT courses • Customised training • Pre-College and Year-12 dual enrolment programmes • Business solutions • External exam preparation.

Details:

A first rate legal education

TBLS offers a world class legal education with the Bachelor and Masters of Law (LL.B/LL.M) being validated and awarded by the University of Liverpool, a “Russell Group” UK university. TBLS also offers the Diploma/Masters in Legal Practice following the successful completion of the Professional Practice Course. These qualifications are awarded by Oxford Brookes University with which the law school is also affiliated. Classes are small, intellectually challenging and offer excellent career opportunities.

Programmes Offered:

Bachelor of Law (Honours) Degree (LL.B) (both part time and full time) • Postgraduate Professional Practice Course (PPC) • Masters in International Finance: Law and Regulation (LL.M) & Postgraduate Diploma (PGDip) in International Law (both part time and full time)

Details:

Annual fees: CI$6,000-CI$16,000 per year depending on degree

Please contact UCCI directly for costs, application deadlines, start dates and educational requirements. See FB: @OfficialUCCI and IG: @UCCI345

and whether you are Caymanian or non-Caymanian Annual University of Liverpool registration fees: £775-£1,600 Annual OBU registration fee: CI$1,000. Please note that all fees are subject to change.

Grand Cayman (345) 623 8224 | Cayman Brac (345) 623 0540 admissions@ucci.edu.ky | www.ucci.edu.ky

(345) 945 0077 | Monaco Towers, 54 Edward St mitchell.davies@gov.ky | www. lawschool.gov.ky www.caymanparent.com

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Trade & Vocational

Training Courses

There are a large range of excellent vocational training options in Cayman, which could be a good choice for students wanting to learn the practical skills they’ll need to launch their chosen career. Below is a run-down of some of the options available. Auto Repair & Maintenance

Inspire Cayman Training offers two automotive courses: an Introduction to Automotive and Automotive-Maintenance and a Light Repair course. Both have been developed using the standards of the National Institute for Automotive Service Excellence (ASE). The trainees that complete the courses have the opportunity to become ASE Entry-Level certified. For more information see www.inspirecaymantraining.com. UCCI offers a one year part time auto repair Level 2 and Level 3 programme which uses the International Motor Institute as the qualifying body, providing everything you need to know to become a qualified motor vehicle mechanic.

Beauty Technician Courses

Cayman Career Academy (CCA) is a spa and beauty school located in Smith Road Plaza, George Town. CAA is the first CIDESCO Accredited beauty school in the Caribbean to offer world-renowned CIDESCO diploma and certificate courses, and it is open to anyone over the age of 17 who is interested in pursuing a career in beauty therapy. They currently offer the full Beauty Therapy course which takes 12 months to complete, and for those who are already trained as a beauty therapist, and who have three years’ experience, they offer a three month post-graduate course. In addition, they offer certifications in both Body Therapy and Facial Aesthetics which take six months each to complete. Newly added is the Beauty & Spa Management Course, which is a full-time online course and takes about three months to complete. Alternatively, newcomers to the profession can do a modular certificate course which takes only three months and will qualify them as Facialists. Students receive theoretical and practical training, obtain expertise and a CIDESCO Diploma as well as certificates that will ensure they stand out to employers, not only locally but internationally. Coming in Fall 2021, they will be offering other new diploma and certificate courses. Day, evening and online class options and scholarships are available. Payment plans are also available. For more information see www.caymancareeracademy.ky or call (345) 936 2228.

Boat Training

Aside from helping beginners learn the ropes, boat training can help boost employability, give companies formal safety qualifications and even lower boat insurance. For private/ non-commercial boat owners, training courses can often 102

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significantly lower your insurance costs – make sure to ask your insurer about discounted rates. Go Pro Diving offer two boat training certifications which are administered by an agency called MTCI (Maritime Training & Certification International). This agency is recognised by Malta and is compliant with the newly drafted Caribbean Small Commercial Vessel Code. Go Pro Diving offer the Level I Small Power Boat Operations course which is intended for new and seasoned recreational boaters wanting a licence. They also offer the Level II commercial boating licence which trains and certifies people for carrying passengers, taking night passages, and travelling a further distance off shore. For more information call Ash McKnight on (345) 925 9092 or see their very informative website: www.goprocayman.com. Pro Yacht is an International Yacht Training Worldwide (IYT) authorised training and instructor school offering certified courses for all levels of boaters ranging from Personal Watercraft and VHF Communications to the most popular course, Small Powerboat and RIB Master. The Small Powerboat and RIB Master is a two day certified course covering the basics of boat handling, operations and safety perfect for families and children 16 and older. Classes are limited to 3 students for more personal instruction. Contact them on info@proyacht.ky or call (345) 945 4676 to book a course. Other powerboat courses can be taken at Cayman Powerboat School (345) 916 4731. Lastly, Red Sail Sports is credited as an International Yacht Training school and they offer a variety of courses. Email: info@redsailcayman.com for more information.

Coding

Cayman Code Academy utilises the proven curriculum of Code Fellows, an internationally recognised coding school to offer full-time remote classes with the help of Cayman Enterprise City. Access classes virtually, and interact in real-time with the instructional team. The programme is available to those with little or no experience of the world of programming, and it allows those with some level of programming experience to advance in their field. For more information visit the Cayman Code Academy website www.caymancodeacademy.com or email: info@ caymancodeacademy.com.

Computer Technician Certificate

UCCI offers a one-year full time Computer Technician

Certificate that introduces students to the fundamentals of computer hardware and software, mobile devices, security and networking concepts, and the responsibility of an IT professional. The latest curriculum includes, mobile devices, Linux, as well as expanded information about Microsoft Windows operating systems, security, networking, and troubleshooting.

Craft Skills

The NCCER Core Curriculum Introductory to Craft Skills encompasses 72 hours of employability skills, material handling, rigging, power tools, hand tools, construction maths and construction site safety. The course costs CI$2,500 and can be done through Inspire Cayman Training. See www. inspirecaymantraining.com for more info.

Dive Instructor Training

If you are looking to make scuba diving your career, then you will have to become a PADI Dive Master before you can take the PADI Dive Instructor training course. Go Pro Diving offers all levels of dive training up to Master Scuba Diver Trainer (MSDT) and they regularly work with the Fire Department, UCCI and CIFEC. For more information call Ash McKnight on (345) 925 9092 or visit their website www.goprocayman.com.

Hospitality & Culinary

UCCI offers various culinary programmes including short one semester courses. These include:

Basic Cake Baking and Decorating Students learn how to bake and make all types of decorative icing, practicing piping techniques, including border decoration, sugar flowers, gum paste decoration with molded sugar flowers, fruits and ornaments. Participants will also learn to bake and decorate birthday, anniversary and other specialty themed cakes. Advanced Cake Baking and Decoration This course will introduce students to all aspects of royal Icing, from elementary flooding techniques, flowers and lace to advanced techniques such as; brush embroidery and string work. Students will also be introduced to working with rolled fondant and using it to cover a Styrofoam cake and boards. They will also be introduced to different methods for preparing pastillage and use these to create plaques.

Occupational Safety & Health

Risk Consultancy Cayman Ltd. (RCC) offers a 30-hour OSHA (Occupational Safety & Health) training programme in rigging and lifting procedures for crane operations, fall protection training, scaffold building, forklift operator training, hazardous material handling, fire warden training and PHTLS training (pre-hospital trauma life support). They also offer a full risk management consultancy service for the construction industry. Call Julius Jacky on (345) 326 1007 or email: julius. jacky@rcs.ky for more information.

Technology Courses

Inspire Cayman Training (ICT) is offering NCCER and ASE certified courses in craft professions (Carpentry, Plumbing, HVAC, Electrical and Construction Craft Labourer). Partnering with Caribbean Utilities Company, ICT strives to help Caymanians get on the road to employment by training them in skills that are useful in the field. Courses are taught at Grade 8 standard. ICT provides portable credentials to all trainees. These credentials are tracked through NCCER’s Registry System that allows organizations and companies to track the qualifications of their craft professionals and/or check the qualifications of possible new hires. Trainees must achieve a passing score of 70% or greater on the module test and performance profile to earn a certification. For more information see www.inspirecaymantraining.com.

UCCI

UCCI offers multiple technical and vocational courses which include working in the field with employers who offer the practical side of the training. The courses include:

Electro-Technology (full time) As electrical services and technology become more integrated into homes and offices, specialized skills will be required for installation, maintenance and upgrade. Students will learn the skills needed to safely undertake basic electro-technology work and solve problems in extra-low voltage single-path and multiple-path DC circuits. They will also learn about environmentally sustainable home and work practices, plus how to select and use materials, tools and components for electrical work. Certificate General in Business Studies (full time) The Certificate of General Business is a one-year programme designed to provide business training for various entrylevel jobs with businesses and non-profit organizations. The courses include an introduction to essential of business, office administration, business ethics, business law essentials, customer service, computer application, essentials of computerised accounting (QuickBooks), customer service and legal issues related to business. Certificate in General Accounting (full time) The Certificate of General Accounting is a one-year programme designed to provide business training for various entry-level jobs in businesses and non-profit organisations. The courses include an introduction to the essentials of office administration, essentials of financial accounting, essentials of managerial accounting, essentials of computerised accounting (QuickBooks), computer applications, and legal issues related to business. Electrical Installation Levels 1 & 2 (part time) Serves as an introduction to the skills required to carry out a range of electrical installation activities needed to start working in the industry. Units of study will include an introduction to all www.caymanparent.com

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types of circuits, comprising of theory and practical skills. Refrigeration & Air Conditioning Levels 1 & 2 (part time) This programme focuses on the practical skills and knowledge required to install, service and maintain refrigeration and air conditioning systems. Plumbing Levels 1 & 2 (part time) The aim of this Level 1 course is to provide instruction, demonstration and practical experience to facilitate the acquisition of basic skills and underpinning knowledge required by plumbing tradespersons who work under the supervision of a licensed plumber. Students will learn to handle and store plumbing materials, use plumbing hand and power tools, read plans and calculate plumbing quantities, cut and join sheet metal, and much more.

Community Vocational Training Centre

The CVTC offer a course on how to do electrical wiring. The course is free, open to students aged 17+ and there are no entry requirements. The course is held in the evening from 6pm8pm. Call Allan Moore on (345) 917 7320.

Personal Trainer Certification Courses

Fitness Connection located in South Sound, runs ongoing ISCA programmes in kick boxing, personal training and Mat Pilates, AEA (Aquatic Fitness Instructor Certification), as well as SAI swimming instructor training courses. The instructor/owner, Laura Ribbins, has been an international training specialist for over 30 years. Call Laura Ribbins on (345) 949 8485 or email: fitness@fitness.ky for more information. Bliss Yoga Cayman (Tel: (345) 949 9642) will put on their Yoga Alliance RYT200 Registered Yoga Teacher course in 2022 which gives you an internationally recognised qualification. The course consists of 120 hours of in-person training and is conducted over three 5-Day periods. If you are interested please email Janelle on info@blissyogacayman.com.

Police Service/Fire Service/Prison Service

All of the public safety offices receive a huge number of applicants. For example the Prison Service receive on average 400 applications per recruitment drive. Most of the safety training schemes are filled by Caymanians. Police Service The RCIPS gives preference to applicants who are Caymanian, married to a Caymanian, and persons with Caymanian Residence with the Right to Work when selecting applicants who are eligible to join as Police (Recruit) Constables. Over the years, based on the needs and exigencies of the service, the criteria may be adjusted to allow persons who have been living in the Cayman Islands for over four years to apply. On these occasions, the slots have been filled with as many applicants who are Caymanian as possible, after which, consideration is given to those married to a Caymanian,

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people with PR and finally to those who have lived in the Cayman Islands for four continuous years or more. All applicants must be between the ages of 18 – 40 years, have a minimum of a High School Diploma and three CXC or equivalent passes which must include both Mathematics and English, have a clean police record and possess a driver’s licence of Group 2 or higher. Applicants are required to take a written test, a computer proficiency test and a physical test – a 5.4 bleep test. Applicants must also go through an interview stage in the application process and must also pass a medical examination and a police background check. After completing this process, applicants will be invited to join a training programme of 16 to 17 weeks. At the completion of the training, a requirement for graduation is to pass a final written exam. Once completed, the officers are placed on a two-year probation and their progress is monitored during that time. The RCIPS is comprised of various units such as the Traffic and Roads Policing Unit, the Community Policing Unit, the Firearm Response Unit, the K-9 Unit, various units within Criminal Investigations Department and much more. During their probation period, officers will have the opportunity to interact with the various units and explore areas that they have a natural inclination for. Upon the recommendation of their line managers, the officer may apply to a specialist unit, should they wish to do so. For more information, visit the RCIPS website at www.rcips.ky or email: RCIPSRecruitment@rcips.ky. Fire Service Firefighting is an extremely physical career path. To join the Cayman Islands Fire Service you must be over 18 years of age, be able to regularly lift 20-30lbs, and occasionally lift up to 165lbs in a Fireman Carry (across the shoulders). All officers have to complete a Trainee Firefighter course which is a comprehensive course in both the Domestic Division (structure/ motor vehicle fires etc.) and the Aerodrome Division (aircraft fires, land and sea search and rescue, etc.), which gives you an internationally recognised certification in Aeronautical Firefighting. They also offer internships which are a great way to get involved with the service early on. For more information visit www.cifs.gov.ky or call Tel: (345) 949 2276. Prison Service To join Her Majesty’s Cayman Islands Prison Service (H.M.C.I.P.S) the requirements are as follows: you must be 18 or over, have three high school pass grades (inc. Maths and English), and a clear criminal record. The recruitment process involves three stages: first, a written exam, then a fitness assessment and finally an in person interview. If successful, you will begin a 9-11week training course comprised of classroom work and field based training that will lead to a six month probationary contract followed by an open contract (for Caymanians) and a two-year contract (for non-Caymanians). Tel: (345) 640 3000 or email: prisoncareers@gov.ky.

Education Best for Parents

Book Club Best for Children

A powerful, eye-opening book about the struggles of raising boys and how to overcome them. Natterson teaches parents to steer their boys in the right direction, touching on lessons such as managing video game time, avoiding irrational decisions and coping with puberty.

An educational story teaching kids to love themselves for who they are. Inspired by her son Lenny who has a stammer, Rutter writes a loving story about a child who tried to be a comedian, and succeeded! For kids ages 5-7.

Working as an emotional scientist for 25+ years, Brackett describes how his uncle (when growing up) gave him ‘permission to feel’. His book educates parents on how to grant their children the freedom to do the same and to monitor their mental wellbeing.

A story about how just one girl influenced her whole community to cherish reading and embrace the power of literacy. Expect lots of beautiful illustrations and references to female empowerment. For kids ages 5-7.

A powerful book confronting the racially prejudiced history of African American motherhood. Austin breaks the chasm between white and black mothers and debunks the stereotype that, in America, ‘Mother = White’.

An educational book teaching kids about friendship across social classes and cultures. Faruqi teaches children about the struggles of growing up in modern-day Pakistan, giving kids a thoughtful portrait into another world. For children ages 8-12.

Best Digital for Parents & Children Duolingo helps you learn a second language on the go! Their bite-sized lessons help you become an expert in various languages including Chinese, Italian, French and more! Free, available on Google Play, iOS and Android.

Best Digital for Children Prodigy is an app that uses game-based learning to educate children. Get kids to practise their maths while they adopt pets, fight battles, and play with friends! For kids ages 9+. Free, available on iOS and Android.

www.caymanparent.com

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the

Listings

Preschools, Primary & High Schools, Home Schooling, Tutoring, Paediatric Therapy

Nurseries & Preschools The Ministry of Education’s Early Childhood Care and Education Unit conduct regular support visits to all preschools in an effort to ensure that children are being stimulated and exposed to age appropriate activities. Schools are also supported to identify children who might have developmental delays or difficulties, and all preschools are now required to have a Special Educational Needs Coordinator (SENCO) on staff. The Ministry of Education also offers funding to assist in the cost of access to early childhood care and education (ECCE) for qualifying young Caymanian children. Applications for ECAP are meanstested. Depending on your overall household income and the number of dependents you are supporting, you can expect to receive the maximum of CI$500 per month per child or the basic funding amount of CI$305 per month per child. For more information, email: ecap@gov. ky or call (345) 244 3155. The Achievement Center 197 Shamrock Road, next to Red Bay Primary. Tel: (345) 947 5050 Email: achieve4u@hotmail. com Ages: 12 months to 4 years Monthly Fees: CI$650. Bloom Learning Centre Seven Mile Shops, West Bay Road. Tel: (345) 746 4444 Email: info@bloom.ky Web: www. bloom.ky Ages: 6 weeks-5 years. Monthly Fees: Infants CI$795-CI$945, Toddlers to Preschool CI$725-CI$875 (half day or full day). Cayman Academy

Accepts children from 2 years-18 years. See

page 110 for more information. Cayman International School Accepts children from 2 years-18 years. See pages 110 and 112. Discovery Kids Preschool Sigma Building, 93 Hospital Road, George Town. Tel: (345) 946 5437 Email: dkids.ky@gmail.com Web: www.discoverykidscayman.com Ages: 6 weeks-4 years Monthly Fees: $550-725. Grace Christian Academy Accepts children from 3 years-18 years. See page 114.

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Island Montessori 491 Crewe Road, George Town. Tel: (345) 525 3222 Email: info@islandmontessori.org Web: www.islandmontessori.org Ages: 12 months-9 years (Nursery-Year 4) Monthly Fees: From CI$975.

Shining Stars Childhood Care & Education Centre 17 Pasadora Place, Pines Road, off Smith Road Tel: (345) 943 7077 Email: shiningstarscayman@gmail.com Web: www. shiningstarscayman.com Ages: 6 weeks-5 years Monthly Fees: CI$650-CI$895.

Little Trotters Farm & Nursery School 39 Columbus Close, off Walkers Road, GT. Tel: (345) 949 4080 Email: littletrotters@ candw.ky Website: littletrotters.ky Ages: 18 months-5 years Monthly Fees: CI$950CI$1,145 per month for 11 months a year.

Sister Janice's Early Learning Centre 41 Desmond Drive, George Town. Tel: (345) 949 2524 Email: sisterjanicepreschool@yahoo.com Ages: 3 months - 4 years Monthly Fees: CI$525.

Montessori By The Sea Accepts children from 21 months-12 years. See page 109.

Sprogs Garden Playschool 832 Walkers Road, George Town Tel: (345) 746 7529 Email: info@sprogs.ky Website: www. sprogs.ky Ages: 1-5 years Full Time Monthly Fees: CI$1,195-CI$1,400.

Montessori del Sol 11 Hinds Way, off Walkers Road, George Town. Tel: (345) 949 3222 Email: montessori@candw. ky Web: www.montessoridelsol.com Ages: 18 months-6 years Monthly Fees: CI$1,050CI$1,195. Montessori School of Cayman 519 South Church Street, George Town. Tel: (345) 949 0202 Email: info@ caymanmontessori.com Web: www. caymanmontessori.com Ages: 18 months-6 years Monthly Fees: Toddler CI$800CI$1,120 (part-time or full-time) and Casa CI$1,025-CI$1,075 (half days or full days). RiteStart Daycare & Preschool 1548 Shamrock Road, Savannah Tel: (345) 945 3432 Email: ritestartcayman@hotmail. com Ages: 3 months-4 years Monthly Fees: 3 mths-22 mnths CI$700 and 22 mnths-4 years CI$600 per month. St. George’s Anglican Preschool 64 Courts Road, Off Eastern Avenue, GT. Tel: (345) 945 0441 Email: stgeorgespreschool123@gmail.com Web: www.stgeorgescayman.org.ky Ages: 2 years-5 years Monthly Fee: CI$500. St. Ignatius Catholic School/Early Years Centre 599 Walkers Road, George Town Tel: (345) 949 9250 Email: general@st–ignatius.com Web: www.st–ignatius.com Ages: 3-5 years Monthly Fees: CI$1,085.

Tiny Tots Academy 109 Hinds Way, off Walkers Road, George Town. Tel: (345) 623 8687 Email: tinytotsacademy. ky@gmail.com Ages: 6 weeks-5 years Monthly Fees: Full Days - Infant (6 weeks to 18 months) CI$775; Toddler (19 months-2 years) CI$725; Preschool (3 years-5 years) CI$725; part-time rates are available. Treasure Garden Preschool 19 Elroy Arch Road, off Smith Road, George Town. Tel: (345) 943 6230 Email: treasuregardenpreschool@hotmail.com Web: www.treasuregardenpreschool.com Ages: 18 months-5 years Monthly Fees: CI$700CI$850. Triple C School Accepts children from 3 years-18 years. See page 114. Truth For Youth School Accepts children from 4 years 9 months to 11 years. See page 114. Village Montessori 94 Solaris Avenue, Camana Bay. Tel: (345) 640 7827 Email: info@villagemontessori.ky Web: www.villagemontessori.ky Ages: 18 months-12 years Monthly Fees: CI$1085-CI$1,125. Government Primary Schools, Government High Schools and Private Primary and High Schools continues on page 110.

Island Montessori

Creating lifelong learners (ages 12 months – 9 years) School Description: Island Montessori provides quality learning at both the Preschool and Primary level in a beautiful, spacious setting designed to nurture the individual potential of each child. The school offers the best learning experience for children whose families value the philosophy of encouraging independence, inquisitiveness and a love of active learning. Curriculum: The preschool programme is open to children aged 12 months to 4 years and works with children using the very best Montessori practices blended with the UK Early Years Framework. In this manner the preschool provides a fantastic platform as students transition to Reception. All classes are underpinned by a belief that children should be active, and outdoor learning is blended into each day.

The Primary programme follows the UK National Curriculum and offers classes from Reception to Year 4, incorporating creative approaches to bring out the best in every child, while ensuring the highest learning standards are consistently delivered. Led by an outstanding team of highly qualified, engaged teachers, the school also incorporates the use of specialist subject and SEN teachers to support children of all abilities. The school's bright and spacious classrooms are complemented by an expansive 1.5-acre garden featuring a variety of outdoor learning, sports and play areas and nature trails to safely explore.

Island Montessori Highlights: • Highly qualified and experienced class and specialist teachers Island • 1.5 acres of shade trees, Montessori natural gardens, outdoor learning, play and sports areas • Bright and spacious classrooms • Montessori preschool Island • English National Curriculum/ Montessori Cayman National Curriculum for Primary school classes from Reception to Year 4

Details: Principal: Clare Thorpe Opening Hours: Monday through Friday 7.30am-5pm Monthly Fees: Start at CI$975 Age Range: 12 months-9 years (Nursery to Year 4) Sibling Discounts: Yes

(345) 525 3222 | info@islandmontessori.org | www.islandmontessori.org | 491 Crewe Road, George Town www.caymanparent.com

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Montessori del Sol

Nurturing curious and creative minds (18 mths – 5 years) Established in 1998, Montessori del Sol aims to foster a strong sense of community and selfrespect, as well as respect for others. A small and welcoming school community with a unique and special charm. The school provides an authentic Montessori programme for children nurturing every child’s potential in a warm, joyful and beautiful environment. Programmes for Toddler children ages 18 months-3 years and Casa ages 3-6 years are offered.

Highlights:

Located in the heart of South Sound • Authentic, child-centred, and joyful Montessori programmes • Unique outdoor environment with lots of shade trees where children can play and explore • Dedicated, highly trained and experienced staff • Summer and half-term camps available • Bright, spacious classrooms and a well equipped learning environment • Full-time Spanish bilingual classrooms for all age levels.

Details:

Open: 7.30am-3pm (with after care until 5pm and open to alumni families) Monthly Fees: Toddlers CI$1050-CI$1195, Casa CI$1020-CI$1125 (345) 949 3222 | office@montessoridelsol.com | www.montessoridelsol.com | 11 Hinds Way, off Walkers Road

Little Trotters Farm & Nursery School

We cherish childhood (ages 18 months – 5 years)

Over the bridge crossing a Koi-filled pond and nestled within a farmyard setting, vegetable patch, butterfly garden, sits Little Trotters school house where play, laughter, use of imagination and endless opportunities for social interaction abound. Little Trotters is a nature-based education, where the primary focus is placed on traditional values, kindness and responsibility. The children feed the animals, water the plants, bake, paint, perform in plays, sing, dance and have the most magical day! Integral within the curriculum and age appropriately taught is Maths, Literacy (via the Jolly Phonics approach) and Spanish. A full time SENCo teacher is on staff.

Highlights:

Graded 'Excellent' in all categories including: Teaching, Exploration, Respect, Communication, Well-Being, Learning, Assessment, Curriculum, Health & Safety, Support & Guidance, Leadership, Links to Parents & the Community, Self Evaluation & Planning Ahead and also Staffing & the Learning Environment (May 2021 OES Report) • Teachers aim to foster a love for learning that ensures that the children view school and learning as exciting, joyful and validating.

Details:

School Manager: Lesley Maddock School Owner: Jo Boxall Monthly Fees: CI$950-CI$1,145 for a full or half day (September to July) School Hours: 7.30am-5.30pm (children can do half or full days) Student Population: 84 Term dates: September to end of July (closed August) (345) 949 4080 | littletrotters@candw.ky | www.littletrotters.ky | 39 Columbus Close, Off Walkers Road, GT

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Montessori By The Sea

A legacy of limitless possibilities (20 mths – 12 yrs) MBTS opened its first Toddler and Casa classrooms by the seaside twenty years ago, and it has grown steadily to become a vibrant, closely-knit community of approximately 140 joyful students, plus their dedicated families and teachers. Now spanning from Toddler to Upper Elementary, MBTS shines as a beacon of inspiration in the Cayman Islands.

Curriculum: MBTS offers an enriched, internationally-recognised Montessori curriculum that emphasises inquiry-based study, cross-curricular integration, and life skills education, complemented by specialised instruction in Spanish, ICT, Physical Education, the Arts and Music.

Highlights:

Individualised, enquiry-based learning approach • Warm, inviting and inspiring classroom environments • Cultivates life skills such as concentration, confidence, communication and creativity • Half-day and full-day programmes for Toddlers and Preschool/Casa • After-school clubs, after-care and summer camps.

Details:

Principals: Debbie Thompson & Kourtni Jackson Student Population: 140 Student-teacher ratios: Toddler 5:1; Casa/Preschool 10:1; Elementary 15:1 Annual School fees: Full-Day Toddler CI$11,685; Preschool/Casa CI$11,397; Elementary CI$11,694 (345) 947 0684 | mbts@mbts.ky | mbts.ky | 277 Prospect Point Road, Prospect

Montessori School of Cayman Fostering a lifetime love of learning (18 months – 6 years)

Opening in 1988 as the very first Montessori school on island, Montessori School of Cayman remains a beautifully inclusive school, with a goal to deliver a whole-hearted, holistic Montessori approach. They offer a happy, safe and stimulating prepared environment where children are able to explore and thrive, therefore developing a love of learning. At Montessori School of Cayman, they believe in the development of the individual child and thoroughly understand that every child is unique and requires a variety of methods to support and nurture their social, emotional and academic journeys.

Curriculum: The curriculum is based on authentic Montessori practices, incorporated with the Cayman Islands Early Years Curriculum Framework. MSC is committed to providing students with engaging, meaningful activities which provide experiences that stimulate the senses, enrich language development, and give opportunities to gain a sense of self-esteem, self-worth, and self-confidence.

Highlights:

Centrally located • Small & loving school community • Passionate, highly qualified and experienced teachers • Large, spacious & shaded outdoor areas • Beautifully prepared learning environments • Out of term camp opportunities throughout the year • Extracurricular lessons in music, yoga and mindfulness

Details: Principal: Ms. Briana Bergstrom

Annual School fees: Casa Programme - CI$10,000-CI$10,500, Toddler Programme - CI$7750-CI$10,950 (345) 949 0202 | info@caymanmontessori.com | www.caymanmontessori.com | 519 South Church St, George Town www.caymanparent.com

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Education – Government Primary Creek Infant & Spot Bay Primary School (Brac) Tel: (345) 948 0226. Creek Infant School, located on 28 Student Drive in Cayman Brac, covers Reception to Year 3. Spot Bay Primary School, which is located on 170 Spot Bay Road, Cayman Brac covers Years 4, 5 and 6. The school is located on two different sites but is managed and run by the same team. Catchment Area: All areas East of Faith Hospital to the Eastern end of Cayman Brac. East End Primary School 17 Sea View Road, East End. Tel: (345) 947 7428. Catchment Area: East of the Frank Sound junction, and including all of East End to Colliers. Edna M. Moyle Primary School 907 North Side Road, North Side. Tel: (345) 947 9516. Catchment Area: All of Frank Sound up to Old Man Bay (west) and to Cayman Kai.

West End Primary School (Brac) 10 East West End Road, Cayman Brac. Tel: (345) 948 1425. Catchment Area: West end of Cayman Brac, up to Faith Hospital on the north side of the Island, and correspondingly across the Island to the south coast.

Education – Government High Schools & CIFEC Clifton Hunter High School 311 Frank Sound Road, Frank Sound. Tel: (345) 947 7353. Catchment Area: All areas on the east side of Spotts-Newlands Road and the east side of Chime Street, the Bypass or the East/West Arterial.

George Town Primary School 168 School Road, George Town. Tel: (345) 949 2689. Catchment Area: South of Government House up to Memorial Avenue. North along Walkers Road to Maple Road, and east along Smith Road up to the Crewe Road airport junction. Plus the area that is north of Airport Road, through the Junction in Industrial Park, and all areas north and east past the airport up to North Sound.

John Gray High School 73 Academy Way, George Town. Tel: (345) 949 9444. Catchment Area: The west side of SpottsNewlands Road, and the west side of Chime Street, the Bypass or the East/West Arterial.

Joanna Clarke Primary School (was Savannah Primary School) 1659 Shamrock Road, Savannah. Tel: (345) 947 1344. Catchment Area: East side of SpottsNewlands Road to Beach Bay Road, and including the greater Pedro area.

CI Further Education Centre (CIFEC) 515 Walkers Road, George Town. Tel: (345) 949 3285 Email: DThompson@cifec.edu.ky Director: Ms. Delores Thompson Ages: 16-18 Curriculum: CIFEC offers BTEC and City and Guild vocational courses at Levels 1-3, which are the equivalent of GCSE (level 2) and AS Levels (level 3). Each programme includes an internship with an employer. See https://schools.edu.ky/CIFEC for more information.

Little Cayman Education Service Tel: (345) 948 1052 Email: veronica.jumankhan@gov.ky Teacher in Charge: Mrs. Veronica Juman-Khan. Catchment Area: All of Little Cayman. Prospect Primary School 169 Poindexter Road, Prospect. Tel: (345) 947 8889. Catchment Area: From Prospect Drive eastward, to the west side of Spotts-Newlands Road and the west side of Chime Street on the Bypass /East/West Arterial (including all of Prospect Park, Patrick’s Island, Ocean Club, Cascades Drive etc.). Red Bay Primary School 271 Shamrock Road, Red Bay. Tel: (345) 947 6333. Catchment Area: South side of Memorial Avenue, along Walkers Road to Maple Road and south side of Smith Road, both sides of Crewe Road bordered by Owen Roberts Drive to the North, and South Sound to the South Sound Boarder on the east side of Victory Avenue. Sir John A. Cumber Primary School 44 Fountain Road, West Bay. Tel: (345) 949 3314. Catchment Area: North of Government House up to Cobalt Coast and including all of West Bay.

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Theoline L. McCoy Primary School (was Bodden Town Primary School) 6 Condor Road, Bodden Town Tel: (345) 947 2288 Catchment Area: Area to the east of Beach Bay Road, continuing up to Breakers and including Northward.

Cayman Parent Magazine | Education

Layman E. Scott High School (Brac) 941 A. Dennis Foster Road, Cayman Brac Tel: (345) 948 2226. Catchment Area: All areas of Cayman Brac and Little Cayman.

Education – Private, Primary & High Schools Calvary Baptist Christian Academy 191 Walkers Road, George Town Tel: (345) 946 5834 Email: info@cbca.edu.ky Ages: 5 years-18 years Annual fees: CI$6,750 (7th-12th grade) CI$6,250 (3rd-6th grade) CI$5,950 (K5-2nd grade) Average class size: 10 Curriculum: Abeka, American. Cayman Academy 211 Walkers Road, George Town. Tel: (345) 640 2630 Email: school.office@cayman.academy Web: www.caymanacademy.ky Ages: 2 years 9 months-18 years Student population: 313 Fees per year: Pre-K–Grade 6: CI$6,150; Grade 7–12: CI$7,500. Average class size: 20-25 Curriculum: Cayman Islands Curriculum, CSEC (Caribbean Secondary Examinations Council). Cayman International School (CIS) 95 Minerva Drive, Camana Bay. Tel: (345) 945 4664 Email: cis@cis.ky Web: www.

caymaninternationalschool.org Ages: 2–18 years Student population: 860 (approximate) Application fee: CI$350 Nursery: 5 days/week (half day): CI$12,070 Nursery: 5 days/week (full day): CI$14,260 Pre-K3: CI$14,260 Pre-K4: CI$14,260 Kindergarten-Grade 2: CI$17,100 Grades 3-5: CI$19,720 Grades 6-8: CI$22,130 Grades 9-12: CI$23,540 Average class size: 15. Curriculum: American. IB Diploma, IB Certificates, United States High School Diploma. Cayman Learning Centre & School (CLC&S) 7 Pasadora Place, Smith Road, GT. Tel: (345) 943 7323 Email: info@caymanlearning.com Website: www.caymanlearning.com Ages: 7-14 years Application fee: CI$300 Annual Fees: CI$20,500-CI$21,300. Curriculum: British National Curriculum while incorporating the Arrowsmith Programme. See also their Tutoring listing on page 116. Cayman Prep & High School Primary School site: 242 Smith Road, GT. Tel: (345) 949 5932 Email: psoffice@cayprep.edu. ky. High School site: 559 Walkers Road, GT. Tel: (345) 949 9115 Email: hsoffice@cayprep. edu.ky Web: www.cayprep.edu.ky Ages: 4–18 years Registration fee: CI$750 Annual fees: Kindergarten-Year 6: CI$11,075, Years 7–13: CI$12,020-CI$14,055 Student Population Primary School: 522 Student Population High School: 486 Maximum class size: 25 (24 in KG) with all infant classes (KG to Year 2) staffed by a qualified teacher and a Learning Assistant. All Junior year classes (Year 3 to 6) are also staffed by a qualified teacher with Learning Assistant per year group (3 class entry in all year groups). Curriculum: British based. IGCSE, GCSE, AS and A Levels (Cambridge International and Welsh examination boards). Clever Fish Windjammer Building, Walkers Road, GT. Tel: (345) 516 4623 Email: nic@cleverfishcayman. com Web: www.cleverfishcayman.com Full Time: ages 11-16 years (Year 7-11) Part Time: ages 8-16 years (Year 4-11) Individual or small groups (1 teacher: 5 students) Curriculum: British leading to IGCSEs and A Levels Fees: $50 an hour for private tutoring, full time monthly fees $1,500 for KS3 - IGCSE (fees dependant on subjects taken). First Baptist Christian School 920 Crewe Road, Red Bay. Tel: (345) 945 7906 Email: fbcs@fbcs.edu.ky Web: www.fbcs.edu. ky Ages: 2-14 years (Kg-Grade 7) Application fee: CI$150 Annual fees: Preschool: CI$8,050, Kindergarten-Grade 6: CI$9,350 Sibling discount: Preschool CI$7,650 and KG-Grade 6 CI$8,590 Student population: 180 Average class size: preschool 10-12, KG-Grade 7 15-22 Curriculum: US Curriculum. Footsteps School 210 Eastern Ave, George Town. Tel: (345) 746 3635 Email: management@footsteps.ky Web: www.footsteps.ky Ages: 4–11 Annual Fees: Reception–Year 7: CI$13,000 (paid over 10

First Baptist Christian School Learn, Serve, Lead (ages 2 – 14 years)

First Baptist Christian School accepts children from 2-14 years offering Preschool to Grade 7, (Grade 8 in 2022-2023). We subscribe to educational philosophies that are both student-centered. The learning experience addresses multiple domains of learning-cognitive, affective, behavioral, and spiritual. Learning also encourages growth and development towards complexity in these domains. Emphasis is placed on social aspects of learning so interdependence and engagement in community is valued and practiced. Learning is integrative where hands-on learning, problem solving, and innovation are used as opportunities for students to see their education and life experiences as an integrated whole, and for them to become self-directed learners. We are a supportive, encouraging, diverse school community who demonstrate respect for self, others, and God so that we can serve our families, school, community, churches, and the global community.

“Preparing students in a Christ-centered environment to learn, serve, and lead in innovative and creative ways so that they can make meaningful contributions to the global community.”

Highlights: ACSI Member school • Renaissance Learning partner school • American

curriculum • Good range of clubs and activities • Data driven school • Broad and Balanced Curriculum • 2:1 iPad ratio, 1:1 student laptops in middle school • Coding and Robotics classes in Technology

Details: Principal: Janet Durksen Vice Principal: Marsha Seerattan

Student population: Preschool: 50 • Elementary K-7th: 150 Annual Fees: Preschool $805/month • Elementary $935/month. Sibling discounts: Yes

1 (345) 945 7906 | fbcs@fbcs.edu.ky | www.fbcs.edu.ky | 920 Crewe Road, GT

Village Montessori

It takes a village (ages 18 months – 12 years) Located in Camana Bay, Village Montessori, is a fully licensed private school which prides itself on being a unique and innovative environment where children experience inclusion, culture, respect and a sense of community. Children are given the opportunity to develop independence in an educational environment that fosters a lifelong love of learning.

Curriculum: The school curriculum is based on the Montessori framework, which allows children to learn at their own pace according to their own capabilities in a non-competitive environment while also adhering to the U.K. Curriculum Standards and Objectives as per the Cayman Islands Ministry of Education.

Highlights:

Children are given the skills and knowledge to become productive members of their community. The school’s environment encourages children to be respectful of themselves, others and their surroundings. They employ certified teachers who work collaboratively with parents and the children.

Details:

Principals: Jeifrene Small, Traci Bradley Monthly Fees: Depending on full or half days CI$1,085-$1,125 per month Afterschool Care: Monthly fee $250 (3pm-5.30pm) Age Range: 18 months to 12 years Student Population: 90

(345) 640 7827 | info@villagemontessori.ky | www.villagemontessori.ky | 94 Solaris Ave, Camana Bay www.caymanparent.com

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Cayman International School Connect | Inspire | Serve (ages 2 – 18) CIS is a private, college preparatory, non-sectarian, co-educational school that provides strong academic and extensive extracurricular programmes. The 13-acre campus located in Camana Bay includes early childhood, elementary, middle and high school divisions. Students represent 40 nationalities and the majority of students are dual-passport holders. CIS has a strong sense of community where children learn, play and support each other in a modern, safe and student-centered environment.

Highlights:

Small class sizes • IB Programme 1:1 iPads, Chromebooks and laptops • STEAM Lab • Project based learning • Athletics and arts programmes • Extensive after-school activities • Whole-child approach • Superior facilities

Details:

Director: Jim Urquhart Student Population: 860 Average Class Size: 15 students Faculty Size: 155 Annual Fees (2021-22): CI$12,070 – CI$23,540

Sibling discount: There is a 10% reduction for the second child and 15% for the third and subsequent children.

(345) 945 4664 | admissions@cis.ky | www.caymaninternationalschool.org | 95 Minerva Dr., Camana Bay

Footsteps School is Cayman's first and only accredited beach school on Island. A non-denominational private primary school, Footsteps offers the UK National Curriculum for children from Reception to Year 7. Footsteps integrates outdoor learning into their curriculum, taking advantage of Cayman’s natural beauty and landscape whilst encouraging exploration, investigation and independence. Footsteps also offers after-school tutoring in all areas of the curriculum along with comprehensive holiday camp and after school care programmes.

Hope Academy offers an American curriculum that fosters learning through creativity, discovery, and imagination within a small learning environment. Online courses are also available for middle and high school students. The inclusive classrooms and flexible methodology cater to each students’ individual needs.

UK Curriculum • Highly experienced staff team • Beach and outdoor learning • Small classes • 'Excellent' curriculum, graded by OES in 2020 • Tutoring in all curriculum areas • Holiday camps • Non-denominational • Full and part funded scholarships for outstanding Caymanian students

HON CE O EN

E EXCELL NC

Highlights:

Working Together To Be The Best (ages 5 – 18)

SEVERA PER

Hope Academy

School - Tutoring - Camps (ages 4 – 11)

Highlights:

American curriculum • Small class sizes • Additional learning programmes for students needing extra support Extracurricular activities and sports • After-school programmes include clubs • Homework assistance and tutoring available

Details:

Hours: Monday-Friday 8.30am-3pm • Average class size: 15 Annual Fees: CI$13,000

Head of School: Dr. Samantha Tibbetts Student Population: 120 – 130 Maximum Class size: 12-15 Annual Fees (2021-22): CI$14,700 for regular programmes; Fees for additional programmes vary.

(345) 746 3635 | 210 Eastern Avenue, GT management@footsteps.ky | www.footsteps.ky

(345) 769 4673 | Grand Harbour Shops, Units 1-8 www.hopecayman.com | office@hopecayman.com

Further Details:

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OPTIMISM

Footsteps

Cayman Parent Magazine | Education

Cayman Prep and High School Dedicated to lifelong learning (ages 4 – 18)

At CPHS students are placed at the centre of learning and teaching. Differentiated instruction enhances learning for all students by engaging them in activities that respond to particular needs, strengths, and preferences and is effective in supporting and challenging the full range of ability levels in the classroom. Their Christian ethos is evident throughout the school and inspires their students to think about what sort of contribution they will make to the world, and how they will make a difference. The school supports them in such a way as to ensure they grow into responsible, mature, and engaged members of the school community and citizens of the world.

Curriculum: Revised National Curriculum of England (2014), IGCSE & GCSE, AS and A Levels - Cambridge International Examinations and Welsh Joint Education Committee. Facilities: IFA Grade multi-purpose astro-turf playing field and multipurpose hardcourt, computing & media suites with tablets and laptops, Music Wing, arts rooms with kilns, state of the art science labs, Interactive technology in every class room.

Extracurricular: Primary Aftershool Care until 5.30pm daily. Afterschool clubs

Highlights:

Key Strengths of CPHS (as per the Office of Education Standards' inspection report, May 2021): 1) Students’ attainment and progress in English, mathematics, and science in secondary and post-16 is EXCELLENT.

Mission

2) The positive attitude to learning and Christian ethos leads to students’ behaviour being EXEMPLARY across all stages of the school.

Cayman Prep & High School provides a stimulating learning environment, firmly rooted in Christian principles, in which our students become critical creative thinkers, responsible citizens and lifelong learners in an ever changing world.

3) Students’ knowledge around environmental understanding and Caymanian culture and history is EXCELLENT.

include art, drama, music, rugby, cricket, badminton, basketball, netball, GAA, football, volleyball, Robotics, Key Club, science, Duke of Edinburgh, homework club, diving, snorkelling, Junior MUN, Senior MUN and more.

4) Teaching and learning at secondary and post-16 is EXCELLENT. 5) Leadership across the school and the school’s strong links with parents and the community is EXCELLENT.

Details:

Student population: Primary School: 522 High School: 486 Annual fees (2021-22): KG-Yr 6 $11,075 Years 7-9 $12,020 Year 10-11 $12,730 Year 12-13 $14,055 Sibling Discount: 3rd and subsequent children - 10% off

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months) Student Population: 75 Class size: 17 Curriculum: UK National Curriculum with a nature-learning focus. Footsteps is Cayman's first accredited beach school. Religion: Nondenominational. Grace Christian Academy 21 Crescent Close, off Boltins Ave, West Bay. Tel: (345) 945 0899 Email: officeadmin@gca.ky Web: www.gracechristianacademycayman.org Ages: 3–18 years Application fee: CI$200 Annual fees: Preschool Half-Day: CI$5,512 Preschool Full-Day: CI$9,531 Grades K–5: CI$10,346 Grades 6–8: CI$11,350 Grades 9–12: CI$11,475 Grade 12 AP Programming - Enquire. Curriculum: American, Christian-based education. Grades 6-12: US curriculum. Advanced Placement classes are also offered. Students take SATs in Grades 11 and 12. Hope Academy Units 1-8 Grand Harbour Shoppes, Red Bay. Tel: (345) 769 4673 Email: office@hopecayman. com Web: www.hopecayman.com Ages: 5-18 years Application Fee: CI$150 Annual fees: Kindergarten-Grade 12: CI$14,700 (fees for additional programmes vary; sibling discount provided) Student population: 120-130 Maximum class size: 12-15 Curriculum: American. Island Montessori 491 Crewe Road, George Town. Tel: (345) 525 3222 Email: info@islandmontessori.org Web: www.islandmontessori.org Ages: 4-9 years (Reception-Year 4) Monthly Fee: CI$1,150 Curriculum: English National Curriculum format aligned to the Cayman Education. Montessori By The Sea 277 Prospect Point Road, Prospect. Tel: (345) 947 0684 Email: kourtni@mbts.ky Web: www. mbts.ky Ages: 21 months–12 years (Toddlers– Grade 6) Student population: Approximately 160 Application fee: CI$250 Annual fees: (once per year) CI$700 Programmes: Toddler (21 months-3 years): 5 full days/week CI$11,685, 8am–3pm; 5 half-days: CI$10,492 8am–12pm. Casa/Pre-K–Kindergarten (3-6 years): Fulldays/week CI$11,397, 8am–3pm; half-days (3-4 years 9 months): CI$10,296, 8am–12pm Elementary–Lower/Grades 1-3 (6-9 years) and Upper/Grades 3-6 (9-12 years): CI$11,694, 8am-3.15pm Mixed Ages: There are mixed ages in each of the programmes. Teacher-student ratio: Toddler: 1:5; Casa: 1:10; Elementary: 1:15 Curriculum: Follows the Montessori philosophy, while aligning with UK standards. St. Ignatius Catholic School 599 Walkers Road, George Town. Tel: (345) 949 9250 Email: general@st–ignatius.com Web: www.st–ignatius.com Ages: 3–18 years Student population: 690 Average class size: 24 Application fee: CI$100 Annual Fees: Nursery– Year 6: CI$9,915; Years 7–11 CI$11,470; Years 12–13 CI$13,410 (fees can also be paid per term and per month) Curriculum: British Curriculum (IGCSE and GCSE); AS and A Levels – Cambridge International Examinations (CIE) and Welsh Joint

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Cayman Parent Magazine | Education

Education Committee (WJEC). Triple C School 74 Fairbanks Road, George Town. Tel: (345) 949 6022 Email: triplec@tripleschool.org Web: www. triplecschool.org Ages: 3-18 Student population: 490 Average class size: 20 Application fee: CI$100 Capital fee: CI$300 Annual fees: Preschool full-day: CI$7,413 half-day: CI$5,560; PRE-KG CI$7,413 KG-Grade 3: CI$7,887; Grades 4–6: CI$8,202 Grade 7-8 CI$8,677; Grades 9–10: CI$10,252 Grade 11 CI$10,410 Grade 12 CI$10,568; Curriculum: American - children work towards an American High School Diploma in College Preparatory, Business or Liberal Arts, accredited by the Association of Christian Schools International (ACSI) and the Southern Association of Colleges and Schools (SACS). Truth For Youth School 84 Walkers Road, George Town. Tel: (345) 949 2620 or (345) 949 7041 Email: truthfys@ candw.ky Ages: 4 years -11 years Monthly Fees: Kindergarten to Grade 6: CI$450 per month Curriculum: American. Wesleyan Christian Academy 150 North West Point Road, West Bay. Tel: (345) 949 1121 Email: principal@wcacayman.com Ages: 3 years 9 months-18 years Annual fees: Pre K– Grade 8: $5,700; Grades 9-12: $6,200 inclusive of book fee. Lunch and other fees not included. Curriculum: American; Cayman Islands National Curriculum Grades 1-6.

Universities & Colleges International College of the Cayman Islands (ICCI) 595 Hirst Road, Newlands. Tel: (345) 947 1100 Email: info@icci.edu.ky Web: www.icci.edu.ky. Northwestern Caribbean Baptist Theological Seminary (NCBTS) Cayman Islands Baptist Church, 163 Pedro Castle Road, Savannah. Tel: (345) 946 2422 Email: info@ncbts.edu.ky. St. Matthew’s University School of Medicine Regatta Office Park, Leeward 3, West Bay Road. Tel: (345) 945 3199 Email: admissions@ stmatthews.edu Web: www.stmatthews.edu. School of Hospitality Studies (part of UCCI) Tel: (345) 623 8224 Email: SHS@ucci.edu.ky Web: www.ucci.edu.ky. School of Veterinary Medicine Regatta Office Park, Leeward 4, West Bay Road. Tel: (345) 814 3177 Email: admissions@ stmatthews.edu Web: www.stmatthews.edu. The Truman Bodden Law School (TBLS) Monaco Towers, 54 Edward St, 2nd & 3rd floor, GT. Tel: (345) 945 0077 Web: www.lawschool. gov.ky. University College of the Cayman Islands (UCCI) 168 Olympic Way, GT. Tel: (345) 623 8224; Brac Campus: Avistar Building, West End, CB Tel:

(345) 623 0540 Email: admissions@ucci.edu.ky Web: www.ucci.edu.ky. University of the West Indies - Cayman Olympic Way, GT. Tel: (345) 946 8322 Cell: (345) 925 8042 Email: cayman@open.uwi.edu Web: www.open.uwi.edu.

Educational & Psychological Assessments Aspire Therapeutic Services Tel: (345) 743 6700 Email: info@aspire.ky They offer psychological, neuro-psychological and developmental assessments. Hope Academy Clinical Services Tel: (345) 769 4673 Email: office@hopecayman. com Web: www.hopecayman.com They offer psycho-educational and neuro-psychological evaluations to children from 2-18 years old. KidsAbility Tel: (345) 943 5437 Email: info@kidsability. ky They offer a multi-disciplinary paediatric therapy clinic and they also conduct psychoeducational and neuro-psychological evaluations to children and young adults.

Paediatric Therapy Services For medical practitioners who can help diagnose physical or behavioural problems, see the Health listings on page 167.

Cayman ABA Chestnet Centre, Suite 3, 8 Palm Road, GT. Tel: (345) 947 5477 Email: info@caymanaba. com. Providing scientifically-based Applied Behaviour Analytic (ABA) interventions for children and adolescents. Chatterbox Bermuda House, Ground Floor, 46c Dr. Roy’s Drive, GT. Tel: (345) 949 7065 Email: chatterbox@candw.ky Web: www. chatterboxcayman.com. They currently provide speech and language therapy, occupation therapy, massage therapy, counselling, an Early Years Programme (age 2-5) and support for children and adults with autism. They work with children and adults who have language or learning disorders, learning disabilities, motor disorders, anxiety disorders, autism, ADHD and gifted children. Hope Academy Clinical Services Tel: (345) 769 4673 Email: office@hopecayman. com Web: www.hopecayman.com They offer Speech and Language therapy, Behaviour therapy, school-based ABA therapy and Neuropsychological and Psycho-educational evaluations. These services are also available for those not attending Hope Academy. KidsAbility 8 Midtown Plaza, 273 Elgin Avenue, George Town. Tel: (345) 943 5437 Email: info@

St. Ignatius Catholic School (ages 3 – 18)

Catholic education as an integration of Body, Mind and Spirit School Description: At St. Ignatius, the holistic development of each individual is their primary purpose. Their staff strive to know and nurture each pupil, working together to promote strengths and self-worth, in mind, body and spirit. They work diligently so that all pupils leave them as discerning believers, effective communicators, reflective, creative and holistic thinkers, self-directed lifelong learners, collaborative contributors, caring family members and responsible citizens. They invite you to join the St. Ignatius community of 30 nationalities, providing a rich diversity of cultures and perspectives.

Curriculum: British Curriculum (IGCSE and GCSE); AS and A Levels – Cambridge International Examinations (CIE) and WJEC.

Facilities: Four science labs, music wing (including sound–proof practice rooms), multi-purpose sports hall (coming soon), canteen with full kitchen, art room, school hall, modern classrooms, sports field, basketball and a netball court, laptop programme for Years 7-13.

Extracurricular: After-school clubs, art, drama, music, sailing, tennis, diving, cricket, rugby, soccer, Cub Scouts, Brownies, cooking clubs, annual music production, house activities. After-school care available 2.30pm–5.30pm daily. Weekly learning support available, football (girls and boys), netball, table tennis, field hockey, volleyball, badminton, fitness, sailing and diving. St. Ignatius Catholic School is committed to safeguarding and protecting the welfare of children.

Highlights:

• British curriculum • Four science labs • Music wing • 1:1 laptops for high school • Wide variety of after-school clubs

Details:

Principal: Mr. Martin Nugent Vice Principal Primary: Mr. James Hickey Vice Principal Secondary: Mr. Peter Embleton Student Population: 690 Annual Fees (2021-22): Nursery –Year 6: Annual CI$9,915 Years 7–11: Annual CI$11,470 Years 12–13: Annual CI$13,410 Sibling discount: A third child receives a 25% discount on fees. Average class size: 24 Meals: Hot Lunches CI$5-CI$6 daily

(345) 949 9250 | general@st-ignatius.com | www.st-ignatius.com | 599 Walkers Rd, George Town www.caymanparent.com

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kidsability.ky Web: www.kidsability.ky Paediatric therapy clinic offering developmental neuropsychology services, occupational therapy, speech-language therapy, a feeding clinic, AAC clinic, literacy clinic, handwriting remediation, social skills groups, parent, teacher and allied health workshops and telehealth services. The Lighthouse School Shamrock Road, Red Bay. Tel: (345) 947 5454 Web: https://schools.edu. ky/lhs This is a government school for children from ages 5–17 who have moderate to severe special educational needs, or for children with complex or multiple challenges to their learning. Sunrise Adult Training Centre 181 Powery Road, West Bay. Tel: (345) 949 3330 Email: kimberly. voaden@gov.ky A government run facility for adults aged 18 to 45 with disabilities. They offer training and therapeutic programmes to enhance independence and quality of life, and advocate for full inclusion within the larger Caymanian community.

Additional Support Services Early Intervention Programme 515 Walkers Road, George Town. Tel: (345) 926 1413 Email: eip@cayman. edu.ky Services provided: early intervention teachers, speech and language therapy, occupational therapy, programme for the visually impaired, teacher for the hearing impaired, counselor, educational psychologist. Inclusion Cayman Tel: (345) 321 2957 Email: info@inclusioncayman.ky Web: www. inclusioncayman.ky A non-profit organisation of parents, educators and professionals, committed to supporting children with a range of needs.

Sister Janice's Early Learning Centre

Prepare to teach and teach to prepare (ages 3 months – 4 years)

Sister Janice’s promotes the whole growth of the child through hands-on learning and experiencing. Each child is cherished and encouraged to develop their social, physical, and emotional development. The school promotes the well-being of the child within a Christian-centred atmosphere.

Specialties:

Creative early childhood education • Promoting hands-on experiences • Developing the whole child • Christian-based education

Highlights:

Student Population: 50 Hours: 7am-5pm (although a grace period can be given, pick-up must be by 5.30pm) Monthly Fees: CI$525 includes breakfast and lunch and parents are asked to provide snacks and fruits daily.

(345) 949 2524 | 41 Desmond Drive, George Town sisterjanicepreschool@yahoo.com 116

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Tutoring Companies Alpha Academy 6 Paddington Place, Godfrey Nixon Way, George Town. Tel: (345) 947 7475 Email: info@alphaacademy.ky Web: www.alphaacademy.ky Full time tutors in STEM related courses such as, physics, chemistry, biology, technology (including IT), engineering and maths, as well as English and Spanish for students from primary school age to college level. Cayman Learning Centre & School (CLC&S) 7 Pasadora Place, Smith Road, George Town. Tel: (345) 943 7323 Email: info@caymanlearning.com Web: www.caymanlearning.com CLC&S offers evidence-based tutoring programmes alongside the world-renowned Arrowsmith programme, aimed to get to the root of learning difficulties. Tutoring programmes are focused on literacy and numeracy skills including reading, writing, spelling and comprehension. Their trained teachers offer evidence-based reading intervention for students with Dyslexia. Their Neuroscience programme aids students with learning disabilities. They also offer a full-time school programme. See their school listing on page 110. Clever Fish Windjammer Building, Walkers Road. Tel: (345) 516 4623 Email: nic@ cleverfishcayman.com An after-school academic and enrichment programme for students from Year 4 to Year 11. They also run a combined educational and watersports camp over the holidays. Footsteps School 210 Eastern Ave, George Town. Tel: (345) 916 0875 or (345) 917 7657 Email: management@footsteps.ky Web: www.footsteps.ky. Footsteps offers individual support in all subject areas for early years, primary and secondary children. They also offer home school support, extension work for gifted and talented children, exam preparation and homework help. They have a large tutoring centre within their school on Eastern Avenue and a team of fully qualified and experienced teachers. See also page 116. High Achievement Academy Windjammer Building, Walkers Road, George Town. Tel: (345) 746 5555 Email: info@haacayman.com Web: www.haacayman.com Educational and professional tutoring for all ages (5+) and abilities in small groups or oneon-one. Classes available six days a week including holidays, during day or evening hours. See also page 117. I Read For Life Barnett Building, 24 Huldah Avenue, George Town. Tel: (345) 947 1497 Email: admin@ireadforlife.ky Web: www.ireadforlife.ky They offer a method of reading remediation that helps struggling readers gain self-confidence, improve comprehension and read faster. Math Tutoring With Claude Bailey Tel: (345) 926 3812 A former Golden Apple recipient, Mr Bailey offers maths tutoring for grades 3-12 and help for university level maths.

Extra-Curricular Classes

ACTING & THEATRE CLASSES Cayman Drama Society (CDS) Prospect Playhouse, Red Bay. Tel: (345) 938 1998 Email: training@cds.ky Web: www.cds.ky CDS offers ongoing after-school acting classes for children and adults, as well as intensive holiday acting and drama camps. CDS has a full-time education officer on staff. On occasion, they also offer writing, directing, and technical production courses. Cayman Music School Market Street, Camana Bay. Tel: (345) 938 3838 Email: info@ caymanmusicschool.com Web: www.caymanmusicschool.com They run acting and musical theatre programmes for ages 7-15+ years. All classes are categorised by age.

High Achievement Academy Confidence • Success • Skills

(all ages)

High Achievement Academy offers small group and one-on-one tutoring for all ages and abilities. Sessions are offered six days a week and are provided by highly qualified and experienced teachers from the UK, USA and Canada. They are knowledgeable in the UK, US, Caribbean and IB curriculums. Programmes range from exam preparation (CXC, GCSE, A Levels, IB and SATs), homework help, study skills, English as a second language and workplace training. Daytime, evening and weekend sessions are available. HAA also welcomes the travelling student who requires provisional study while visiting Cayman.

Subjects: Maths • English • Science • Geography • Business Studies •

Languages • Accounting • ICT/Computer courses: Primary and Secondary • CXC • (I)GCSE • IB • A Levels • SAT • Study skills • Homework help • College coursework support (ICCI, UCCI and others)

Highlights: Personalised learning approach to meet your objectives

• Day and evening sessions available six days a week • Spacious, modern learning environment • Conveniently located on Walkers Road a couple of minutes walk from the schools • Tutors who care and are dedicated!

(345) 746 5555 | info@haacayman.com | www.haacayman.com Windjammer Plaza, 461 Walkers Road, George Town

Cayman Learning Centre & School Creating collaborative, life-long, competent achievers (ages 8 – 14) CLC&S is a new boutique school educating students ages 8-14 in small groups. This projectbased learning approach allows students to gain in-depth knowledge and consolidate skills by investigating and responding to authentic and complex challenges. CLC&S also offers a bespoke program for students struggling with learning. The World-renowned Arrowsmith Program helps students strengthen weak underlying cognitive functions responsible for a range of learning difficulties, ultimately making the learning process easier. Learning support includes individualised evidence-based literacy and math interventions aimed at closing skill gaps, ensuring a solid foundation.

Highlights:

British Curriculum • World renowned Arrowsmith programme • Evidence-based reading, writing, math intervention • Initial comprehensive assessment to identify specific strengths and weakness • Small teacher-student ratio • Specialised teachers

Details: Principals: Mary Dixon & Penny Taylor Application Fee: CI$300 Annual fees: $20,500-$21,300 Hours: 7.55am-3pm

(345) 943 7323 | info@caymanlearning.com | www.caymanlearning.com | 7 Pasadora Plc, Smith Rd www.caymanparent.com

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Centre Pointe Dance Studio (CPDS) 108 Alissta Towers, North Sound Road. Tel: (345) 926 5889 Email: cpdsnewstudent@gmail.com Web: www.centrepointedancestudio.com CPDS produces theatre and dance shows, involving students of the school. They often perform with the Cayman Drama Society on their musical productions. Musicians Ltd. 4 Dot Com Centre, 342 Dorcy Drive, Airport Industrial Park. Tel: (345) 525 6787 Email: janine@musicians.ky Web: www.musicians.ky Known for their musical theatre performances, students at Musicians Ltd prepare over a number of months. Classes for all ages: Broadway Babies (6 months -3 yrs), Broadway Tots (3–5 yrs), Broadway Stars (6–9 yrs), Musical Theatre (10–16 yrs).

ART & CERAMIC CLASSES Cayman National Cultural Foundation Tel: (345) 949 5477 Email: cncf@artscayman. org Web: www.artscayman.org. CNCF offers year-round cultural education opportunities for Cayman’s kids and teenagers via the Creative Kids page on their website. Their 'Mind's Eye' tour for students ages 4-16+ allows them to discover Ms. Lassie Bush's art, while learning more about 'long ago' Cayman. Summer camp groups are also welcome - email vfoster@artscayman.org for more information. They also regularly host lectures and workshops to further develop Cayman's life-enriching cultural community. The National Gallery of the Cayman Islands Esterley Tibbetts Highway, south of Camana Bay. Tel: (345) 945 8111 Web: www.nationalgallery. org.ky. They run workshops throughout the year for all age groups and skill levels based on their temporary exhibitions series. 3 Girls & A Kiln 39 Market Street, Camana Bay Tel: (345) 640 9990 Email: 3girlsandakiln@gmail.com Web: www.3girlsandakiln.com. They offer a wide selection of fun monthly art classes for kids, parents and adults. Give them a call or email if you have any interest in hosting a private/ corporate event at their working studio or popping in for an afternoon of glazing. Art'y Parties 6 Devon Road, Prospect Tel: (345) 928 0284 Email: artypartiescayman@yahoo.com Web: www.artypartiescayman.com They offer after school art classes as well as very popular art camps in the school holidays. On Saturdays there are also art classes in canvas/wood and glass painting. For birthday parties they offer various packages which include art projects, music, dancing, food, gift bags, face painting, decorations and more.

CADET CORPS Cayman Islands Cadet Corps Tel: (345) 946 9810 Email: cadetcorps@gov. ky Web: www.cicadetcorps.ky Cadets learn life skills, develop morals and high standards

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of conduct through challenging, militarystyle activities. The programme offers a wide range of activities including drills, field craft, adventure, navigation, first aid, music and water-based activities. They accept male and female high school students from the ages of 11-19 and they have full-time members of staff but they are also always looking for enthusiastic volunteers from a cross-section of the Caymanian community. They have groups of cadets in both Grand Cayman and Cayman Brac.

COOKING CLASSES Bon Vivant Camana Bay. Tel: (345) 623 2665 Email: info@ bonvivant.ky Web: www.bonvivant.ky Once a month, Bon Vivant offers their educational 'Cayman Food Revolution' sessions. Kids will learn exactly where their food comes from through hands-on experiences with seed-totable cooking. Classes are CI$20 per child. They also often hold a Budding Chefs Culinary Camp in the summer time for kids ages 7-12, where they will learn basic cooking skills and create delicious and nutritious dishes. Spaces are limited to 10 per session so be sure to register beforehand. The National Trust Mission House, 63 Gun Square, Bodden Town. Web: www.nationaltrust.org.ky The National Trust often host cooking classes for teens and adults. They focus on traditional Caymanian dishes. Visit their website for more information on upcoming events.

DIVING COURSES See page 268 for Listings.

FIRST AID, CPR, WATER RESCUE COURSES Cayman Islands Red Cross (CIRC) Thomas Russell Way, George Town. First Aid Training Manager: (345) 925 0715 Email: firstaid@redcross.org.ky Web: www.redcross. org.ky They offer the American Red Cross (ARC) syllabus and certification in the following courses: Infant/Child/Adult First Aid, CPR and AED (Automated External Defibrillator); Lifeguarding and Basic Water Rescue. All certifications are valid for two years. Some of the courses can be taught to children as young as nine, others you need to be at least 15. Contact Peter Hughes, First Aid Program Manager for what course would be appropriate for your child. Cayman Sea Elements (Mike Nelson) Tel: (345) 936 8687 Email: caymansea@gmail. com Offers the full Emergency First Responder (EFR) certification course either at Clever Fish, schools, offices, churches or at home. The certification is valid for two years. The course covers practical and theoretical adult, child and infant CPR, AED and First Aid including administering EPI pens. A Water Safety course for caregivers and parents is also offered.

Fitness Connection 1 Bambi Close, Glen Eden Road, George Town. Tel: (345) 949 8485 Email: fitness@fitness.ky Web: www.fitness.ky They teach the ASHI CPR/ AED course as well as the SAI Safety Training Aquatic Rescue Course and Starguard Life Guard training.

HIV, AIDS, GENDER & SEXUALITY AWARENESS AND EDUCATION Cayman Islands Red Cross (CIRC) Thomas Russell Way, George Town. Tel: (345) 916 1742 or (345) 949 6785 Email: deputy@ redcross.org.ky The CIRC offers a basic information course on HIV and AIDS, as well as courses on gender and sexuality, healthy sexuality and sexualisation, and stigma and discrimination. The course is aimed at adults and children aged 16 and up, but they can modify a course for children aged 12-15 with some advance notice. Courses are offered virtually and in person (depending on demand).

LANGUAGE COURSES Spanish and French are offered from Kindergarten to A Levels in most of the private schools. However, fewer schools offer French at the early childhood level. Most of the government schools now offer Spanish classes as part of the regular curriculum from primary school. French Tuition Cayman Tel: (345) 928 7526 Email: frenchtuitionky@ yahoo.com Web: www.frenchtuitioncayman. com They offer French classes in your own home for children aged 5 and up and adults, from beginner to advanced levels. They also offer GCSE and A Level exam support. Modern Language Institute 25 Butternut Close, Beach Bay, Bodden Town. Tel: (345) 943 8254 Email: modernlanguages11@ yahoo.com They offer regular tutoring in English as a second language and Spanish to all ages and levels. Depending on demand they can offer other languages as well. They also offer an array of translation and interpretation services in all modern languages. They are also recognised by the Office of the Deputy Governor as a Translator within the Cayman Islands.

SELF-DEFENSE The Academy Canon Place Unit 115, North Sound Road, George Town. Tel: (345) 323 9778 Email: info@ theacademygc.com They offer classes for children in traditional and Brazilian jiu-jitsu, mixed martial arts, boxing and fitness. They also offer self-defense training for men, woman and children ages 4 and up. Their specialised teenage self-defense course teaches teens how to recognise unsafe situations, plan exit routes and practise physical moves should they ever need to defend themselves. The programme uses age-appropriate language and concepts.

SUNDAY SCHOOL & CHURCH SERVICES See pages 267 for a list of churches and Sunday School times.

Music Equipment & Lessons

MUSIC EQUIPMENT The Music Box Camana Bay. Tel: (345) 929 2999 Email: info@caymanmusicschool.com Sell musical instruments, accessories, music books and recording equipment. They also repair and rent musical equipment. Myles Music Store Barnett Building, 24 Huldah Avenue, GT. Tel: (345) 949 1753 Email: mylesmusic@candw. ky They sell all sorts of different instruments and music books plus they sell, rent and repair guitars, and they offer music lessons.

MUSIC LESSONS Cayman Music School Camana Bay. Tel: (345) 938 3838 Email: info@caymanmusicschool.com Web: www. caymanmusicschool.com Tuition is offered in most musical instruments, voice training, rock school, music theory, music appreciation, composition, drama, DJ and more. They also help with exam preparation. Jukebox Tel: (345) 546 0230 or (345) 321 5126 Email: info@jukebox.ky Web: www.jukebox.ky They offer a mobile music service providing lessons on guitar, piano, singing and a variety of group sessions including performing arts. Musicians Ltd 4 Dot Com Centre, 342 Dorcy Drive, Airport Industrial Park. Tel: (345) 525 6787 Email: office@musicians.ky Web: www.musicians.ky Offering individual and group lessons for a wide range of instruments to children and adults of all levels. Classes available in singing, musical theatre and acting. Recitals and musical theatre showcases at both Musicians Ltd Studio and the Harquail Theatre: Rock School, Cayman Wind Symphony, Acapella Group, Ukulele Group. Music theory lessons and staff are also available for hire events throughout the year. The Music Studio Tel: (345) 547 3101 Email: kazia@ thestudiocayman.com Web: www.music studiocayman.com Group music and movement classes from 0–4 years old offering engaging, interactive and musical activities for babies, toddlers, parents and carers. Private piano, singing, saxophone and clarinet tuition classes also available from age 4 to adults. Myles Music Store Barnett Building, 24 Huldah Avenue, George Town. Tel: (345) 949 1753 Email: mylesmusic@ candw.ky They offer piano, guitar, violin and drum lessons. They also sell many different

kinds of musical instruments and they sell, rent and repair guitars.

Medical Health Providers for Children See pages 149-167 for a list of medical health providers for children. These include paediatricians, occupational therapists, speech and language therapists, counsellors and psychologists.

School Health Screenings See page 71 for information on getting your child a school health screening.

School Uniforms & Embroidery Services Island Embroidery 119 Dorcy Drive, opposite the Airport Park. Tel: (345) 949 4733 Sells school uniforms for Hope Academy, Triple C, First Baptist Christian School and Truth for Youth. Many other schools, such as Cayman Prep, suggest that Tilley hats and book bags are brought in to be monogrammed with your child's name.

Sports Clothing & Equipment Activ Angels 10 Market Street, Camana Bay Tel: (345) 946 2645 A large selection of swimwear and sun protection tops for children. Sport ‘N’ Zone Hospital Road Plaza, Walkers Road, George Town Tel: (345) 945 6453 Sells branded clothing and footwear including Nike, Reebok, Adidas and more. Sportista Co 1 Nexus Way, Camana Bay, behind Butterfield Bank. Tel: (345) 926 1122 Email: hello@sportista. co They sell sports apparel from Adidas, Nike, Asics, Garmin, New Balance and Under Armour. Sports Supply Galleria Plaza, West Bay Road. Tel: (345) 949 7884 Web: www.sportssupply.ky Offers clothing for football, yoga, tennis and general fitness. Brands include Nike, Adidas, Asics, Champion and Under Armour. Waterman Cayman & Blue Wave Surf Shop Two locations: Galleria Plaza, West Bay Road. Tel: (345) 769 7873 and 10 Shedden Road, Downtown George Town. Tel: (345) 949 8166 They both sell paddleboarding, surfing and kitesurfing equipment as well as clothing for surfing and other watersports.

Teen Leadership Training

ymcacayman.ky Web: www.ymcacayman.ky/ programmes/teens The YMCA Teen Leaders programme reaches young people aged 13-17. Teen Leaders gain important leadership skills and experience through projects that they select. Many also serve as Counsellors-inTraining during Y day camps which reinforces core values and leadership skills. This free programme fosters a positive sense of identity, values, and confidence amongst participants. CIMPA Email: training@cimpa.ky. The Cayman Islands Marketing Professionals Association (CIMPA) runs professional development courses on a variety of topics including public speaking, SEO optimisation, event planning, budget management, and analytics. Members and non-members welcome. CISHRP Email: info@cishrp.ky or Web: www.cishrp. ky Every year the Cayman Islands Society of Human Resources Professionals (CISHRP) offers a Certificate in HR Management course which includes modules on Cayman's immigration, pension and labour laws, health insurance rules and the Essentials of HR Management. Exams are scheduled twice a year. Chamber's Training Centre Governors Square, West Bay Road. Tel: (345) 949 8090 ext. 123 or Web: www. caymanchamber.ky The Chamber of Commerce Training Centre offers a comprehensive range of two-hour, four-hour, one-day and two-day courses on topics in the following categories: Legal Assist; Ken Blanchard Leadership Series; Workplace Essentials; Made For You; Small Biz Boot Camp. The Centre has also begun to offer select courses virtually. Go online or call the Chamber to find out more. CPD Courses for Accountants Email: admin@ciipa.ky or Web: www.ciipa.ky/ Live-Training/Events All regular members of the Cayman Islands Institute of Professional Accountants (CIIPA) must comply with the Continuing Professional Development (CPD) requirements of their overseas professional accounting institute, or the International Education Standards. The CIIPA Training Committee have developed an annual training calendar of diverse courses to support members’ professional development. NTCI Youth Stewardship Programme Tel: (345) 749 1121 Email: info@nationaltrust.org. ky Web: www.nationaltrust.org.ky The National Trust for the Cayman Islands (NTCI) offers a unique programme where teens can learn about Cayman's environment and historical sites with aims of becoming future custodians of these sites. The course, which runs for six weeks, provides a comprehensive training of the history of the Cayman Islands and is facilitated by guest experts and government agencies. It is available to Caymanians aged 18-30 years old.

Tell them you saw it in

CAYMAN PARENT

YMCA Tel: (345) 926 9622 Email: ysummercamp@

www.caymanparent.com

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“Within 3 hours of surgery, I was up and standing. This surgery allowed me to get my life back.” Dr. Hetzel, Gastroenterologist Age at surgery: 61

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Health

Childhood illnesses, pain management, dental care and more...

Contents

Photo courtesy of Daria Keenan Photography

HEALTH

Taking Control of Your Health

p122

Swimming Safety

p127

Decoding Orthodontics

p128

Common Childhood Illnesses

p130

Pain Management

p133

Identifying Learning, p134 Behavioural or Cognitive Issues Doctor's Q&As

p138

Tooth be Told: Dental Care for Kids

p140

Health Insurance for Kids

p142

Getting Immunisations Right

p144

Looking After Your Child's Eyesight

p146

Health Book Club

p148

The Listings

p149

www.caymanparent.com

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Taking Control of Your

Health

HEALTH

Throughout your life it is important to have regular health screenings to ensure you are maintaining good health. Advances in medical technology now mean we have access to a range of screening tests from cancer screenings to healthy heart tests. By staying on top of screenings we ensure early detection which is key to the successful treatment of many diseases. — Dr Michelle Mon Désir, MSc MBBS Standard screenings start as young as 25, even younger if you have a family history of certain diseases, so it’s not something that should be delayed until we are ‘older’. As parents, we lead busy lives but nothing is more important than our health and being there for our children. So make sure you prioritise your health by getting the recommended screenings for your gender and age. All the screenings covered in this article are offered in the Cayman Islands and are performed by world class doctors using the latest equipment and methods. You can be even more proactive by undertaking an Annual Wellness Check (see page 126) which offers a wide range of tests that ensure you remain as healthy as possible.

Benefits of Screenings (Source: NHS)

• Screening can detect a problem early, before you have any symptoms. • Detecting a problem early can mean that treatment is more effective. • Finding out you have a health problem or an increased risk of a health problem can help people make better informed decisions about their health. • Screening can reduce the risk of developing a condition or its complications. • Some deaths from bowel cancer, breast cancer and cervical cancer can be prevented.

Costs of Screening Tests

The cost of screening tests vary depending on your insurance policy, so check with your doctor or GP to find out the costs. Many charities in Cayman also offer free screening services. See page 126 for details. MORE INFORMATION Contact your doctor to find out what screenings are available to you. Turn to page 152 for a list of doctors in the Cayman Islands.

Screening Tests

Blood Pressure Screening • What does the test detect? It checks if your blood pressure is too high or too low.

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• Why is the test important: High blood pressure, or hypertension, can increase the risk of heart attacks, strokes and kidney disease. • What’s involved in the test: A blood pressure cuff is wrapped around the top part of your arm. Your doctor will inflate the cuff, from which a gauge will measure your blood pressure. • What happens next? If your blood pressure is too high or too low you may be required to make lifestyle changes such as adopting a healthy balanced diet and establishing a regular exercise routine. You may also be required to take medication to control your blood pressure. • Screening age & frequency: The NHS recommends that all adults over 40 years of age have their blood pressure tested at least every five years so any potential problems can be detected early. Breast Cancer Screening • What does the test detect? It can detect breast cancers when they are too small to see or feel. • Why is the test important? 1 in 8 women in the UK are diagnosed with breast cancer during their lifetime and the likelihood of getting it increases with age. Early detection through mammogram screening is key to having a good chance of recovery. Regular mammograms also allow your doctor to compare changes in the breasts over the years. • What’s involved in the test: A mammogram is an X-ray picture of your breast in a special machine. A mammographer will place your breast on a plastic plate. Another plate will firmly press your breast from above. The plates will flatten the breast, holding it still while the X-ray is being taken. The steps are repeated to make a side view of the breast. The other breast will be X-rayed in the same way. It can be uncomfortable for a few moments at a time but the whole process is over in about 10 minutes. • What happens next? If the results come back abnormal that does not always mean there is cancer but you will need to have additional exams and biopsies before the doctor can tell for sure. • Screening age & frequency: Women ages 40-44 can start to have mammograms every one to two years. Women ages 45-75 should have a mammogram every one to two years, depending on their risk factors.

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HEALTH

Cervical Cancer Screening • What does the test detect? This is a combined test that checks for the human papilloma virus (HPV) infection and changes in the cells covering the neck of the womb. These changes could later develop into cervical cancer if they aren’t treated. • Why is the test important: It’s extremely effective at preventing cervical cancer and saves around 4,500 lives every year in England alone. • What’s involved in the test: After undressing from the waist down, you lie on your back with your knees bent and apart. Your nurse or doctor will use an instrument called a speculum to gently open the vagina, so that they can see your cervix. They’ll then use a small brush to take a sample of cells from your cervix which they'll send to a lab to be tested. The test takes just a minute or two, while it can feel uncomfortable, usually it does not hurt. • What happens next? If you get an abnormal result, it doesn’t mean you have cancer. You will most likely be invited back for a colposcopy which is a 15-20 minute procedure where a small sample of tissue is removed for examination in a laboratory. If these cells are found to be abnormal you will then have a further procedure to remove all the abnormal cells. This procedure is usually carried out while you're awake but your cervix is numbed and you can go home the same day. You will then need to have regular screenings every six months to check for abnormal cells and HPV.

• Screening age & frequency: The NHS recommends that all women aged 25-49 go for a cervical cancer screening every three years, women aged 50-64 every five years and women over 65 only need to be screened if one of the previous three tests were abnormal. Women of any age who receive abnormal test results may be advised to have more frequent screenings. Cholesterol tests • What does the test detect? It measures if you have too much of a fatty substance called cholesterol in your blood. • Why is the test important? Having too much cholesterol can block your blood vessels and increases your risk of having heart problems or a stroke. There are no symptoms of having high cholesterol, the only way to measure it is with a test. • What’s involved in the test: It’s a simple blood test, your doctor may recommend a blood draw from your arm with a needle or a finger-prick test. • What happens next? The test measures three levels: 1. Good cholesterol (called HDL) – this makes you less likely to have heart problems or a stroke, 2. Bad cholesterol (called LDL and non-HDL) – this makes you more likely to have heart problems or a stroke and 3. Triglycerides – a fatty substance similar to bad cholesterol. If your levels of bad cholesterol are high then the doctors will look at other risk factors including your family history, blood pressure, BMI and lifestyle and recommend a course of action. This

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might include a lifestyle overhaul that involves eating better, giving up alcohol and smoking, and increasing physical activity. You could also be prescribed medication that will help lower your cholesterol and reduce your risk of having a stroke or heart attack. • Screening age & frequency: Healthy adults between the age of 40-74 should have a cholesterol test every five years. If you have a family history of heart disease your doctor may recommend more frequent testing.

Skin Cancer Checks • What does the test detect? A full body skin exam can identify suspicious growths or spots that may be a symptom of skin cancer. Automated Total Body Dermoscopy screening, also known as mole mapping, scans the whole body and photographs every mole and blemish. At future screenings moles can automatically be compared to the previous scans and any moles that have changed can be reliably identified. • Why is the test important? Living in the Cayman Islands we are exposed to dangerous UV rays 365 days a year so it’s important to remain vigilant. With skin cancer early detection is key and the survival rate is over 98% at five years if the cancer hasn’t spread. • What’s involved in the test: With Automated Total Body Dermoscopy screening you are required to stand in your underwear while the computer takes pictures of

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HEALTH

Bowel Cancer Screening • What does the test detect? It checks for traces of bowel cancer, which includes cancer of the colon and rectum. • Why is the test important? Bowel cancer is the fourth most common cancer in the UK and the second most fatal cancer; however, bowel cancer is treatable and curable especially if diagnosed early. • What’s involved in the test: There are three types of tests involved. For screening purposes you will most likely be offered the Faecal Immunochemical Test (FIT) which looks for indicators of cancer in your stool. If any abnormalities are found then you will be invited for a colonoscopy or a virtual coloscopy. A colonoscopy is a 30-45 minute procedure where a long, thin, flexible tube with a small camera inside it is passed into your bottom and the doctor will look for pre-cancerous polyps, and any other abnormalities. A virtual coloscopy is a 3D scan

of your abdomen and pelvis which will show polyps or other abnormalities in the colon or rectum. • What happens next? Before you go home, your doctor will tell you if they removed any growths (polyps) or tissue samples (biopsies) from your bowel. These will be tested for cancer and you will receive the results in a few weeks. • Screening age & frequency: Healthy adults aged 50-74 should have a screening test every two – five years. Those with a family history of bowel cancer may be advised to start screening earlier.

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Prostate Cancer Tests • What does the test detect? There is no specific screening test for prostate cancer, however, a blood test, called a prostate-specific antigen (PSA) test, measures the level of PSA which may help detect early prostate cancer. • Why is the test important? Prostate cancer is more common in older men and in Black Caribbean and Black African men. • What’s involved in the test: The test is a simple blood draw with a needle, the sample is then sent to the lab for testing. • What happens next? If you have a raised PSA level, you may be offered a digital rectal exam (DRE), an MRI scan or a biopsy of the prostate to help doctors decide if you need further tests and treatment. • Screening age & frequency: Screening for AfroCaribbean men begins at age 45. All other men over 50 can request a PSA test but they are not offered as standard.

Annual Wellness Checks (AWC)

An Annual Wellness Check is a preventative health check, a bit like a full body MOT that gives you an overview of your current health. An AWC can help spot any issues early on, meaning you get timely treatment. You can also have all the tests done in one day, at one clinic, so it’s more time efficient for busy people. Adults of any age can start getting AWCs to keep on top of general health; most adults begin having them regularly when they become parents as health becomes even more important to them. An AWC can include any number of tests and examinations, usually with add on tests available. Tests can include: Complete Blood Count (CBC), Fasting Blood Sugar, A1c, Lipid (Fats) Profile, Liver Function Panel, Kidney Function Panel, Uric Acid, Thyroid Panel (FT3, FT4 and TSH), Urine Examination, ECG, Chest X-Ray and a Physician Consultation. Additional tests can range from cardiac testing, ultrasounds, cervical cancer screening, Bone Health Screen, diabetic screening and many more. Each AWC can be tailored to your needs. Contact your GP, Health City, Oasis Medical Group or Total Health to book your AWC.

Photo by Julie Corsetti

HEALTH

your whole body. It takes about 15 minutes. The computer captures and records all your moles. • What happens next? If there are any moles causing concern then you will be invited back for a biopsy which will then be sent to the lab for testing for skin cancer. • Screening age & frequency: All adults in Cayman should see a dermatologist at least every 12 months.

Free Screenings

If you have a basic health insurance policy or no insurance, then the following local charities can help you: • The Breast Cancer Foundation (BCF) provides vouchers for mammograms and breast ultra-sounds for all Cayman residents whose health insurance doesn’t cover them or if you have no insurance at all. For more information call (345) 923 1135 or (345) 936 1135 or email info@bcfcayman.com. • The Lions Club of Tropical Gardens gives free mammogram vouchers during the month of October to highlight breast cancer awareness. Email bcawareness@ gmail.com. • The Cayman Islands Cancer Society (CICS) provides vouchers for the following screenings to all Cayman residents who do not have these tests covered by their health insurance or have no insurance at all: mouth cancer, throat cancer, cervical cancer (pap tests), prostate cancer (PSA tests) and skin cancer. The CICS also provides financial aid for cancer patients in need. For more information call (345) 949 7618 or visit www.cics.ky. • The Lions Club of Grand Cayman provides free prostate cancer screenings (PSA tests) in mid-November at the Lions Center every year. For more information visit www.lionsclubgcm.ky. • The Cayman Heart Fund provides free medical screenings to the public regardless of their status or insurance coverage. Tests include blood pressure, height, weight, body mass index (BMI), waist circumference, cholesterol and glucose. The Cayman Heart Fund also provides financial aid to patients receiving cardiology healthcare. For more information call (345) 916 6324 or visit www.caymanheartfund.ky.

Dr Mon Désir has been practising as a primary care physician in the Cayman Islands for 12 years. She worked with Doctors Hospital before opening the family practice clinic, Oasis Medical Group, to serve the residents of West Bay. She has special interests in preventative medicine, women’s health and weight loss management.

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Swimming Safety According to the Centers for Disease Control and Prevention (CDC), drowning is the leading cause of unintentional death in children under age 5 in the USA, with around 360 children dying each year. In Cayman, thankfully water-related deaths among children are relatively low, as children are taught water safety from a young age. However, one should never get complacent, as accidents can happen in an instant. With so many children participating in water-related activities, it is important to stay safe in Cayman's waters.

1. Set Strict Limits Teach children that they are not allowed to enter a pool or the sea without an adult’s permission. Always review the area's ‘Pool Rules’ with your child before entering the water. For older children, state exactly how deep they are allowed into the sea. It is recommended that children use flotation devices in the sea such as noodles, swim belts and puddle jumpers as even strong swimmers can get into trouble. 2. Supervise Children Children should always be supervised when in or near the water. Adults who are supervising children should remain alert, vigilant and never turn away or get distracted, even for a moment. Whenever infants or toddlers are in or around water, an adult should be within arm’s reach. Remember that small children can drown in as little as one inch of water. 3. Learn What Drowning Looks Like Drowning is not the violent, splashing call for help that people expect. When people are struggling to breathe, speech and screaming become secondary. The natural reaction is to extend arms laterally and press down on the water’s surface, as opposed to waving. 4. Learn CPR Parents need to learn basic first aid, CPR and basic water rescue. Both adults and children should know what to do if they see someone in trouble in the water. Water Safety courses are available at Fitness Connection (private and group), as well as CPR/First Aid courses, which are also offered by the Red Cross (private and group). Sky Blue Aquatics also offers Nanny Water Safety Courses to teach nannies about pool safety and how to swim. Tel: (345) 916 0054 or Email: info@skyblueaquatics.com.

Some Common Signs of

Drowning

HEALTH

Here are some top tips for keeping you and your family safe in or around the water.

•Head low in the water with mouth at water level. •Head tilted back with mouth open. •Eyes glassy and empty, unable to focus. •Eyes entirely closed. •Hair flopped over forehead or eyes. •Not using legs, but vertical in the water. •Hyperventilating or gasping. •Trying to swim in a particular direction but not making headway. •Trying to roll over onto back without success. •Appearing to be climbing an invisible ladder.

Life-Saving Lessons

Enrol kids in swimming lessons to ensure that they are equipped with the skills to swim safely. Babies can start lessons as young as six weeks old with a paediatrician's approval. Infants cannot swim on their own as they are not strong enough and have not yet developed fine motor skills. However, starting little ones in swim lessons at a young age will get your child comfortable with structured lessons, their teacher and, most importantly, the water. All swim lessons should include safety survival techniques such as: •Fall in, turn around, reach for the wall •Fall in, roll over, float •Getting in and out of a pool safely •Holding and walking (with hands) on the side of the pool.

SWIM SCHOOLS: Fitness Connection offers mobile swimming instruction with lessons for babies aged six weeks to adults. Private, semi-private and small group lessons are available at their own pool in South Sound. Fitness Connection: Tel: (345) 949 8485, Email: fitness@fitness.ky, Web: www.fitness.ky. The YMCA of the Cayman Islands offers their Y Aquatics programme for swimmers aged 4-12 to advance their stroke, stamina and water safety skills. Web: www.ymcacayman.ky/ programmes/aquatics, or Email: register@ymcacayman.ky.

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Decoding Orthodontics The traditional image that springs to mind when one hears ‘orthodontics’ is of a teenager with metal 'train tracks' or headgear. Whilst this is still the most common type of brace (without headgear attached!) and the teen years are when treatment is most commonly given, orthodontics have had to change and evolve a lot over the past 10 years. — Dr Kate Horgan, dentist and facial aesthetician at 7 Dental

HEALTH

The First Orthodontic Visit During a child’s first orthodontic visit, the orthodontic practitioner is looking at the teeth in a different way to the dentist. While they will check briefly that the teeth are clean and healthy (poor oral hygiene means no braces!), they will also be looking in your child’s mouth to assess how many teeth are present (we often have one too many, or can be missing a few), whether there is enough space for the remaining teeth to come through, how well the jaws are aligned, and whether the proportions of the face are in harmony with each other.

Nowadays, it is recommended that a child has their first orthodontic check-up at age seven. This can help identify any potential issues early and open up the number of treatment options available. In some cases, early intervention can prevent more complicated treatments later on by taking advantage of a time when your child is growing very fast. The reasons for early or interceptive orthodontic treatment include: • • • •

To help maximise or minimise growth of the jaw To help realign the jaws relative to each other To reduce the chance of trauma to misplaced teeth To reduce the likelihood of having to extract teeth later on

If your child is older than seven and has not been seen by an orthodontist yet, don’t panic: treatment doesn’t usually begin until most of the adult teeth are present, and most dentists will identify any complicating factors that should be addressed early. While many parents are under the impression that orthodontic treatment is an aesthetic treatment to create a nice smile, orthodontists are more concerned with the functionality of the teeth and jaws, and how the positioning of the teeth impact this. Aesthetics are important, but even children with “straight” teeth are sometimes recommended to have orthodontics for functional reasons. Correcting the positioning of teeth early on can save a lot of trauma and expenses further down the line.

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Orthodontists will look at how the upper and lower teeth meet when the patient is biting together and during chewing movements. Alongside the X-rays, the practitioner or assistant will also more than likely take some photographs (both of the inside and outside of the mouth) and a scan to allow monitoring of your child's growth patterns. Types of Orthodontic Treatment Teeth are moved by using 'appliances' that place gentle, controlled forces on the teeth to guide them into the desired position. There are now several different types of orthodontic treatments and appliances available. The most popular ones are outlined below. 1. Removable braces: Removable braces can be provided for the upper or lower teeth, but are not suitable when multiple teeth need to be moved. Although similar in appearance to retainers, removable braces are part of the active stage of treatment. They can be used at the interceptive or early stage to help misaligned jaws to match up with each other, or sometimes they can be used to 'expand' the teeth outwards with the help of screws to make more space in the jaws, as an alternative to extractions. Sometimes a removable brace can have a wire spring to help move just one or two teeth if that is all that is needed. These braces can be removed to eat and clean the teeth, but the constant removal makes them easy to mislay. Speech may also be affected. Treatment with removable braces usually lasts 6-12 months, but they must be worn as instructed, or they won’t work! 2. Fixed braces: The traditional 'train tracks' are still the most common type of brace orthodontists use, although we now often see ceramic or 'clear' brackets, as well as the traditional metal ones. These have two components – a bracket (which is

attached to the tooth and holds the wire by means of an elastic tie), and a wire (which moves the teeth). Most fixed brace treatments last 18-24 months, but in some cases it can be as little as 12 months. Although fixed braces are more visible than other treatments and can make teeth cleaning harder, they tend to give the quickest results and are the most economical.

4. Retainers: After 'active' treatment (when teeth are being moved), patients will need to wear a retainer to help keep the teeth in their new position, especially in the months immediately after treatment. This is to give the bone around the teeth a chance to harden and support teeth in their new position and reduce the chance of relapse. Retainers can be a lingual retainer (wire stuck on behind the front 4-6 teeth), an Essix retainer (clear plastic tray, similar to a clear aligner) or a Hawley retainer

(the more traditional type of plastic and wire retainer). These retainers can also be used in combination with other treatments.

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3. Clear aligners/Invisalign: These transparent, plasticlike trays are removable – the patient can take them in and out – and they are made to fit each individual patient’s teeth. They are made in a series of 'sets', each of which is worn for approximately two weeks, for at least 22 hours a day. Each set is designed to gradually move the teeth into the desired position. Tooth coloured bumps or 'attachments' may be placed on some teeth to aid this movement. Invisalign treatments usually last 12-18 months. As this is a less visible option, it is particularly appealing to adults undergoing orthodontic treatment. However, it is a more expensive option and may not be suitable for more extreme orthodontic needs.

It is so important to ensure that your child complies with the retention protocol given to them after their treatment. 70—80% of adult orthodontic treatments are due to relapse after orthodontics earlier in life. Remember: retainers were traditionally advised to be worn for 12 months, but now, they are more likely to be prescribed for lifelong night-time wear, or as long as you want the teeth to stay straight!

Dr Scott McFarlane leads 7 Dental Group (previously Seven Mile Beach Dental Clinic). 7 Dental boasts a department in every field of Dentistry including, Cosmetic Dentistry, Implants, Orthodontics, Facial Aesthetics, Pediatrics, Oral Surgery, Endodontics and Periodontics. Our Orthodontic department offers a full range of teeth straightening options, including Invisalign and ceramic braces, utilizing the skill of our Board-Certified Specialists. (345) 943 7400 l Marquee Place, Seven Mile Beach l hello@7dental.ky Opening times: Monday - Friday 8am - 6pm

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Common Childhood Illnesses

Growing up is a busy time for small bodies; it can sometimes feel like every week brings a new illness! But do not fear – here you will find clear advice on how to identify and treat some of the most common conditions at home, as well as the red flags that mean it’s time to see your paediatrician. − Dr. Jasmina Marinova, MRCPCH MD, paediatrician and neonatal expert at Integra Healthcare

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Worms Brief Description Pinworms and threadworms are intestinal parasites that are common in children. They have the tendency to spread very easily. Sometimes you can see the worms in the stool, but not always, so your child may only need treatment based on their symptoms.

Common Symptoms •Irritability and restlessness •Abdominal pain •Itchiness, especially at night •Disturbed sleep •Recurrent bladder infections/irritation

How to Treat at Home •Use over-the-counter medications recommended by a pharmacist •Treat the whole family and implement strict hygiene measures

Seek medical attention if your child is younger than two years old or has recurrent episodes.

Sore Throat Brief Description Often caused by a viral infection, which gets better with supportive treatment. Sometimes they can be caused by bacteria called Group A Streptococcus (Strep Throat), which needs treatment with antibiotics to prevent complications. Strep throat is unusual in children under two years of age. Children over four years may also present with a rash. In rare cases, sore throat can be a symptom of a more serious illness such as Infectious Mononucleosis.

Common Symptoms •Painful throat •Fever •Bad breath •Reduced oral intake •Vomiting •Swollen neck glands •Trouble swallowing

How to Treat at Home •Use over-the-counter pain relief, like paracetamol or ibuprofen •Make sure your child takes enough fluids •Offer soft and cold food, like yoghurt or frozen ice lollies •In older children, try using an oral antiseptic spray or gargle with an antiseptic solution

See Your Paediatrician If… • Their fever does not respond to paracetamol (Tylenol) and ibuprofen (Advil), or lasts more than 48 hours• Child is not taking fluids and is at risk of dehydration • Child is drooling because they are unable to swallow their saliva • Child is lethargic or irritable • Your child has been in contact with someone who has Strep Throat.

Vomiting & Diarrhoea Brief Description Usually caused by a stomach bug, although it can be caused by food poisoning. In rare cases, it can be a symptom of a different illness, such as a urinary tract infection.

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Common Symptoms •Loose and frequent stools •Mucous and/or blood in the stool •Vomiting food and fluids •Loss of appetite •Abdominal pain •Fever

How to Treat at Home •Keep infants hydrated by frequent nursing, and older children by offering them fluids in small amounts, but often (like Pedialyte, water, or diluted apple juice) •Avoid solids until vomiting settles

See Your Paediatrician If… • Your child is not keeping any fluids down and thus at risk of dehydration • Their vomit contains blood or bile • There is reduced urine output • Your child becomes lethargic or restless.

Skin Infections Brief Description

Common Symptoms

How to Treat at Home

See Your Paediatrician If… • Your child's condition gets worse or becomes cellulitis• If the rash/area is getting bigger or will not stop bleeding • Please note: all cases of Impetigo or Ringworm must be treated with topical or oral medications.

Ear Infection Brief Description Ear infections are caused by fluid behind the ear drum (middle ear infection) or an infection of the ear canal (swimmer’s ear). Under 5s are at higher risk of ear infection, especially after or along with upper respiratory tract infection. Occasionally, earache may be due to tooth pain radiating to the ear. Common Symptoms •Ear pain •Pulling or rubbing the ears •Fussiness and irritability •Fever •Reduced oral intake •Leakage from ear •Redness around or behind ear •Reduced hearing How to Treat at Home •Administer over-the-counter pain relief, like paracetamol or ibuprofen •Press a warm cloth to the ear •Nurse or feed infants frequently (sucking helps reduce pressure in tube between nose and ear) •Try to keep the ear dry See Your Paediatrician If… •There is no improvement with paracetamol or ibuprofen within 48 hours • The earache is also associated with fever • There is ear pain in both ears•There is leakage from ear • There is redness and swelling around and behind ear • Your child appears unwell and lethargic • Your child is off-balance.

HEALTH

Skin Infections can be caused by viruses, The rash depends on what the infection is •Remember to keep the skin clean and moist bacteria, or fungi. Skin gets infected caused by. The most common rashes are: •Try to avoid irritants to the skin such easily if it is already affected by a •Impetigo, caused by bacteria - Blisters, crusts or little ulcers different problem such as eczema, insect as soap or fragrances anywhere on the body, but mainly •Try to avoid scratching the skin bites, cuts and scrapes. around the mouth or hands If the infection penetrates the deeper •Ringworm, caused by fungi layers of the skin, it is called cellulitis, a - Red, itchy, or scaly patches, with very serious condition. defined edges that may resemble a ring, anywhere on the body

NOTE: Avoid other childhood illnesses and diseases by staying on top of Cayman’s vaccination schedule. Vaccines can be provided for free by the Public Health Department. Please turn to page 144 to find out more.

Paediatrics

& Paediatric Dermatology

“as it should be” • • • • • •

Full paediatric care from 0-18 years Developmental follow up Well child checks & school medicals Complex paediatric care & referrals Lumps, bumps, rashes, fevers & bashes Full dermatology care incl. eczema & allergies

PAEDIATRIC CARE TEAM Dr Sara Watkin MB ChB, MRCP (paeds) FRCPCH MD, Specialist Paediatrician Dr Jasmina Marinova MRCPCH MD, Specialist Paediatrician Dr Sarah Newton MB ChB, FRACP (paeds) DCH, Specialist Paediatrician Dr Alison Duncan MBBS FRCP MSc, Specialist Dermatologist

T: +1 (345) 745 7450 E: team@integra.ky W: www.integra.ky

Located in Grand Pavilion

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Head Injury Brief Description Head injuries often occur from falling off a significant height, like a bed or changing table. This may also happen when the child is running and playing, or is hit by an object (e.g. a ball). Head injuries can be external, to the scalp, or internal, involving the skull, with bruising/bleeding to the brain. Fortunately, most childhood falls or blows to the head cause injury to the scalp only.

HEALTH

Common Symptoms •Visible external injuries •Headache •Vomiting •Lethargy •Irritability How to Treat at Home •Remain calm yourself to avoid distressing the child •Comfort your child •Look for external injuries •Apply ice if appropriate

Professional - Personalised - Compassionate - Holistic

See Your Paediatrician If… •Your child has fallen from a significant height • Loses consciousness, even for a very short time • Is irritable or will not stop crying • Is lethargic and not interested in distraction •Is unable to wake up • Vomits • Is unsteady on their feet •Your child is less than two years old. NOTE: If you are at all concerned that your child may have a minor or severe head injury, see or call your paediatrician immediately, or go straight to the Emergency Room at the George Town Hospital.

Hand, Foot & Mouth Brief Description This is a mild, contagious viral infection common in younger children, resulting in sores and a rash on the hands and feet. Hand, Foot & Mouth can spread through person-toperson contact and bodily fluids, but with proper hygiene, the risk of spread can be reduced significantly. Common Symptoms •Fever •Sore throat •Blister-like lesions on tongue and mouth •Red rash, sometimes with blistering, on palms, soles of feet and/or buttocks •Lack of appetite/not wanting to eat •Irritability (particularly for infants and toddlers) How to Treat at Home

Family Medicine

Dr. Sook Yin, MBE Cert. Hon. MB ChB BAO Dr. Sarah Cuff, MRCGP MB ChB Dr. Beatriz Esteban, MD Dr. Thomas Quin, MRCGP MB ChB DFSRH

Cardiac & Vascular Medicine Dr. Ofer Sagiv, MD F.A.C.C. R.P.V.I Dr. Nyali E. Taylor, MD MPH RPVI

•Buy over-the-counter pain relief, such as paracetamol or ibuprofen •Offer cool drinks and soft food •Offer a cool/cold bath •Keep your child hydrated •Avoid contact with other children

Plastic Surgery

Dr. Eduardo Barroso, MD PA

Registered Dietician & Diabetes Educator

See Your Paediatrician If… • Fever reaches 38.5°C (101.3°F) • You feel that symptomatic relief is needed.

Kristen Lomas, RD CCDE

Gastroenterology

Dr. Dmitry Finkelberg, MD

Neurology

Dr. Babu Subramaniam, MD

Queen’s Court, 175 West Bay Road, Seven Mile Beach 345-949-5600 admin@sevenmileclinic.ky www.sevenmileclinic.ky

Mon – Fri 8:30am – 5:30pm | Sat 9am – 12:30pm

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NOTE: As a parent, it is important that you know how to resuscitate your child in the case of any medical emergency. The Cayman Islands Red Cross offers CPR certification courses for infants, children, and adults. Call (345) 925 0715 or visit www.redcross.org.ky for more information. Also, see page 118 in the Education chapter for a full list of First Aid, CPR and Water Rescue course providers.

Pain Management Pain management covers several methods to prevent, reduce, or stop pain sensations which are often remedied by physiotherapists. Physiotherapy helps restore movement and function when someone is affected by injury, illness or disability. — Clare Miller, PT MSc at Synergy Chiropractic & Physiotherapy The following pain management techniques can be used to alleviate common pains from birth to adults: reliever for infants because it promotes a sense of comfort, makes them less prone to colic and can regulate their sleep cycle. Infants can also benefit from physiotherapy. Physiotherapists can assist with gross motor skills such as sitting, standing and walking, as well as improvement in flexibility, strength, and endurance. Infants learning to walk or experiencing issues with their foot turning out while walking can be taken through exercises to encourage standing and develop the skills required for walking. For infants with torticollis (neck tightness) or plagiocephaly (head shape challenges), Physiotherapists will perform stretching and positioning exercises. They may also recommend Craniosacral Therapy which is the use of gentle touch to manipulate joints — primarily the cranial and sacral bones.

2-15 Years Growing pains typically start in early childhood – around age 3 or 4 – and tend to reoccur around ages 8-15. Growing pains are a common cause of leg pain. These pains are muscle aches that occur in the thighs, behind and in front of the knees and the calves. There is also evidence to suggest that growing pains are related to a lack of magnesium in your child's diet. Magnesium is involved in over 300 cellular processes – when your magnesium levels are low, your muscles contract and cause symptoms such as muscle spasms. Around the age of 11, when kids transition from primary to high school, they begin to spend roughly six hours sitting at their desks which may result in them beginning to experience lower back pain. To alleviate lower back pain, Manual therapy may be recommended. This is a hands-on technique used to eliminate soft tissue inflammation and improve joint mobilisation.

back pain — one in three people experience lower back pain every year. 90% of people recover from back pain in around six weeks, however for around 80%, back pain can come back. While it can be difficult to pinpoint the exact cause, there are several factors known to influence back pain including trauma, repetitive strain, emotional stress, excess weight and age. Manual therapy, such as spinal manipulation, mobilisation, acupuncture or soft tissue techniques can be used as part of a treatment plan including exercise, with or without the conjunction of cognitive behavioural therapy. A cognitive behavioural approach for managing lower back pain can also be used in conjunction with the above treatments.

HEALTH

Birth to 2 Years Massage therapy is a wonderful stress

Adults 18 Years and older Adults also experience

For help with managing your pain, contact Synergy Chiropractic & Physiotherapy at Tel: (345) 943 8200 or visit www.synergychirophysio.com.

LIVE LIFE, BETTER. Your Premier Wellness facility for Chiropractic, Physiotherapy, Acupuncture, Traditional Chinese

12-19 Years During this time, your child may experience higher

levels of stress from their exams, back pain from long periods of time sitting at a desk or job hunting. To relieve the effects of stress and anxiety, seek out a specialist who can assess your child's needs and suggest a recommended approach. Acupuncture is one option which has been shown to be effective in managing stress, anxiety, pain, discomfort, tension, irritability and insomnia. Core muscle conditioning is important as the core is the basis of your body’s stability. The core muscles are a group of stabilisers that include your lower back, abdominal wall, pelvic floor and diaphragm muscles. The main concepts of core training involve using many muscles in a coordinated movement.

The Marquee Plaza, 36 Lawrence Blvd (between Camana Bay & West Bay Road) info@synergychirophysio.com • www.synergychirophysio.com

(345) 943 8200

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Identifying Learning, Behavioural or

Cognitive Issues

HEALTH

For many parents, the idea that your child may be developmentally delayed can be particularly unsettling. You may notice that your child is not meeting milestones as quickly as other children, or that they engage in unusual behaviour beyond the anticipated childhood 'growing pains'. But what should you do next?

Seeking Diagnosis

When your instinct tells you that things are not going the way they should, be guided by it. While a million questions may run through your mind, following these steps should result in a smoother journey through the assessment and/or diagnosis process: 1. Talk to anyone who helps you care for your child: A teacher, nanny, carer or grandparent. Check whether they have any concerns about your child’s development. 2. Document your concerns: Make a list of specific observations that you believe are a cause for concern. It will be easier for you to discuss these concerns once they are written down, and you won’t have to worry about forgetting any key areas you want to discuss with your paediatrician. 3. See your child’s paediatrician: Paediatricians are not only there for when your child is feeling sick. Healthcare providers are also there to assist you with tracking your child’s development. Discuss your concerns with them so that an action plan can be developed. These are individuals

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who see children on a daily basis and are familiar with what the range of normal development looks like. Allow them to assist you in this process with securing the appropriate referrals and to ease any concerns you may have. 4. Follow through with referrals: Your paediatrician may recommend that your child see one or more service providers on-Island. Please do not wait! Proceed with making the necessary appointments for your child based on your paediatrician’s recommendations. Keep in mind that for some services, there may be a short waiting period between when the appointment is made and when your child is seen. 5. Report back to your paediatrician: After following through with your child’s referrals, forward any results to your child’s paediatrician. Not only will they be able to decipher technical aspects of the report, but they can also make subsequent referrals for any therapy that is required. Many insurance companies will not cover services without a physician’s referral, so your paediatrician is as an integral part of your team.

Next Steps

Under 5's If your child is under the age of five, consider enroling them in the Cayman Islands Early Intervention Programme (EIP). This programme involves a group of early childhood teachers and therapists who specialise in assessing your child’s overall development and providing additional support and services if your child demonstrates a need for them. Their goal is to prepare your child for school. Call Tel: (345) 926 1413 or email: eip@ cayman.edu.ky for more information. Additionally, parents may seek support through the Health Services Authority (HSA) or through one of the privately owned medical service providers on-Island. For a full list of providers, see page 152.

For children who attend government schools, many services such as Speech and Language Therapy, Occupational Therapy,

Ask for an Individualised Education Plan This is a plan that outlines in writing what services will be provided to your child and what accommodations can be offered to him or her in an academic setting. It also includes short-term and long-term goals that your child’s therapy team and teachers will focus on. Establishing an Individualised Education Plan (IEP) will assist your child’s therapy team with planning and implementing goals that will enhance your child’s academic success. IEPs are often written by a school’s SENCo (or equivalent) in consultation with all stakeholders included. As a result, it encourages an open dialogue between you, your child’s teacher and your child’s service providers. IEPs are updated annually, however, these can be updated more or less frequently, depending on your child’s unique academic needs.

HEALTH

School Age Children Work with your child’s school If your child is over the age of five or enroled in school, seek school-based guidance. For children already enroled in primary or secondary school, the process for getting help varies based on the school. Most public and private schools have a Special Educational Needs Coordinator (SENCo), or an equivalent position. Discuss your concerns regarding your child’s classroom teacher and the SENCo for your child’s school. The SENCo will coordinate a meeting with all of the parties so that they can discuss all concerns and assist you with getting the necessary referrals.

Music Therapy and Education Psychology are offered within the school system. For children who attend private schools, parents may need to seek support through the HSA or through one of the privately owned medical service providers on-Island.

Seek Support If your child has been diagnosed with a delay or disorder, it can be overwhelming. As a parent, it is very natural for you to go through periods of grief, denial, sadness, anger or anxiety as you try to wrap your head around their diagnosis and navigate the way forward. Seeking support from other parents who have gone through similar experiences can help you come to terms with your child’s diagnosis. Additionally, there are nonprofit agencies on-Island, such as Inclusion Cayman, that are

Chatterbox

Connecting Therapy and Education Chatterbox has a clear aim to provide services for children and adults in a fun and safe environment. They are a multidisciplinary team providing commitment and a caring attitude, professional excellence and open communication to facilitate a partnership of trust with families, which helps them to reach their goals.

Highlights:

Assessment, diagnosis and therapy • Training workshops for parents and professionals • Home and school visits • Inclusive Early Years Programme (2-5 years) • Autism support and diagnosis

Programmes:

Speech and language therapy • Occupational therapy • Early Years Programme (2-5 years) • Handwriting support • Social skills and friendship groups • Counselling • Dietician • Tummy Time! • Massage therapy • Telepractice also available • All of our therapists work with both children and adults.

Details:

Hours: Monday-Friday 8.30am-5.30pm. Pricing: Pricing varies by programme and is available upon request.

(345) 949 7065 | chatterbox@candw.ky | www.chatterboxcayman.com | 36c, Dr. Roy's Dr www.caymanparent.com

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available as a resource to families to provide access to training, guidance and general support as you and your family go through this difficult period. Remember that any diagnosis does not and should not change who your child is to you. As you go through the therapy process, take time to appreciate the small gains your child will make. The small changes eventually add up to greater transformations over time – and these are worthy of celebration – no matter how small!

Social interaction: •Displays poor eye contact •Lack of warm, joyful expressions •Seems to be in his or her 'own world' •Is not interested in interacting with other children or people •Does not like to play social interaction games like 'peek-a boo'

Different Types of Diagnoses

Behaviour: •Repetitive movements with objects or repetitive verbalisations

Autism Spectrum Disorder Autism Spectrum Disorder (often abbreviated to ASD) is a multifaceted neurological disorder that affects communication, cognition and social skills. It is usually noticeable prior to three years of age. It is an umbrella term that is used to describe a wide range of behaviours and abilities, hence the reason it is referred to as a 'spectrum' disorder. There are several 'red flag' characteristics across three domains that provide strong indicators that ASD may be present. Communication: •Does not respond to his or her name •Seems to hear sometimes, but not other times •Used to say a few words or babble, but now does not •May engage in 'echolalia' or repetition of words or phrases heard in conversation or from other sources (toys/television etc.) but no functional communication is initiated

OPTIMISM SEVERA PER

HON CE O EN

Hope Academy Clinical Services

•Plays with toys unusually (i.e. only playing with a small part of the toy, like the wheel of a car, or lining toys up instead of playing with them) A diagnosis of autism is usually made by a developmental paediatrician or a clinical psychologist. Obtaining a diagnosis often involves a multidisciplinary team of therapists, such as speech language pathologists and occupational therapists who evaluate and treat children with ASD. Attention Deficit Hyperactive Disorder Attention Deficit Hyperactive Disorder (ADHD) is a common childhood disorder of the brain that affects a person's ability to pay attention and concentrate on tasks. This neurological disorder is characterised by delayed frontal lobe development, which impacts a child's ability to attend to tasks, stay organised, manage impulsive behaviours and follow through with instructions. According to the CDC, ADHD is three times more likely to occur in boys than girls. There are three types of ADHD – Inattentive, Hyperactive-Impulsive and Combined. Here are the red flags: Inattentive: •Easily distracted by noises and activities around them, i.e. looking around frequently and sporadically •Often found to be 'daydreaming' •Difficulties with staying focused on one task or activity

EXCEL L CE N

Individual / Family / Couples Counseling Parenting Assistance & Support In-home Interventions School Observations & Interventions Psychiatric Services Speech & Language Therapy Psychoeducational Assessments Neuropsychological Assessments We are able to work with most insurance companies.

For a FREE, confidential consultation contact Pauline VanderGrinten at pauline@mentalhealthci.com

1(345) 769 4673 Grand Harbour Shops, Units 1-8 www.hopecayman.com | office@hopecayman.com

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•Odd movements or posturing of body, arms, hands or fingers (such as hand flapping, rocking etc.)

Cayman Parent Magazine | Health

•Difficulties with remembering instructions •Difficulties paying attention to detail •Difficulties with organising belongings and tasks Hyperactive-impulsivity: •Always engaging in movement •Fidgeting when asked to sit still •Difficulties with remaining seated •Often stands instead of sitting at a table •Often touching objects •Excessive talking, often during inappropriate times •Difficulties with taking turns •Difficulties with standing in line

•Language-Based Learning Disabilities (these typically involve learning disabilities that affect a child’s ability to develop reading, writing and spelling skills) •Selective Mutism •Cognitive Deficits (where cognitive challenges affect language acquisition and development) •Executive Functioning Deficits (where metalinguistic skills such as organisation, attention and self-regulation are delayed)

Combined: •Characteristics from both the Inattentive type and Hyperactive Impulsivity type are observed ADHD is usually diagnosed by a psychologist, but treatment of the disorder may include the guidance and care of a psychiatrist. Diet, environmental changes, therapy and medication are all methods used to treat ADHD. Families usually work closely with their child’s paediatrician to monitor a child’s response to treatment methods.

HEALTH

•Impulsive behaviour or decisions

Many parents are cautious and scared about having their child ‘labelled’ or classified as having a delay or disorder. The fear that a child with different learning needs will be ostracised by their schools, educators, peers and by society in general is a very real one that many parents struggle with on a daily basis. However, in most cases, having a diagnosis is beneficial to the child and entitles them to a myriad of services, classroom support and educational accommodations which, ultimately, will help them succeed. Inclusion Cayman is a non-profit independent organisation that supports families across the Cayman Islands to promote and defend the rights and interests of people with learning difficulties. They work with schools, educators, families, providers and policy makers to further the inclusion of individuals in all aspects of the community. Visit www.inclusioncayman.ky.

Learning Disabilities Learning disabilities are neurologically-based processing difficulties which interfere with the development of executive functioning skills and impact the ability to learn basic skills such as reading, maths and writing. Children with a learning disability typically have difficulties with learning new tasks, remembering and recalling key pieces of information, answering questions appropriately, telling time, and often mix up the order of information (for e.g. mixing up letters during spelling or mixing up a story's plot). These disorders can include: auditory processing disorders, dyspraxia, dyslexia, dysgraphia, dyscalculia, non-verbal learning disorders, visual motor/visual processing disorders. Communication (Language) Disorders The American Speech Hearing Association describes a language disorder as when a person has difficulties understanding others (i.e. receptive language), or sharing thoughts, ideas and feelings completely (i.e. expressive language) or a combination of the two. Typically, children with language disorders have difficulties with expressing themselves clearly and fluently. Many types of communication disorders fall under the diagnosis of a 'Language Disorder' including: •Preschool Language Deficits (typically this is seen as a language delay, which is the result of atypical language acquisition)

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HEALTH HEALTH

Q&A Dr Ulrich Ecke

Dr Melissa Mascaro

Why did you choose your field of speciality? Before starting my studies, I completed nursing training in an ENT Department of a University Hospital. I was very impressed by the diversity of the subject area and the representation of all ages of patients.

Why did you choose your field of speciality? As a Division 1 gymnast, I had not only endured injuries myself but also witnessed teammates who suffered from the same. Many careers were cut short by physicians who were not experienced in the specialised care of athletes. My goal is to keep my patients healthy enough to stay active.

What challenges you have you faced during the last year with the Covid-19 pandemic? ENT specialists work very close to the patient, examining the ear, nose and throat, either with a microscope, endoscope or often the naked eye. Direct contact with the patient is important and necessary for the correct diagnosis. We had to rework our hygiene concept in order to provide best possible protection of our patients and staff. What would you say to a child interested in becoming a doctor? It is a journey that never ends. Becoming a doctor is not a profession, it is a vocation. It demands full commitment, but is very rewarding. Taking care of patients always has an impact on their lives. If you are not afraid of taking that responsibility then becoming a doctor might just be the right thing for you. What’s the most common issue you encounter at your clinic in children? The most common issue we encounter in our office are children with recurrent respiratory difficulties, either due to allergies or enlarged adenoid vegetations. The latter involves a blocked nasal breathing passageway and often middle ear effusion. A middle ear effusion can be quite influential on a child’s speech and intellectual development due to the impact on their hearing.

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What inspired you to become a doctor? During my junior high school years I was fortunate enough to shadow different physicians in a career programme developed to expose students to medical specialties. Which other doctor or medical professional on Island would you recommend for a ‘Golden Stethoscope Award’ and why? Dr Virginia Hobday is the first that comes to mind. Compassionate, caring, and an altruistic physician. What would you say to a child interested in becoming a doctor? I would offer to let them come and spend time in the office with me to see what they are signing up for. Having that opportunity to shadow at an early age can spark a child's interest and gives them a chance to ask questions. What is the most common sports injury you see? I would have to say it depends on the season. Pre-season there are lots of overuse and tendon issues but I would say shoulders, knees and hips are the most common complaints that come through my office year round.

Which actor would you choose to play you in a film about your life? I don’t think my life is worth a film, but it would have to be Tim Robbins.

How can kids reduce their chances of getting injured when playing sports? Kids need proper nutrition, hydration and sleep before practice or games. Active rest is important to let the body heal. A gradual increase in training is key to long term success.

Dr Ulrich Ecke, from Germany, is an MD, ENT, Head and Neck, Otolaryngology at ENT in Cayman Ltd.

Dr Melissa Mascaro, from the USA, is a Primary Care Sport Medicine Physician at Cayman Clinic and NovoClinic Ltd.

Cayman's Dedicated Doctors

Dr Laurence van Hanswijck de Jonge

Pauline VanderGrinten

Why did you choose your field of speciality? I was always interested in biology and medicine. We moved countries a lot due to my dad’s job. This exposed me to many cultures and a spectrum of people, sparking my interest in the human mind. I was lucky enough to be living in the Netherlands when a brand-new study opened up called Biological Psychology. The perfect blend between medicine and psychology, which lead me to neuropsychology.

Who inspired you to work in mental health? My grandmother was my inspiration, she was a giving and empathetic person who taught me to see the positives in everyone and the importance of helping others in need and giving back to your community.

If you had to write a biography who would it be dedicated to? My husband. He has been my rock and supported me through my whole journey. What would you like to improve the lives of kids with SEN in Cayman? I feel that there could be more support for these kids. Additionally, I think more education and support for educators is needed. Early intervention is key. Do you believe in an integrated classroom setting and if so, why? Yes and no. I think it is case dependent. I think it is a great way of working with kids so that they feel integrated in the classroom and not singled out. However, for some children this doesn’t work. Some are highly distractable and can absorb more if they are in a quiet room. Would you like your own children to work in the same field? It is quite sweet, a few children I have seen over the years have gone into the field of Psychology. It warms my heart. Being able to help another human being to me is humbling. I would be so proud if my children were to follow suit.

Dr Laurence van Hanswijck de Jonge, from the Netherlands, is a Clinical Psychologist at KidsAbility.

HEALTH

What would you say to a child interested in becoming a psychologist? Go for it! However, know that it is a long study, and you don’t just finish at a Bachelor's. Also know that as humbling and fulfilling as it is, you need to first learn how to take care of yourself and to ask for help before you can help others.

What is your greatest achievement to date? Professionally, my greatest achievement to date is becoming an expert in treatment for OCD/Anxiety Spectrum Disorders and bringing this knowledge to Cayman. Personally, my greatest achievement is overcoming my own trauma and dealing with my chronic illnesses to keep balance in my life. Which three medical specialists would you like on your team and why? The three medical specialists I would like on my team would be Dr. Aaron Beck, pioneer in Cognitive-Behavioural Therapy. His contributions to mental health therapy changed the way we looked at treatment. Dr. Elisabeth Kubler-Ross, for her ground-breaking work and development with 5 stages of grief and her lifelong study of death and dying. Dr. Bradley Riemann, the Chief Clinical Officer and Clinical Director of the OCD Center and my supervisor at Roger’s Memorial Hospital. He set up one of the few residential and partial hospitalisation programmes specifically for the treatment for OCD and Anxiety spectrum disorders and taught me skills I continue to utilise today. What challenges do you think kids with SEN face in Cayman? The lack of the extra support they require to be successful in their mainstream school education. We now have more therapeutic services than in all the years I have been here in Cayman but there is still a lack of education, understanding and funding.

Pauline VanderGrinten is a licenced Mental Health Counselor and the Clinical Services Director at Hope Academy’s Clinical Services – rated “Excellent” from school inspectors for their therapeutic services in 2021.

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Tooth be Told:

Dental Care for Kids

HEALTH

Developing proper oral hygiene habits early in childhood is crucial in ensuring continued practise into adulthood. This means starting very early, even before your baby’s teeth have emerged.

It is important to be aware that primary tooth enamel is much thinner and less resistant to decay than adult teeth. The key to successful teeth brushing for young children is ensuring that they are accustomed to the experience of having their teeth and gums touched and cleaned as early on as possible.

clean a tooth, it must be brushed not only on the top side (chewing surface) but also the cheek side, tongue side, and in some cases the back side. It is great to let your child brush their own teeth at an early age, but it is paramount that this activity is closely supervised and that the parent goes over their brushing afterwards.

At birth, start by cleaning your child’s gums with a soft cloth and water. This early oral stimulation may help prevent fungal infections such as oral thrush, and also makes acceptance of the toothbrush less of a challenge once the teeth start to erupt.

Proper Tooth Brushing, Frequency & Technique

First Visit to the Dentist

The American Academy of Paediatrics (AAP), the American Dental Association (ADA), and the American Academy of Paediatric Dentistry (AAPD) recommend establishing a 'Dental Home' for your child by one year of age, with follow-up visits every six months. Although the first visit will not likely be much more than a quick examination, it will assist your child in becoming familiar with the process of having their teeth examined and will also allow the dentist to provide some helpful suggestions regarding oral healthcare. These examinations are also essential for early detection and the interception of any problems.

Should My Child Brush His/Her Own Teeth?

Fostering an early independence in oral hygiene is important for your child’s development. Allowing your child to brush their own teeth is crucial. However, until a child is around eight years old, they often will not comprehend that their teeth are threedimensional objects (although they should still be brushing before this age). They may not understand that in order to properly

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Prevention is key; the AAPD recommends using fluoridated toothpaste (ADA approved) as soon as the first teeth erupt. At the first glimpse of primary teeth, switch to a soft-bristled, age-appropriate toothbrush. For two to three year olds, only use a smear of fluoridated toothpaste at first. Gradually, as more baby teeth appear, you can increase the amount of toothpaste until you get to a ‘pea-sized’ drop once all 20 primary teeth are present. Early childhood tooth decay can start suddenly and spread very quickly; dentist visits every six months are therefore essential. Brush your child’s teeth gently, but thoroughly, twice a day. The last brush of the day should be after your child’s last food or drink (other than water) and right before they are put to bed. This will ensure you significantly decrease or eliminate any food particles that cavity-causing bacteria feed on. These bacteria are especially active at night when a child is sleeping and their saliva production is minimal. TOP TIP: Don't let your child share their toothbrush. Toothbrushes can harbour Streptococcus mutans, which is the bacteria responsible for tooth decay.

Flossing

Once your child starts to grow new teeth, their teeth should be flossed at least once a day, preferably before bed. It is important to thoroughly floss the teeth at any point where the teeth are touching each other — the toothbrush cannot adequately clean these areas which leaves them particularly susceptible to decay. There are devices such as ‘floss wands’ for kids that make this task easier and more of a fun activity for children.

Breast Feeding & Bottle Use

TOP TIP: Not all toothpastes in Cayman contain fluoride, so this is something you should check either yourself or with your dentist. Toothpastes containing 1,000 or 1,500ppm of fluoride are most effective for children over three years old. Children under three should brush twice daily with a smear of toothpaste containing at least 1,000ppm fluoride.

Here are a few tips to get your toddler to brush their teeth: 1. Add a fun song to it! Make up your own teeth-brushing song, or have your kids listen to a ‘Brush Your Teeth’ song! YouTube has great options: one of the best is Sesame Street’s ‘Brushy Brush’ song, which is fun and features other kids brushing their teeth to inspire your own. 2. Model the behaviour you want to see. Lead by example and let your toddlers see you brushing your teeth. More than likely, your child will want to imitate their parents’ behaviour. 3. Give praise for teeth brushing. Create your own reward chart and add a star, tally or sticker every time your child brushes their teeth on schedule. Let them work towards a goal, e.g. one whole week of brushing morning and night gives your child more time to play outside on the weekend.

HEALTH

The most common and serious cause of Early Childhood Caries (ECC) is frequent and long exposures of an infant’s teeth to liquids that contain sugars, both natural and artificial. Among these liquids are milk (including breast milk), formula, fruit juice, and other sweetened drinks. Putting a baby to bed for a nap or at night with a bottle other than water can cause serious and rapid tooth decay. These liquids pool around the teeth and feed the bacteria in the mouth, which in turn produce acids that attack tooth enamel. This type of destructive tooth decay is also known as Nursing Bottle Caries or Baby Bottle Tooth Decay.

The Toddler TeethBrushing Battle

4. Tell them a story or a myth! Just like the Tooth Fairy or Santa Claus, certain stories can motivate your kids to achieve their goals. You could tell them a story about their furry friends living in their teeth, and you need to brush to help them escape!

Excellent Care For The Whole Family

• General restorative cosmetic dentistry • Dental implant and bridgework • Crowns and veneers • Evaluation and treatment of gum diseases and root canals • Pediatric dental care • Wisdom tooth removal/nitrous sedation • Safe sedation option with state-of-the-art monitoring for children and adults • Invisalign treatment • Botox treatment • Most insurance plans accepted Dr. Wilbert Veit DMD FACD, FAES, FICOI Dr. Adam Stang D.D.S wolfedental.ky | info@wolfedental.ky | 135 Andrew Drive, Snug Harbour

(345) 945-4388

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Health Insurance for Kids

HEALTH

Health insurance for your children is absolutely essential, not only from a safety perspective, but also because it’s the law. Although decades ago medical care for children was free at the Cayman Islands Hospital in George Town, this is no longer the case. Cayman has adopted third-party American-style health insurance instead of socialised medicine. Cayman laws mandate that every citizen, including children, must have at least a Standard Health Insurance Contract (SHIC). There are a few instances when Public Health may cover some, or all, medical costs. These include Cayman-required immunisations not covered by insurance (if obtained at the Cayman Islands Health Services Authority), financial assistance with pre-natal expenses for some Caymanian women if their insurance benefits have been exhausted (this does not include delivery costs), and treatment of tuberculosis and HIV/AIDS.

Insuring Children There are no insurers in Cayman that

offer child-only individual policies for under 18s, so children must be added to a parent’s plan. Any parent working in Cayman should have health coverage offered by their employer, and the employer is required to extend coverage options to any legallyresident dependants. This extension applies to spouses and their children, step-children or adopted children living in Cayman (even if they are attending school overseas). Employers do not have to pay towards the children’s premiums, although some do contribute. Health insurance for family members can be a large expense in the budget, so be sure to discuss as part of your employment package. Unemployed parents must insure their children via their own individual policy. Please note that information on insuring for pregnancy and birth, and on insuring newborns, can be found on page 206.

Mum’s Plan or Dad’s Plan? If you and your spouse (or other parent) are on different health plans, you should choose to add your child to one or the other plan, or apply for both parents’ plans. When deciding which plan to go with, you should consider: •What are the benefits of each person’s plan? •Which parent is likely to stay in their job longer? Although it is possible to change plans, it can be time-consuming and things like deductible credits may be lost. •What are the monthly premiums and how much does each employer contribute towards the dependant’s coverage? •Ask your employer about renewal dates (the rates you are quoted today may change at renewal time, so the best deal right now may not be the best deal in a few months’ time). •When calculating the costs of insuring children, remember to take into account the variance in pay periods: if you are paid 142

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every two weeks, will you be looking at deductions on every pay check, including the months when you receive three?

Both Plans? Whilst the law requires a minimum coverage

it does not block additional coverage, so in some cases it is possible to put a child on two plans. However, if both parents have the same insurer, double enrolment is not an option. In double coverage, the benefits should be coordinated between the two plans: the primary plan should pay first, and eligible differences can be submitted for coverage by the second. In Cayman, the father’s plan is usually considered the primary plan in cases of coordinating benefits (COB). It is important to consider, however, whether the potential benefits warrant paying the additional premiums. A possible instance when double-coverage could be beneficial is if a baby is ill or premature, and one plan’s benefits will not suffice.

Insurance for School & College Age Children

Whilst they are dependants, children are to be insured on their parents’ plan, but once they marry or begin regular work (not counting holiday jobs), they are usually no longer considered dependants eligible for the parents' plans and should go on their spouse's or own employer’s plan (even if under age 18). In the event that the child loses his or her job, returns to school or becomes financially dependent again, it is possible to apply to add them back on to their parents' plan. Young adults between the ages of 18-19 years old (depending on the insurer) and age 30, who are in school or college and/ or otherwise financially dependent on their parent, may remain on their parents' plan as an ‘overage dependant’. However, in order to cover an overage dependent, proof that they are studying or financially dependent must be provided on a regular basis — often as frequently as every six months. It is therefore the parents' responsibility to maintain valid proof at all times. Parents need to know and follow their insurer’s requirements in this important matter. Failure to provide such proof – even when premiums are paid – may result in claims not being paid, and the insurer being unable to verify coverage in emergency situations.

Children & Travel Parents whose children travel either on

school trips or to study overseas should make sure their insurance plan covers them wherever they may be. If studying overseas, it is not necessarily a good idea to drop their Cayman plan in favour of an overseas or college plan, especially if the college plan does not cover them during vacations or whilst in Cayman.

Similarly, children studying in Cayman may travel to other countries for sports or school trips. In such cases it is important to find out what coverage their plan provides abroad. Many of the basic

plans have minimal or no emergency benefits, and require Cayman referrals signed by two doctors or the Chief Medical Officer in order to receive major care overseas. Parents may therefore need to purchase additional medical travel insurance for the periods when their children make trips overseas. Travel agents will often carry such policies. Many overseas plans require pre-approval, so it is a good idea to provide the child or his/her caregiver with guidance on how to use the plan overseas. Your child will also need their ID card.

Changing Plans It is possible to change plans, and ‘portability protection’ means that if you or your child have been covered months or more with less than a three month break in coverage on a Cayman-based compliant plan, the next Cayman insurer cannot refuse your entry nor add new restrictions onto your enrolment for a similar level of plan. The insurers may rate the premiums higher for the risks presented, and can deny claims for conditions not disclosed on the application. If you downgrade your family’s plan to save money, you will

What Can You Afford? The wisest course of action is to

choose the highest coverage you can afford, as even the most mundane of procedures quickly climb in costs. If, however, you opt for less coverage in order to save on monthly costs, consider putting some of those savings aside for an ‘emergency fund’ which you can dip into if and when it is needed.

As per the Health Insurance Law, if you are Caymanian and cannot afford the premiums to cover your child, you may apply for medical coverage for your children through the Needs Assessment Unit (NAU), which is part of the Community Affairs Youth & Sports Ministry. Applications and relevant documentation should be submitted before a medical emergency arises. It is also worth noting that the Government allows Caymanians (but not expatriates) to sign IOUs or put their property up for collateral for urgent medical care not covered by their insurance. This lien will remain on the property until the medical debt is repaid.

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HEALTH

If a parent has children living overseas who come to visit them in Cayman, they too should ensure that the child(ren) have a home policy including overseas benefits, or a travel policy, to cover them in Cayman. The Major Medical Benefits (MMB) are the most important part of the coverage to review.

only be portable to the new level of plan if you change jobs or plans later. If you move your child from your local coverage and onto an overseas plan, your child will lose portability due to the break in coverage. Importantly, portability still requires, as always, the applicant to fully answer all questions accurately. Typically there will be more questions on forms for higher coverage plans — allow yourself time to complete these carefully. Pre-existing conditions not declared may have related claims denied in full, without even SHIC benefits available. This can be avoided by being thorough and truthful.

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Getting Immunisations Right

HEALTH

Vaccines are an integral part of any child's routine health care. As Cayman's population hails from all over the world, besides following the Cayman Islands Immunisation schedule, schedules from other home countries are also adhered to and followed. Although Covid-19 has brought many changes and prevented most residents from travelling, health professions advise against putting off or delaying vaccinating children. The Cayman Islands has one of the lowest incidences of vaccine-preventable diseases in the world, and diseases such as polio have been fully eradicated. While immunisations are not mandated by law in the Cayman Islands, they are highly recommended by the Public Health Department, who has oversight for monitoring and administering immunisations in the country. According to UNICEF, vaccine-preventable diseases are one of the major causes of illness and long-term disabilities among children in both industrialised and developing countries. The prevention of paralytic polio in hundreds of thousands of children worldwide since the beginning of the Global Polio Eradication Initiative is just one example of the effectiveness of vaccines.

AGE VACCINE Hepatitis B

At Birth

6 weeks

Hep B

Bacillus Calmette-Guerin (BCG) for tuberculosis (TB)

2 months

Immunisations are one of the most effective ways of protecting your child's health from the very beginning of their lives. Protecting your baby from over 16 serious diseases with the help of vaccines is a powerful defence that is tested, safe and effective. Additionally, as of June 2021, children from ages 12 and up can now receive the Pfizer-BioNTech vaccine for protection from Covid-19.

4 months

There are cases when Public Health officials have recommended deferring a vaccination due to medical reasons or if a child is experiencing ill health. You may contact the Public Health Department (Tel: (345) 244 2648), who provide routine vaccinations to children free of cost, or speak to a paediatrician if you have any questions about vaccinating your children — prices often vary between clinics for the same

6 months

DTaP

Inactivated Poliovirus

IPV

Haemophilus Influenzae Type b

Hib

PCV

Influenza - Yearly (2 doses for some)

15 months

3-6 years

11-12 years (girls)

14-16 years

Hep B

DTaP

Pneumococcal Conjugate Vaccine

12 months

BCG

Diphtheria, Tetanus, acellular Pertussis

Rotavirus

9 months

RV PCV

DTaP DTaP Booster Booster 1 2 (4 yrs) IPV (4 yrs)

Td/ Tdap

Hib

PCV

6 months & older

Measles, Mumps & Rubella (MMR)a

MMR

Varicellab (Chickenpox)

Varicella

18mths. MMR Varicella (4yrs) 2-dose ≥15 years series 3-dose series

Human Papillomavirusc (HPV4) • Rotavirus Vaccine is given orally (by mouth). All other vaccines are given by injection. • DTaP, IPV and HIB Vaccines are given in one injection. Booster 2 minimum age 4 years. • a - MMR Vaccine - Minimum age for 1st dose: 12 months, the 2nd dose may be administered before age 2 provided at least 4 weeks have elapsed since the first dose. • b - Varicella Vaccine - Minimum age for 1st dose: 12 months, the 2nd dose may be administered before age 3 provided at least 3 months have elapsed since the first dose. • c - HPV Vaccine - Females under 15 years: 2 dose schedule with 6 months interval between doses. Females 15 years and older: 3 dose Schedule: 0; 2 months and 6 months after first dose.

For more information, please call (345) 244-2648

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immunisation. See page 149 for a list of paediatricians.

Vaccine 101

Hepatitis B (HEP B): Hep B is an infectious disease, spread by exposure to infectious blood or body fluid. It affects the liver and can cause acute and chronic infections. Many people have no symptoms at first, but later symptoms include vomiting, yellowish skin, tiredness, dark urine and abdominal pain.

Tuberculosis (BCG): Tuberculosis is a bacterial infection which generally affects the lungs. It is contagious and spreads from one person to another through the air. Symptoms include chronic cough, difficulty in breathing, fever and weight loss, amongst others.

HEALTH

Diphtheria (DTaP): Diphtheria is a bacterial disease that spreads easily and occurs very quickly. It mainly affects the upper respiratory system, including the nose and throat. Symptoms include sore throat, fever, swollen lymph nodes and general weakness. Tetanus (DTaP): Often called Lockjaw, Tetanus is a bacterial infection that causes painful muscle spasms and can lead to death. Symptoms include painful muscle contractions, difficulty in breathing and intermittent muscle spasms. Pertussis (Whooping Cough) (DTAP): Whooping cough is a highly contagious bacterial infection of the lungs and airways which can cause severe breathing problems and even death in small children. Polio (IPV): Polio is a highly contagious disease caused by a virus that attacks the nervous system. Symptoms may range from nonparalytic fever and throat infection, to limb deformity and complete paralysis. Haemophilus Influenzae Type B (HiB): HiB is a bacteria responsible for causing severe infections like Meningitis, Pneumonia and epiglottitis — a life threatening problem which causes swelling in the throat. Depending on the type of infection, symptoms may include headache, stiff neck, cough, breathing problems, fever and muscle pain. Rotavirus (RV): Rotavirus is a very contagious disease that most commonly affects infants, young children and those who work or live with children. Symptoms include severe diarrhoea, vomiting, fever and abdominal pain. Human Papilloma-Virus (HPV): HPV is the most common sexually transmitted infection. Highrisk strains can lead to cervical cancer and mouth and throat cancers. A symptom of HPV is genital warts; however, most people with HPV don’t show signs of infection.

Immunisation Top

Facts

•The Cayman Islands follows immunisation standards set by the World Health Organisation (WHO). •The last case of Polio in Cayman was in 1957. The last case in the Caribbean was recorded in 1982. The last case of Measles in Cayman was in 1990. The last case of Rubella was in 1996. •DTaP and HPV vaccines are often administered to children by school nurses at schools in Cayman, but only when written consent from a parent has been received. The Cayman Islands Public Health Department administers immunisations for free (or a parent may take their child to a private physician). •If a parent chooses not to immunise their child, they must sign a legal document accepting full responsibility if their child contracts a vaccinepreventable disease. Schools in Cayman will request to see your child's immunisation record and a health screening report prior to enrolment.

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Looking After Your Child's Eyesight

HEALTH

80% of what we perceive from our surroundings comes from our sense of sight. With proper preventative care, parents can help their children preserve their sight for years to come, and experience the world around them to the fullest!

Common Eye Problems

Some of the more common eye problems that present in children include: 1) Amblyopia: Also known as ‘lazy eye’, this is a vision disorder that can be caused by poor alignment of the eyes. Over time the brain fails to process inputs from the affected eye, favouring the other. If left untreated images from the affected eye will be blocked out permanently. Regular eye checks can catch amblyopia at an early stage. 2) Conjunctivitis: More commonly referred to as ‘pink eye’, conjunctivitis is a highly contagious (although rarely serious) inflammation of the thin clear tissue that lies over the white part of the eye. This inflammation causes a redness, or ‘pinkness’ of the white of the eye and is usually accompanied by a thick, yellow discharge, indicating an infection. Visit your GP if you suspect your child has pink eye. 3) Styes: Styes occur when an oil gland on the edge of the eyelid becomes blocked. While generally treatable with over-the-counter methods, styes can become very painful and swollen. Call your GP if your child’s stye is not responding to treatment. 4) Blocked Tear Duct: Most common in children under the age of one, a blocked tear duct occurs when the membrane inside the lower end of the duct is slow to open. Usually, a blocked tear duct will eventually correct itself, however your 146

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child’s doctor will be able to suggest treatment in the meantime, including gently massaging the inner corner of the eye.

Four Tips for Eye Health

Here are some proactive ways parents can help maintain their child’s eye health:

1) Regular Eye Examinations: Think of eye examinations as ‘preventative maintenance’ and the first line of defence for good eye health. Your child will have an eye exam as part of their paediatric check at birth, six weeks old, three years old, six years old, and then every two years after that. Their eye health and development will be tested each time and their doctor will be able to flag any potential issues. 2) Balanced Diet: A healthy diet lays the foundation for good eye health. Zinc, lutein, omega-3 fatty acids and vitamins A, C and E can help prevent infections, reduce any future risk of eye diseases, and even fight night blindness. Include lots of fruits, leafy greens, and good fats in your child’s diet. 3) Protect Eyes from the Sun: This is particularly important in Cayman’s sunny climate! Excessive UV exposure has been linked to cataracts, retinal damage and even eye cancer. Children are more at risk of vision damage as their eyes are still developing. Always ensure that your child is wearing sunglasses that block 99%-100% of UV light to ensure maximum protection.

4) Limit Screen Time: As children spend increasing amounts of time online, protecting young eyes from overexertion has never been more important. Implement the 20-20-20 rule: every 20 minutes children should look away from the screen at something 20 feet away for at least 20 seconds – this will help with eyestrain.

Watch for Warning Signs

Keep an eye out for the following symptoms, which could suggest your child is struggling with a vision problem. As always, if you suspect there is an issue, speak to your child’s GP. Rubbing their eyes frequently Squinting when reading or focusing on something Light sensitivity Poor hand-eye coordination Excessive tiredness

For a list of eye specialists in Cayman, see page 162. Family History: As with any physical trait, eye health (and eye weaknesses!) can be passed down from parents to children. If you and your partner are nearsighted, farsighted or have an astigmatism, there’s a chance your child will present with the same eye issues too. Speak to your GP about any specific concerns you have about your family history with eye health.

Our House Brands Oliver Peoples SALT Optics MYKITA FACE a FACE Ørgreen Maui Jim ProDesign William Morris London

Design Innovation Technology Eyewear for all the family (345) 949-EYES (3937) (345) 325-7945 info@optique.ky www.optique.ky 8 Queens Court Plaza, West Bay Road, George Town

Peep These Insightful

Eye Facts

•Your eyes actually stay the same size your entire life, (7.5 grams in weight), but your nose and ears never stop growing. •Your eyes see everything upside down — it's your brain that flips it the right way up! •The phrase ''a blink of an eye'' was coined because your eyes are the fastest-moving muscles in the body. •Aside from providing a cleaning function, scientists and doctors still cannot explain why we cry when we are sad.

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- - - - -

•We have two eyeballs for depth perception: so that we can compare two images and determine how far away something is. •Your iris has over 250 unique characteristics, rendering it far more reliable when identifying you than your fingerprints.

Specialist Ophthalmologist

Dr. Eugene Foley F.R C.S D.O General Ophthalmology Eye Surgery | Lasers Full Diabetic Eye Care | Glaucoma Children Assessments All Eye Emergencies

107 Claudhill Road, off Smith Rd. (formerly Melrose Lane) George Town Tel: 946 4944 Fax: 945 1597 Emergency: 916 6264

Most Insurance Accepted on Assignment

www.caymanparent.com

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Health

Book Club

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Best for Parents

Best for Children A science-driven guide that teaches you to protect your mind as you age, debunking common myths about cognitive decline and ‘super-brained’ people. From neurosurgeon Sanjay Gupta, learn about measures you should be taking at any age to keep your brain in tip-top shape.

An educational rhyming book teaching kids the importance of eating fruits and vegetables. Expect fun rhymes, beautiful illustrations and lots of fun teaching your kids about nutrition in a playful way. For kids ages 9-12.

An inspiring, confrontational review of the mental challenges facing children and adults today. Stafford teaches parents to guide their kids to become compassionate, capable young adults. Read moving stories and illustrated narratives about the journey to becoming a trusting adult for youngsters.

A handy guide perfect for kids who are struggling socially to be confident in themselves, in school and with friends. This book helps kids recognise their strengths so that they can learn to be confident, make friends, and feel happier. For kids ages 9-12.

A discussion of what Dr. Borba names ‘the Selfie Syndrome’, explaining how parents and educators can fight the ‘empathy crises’ in children and teens. UnSelfie gives a revolutionary nine-step plan to shift your kid’s focus from ‘I’ and ‘Me’, to ‘We’ and ‘Us’, to change the selfish to the selfless.

A brilliant educational resource that teaches kids about emotions and feelings. This book helps kids expand their vocabulary to express their positive or negative emotions verbally, rather than through tantrums or physical movement. For kids ages 3-9.

Best Digital for Parents The Big Little Choices Podcast prioritises nonjudgement of mothers, with each episode featuring a mother’s unique story and struggle in a stressful situation and how it was resolved. Free, available on Apple Podcasts.

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Best Digital for Children Dreamy Kid is an interactive meditation and wellness app for kids and teens. The app uses guided visuals and techniques to teach children about using mindfulness to be happy in life. Free, available on iOS and Android device apps.

Listings

the

Paediatricians, Family Doctors, Dentists, Insurance, Support Services

Dr. Cecily Abraham MBBS DCH DM Unit 7, Alexander Place, Dorcy Drive. Tel: (345) 945 7050.

Dr. Ulrich Ecke MD ENT ENT in Cayman, Units 4 and 5 Pasadora Place, Smith Road, George Town. Tel: (345) 745 3253 Email: info@entincayman.com Web: www. entincayman.com.

Dr. Zanele Balang MBBS DM Doctors Hospital, 19 Middle Road. Tel: (345) 949 6066 Email: zanele.balang@ doctorshospitalcayman.com.

Dr. Fionnuala Keane MBChB DCH DRCOG PGDipENT ENT in Cayman, Units 4 and 5 Pasadora Place, Smith Road, George Town. Tel: (345) 745 3253 Email: info@entincayman.com Web: www. entincayman.com

Dr. Binoy Chattuparambil, Chief Cardiac Surgeon, Chief Cardiac Doctor/Senior Cardiothoracic & Vascular Surgeon Health City Cayman Islands, 1283 Sea View Road, East End. Tel: (345) 640 4040 Emergencies: (345) 526 2108 Email: info@healthcitycaymanislands. com Web: www.healthcitycaymanislands.com.

Niamh Kilcoyne Audiologist MSc Centre for Vertigo & Balance Disorders, ENT in Cayman, Unit 37 Pasadora Place, Smith Road, George Town. Tel: (345) 745 3253 Email: info@ entincayman.com Web: www.entincayman. com

Dr. Ramon Lacanilao MD FAAP Doctors Hospital, 19 Middle Road. Tel: (345) 949 6066 ext. 6504 Email: ramon.lacanilao@ doctorshospitalcayman.com. Dr. Chela Lamsee-Ebanks MBBS DM 95 Hospital Road, George Town. Tel: (345) 949 8600 Email: chela.lamsee-ebanks@hsa.ky Web: www.hsa.ky.

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Paediatricians

Dr. Segomotso Madisa MBBS DM, Pediatrics (UWI), FAAP The Children’s Clinic and Family Practice, Windward Centre, 93 Smith Road, GT. Tel: (345) 949 2970 Email: drgoffice@candw.ky Web: www.thechildrensclinic.ky Other languages: French and Setswana.

The Children’s Clinic & Family Practice Dr. Gordon Smith, MB ChB MRCP (UK) MRCGP DRCOG Dr. Segomotso Madisa, MBBS MD (UWI)

The Children’s Clinic & Family Practice is dedicated to providing high quality preventive and acute care for infants, children and adults. They provide neonatal newborn services, well baby check-ups, immunisations, sick child visits and much more. Consultations are by appointment, but walk-in emergencies are also catered for. Dr. Smith and Dr. Madisa are very experienced, well-trained, and available 24/7 to look after your newborn. Their physicians attend routine deliveries and high risk deliveries at the George Town Hospital and provide NICU services when necessary.

The Children's Clinic

Highlights:

Wellness exams • Baby check ups • Attending deliveries • Urgent care • Orientation classes • Neonatal & newborn care • Postnatal care & lactation consultants • Immunisations • Sick visits • Hospital care • Paediatrics

Details:

Open: Monday-Friday 8.30am-5pm. Saturday 9am-12pm Languages: English, French and Setswana (345) 949 2970 | 93 Smith Road, George Town | drgoffice@candw.ky | www.thechildrensclinic.ky www.caymanparent.com

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Health City Cayman Islands

World class healthcare, within your reach.

Health City Cayman Islands is a medically advanced tertiary hospital located in East End, Grand Cayman providing a comprehensive range of complex clinical care across medical, surgical, emergency, outpatient and diagnostic fields. The hospital is accredited by Joint Commission International (JCI) and has a world class surgical team that utilises evidencebased techniques and cutting-edge medical technology.

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Further serving the needs of the community across Grand Cayman, Health City’s Camana Bay clinic is open seven days and evenings for the convenience of patients and offers a wide range of specialties. The clinic is equipped with electrocardiogram and echocardiogram testing abilities, and can take blood samples for all laboratory investigations for diagnostics. Health City is committed to delivering the best possible care to all people of Cayman including those who live in the Sister Islands. Through its Cayman Brac clinic, it provides much needed accessible specialist healthcare, alleviating the need for patients to travel to Grand Cayman for outpatient follow ups and checkups. In Summer 2022, Health City will open a 70,000 square foot, purpose-built, state of the art hospital at Camana Bay. The $100 million world class hospital will include an advanced cancer care unit offering bone marrow transplantation and the latest cancer treatment technology, a modern neonatal intensive care unit, emergency and critical care, and purpose-designed operating rooms for surgical specialties such as cardiology, neurology and orthopaedics.

Mission

"A solution is not a solution if it is not affordable." Dr. Devi Prasad Shetty, Founder

Highlights:

• Semi & private patient rooms • Three operating theatres • Two hybrid Cath Labs

Services Include:

• • • • • • • • • • • • • • • • • • • • • • • • •

Advanced Critical Care Anaesthesiology Bariatric Surgery Blood Bank Cardiology & Cardiac Surgery Colorectal Surgery Dietary Services Emergency Room and Urgent Care Center Endocrinology Executive Health Checks Gynaecology & Gynaecologic Surgery Gastroenterology & Surgical Gastroenterology Laboratory & Specialised Testing Medical Oncology Medical Imaging and Radiology Neurology & Neurosurgery Spinal Surgery Orthopaedics & Orthopaedic Surgery Paediatric Cardiology Physiotherapy Pulmonology Psychiatry Sleep Lab Thoracic Surgery Urology

(345) 640 4040 | 1283 Sea View Rd, East End | 9 Forum Lane, Camana Bay info@healthcity.ky | www.healthcitycaymanislands.com 150

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Doctors Express

Healthcare for the whole family Doctors Express is healthcare for the whole family. We’re an urgent care facility, which is a new concept for Cayman. An urgent care facility functions just like a walkin GP clinic, except we have upgraded equipment like in-house X-rays and labs that most GPs don’t provide.

No Appointments Necessary: Just walk in and get the care you need.

Hours of Operation: We’re open 7 days a week from 9am-9pm, including most public holidays. So, if you don’t have a GP on-Island or if you can’t get in to see your usual GP, we have you covered.

Other Services: We’re also a one-stop-shop for work permit medicals. You can come to Doctors Express and have your X-ray, bloodwork and medical exam done under one roof – usually in less than 45 minutes! We know your time is just as valuable as our doctors’, so our goal is to get you in and out in under an hour.

Highlights:

• Open 7 days a week, 9am9pm (including most public holidays) • On site lab • On site X-ray & pharmacy • GP and ER consultant physicians

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Doctors Express cares for your whole family’s healthcare needs. Everything from minor ailments like cough, colds, fever and flu all the way up to very severe illnesses and injuries like bad burns, fractures and cuts that need stitches. With in-house X-ray and lab, Doctors Express can care for these urgent issues that might otherwise send you to the emergency room.

Services Include: • • • • • • • • • • • • • • • • • • • • •

Walk-in (no appointments needed) Urgent care GP services Prescription refills Allergies Cold/flu/fever symptoms Urinary tract infections Fractures & sprains Lacerations Burns Back pain Women’s health School physicals Work permit & immigration medicals Wellness exams Pre-employment physicals Drug testing Imaging & radiology Laboratory services Pharmacy Medical cannabis consultations

Mission "One-stop premium healthcare. We're your doctors 7 days a week. Open 9am-9pm."

(345) 745 6000 | 81 Godfrey Nixon Way | info@doctorsexpress.ky | www.doctorsexpress.ky www.caymanparent.com

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Dr. Jasmina Marinova MRCPCH, MD Integra Healthcare, The Grand Pavilion, 802 West Bay Road. Tel: (345) 745 7450 Email: jasmina.marinova@integra.ky Web: www. integra.ky. Dr. Marilyn McIntyre MBChB DRCOG FRCM 95 Hospital Road, George Town. Tel: (345) 949 8600 Email: marilyn.mcintrye@hsa.ky Web: www.hsa.ky.

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Dr. Aritra Mukherji MD FNB, Consultant Interventional Pediatric Cardiologist Health City Cayman Islands, 1283 Sea View Road, East End. Tel: (345) 640 4040 Emergencies: (345) 526 2108 Email: info@healthcity.ky Web: www. healthcitycaymanislands.com. Dr. Sarah Newton MBChB, FRACP (paeds) FRCPCH, DCH Integra Healthcare, The Grand Pavilion, 802 West Bay Road. Tel: (345) 745 7450 Email: sara. watkin@integra.ky Web: www.integra.ky. Dr. Earl Robinson MD FAAP 95 Hospital Road, George Town. Tel: (345) 949 8600 Email: earl.robinson@hsa.ky Dr. Gordon Smith MB ChB MRCP (UK) MRCGP DRCOG The Children’s Clinic & Family Practice, Windward Centre, 93 Smith Road, GT. Tel: (345) 949 2970 Email: drgoffice@candw.ky Web: www. thechildrensclinic.ky Dr. Linden Swan MBBS, DM 95 Hospital Road, George Town. Tel: (345) 949

8600 Email: linden.swan@hsa.ky Web: www. hsa.ky. Dr. Sara Watkin MBChB, MRCP (paeds) FRCPCH, MD Integra Healthcare, The Grand Pavilion, 802 West Bay Road. Tel: (345) 745 7450 Email: sara. watkin@integra.ky Web: www.integra.ky.

General & Family Doctors Dr. Alvaro Armiñán MD Celimar Central Clinic, Governors Square, 23 Lime Tree Avenue, West Bay Road. Tel: (345) 323 6364 Fax: (345) 945 1300 Web: www. celimar.ky. Dr. Dirk Belfonte MBBS MRCP (UK) DCH 43 Walkers Rd, George Town. Tel: (345) 326 5741 Fax: (345) 946 2624. Dr. Philip Buys MB BCh M Prax Med BSc (Hons) (Aerospace Med) DOH Doctors Hospital, 16 Middle Road, George Town. Tel: (345) 949 6066 Email: Philip. buys@doctorshospitalcayman.com or Philip.w.buys@gmail.com Web: www. doctorshospitalcayman.com. Cayman Clinic Medical Centre Dr. Virginia Hobday MBE MBBS MRCGP MPHIL Dr. Heidi Fahy MBBS DRCOG MRCGP Dr. Denise Osterloh MB ChB Dr. Fiona Robertson MBBS DRCOG MRCGP Dr. Melissa Mascaro MD CAQSM Nina Baxa RDMS 439 Crewe Road, George Town. Tel: (345)

949 7400 Email: cayman.clinic@gmail.com Web: www.caymanclinic.ky Other languages: French, Farsi, Tagalog and Afrikaans. Ultrasound, Sports Medicine, Lab Services & Ideal Protein Weight Loss. Cayman Islands Health Services Authority George Town GP Clinic Dr. Gerard Christian MBBS Dr. Ricardo Clarke MD Dr. Obinna Eleweanya MD, ACC Dr. Moses Gallow MBBS Dr. Anna Matthews BSc, MBBS, MPH Dr. Courtney Maylor MD, ACC Dr. Fiona Robertson MBBS, MRCGP Dr. Wilmoth Shillingford MBBS, MRC, ACC Dr. Joy Wallace-Grant MBBS Dr. Orrett Thane MBBS Dr. Glaister Bell MBBS, DM Fam Med. Dr. Eryka Simmons BSc Med Sc, MBBS, MSc CD Dr. Karlo Sedano-Barredo MRCGP Dr. Imilla Sedano-Barredo MRCGP Dr. Ngozi (Grace) Onah-Ezema MD, MPH Dr. Lorna Jackson DM Fam Med. Dr. Paul Williams MD DM Fam Med., ACC 95 Hospital Road, George Town. Tel: (345) 244 7520/7683 Web: www.hsa.ky. Dr. Else Christoffersen MB BCh LRCP & SI MSc Dermatology Cayman Doctors, West Shore Center, 508 West Bay Road. Tel: (345) 943 6363 Dr. Samantha Digby BMBS, DCH, DRCOG, MRCGP The Family Practice, Smith Road Plaza, 60 Smith Road, GT. Tel: (345) 945 6077 Fax: (345) 949 0531.

The Family Practice

FAMILY MEDICINE Dr. Virginia Hobday MBE MBBS MRCGP Dr. Denise Osterloh MB ChB Dr. Fiona Robertson MBBS MRCGP Dr. Heidi Fahy MBBS DRCOG MRCGP

Dr. Samantha Digby,

BMBS DCH DRCOG MRCGP Conveniently located in Smith Road Plaza, just a five minute walk from the Cayman Islands Hospital, Dr. Samantha Digby is a British trained General Practitioner with over 20 years experience. She practises Primary Care with a whole body approach to wellness for all ages.

Highlights:

General Practice • Family Medicine • Women's health including Pap smears and breast examinations • Health screenings • Wellness checks • Insurance physicals • Work permit physicals • Dive medicals • Chronic disease management • Co-ordination of specialist care

Details:

Open: Monday-Friday 8am-5pm Appointments encouraged, walk ins welcome Most local health insurance policies accepted (345) 945 6077 | Smith Road Plaza, 60 Smith Road, GT samdigby@familypractice.ky | www.familypractice.ky

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Mon-Fri: 8am - 5.30pm Sat: 9am -2pm 439 Crewe Rd, GT (345) 949 7400

SPORTS MEDICINE Dr. Melissa MascaroMD CAQSM ULTRASOUND Nina Baxa RDMS IDEAL PROTEIN WEIGHT LOSS

• Healthcare for the whole family, incl. child & adolescent health • Women’s health, pap smears, IUD’s & contraceptive implants • School & Scholarship medicals • Certified Aviation Medical Examiner • Dive medicals/diving related injuries/hyperbaric oxygen therapy consults • Minor injuries/surgical procedures (sutures, steristrips & glue) • Illnesses requiring immediate care, incl. intravenous treatment • Sports injuries, prevention & treatment for overuse • Platelet Rich Plasma (PRP) • Triggerpoint Injections • Lab Services • Walk-ins & Emergencies accepted

WE SPEAK FRENCH/TAGALOG/FARSI/AFRIKAANS WWW. CAYMANCLINIC.KY cayman.clinic@gmail.com

OceanMed - Women's Healthcare Making waves in women’s healthcare

OceanMed - Women's Healthcare is the Cayman Islands’ only women’s healthcare facility providing access to personalised care with advanced screening and diagnostics. Their diverse team of care providers deliver the highest standards of healthcare using the most advanced screening and diagnostic tools available - all at a competitive low cost.

OceanMed is located in central George Town with stunning ocean front views and designed to promote comfort and relaxation. OceanMed is equipped with a patient lounge for women to relax and calm anxieties prior to diagnostic procedures, as well as sensory exam suites with calming visuals, music, and aromatherapy. It is designed to shift the traditional sterile clinic environment to a supportive and serene atmosphere.

All private insurance policies accepted. Please call or email appointments@oceanmed.ky to book an appointment.

• Stunning patient lounge • Calming visuals & aromatherapy • Advanced medical imaging equipment • Located in central George Town

Services Include:

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With individualised care plans tailored to each patient, OceanMed is dedicated to supporting their patients in a compassionate and collaborative environment. Utilising some of the most advanced technologies, their experienced team provides outstanding women's health services, all whilst contributing to diagnostic research and upholding clinical excellence.

Highlights:

• General Gynaecological care • Mammography • Diagnostic procedures • Ultrasounds • Women’s health • Contraception & family planning • Adolescent health • Menopause management • Infertility evaluations & treatment • Cancer screening & testing • Pelvic and uterine prolapse treatment • Elective 3D and 4D obstetrical scans • Automated breast ultrasound and targeted breast ultrasound • Minimally invasive stereotactic breast biopsy • Pregnancy & Postpartum services

Mission

"Our mission is to dedicate ourselves to providing the highest standards of healthcare to all women of our community and beyond."

(345) 946 2326 | info@oceanmed.ky | www.oceanmed.ky | Bayshore Mall, Level 2, South Church Street, GT www.caymanparent.com

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Doctors Hospital

Delivering world-class private healthcare with one focus. You.

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At Doctors Hospital (DH), they are committed to delivering exceptional, private healthcare with one focus in mind – you. They go beyond traditional medicine to bring you tailored, holistic programmes that empower you to take control of your health to live a happier, healthier, and longer life. As the leading private, locally-owned health care provider in the heart of George Town, Grand Cayman, they are guided by evidence-based clinical pathways and the highest international medical standards and practices. They proudly partner with you to help you optimise your health, prevent disease, and slow the biological ageing process.

Coming soon: World-class imaging technology in a state-of-the-art-facility, all on your doorstep. Doctors Hospital's new imaging suite will offer exceptional diagnostic imaging in a facility designed for patient comfort – while giving your healthcare team the tools they need to optimise your health. The Revolution CT by GE A CT scanner that’s second to none – and the first of its kind in the Caribbean.

The SIGNATM Voyager AIRTM Edition MRI This wide bore 1.5T MRI scanner is built with extraordinary clinical potential and diagnostic power with patient comfort in mind.

Mission

"To consistently deliver exceptional, international-standard healthcare and patient-centred experiences that focus on preventing disease and optimising the lifelong health of all our patients through an accomplished team of resident and visiting providers aligned in purpose.”

Highlights:

• A full range of health and wellness services tailored to patients' unique care needs • Specialised medical care supported by industry-forming research and advanced medical technology • Market-leading surgical services, ranging from minimally invasive to traditional surgeries • Dedicated Care Coordinators ensuring patients receive exceptional support and guidance before, during and after their services

Services Include: • • • • • • • • • •

Wellness Women’s Health & Maternity Men’s Health Child & Teen Health Surgical Services Cardiology Oncology Laboratory Services Imaging Services Pharmacy Services

Direct Line: (345) 949 6066, Care Centre: (345) 325 9000 | 16 Middle Road, George Town info@doctorshospitalcayman.com | www.doctorshospitalcayman.com 154

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Cayman Islands Health Services Authority (HSA) Caring People, Quality Service The Cayman Islands can expect world-class healthcare services right here at home with the Cayman Islands Health Services Authority (HSA). The country’s principal healthcare facility offers the most comprehensive range of inpatient, outpatient and public health services through the 124-bed Cayman Islands Hospital, four District Health Centres on Grand Cayman, services at Smith Road Centre, the 18-bed Faith Hospital in Cayman Brac and a satellite outpatient clinic in Little Cayman.

Whether you need a routine wellness check by one of our general practitioners or Family Medicine doctors, or need further testing such as radiology imaging, laboratory services, surgery or emergency services, the HSA offers the highest degree of care, comfort and safety, delivered by a highly skilled, knowledgeable and professional team of physicians, nurses and support staff.

Mission "Our mission is to provide the highest quality healthcare and improve the well-being of people in the Cayman Islands through accessible, sustainable patient-focused services by highlyskilled, empowered and caring staff in collaboration with our partners."

• • • • •

24hr Accident & Emergency Maternity & NICU Online Pharmacy Refills Immunisations Eight Locations

• • • • • • • • •

Paediatrics Obstetrics/Gynecology Women’s Health General Practice & Acute Care Public Health Anesthesiology & Pain Management Cardiology Chiropractic Complimentary & Alternative Medicine (CAM) Dentistry Dermatology Dietary & Nutrition Services Emergency Medical Services ENT & Oral Surgery General Surgery & Internal Medicine Interventional Radiology Laboratory Services & Blood Bank Mental Health & Psychology Nephrology, Dialysis & Urology Neurology Oncology & Hematology Ophthalmology Orthopedics & Sports Medicine Pharmacy Physiotherapy Primary & Critical Health Care Radiology Respiratory Therapy Rheumatology Speech & Occupational Therapy

Services Include:

• • • • • • • • • • • • • • • • • • • • •

HEALTH

The HSA provides patients the highest quality of care with services including pre-natal care, paediatrics, maternity, women’s health, physiotherapy, family medicine, dental, online pharmacy refills and much more.

Highlights:

(345) 949 8600 | 95 Hospital Road, Grand Cayman | info@hsa.ky | www.hsa.ky www.caymanparent.com

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Dr. Louis A. Cona MD The Strand Medical Centre, The Strand Shopping Centre, off West Bay Road. Tel: (345) 945 7077 Email: thestrandmedicalcentre@ candw.ky Web: www.caymandoctor.ky .

General & Family Doctors (cont.)

HEALTH

Doctors Express 81 Godfrey Nixon Way, George Town. Tel: (345) 745 6000 Email: info@doctorsexpress.ky Web: www.doctorsexpress.ky Doctors Hospital Dr. Rina Bernard MD Dr. Sidney Ebanks MBBS Dr. Andrew Robinson MBBS 16 Middle Road, George Town. Tel: (345) 949 6066. Email: rina.bernard@doctorshospitalcayman. com, sidney.ebanks@doctorshospitalcayman.com, or andrew.robinson@doctorshospitalcayman.com. Health City Cayman Islands Dr. Jyoti Jadiyappagoudar, Consultant Pathologist Dr. Vivek Jacob Philip, Consultant Neurologist Dr. Savitr Sastri, Consultant Neurosurgeon Dr. Romnesh de Souza, Consultant Neurologist & Interventional Neurologist Dr. Deepak Varma, Senior Consultant, Gastrointestinal & Bariatric Surgery Dr. Sunil K Mathai, Senior Consultant Gastroenterologist 1283 Sea View Road, East End. Tel: (345) 640 4040 Emergencies: (345) 526 2108 Email: info@healthcity.ky Web: www. healthcitycaymanislands.com. Dr. Dasanapur Girish MD Faith Hospital, 215 Dennis Foster Road, Cayman Brac. Tel: (345) 948 2243 Email: info@hsa.ky. Global Medical Center & Laboratory Unit D3, Countryside Shopping Village, 33 Hirst Road, Savannah. Tel: (345) 943 4500. International Medical Group Dr. John Addleson MB ChB Dip Mid COG International Medical Group, Unit 30, Pasadora Place, Smith Road. Tel: (345) 945 2881. Email: draddleson@intmedicalgroup.com Dr. Victor Look Loy MBBS Unit 4, 2nd Floor, Windward Centre, 93 Smith Road, George Town. Tel: (345) 949 7535. Dr. Joseph Marzouca BSc MBBS Marzouca Medical Clinic, Suite 29, Pasadora Place, Smith Road. Tel: (345) 949 6631 Dr. Michelle Mon Désir BSc MBBS Oasis Medical Group, 101 Centennial Towers, West Bay. Tel: (345) 943 6066 Email: info@ omgcayman.com Web: omgcayman.com. Dr. Ruthlyn Pomares MBBS Premier Medical Care, Unit 14A, Rankin’s Plaza, 21 Eclipse Drive. Tel: (345) 945 2273. Dr. Charles H. Reid MA (Oxford) BM BCh The Brac Clinic, Tibbetts Square, West End, CB. Tel: (345) 948 1777 Email: clinic@bracmed.com. Savannah Medical Clinic Countryside Shopping Village, Savannah. Tel: (345) 749 6066.

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Seven Mile Medical Clinic Dr. Beatriz Esteban Benavides MD Dr. Sook Lee Yin MB ChB BAO Dr. Sarah Cuff, MB ChB MRCGP Dr. Thomas Quin, MB ChB DFSRH MRCGP Queens Court, West Bay Road. Tel: (345) 949 5600 Email: admin@sevenmileclinic.ky. Dr. Gordon Smith MB ChB MRCP (UK) MRCGP DRCOG The Children’s Clinic & Family Practice, 93 Smith Road, GT. Tel: (345) 949 2970 Web: www. thechildrensclinic.ky. Total Health The Grand Pavilion, 802 West Bay Road. Tel: (345) 333 2222 Email: appointments@ totalhealth.ky Web: www.totalhealth.ky. TrinCay Medical Centre Tel: (345) 943 4633 Email: info@trincay.ky. Dr. Kenia Warden MD Suite 27, Pasadora Place, Smith Road. Tel: (345) 945 9260.

Hospitals Cayman Islands Hospital (HSA) 95 Hospital Road, George Town. Tel: (345) 949 8600 Fax: (345) 949 2998 Email: info@hsa.ky Web: www.hsa.ky The Cayman Islands Hospital is a 124-bed hospital, encompassing 139,066sq ft on two storeys, in the heart of George Town. As the principal health care facility in the country it offers a wide range of services including accident and emergency services, ambulance services, a general practice clinic, full maternity services, haemodialysis, a full service outpatient pharmacy, a number of diagnostic and specialist services. Diagnostic services include: mammography, computerised tomography, paediatrics, operating theatres, physiotherapy, a pharmacy, laboratory services, a DNA forensic unit and other facilities that can be expected in a modern healthcare setting. Specialist services include: gynaecology and obstetrics, paediatrics, surgery, physiotherapy, cardiology, internal medicine, dentistry, dermatology, haematology, oncology, urology, nutrition, psychology, gastroenterology, interventional radiology, ophthalmology, orthopaedics, otorhinolaryngology (ear, nose and throat), rheumatology and chronic pain management. Doctors Hospital 16 Middle Road, George Town. Tel: (345) 949 6066 Web: www.doctorshospitalcayman.com An 18 bed, medical/surgical hospital specialising in surgical care. Other services include Family Practice & Primary Care, Urgent Care, Paediatric Services, Maternity Services, Women’s Health, Interventional Cardiology, Oncology, Anaesthesiology, Pain Management and much more. Faith Hospital, Cayman Brac 215 Dennis Foster Road, Cayman Brac. Tel: (345) 948 2243 Fax: (345) 948 2460 Email: info@hsa.ky Web: www.hsa.ky Faith Hospital is an 18-bed facility that

provides primary, secondary and emergency care to the residents and visitors of Cayman Brac and Little Cayman. The facility provides services in the fields of general medicine, surgery, dialysis, anaesthesia, obstetrics and gynaecology. Emergency Medical Services provides pre-hospital care and transport. Specialist physicians from the Cayman Islands Hospital visit regularly to deliver additional services such as paediatric care, orthopaedics, mental health, urology, internal medicine, ophthalmology, dermatology and nutrition. Health City Cayman Islands 1283 Sea View Road, East End, 9 Forum Lane, Camana Bay. Tel: (345) 640 4040 Email: info@healthcity.ky Web: www. healthcitycaymanislands.com Health City Cayman Islands provides affordable compassionate medical services to children in its state-of-the-art medical facility accredited by Joint Commission International (JCI). The hospital offers the highest calibre of care with a team of internationally trained physicians and surgeons. Medical specialties include adult and paediatric cardiology, electrophysiology, neurology, paediatric endocrinology, imaging and radiology, rehabilitation, nutrition counselling and more.

Dieticians Cayman Islands Hospital 95 Hospital Road, George Town. Simone Sheehan RD, Tel: (345) 244 2655 Email: simone.sheehan@hsa.ky Tamara Riley, Tel: (345) 244 2663 Email: tamara.riley@hsa.ky Chad Collins RD Jessica Watterworth RD (Paediatrics Specialty) Cayman Nutrition, 227 Smith Rd, George Town. Tel: (345) 525 2019 or (345) 547 1528. Web: www.caymannutrition.com. Kristen Lomas RD MBA Seven Mile Medical Clinic, Queens Court Plaza, West Bay Road. Tel: (345) 949 5600 Email: admin@sevenmileclinic.ky. Web: www. sevenmileclinic.ky. Brandi Propas MHSC, RD, CCDE International Medical Group, Unit 30, Pasadora Place, Smith Road. Tel: (345) 945 2881. Web: www.intmedicalgroup.net Total Health The Grand Pavilion, 802 West Bay Road. Tel: (345) 333 2222 Email: appointments@ totalhealth.ky Web: www.totalhealth.ky

General Dentistry Cayman Dental Dr. Howard Ironstone BSc Phm DDS FAGD FICD Dr. Thomas Lerikos BSc DDS Dr. Imogen Bexfield BChD Dr. Charlecia Moore, BSc, DDS Dr. Kevin Payton, DDS Dr. Suki Murbay, MSc BDS Dr. Michael Morgan, BSc DDS 18 Forum Lane, Camana Bay. Tel: (345) 945 4447 Email: caymandentalservices@gmail.com Web: www.caymandental.com

CaymanSpine

Redefining the course of spine care. CaymanSpine has helped patients get their life back, treating leg and back pain without spinal fusion. CaymanSpine is the first speciality clinic for motion surgery in spine. Until now, many patients traveled to the United States for complex spine surgery. Advanced, US-based, fellowship-trained spine surgeons now travel to Cayman. Their teams rotate between their US and Cayman practices on a weekly basis, elevating the standard of care through practice synergies and clinical research.

Education: They believe patients should be educated on the continuum of care, starting with the diagnosis through the treatment and rehabilitation. Their clinicians will spend time sharing the scientific data and will work with the patient to determine the best treatment solution for each individual. CaymanSpine is also the home to specialised research-focused, training programmes in motion surgery for spine clinicians.

Mission

“Our practice is committed to conserving the natural motion of the spine by providing treatment options across the continuum of spine care – from conservative care to MIS and total joint replacements.”

Highlights:

• Awarded with Breakthrough Medical Device Designation by the FDA • CaymanSpine collects outcome data on every patient they treat • Every patient is entered into the motion surgery registry • Currently enroling a regulated clinical study on the BalancedBack Total Joint Replacement for the lumbar spine

HEALTH

Additionally, their spine practice offers motion solutions not available in the United States. Their team is united by a practice philosophy that spinal fusion should be the last resort for the vast majority of patients. Instead, they focus on non-invasive interventions, minimally-invasive surgical decompressions, cervical disc replacement, and lumbar total joint replacement. When fusion surgery is required, as in the case of certain deformities, gross instabilities, or traumas, they offer the same advanced orthopaedic and neurosurgical spine expertise and equipment in our Cayman and US practices.

CaymanSpine

Services Include: • Evidence-based, non operative treatment options for management of many spinal conditions • Endoscopic and MIS motionpreserving treatment options to relieve leg and back pain, while increasing mobility • Cervical disc replacement for arm and neck pain • Lumbar total joint replacement for leg and back pain • Deformity correction • Compression fractures and geriatric spine care

NovoClinic Cayman Ltd., BritCay House, 236 Eastern Avenue, George Town | info@caymanspine.com www.caymanspine.com www.caymanparent.com

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The Dental Centre Cayman Dr Stephen Blackledge Dr Keelin Fox Dr Jennifer Mountjoy

The Dental Centre is dedicated to providing state of the art dental treatment utilising the very latest techniques. We provide a dental service for all the family, from routine six monthly check ups and cleaning to the most advanced surgical and restorative dental procedures.

HEALTH

2nd Floor, Fidelity Financial Centre, Seven Mile Beach, Grand Cayman. 345-943-7000 | thedentalcentre1@gmail.com | www.thedentalcentrecayman.com

My IslandName Dentist Business

Dr. Talia Davidson, One Line About BusinessDDS / Tag Line Sooze Rothwell, RDHT Tracey Chateauvert, RDH Peeta Sandhu, RDH

The Business Name xxx

Led by Dr. Talia Davidson DDS, the team at My Island Dentist is comprised of qualified dental hygienists and dental assistants with many years of experience. My Island Dentist is a full service dental practice providing comprehensive and cosmetic general dentistry for patients of all ages. The team at My Island Dentist measures their success not only on the quality of services and care, but also on the quality of the relationships they develop.

Highlights: xxx

Highlights:

Complete dental care for adults and children • Digital X-rays • Cosmetic and restorative dentistry • Full mouth makeovers • Invisalign • Intra oral camera for decay detection • Nitrousoxide sedation • Teeth cleaning • Cosmetic whitening • Root canal treatment • Periodontal cleaning • Extractions • Botox xxx

Details: Details:

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Dr Scott McFarlane leads 7 Dental Group (previously Seven Mile Beach Dental Clinic). 7 Dental boasts a department in every field of Dentistry including, Cosmetic Dentistry, Implants, Orthodontics, Facial Aesthetics, Pediatrics, Oral Surgery, Endodontics and Periodontics. Our specialists are supported by our preventative team looking after your regular check-ups and cleanings, resulting in the whole family being taken care of under one roof.

1 (345) 943 7400 l Marquee Place, Seven Mile Beach l hello@7dental.ky Opening times: Monday - Friday 8am - 6pm

Cayman Islands Health Services Authority Dental Clinic Dr. Naude Dreyer DMD Dr. Lyle Bridgeman DDS Dr. Andrea Campbell-Maitland DDS AEGD Dr. Michael Leon DMD (Cert Endodontics) Dr. Hal Phillips DDS F.A.G.D. Dr. Carolyn Rickleton BDS (UK) Dr David Dewson B.D.S (Edin.) D.G.D.P (U.K) Cert. Ortho. (War.) Dr. Pratish Munasur B.Ch.D - UWC (South Africa) Dr. Lavanya Pernapati BDS, AEGD, GPR 95 Hospital Road, George Town. Tel: (345) 244 2741 or (345) 244 2742 Web: www.hsa.ky.

HEALTH

Dr. George David D.M.D Faith Hospital, Cayman Brac. Tel: (345) 948 2243 . Dr. Keelin Fox BA B.Den.Sc MFDS(RCSI) (MClinDent) Orthodontics and Dentofacial Orthopaedics Dr. Jennifer Mountjoy BDS NUI MSc Imp Dent. The Dental Centre, 2nd Floor, Fidelity Financial Centre, West Bay Road. Tel: (345) 943 7000 Email: thedentalcentre1@gmail.com Web: www.thedentalcentrecayman.com. My Island Dentist Dr. Talia Davidson DDS Tracey Chateauvert RDH, Sooze Rothwell RDHT Peeta Sandhu RDH Under the Clock Tower, Governors Square, West Bay Road. Tel: (345) 324 9500 Email: 3249500@ gmail.com Web: www.myislanddentist.com Services include oral exams and cleanings,

digital X-rays, nitrous oxide sedation, root canals, sports’ guard fittings, extractions, treatment for TMJ/grinding, cosmetic bonding, dental crowns, veneers, cosmetic whitening, tooth-coloured fillings, bridges, and Invisalign orthodontics. Dr. Naude Dreyer DMD The Merren Dental Clinic, Hospital Road. Tel: (345) 949 2554.

Dr. Sharn Mentz BChD (Pretoria) Ocean Dental, Grand Harbour. Tel: (345) 949 7623.

7 Dental Dr. Janish Grewal BDS MDCH Dr. Scott McFarlane BDS MSc FICOI DICOI Dr. Sean A. Childers BSC DMD MSc FRCD (C) Dr. Kate Horgan BDS, NUI Dr. James Moses DDS, MS Dr. Ryan Soden BDS, DDs, MSc Marquee Place, West Bay Road. Tel: (345) 943 7400 Email: hello@7dental.ky.

ADD A LISTING TO THIS SECTION FOR DR BOBAN KOSTICH - 2023 - MW Cayman Orthodontics 18 Forum Lane, Camana Bay. Tel: (345) 949 5090 Email: caymanorthodontics@gmail.com. Island Smile Orthodontics Dr. Geoffrey Newton BSc DDS MSc Dr. Pourang Rahimi DDS MSD FRCD(C) Unit 12, Alexander Place, Dorcy Drive. Tel: (345) 946 7303 Email: islandsmile@live.com Web: www.islandorthodontics.ky. My Island Dentist Governors Square, West Bay Road. Tel: (345) 324 9500 Web: www. myislanddentist.com.

Smile Dental Clinic Dr. Boban Kostich DDS MFGDPRCS (UK) Dr. Al Latif BDS (Lond) Msc Con Dent (Lond) 10 Alexander Place Dorcy Drive, Industrial Park,

Your Healthy Smile Starts Here Pasadora Family Dental Centre offers Cosmetic, Paediatric, Orthodontic, Oral Surgery and General Dentistry services customised for every member of the family. Using the most modern technologies, PFDC aims to provide patients with the highest standard of care in a comfortable environment to give your family the best dental experience.

Highlights:

Private consulting and treatment rooms • Oral surgery and perio treatments • Dental Implants • Calming relaxed atmosphere • Advanced digital imaging • Orthodontic treatments (Braces) for all ages • Invisalign • Laser treatments • Special care & Hygiene services • Sedation • Implantology • TMD therapy

Services Include:

Hours: Mon-Fri 8.30am-5.30pm, Sat by Appointment Only Executive Hours Available (345) 943 2222 | Pasadora Plc, Smith Rd info@pfdc.ky | www.pasadorafamilydental.ky Cayman Parent Magazine | Health

The Strand Dental Clinic Dr. Florence Enescot DMD DDS Dr. Jan Frank Pultr LT BDS (UK) The Strand Shopping Centre, off West Bay Road. Tel: (345) 949 3367 Email: florence.enescot@ gmail.com or jpultr@yahoo.com.

Pasadora Family Dental Centre Dr. Georgios Batgidis DDS FIADFE (USA) FAAID Dr. Aikaterini Fysikoudi DDS HSPD (HonM) Dr. Kris Togias DMD PC Board Certified Orthodontist (USA) Dr. Mauritz Crouse BChD (WCU) 94 Smith Road, Pasadora Place, George Town. Tel: (345) 943 2222 WhatsApp: (345) 936 3222 Email: info@pfdc.ky Web: www.pasadorafamilydental. ky Other Languages: English, Spanish, German, French, Greek, Afrikaans and Tagalog.

Pasadora Family Dental Centre

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George Town. Tel: (345) 949 7303 Email: info@ smiledental.ky Web: www.smiledental.ky.

Dr. Wolfe’s Dental Centre Dr. Wilbert Veit DMD FACD, FAES,FICOI Dr. Adam Stang DDS 135 Andrew Drive, Snug Harbour. Tel: (345) 945 4388 Email: info@wolfedental.ky Web: www. wolfedental.ky.

Children's Dentistry & Orthodontics

Smile Dental Clinic Dr. Boban Kostich, DDS MFGDPRCS (UK) Dr. Al M Latif, BDS (Lond) MSc Con Dent (Lond)

Smile Dental Clinic believes in spending the time to make you comfortable and happy while offering you a range of treatment options. We provide the most gentle dental care possible, using the best tool for the job, whether it’s high-tech or tried-andtrue.

Highlights:

Dental care for adults and children • Oral surgery and implants • Periodontal surgery • Tooth colour restorations and sealants • Cosmetic dentistry and tooth whitening • Crowns, bridges and veneers provided by our in-house lab • Hygiene services • Dentures • Root canal treatment • Digital X-ray • All major dental insurance accepted

Services Include:

Open: Monday-Saturday Evening appointments available After hours emergency care and walk-ins welcome (345) 949 7303 | #10 Alexander Place, Dorcy Dr info@smiledental.ky | www.smiledental.ky

Pasadora Family Dental Centre Dr. Aikaterini Fysikoudi DDS HSPD (HonM) Dr. Kris Togias DMD PC Board Certified Orthodontist (USA) 94 Smith Road, Pasadora Place, George Town. Tel: (345) 943 2222 WhatsApp: (345) 936 3222 Email: info@pfdc.ky Web: www. pasadorafamilydental.ky Other languages: English, German and Greek. 7 Dental Marquee Place, West Bay Road. Tel: (345) 943 7400 Email: hello@7dental.ky.

Paediatric Dental Specialists Dr. Sean Childers BSc DMD MSc FRCD(C) Dr. James Moses DDS, MS 7 Dental, Marquee Place, West Bay Road Tel: (345) 943 7400 Email: hello@7dental.ky.

Pharmacies

Care Pharmacy Queens Court Plaza, West Bay Road. Tel: (345) 943 2273 Email: carepharmacy1@gmail.com Open: Monday-Friday 9am-7pm, Saturday 9am-3pm, closed Sundays and holidays. Caribbean Pharmacy & Wellness Centre 72 North Church Street, GT. Tel: (345) 946 0338. HealthCare Pharmacy (Two Locations) The Shoppes at Grand Harbour, 1053 Crewe Rd, GT. Tel: (345) 947 8900 Open: Monday-Saturday 8am-10pm, Sunday and public holidays 10am6pm Email: health05@candw.ky. Governors Square, SMB. Tel: (345) 949 8900 Email: rx@healthcarepharmacy.ky Open: Mon-Sat 9am-6pm, Closed on Sundays and public holidays. The Health Services Authority Pharmacies > Cayman Islands Hospital Pharmacy 95 Hospital Road, George Town. Tel: (345) 244 2715/16 Open: 8am-9pm Monday to Friday, 8am–6pm Saturday, Sunday and Public Holidays. > Faith Hospital in Cayman Brac 215 Dennis Foster Road, Cayman Brac. Tel: (345) 948 2243 Open: 8.30am-5pm Monday to Friday. > West Bay Clinic Pharmacy Reverend Blackman Road, West Bay. Tel: (345) 949 3439 Open: 8.30am–5pm Monday, Tuesday, Thursday and Friday, 1.30pm–8pm Wednesday. Closed Saturday & Sunday. > Bodden Town Clinic Pharmacy 445A Bodden Town Road, Bodden Town. Tel: (345) 947 2299 Open: 1.30pm–8pm Monday and Thursday, 8.30am-4pm Wednesday and Friday, No Pharmacist on Tuesdays. Closed Saturday and Sunday. > East End Clinic Pharmacy 2367 Sea View Road, East End. Tel: (345) 947 7440 Open: 8.30am–4pm, Monday and Thursday. Closed Tuesday, Wednesday, Friday, Saturday, Sunday. > North Side Pharmacy 1148 North Side Road, North Side. Tel: (345) 947 9525 Open: Tuesday and Friday 8.30am-4pm. Closed Monday, Wednesday, Thursday, Saturday and Sunday. > George Town General Practice Clinic Pharmacy 95 Hospital Road, George Town. WhatsApp: (345) 925 6534 (Grand Cayman) or (345) 916 9555 (Sister Islands) Open: 9.30am-6pm Monday-Friday. Doctors Hospital Pharmacy 16 Middle Road, George Town. Tel: (345) 914 6440 Email: refillsprorx@ caymanpharmacy.com Open: Mon-Fri 8am-9pm, Sat, Sun and public holidays 9am-6pm.

Total Health Pharmacy The Grand Pavilion, 802 West Bay Road. Tel: (345) 333 2222 Email: pharmacy@totalhealth.ky. West Bay Pharmacy & Gifts 106 Centennial Towers, West Bay. Tel: (345) 945 0777 Email: westbay@ caymanpharmacy.com Open: Monday-Saturday 9am-8pm, Sunday and public holidays 11am-6pm. Doctors Express 81 Godfrey Nixon Way, George Town. Tel: (345) 745 6000 Open: MondaySunday 9am-9pm. Foster’s (Airport) 63 Dorcy Dr, George Town. Tel: (345) 815 4051 WhatsApp: (345) 926 7485 Open: Monday-Saturday 7am-10pm, public holidays 9am-6pm and closed Sundays, Good Friday, Christmas and New Year’s Day. Foster’s (Camana Bay) Solaris Avenue, Camana Bay. Tel: (345) 815 4061 WhatsApp: (345) 926 7486 Open: Monday-Saturday 7am-10pm, Holidays 9am-6pm. Closed Sundays, Good Friday, Christmas and New Year’s Day.

HEALTH

Be Well Pharmacy West Shore Center, 508 West Bay Rd, SMB. Tel: (345) 949 2323 On Call: (345) 927 0489 Email: rx@bewellpharmacycayman.com Open: Mon-Fri 8.30am-6.30pm, Sat 9am-3pm, Sun 10am-2pm. Free delivery.

Savannah Pharmacy & Gifts Countryside Shopping Village, Savannah. Tel: (345) 946 3336 Email: savannah@caymanpharmacy.com Open: Monday-Saturday 9am-8pm, Sunday 10am-6pm.

Kirk Pharmacy Kirk Market, Eastern Avenue. Tel: (345) 949 7180 Email: kirkpharmacy@ kirkmarket.ky Web: www.pharmacy.ky Open: Monday-Saturday 8am9pm, public holidays 10am-6pm and closed on Sundays. Quality Pharmacy Serendipity Building, 78 Hospital Road. Tel: (345) 946 6266 Open: MonFri 8.30am-5.30pm, Sat 8.30am-12.30pm. Sun and public holidays closed.

Island Smile Orthodontics

Dr. Pourang Rahimi, DDS MSD FRCDc Dr. Geoffrey Newton, BSc DDS MSc Island Smile Orthodontics is dedicated to providing you and your family with professional and personal orthodontic care. We strive to provide a setting where patients and their families can bond with our team, knowing that their needs are of supreme importance to us. We treat every patient with dignity, respect and appreciation. Our purpose is not only to straighten teeth, but to improve lives through a lifetime of beautiful smiles.

Highlights:

Complimentary consultations • Most insurance plans accepted • Payment plans available interest free • Damon Braces • Invisalign • Clear retainers • Removable and fixed appliances • Lingual wires

Services Include:

Open: Monday to Thursday 9am-5pm Prescheduled Friday and Saturday appointments After hour emergency appointments (345) 946 7303 | #12 Alexander Place, Dorcy Dr islandsmile@live.com | www.islandorthodontics.ky www.caymanparent.com

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Valu-Med Pharmacy (Two Locations) Photo Pharm Centre, Walkers Road. Tel: (345) 949 0442 Email: sales-wr@valRx. com Prescriptions: rx-wr@valRx.com Open: Monday-Saturday 8am-10pm, Sunday and Holidays 10am-5pm. Evron Plaza, Bodden Town. Tel: (345) 946 5511 Email: sales-bt@ valRx.com Prescriptions: rx-bt@valRx. com Open: Monday-Saturday 8.30am-9pm, Sunday and Holidays 10am-5pm. Windward Pharmacy Shop 1, Windward Centre, 93 Smith Road. Tel: (345) 949 4081 Email: windward@candw. ky Open: Monday-Friday 8am-5.30pm and Saturday 8am-1pm.

HEALTH

Insurance Companies Aetna 2nd Fl, North Building, Caribbean Plaza. Tel: (345) 623 8621 Email: McCallisterA@aetna. com. Aon Cayman Risk Solutions (Cayman) Ltd. Tel: (345) 945 1266 Email: nigel.twohey@aon. com Web: www.aon.com/caymanislands. BAF Insurance Company (Cayman) Ltd. 342 Dorcy Drive, Industrial Park. Tel: (345) 949 5089 Email: bafcayman@mybafsolutions.com Web: www.bafcayman.com. Cayman First Insurance Company 17 Vibert Bodden Drive, off Shedden Road, GT. Tel: (345) 949 7028 Email: askus@caymanfirst.

com Web: www.caymanfirst.com. Cayman Insurance Centre (Insurance Brokers) 10 Huldah Avenue, GT. Tel: (345) 949 4657 Web: www.cic.com.ky. CG BritCay British Caymanian Insurance Agencies Limited (CG BritCay). Agents for Coralisle Medical Insurance Company Ltd., BritCay House, 236 Eastern Avenue. Tel: (345) 949 8699 Email: medical_ky@cgcoralisle.com Web: www. cgcoralisle.com. CINICO (CI National Insurance Company) Tel: (345) 949 8101 Web: www.cinico.ky. Fidelity Insurance (Cayman) Ltd. Tel: (345) 949 5836 Email: infofidelitycayman. com Web: www.fidelitygroup.com/caymanislands/fidelity-health-insurance.

Ophthalmologists & Optometrists Caribbean Optical Victoria Lomax BSc OD Chris Vuorenmaa BSc OD Thaddeus Daniel OD Seven Mile Shops, West Bay Road. Tel: (345) 943 1515 Email: info@cariboptical.com Web: www.cariboptical.com. Cayman Islands Hospital - Lions Eye Clinic Dr. Richard Corkin M.B. Ch.B., F.C.S. (Ophth) SA, M.R.C.Ophth (UK) Dr. Ermanno Scerrati, BSc, MBBS, MECS (UK)

95 Hospital Road, George Town. Tel: (345) 949 8600 or (345) 244 2818. Dr. Foley's Eye Clinic Dr. Eugene Foley FRCS MB BCh BAO NUI Dr. Maeve O’Doherty MBBCh MRCPI MRC 107 Claude Hill Road, off Smith Road. Tel: (345) 946 4944 Emergency: (345) 916 6264 Email: info@drfoleyeyeclinic.com. Optical Outlook Dr. Mellisa Hudell BA OD Louise Cagney BSc (Hons) MCOptom Dip Tp (IP) Anderson Square, GT, Jacques Scott Plaza, WB, Tibbets Square, Cayman Brac. Tel: (345) 746 2020 Email: team@opticaloutlook.ky. Serving the Cayman Islands community since 1989. Their Optometrists offer comprehensive eye exams and high quality eyewear. Optique 8 Queens Court Plaza, West Bay Road. Tel: (345) 949 3937 Email: info@optique.ky Web: www.optique.ky Optical Boutique offering new and exclusive brands. VisionWear Cayman Victoria Lomax BSc OD Chris Vuorenmaa BSc OD Thaddeus Daniel OD 72 Market Street, Camana Bay and Country Corner, 32 Hirst Road, Bodden Town. Tel: (345) 943 5151 or (345) 943 5153 Email: info@visionwearcayman.com Web: www. visionwearcayman.com.

Optical Outlook

Dr. Mellisa Hudell, BA OD Louise Cagney, BSc (Hons) MCOptom Dip Tp (IP) Serving the Cayman Islands community since 1989, Optical Outlook remains a trusted provider for all your eyecare needs. They have three stores throughout the Cayman Islands: George Town, West Bay and Cayman Brac. With experienced Optometrists to give you a comprehensive eye exam and friendly staff to guide you through frame and lens selection at great prices, come SEE the Difference at Optical Outlook.

Highlights:

Serving the community for 30+ years • Eye examinations • Contact lenses • Accepts all insurance providers • Online booking system • 3 convenient locations in Grand Cayman & Cayman Brac • Affordable prices • Large selection of eyewear brands • Sunglasses & eyewear accessories

Details: Office hours are 6 days a week, Monday-Friday — 9am-5pm, and Saturdays — 10am-5pm. West Bay hours: Monday-Friday — 9am-6pm, and Saturdays — 10am-5pm. Please call to make an appointment.

3 Optical stores in George Town, West Bay & Cayman Brac. (345) 746 2020 | Anderson Square, GT | Jacques Scott Plaza, WB | Tibbets Square, Cayman Brac | team@opticaloutlook.ky www.opticaloutlook.ky

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Cayman Hearing Center Dr. Annette Stephenson, AuD

Cayman Hearing Center is the only full-service audiology practice in the Cayman Islands, dedicating themselves to delivering exceptional care in a comfortable environment. Dr. Annette Stephenson (AuD) established Cayman Hearing Center in 2007, deeming the facility an extraordinary contribution to hearing solutions on island.

Hours of Operation: Monday-Thursday 8.30am-5pm and Fridays 9am1pm.

Save time in the office by filling out their Patient Intake Form on their website and bringing it with you to your appointment.

• The only full-service audiology practice on-Island for all ages • Most advanced hearing aid technology • 3-Year Warranty on most hearing aids • Serving the Cayman Islands since 2007

HEALTH

Cayman Hearing Center offers comprehensive hearing evaluations for children and adults, including evaluating for auditory processing issues. They also repair hearing instruments, provide hearing protection (e.g. musician's ear plugs), offer tinnitus assessments and management, amplified telephones, custom-made swim moulds and more. They are also a partner of HearStrong - a foundation that recognises outstanding adults and children with hearing loss and gives them a platform to empower and serve others in need of hearing help.

Highlights:

Services Include:

• Auditory processing evaluations • Repairs of all makes of hearing instruments • Hearing protection devices • Full tinnitus evaluations • Various individualised treatment options

Dr. Annette Stephenson ''We believe that better hearing means a better life. Through our patientcentered approach, we provide a warm, compassionate, and quality experience for hearing healthcare in The Cayman Islands.''

(345) 946 9174 | info@caymanhearingcenter.com | www.caymanhearingcenter.com | Unit #10, 94 Smith Rd

www.caymanparent.com

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Laboratories Cayman Islands Health Services Authority Laboratory Services (Pathology & Forensics) 95 Hospital Road, George Town. Tel: (345) 949 8600. Cayman Health Laboratory Grand Harbour Medical Suites. Tel: (345) 946 4715 Email: caymanhealth@hotmail.com.

HEALTH

MedLab Inc. 10 Smith Road Plaza, George Town. Tel: (345) 949 7331 Email: lab@medlabcayman.com Web: www.medlabcayman.com. Phoenix Health Services 21 Eclipse Drive, Rankin Plaza, Eastern Avenue. Tel: (345) 943 8150 Email: phoenixhealthservicesltd@gmail.com Web: www.phoenixhealthservices.weebly.com. Royale Medical & Wellness Centre Bay Town Plaza, 36 West Bay Road, GT. Tel: (345) 769 6230 Web: www.royalemedical.ky. Total Health The Grand Pavilion, 802 West Bay Road. Tel: (345) 333 2222 Email: appointments@ totalhealth.ky Web: www.totalhealth.ky.

Dermatologists Dr. Christian Aldridge MB, BSc (Hons), FRCP (London) Cayman Doctors, West Shore Center, 508 West Bay Road. Tel: (345) 943 6363. Dr. Alison Duncan MBBS FRCP MSc Dr. Davide Altamura MD Masters Integra Healthcare, The Grand Pavilion, 802 West Bay Road. Tel: (345) 745 7450 Email: alison.duncan@integra.ky; davide.altamura@ integra.ky Web: www.integra.ky. derma - Dr. Rebeca de Miguel Madurga MD PhD The Grove, 1358 West Bay Road. Tel: (345) 925 2512 Web: www.derma.ky. Dr. Wayne Porter MD FAAD 282 Crewe Road, George Town. Tel: (345) 946 9020 Email: dr.portercayman@gmail.com.

Acupuncture & Alternative Medicine Align 45 Market Street, Unit 3A, Camana Bay Tel: (345) 640 5050 Email: info@align.ky Web: www.align.ky. Annie Laux LAc MAOM CPAM Julia Baker Dip Ac OMBAcC CPAM Cayman Physiotherapy, Pasadora Place, Smith Road & West Shore Center, West Bay Road. Tel: (345) 949 8828 Email: physio@candw.ky Web: www.caymanphysiotherapy.com. Da Vinci Centre for Wellness and Alternative Therapies Park Place, off West Bay Road. Tel: (345) 943 2002 Web: www.davinciwellnesscentre.com. Dr. Doull R.Ac, TCMD, FABORM Ms. Andrea Janovics, R.Ac.

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Synergy Chiropractic & Physiotherapy, Marquee Plaza, Seven Mile Beach. Tel: (345) 943 8200 Email: info@synergychirophysio.com Web: www.synergychirophysio.com. Acupuncture and Traditional Chinese Medicine specialising in fertility, hormonal balancing, pre and post-natal care. Violetta Kanarek NCCAOM L.Ac Tel: (345) 946 4420 Email: drvyin@gmail.com. Uma Lenin BPT CKTP (Doc ALT MED) RVC Rehab Services, 3rd Floor Tomlinson Building, 9 Walkers Road, GT. Tel: (345) 949 6024.

Psychiatry Behavioral Health Associates Cayman Unit B, Hospital Road Plaza, GT. Tel: (345) 746 0066 Email: info@bhac.ky Web: www.bhac.ky. Cayman Islands Hospital Dr. Omotayo Bernard (Psychiatry) Dr. Stenette Davis (Psychiatry) Dr. Toni-Ann Heron MBBS DM (Psychiatry) Sophia Chandler BSc MSc (Child Psychology) Antonia Hawkins BSc MSc PhD (Psychology) Dr. Arline McGill MB BS DM (Psychiatry) Clement von Kirchenheim PhD (Psychology) Dr. Marc Lockhart, MD (Psychiatry) 150 Smith Rd, Smith Road Centre, George Town. Tel: (345) 949 8600. Dr. Marc Lockhart, MD Behavioral Health Associates Cayman Unit B, Hospital Road Plaza, George Town. Tel: (345) 746 0066 Email: info@bhac.ky Web: www. bhac.ky Other languages: Spanish. Dr. Susanne Neita, MB, BS, DM (Psychiatry) Behavioral Health Associates Cayman Unit B, Hospital Road Plaza, GT. Tel: (345) 746 0066 Email: info@bhac.ky Web: www.bhac.ky.

Psychology, Psychotherapy & Counselling Aspire Therapeutic Services Unit A13, Crown Square, Eastern Avenue. Tel: (345) 743 6700 Web: www.aspire.ky. Caribbean Haven Residential Centre (CHRC) 2409 Bodden Town, Breakers. Tel: (345) 947 9992 Web: www.dcs.gov.ky/chrc/ CHRC offers an intensive residential substance abuse treatment programme for individuals struggling with substance abuse/addiction, and co-occurring disorders. Cayman ABA Chestnut Centre, Suite 3, 8 Palm Rd, GT. Pasadora Place, Unit 15, Smith Rd, GT. Tel: (345) 947 5477 Email: info@caymanaba.com. Cayman Islands Crisis Centre (CICC) Tel: (345) 949 0366 24-hour Crisis Line: (345) 943 CICC (2422) Kids Helpline: (345) 649 KIDS (5437) Toll Free Number: 1 (800) 534 2422 Email: info@cicc.ky Web: www.cicc.ky. The Counselling Centre 87 Mary Street, 2nd Floor Apollo House West, George Town. Tel: (345) 949 8789. Provides outpatient counselling services for those interested in making changes and improving their lives. Concerns addressed cover: substance use, stress, general coping, depression, anxiety, trauma, and relationship/family issues. Services

include: individual, couples, family and group therapy, addiction treatment, and a Driving Under the Influence (DUI) Programme. Employee Assistance Programme (EAP) Tel: (345) 949 9559 Email: eapci@icloud.com. Web: www.eapcayman.com. The Family Resource Centre 87 Mary Street, 2nd Floor Apollo House West, George Town. Tel: (345) 949 0006 Email: frc@ gov.ky Web: www.frc.gov.ky. Dr. Laurence van Hanswijck de Jonge, PhD KidsAbility, 8 Midtown Plaza, 273 Elgin Avenue, George Town. Tel: (345) 943 5437 Email: info@kidsability.ky Web: www. kidsability.ky Paediatric therapy clinic offering developmental neuropsychology services, occupational therapy, speech-language therapy, a feeding clinic, AAC clinic, literacy clinic, handwriting remediation, social skills groups, and parent, teacher and allied health workshops and telehealth services. Hope Academy (Clinical Services) Pauline VanderGrinten MHC LPC NCC BC-TMH Nadine Maxner - Psychologist Tonia Egleston- Counsellor Roy Gould- Counsellor Elizabeth Lancaster- Counsellor Carla Mueller- Counsellor Dr. Morgan Panora - Paediatric Neuropsych Dr. Jill Kelderman Walsh – Paediatric Neuropsych Dr. Kai Morgan-Campbell- Clinical Psychologist Dr. Charles Motsinger- Psychiatrist Grand Harbour, 1053 Crewe Road. Tel: (345) 769 4673 Web: www.hopecayman.com. OnCourse Cayman Tel: (345) 745 6463 Email: info@oncourse.ky. Raven Williams MSc MRCSLT Faith Gealy MS CCC-SLP Cayman Islands Hospital, 95 Hospital Road, George Town Tel: (345) 244 2733 Web: www.hsa. ky. The Wellness Centre Dr. Shannon Seymour Dr. Joan Latty Dr. Cindy George Dr. Chelsea Walton Smith Road Centre, 3rd Floor, George Town. Tel: (345) 949 9355 Web: www.wellnesscentre.ky.

Physiotherapy & Orthopaedics A Step Ahead Physiotherapy Governors Square, West Bay Road. Tel: (345) 745 2727 Email: info@astepaheadphysio.com. Back To Health Dr. Jennifer Royer Thompson DC Dr. Ivan Ronaldo DC Cayman Clinic, 439 Crewe Road, George Town. Tel: (345) 947 7400. World Gym, Seven Mile Beach Tel: (345) 946 2225 Web: www. backtohealthky.com. Samantha Sparg - Paediatric Physiotherapist Cayman Islands Health Services Authority 95 Hospital Road, George Town. Tel: (345) 244 2730 Email: samantha.sparg@hsa.ky Web: www.hsa.ky.

Cayman Orthopaedic Group World Class Orthopaedic Care

Cayman Orthopaedic Group is the only specialist orthopaedic practice in the Cayman Islands. Their goal is to provide the highest quality of orthopaedic care for the individual needs of each of their patients. At Cayman Orthopaedic, their experienced physicians are board-certified medical practitioners, recognised internationally as experts in the treatment of the musculoskeletal system.

Hours of Operation: Monday-Friday 8am-5pm. Accepts all major insurance providers in the Cayman Islands.

A New Team of Experienced, Advanced Specialists

Professor Adrian Wilson MBBS, BSc (Hons), FRCS, FRCS (Tr & Orth), Consultant Orthopaedic & Specialist Knee Surgeon

Dr. Kristian Kley

Consultant Knee and Hip Surgeon

Mr. Raghbir Khakha

FRCS (Tr & Orth), MBBS, MSc, Consultant Orthopaedic & Specialist Knee Surgeon

Dr. Frank Smith

MB, ChB, FRCSC Founder & Owner

• Pioneer of cutting-edge treatment in Cayman and the Caribbean • Board Certified Physicians • A series of firsts for using innovative, advanced technology

Services Include:

• All inside ACL Reconstruction • Ankle Surgery • Cartilage Reconstruction • Joint Preservation & Osteotomy • Knee Surgery • Pioneering Ligament Surgery - Simple & Complex Knee Injuries • Platelet Rich Plasma Therapy • Realignment of Cartilage and Ligaments • Rapid Recovery • Rotator Cuff Reconstruction • Total Hip and Knee Surgery (MIS)

HEALTH

Over the past 30 years, the Cayman Orthopaedic Group has spearheaded the practice and innovation of Orthopaedic surgery in the Cayman Islands. The success rate of their treatments is significantly higher than currently published results. They therefore employ the most medical services, innovative procedures and state-of-the-art technology for the treatment and care of sports injuries, trauma, children’s orthopaedic issues, and osteoarthritic concerns in the Cayman Islands. The latest examples of the cutting edge treatments available at their practice include Platelet Rich Plasma treatment, Joint Preservation and Osteotomy, MIS Total Surgery of the hip and knee and rapid recovery treatments.

Highlights:

Mr. Ali Noorani

MBBS BSc (Hons) MRCS FRCS (Trauma & Orth), Consultant Orthopaedic & Trauma Surgeon, Shoulder, Elbow & Upper Limb

Dr. Anne Dancey

FRCS(Plast), MBChB(Hons), MMedSci(Hons), MCh(PASP), Plastic & Reconstructive Surgeon

1 (345) 945 8380 | Unit #1, Smith Road Plaza, GT | info@cog.ky | www.cog.ky www.caymanparent.com

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Cayman Physiotherapy Two locations: Suite 26 Pasadora Place, Smith Road & West Shore Center, West Bay Road. Tel: (345) 949 8828 Email: physio@candw.ky. Offers an innovative women's health programme, pre and post-natal pilates, 1:1 physio, specialist post-natal check ups (Mummy MOT) and more. Cayman Rehab Services Unit 10, Eucalyptus Building, Shedden Road. Tel: (345) 943 7974 Cell: (345) 926 3099 Email: caymanrehab@gmail.com Serving Cayman’s community for over 15 years with quality care from an expert team.

HEALTH

CaymanSpine NovoClinic Cayman Ltd., BritCay House, 236 Eastern Avenue. Email: info@caymanspine.com Web: www.caymanspine.com. Da Vinci Physiotherapy Park Place, off West Bay Road Tel: (345) 943 2002 Email: info@davinciwellnesscentre.com Web: www.davinciwellnesscentre.com. Elevation Health & Physiotherapy Ltd. 2nd Floor, Fidelity Financial Centre, 1 Gecko Link Email: info@ehphysio.ky Tel: (345) 623 6663 Web: www.ehphysio.ky. Infinity Health Physiotherapy 247 Smith Road, George Town. Tel: (345) 233 0280 Web: www.infinityhealth.ky.

KidsAbility 8 Midtown Plaza, 273 Elgin Avenue, George Town. Tel: (345) 943 5437 Email: info@ kidsability.ky Web: www.kidsability.ky. RVC Rehab Services Uma Lenin BPT CKTP (Dr. Alt MED) Venice Carino, BSc PT Jacqui Tomlinson-Smith PT, LCCE, CD (DONA), LC 3rd Floor Tomlinson Building, 9 Walkers Road, George Town. Tel: (345) 949 6024 Web: www. rvcrehab.ky. Synergy Chiropractic & Physiotherapy Ltd. Marquee Plaza, 36 Lawrence Boulevard, SMB. Tel: (345) 943 8200 Email: info@ synergychirophysio.com Web: www. synergychirophysio.com. Cayman’s leading Chiropractic, Physiotherapy, Acupuncture, Traditional Chinese Medicine and Massage Therapy Facility. Specialising in wellness, sports therapy, rehabilitation and more. Total Health The Grand Pavilion, 802 West Bay Road. Tel: (345) 333 2222 Email: appointments@ totalhealth.ky Web: www.totalhealth.ky.

Allergy Doctors, ENTs & Audiologists Dr. Frank Glatz MD FABO FAAOHNS FAAOA Cayman E.N.T. Associates, 2 Alexander Place,

Dorcy Drive, GT. Tel: (345) 945 3822 Email: drbob@candw.ky Web: www.entcayman.com. Dr. Annette Stephenson AuD Cayman Hearing Center Suite 10, Pasadora Place, Smith Road Tel: (345) 946 9174 or (345) 925 5836 Email: info@caymanhearingcenter.com Web: www. caymanhearingcenter.com Offers comprehensive hearing evaluations for children and adults, hearing aid repair, hearing protection (e.g. musician's ear plugs), amplified telephones, custom-made swim moulds and more. Dr. Ulrich Ecke MD ENT Dr. Fionnuala Keane MBChB DCH DRCOG PGDipENT ENT in Cayman Units 4 & 5, Pasadora Place, 94 Smith Road, George Town. Tel: (345) 745 3253 Email: info@ entincayman.com. Web: www.entincayman. com. Dr. Myrton Smith Cayman Islands Hospital, 95 Hospital Road, George Town. Tel: (345) 949 8600 or (345) 244 2630 Web: www.hsa.ky. The Strand Medical Centre Dr. Louis A. Cona MD The Strand Shopping Centre, off West Bay Road. Tel: (345) 945 7077 Email: thestrandmedicalcentre@candw.ky Web: www.caymandoctor.ky.

ENT in Cayman

Dr. Ulrich Ecke, MD ENT Dr. Fionnuala Keane, MBChB DCH DRCOG PGDipENT Located in Units #4 & #5, Pasadora Place

ENT in Cayman Ltd. provides complete diagnosis and treatment of ear, nose, and throat conditions: acute and chronic hearing loss and balance problems, sinus inflammation, diseases of the mouth, sleep apnea, head and neck and voice box disorders for adults and children of all ages. Their specialists also provide a full range of hearing and balance diagnostics as well as aural rehabilitation. ENT in Cayman are committed to the personalised care of their patients, ensuring that everyone receives a correct diagnoses, whilst also taking the time to discuss all available treatment options.

Centre for Vertigo & Balance Disorders Niamh Kilcoyne, Audiologist MSc Located in Unit #37, Pasadora Place

Highlights:

Trained in the most advanced surgical procedures • Specialist allergy clinic • Board-certified pediatric ENT • Nasal & sinus, throat & voice box endoscopy • Ultrasound of neck & thyroid glands • Innovative hearing aids • Telehealth Allergy treatment & immunotherapy (AIT)

Details: Open: Monday-Friday 8am-5pm. Late evening hours and Saturdays available by appointment only.

(345) 745 ECKE (3253) | 94 Smith Rd, Pasadora Place | info@entincayman.com | www.entincayman.com 166

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Paediatric Therapy Services ABA Therapy Cayman ABA

Additional Support Services Early Intervention Programme

Chestnut Centre, Suite 3, 8 Palm Rd, GT and Pasadora Place, Unit 15, Smith Rd, GT. Tel: (345) 947 5477 Email: info@caymanaba.com Web: www.caymanaba. com.

515 Walkers Road. Tel: (345) 926 1413 Email: eip@cayman.edu.ky Offers educational support programmes and services such as counselling and occupational therapy to support children with learning difficulties from birth to Government school age.

Educational Assessments

Cayman Theraplay Ltd.

Infinite Mindcare Cayman

Cannon Place, 294 North Sound Road. Tel: (345) 926 0882 Email: info@ infinitemindcare.com Web: www.infinitemindcare.com A multi-specialty counselling centre offering therapy for teens, adults, and couples with an array of concerns.

9 Plaza Venezia, North Sound Road. Tel: (345) 749 7529 Email: info@ caymantheraplay.com. Web: www.caymantheraplay.com Offering ongoing individualised behavioural support services and programmes related to functional behaviour, caregiver and teacher training and parent coaching.

Inclusion Cayman

Mental Healthcare Services

I Read For Life

Behavioral Health Associates Cayman

62 Hospital Road, Hospital Road Plaza. Tel: (345) 746 0066 Email: info@bhac. ky Web: www.bhac.ky. Board Certified Consultant Psychiatrist specialising in the treatment of children and adolescents. Additional associates specialise in psychiatry, counselling, assessments and life coaching.

Hope Academy (Clinical Services)

Grand Harbour Shoppes Units 1-8, 1053 Crewe Road. Tel: (345) 768 4673 Email: office@hopecayman.com Services include: Mental Health Therapy for individuals, couples, families of all ages, Speech and Language Therapy, In-home family and parenting assistance, Group Therapy, School Observations and Interventions, School-based ABA, Psycho-educational Testing, Neuropsychological Assessments, Psychiatric services/Medication Management, free consultations.

KidsAbility

8 Midtown Plaza, 273 Elgin Avenue, George Town. Tel: (345) 943 5437 Email: info@kidsability.ky Web: www.kidsability.ky Paediatric therapy clinic offering developmental neuropsychology services, occupational therapy, speechlanguage therapy, a feeding clinic, AAC clinic, literacy clinic, handwriting remediation, social skills groups, parent, teacher and allied health workshops and telehealth services.

The Wellness Centre

Smith Road Centre, 3rd Floor, George Town. Tel: (345) 949 9355 Email: info@ wellnesscentre.ky Web: www.wellnesscentre.ky

Occupational, Speech & Language Therapy Cayman Islands Health Services Authority

Julise de Wet — Paediatric Occupational Therapist 95 Hospital Road, GT. Tel: (345) 244 2730 Email: julise.dewet@hsa.ky Web: www.hsa.ky.

Cayman Theraplay Ltd./Dr. Mona Kazemi

9 Plaza Venezia, North Sound Road. Tel: (345) 749 7529 Email: info@ caymantheraplay.com. Web: www.caymantheraplay.com Speciality therapy programmes and interventions include feeding, social skills development, and sensory integration and sensory processing for motor interventions and emotional regulation.

Chatterbox Roz Griffiths BSc CertMRCSLT Harmony Scott M.Sc. CertMRCSLT/Dip. Bermuda House, 36c, Dr. Roy's Drive, GT. Tel: (345) 949 7065 or (345) 926 1693 Email: chatterbox@candw.ky Web: www.chatterboxcayman.com Speech and language therapy, Early Years Programme (2-5 years), Hanen programmes, occupational therapy, autism consultancy, counselling. Services are available for both children and adults.

KidsAbility

8 Midtown Plaza, 273 Elgin Avenue, George Town. Tel: (345) 943 5437 Email: info@kidsability.ky Web: www.kidsability.ky They offer high-quality therapy to children and their families with new and current evidence-based research. Their experienced clinicians use verified practices in a play-based setting and work to educate families on how to meet their children's goals.

2nd Floor Barnett Building, 24 Huldah Avenue. Tel: (345) 947 1497 Email: admin@ireadforlife.ky Web: www.ireadforlife.ky.

Lighthouse School

233A Shamrock Road. Tel: (345) 947 5454 School for children, ages 5–17, who have special educational needs.

HEALTH

Tel: (345) 324 1298 Email: admin@transformationscayman.com Web: www. transformationscayman.com.

81 Godfrey Nixon Way (above Doctors Express). Email: info@inclusioncayman. ky Tel: (345) 321 2957 Web: www.inclusioncayman.ky A non-profit organisation of parents, educators and professionals, committed to supporting the inclusion of persons with disabilities.

Transformations Ltd.

Special Olympics Cayman Islands (SOCI)

Tel: (345) 946 7624 Email: soci@candw.ky A registered non-profit sports organisation that offers year-round sports training and competition for those who are intellectually disabled.

Sunrise Adult Training Centre

181 Powery Road, West Bay. Tel: (345) 949 3330 Email: kimberly.voaden@gov. ky Web: www.sunrise.gov.ky Offering programmes to ensure independence and community inclusion for adults with learning difficulties, aged 18 to 45.

Integra Healthcare

Dr. Sara Watkin, Dr. Jasmina Marinova, Dr. Sarah Newton, Dr. Lisa Joels, Dr. Madhavi Manoharan, Dr. Alison Duncan, Dr. Davide Altamura, Dr. Francisco Martinez

Integra Healthcare Ltd. offers a comprehensive range of women’s and children’s services, encompassing obstetrics, gynaecology including child and adolescent gynaecology, fertility, dermatology including paediatric dermatology, and the largest team of tertiary trained private paediatricians, covering the full spectrum of paediatrics from 0-18 years, newborn and preterm care. The right experience when needed most.

Highlights:

Pre-conception & fertility • Obstetrics & Gynaecology • Adolescent Gynaecology • Newborn & emergency care • Baby checks, well child checks & immunisations • Development & behaviour • Asthma & respiratory problems • Paediatric dermatology including eczema & allergies

Details: Open: Monday-Friday 8.30am-5pm & Saturday 9am-1pm. Online booking: Instant confirmation. Available by telephone and for admissions 24/7. (345) 745 7450 | The Grand Pavilion, 802 West Bay Rd team@integra.ky | www.integra.ky

www.caymanparent.com

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YOUR HOME PROTECTS YOU. PROTECT IT BACK. At Cayman First, we understand that your house isn’t just a building; it’s your family’s home and their safe place. And it’s important to keep them safe no matter what. Protect what matters most with premier coverage from Cayman First. Choose from our Homeowner’s suite of products for coverage for your building, contents and personal possessions, and protection from legal liability. Your home is your biggest asset, protecting it is our top priority. What’s first for you comes first for us. Contact us on: caymanfirst.com askus@caymanfirst.com (345) 949-7028

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Family homes, immigration rules, hurricanes, divorce and more...

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Hurricane Checklist

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Finding your Forever Home

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Securing Your Family's Financial Future

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The Logistics of Hiring a Helper or Nanny

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Guide to Writing a Will

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Applying for a Passport

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Immigration Rules for Kids

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Bank Accounts for Children Essentials Book Club

Family Breakdown

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The Listings

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Contents

Helping Children Prepare for Natural Disasters

The Divorce Dilemma

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Welcoming a Pet Into Your Home p187

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Helping Children Prepare For

Natural Disasters

Natural disasters are unpredictable and uncontrollable events, which makes them scary for everyone, but particularly children. – Dympna Carten RMN, ENB Community Psychiatric Nurse

Everyone deals with momentous events such as major natural disasters differently. However, generally some degree of unease or anxiety is experienced in the aftermath. While adults may be better equipped to recognise what they are feeling and why, it can be a lot harder for children to make sense of their emotions. Although it is not always possible to predict certain natural disasters, there are ways to mitigate the anxieties experienced after the fact. Having conversations with them about what to expect before, during and after a natural disaster, as well as teaching them the importance of accepting uncertainty is key for building resilience. These five tips can help your child easily prepare for and then process natural disasters.

1. Focus on Information & Reassurance

Give age-appropriate information about natural disasters to help children better understand. Talk about what may happen and has happened in the past – you know your child and what works best for them. For some children, conversation may be easier sitting side by side while drawing a picture or while helping to prepare a meal. For others, face to face conversation may work best. Keep your tone reassuring, repeating messages

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such as “That was scary, but we’re safe now.” Stick to the facts and encourage questions. Be honest and if you can watch or listen to information about the event with your child, use this as a tool to educate and offer reassurance. Minimise social media exposure for children/teens, particularly before going to bed. Most importantly – do not underestimate the power of a good cuddle to calm down an anxious little one!

2. Talk About Preparation

Show them where you store your emergency equipment, draw up lists of who they should contact in an emergency situation and practise your drills. Ask them to consider preparing a small bag of what might be important for them to have ready. For children who are worried about the likelihood of unprecedented events and natural disasters, knowing that their family members are prepared will give them a sense of security. If you don’t know the answer, don’t be afraid to admit it. Don’t jeopardise your child’s trust by making something up or offering false promises.

3. Stick to Your Routine

Children find security in routine, and the sense that ‘life goes on’ will help them feel safe. While it is tempting to keep your child home, if your school or preschool is open and Government has officially verified returning as safe – send them! Being around their friends and getting back into routine is tremendously helpful for children. Encourage them to get outside and play, arrange play dates for younger children, resume the usual daily activities such as walking the dog, etc. Stick to mealtimes, maintain a healthy diet, and avoid processed and convenience foods. Keep bedtimes as normal as possible. Maintain compliance with any previously prescribed medication and keep appointments with professionals as scheduled.

4. Know When to Seek Help

Anxiety is normal after an event such as a natural disaster, and it can take the form of many different behaviours. These include: • • • • • • • •

Regressions in sleep/toileting (bed wetting)/behaviour Crying Clinginess Irritability/quick to anger/disrespectful Fear of the dark Fear of being alone Headaches/aches/pains/stomach upset Reluctance to go to school or preschool or struggle with homework • Nightmares • Loss of appetite • Lack of interest in everyday activities These behaviours are normal after a traumatic event and will start to fade within a relatively short period of time. However, if your child is exhibiting ongoing anxious behaviours and the reactions to the said event are disrupting their daily lives, arrange an appointment with their doctor or seek a professional counsellor to help your child manage their anxiety. Turn to page 164 for a list of trusted mental health professionals on Island who can assist. NOTE: Take any suicidal talk or behaviour seriously. Contact your doctor or bring your child to the A&E Department at Cayman Islands Hospital (345) 949 8600 for assessment or if on the Sister Islands attend Faith Hospital (345) 948 2243 or contact the nurse at the Little Cayman Clinic (345) 948 0072 / (345) 916 5395.

5. Manage Your Own Anxiety and Come Together as a Family As a parent, ensuring that you have healthy methods of dealing with your stress and anxiety is the most important way that you can help your child after a traumatic event such as a natural disaster.

you can manage your stress, they learn that their stress is manageable too. The more calm, relaxed and focused you are, the better you will be able to help your child. Encouraging time and discussion as a family is a good way to identify needs, seek solutions and give everyone a voice and a role in handling frightening events such as natural disasters in a positive and pragmatic way. Monitor adult conversations and be aware of what adults are saying about the event or the damage. Children may misinterpret what they hear and be unnecessarily frightened. Focus on the positive and stay hopeful.

More Information: • Contact the Behavioural Health Department, Cayman Islands Hospital, George Town on (345) 244 2650, Faith Hospital, Cayman Brac on (345) 948 2243 or Little Cayman Clinic on (345) 948 0072. • The Mental Health Helpline is 1 800 534 6463 and the KIDS helpline is (345) 649 5437. For more information, visit www.cicc.ky. • Led by Dympna Carten, the Community Psychiatric Nurse for the HSA, 'Radio Head' recognises the crucial role radio plays in our community for educating and informing people in times of national emergency. Through community donations, they supply Cayman’s most vulnerable with this valuable piece of technology. To donate a radio to Radio Head, please email: dympnacarten@hotmail.com or call (345) 916 3734.

Children are visual learners, so if you are showing them that www.caymanparent.com

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Hurricane

Checklist

The most common natural disasters threatening the Cayman Islands are hurricanes. Although Cayman has been lucky in recent years to avoid the path of any major tropical storms or hurricanes, changing climate trends mean the elements required for hurricanes to flourish have multiplied. In the event the Island does get hit by a hurricane, you will want to have taken practical steps beforehand to ensure you and your family stay safe and dry. For more information, visit www.caymanprepared.gov.ky and www. caymanresident.com. Hurricane Supply Kit

Preparation is key. Prior to the start of hurricane season (June 1st to November 30th) put together a hurricane supply kit, stocked with the items on the checklist below:

❑ Several gallons of drinking water ❑ Long-life food that does not require refrigeration or to be cooked (tinned food is particularly helpful)

❑ Plywood and screw nails for windows/doors (if necessary) ❑ ‘C’ type fire extinguisher for electrical fires ❑ Oil and petrol for generator (optional) ❑ Portable gas cooker and refills ❑ Charcoal and lighter fluid ❑ Flashlight, lantern and oil ❑ Candles and matches/lighter in watertight bag ❑ Battery operated radio, fan and extra batteries ❑ First aid kit, sunscreen and feminine hygiene supplies ❑ Medication ❑ Mosquito coils, citronella candles and/or spray ❑ Life vests, galoshes and whistle ❑ Rope/strong twine, duct/packing tape ❑ Plastic sheeting to cover furniture ❑ Tarpaulin for roof ❑ Paper towel, toilet paper and napkins ❑ Disposable plates, glasses and cutlery ❑ Aluminium foil, plastic freezer bags ❑ Can opener/knife (e.g. Swiss army) ❑ Chlorine bleach (sterilising water) and Dettol (disinfecting hands and feet)

❑ Hand sanitiser and baby wipes (for personal hygiene) ❑ Ice chest (to stock up with ice in the run up to a major storm) ❑ Baby supplies: nappies, wipes, food ❑ Pet food and litter box

Things to Do

In the immediate days leading up to the storm, make sure you have ticked off the following:

❑ Design a family plan for which shelter and route is best suited to your needs

❑ Store important documents, records, irreplaceable and precious items in watertight containers and back up to an external drive

❑ Fill cars with gasoline/charge if electric and move them to higher ground

❑ Withdraw cash from bank - ATMs won’t work without power ❑ Bring in everything from outside, i.e. bird feeder, hose, barbecue, chairs, potted plants

❑ Secure boat and remove all equipment - battery, life jackets, etc. ❑ Make arrangements for the safety of your pets ❑ Move furniture and belongings away from windows and doors and elevate off floor level

❑ Put silicone or foam around outside doors and also fill enough sandbags to protect the outside of the doors at ground level

❑ Pick up rugs from the floor and remove drapes from windows ❑ Buy buckets and sheets of plastic to protect furniture and wood floors from ceiling leaks

❑ Clean tubs/baths and fill them with water ❑ Turn freezer and fridge to the coldest setting. If power goes out, food and ice will last longer

❑ Charge cell phones and have cell phone charger that plugs into car lighter or a cranking mechanism

❑ Wedge sliding doors to prevent them lifting from tracks and reinforce garage door

❑ Keep swimming pool full, to around 12 inches from the top ❑ Turn off propane tanks ❑ Secure TV antennae ❑ Ensure there is an adequate supply of emergency food ❑ Close cistern openings and disconnect downspouts ❑ Fill empty gallon bottles with water for bathing and flushing ❑ Have raincoats/ponchos handy ❑ Make sure you have the phone numbers of family and friends and that they have yours

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GET PROTECTION FROM

NATURAL DISASTERS

Hurricanes Storm surges Earthquakes Volcanoes Tsunamis

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Get FULL Home Insurance Coverage against perils. Caribbean Alliance Insurance Co. Ltd. #203 Alissta Towers, 85 North Sound Road, P.O. Box 1762, Grand Cayman KY1-1109

www.caribbeanalliance.com • Tel: +1 (345) 949-9744 Anguilla • Antigua & Barbuda • Ascension Island • Bahamas • Barbados • British Virgin Islands • CAYMAN ISLANDS • Dominica Falkland Islands • Grenada • Montserrat • St. Kitts & Nevis • St. Lucia • St. Maarten • St. Vincent & The Grenadines • Turks & Caicos

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Finding your Forever

Whether you are renting or buying, choosing the right home is no easy decision. Location, size, layout, and the amenities offered all play a role in narrowing down your options and it is easy to feel overwhelmed by the details. However, with the help of a real estate professional who has their finger on the pulse of the Island’s property market, you can navigate all the major stresses and sign off on your dream home – sanity intact! In Cayman, because of the Multi Listing System (MLS) all CIREBA agents can access and show their inventory, meaning you can relax and let them do the legwork while keeping you organised and informed on available properties. Once they have a better idea of what you want by way of budget, location and size, they can start researching properties and sending you links to review with feedback. Rentals in Cayman move very fast and places become available and are leased or sold very quickly. Having a real estate agent to help you stay on top of this is invaluable to the process. Living in the Cayman Islands is very safe for expats and locals alike. As a small country that is big on international business, education and attracting overseas investment – the local authorities do a good job of keeping things running smoothly. In fact, with one of the lowest violent crime rates of any country in the world, it is probably the most secure country in the Caribbean. For these reasons, Cayman has

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been growing and continues to attract new residents from all over the world. Young working professionals will certainly find the amenities that appeal to an active lifestyle, while there are just as many options for families after a more laidback ‘Island-style’ life.

Buying vs. Renting

Real estate agents encourage their clients to rent for no longer than one year (if possible). Owning a home allows you to invest in yourself and pay into your own equity instead of the landlords. If you fall in love with Cayman and would like to stay a while, think about buying a property as soon as possible. There are easy exit strategies even if you plan to leave the Island later; it has traditionally been possible to earn a good rental income while overseas. Cayman also has the advantage of having no annual property taxes. You only pay tax at the point of purchase (referred to as Stamp Duty or Transfer Tax), while first-time Caymanian buyers benefit from not having to pay any tax on their purchase of land/property with a value of CI$500,000 or less.

What to Buy

Always bear in mind that you are much better off buying a property that offers flexibility and is affordable. This will give you a fallback position should you need one. 'Right sizing' is

key. High-end homes do not sell every day in Cayman and they can sit on the market for a long time, so opt to buy a good property within your means. If you are going to use real estate for points in your Cayman PR application one day, be sure to speak to an immigration specialist to get all the facts. There are several levels of real estate that are required for different types of residency.

Financing

Always shop around when looking for a mortgage. Research your options with various banks as there are a myriad of finance options available which constantly change. Cayman's retail banks usually do not offer mortgages to buyers over 65 years of age, so start early! To increase your chances of obtaining financing from a bank, you should have a good sense of your future income, have been working in Cayman for a minimum of six months and be in a solid financial position. A general rule of thumb is that you will need a minimum of 10% of the negotiated sum to secure a mortgage. This will include a bank deposit, bank fees, stamp duty, legal fees, an appraisal fee and government fees.

Costs to Consider

When Renting a Property Deposit: You will usually need to put down a security deposit and the first month’s rent in advance. For utilities, estimate approximately CI$100 for water, CI$200-CI$500 for electricity and CI$100 for telephone if setting up directdebit standing orders.

Kass Coleman Member of

Nearly 30 years with the BEST

“Let Experience Work For You!”

949-2396 1 (877) 286-4243 kass.coleman@remax.ky

Maintenance Costs: Make sure the landlord will take care of maintenance costs associated with garden and pool care, garbage collection, pest control and servicing of general systems such as air conditioning. Insurance: Personal property insurance is the responsibility of the tenant. Furnishings: A lot of units come 'fully furnished' (linens, kitchenware and appliances are supplied, as well as furniture). Prior to signing your lease ask for an inventory showing everything that comes with the unit. You will have to be prepared to supplement anything missing. Pets: Some complexes do accept pets but will ask for an additional non-refundable security deposit, which can be as much as CI$500 per pet. Smokers: Many landlords will not rent to smokers. No Sharers: Sometimes landlords will require apartments not be shared, i.e. only one family per unit.

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The Logistics of Hiring a

Helper or Nanny

Hiring a Domestic Helper through an Agency

Expect to pay CI$12 per hour for a minimum of four hours if hired on a full-day or half-day regular weekly basis. On a temporary basis, allow CI$14 or more per hour. The convenience of using an agency, such as AAA Caregivers, is that they train the staff, pay their health insurance, pension, and will replace them if they cannot work for any reason. See page 223 for agency details.

Hiring a Domestic Helper Directly

A domestic helper is primarily employed to clean the house, prepare food and babysit the children. They would transport the children to activities, but they would not be expected to plan activities or get involved with doing homework. The standard working week in the Cayman Islands is between 40 and 45 hours per week. The Labour Law (2011 revision, as amended) states that the minimum wage is CI$6 per hour for a 45-hour week, or 9 hours per day. Anyone being asked to work over 45 hours should get paid 1.5 times the hourly rate for additional hours. If the employee is a live-in helper, then their 'in kind' credit (accommodations and utilities, etc.) can only account for 25% of their salary, meaning the employee must be paid a minimum of CI$4.50 per hour in gross monetary compensation. If this is not met, then the employee should call the confidential line at the Department of Labour and Pensions on (345) 945 3073. For a very good full-time domestic helper/nanny, you would pay a salary of between CI$400 and CI$450 per week before overtime. This would be for a 45-hour week and you would expect this person to be able to drive, cook for your children and help with cleaning the house. For part-time work, or babysitting, and working over the 45 hours per week, you will find that everyone will expect to be paid CI$10 an hour. For non-agency helpers, you will need to take care of their health insurance, give them at least two weeks paid vacation per year, and pay them double time for working any public holidays. By Law, you do not have to contribute to a domestic worker's pension. A good employer will also pay for one airline ticket home per year if the employee lives nearby (e.g. Jamaica) or a ticket home every two years if they live further away (e.g. the Philippines). They should also provide a Christmas bonus of between two-week’s and a month’s salary.

Hiring a Professional Nanny

A professional nanny is expected to have a university degree and/or some form of childcare training. Their role is to focus on the children and not on general household chores. For a professional nanny working part-time (1pm-6pm Monday to Friday) you would expect to pay CI$2,000 per month. Overtime 176

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pay is CI$10 per hour. Typically, a nanny's job includes washing the children’s laundry, doing dishes, doing the household grocery shopping, preparing healthy dinners or homemade baby food, arranging activities, helping to organise and drive children to afterschool activities, assisting with homework, supporting any homeschooling and organising playdates. They would be expected to help develop a well-rounded, responsible child with a strong moral compass. Find professional nannies by word of mouth, or through local agencies such as AAA Caregivers. If you are looking for a live-in au pair, visit www.greataupair.com. Most nannies would expect to be provided with a car to use seven days a week, a monthly fuel allowance of CI$50 to CS$100 (depending on distances involved between main household, school and certain activities), flights home (once a year no matter the destination), four weeks paid vacation, non-contributory health insurance, and to be paid their monthly salary whether the family are away on holiday or not. It is not unusual for a nanny to travel with the family on vacation and stay overnight as needed (but please check visa requirements of the holiday destination if the nanny is working on the trip). For overnight stays, the going rate is a sleep fee of CI$10 per hour or CI$75 a night. It is then CI$10 per hour for the hours the children are awake outside of the nanny’s regular working hours.

Work Permit Rules for a Domestic Helper/Nanny

If you are an expat, then you cannot submit your domestic helper's or nanny's work permit paperwork until your own work permit has been approved. It is illegal to have them pay for their own work permit. Helpers are not allowed to have dependents on their work permit and the absolute maximum time they can stay on the Island is ten years. You can take out a work permit for any nationality of a helper or nanny, as long as you can demonstrate a genuine need.

The Department of Workforce Opportunities & Residency Cayman (WORC) does not usually grant expats a work permit for a domestic helper or a nanny unless they can show sufficient need, i.e. they have children who need looking after. In this case you'll need to provide certified copies of the birth certificate of each child to be cared for and think carefully about the information you provide in your cover letter to support your application. Please note, a work permit for a 'Nanny' needs to be advertised on the https://jobscayman.worc.gov.ky website but a work permit for a ‘Domestic Helper’ does not need to be advertised. The work permit for a domestic helper costs CI$250 per year, while the cost for a nanny is CI$650.

Applying for a Passport Dreaming of international travel with your family in tow? First thing's first – you need to get your child a passport. While it may seem like an arduous task, crossing it off sooner rather than later means its one less thing to think about when it comes time to actually planning your trip away. Luckily, parents can begin the process as soon as your child has a birth certificate, and we outline the next steps below.

American Passports

If you are a US citizen who recently had a child in the Cayman Islands, you need to apply for a 'Consular Report of Birth Abroad' as well as a passport for your child. You will need to make an appointment (via consularagency.simplybook.me/v2/) with the US Consular Agency and then complete the application forms which can be found on www.travel.state.gov. Both the parents and child must attend the appointment and bring any necessary documentation. They do not accept walk-ins.

US Consular Agency: Suite 202B, Smith Road Centre, 150 Smith Road, George Town. Email: usconsularagency@gmail.com or caymanacs@state.gov. Opening hours: Monday-Thursday 9am-2pm (closed on all Cayman and US holidays).

Australian Passports

Obtaining an Australian passport for a child born in the Cayman Islands to at least one Australian national is complicated. For a passport application form visit www.passports.gov.au.

British Passports

Visit www.gov.uk/overseas-passports to fill out an online passport application form and pay the prescribed fee. The passport office will then email you a personalised declaration pack. You need to sign this and send it by courier along with the supporting documents and photos to Her Majesty’s Passport Office, OVS-D, Millburngate House, Millburngate, Durham DH97 1PA, England. The cost of a child’s passport is £72.86, inclusive of the courier fee. Processing time takes between two to eight weeks.

Canadian Passports

The Canadian Consulate offers assistance with obtaining Canadian citizenship for children born in the Cayman Islands to Canadian parents, passports and any emergency assistance. Application forms for Canadian passports can be collected from the Consulate or downloaded online from www.cic.gc.ca. The Consulate can review your application before you send it to the High Commission of Canada in Kingston, Jamaica. The estimated processing time is 15-20 business days. Canadian Consulate: 1st Floor, Landmark Square, 64 Earth Close, West Bay Road. Email: cdncon.cayman@candw.ky. Opening hours: Monday-Thursday 10am-1pm.

Caymanian Passports

Caymanian passports (also called a British Overseas Territories Citizen passport) are processed at the Passport & Corporate Services office in George Town and then sent to the UK passport office to be printed. The processing time is around six weeks. Application forms, and a list of required documentation for a BOTC passport can be downloaded from www.immigration. gov.ky. Passports cost CI$75 for children. Emergency passports, issued in the event of a medical air evacuation, are produced in Grand Cayman and can be turned around within a day. Passport & Corporate Services Office: 2nd floor of Sussex House, 128 Elgin Avenue. Email: passport&corporate@gov.ky. Opening hours: Monday-Friday 8.30am-4pm. For any other nationalities visit www.gov.ky and select Consular Agents for contact details of the consular representatives.

Registering the Birth of Your

Child Born in Cayman Children born in the Cayman Islands will be issued a Live Birth Notification Form. The original document will be sent to the Registrar of Births and you will be given a copy. Parents must go to the General Registry on the ground floor of the Government Administration Building, Elgin Avenue with the Live Birth Notification Form, a marriage certificate (if married) and your passport(s). Residents of Cayman Brac and Little Cayman can register their children at the District Commissioner’s Office on Cayman Brac or in Grand Cayman. By law, you must register your child within three months of birth. There is no charge for this, however, a copy of your child’s birth certificate from the Registrar of Births will cost CI$10 per copy. For more information on passports and visas, go to www. caymanresident.com. Contact details for the various consular representatives can also be found on the Cayman Resident website.

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Immigration Rules Children Born to Caymanians

The Immigration (Transition) Law confirms that children born on or after January 1st 2004 are 'Caymanian as of Right' (no matter where they are physically born) if at the date of their birth at least one of their parents was Caymanian and settled in the Cayman Islands. If the parents obtained Caymanian status (also known as 'The Right to be Caymanian') any other way than by descent, and their child is born overseas when neither parent is settled in the Cayman Islands, then their child will also be 'Caymanian as of Right'. The responsibility for determining whether or not someone is in fact a Caymanian now falls to Workforce Opportunities and Residence Cayman ('WORC'). If the children’s parents became Caymanian by descent (i.e. through a parent or grandparent), and the child is born overseas, then the child is not necessarily Caymanian. It is strongly recommended that any child (or indeed adult) who is believed to be Caymanian apply to the Director of WORC under s. 26(2) of the Immigration (Transition) Act, 2021for formal acknowledgement that they are in fact Caymanian. The form that you need to fill in and submit is the R21 ‘Acknowledgement/ Continuation of the Right to be Caymanian’ form. The Act provides that the Director of WORC must, within 14 days, provide such acknowledgement (and, if requested, provide a stamp to be placed in the person’s passport confirming them to be Caymanian) or provide written reasons for the refusal to do so. There is no fee for this application, although a CI$50 fee is payable where the application is being made on the basis that a child is Caymanian by Entitlement (see 'When Parents Become Caymanians After the Child's Birth'). When Caymanian Parents are Not Married If the parents are not married at the time of the child’s birth, and the parent claiming to be the father is a Caymanian, a DNA test may be required. The issue does not arise if the mother is Caymanian. Such a child will be Caymanian as long as the mother is settled in Cayman at the time of the child’s birth. When Parents Become Caymanians After the Child’s Birth Quite often, parents of a child will become Caymanian after the child is born. In such a case the child may be acknowledged as 'Caymanian by Entitlement', and the parent is expected to apply to the Director of WORC for formal acknowledgement that the child is 'Caymanian by Entitlement'. The application must include a fee of CI$50, and must demonstrate that the child concerned is under the age of 18, has at least one Caymanian parent, and has been legally and ordinarily resident in the Cayman Islands for at least one year. Please note that the child must later be the subject of an application for continuation of their Right 178

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for Kids

to be Caymanian. As the Law presently stands, such children cease to be Caymanian upon turning 18, and need to apply for a 'continuation'. This should be done after the child turns 17 and before they turn 18. If they apply after the age of 18, they will have ceased to be Caymanian but can technically regain that status provided an application for continuation is granted. However, the child may be unable to apply for a scholarship or a job until their status has been confirmed and 'continued'. They also risk being determined to be unlawfully in the Islands and thus (if the period is long enough) ineligible to apply for 'continuation'.

Children Born to Non-Caymanians

Children born in the Cayman Islands to expats are not automatically entitled to reside in Cayman. Their treatment varies depending on the immigration status of their parents. The main options for the children of non-Caymanians are set out below: How to Make Your Expat Child a Legal Resident When a child is born in or brought into the Cayman Islands, unless they are 'Caymanian as of Right', they must be reported to the immigration authorities and have the appropriate permissions sought to allow them to stay. The procedure to be followed will vary depending on the nature of the parent’s immigration standing. For example, your child must be added as a dependant if you are: here on a temporary or full work permit, are a Government-contracted worker, or have an application for Permanent Residence submitted and are working on a valid PCW ('Permission to Continue Working'). The next paragraph explains how you add your child to your work permit or Permanent Residency. Children Born to Work Permit Holders If you are on a work permit, your baby must be added as a dependant on your work permit. You can find the AMD2 ‘Dependant Information Form Checklist’ (aka the RV37a) on www. iworc.gov.ky which outlines the things you need to gather and submit. These include the application filing fee of CI$100 and a separate grant fee of CI$500, which is payable on approval. The required supporting documents include employment letters in relation to each parent and a ‘Monthly Income and Expense Report’ with which the Dept. of WORC will decide whether you can afford to have a dependant stay in Cayman with you. It is generally accepted that your minimum monthly base salary for a family of three must be in the region of CI$3,500. You will generally be expected to earn an extra CI$500 to CI$1,000 per month for each additional dependant. When all the requirements are met, your child’s passport (once issued) will get a stamp with a date on it. Remember to get each new passport re-stamped as airlines need to see an up-to-date dependant

stamp in the passport when you travel. If you have any questions, call WORC on (345) 949 8344 or see their website. Children Born to Applicants for Permanent Residence with Permission to Continue Working In the event that you become a parent while your application for Permanent Residency is still being processed, you need to act as soon as possible to vary your Permission to Continue Working (PCW) to add a new dependant. Following this, you need to update your application for Permanent Residence to reflect the change of circumstance. This requires a submission to the Director of WORC, accompanied by a CI$100 application fee, a completed copy of the RV37a 'Dependant Information Form' and its list of supporting documents. Children Born to Government Employees Foreign nationals in government service are exempt from the Work Permit Regime by virtue of their government contracts. They should, however, check with their relevant Department/ Ministry and to ensure that their child is able to lawfully reside in the Cayman Islands. Please note that there is no distinction between expatriate children of persons in government service and those in the private sector. Considerations as to Permanent Residence and the 'Right to be Caymanian' (including 'continuation' thereof) should be taken fully into account. A foreign national who has lived in the Cayman Islands for at least eight years and works for the Cayman Islands

Government can apply for Permanent Residency. Once it is granted, they have the choice of adding their child/children as a dependant and paying the annual dependant fee of CI$500 per child. Alternatively, they can continue to include the child as a dependant on their government contract and, in such a case, they will not have to pay an annual fee for their children. Please note that it is very important that evidence of your child's residency status is maintained. At some point you may want to apply for Permanent Residency or Status for your child, and you will need to show proof that they have been a resident in the Cayman Islands for some years prior to the application. Children Born to Permanent Residents A child born to a Permanent Resident (whether through the points system or by independent means) must be added as a dependant to the parent’s PR. You will need to fill in and submit a ‘Variation of Permanent Residence’ form (the RV37a form) as well as the 'Dependant Information Form Checklist' There is an administrative non-refundable CI$500 fee attached to the application. You will need to include a cover letter explaining why the change is being made, as well as a certified copy of your child’s birth certificate, a signed affidavit, a completed application form, as well as (where relevant) an employment letter from both parents which includes the hours worked per week, the monthly income and any other benefits received.

MEET THE FAMILY LAW TEAM

David McGrath dmcgrath@mcgrathtonner.com

Jonathan Casey jcasey@mcgrathtonner.com

Sara Ismail sismail@mcgrathtonner.com

Our experienced family law team provide advice and representation on all aspects of matrimonial finance and children related issues, including: Divorce • Separation • Child custody • Child maintenance Pre-nuptial and post-nuptial agreements • Child abduction and relocation • Domestic violence 5th Floor, Genesis Building, Genesis Close | P O Box 446, Grand Cayman, KY1-1106, Cayman Islands Tel: (345) 949 2740 or (345) 623 2740 | Fax: (345) 949 0073 | info@mcgrathtonner.com

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The issue fee is CI$400 for the holder of a 'Residency and Employment Rights Certificate' on the basis of eight years' residence, or CI$1,000 for the dependants of the holder of a 'Certificate for Persons of Independent Means'. At the time of the child’s birth, if one parent already holds Permanent Residency and/or has been Naturalised as a British Overseas Territories Citizen (BOTC) because of a connection with the Cayman Islands, but is not (yet) Caymanian, then the child born in the Cayman Islands (to expatriate parents resident in the Cayman Islands) will be born a British Overseas Territories Citizen by virtue of a connection with the Cayman Islands. Although they will not be Caymanian, such children can hold a British Overseas Territories (Cayman Islands) passport and have an automatic right to live (but not to work) in the Cayman Islands. They should be registered under the British Nationality Act with the Deputy Governor’s Office and an application made through the local passport office. As mentioned above, the child also needs to be added as a dependant on your Permanent Residency. Please note that as a Permanent Resident, if you then become a Caymanian (and have children and a spouse as dependants) you have only 45 days to 'regularise' your dependants. If for some reason you forget, then your spouse’s 'Residency & Employment Rights Certificate (RERC) as the Spouse of a Permanent Resident' will be revoked and there will in effect be nothing to extend. In this situation, the only option to 'regularise' your spouse’s position is to apply for the 'Right to be Caymanian', but you cannot do this unless you sign an affidavit saying that you tick the 'stable marriage' box. Alternatively, if you have been married for less than seven years, then you can simply apply for a RERC on the grounds of being married to a Caymanian. Expatriate Children Born in the Cayman Islands and Continuously Resident for the First 10 Years The British Nationality Act makes provision for the registration of children born in the Islands (and legally resident for the first 10 years of their life) as British Overseas Territories Citizens by virtue of a connection with the Islands. While in such registration will not make them Caymanian, they will be entitled to a Cayman Islands passport and allowed to reside permanently in the Cayman Islands provided they do not move away, are of good character, and do not breach the Immigration (Tribunal) Act. This option is available without regard to the immigration status of parents and an application should be made to the Deputy Governor’s Office as soon as possible following the child’s 10th birthday. Such children can hold a Cayman Islands passport, and (independent of their parents) almost certainly be able to apply to become Caymanian immediately following their 15th birthday if still legally and ordinarily a resident in the Cayman Islands at that date.

Rules Once a Child Turns 18

A 'Caymanian by Entitlement' Turning 18 Please note that a child who is a 'Caymanian by Entitlement' will lose this Status when they turn 18. In order to continue to 180

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be Caymanian after their 18th birthday, an application must be made to the Caymanian Status and Permanent Residency Board for 'continuation' of their Status. Such an application ought to be made when the child is 17, and before they turn 18, or they will automatically lose their Status upon turning 18. If a child forgets to apply to continue their Caymanian Status, they can reapply at any time, however, they may be unable to work or apply for a scholarship until they have had their Status regulated. A student visa or alternative immigration permission may be needed to fill any gaps. An application can only be granted if the child has been legally and ordinarily resident for five out of the seven years immediately preceding the date of application. Provided that an application is made before the child turns 18, they will (once the application is granted) be deemed to have been Caymanian without break. If the child is the subject of an application after their 18th birthday, they will (if the application is granted) be deemed to only be Caymanian from the date of the grant. Under the Immigration (Transition) Law, absences necessitated by health and education may nevertheless count as legal and ordinary residence in the Islands provided that Cayman is 'home' for the relevant period of absence (which cannot, in any event, be for more than 12 months). Permanent Resident's Child Turning 18 An expatriate child of a Permanent Resident (even if the child has a Cayman passport) must in most cases apply for Permanent Residence in their own right under section 39 of the Immigration (Transition) Law. They can do this without being subject to the points system, provided they have been legally and ordinarily resident in the Cayman Islands for seven years prior to the application being made. This application must be made before the child turns 19 (ideally even before they turn 18) but if the parent’s Residency & Employment Rights Certificate has been varied to allow the child to be a dependant past 18, it can be made up until the child is 24, provided the child is still in tertiary education or within six months of the end of such education. They will then be able to apply to become Caymanian once they have been in Cayman for 15 years, or five years after having been naturalised and become a British Overseas Territories Citizen (BOTC). An expatriate child, who is the child of the spouse of a Caymanian and whose parent holds a RERC (Residency & Employment Rights Certificate) as the spouse of a Caymanian, can be added as a dependant on their parent, but only until they are 18, unless they continue into tertiary education and their permission is varied. Work Permit Holder's Child Turning 18 Dependant children can only remain on a parent’s Work Permit after the age of 18 if they are: in full time tertiary education or special circumstances apply (such as the child is unable, for medical or other exceptional reasons, to maintain themselves). Should your child turn 18 before they finish secondary school, the immigration authorities will usually allow your child to remain in Cayman, although not formally as a dependant on your work permit. However, if your child chooses not to go on to university or college, and they want to continue living in the Cayman Islands, then their only option is usually to try and get their own work permit. At this point they are competing

with every Caymanian and Permanent Resident school leaver who will have precedence over them, placing them at a distinct disadvantage when seeking job opportunities. Gap Year Dilemma The Immigration authorities have, to date, declined to confirm their treatment of students seeking to take a gap year, and the Law does not appear to make any provisions for them. Work Experience for Expat Kids Children of work permit holders cannot accept paid work experience without having their own work permit, and an unqualified 16-20 year old is very unlikely to ever be granted a work permit. However, there is nothing in the Law to say that the children of expats cannot accept unpaid internships if they have been resourceful enough to go out and find work in their school holidays! In fact all children, expat or Caymanian, should be encouraged to seek work experience as soon as they are over the age of 16. It not only keeps them busy, but it also teaches them the value of money and to have a good work ethic - invaluable tools for life! See our Part Time Jobs article on page 272 for more details. Naturalisation as a BOTC (Section 18 (1) Grounds of Residence at 18) If you are a Permanent Resident (PR) and not married to a Caymanian then getting Naturalised as a British Overseas Territories Citizen (BOTC) is an essential step in the process of

acquiring Caymanian Status. Once you have had Permanent Residence for 12 months, and have lived in Cayman for at least five years, you can apply under the British Nationality Act for Naturalisation as a BOTC by virtue of a connection with the Cayman Islands. Please note that you will still need to pay your Permanent Resident work-related fees every year once you are Naturalised. However, the spouse of a Caymanian does not pay these fees. The spouse of a Caymanian will (provided their Caymanian Spouse is a BOTC), be able to apply for Naturalisation 12 months from the date that their RERC was approved, provided they have been resident in the Islands for at least 3 years and seek to apply on the basis of marriage to a BOTC. The application is made to the Deputy Governor and must include an up-to-date travel history covering the last five years (you can obtain this from WORC), as well as certified copies of your relevant documents and a fee of CI$825. Please note that a child under the age of 18 can (on successful application) be registered as a BOTC and the cost is CI$450. This article was written by Nick Joseph. As a partner at HSM, he deals primarily with the provision of advice in relation to a range of regulatory matters including immigration and employment issues with an emphasis on relocation advice. Nick is a leading immigration lawyer in the Cayman Islands and was a partner for almost ten years at a major offshore law firm in the Cayman Islands before joining HSM in early 2013.

Hampson and Company Attorneys at Law

GRAHAM HAMPSON

YVONNE MULLEN

SULEKHA TUMMALA

KIM McLAUGHLIN

Family

Family / General Practice

General Practice / Corporate

FAMILY LAW AND GENERAL PRACTICE We provide advice on all aspects of family law including, divorce, separation, mediation, pre-nuptial and post-nuptial agreements, child-related issues (residency, relocation and maintenance), capital adjustment, spousal maintenance, and domestic violence. We also provide advice on all aspects of general practice including, work permits, residency applications, naturalisation applications, status applications, wills, trusts and estates, and all real estate related matters. 4th Floor, Apollo House East, 87 Mary Street, George Town, P.O. Box 698, Grand Cayman KY1-1107 (Tel): 345 623 7788 • (Email): info@hampsonandco.com • www.hampsonandco.com

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Family Breakdown

Everything You Need to Know Family breakdown in the Cayman Islands is both an emotional and lengthy legal process. If the parents are married, then the process is typically a divorce. If the parents are not married, then the process is a separation. The common causes of divorce or separation are differences in expectations of married or cohabiting life, such as differences in financial expectations or emotional expectations or in some cases a combination of both. Divorces and separations are usually amicable when parties have had the opportunity to process their emotions. If this has not occurred, then unresolved emotions may complicate the processes. – Lisa Donalds, Attorney and founder of Phoenix Legal parties do not qualify for legal aid, then they may seek free legal advice from Legal Befrienders, a programme run by the Family Resource Centre. To begin divorce proceedings in either marriages or civil partnerships one of the following five grounds must be established first: • • • • •

Adultery; Unreasonable behaviour; Desertion for two years; Separation for two years with consent; and Separation for five years without consent.

In the Cayman Islands, unlike other jurisdictions, ‘quickie’ divorces are not available. One of the five grounds listed above must be demonstrated. Quite a few jurisdictions require a period for parties to be separated before they can begin divorce proceedings. In the Cayman Islands, parties relying on the ground of unreasonable behaviour may begin divorce proceedings at any time.

The Process of Divorce / Family Separation

If parties to a marriage, civil partnership or relationship are separating, then the first step, if possible, would be to attempt to negotiate the division of property and or proposals for the child or children. If parties agree these terms before engaging a lawyer, then the entire process will be simplified. If parties are not able to agree these terms, then the next step would be to engage a lawyer to assist individual parties to navigate the process and, if necessary, a mediator may help too. If one cannot afford a lawyer, then legal aid may be available in circumstances of domestic violence or child neglect. If the

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Property and Child(ren) Considerations Divorce and separation raise issues regarding the division of joint property and, if there are children, the proposals for the upbringing of those children. Child custody, as it is commonly known, does not legally exist in the Cayman Islands anymore. The terms now are parental responsibility, residence and contact orders. Parental responsibility is the right to raise a child in the manner which a parent chooses. Residence orders regulate with whom a child lives, and contact orders determine with whom a child may visit. The Cayman Islands favours shared residence orders for parents as it is viewed as providing the most stability for a child, since the child has both parents actively involved in his/her life.

Mediation Mediation is a form of alternative dispute resolution. The benefit of mediation is that parties hear the other parties’ perspective without the expense and potential stress of litigation. Mediation is led by a mediator who guides the parties through the process to enable each party’s opinion to be heard. The Cayman Islands has introduced court mandated mediation. These sessions are booked in three-hour intervals, but multiple sessions may be scheduled. Court mandated mediation is free but typically people will engage lawyers to assist with the process. Mediation outside of the court mandated process must be paid for privately.

Costs & Timelines

An amicable (non-contentious) divorce may cost between CI$2,000-CI$5,000 in legal fees. The cost of a non-amicable divorce varies as it depends what and how long the parties choose to fight. Alternatively, an amicable separation may even be free if parties draw up their own legal agreements. A non-amicable separation is like a non-amicable divorce as it depends how long the parties choose to fight. Court mandated mediation is free but typically parties engage lawyers to assist. If parties choose to mediate outside of court, then parties would have to pay the mediator’s fees.

Domestic & Child Abuse

If there are concerns of domestic violence and or child abuse 2021/06/25 during a PhoenixLegal_HalfH_CP22.pdf divorce/separation these 1issues may be21:49 dealt with

using other legal channels. The first avenue would be to make a police report, thereupon claims will be thoroughly investigated. If domestic violence is the issue, then this may be dealt with in the civil and or the criminal courts. In the civil courts, the applicant may seek any of these orders: • A Protection Order: This primarily stipulates that the perpetrator stay away from the applicant. • An Occupation Order: This prevents the perpetrator from residing with the applicant. • A Tenancy Order: This requires the perpetrator to pay the lease or the rent of the applicant if the applicant financially relied on the perpetrator. These orders were created to protect the applicant psychically and financially.

Divorce Proceedings for Caymanians vs. Expats

The Cayman Islands is a multicultural jurisdiction. Therefore, we have marriages and civil partnerships between two Caymanian parties, marriages and civil partnerships where one party is Caymanian, and the other party is not and marriages and civil partnerships where both parties are expatriates. These three different types of marriages and civil partnerships do raise different implications for divorce and separation, from an immigration point of view. The immigration questions that arise are how the parties became Caymanian and the length of time

A D OPT ION & CH I LDR E N ’ S L EG A L A R R A NG E M E N TS

DIVORCE

PRE A N D POST N UP TIA L AGRE EM EN TS

PROT ECT ION F ROM D OMEST IC V IOL ENCE

G UAR DI A N SH IP & REC E IVERSH IP A PP LICATION S

W ILLS PROBA BTE A N D A DM IN ISTRATION

+1-345-929-4701

Standing up for People’s Rights in the Cayman Islands

lisa@phoenixlegal.ky

TH E

F A M I LY

L AW

F I R M

Regus, The White House, 20 Genesis Close, George Town, Grand Cayman, Cayman Islands

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the parties may have held Caymanian status. Presently, parties to marriages and civil partnerships that have held Caymanian status for less than three years will lose their Caymanian status upon a divorce. Two expatriates who wish to separate need to consider the rules of the jurisdiction in which they were married, and understand that if they wish to divorce in Cayman, they must follow local rules in regard to length and or quality of residency on island and or length of legal separation, before filing for divorce. For more information, please see the article on the next page. Relocation If a parent desires to move to another jurisdiction with a child and the other parent disagrees then permission from the court would need to be obtained. This type of application is called a relocation application. If a parent removes the child from the jurisdiction without permission of the other parent, then this would be considered a breach of the 'Hague Convention on the Civil Aspects of International Child Abduction'. This convention attempts to prevent a parent from seeking a more sympathetic court or

jurisdiction to adjudicate with whom the child lives with. The Convention preserves the initial habitual residence of the child even if the child is taken to another jurisdiction. This preservation means that the second contracting jurisdiction would refuse to hear the case. This convention is only relevant in contracting states. It would not apply to jurisdictions which are not signatories. If a child is taken to a noncontracting jurisdiction then other channels of reunification would need to be employed.

Lisa Donalds founded the firm Phoenix Legal in 2019 with the mission of providing accessible legal advice to the community. She obtained her legal experience by working with other offshore magic circle firms and the Portfolio of Legal Affairs. She is an experienced family law specialist with a broad range of experience.

Finding the right balance for you and your family. We provide expert advice and representation on all areas of family law including: • • • • • • • •

Divorce/Separation Pre and Post Nuptial Agreements Child Residence and Contact Child Abduction and Relocation Child and Spousal Maintenance Domestic Violence Mediation Wills/Guardianship

Laura Clemens / Partner E: lclemens@caymanfamilylaw.com P: 345-746-5292

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David Holland / Partner E: dholland@caymanfamilylaw.com P: 345-746-5293

info@caymanfamilylaw.com 345-746-5290 caymanfamilylaw.com Zephyr House, 122 Mary Street George Town, Grand Cayman

Hayley Allister / Partner E: hallister@caymanfamilylaw.com P: 345-746-5291

The Divorce Dilemma:

How it Affects Immigration in Cayman There are some specific issues relating to divorce and immigration statuses which are important to be aware of. Whether or not you can continue to live in Cayman could be in the balance. Divorce For Expats/Work Permit Holders

Should an expat couple living in Cayman decide to divorce, the non-working (previously) dependent spouse may have no right to stay in Cayman. Residence based purely on the presence of children is not allowed by the Immigration Act. Children in such circumstances can remain as approved dependents of the parent who is on a work permit or government contract, and continue to attend full-time education until adulthood (as late as 24 if attending full-time university). However, the formerly dependent parent will likely only be able to remain if they obtain their own work permit (including through the Special Economic Zone regime) or government contract; or alternatively secure some form of residency as a person of independent means. They may be

MICHAEL ALBERGA

SHAUN McCANN

permitted to remain as a tourist, but remaining in such a capacity for more than 90 days can present difficulties, and no permission ought to be expected after a total of 182 days of physical presence in any 12-month period.

Former Spouse of a Caymanian

In the instance where the former spouse of a Caymanian is the mother/father of a Caymanian child, they will usually be allowed to remain (subject to various approvals) and be permitted to work until the children complete their education or their 24th birthday, whichever happens sooner. If their last child reaches the age of 24 and the non-Caymanian parent has not obtained an alternative immigration permission before this point, then the parent will

LOUISE DESROSIERS

MAGGIE WELLON

AMANDA MINTO

LITIGATION - MEDIATION - DISPUTE RESOLUTION - LEGAL DRAFTING AND ADVICE

The Travers Thorp Alberga family team are highly experienced in all aspects of matrimonial law including divorce, residence and contact disputes, child and spousal maintenance, removal applications, interim and final financial provision, cross border asset tracing, pre and post nuptial agreements, private client and succession planning, wills, trusts and foundations. Email: malberga@tta.lawyer Direct: +1 (345) 623 2371 Mobile:+1 (345) 326 4631

Email: smccann@tta.lawyer Direct: +1 (345) 949 0699 Mobile: +1 (345) 516 4911

Email: ld@tta.lawyer Direct: +1 (345) 623 2535 Mobile: +1 (345) 516 2540

HARBOUR PLACE 2 N D F LO O R , P O B OX 47 2 , 1 03 S O UT H C H U R C H ST R E E T G R A N D CAY M A N , KY 1 - 1 1 0 6 CAY M A N I S L A N D S

Email: mwellon@tta.lawyer Direct: +1 (345) 623 2539 Mobile: +1 (345) 922 0922

Email: aminto@tta.lawyer Direct: +1 (345) 623 2472 Mobile: +1 (345) 516 76 1 1

W W W.T R AVE R ST H O R PA L B E R G A .CO M MAIN : + 1 (345) 949 0699

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(according to the provisions of the law as presently drafted) have to leave the Cayman Islands. Such a parent will however have an opportunity to apply for Permanent Residence pursuant to the points system, provided Cayman has been their home for more than eight years.

Spouses of Permanent Residents

The dependant spouse of a Permanent Resident can apply for their own Permanent Residency and Employment Rights Certificate (RERC) as the spouse of a PR holder, as soon as their spouse is granted Permanent Residence. They do not have to wait the usual eight years of residency and do not have to take any test or be subject to the points system. They are however free to apply for Permanent Residence in their own right, (and go through the normal process) if they have been living in Cayman for eight years. If they hold Permanent Residence and have been naturalised, they should also apply for the Right to be Caymanian as soon as they have been living in the Cayman Islands for 15 years (or five years following the date of naturalisation). Ideally, spouses who qualify should in any event consider applying for Permanent Residence in their own right once they have been legally and ordinarily resident for eight years. However, many people just carry on having their Residency and Employment Rights Certificate (RERC) 'tied to’ their spouses’ Permanent Residency since there is no time limit on the award. The problem arises when one of the spouses applies for and is granted the Right to be Caymanian. At this point the RERC holder/spouse whose Residence is based on marriage to a PR holder, must have their immigration status in the Islands ‘regularised’ within 45 days, i.e. they must have their RERC changed to that of the 'Spouse of a Caymanian'. They may even (if they have been married for more than seven years) apply directly for the Right to be Caymanian based on marriage to a Caymanian. If they forget, or divorce, then as they are no longer married to a Permanent Resident, their certificate becomes void. There will in effect be nothing to extend. This has caused a lot of problems for couples/parents who then decide to separate. One of the requirements in the Immigration Law is that you can hand-on-heart tick the box saying you have a stable marriage. If you cannot, then there may be no rights remaining for you in the law: your immigration standing may be in limbo and you may not be allowed to stay in the Cayman Islands.

Spouses of Caymanians

The spouse of a Caymanian has no entitlement to a work permit, or even to reside in the Cayman Islands on the basis of their marriage. Unless they have a prior permission, which is yet to expire, they must first apply for (and hold) an RERC on the basis of marriage to a Caymanian. The law has now changed to make such RERC’s

Things to Consider

The length of time you and your spouse have lived in the Islands and what implication that has on your term limit and applications for Permanent Residency, or the Right to be Caymanian. If you qualify, you can seek Permanent Residence in your own right when you have been in Cayman for at least eight years. Further, if your spouse is (or has become) a Caymanian, you can apply to be Caymanian when you have been married to the person for seven years (whether or not the seven years have been spent in Cayman) although there are some requirements regarding cohabitation. Remember that under current legislation it is an offence for an applicant for PR, whose application is pending, not to inform the authorities forthwith of any change in an applicant’s marital (or other material) status. There is also a requirement on persons holding Permanent Residence (other than on the basis of Marriage to a Caymanian) to file an annual declaration. It is also an offence punishable by a substantial fine and potential loss of immigration permissions for an RERC holder (other than on the basis of marriage to a Caymanian) and their Dependant Spouse, not to inform the Director of Workforce, Opportunities and Residency Cayman (WORC) of a change in marital status within six months of any dissolution or breakdown. permanent in nature. After seven years of marriage, the nonCaymanian spouse can apply for the Right to be Caymanian on the basis of marriage. If a Caymanian also happens to be a BOTC, the holder of an RERC as the spouse of this Caymanian can apply for naturalisation as a BOTC by virtue of a connection with the Cayman Islands as little as three years after becoming resident here. Anyone resident five years after naturalisation is eligible to apply for the Right to be Caymanian. The Law also provides that the right of any RERC holder (as the spouse of a Caymanian) ceases to have the right to live and work in the Islands upon the breakdown of their marriage. In any event, WORC can revoke an RERC. If the RERC is revoked, then one of the only ways for your spouse to stay on the Island is by being granted a work permit under section 38 (7) of the Immigration (Transition) Act, and only for a period of three years (unless the marriage is first formally dissolved). At the end of the three years, if you have passed your term limit, then the nonCaymanian spouse must apply for Permanent Residence or may have to leave the Islands and be without a work permit for one year in order to reset their term-limit clock. Without an application to the Cabinet there is little leeway in the law. The only avenue to fighting this could be on the grounds of human rights, and that process could be lengthy, costly and uncertain. TOP TIP: If you are experiencing marital difficulties, please do seek legal advice regarding your immigration status, as current legislation may not be supportive of those who cannot swear in an affidavit that they are in a stable marriage.

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Welcoming a Pet

Into Your Home

Thinking of introducing a new furry family member? Pet ownership can be a wonderful experience. Pets bring so much joy into the lives of those around them, and they can even teach children a few valuable lessons along the way! The Benefits

Studies have found the benefits associated with pet ownership for children to be far-reaching. Aside from the more obvious lessons in responsibility and empathy, pets of all shapes and sizes can also help promote a child’s emotional, social and physical development:

• An animal’s companionship can provide emotional support for children – easing anxiety and offering unconditional comfort. • Your child’s peers will likely own pets too – giving them something to talk about and relate with. • Children who are given age-appropriate tasks relating to looking after a pet, such as laying out fresh water, demonstrate higher self-esteem. • As well as the health upsides of being active whilst walking and playing with a dog, several studies have shown that kids with pets have a decreased chance of developing allergies. Petting an animal lowers cortisol and increases serotonin and dopamine levels, decreasing stress levels and improving your child’s mood.

Things to Consider

For all the good that pets inject into our lives – we need to return the favour! Owning a pet is a privilege and with it comes some newfound responsibilities. Be honest about whether a pet will fit into your family’s lifestyle: if you are running around looking after small children, will you have the time (or energy!) to do the same for a pet? If your pet gets sick, will you be able to cover any veterinary expenses? Are you prepared to make their care a part of your day-to-day life? These questions all need to be carefully considered before inviting a pet into your home.

Responsible Pet Ownership T&Cs

Caring for your pet extends beyond the day-to-day. There are some key pet ownership guidelines that pet owners standby in Cayman which prioritise your pet's health. These include: Micro-chipping: Micro-chipping is a painless one-off injection, placing a tiny chip in the scruff of the neck. This will

help identify your pet if it gets lost and is essential for travelling overseas. Immunisations: There are some core vaccinations that all dogs and cats need to have – DHPPL for dogs (Distemper, Adenovirus [Hepatitis], Parainfluenza, Parvovirus, Leptospirosis) and FVRCP and FeLV for cats (Feline Rhinotracheitis, Calicivirus, Panleukopenia, Leukaemia). There are also some noncompulsory vaccines, including for kennel cough (Bordetella) and rabies. Consult with your vet about your pet’s requirements. Spaying & Neutering: Spaying and neutering is shown to increase longevity and health in pets and should occur when your pet is 4-6 months of age. It also reduces over-population and homelessness on-Island. It is strongly recommended that owners get females spayed before their first season. Heartworm Prevention: Heartworms are a widespread and potentially fatal disease affecting dogs and cats in Cayman, spread by mosquitoes. The use of monthly preventatives, in the form of chewable tablets, is recommended. Flea & Tick Prevention: Fleas and ticks are common in Cayman and regular prevention is highly recommended. Pet Food: A good quality diet reduces risk of metabolic disease and helps pets live longer, healthier lives. Avoiding raw food diets is strongly recommended in households with young children. General Health: Familiarise yourself with your pet’s ‘normal’ behaviour and demeanour. Make a point to check their bodyweight, teeth, nails and coat regularly. An annual check with your vet is important to stay on top of their wellbeing and immunisations. The good news is that you can take small steps before you commit entirely to adopting a pet. The Cayman Islands Humane Society offer a range of volunteer and fostering opportunities and they always welcome families coming by and spending some time with the cats and dogs. TOP TIP: Pet insurance is not available on-Island, so preparation helps avoid tough decisions. We recommend that pet owners regularly put money aside for unexpected pet emergencies.

The Cayman Islands Humane Society is a dog and cat shelter that looks after over 85 abandoned or mistreated animals at any one time. They are run solely on donations and they always appreciate extra help. Call (345) 949 1461 or visit www.caymanislandshumanesociety.com for more information.

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Securing Your Family’s

Financial Future

Parenthood is one of life’s greatest gifts, and with it comes great responsibility! Beyond the immediate duties of keeping your child fed, clean and physically safe, parents need to take the necessary steps to ensure they can financially support their children from birth through to adulthood. Financial Planning

Financial security begins with sound financial planning. A 2020 report from the U.S. Department of Agriculture estimates it costs an average of US$284,570 to raise a child from birth until independence – and that does not account for money spent on education. While this figure can vary depending on specific needs, living arrangements and lifestyle – the truth remains that raising a child is a huge financial commitment. Planning for the future before the future arrives affords parents some peace of mind. Determine Overall Financial Health Parents-to-be ought to get into the habit of taking a bigger picture look at their financials once a year. Performing a financial ‘wellness check’ can help you stay on top of spending and increase your savings rate. Assess what steps can be taken

to make the next year more productive and successful. Evaluate your housing situation, calculate your net worth, analyse your investment strategy, track your average monthly spending, and consider how these figures align with your financial goals. Enlisting the help of a financial advisor from a specialist firm, or from one of Cayman’s banks, such as Butterfield, can give you a better understanding of your present financial position and help synthesise this info into a comprehensive and realistic plan of action. See ‘Make a Plan’ below for more details. Identify Goals Your priorities shift massively once you become a parent. Everyday expenses add up a lot quicker, while future investments, such as university and retirement, loom overhead. Taking the time to identify your goals offers parents some much-needed financial direction. Consider what you want to achieve for your family in the short-term and long-term and ask yourself some grounding questions: Are these goals feasible without having to spread yourself too thin? If not, are there spending changes that can be made in other areas to accommodate said goals? How do these goals presently line up against any fixed expenses? Have you allowed for your needs to take precedence over wants? All things considered, you can then prioritise your goals. While goals naturally evolve over time, keeping them welldefined is key for forging the future you desire. Make a Plan Armed with personal data and a list of aspirations – you can now formulate a workable financial plan for your family. This can be as simple or as complex as you wish, however parents with a hundred and one other things to think about will likely respond better to a simplified approach. The 50/30/20 budget rule is popularly employed and for good reason: instead of dozens of line items, you can divide your money into three manageable buckets. 50% – Costs that Don’t Change 50% of your budget should go towards your fixed monthly costs. These include bills and any instances of debt, such as car loans, mortgage, insurance, and pension payments. In short, these are payments which you can anticipate every month.

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30% – Discretionary Money Your discretionary money can be spent on your ‘wants’ (within reason). Think: life experiences, supporting charities, cinema tickets, family meals out, etc. Depending on your fixed costs and savings goals, the percentage of money allocated to discretionary expenses can be lowered, however it is important to give yourself some freedom, if only to refresh good habits.

Estate Planning A good financial plan is also concerned with what happens to your money after you pass away. New parents should update their will, trust, and beneficiary designations as soon as their child is born to reflect changing wishes. For more information on wills and estate planning, turn to page 190.

20% – Savings This bucket focusses on the future and reflects your personal saving goals. However, building an emergency fund to keep your family afloat during periods of financial hardship should be a priority. Think: out-of-pocket health emergencies, major home and car maintenance, sudden unemployment or an unprecedented crisis such as the Covid-19 pandemic! The size of your emergency fund depends on several factors, but ideally you will have the equivalent of 3-6 months’ worth of income set aside. Once an emergency fund is squared away, you can then save towards other goals, such as sending your child or children to university.

A financial toolkit can help actualise your financial plan and give you more control over your income. Included in your toolkit are your ‘spending tools’, which are your methods for making payments and include cash, debit and credit. There are certain situations where one may work better than the other – however people usually use debit as their default paying method.

Wealth Planning As your savings start to build you will be able to use these to perhaps make a deposit on a house for you or your children, or even start to contribute more to your pension to enable you to be financially secure in the future. Many banks and financial planners will be able to give you advice and guidance on how your savings can be put to work to generate additional income or capital to further help you with your short-term and long-term goals. 197298_PRINT2-Butterfield-Ad-CayPage 1 6/3/21 11:49:01 AM

Financial Toolkit

Some banks on Island, including Butterfield and CIBC, offer the tools for you to manage your income in a way that reflects your financial plan. You can set up standing orders under different headings within your account and set the amount and frequency so each month your income is automatically divided into fixed costs, discretionary costs, and savings. Additionally, you can set up external standing orders for fixed monthly payments, including credit card bills, car payments, water, electricity, etc. While the onus is on the individual to determine their own financial needs, banks and financial advisors can offer the planning and tools to provide customers with a total know-how for securing their family’s financial future. Turn to page 195 for a list of firms which can assist you.

Private Banking, . by

Wealth isn’t what you make. It’s what you make of it. At Butterfield, we bring this philosophy to every client in our care. Being the best financial services provider we can be means never standing still. It means keeping up with clients—on their terms. It means bringing the right mix of local and international services together. It means honouring our 160-year tradition of trust and excellence by striving to exceed expectations every day at every point of service. Contact us at +1 (345) 815 7645 or visit us online to find out more about Butterfield’s award-winning services.

butterﬁeldgroup.com Butterﬁeld Bank (Cayman) Limited (“BBCL”) is licensed to conduct banking and investment business by the Cayman Islands Monetary Authority. Address: 12 Albert Panton Street, George Town, Grand Cayman, Cayman Islands.

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Guide to Writing a Will Why Draft a Will?

If you pass away without leaving a will (known as dying 'intestate'), your estate will be distributed between your beneficiaries in accordance with the legal statutes that are applicable. Your family members will have to follow the clearing-off principles to determine who is entitled to become the representative of your estate, and then actively administer the same and distribute it amongst your beneficiaries according to criteria set out in the Act. The Cayman Islands have broad testamentary freedom, which means you are effectively allowed to leave your assets to anyone as you please. However, one must note that certain countries and/or states that operate under civil law, have strict rules as to who benefits from all or part of your estate, irrespective of whether you have a will. If you wish, you can decide on who to appoint as the representative of your estate. The benefit of having a local representative who is familiar with the Cayman Islands legal system cannot be overstated. Their familiarity with the

rules could save your estate from significant expense, not to mention alleviate the stress placed on bereaved loved ones who may otherwise find themselves having to negotiate the requirements of a country and legal system they may not be familiar with.

Worldwide Assets

Proper estate planning can limit your estate’s exposure to certain taxes upon your death. Long term residents often incorrectly assume that being domiciled in the Cayman Islands (which does not have estate taxes) automatically means that their estates and assets located in other localities are exempt from jurisdictional taxation rules. It can be an incredible and unnecessary shock to beneficiaries to suddenly have part (or all) of an estate subject to heavy taxes. As such, in certain circumstances it will become both smart and necessary to draft multiple wills for each jurisdiction within which your assets are located or consider the creation of certain trust structures.

Drafting a Will

Take advice from an attorney to make sure your will is unambiguous, clearly sets out your wishes and meets legal requirements. Attorneys can also provide additional services such as the retention of your will. Remember that the beauty of a will is that it can be rewritten or amended at any time, assuming you meet the legal requirements to do so. Review your will periodically to make sure it still reflects your wishes.

Children

Consider what will happen to your children if you and your spouse or civil partner were to pass away suddenly? Who will care for them and how will your estate continue to fund them? Use your will to appoint your child’s or children’s guardians and create structures which empower the trustees of your estate to invest, apply and manage your assets in the best interests of your child or children. Drafting a will can ensure that your beneficiaries’ needs are tended to with the same level of care and careful management of your estate. If you own assets in the Cayman Islands, what if you die unexpectedly? Be in control, make a will!

CONTACT US +1-345-929-4701 lisa@phoenixlegal.ky Regus, The White House, 20 Genesis Close, George Town, Grand Cayman, Cayman Islands

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Living Wills

The Health Care Decisions Act provides a framework for advance healthcare directives (better known as living wills) about medical treatment before a person becomes terminally ill or mentally impaired and is no longer able to make such decisions. This Act provides for matters such as do-notresuscitate orders and restrictions on the type of treatment to be administered. Speak with your local attorney about this legislation and take steps to ensure your wishes are properly recorded. It will ease the emotional burden placed on relatives and help guide health care providers when end-oflife decisions need to be made.

Letters of Wishes

A letter of wishes sets out additional, non-binding requests and generally holds all of those items that we take for granted, but which are only known to us. Simple instructions include where your life insurance policies, annuities and pension plans are held. Setting this out in a letter of wishes will save your representative hours of digging through papers and making telephone calls trying to determine where your assets are held. Giving precise details can save your estate from potential losses due to unidentified assets. Your attorney will ask you to fill out an instruction sheet with the following information: Family Information What is your full name, date of birth and home address? What is the full name of your spouse and children, their dates of birth and addresses? Were there any previous marriages, or children from that previous marriage? Key Roles in your Will • Names and addresses of your proposed executors and your relationship with them. • Name and address of guardians to your children, if your children are young. Gifts • Pecuniary bequests – These are legacies of cash that you may want to leave to someone. Include their names, addresses and the specific amount. • Legacies of property – Identify the specific item/property that you want to leave someone, as well as their full name and address. • Beneficiaries of the rest of your estate – This is whatever is remaining in your estate and can be given to one person, or it can be divided equally, or unequally, between several people. This is called the ‘residue’ of your estate. • Substitute beneficiaries of your estate – Name a substitute to inherit your estate should the named beneficiaries die before the estate can be given to them. • Age of inheritance – Specify an age when your beneficiaries inherit the residue of your estate. This is only really relevant if your beneficiaries are very young at the time of you writing your will. • 'Worst case scenario’ gift – Name a charity, family member or friend who will inherit your estate if everyone you have named in your will dies and cannot inherit it. If you have named someone in your will and they die before you, you need to specify if you would like the gift to pass to their children. The final portion of the will requires you to list your assets, liabilities (mortgages and outstanding debts), any life insurance policies you may have, as well as the details of your pension plan. You will need to estimate a value for each of these and indicate whether they are owned by you alone or shared with your spouse.

Why Buy

Life Insurance?

To Pay for Funeral Expenses: A funeral and burial or cremation can be very costly. You don’t want to leave your family to worry about money on top of the emotional turmoil of your death. To Cover for Your Children’s Expenses: If you have young children you will want them well taken care of and able to afford a good education all the way up to university. To Replace Your Spouse’s Income: If you have always relied on two incomes to afford your lifestyle, then replacing your spouse's income will be vital.

TOP TIP: Dying without a will can cause significant stress and heartache for those left to administrate your estate. Tying up your affairs neatly and with the advice of a local attorney is important. Don’t put it off!

HERE FOR YOU If you are seeking peace of mind by providing for your family’s future, we are here to help At Collas Crill, we provide joined-up legal services including advice on wills and estates, trusts, and property. Offering discreet, practical advice, we can navigate you through life’s big decisions to reach the best outcomes for you and your family. To find out how we can help you, visit collascrill.com

"A premier lawyer… highly skilled and experienced.”

"A very knowledgeable lawyer… a pleasure to work with.”

Legal 500

Gina Berry | Partner gina.berry@collascrill.com +1 345 914 9654

Sally Peedom | Senior Associate sally.peedom@collascrill.com +1 345 914 9628

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Bank Accounts

Fostering smart financial practices in children from a young age can help them avoid costly mistakes down the line. The sooner your child appreciates the value of a dollar, the sooner they can get to grips with long-term saving, budgeting and credit. Opening a savings account is a great first step into the world of financial responsibility.

How Soon?

Depending on the purpose of the account, parents may choose to open an account in their child’s name at birth, accumulating funds for them until they are able to manage the account themselves, or they may want to wait until their child is old enough to grasp the concept of saving and spending before going to the bank to open one together. Some Cayman banks have saving accounts geared towards families and children age 17 and under, which give children the space to learn how bank accounts work in a more controlled setting. All things considered, parents can best determine when children are ready for the responsibility of a bank account.

What Type?

Before opening an account, you should have a clear understanding of what you want to achieve. Are you setting up an account to save for college? If so, Cayman National Bank has a Student Saver account designed to help parents save money for their children’s education. If you want to educate your childing on the importance of smart spending, Butterfield Bank has an excellent Young Savers Account. Designed for 10-17 year olds, this special account helps younger customers learn about saving money and spending wisely. Features of the Young Savers Account include interest accrued on daily balances greater than

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for Children

Top Tips for Opening a

Children s Savings Account Choose an account without a minimum balance requirement: If your child did not receive a financial windfall at birth, he or she will be able to save small amounts without worrying about maintaining a specific balance. Choose an account with no monthly fees: Watching their bottom line dwindle away because of excessive monthly fees will cause any young saver to lose heart. Preserve your child’s nest egg by choosing an account with no or very low monthly maintenance fees. Ensure your account earns interest: Look for accounts that will allow your child to earn high (or at least some) interest on every penny they save. This will encourage your young saver to accumulate a fat balance and not spend it. Choose an account that can be managed online: Help your child brush up on their financial management and online skills simultaneously. Choosing an account that can be easily managed from the comfort of your home.

$500 and applied quarterly, a Debit Card with a $50 limit net for daily withdrawals, only access to view account balance and transaction activity and a free quarterly statement. Alternatively, Scotiabank has a Primary Savings Junior Account and the Royal Bank of Canada (RBC) has a Leo’s Young Savers Account. These are just a few options onIsland that are specifically geared towards a young account holder’s needs.

and get them a debit card. The advantage of using a bank in the Cayman Islands is that there is no cost of transferring money between accounts, but there will be exchange rate charges. Always contact your child's bank before they travel, otherwise the bank may assume any overseas charges are fraudulent and freeze the account. Alternatively, you can try and register them with a bank overseas, however this can be tricky depending on the bank and location.

What Will I Need To Open the Account?

A new and much easier way to give your child access to money while they are away at school is to get them a GoHenry card. In the UK it is linked with Visa and in the USA it is linked with MasterCard. Your child will receive a debit card which is linked to an app and with this you can attach parental controls, track their spending, set spending limits, and upload more money anytime simply by transferring it from your Cayman debit card. It has revolutionised how children have access to money when overseas and completely removes the need to open them an overseas bank account. See www. gohenry.com for more information.

Only a few banks stipulate that you are an existing account holder in order to set up an additional account for your child, but nearly all will require the following: • Two forms of identification (e.g. valid passport and driver’s licence). • Proof of address (e.g. utility bill or apartment lease). • One or two character references. • That a parent or guardian of the child is a joint account holder. • Some banks have a minimum age requirement. • A minimum deposit upon opening the account.

Overseas Banking for Children

Children who go overseas for boarding school need to have a way of accessing money, or paying for things, especially in the case of a delayed flight when they are travelling. If they are over the age of 10, you can open a local bank account

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TOP TIP: A University of Cambridge study found that money habits in children are formed by the age of seven. Set a healthy example and kids are much more likely to follow suit.

5/28/21 1:39:07 PM

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Essentials Best for Parents

Best for Children Can you teach your child to be kind? Dr. Lickona effectively answers this question with a treasure trove of traditional wisdom that is backed by modern science.

Ironside offers a funny and reassuring look at dealing with anxiety, which can be used as a springboard into important conversations with your children about mental health.

With over a million copies sold worldwide, Robin’s 9-step, easy-to-follow plan has been dubbed the seminal guide to money management.

25 years after the original publication, David Mckee’s colourful patchwork elephant Elmer is still teaching children how to embrace what makes you different.

Raise a happy, thriving family despite changing environments with the help of Dr. Rodman’s knowledgeable solutions for working through the uncertainty of divorce.

First published in 1943, The Little Prince remains a beautiful adventure for children and adults alike – exploring themes of love, open-mindedness, and the importance of valuing the environment.

Best Digital for Parents Mint helps you keep on top of your finances, allowing you to track the money you earn and spend. See if you are sticking to or deviating from your budget, all at your fingertips. Free, available on iOS and Google Play.

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Book Club

Cayman Parent Magazine | Essentials

Best Digital for Children WWF Together teaches kids about endangered species in imaginative, creative ways. Collect origami animals, try out what it feels to have ‘tiger vision’, feed the pandas, and more. Free, available on iOS and Android.

the

Listings Immigration Consultants, Lawyers, Banks and Life Insurance Providers

Banks

Butterfield Bank (Cayman) Ltd.

PO Box 705, Grand Cayman KY1-1107. Tel: (345) 949 7055 Email: info.cayman@butterfieldgroup. com Web: www.butterfieldgroup.com Banking Hours: Butterfield Place Banking Centre (GT), Monday-Thursday 9am-4pm, Friday 9am4.30pm; Camana Bay (SMB), Monday-Friday 9am-4pm; Midtown Plaza Banking Centre (GT), Monday-Friday 9am-4pm; Governors Square Banking Centre (SMB), Monday-Friday 9am4pm and Saturday 9am-1pm.

Cayman National Bank

PO Box 1097, Grand Cayman KY1-1102. Tel: (345) 949 4655 Email: cnb@caymannational. com Web: www.caymannational.com Branches & Banking Hours: Elgin Ave (GT), Camana Bay (SMB), Buckingham Square on West Bay Road (SMB) and Cayman Brac, Monday-Thursday 9am-4pm, Friday 9am-4.30pm; Centennial Towers (WB) and Countryside Shopping Village (Savannah), Monday-Friday 10am-6pm and Saturday 9am-1pm; Little Cayman, Mondays and Thursdays 9.30am-11.30am and 12pm2.30pm.

CIBC FirstCaribbean

PO Box 68, Grand Cayman KY1-1102. Tel: (345) 949 7300 Web: www.cibcfcib.com Branches & Banking Hours: George Town, Monday-

Thursday 9am-4pm and Friday 9am-4.30pm; Regatta Office Park, West Bay Road (SMB) and Plaza Venezia, North Sound Road, MondayThursday 9am-3.30pm and Friday 9am-4pm, Health City Service & Loan Centre, TuesdayFriday 1pm-6.30pm and Saturday 9.30am1.30pm.

Fidelity Bank (Cayman) Ltd.

PO Box 914, Grand Cayman KY1-1103. Tel: (345) 949 7822 Email: info@fidelitycayman. com Web: www.fidelitygroup.com Branches & Banking Hours: Cayman Financial Centre, Dr. Roy’s Drive (GT), Monday-Friday 9am-4.30pm; Fidelity Financial Centre (SMB), Monday-Friday 10.30am-6pm.

RBC Royal Bank

PO Box 245, Grand Cayman KY1-1104. Tel: (345) 949 4600 Web: www.rbc.com/caribbean. html Branches & Banking Hours: 24 Shedden Road (GT), Monday-Friday 9am-4pm; Red Bay Branch, 53 Shamrock Road (next to Grand Harbour), Monday-Friday 11am-6pm.

Scotiabank

PO Box 689, Grand Cayman KY1-1107. Tel: (345) 949 7666 Web: www.scotiabank.com/ky Branches & Banking Hours: Scotia Centre, 18 Forum Lane, Camana Bay, Monday-Thursday 9am-4pm and Friday 9am-4.30pm; South Sound (across from Grand Harbour), Monday-Friday 10am-6pm.

Family Counsellors - see page 164 Family Law, Wills & Estate Planning

Appleby

Appleby Tower, 71 Fort Street, George Town. Tel: (345) 949 4900 Email: cayman@ applebyglobal.com Web: www.applebyglobal. com Estate planning.

Bedell Cristin

Suite 5305, 18 Forum Lane, Camana Bay. Tel: (345) 949 0488 Web: www.bedellcristin.com Wills and estate planning.

Boddens

2nd Floor, Governors Square, North Building, 878 West Bay Road. Tel: (345) 943 0303 Email: hello@boddens.ky Web: www. boddens.ky Wills and estate planning.

Broadhurst LLC

54 Edward Street, George Town. Tel: (345) 949 7237 Email: info@broadhurstllc.com Web: www.broadhurstllc.com Family law, wills and estate planning.

Campbells

4th Floor Willow House, Cricket Square, GT. Tel: (345) 949 2648 Email:

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campbells@campbellslegal.com Web: www. campbellslegal.com Family law and estate planning.

Phoenix Legal

Tel: (345) 943 0303 Email: hello@boddens.ky Web: www.boddens.ky.

Carey Olsen

Priestleys Attorneys-at-Law

Tel: (345) 943 1186 Email: info@cicsky.com. Web: www.cicsky.com.

Cayman Family Law

2nd Fl, Caribbean Plaza, West Bay Road. Tel: (345) 946 1577 Email: info@priestleys.com Web: www.priestleys.ky Family law, wills and estate planning.

Willow House, Cricket Square, George Town. Tel: (345) 749 2000 Email: cayman@ careyolsen.com Web: www.careyolsen.com Family law and estate planning. Zephyr House, 122 Mary Street, George Town. Tel: (345) 746 5290 Email: info@ caymanfamilylaw.com Web: www. caymanfamilylaw.com Family law, estate planning and wills.

Collas Crill

2nd Fl. Willow House, Cricket Square, George Town. Tel: (345) 949 4544 Email: cayman@ collascrill.com Web: www.collascrill.com Family law, wills, probate and estate planning.

Dentons

3rd Fl, One Capital Place, Shedden Road. Tel: (345) 745 5000 Email: info.ky@dentons.com Web: www.dentons.com Family law, wills and estate planning.

Hampson and Company

Ritch & Conolly Attorneys-At-Law

4th Fl, Queensgate House, South Church Street. Tel: (345) 949 7366 Email: info@rc.com. ky Web: www.rc.com.ky Family law, wills and estate planning.

Sinclairs

3rd Floor, Genesis Building, Genesis Close. Tel: (345) 743 2626 Email: info@sinclairs.com.ky Web: www.sinclairs.com.ky Family law, wills and estate planning.

Stenning & Associates

The Highlands, 201 Hillard Drive, West Bay. Tel: (345) 945 0220 Email: info@ stenningchambers.com Web: www.stenning. ky Wills and estate planning.

Cayman Immigration Consultant Services

CML Immigration Services

Tel: (345) 949 1345 Email: info@cml.ky Web: www.cml.ky.

Dentons

Tel: (345) 745 5000 Email: randall.martin@ dentons.com Web: www.dentons.com.

HSM Chambers Attorneys-at-Law

Tel: (345) 949 4766 Email: njoseph@hsmoffice. com Web: www.hsmoffice.com.

McGrath Tonner

Tel: (345) 623 2740 Email: info@mcgrathtonner. com Web: www.mcgrathtonner.com.

Ritch & Conolly Attorneys-at-Law

Tel: (345) 949 7366 Email: jconolly@rc.com.ky Web: www.rc.com.ky.

Symons & Symons

4th Floor, Apollo House East, Mary Street. Tel: (345) 623 7788 Email: info@hampsonandco. com Web: www.hampsonandco.com Litigation in family law proceedings.

Stuarts Walker Hersant Humphries

69 Dr. Roy’s Drive, GT. Tel: (345) 949 3344 Email: info@stuartslaw.com Web: www. stuartslaw.com Wills and estate planning.

Tel: (345) 745 7529 Email: stephen.symons@ symonsandsymons.com Web: www. symonsandsymons.com.

HSM Group

Symons & Symons

Tel: (345) 945 8869 Qualified attorneys offer free legal advice over the phone or on a walkin basis, every Tuesday at the 87 Mary Street, Apollo House West, 2nd Floor, GT. 5pm-6.30pm and via a phone-in service on Tuesdays from 5pm-6.30pm.

68 Fort Street, GT. Tel: (345) 949 4766 Email: info@hsmoffice.com Web: www.hsmoffice. com Family law, wills and estate planning.

Kobre & Kim

9 Forum Lane, Suite 3207, Camana Bay. Tel: (345) 749 4000 Email: inquiries@kobrekim. com Web: www.kobrekim.com Estate planning. M aples Group Ugland House, South Church Street, GT. Tel: (345) 949 8066 Email: info@ maples.com Web: www.maples.com Estate planning.

McGrath Tonner

5th Floor Genesis Building, Genesis Close, GT. Tel: (345) 949 2740 Email: info@mcgrathtonner.com Web: www. mcgrathtonner.com Family law, wills and estate planning.

4 Tropic Centre (Coconut Plaza), 18 Earth Close, Seven Mile Beach. Tel: (345) 745 7529 Email: stephen.symons@symonsandsymons.com or peta.symons@symonsandsymons.com Web: www.symonsandsymons.com Family law, wills and estate planning.

SMP Partners (Cayman) Ltd.

24 Shedden Rd, George Town. Tel: (345) 949 9107, Email: info@smppartners.ky Web: www. suntera.com Estate planning.

Travers Thorp Alberga

Harbour Place, 103 South Church Street, GT. Tel: (345) 949 0699 Email: info@ traversthorpalberga.com Web: www. traversthorpalberga.com Family law and estate planning.

Venture One Legal Ltd.

Legal Befrienders

Life Insurance Providers

Aon Risk Solutions (Cayman) Ltd.

Tel: (345) 945 1266 Email: nigel.twohey@aon. com Web: www.aon.com/caymanislands.

Cayman Insurance Centre (Insurance Brokers)

Tel: (345) 949 4657 Health: (345) 946 3930 Email: info@cic.com.ky Web: www.cic.com.ky.

CG BritCay Agent for Coralisle Life Assurance Company Ltd.

Mourant

Cayman Reporter Building, 19 Walkers Road, GT. Tel: (345) 936 5222 Email: info@venture1legal. com Web: www.ventureonelegal.com Family law, wills and estate planning.

Nelson & Company

190 Elgin Ave, GT. Tel: (345) 949 0100 Email: info@walkersglobal.com Web: www. walkersglobal.com Estate planning.

Tel: (345) 916 0948 Email: karim.awe@cic.com. ky Web: www.lifeinsurancecayman.com.

Immigration Professionals

Tel: (345) 925 5433 Email: michael.webster@ cic.com.ky Web: www.lifeinsurance345.com.

94 Solaris Avenue, Camana Bay. Tel: (345) 949 4123 Email: caymanislands@mourant.com Web: www.mourant.com Estate planning. 31 The Strand, Seven Mile Beach. Tel: (345) 949 9710 Email: info@nelsonslegal.com Web: www.nellaw.com Family law, wills and estate planning.

Ogier

4th Floor, 89 Nexus Way, Camana Bay. Tel: (345) 949 9876 Email: cayman@ogier.com Web: www.ogier.com Estate planning including wills.

Walkers

Affinity Recruitment Ltd.

Tel: (345) 943 2020 Email: info@affinity.ky Web: www.affinitycayman.com.

Baraud

Tel: (345) 945 1781 Email: info@baraud.com Web: www.baraud.com.

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Bodden Corporate Services Ltd.

Regus, The White House, 20 Genesis Close, George Town. Tel: (345) 929 4701. Email: lisa@ phoenixlegal.ky Web: www.phoenixlegal.ky Family law, wills and estate planning.

Cayman Parent Magazine | Essentials

Tel: (345) 949 8699 Email: life_ customerservice_bm@cgcoralisle.com Web: www.cgcoralisle.com.

Karim Awe

Michael Webster - Life Agent

Sagicor

Tel: (345) 949 8211 Email: cy_infocayman@ sagicor.com Web: www.sagicorcayman.com.

Vanguard Risk Solutions

Tel: (345) 949 5836 Email: info@vrscayman. com Web: www.vrscayman.com.

Pregnancy Photo courtesy of Daria Keenan Photography

OB/GYNs, baby essentials, fertility options, pre-natal care...

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Bump, Baby & Beyond Hospital Bag Checklist

New Baby Must Haves Designing a Stylish Kid's Bedroom

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Newborn Complications

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Pregnancy Q&As

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The Importance of Well-Child Checks

p216

The Cost of Having a Baby in the Cayman Islands

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Pregnancy Book Club

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OB/GYNs, Midwives & Hospitals in Grand Cayman

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The Listings

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Contents

Fertility Options in Cayman

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Fertility Options in Cayman You might be surprised to learn just how common infertility issues are. According to the Centers for Disease Control and Prevention, 12% of Americans (7.3 million people) are infertile. In England, one in seven couples have difficulty conceiving. So if you are having problems, then know you are not alone. Where to Start

The timings for when to see a fertility specialist depend largely on your age and how long you’ve been trying to conceive. It is generally recommended that you see someone right away if: •You’re under 35 and have been trying to conceive for 12 months or more •You’re between 35 and 40 and have been trying to conceive for six months or more •You’re 40 or over •You already know you have fertility issues because you’ve had your tubes tied or you don't have a partner but wish to become a parent. One thing that is important to talk about is the emotional rollercoaster that couples go through when dealing with infertility. The hormones, poking, prodding, waiting and crushing disappointment (if it fails) can test even the most resilient and glass-half-full kind of person. There is also the cost to discuss: fertility treatment is often not covered by insurance and it can be very expensive. An initial round of IVF in the US can cost at least US$15,000, possibly more depending on the clinic, where it’s located, and the medical issues. Then you have flights and hotel costs on top of that, not to mention time off work. The Cayman Fertility Centre offers all levels of fertility testing and treatments. This is a good alternative to going abroad, as local IVF starts at US$6,750 and you do not need to travel or take as much time off work. Success cannot be guaranteed however, and many couples need to be prepared to have more than one round of IVF before they consider other options.

Fertility Evaluation

Your OB/GYN or fertility doctor will want to try and establish why you are not conceiving. In your initial consultation they will discuss testing options (physical exam, blood tests, sperm analysis and then imaging tests) and your doctor will work out a plan with your agreement on which tests to do. They will need to test both you and your partner and often couples go to the initial visit together. According to the American Society of Reproductive Medicine, of the known causes of infertility, roughly one-third of infertility problems are male-related, half are female-related and the rest are often unexplained.

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Female fertility testing often begins with a medical examination, an ultrasound and a series of blood tests. A basic gynaecological exam and an ultrasound are done to rule out polycystic ovaries, ovarian cysts, fibroids or uterine polyps, among other things. Blood tests such as anti-müllerian hormone (AMH) can tell you how many eggs you have, and other tests are done to make sure you are in good health to carry a pregnancy. Another step is to check if the fallopian tubes are open or blocked. There are two tests that can show this: the Hysterosalpingography or Sonohysterosalpingography test and, if the results are abnormal, this may be treated with IVF or laparoscopy. In the latter case, a small incision is made through the belly button and in two other places to examine the abdomen. This test is useful for ruling out endometriosis, if the tubes are blocked, and if there are adhesions or fibroids etc. Male fertility tests start with a simple semen analysis. Further tests might include a general physical exam by a Urologist and blood work to check hormone levels. Other fertility tests involve both partners and might include genetic tests to look for inherited disorders, especially if recurrent miscarriages are the problem.

Fertility Tests & Insurance

Insurance companies are fairly clear on the fact that they consider fertility testing and fertility treatments as 'off plan' and they do not cover them. What they are less clear about, and something you must talk to your OB/GYN about, is the possibility that health insurance companies may limit substantially the cover to the resulting pregnancy and birth if that pregnancy has come about via fertility treatment. Some may cover a very small portion of infertility investigation but then significantly limit the cover to any resulting pregnancy.

Fertility Treatments

Ovarian Stimulation and Insemination OB/GYNs talk of the 'first tier' of fertility treatments being ovarian stimulation and insemination. This usually involves you taking either oral or injectable medicines to stimulate the follicles of your ovaries to release eggs. This process needs to be monitored carefully with both vaginal ultrasounds and blood tests. The timing of ovulation or release of the egg can be controlled using an injection hormone. At this point the doctor will ask

the male partner for his sperm, which will then be ‘washed and concentrated’ and inserted via a very thin tube directly inside the uterus; a technique called ‘Intrauterine Insemination’ (IUI). This procedure, which is similar to a pap smear, should not be too uncomfortable. It takes about five minutes and you can return to regular activity afterwards. The 'two week wait' for the results of your pregnancy test is the hardest part.

In-Vitro Fertilisation (IVF)

IVF is the next option if IUI does not work (or a first option for some people). Reasons to go straight to IVF include severe cases of male infertility, poor ovarian reserve, blocked fallopian tubes, an egg donor is being used, or a surrogate is needed, amongst other things. Once you have decided to consider IVF, finding the right clinic for you may require some research. Cayman Fertility Centre is a full spectrum clinic providing the latest IVF technology and is the only local practice that offers IVF. A few other Caribbean countries have IVF centres, including Barbados. The US and UK also have numerous options. The cost of IVF varies significantly depending on the country and the clinic. You can pay as little as US$6,750 at clinics in Cayman, Barbados and Jamaica, whereas treatment in America starts at around US$15,000 and can go up to US$50,000+ for top clinics in larger cities. There are five major steps in the IVF process. These include: 1) Ovarian stimulation 2) Egg retrieval and sperm collection 3) Fertilisation and embryo culture 4) Embryo transfer 5) Hormonal support of the pregnancy and pregnancy test.

• Egg Freezing: Women who might want to have children sometime in the future, or women who need treatment for cancer, for example, can freeze their eggs for later use. The cost of egg freezing starts around US$4,950 in both Cayman and the US. Those who freeze their eggs will need IVF when they eventually want to use them. • Gestational Surrogacy: This is when a surrogate carries a baby she is not biologically related to – so the sperm and eggs come from the intended parents or an egg donor. This differs from “traditional surrogacy”, which is no longer common practice, where the baby being carried is genetically derived from the eggs of the pregnant woman and the sperm of the male intended parent. If you go down the gestational surrogacy route, you will need to go through a surrogacy agency who will manage the matching and screening, offer counselling and give legal advice. They will also refer you to a surrogacy attorney. The legal process around surrogacy is complicated and can be expensive. It also differs by country and state, so you will need to take professional advice before going down this route. The cost of surrogacy can accumulate and often exceed US$100k. NOTE: Fertility treatment can be draining, both emotionally and financially. It’s important to speak with a fertility specialist to get accurate information about the process, cost and success rates of different options. If you are struggling with the emotional aspect of infertility, please contact a counsellor. See page 164.

Guidelines of the step-by-step process of IVF can be found online or you can talk to your OB/GYN. You may also want to consider the additional step of Preimplantation Genetic Testing. This is where the DNA of an embryo is screened for abnormal chromosomes. Embryos with abnormal chromosomes often end up in a failed treatment cycle, or a miscarriage, or the child may have a condition such as Down Syndrome. Visit the following websites for more information on IVF: • www.plannedparenthood.org/learn/pregnancy/fertility- treatments/what-ivf • www.britishfertilitysociety.org.uk • www.reproductivefacts.org • www.caymanivf.com/treatments/ivf/

Further Fertility Treatments

If neither of these options are possible, there are some alternative routes available:

• Egg Donation with IVF: If a woman is unable to use her own eggs for IVF, finding an egg donor can be an effective solution. Selecting an egg donor is an emotional and difficult process so should only be undertaken with professional guidance and support.

Part of the Barbados Fertility Centre Group

caymanivf.com contact@caymanivf.com

+1-345-233-0770

Heron Place, Unit 11, 1283 Seaview Road

www.caymanparent.com

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New Baby Must Haves Preparing for the arrival of your new baby is an incredibly exciting yet equally overwhelming task. Thankfully you can pick up everything you need in Cayman’s baby stores; from big items such as strollers, cribs and baby baths to daily essentials like bottles, pacifiers, clothing, toys and more. There's also a booming second-hand market – via friends passing things on, thrift stores or forums like Ecaytrade.com and Hope of Cayman Buy & Sell on Facebook. Things on these sites can go quickly though, so you’ll need to move fast to snap up a bargain!

Infant Bedroom Set

Stroller

Car Seat

Bottle Warmer

Get a head start on your baby’s nursery by opting for a matching set of furniture that will suit all décor and room themes. All cribs sold in the US meet established US and EU safety standards. A fully stocked changing table will make those middle-of-thenight changes a breeze and a three drawer dresser will provide ample storage for all those cute baby clothes! You will also need a bassinet or portable Moses basket for the first 3-6 months. For safety reasons, mattresses should always be bought new. Bedroom sets can be purchased from Baby Express, The Bump To Baby and Tomlinson Furniture.

One of the most important purchases you’ll make. It’s really important that the car seat is installed as per the manufacturer’s instructions. Children should be rear-facing until 24 months, and it is best to buy new car seats rather than second hand. Make sure the car seat is fitted – and you know how to get it in and out of the car – several weeks before your due date, just in case! Car seats can be purchased at Baby Express. 200

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With so many choices on the market, parents often feel overwhelmed when it comes to picking a stroller. From travel systems, umbrella strollers, jogging strollers and 4WD strollers, the choices are endless. The most important factor is safety – make sure it has a five-point harness. Secondly consider how you will be using your stroller in Cayman. Will you be walking a lot and on what kind of terrain? Is it easy to collapse and get in and out of the car and will it adapt to your child's needs as they grow? You’ll also want to ensure it provides good shade for your baby. Strollers can be purchased from Baby Express.

Whether you are prepping milk for a dream feed or one of many bottle feedings throughout the day, getting the temperature right can be time-consuming. A bottle warmer safely heats milk to body temperature, all you need to do is grab a bottle, set the temperature and go! The Munchkin 98° Digital Bottle Warmer can be purchased from Baby Express.

Bouncy Chair

A baby bouncer can be a life saver for busy parents! Pop your little one into the bouncer to free up your hands to make a bottle, cook, take a shower or enjoy a cup of tea! There are numerous options available including models that gently rock the baby, play music and have toy bars. Always ensure your child is strapped in. The American Academy of Pediatrics recommends that baby bouncers should always be left on the floor—never on an elevated surface such as a bed or table. Bouncy chairs can be purchased from Baby Express.

Nappy Bag

Having a baby means the end of just grabbing your keys and phone as you leave the house! Every trip out means packing nappies, muslins, wipes, pacifiers, a changing matt, bottles and more! Having a sturdy nappy bag that can hold all of this is essential, but a backpack nappy bag means you’ll also be able to have your arms and hands free for pushing the stroller or carrying the baby. Nappy bags can be purchased from Baby Express, The Bump To Baby and Bedside Manor.

Shipping to Cayman: Occasionally you might need to get some items shipped to Cayman. Although shipping costs can seem reasonable, it is the duty rate that usually pushes the cost up; the vast majority of baby items are charged 22% duty on arrival in Cayman. Small cargo shipping services are often the best option. The shipper will give you an address in Miami to have your items delivered to. From there, your belongings will be shipped to Cayman. For details on reputable shipping companies and small cargo shipping services see page 220.

Baby Express

Quality items for all your baby needs! We stock everything from organic morning sickness tea, nursery furniture, Ergonomic baby carriers, baby/toddler clothing, toys to excite and educate, tricycles, and much more! Monday-Friday: 10am-7pm, Saturday: 9am-7pm Follow us on:

68 Mary Street (former DHL office), George Town. Tel: +1 345-640-2397 Email: customerservice@babyexpress.ky

We offer FULL Home Delivery Service & Online Registry; Everything you see online is in STOCK! www.babyexpress.ky.

www.caymanparent.com

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Designing a Stylish Kids

Bedroom

As your baby grows older, you will want to update their room to suit their changing needs. When designing a child’s room, it’s important to make the space fun and engaging, while also keeping it safe and considering how the room will adapt as your child grows.

Beds

Wall Art & Décor

Desks

Rugs

A good bed and mattress are essential for a restful night’s sleep. This is especially important for children as it directly impacts their mental and physical development. There are numerous styles of beds available including toddler beds, bunk beds and cabin beds with play areas, desks and storage underneath. Make their bed even more inviting by choosing colourful or themed bedding. Shop at Ashley Furniture, Baby Express, Living.ky, The Bump To Baby & Tomlinson Furniture.

Give kids a designated space to concentrate on their homework with a functional and stylish desk and chair. Storage is a bonus as it will kids to keep their pencils, crayons and other craft materials nice and tidy so they can enjoy a clutter free room! Shop at Ashley Furniture, Living.ky & Tomlinson Furniture.

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Adding some fun and colourful prints is an easy way to switch up your little one’s bedroom theme. Whether your child is into space, superheroes, animals, or rainbows — there are options to suit all interests, no matter how fleeting they may be! Stylish shelving is also a great way to add interest to a plain wall. Decorate with books, pictures, small toys and other stylish accessories. Shop at Bedside Manor, Living.ky & The Bump To Baby.

If you have hard flooring a rug will provide a nice soft area to sit and play. Kids’ room rug designs range from themed designs or traditional motifs like stripes, spots and stars, to plain blocks of colour. Don’t forget to buy a rug pad to prevent slipping. Shop at Ashley Furniture, Bedside Manor & Living.ky.

Storage & Organisation

Having toys scattered around the room will drive most parents crazy! It is also hard for a child to relax in a messy space. Whether you go for drawers, a bookcase, a console or toy boxes, storage is key for keeping on top of the clutter. There are plenty of colours and styles of storage to choose from and the room will look much more organised. Shop at Ashley Furniture, Baby Express, Bedside Manor & Living.ky.

Cushions

Add the finishing touch to your kid's bedroom or playroom with a selection of decorative cushions to suit their latest interest. Let them choose their favourites from wide variety of styles, shapes and sizes and instantly transform their room into a super stylish and cosy space. Let the pillow fights commence! Shop at Ashley Furniture, Bedside Manor & Living.ky.

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Q&A Annette O’Brien

Chaé Whorms

Why did you choose your field of speciality? I was fascinated by our Public Health Nurse (PHN) who sometimes visited our elderly, housebound neighbour Lizzie. She carried a large rectangular shaped bag and seemed to have very interesting things inside it. Even though I was a young child I could see she helped Lizzie each time she called. I knew I wanted to do the same job.

Have you changed your diet at all since the start of your pregnancy? Pregnancy has done wonders for my diet, incentivising me to not only eat more in general, but to keep a close eye on meeting daily nutritional marks. Smoothies have been a lifesaver for getting veggies and fibre in.

Who or what inspired you to become a Midwife? I initially wanted to be a PHN from the time I started my general training, until I went on my Obstetric placement. My first day on the delivery suite I was with a couple who were told that they could not have children, had adopted a baby and then became pregnant. There was great anticipation and excitement, and I asked if I could stay late to wait and see the baby being born. That was it, I was hooked! What is your greatest achievement to date? My overall greatest achievement is having my two little boys Sean and Liam. Which three famous (real or fictional) medics would you like on your team and why? Ina May Gaskin would be my first choice and I would love to meet her. Pam Ferris (Sister Evangelina on the BBC drama Call the Midwife) for her no-nonsense approach and experience. Finally, Florence Nightingale. I think every nurse on earth would love to be able to spend an hour with her. Which pregnancy book/app/website would you recommend to expectant mothers and why? Try and stay away from Google if possible! www.nhs.uk/ pregnancy has recommended apps to use and the book 'What to Expect when You’re Expecting' by Arlene Eisenberg is always updating its content. We welcome women at our HSA parent craft classes and they can always pop in to Maternity for a look around or call if they have any concerns. There’s no silly question by the way. There is nothing we have not heard or been asked.

Annette O’Brien, from Ireland, is a Registered Midwife with the Health Services Authority.

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Have you suffered from morning sickness and did you find any good remedies? I am one of the lucky ones who has not experienced any sickness. However, the growing pains are another story! Remedies for aches and pains are age-old stretching and breathing techniques, light exercise, and paying close attention to maintaining good posture. What is your favourite way to relax whilst heavily pregnant? While it can be very tempting to sink into the couch at any opportunity, I find that this is when the aches and fatigue set in. Simple things like music, a long shower, and surrounding myself with nice smells, I find very relaxing. Have you planned your labour and birth? Yes and Dr Diana van der Borden and the team at Ocean Med have been beyond amazing at holding my hand through this process as a first-timer! Did you attend antenatal classes and did you find them useful? I have not attended any classes yet, however I do plan to take up the complimentary classes that the HSA offers. What classes or groups would you recommend to other expectant mothers? I am not a fan of group classes personally, but I do try to get stretching and walking in on my own whenever I can. This is not to discourage others though. I know many mothers who benefit greatly from these classes, and I would strongly recommend expectant mothers to follow their inclinations and to have fun while doing it!

Chaé Whorms is 33 years old and her first baby was born in July 2021.

Pregnancy

Jacqui Tomlinson-Smith

Dr Segomotso Madisa

Who or what inspired you to become a Physical Therapist, Doula and Lamaze Therapist? My grandmother, Almeria Tomlinson, was a lay midwife, who had over 700 home deliveries in Cayman Brac, including all nine of my mother’s children. Nurse Vernice Hawkins, who was a nurse, midwife and with whom I worked as a secretary of the nursing school for practical nurses. Similarly, I was highly influenced by my brother, Dr Steve Tomlinson, general surgeon.

Why did you choose your field of speciality? It chose me! I was interested in another field but kept being placed in Paediatrics posts during my internship.

I had to terminate my first pregnancy in 1978 in NYC due to multiple complications. I was in labour for 22 hours alone (husbands were not allowed to be with you in those days). I vomited for 17 hours and felt that I wanted to die. After that I was determined to become a doula as I felt that no woman in labour should be alone, everyone deserves 100% support! I always felt that if a family were educated in the process of labour, breastfeeding, childcare, and understood the pros and cons of interventions in labour, that there would be better outcomes in labour and breastfeeding success, and parenting. I decided I would add that to my services in Cayman. Which actor would you choose to play you in a film about your life? Angelina Jolie because she sets a plan for herself and has full determination to achieve it. She also impacts other people’s lives in a positive way, and I feel that I do too. Which pregnancy book/app/website would you recommend to expectant mothers and why? Pregnancy Childbirth & The Newborn by Parent Trust for Washington Children, the Breastfeeding Solution app and www.lamaze.org. What form of exercise would you recommend for expectant mothers in Cayman? Besides Kegel exercises to strengthen the pelvic floor, I feel the best forms of exercise are swimming, Yoga breathing and walking – all barring complications.

Jacqui Tomlinson-Smith is a Lamaze Certified Childbirth Educator, Certified Doula (DONA), Lactation Consultant and Physical Therapist at RVC Rehab & Chiropractic Services.

What is your greatest achievement to date? Obtaining my DM in Paediatrics, despite all the obstacles. Which three famous (real or fictional) medical specialists would you like on your team and why? Cristina Yang (from Grey’s Anatomy) for being unapologetic about reaching for her dreams despite what people think. Dr Percival McNeil (Nassau, Bahamas) for always going over and beyond for all patients, no matter what time it is. Dr Roxanne Melbourne-Chambers (Jamaica), for her calm demeanour and thoroughness. Which doctor or medical professional on island would you recommend for a ‘Golden Stethoscope Award’ and why? Dr Earl Robinson for his tenacity and calm demeanour. Which actor would you choose to play you in a film about your life? South African actress, Pearl Thusi. What would you say to a student doctor interested in becoming a paediatrician? It is one of the most fulfilling fields to work in. What’s the most common issue you encounter at your clinic with babies? It depends on the age range you encounter. For our newborns it is always whether to give breast milk or formula and with toddlers to preschool years it is the picky eating. How would you best advise a parent who is unsure about routine vaccinations for their baby? I would try to find out their reasons for their hesitation and address their concerns with back up from relevant scientific facts as to the importance of vaccinations.

Dr Segomotso Madisa is a Paediatrician who joined The Children’s Clinic in 2019. She hails from Botswana, Africa and she has previously worked in Trinidad, Bahamas and Jamaica.

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The Cost of Having a Baby in the

Cayman Islands

Like many things in Cayman, having a baby isn’t cheap and with little public healthcare, you’ll want to be on the best insurance plan you can afford, this time with a baby in mind too. Understanding costs, insurance and their relationship to each other is crucial for an affordable experience without surprises. Some Insurance Issues to Consider

Prenatal Health Insurance Most policies have limits on prenatal care, e.g. only CI$500 per pregnancy on the basic Standard Health Insurance Contract (SHIC) plan, which might only cover the first visit and ultrasound. If you are covered by a company health insurance plan (or covered under your partner’s company plan), it is important to read the policy thoroughly and understand what benefits are and aren’t included. Policy provisions can be different, even in two policies from the same insurance company. Even with premium plans, new parents can still expect to incur significant out-of-pocket costs. It is vital to have your doctor’s office explain what will happen, how much it will cost and what proportion of it will be covered by insurance. It is prudent to get this in writing from both provider and insurer, to ensure you understand. NOTE: Caymanian women may be able to access financial assistance via Public Health and/or the Department of Children and Family Services. Pregnancy as a Pre-Existing Condition If you are pregnant upon arriving in Cayman, or sign up to a health insurance plan whilst already pregnant (even if you don't know), your pregnancy will likely be considered a ‘preexisting condition’. As such, you may not be covered by your new insurance policy, except up to the minimal benefit limits mandated by law. Some insurance plans require a 10 month waiting period before they will cover your pregnancy with full benefits. It's therefore important to discuss costs with your doctor's office before you begin your prenatal care. Adding a Newborn to Your Health Insurance It is your responsibility to ensure that your baby is enrolled on one or both parent’s insurance schemes from the moment of birth. Talk to your employer/insurance company in advance of your due date and familiarise yourself with the process you will need to go through after your baby is born to ensure coverage is effective from birth. Although babies are automatically covered under their mother’s labour and delivery plan for the first 30 days of life, this does not count as enrolment onto an insurance scheme and the amount of coverage can be minimal. It is 206

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advisable to compare the benefits and costs of both the father’s and mother’s plans to decide which plan to enrol your newborn onto. Parents do not have to be married for either the father or mother to add their child to their health plan. A Mother on Her Parent's Insurance If a mother is on her own parent’s insurance policy, e.g. if she is still a student, the baby will likely not be covered after birth since grandchildren are not eligible as dependents. In this situation, you must arrange insurance in advance of your baby’s birth to provide the newborn the best possible protection. Neonatal Care Premature or sick newborns can be some of the largest claims insurance companies face, so read the policy, (not just the benefit summary) very closely to understand the potential limits against complications, or for babies born with congenital problems. If your baby is in the neonatal unit, look at both parents' policies carefully to ensure that you get the best, most affordable coverage for your newborn baby. It may also be possible to enrol your baby on both policies. An infant born very prematurely can have a protracted stay in the neonatal unit (10+ weeks under specialist care) and may even need care in the US. So if you are thinking about having a baby or if you are already pregnant, it may well be worth looking into whether upgrading your insurance plan would provide enhanced coverage for a preterm birth or any other complications, just in case. Co-Insurance Most insurance policies require you to pay a proportion of the costs (generally called co-pay), even for care at Cayman’s standard rates. Co-pay is usually taken by the provider when the first bills and insurance claims are submitted. Labour and delivery charges have a capped co-insurance (otherwise known as Out-of-Pocket or OOP) sum of CI$1,000 each, but if the doctor(s) charge above the Standard Health Insurance Fees (SHIF), there may be an additional amount to pay. Ask your insurance company what your co-insurance will be and always ensure your provider breaks down costs into standard charges, additional charges and what the co-insurance or co-pay part of that is.

Photo by Daria Keenan Photography

private doctors do not have to charge within those SHIF levels. Malpractice insurance for obstetricians worldwide has increased significantly over the years, without concurrent increases in the SHIF birth fees, and so most OBs will add surcharges above SHIF allowances to account for this. Additional charges can also be incurred for an anaesthetist, e.g. for an epidural or c-section, and for additional services such as a circumcision. Since each doctor can set their own fees, you should ask your doctor exactly what they charge and how much of this is covered by insurance. See page 219 for a list of obstetricians in the Cayman Islands.

Birth Options & Their Cost Implications

Hospital Costs In the Cayman Islands, all babies are scheduled to be born in a hospital. Home and water births are not currently offered onIsland. Charges for the facilities and hospital stay are generally charged separately to those of the medical professionals supporting your birth. Births are permitted in the Cayman Islands Hospital and Doctors Hospital. The service charges are different for each and vary depending on what’s provided. When you discuss birth options with your obstetrician and paediatrician, they should also be able to explain what each facility will charge you but we recommend talking to the hospital finance department too. Doula Services Private doula services are readily available and may be hired to assist with the birthing process. See page 220 for more information.

Midwife Birth If you have your pregnancy and delivery under the care of the Cayman Islands Health Service Authority (HSA), you will likely have your baby delivered by an experienced midwife at the Cayman Islands Hospital. Hospital obstetricians oversee the midwives and are called in as necessary during prenatal care or delivery. HSA pre-natal and delivery costs are lower than most private services, so those with fewer pre-natal benefits on their health plan may choose to start with, or transfer care over to, the HSA. Caymanian women are usually also eligible for prenatal assistance via the HSA. Turn to page 208 for more information on midwife births. Obstetrician Birth If you have your pregnancy and delivery under the care of a private obstetrician (OB), they will provide both the antenatal (prenatal) care at their clinic and the delivery at a hospital. Most parents-to-be, especially those with higher-coverage insurance plans, will opt to have a private obstetrician throughout their pregnancy, labour and delivery of their baby. It’s important to ask your doctor whether they will be on-Island for your due date and who they ask to handle their caseload if they are not available. Insurance companies in Cayman are only mandated by law to pay up to the SHIF within your policy cover, but

Overseas Births High risk pregnancies may be referred overseas for care, which would be covered up to the allowed limits of your health plan benefits, as long as your insurance has approved the transfer of care. For elective births overseas, i.e. you made the choice, you must check with your insurer’s health claims office to verify if, and which, of your health plan benefits are eligible for births either in the USA or another country, such as your home country if you are an expat. Paediatric Services In Cayman, it is mandatory to have a paediatrician present at all caesarean sections, however, it is optional for normal vaginal births. Some parents like the reassurance and safety of having a paediatrician present anyway, and others are content to have them attend shortly after birth. It is best to meet with potential paediatricians well ahead of your due date to discuss options and preferences. Most good paediatricians do not charge for an antenatal meeting. Charges vary depending on whether you: opt for a paediatrician at birth, if they are called to the delivery (because of concerns), how many nights you stay in hospital and whether a doctor has to disrupt their existing clinic or needs to wait a prolonged period before your baby is born. In general, the maximum likely out-of-pocket expenses (over and above insurance coverage) are CI$500 to CI$750 for the paediatric component of care. See pages 149-152 for a list of paediatricians in the Cayman Islands.

Maternity Provision When considering the costs of having a baby on-Island, make sure to factor in your maternity provision. You are entitled to a minimum leave of 14 weeks, provided you have worked for the company for 12 months or more (if you have not completed that time, any maternity leave is pro-rated). Currently an employer is legally required to offer 20 working days leave on full pay, 20 working days leave on half pay and 30 working days on no pay. For practical purposes, this is treated by many businesses as the equivalent of 6 weeks at full pay, and 8 weeks at no pay. At present there is no provision in the law for paternity leave. However, some companies will allow a new father anything from a few days off to two weeks off.

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OB/GYNs, Midwives & Hospitals in

Grand Cayman

Pregnancy can be a daunting experience for parents-to-be, but the Cayman Islands is lucky to have some excellent doctors, nurses and midwives who will help ensure your experience is a wonderful one. You have two main options when considering your prenatal care and delivery. You can either choose to have your care and delivery through a private OB/GYN and deliver at the Cayman Islands Hospital or at Doctors Hospital, or you can go through the Health Services Authority (HSA), where your delivery at the Cayman Islands Hospital will be handled by the hospital's midwives, supported by the hospital OB/GYNs.

Private OB/GYNs

The private obstetricians (OBs) are all qualified to deliver routine obstetric care and some have additional skills in obstetrics and/or gynaecology. The care they provide is consistent with any developed country and the clinics are generally wellequipped, e.g. with modern ultrasound equipment. To choose an OB, it is best to research them online and/or ask your GP, and then visit your shortlisted candidates to find the one best suited to you. Some OBs do not charge for ‘getting to know them’ visits, but it is worth checking when making appointments. See page 219 for a list of OB/GYNs. You should look into appointing your OB as soon as you think you may be pregnant or even when you are thinking of trying, if your medical history may affect your pregnancy. You can expect to have your first scan at around six weeks. Your chosen OB will guide you through your entire pregnancy and deliver your baby, supported by the resident midwives at your birth centre.

Midwife Births

An alternative to a private OB is to opt for a midwife delivery through the Woman's Health Clinic at the Health Services Authority. You will then receive your care through a large team of midwives, who manage the prenatal care and deliver the baby, supported by a team of resident hospital OBs who are on call 24 hours a day should there be any problems. The midwives are highly qualified and trained to deliver babies. Choosing midwife care is a lower cost option for having a baby in the Cayman Islands, while still offering world-class care. It’s suited to parents who are happy with, or prefer, a team approach, as opposed to having care led by the same physician throughout. 208

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Prenatal Care

After your first appointment, OBs and midwives will typically see you every four weeks up until 28 weeks, every two weeks until 36 weeks, and then weekly until delivery, consistent with standard care in most developed countries. If issues emerge during your pregnancy, you will likely be seen more frequently. In some special circumstances you may have to go overseas before or after delivery for treatment, although thankfully such cases are very rare. Early on in your pregnancy, you will be required to undertake some initial blood tests to rule out any infections or concerns. These usually include: full blood count, Hepatitis B screening, Rubella IgG screening, VDRL (tests for syphilis), HIV, ABO/ Rh status. From nine weeks, you can also opt to have the NIPT (Non-Invasive Prenatal Test – a simple blood test) to screen for certain chromosomal and genetic conditions such as Down Syndrome. Your doctor or midwife will discuss this with you to help you make an informed choice, as well as seeking approval from your insurance company before conducting the test. Most insurance companies cover a portion of the testing fee if you are 35 years or older or if you have a medical condition warranting the test. Otherwise, you will be responsible for its cost if you choose to have it. Between 18-23 weeks of pregnancy you will have a detailed anatomy scan of the baby to screen for congenital structural abnormalities. Between 24-28 weeks you will be given the Glucose Tolerance Test to screen for Gestational Diabetes. It involves fasting before the blood test in the morning, then having a glucose drink, followed by another blood test an hour later. If your results show any cause for concern, you will be required to start controlling your sugar intake and may need further medical treatment, which can be administered in Cayman. In general, pregnant women should limit sugar intake during pregnancy. See page 41 for a list of dieticians who can help you throughout your pregnancy.

Birth Plans & Paediatricians

As your pregnancy develops, you’ll want to discuss your birth plan with your OB or midwife, including your thoughts on pain relief during labour, to ensure your wishes are known. You will also want to choose the paediatrician who you’d like to care for your newborn. Cayman has both general paediatricians and some that are also qualified specialists in preterm or newborn emergencies and complications. Again, it is worth researching them, asking other parents or GPs, and visiting your shortlist. Given that infants can survive from 2324 weeks gestation, some parents-to-be prefer to do this quite early in pregnancy. You may choose a private paediatrician or opt for the HSA paediatric team. Turn to page 149-152 for a full list of Cayman's paediatricians.

Birth Classes & Doulas

It’s recommended that you prepare for childbirth by enrolling in some pre-natal classes. You may also wish to employ a doula. Turn to page 210 to learn more about the available options.

Hospitals

In the Cayman Islands, all babies are born in hospitals. Home and water births are not currently offered. There are two maternity wards in Grand Cayman and one in Cayman Brac.

The Cayman Islands Hospital offers three single delivery suites, eight maternity rooms (three single and five double rooms) and is home to the only Neonatal Intensive Care Unit (NICU) on the Island. The standard of care is excellent.

Ward. Don’t forget to bring your ID, insurance card if you have one and mask. Leave your hospital bag in the car, so that your partner or caregiver has both hands free to help you if necessary. They can retrieve it once you are settled.

Post Delivery Care

Once you have given birth, you will receive continuing care from the OBs, midwives and nurses at the hospital. At the HSA you will receive help with breastfeeding and caring for your baby in the 48 hours after delivery. The nurses will teach you how to gently bath your tiny newborn and how to put your baby in the car seat ready for discharge. The midwives from Women’s Health are also happy to make a home visit once you have delivered your baby, to help with any concerns or issues that you might be having. If you give birth at Doctors Hospital, you will receive a follow-up consultation to check on you and your baby's progress.

Length of Hospital Stay

How long you stay in the hospital is a decision both you and your doctor will make. Some women feel more comfortable with a longer stay, while others prefer to go home earlier. Most insurance companies cover two nights after a natural delivery, and three nights after a caesarean section (the period in labour is not calculated in this). Hospital stays are quite expensive, so check your insurance and plan accordingly. Mum will be discharged by her OB/GYN, while the baby is discharged by their paediatrician.

Doctors Hospital offers the only private delivery suites onIsland. The suites have been designed for your comfort and your birth partner is welcome to stay the night. Most high-risk pregnancies can be managed and delivered on-Island. The NICU provides excellent care for premature babies from around 28 weeks, or even earlier if needed. Sometimes it may be necessary to transfer the mum-to-be or the newborn overseas, usually the USA, for complex care. If the baby has been born, it will require an emergency passport to travel, and your own documents will need to be in order too. See page 214 to learn more about newborn complications and page 177on how to obtain a passport for your child. Discuss with your OB which hospitals they can practise in. It’s worth touring your chosen hospital beforehand to familiarise yourself with the space, staff and amenities.

Delivery

As most baby books will tell you, you don’t need to head straight to the hospital once you feel your first contraction. It is, however, advisable to discuss in advance with your OB or midwife when to contact them and how. Once you have made contact, be sure to follow their advice carefully.

Women’s Health

Men’s Health

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When arriving at the hospital, head straight to the Maternity www.caymanparent.com

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Bump, Baby

& Beyond

As bellies grow, thoughts inevitably turn towards "What can I do to prepare for childbirth?". Fortunately for mums-to-be, there are plenty of options to help you feel prepared and take the mystery out of childbirth in Cayman.

Childbirth Preparation Classes & Doula Services

The Health Services Authority (HSA) offers a free eightweek educational series called ‘Parent Craft’. Classes are held on Monday evenings 5.30pm-7.30pm at the Women’s Health Centre located at the Cayman Islands Hospital. There is no charge or need to register in advance. Led by experts in the relevant fields, topics include, among others: nutrition for pregnancy, labour and delivery, knowing your baby, breast feeding, infant CPR, alternative methods of delivery and immediate postnatal care, postnatal care at home, safety, immunizations, family planning, relaxation in pregnancy and motor development in the first 12 months. You will also be taken on a tour of the maternity ward so you can familiarise yourself with the facilities. If you miss any classes, you may make them up during a subsequent eight-week course cycle. Please call (345) 244 2649 or 244 7627 for more information. Lamaze Childbirth Education Classes give you a grounding in one of the most popular birth techniques. Lamaze classes

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approach childbirth as a natural and healthy process; they neither support nor discourage the use of medical interventions during labour and delivery. Instead, they educate mums-to-be about their options so that they can make informed decisions. Nurturing Birth Experiences offers both group and private Lamaze classes. The course consists of six two-hour sessions with a maximum of 12 couples. These classes are a great way to meet other parentsto-be at a similar stage of pregnancy. Refresher childbirth classes, lactation consultation, and doula services are also available. Tel: (345) 949 6024. Doctors Hospital offers free Antenatal Classes which are an hour long and run for three consecutive weeks. Topics include what to expect when you’re pregnant, pregnancy complications, health and nutrition, the four stages of labour and recovery, choosing a paediatrician, breastfeeding, mental health and newborn care. You will also be offered a tour of the maternity ward. The classes are be held the Camana Bay location. Tel: (345) 949 6066.

Ariel Grace is a registered Doula and pre and post-natal Pilates instructor at Align Wellness Studio. Ariel teaches childbirtheducation and focused pre-natal Pilates classes to inform, and prepare new parents for childbirth and recovery. As a birth doula, Ariel offers compassionate and non-judgmental, one-on-one individual physical, emotional, and educational support sessions for mamas throughout pregnancy and childbirth.

Post-Partum Care & Lactation Consultants

With many new mums in Cayman living far away from family and in different time zones, the post-partum care offered in Cayman can really come in handy. Nurturing Birth Experiences offer lactation services to help mothers get off to the right start with breastfeeding. They offer inhome visits and work with mothers to address practical issues and help set realistic expectations for your baby and yourself. They will leave you with strategies to help you achieve your breastfeeding goals. Tel: (345) 949 6024. The Cayman Islands Breastfeeding Support Group is a volunteer group which meets once a month to offer free support and education in breastfeeding to expecting and existing mothers. The volunteers visit new mothers in hospital and at home to offer free breastfeeding advice and support. They will rent hospital-grade Medela pumps in emergency situations and provide reasonably-priced breast pumps for mothers returning

to work. Visit www.facebook.com/CIBreastfeeding or email: cibreastfeeding@gmail.com for details. The midwives at the HSA's Women's Health Centre offer free post-natal care and home visits for HSA patients. Tel: (345) 244 2649 / 2710 / 2732. They can provide general and breastfeeding support after the birth of your child. These services are also offered at the following health centres on-Island: •Bodden Town Health Centre Available Monday and Thursday 8.30am-8pm; Tuesday, Wednesday and Friday 8.30am-4pm and Saturday 8.30am-12pm. Tel: (345) 947 2299. •East End Health Centre Available Monday-Friday 8.30am4pm and Saturday 8.30am-12pm. Tel: (345) 947 7440. •West Bay Health Centre Available on Mondays, Tuesdays, Thursdays and Fridays 8.30am-4pm; Wednesdays 8.30am8pm and Saturdays 8.30am-12pm. Tel: (345) 949 3439. •North Side Clinic Available Monday-Friday 8.30am-4pm; Saturday 8.30am-12pm. Tel: (345) 947 9525.

Other Family Resources

The Family Resource Centre (FRC) at the Department of Counselling Services offers a range of free individual and group parenting services. For more information call (345) 949 0006 or email: frc@gov.ky.

Bump To Baby Design for Mom, Love for Baby

A maternity and baby store offering high quality contemporary products The Strand - Unit 28 (upstairs), 46 Canal Point Drive, West Bay Road l (345) 938-6498 l thebumpboutique@outlook.com l Opening hours: Mon - Fri: 10am - 6pm Sat: 10am - 4pm Sun: Closed

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The Ultimate Hospital Bag Checklist Your home is all ready for your new arrival. The nursery is ready, you’ve cleaned the house from top to bottom (nesting is so much fun!) and toured the hospital. But before you can relax, don't forget to pack your hospital bag! We have compiled a list of items that can take the stress out of the lead up to the big event itself and the hours and days after it. If you are having a planned caesarean section you may need more clothing as you could be in hospital for up to five days. You're not provided with nappies, formula, towels or toiletries at Cayman's hospitals, so to avoid an emergency trip to the shops, make sure you are well prepared.

The Newborn

• Four baby onesies • Four sleepsuits • Six receiving blankets or muslin wraps • Two baby hats • Two sets of baby socks and mittens Bedside Manor.pdf

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• Warm blanket • Going home outfit • Two towels • Two wash cloths • Two dozen newborn nappies • Baby wipes • Formula, if you don’t plan on breastfeeding • Infant car seat for day of discharge

The Mother

• Insurance details • Your birth plan • Masks for mother and birthing partner • Four sets of sleepwear (front opening for breastfeeding) • Dressing gown • One pair of flip-flops • Headband or hair ties

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Email: customerservice@babyexpress.ky

• Four to six pairs of underwear • Three nursing bras and breast pads • Loose and comfortable going home clothes • Toiletries (toothbrush, toothpaste, flannel/washer, moisturiser, shower gel, deodorant, lip balm, hair brush, shampoo, conditioner, any makeup) • Glasses/contact lenses • Two towels • Two dozen maternity sanitary pads • Pillow (recommended) • Camera, memory card, charger • Mobile phone and charger • Snack bag (for mum and dad!)

Top Tips We asked some Cayman mums for their top tips on preparing to give birth and here's what they had to say.... Pack Early You never know when your little one might decide it's time to meet the world! Pack your hospital bag at least four weeks before you're due so that you are prepared and are not racing around at the last minute! Remember, don't pack your best towels, underwear or sleepwear as they may get ruined. Choose dark-coloured items where possible. Pack Separate Bags Consider packing a separate bag for you and your baby. It will be much easier to find what you are looking for, especially after labour when you may be sore and tired. Don't Forget the Snacks Labour is hard work, so pack some healthy snacks to keep your energy levels up. Good options include dried fruit, nuts, seeds and fresh fruit. Dark chocolate is great for a quick burst of energy. Entertainment Load up your iPad/tablet with plenty of entertainment in case you are in labour for a long time, and possibly confined to the hospital bed. Car Seat Car seats are notoriously difficult to fit so ensure it's installed before you go into labour and ideally when you are around 36 weeks. You may even want to practice taking the seat in and out of the base a few times so you know how to put the baby in safely when you leave the hospital.

Design for Mom, Love for Baby

A maternity and baby store offering high quality contemporary products The Strand - Unit 28 (upstairs), 46 Canal Point Drive, West Bay Road l (345) 938-6498 l thebumpboutique@outlook.com

www.caymanparent.com

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Newborn Complications

Photo courtesy of HSA

Cayman is a wonderful place to have a baby and raise children. Compared to coal-mining Barnsley, where I grew up, the environment is conducive to a healthy pregnancy and a genuinely lovely childhood experience. However, like anywhere, complications do occur and it’s important to consider them from a Cayman perspective. – Dr Sara Watkin, Neonatal and Paediatric Specialist at Integra Healthcare

It’s an Island

We have very good facilities in Cayman, with an excellent neonatal unit for preterm and newborn complications, located within George Town Hospital. However, it’s important to always keep in mind that we are a small island, more than an hour’s flying time from a major children’s hospital.

Safety First

A big part of ensuring safety is making choices and taking precautions with our island in mind. As a neonatologist (newborn specialist), my greatest challenge is that many complications of birth can occur with no warning in an otherwise healthy pregnancy. Fairly recently I was attending a normal delivery with a very experienced obstetrician, but the baby had developed a severe birth complication and required resuscitation and an advanced technique to protect from brain damage. It was fortunate that the delivery was in George Town, right next to the neonatal unit, and that a neonatologist was in attendance. It was a severe and

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unexpected complication, with no warning, but the right people at the right time meant it turned out well. Birth location is important as the outcome from many birth complications is influenced by how fast specialist support is available. Another choice is mode of delivery. While there can be specific reasons why a caesarean section may be a safer choice e.g. when the baby has not turned properly, generally, a normal vaginal delivery is best for the baby and leads to fewer complications. Babies born by elective caesarean section are more likely to have breathing problems, sometimes leading to admission to the neonatal unit for immediate care. Good obstetricians want to support natural birth wherever possible, unless there is a good reason to choose otherwise. Finally, there is the choice of when to deliver. Mostly that’s nature’s choice, but it is understandable that after nine months of waiting, you want the special day to arrive. The chances of

complications rise the earlier the delivery is before your due date. Even at 38 weeks, there is a significantly higher chance of complications than at 40 weeks, which rises further if labour has not started and a caesarean section is performed for no medical reason. Not long after I moved to Cayman, I cared for a baby over a number of weeks, providing complex care for significant respiratory problems, which is obviously costly too, arising after an elective delivery by caesarean section before 39 weeks. Patience, and close monitoring by your obstetrician, is generally the best approach.

In Cayman, I have supported a number of 23 and 24-week deliveries where it has not been possible to transfer the mother off-Island before the birth. However, the round-the-clock nature of care means that at this stage we try to get them in good shape and then transfer them to a big centre such as Miami or Fort Lauderdale. We are fortunate to have tertiary-standard nursing and medical support at George Town Hospital but the rarity of these babies means we cannot carry enough staff and equipment to tend to all their needs. In London, I had a team of specialist neonatologists and 200+ neonatal nurses on the rota.

Common Complications

Here, we tend to care for babies of 27 weeks or greater gestation. These infants still require lots of specialist support and a fairly long stay in our neonatal unit, as well as periods of ventilation and lots of close monitoring. Our outcomes, considering our small size, really are world class and something to be proud of.

1. Lack of oxygen (asphyxia) before, during or after birth The most serious birth complication is that of asphyxia, which can occur, for example, if there are problems with the placenta or if the umbilical cord gets kinked or wrapped around baby’s neck. It can be life-threatening and even those surviving can have severe brain damage. While thankfully it is rare, it tends to happen in the moment, with no warning. Time is of the essence and good outcomes tend to occur when the right specialist support, including some complex techniques like brain cooling (therapeutic hypothermia), is provided immediately. I was Chief of Service in a world-renowned brain-cooling centre and we would aim to start treatment within minutes of birth. In the UK, it was rare to have a paediatrician present at birth but that’s because in most places there is a neonatal team just minutes down the corridor. Here our facilities are more limited and this is why choices like birth location can make a difference, especially when every minute counts.

3. Other problems Sometimes babies have problems that have occurred during pregnancy or even as a result of a genetic issue. Nowadays, the monitoring and tests conducted by obstetricians identify these problems ahead of delivery and that allows the obstetrician and paediatrician to plan any necessary support or interventions ahead of time. Sometimes these babies do need to be delivered by caesarean section and transferred to the neonatal unit. However, the planned nature means you will have this explained to you if it occurs.

I like to split these into three main types: 1. Lack of oxygen (asphyxia) before, during or after birth 2. Complications of immaturity 3. Other complications e.g. genetic problems

There are a number of different conditions but each individual one tends to be very rare. Sometimes they are difficult to spot before birth and thus it is important to ensure your baby has its baby checks and engages in a schedule of well-child checks to help pick up on things.

Sense of Perspective

2. Immaturity Lots of good things happen to babies in the final weeks of gestation. In particular, their lungs mature at a fast rate in preparation for independent life in the big wide world. Needless to say, being born too soon interrupts that process, frequently leading to breathing and oxygenation difficulties. Infants born prematurely are also more susceptible to infection and experience feeding difficulties at a time when they need good nutrition for growth and maturation. All of these problems increase in frequency the earlier a baby is born.

It’s only natural when reading an article on complications to end up worrying about them. You want things to go well, obviously. It is important to understand that the majority of births here are wonderful experiences, leading to new, happy, healthy lives. Many of the things I have discussed here are not unique to Cayman and can occur anywhere. If you want to know more about any of these things, at any stage, ask a neonatologist or paediatrician. You’ll be thinking about who before birth anyway and most will be glad to meet with you as soon as you are ready to discuss having a baby here.

It is possible for a baby to survive from about 23 weeks onwards. However, at this very early stage, it will require round the clock intensive care, lots of specialist support and even then, there is a significant chance of long term problems such as learning difficulties. For every week closer to term, the outcome gets better and the complications reduce.

Being an island brings with it a responsibility on us all – professionals and parents – to make sensible choices that lead to the lowest likelihood of complications and the best, most timely interventions if something occurs. I want to reiterate that I think having a baby in Cayman is genuinely special. It’s an amazing place and very capable in the care it provides.

Dr Sara Watkin MB ChB, MRCP (paeds), FRCPCH, MD is a tertiary neonatal and paediatric specialist, with 25 years’ service as a consultant, including as Chief of Service at University College London Hospital, a world-class tertiary centre for babies from 23 week’s gestation onwards and with complex paediatric and neonatal challenges. She is highly qualified and experienced in supporting children from their earliest preterm and term days right through to early adulthood.

www.caymanparent.com

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The Importance of Well-Child

Developmental follow-up and well-child checks are a vital component of ensuring a healthy, happy childhood leading to a healthy, happy life in which children reach their full potential. They serve three main purposes: 1. To ensure children are growing and developing as expected 2. To identify problems that need intervention or support 3. To provide guidance and health information on what to be mindful of at each stage of life Well-child visits, along with vaccinations and other preventive care, form an important part of an effective programme of healthcare to ensure that children develop and thrive. What’s more, when well-child checks are missed, children end up with a significantly higher rate of being hospitalised unnecessarily and that rate goes up the more checks are missed. They are extremely important.

More Than Vaccines & Growth Charts

Vaccines and plotting growth are a vital part of ensuring your child thrives, but these visits go much further, allowing parents to discuss any concerns, including nutrition, sleeping issues and social problems. They also allow paediatricians to provide advice on what to look for in the next phase of development. If a paediatrician only sees a child when unwell, there usually isn’t time to properly discuss development. Furthermore, the presence of sickness (e.g. flu) means this isn’t the best time to assess the longer-term aspects of wellness and development. Separate checks work best.

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Checks

Development

An important benefit of a well-child visit is developmental monitoring. Paediatricians use their interactions with children to spot problems with playing, speaking or interacting. These signs may allude to autism, hyperactivity disorders or a learning disability, where early support is vital. It can also make the difference between mainstream school versus needing special educational support, which is scarce in Cayman.

Schedule

Cayman has no set schedule of well-child checks but most paediatricians across the Island will see your child at: 2 to 5 days old, 1 week, 2 months, 4 months, 6 months, 9 months, 12 months, 18 months, 24 months, 36 months and annually thereafter to age 21. Each developmental check is different. For instance, the 18-month check contains the first screening for autism, using a distinct behavioural check list coupled with family information and experiences. Prior to this, it is quite difficult to pick up. However, when identified at this early stage, really valuable behavioural and relationship interventions lead to improved IQ, language ability and social interaction, all things with life-long benefits. By four years of age, language and motor skills are developing rapidly and certain types of play become much more important for social development. Children are becoming more independent. Picking up developmental issues here means children can receive support, such as speech and language therapy, the availability of which in Cayman surpasses that of the UK.

healthcare such as well-child checks. However, there is now a group of children with late diagnosed problems as a result of rest-in-place arrangements in various countries. This reinforces both the importance of well-child checks and their timesensitive nature.

No two timepoints are the same and so it isn’t surprising that children tend to have more problems downstream, the more development and well-child checks are missed.

Arranging an Appointment

All good paediatricians conduct well-child checks. Some have skills in more advanced developmental follow-up for example, caring for pre-term infants. Using the same paediatrician over time helps too. Contact your paediatrician and tell them you’d like an appointment for a well-child check.

Between Physical Appointments

The emergence of Covid-19 onto the world's stage has led to confusion over how and whether to engage in routine

It is far more preferable to conduct a well-child consultation by video conference or ‘telehealth’ than not at all. Most paediatric practices have put systems in place in order to do this. However, it is also important to appreciate the challenges of physical assessment by video conference. Paediatricians will compensate for this through something called safety-netting – a process of giving you a series signs or symptoms that you need to watch out for as parents, the appearance of which warrants contact with your paediatrician. Well-child checks, especially ones conducted remotely, are not designed to replace the everyday vigilance of parents in helping to spot emerging issues. There are few health issues that aren’t best addressed through early identification and so if you are at all concerned about the health, behaviour or social interaction of your child, it’s a good idea to contact your paediatrician. See pages 149-152 for a list of paediatricians in the Cayman Islands. TOP TIP: For information on Cayman’s vaccination schedule please see page 144.

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Pregnancy Best for Parents

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Listings

Ariel Grace/Align Wellness Studio / Photo by Daria Keenan Photography

OB/GYNs, Hospitals, Pre- and Postnatal Care and Baby Shops

Obstetricians/Gynaecologists (OB/GYNs) & Fertility Doctors Dr. Gilbertha Alexander MBBS DM MRCOG Dr. Elaine Ebanks MBBS DM Dr. Gillian Evans-Belfonte MBBS MRCOG Dr. Rhonda Reeves MBBS DM FRCOG Dr. Davina McCoy BSc MBBS (Registrar) Dr. Karina Palmer-Forde BSc MD (Well Women’s Clinic) Dr. Peter Sipos MD PhD (Med) MsC MRCOG CCT (UK) Cayman Islands Hospital, 95 Hospital Road, GT. Tel: (345) 949 8600. Dr. Venkamma Bonigi MBBS DGO Faith Hospital, Cayman Brac. Tel: (345) 948 2243.

Dr. Sarath De Alwis FRCS FRCOG MRCP FFSRH (UK), MRCS LRCP (UK) MMACS Doctors Hospital, 16 Middle Rd, Off Walkers Rd, George Town. Tel: (345) 945 6066. Dr. Howard Deosaran BSc MD DM FACOG LLB (Hons) Centre for Women, Family and Child Health, Caribbean Plaza, Seven Mile Beach. Tel: (345) 943 4666 Web: www.forhealth.ky Dr. Rommel El-Madany MB BCH FRCS (GYN) (Edin), HDGO (Dublin) DM, MD RCSI/IPA (Dublin), Diploma of Advanced Obstetrics Ultrasound RCOG/RCR (London) 9 Smith Road Plaza, Smith Road. Tel: (345) 946 2496 Email: islandobgyn@icloud.com.

Dr. Edward Caudeiron MD 33 Pasadora Place, Smith Road. Tel: (345) 949 9090.

Dr. Lisa Joels MB ChB, MD, FRCOG, FHEA Integra Healthcare, The Grand Pavilion, 802 West Bay Road, Seven Mile Beach. Tel: (345) 745 7450 Email: lisa.joels@integra.ky Web: www.integra.ky.

Dr. Joseph Davis Cayman Fertility Centre, Heron Place, 1283 Seaview Rd, East End. Tel: (345) 233 0770 Web: www.caymanivf.com.

Dr. Madhavi Manoharan MBBS, MD, MRCOG, DFFP Integra Healthcare, The Grand Pavilion, 802 West Bay Road, Seven Mile Beach. Tel: (345)

745 7450 Email: madhavi.manoharan@ integra.ky Web: www.integra.ky. Dr. Barry Richter MBChB, MMed, FRCS(C) NovoClinic, BritCay House, 236 Eastern Avenue, GT. Tel: (345) 746 6082 Email: clinic@ novocayman.com. Web: barryrichtergyn. com. Dr. Rachelle Shirley BMedSci MBBS, DM (OG) FACOG Royale Medical & Wellness Center, Bay Town Plaza, 36 West Bay Road, SMB. Tel: (345) 769 6230 Web: www.royalemedical.ky. Dr. Diana Van Der Borden MBBS, MD, BSCCP Dr. David Stone BSc MD FACOG Dr. Laura Hole MBBS, BSc, MRCOG OceanMed, Bayshore Mall, Level 2, South Church Street, George Town. Tel: (345) 946 2326 Web: www.oceanmed.ky. Dr. Zbigniew Zwierzchowski Doctors Hospital, 16 Middle Road, off Walkers Road, GT. Tel: (345) 949 6066 Email: zbigniew. zwierzchowski@doctorshospitalcayman.com.

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Paediatricians - see page 149

Maternity Hospitals Cayman Islands Hospital (CIH) 95 Hospital Road, George Town. Maternity Unit Tel: (345) 244 2842/2841 Web: www. hsa.ky www.hsa.ky The Maternity Unit offers facilities for both low risk and highrisk mothers and babies. These services are comprised of antepartum care (before birth), labour and delivery, post-partum (after-birth) and neonatal care; including normal births, twin births, breech, vacuum, forceps and caesarean section deliveries. The maternity unit, located on the ground floor of the Cayman Islands offers five double and three single rooms plus three labour/delivery rooms. All rooms have ensuite bathroom facilities. The Neonatal Intensive Care Unit (NICU) is well equipped to care for up to 6 newborns who may be premature or may need special observation or intensive care. Doctors Hospital (DH) 16 Middle Road, George Town. Tel: (345) 949 6066 Web: www.doctorshospitalcayman. com Private maternity suites with OB/GYN physicians, nursing staff and midwives providing a comprehensive approach to maternity care in a safe environment. After birth, the room is converted into a quiet, cosy, and nurturing space for families to recover. Support partners are always welcome to stay the night with mom and baby at DH.

Doulas, Childbirth Classes, Post-partum Care & Lactation Consultants Ariel Grace Align Wellness Studio, Market Street, Camana Bay. Tel: (345) 640 5050. Web: www.align. ky Ariel Grace is a registered Doula, childbirth educator and pre and post-natal Pilates instructor. Cayman Islands Hospital – Women’s Health Centre 95 Hospital Road, George Town. Tel: (345) 244 2649/2710/2732 Offers a free eight week Parent-Craft education series on childbirth and baby care. Postnatal care and breastfeeding support is also offered. The Children’s Clinic & Family Practice Windward Centre, 93 Smith Road, George Town. Tel: (345) 949 2970 Web: www. thechildrensclinic.ky Advice on lactation and newborn care. Nurturing Birth Experiences 3rd Floor, Tomlinson Building, George Town. Tel: (345) 949 6024 Email: info@rvcrehab.ky or jksmith@candw.ky Web: www.rvcrehab.ky Lamaze classes, doulas and lactation consulting.

Acupuncture & Alternative Medicine Align Wellness Studio Market Street, Camana Bay. Tel: (345) 640 5050 Web: www.align.ky Acupuncture and Chinese techniques that help to ease

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discomfort during pregnancy and labour and promote a stress-free pre and post-natal experience. Cayman Physiotherapy Two locations: Suite 26 Pasadora Place, Smith Road & West Shore Center, West Bay Road. Tel: (345) 949 8828 Web: www. caymanphysiotherapy.com Their two qualified practitioners offer acupuncture to help with fertility related issues, alleviate pregnancy symptoms and assist with postnatal recovery, both physically and emotionally. Da Vinci Centre for Wellness and Alternative Therapies Park Place, off West Bay Road. Tel: (345) 943 2002 Web: www.davinciwellnesscentre.com. Violetta Kanarek NCCAOM L.Ac Tel: (345) 946 4420 or (345) 916 4420 Email: drvyin@gmail.com. RVC Rehab Services 3rd Floor Tomlinson Building, 9 Walkers Road, GT. Tel: (345) 949 6024. Dr Doull R.Ac, TCMD, FABORM Ms. Andrea Janovics, R.Ac. Synergy Chiropractic & Physiotherapy, Marquee Plaza, Seven Mile Beach. Tel: (345) 943 8200 Email: info@synergychirophysio. com Web: www.synergychirophysio.com. Acupuncture and Traditional Chinese Medicine specialising in fertility, hormonal balancing, pre and post-natal care.

Baby & Children's Shops - Clothes & Equipment Atlantic Kids Paddington Place, Godfrey Nixon Way, George Town. Tel: (345) 949 2296 Web: www.atlanticak. com Baby and children's clothes, shoes and toys. Baby Express 68 Mary Street, George Town. Tel: (345) 640 2397 Web: www.babyexpress.ky A wide range of clothes, equipment and toys from birth to four years. Bedside Manor Market Street, Camana Bay. Tel: (345) 947 2711 Web: www.bedsidemanor.ky High-end baby products and a small range of baby clothing. These products include organisers and storage furniture, bedding, travel supplies, a variety of toys and infant care accessories. Cayman Medical Supplies The Windward Centre, 93 Smith Road, George Town. Tel: (345) 949 6211 Sells reasonably priced Medela breast pumps and spare parts. Funky Monkey Governors Square, West Bay Road. Tel: (345) 943 8659 Web: www.funkymonkeycayman. com Fashionable clothing, accessories and gifts for children. J Michael The Strand, SMB. Tel: (345) 946 5310 Web: www.jmichael.ky Offers a range of brands and styles of clothing and accessories for infants and children.

Kids Karma Closet Buckingham Square, 720 West Bay Road. Tel: (345) 947 7330 Good quality second-hand clothing, equipment, toys and carriers. Little Angels Market Street, Camana Bay. Tel: (345) 946 2645 High-end swim and beach wear for toddlers and children up to 14 years. Living.ky Pasadora Place, Smith Road, George Town. Tel: (345) 233 8700 Email: sales@living.ky Web: www.living.ky A great selection of children’s furniture including beds and bunk beds, dressers, rugs, cushions, wall décor and much more. Sweet Pea Boutique Alissta Towers, North Sound Road, GT. Tel: (345) 923 5947 Web: www.sweetpea.ky Small selection of children’s clothing among a range of women’s dresses and other casual wear. Tomlinson Furniture Gallery 9 Walkers Rd, Tomlinson Building, GT Tel: (345) 949 5383 Web: www.tomlinsonfurniture.ky. A good range of baby and children’s furniture. The Baby Shoppe Alissta Towers, North Sound Road. Tel: (345) 949 2229 Baby and toddler products, car seats, strollers, clothing and toys. The Bump To Baby The Strand, SMB. Tel: (345) 938 6498. Email: thebumpboutique@outlook.com Web: www. thebumptobaby.com A wide selection of highend clothing and supplies for mothers during and after pregnancy. They also offer a range of newborn essentials from nursery equipment and nappy bags to clothing, bottles and hipseats. Valu-Med Pharmacy Walkers Road, George Town and Evron Plaza, Bodden Town. Tel: (345) 949 0442 Baby and toddler clothing, toys, formula and essentials.

Freight Forwarders/Shipping Companies Cayman Islands Customs Agency (CICA) 39 Ashgo Street, off Godfrey Nixon Drive, George Town. Tel: (345) 949 2350 Web: www. cicustomsagency.net. Miracle Brokers 140 Kingbird Drive, Off North Sound Road, George Town. Tel: (345) 949 5989 Email: info@miraclebrokers.com Web: www. miraclebrokers.com. Seaboard Marine Cayman Cannon Place, 2nd Floor, Industrial Park, George Town. Tel: (345) 949 4977 Email: info@seaboardcayman.com. Web: www. seaboardmarine.com. Sta-Mar Enterprises Ltd. The Conch Shell House, 492 North Sound Road, George Town. Tel: (345) 949 2399 Email: info@ stamar.ky Web: www.sta-mar.com.

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CAYMAN PARENT

Early Years Childcare, Jolly Phonics, child safety, parks and more...

Contents

Photo courtesy of Daria Keenan Photography

EARLY YEARS

Childcare Choices: Nanny or No Nanny?

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Decoding Jolly Phonics

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Early Years Book Club

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Childproofing Your Home & Pool

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Early Years Q&As

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30 Fun Free Things To Do

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Parks & Playgrounds

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The Listings

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www.caymanparent.com

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Childcare Choices:

Nanny or No Nanny?

EARLY YEARS

Whether you’re working or not, some form of childcare during the early years is invaluable, especially if you’re here as an expat without family nearby to lend a hand. Thankfully, support in the form of preschools, nannies or helpers is readily available in Cayman. Before considering the help you need, it’s important to understand the difference between a nanny and a helper. A nanny focuses on the children – they shop for children’s food, prepare meal plans and cook their food, organise children’s activities and clean their clothes. They do not do general house cleaning. A domestic helper, on the other hand, will do laundry, housework, cooking and drive children around to their activities (they may not organise the activities themselves).

No Nanny

‘Child minding’ services, which are commonly available in the UK, are not offered in the Cayman Islands. However, preschools, which take children from as young as six weeks, are a popular choice. The following local preschools take children aged from either six weeks or three months: Discover Kids, FBCS, Rite Start, Shining Stars, Sister Janice’s and Tiny Tots. They cost between CI$550 and CI$750 per month for a full-time place and will keep your children from 7.30am to 5.30pm. There are part-time or full-time options and they do not close for school holidays. We asked local mothers about this option and were told that the school’s caregivers are “loving, kind and certainly knew more about childcare than I did as a new mum". They could not recommend them highly enough! When choosing between preschools please ensure that you read up on ‘Cayman’s School Inspection Reports’ on the Cayman Resident website as all preschools have different strengths and weaknesses. In all cases make sure you reserve your child’s place at the earliest possible moment. Preschools in Cayman are over-subscribed and places are few. Once your child reaches 18 months, all preschools are available to them. See ‘How to Choose a Preschool’ on page 62 for more information on how to choose a preschool, and the ‘Nurseries & Preschools’ listings on page 106 for a full list of schools. If you are just looking for a short window of help each week, you could hire ad-hoc help or organise a weekly nanny via one of the agencies (AAA Caregivers or Best Home Care). They usually require a minimum slot of four hours. You can hire cleaners/ helpers through the same agencies and on the same basis.

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A Nanny

Choosing a nanny is a lot more complicated and there are numerous things to consider. For example: What type of care do you need? Although you might think you only need part-time help, what will you do with your children during the school holidays or when they are sick? Do you need a nanny to help with homework? Or someone who will be the primary source of education, development and stimulation? A very good domestic helper will not only help keep your house clean but also engage your child in conversation, read to them and take them to activities so that they can socialise. How much can you afford to pay? As with any job, the most qualified and experienced candidates will require a higher salary. There is a big difference in salary between an early childhood-trained nanny or teacher, to a cleaner with occasional evening babysitting experience. Both a full-time nanny and a domestic helper require health insurance; however, the law does not require you to pay the pension of a domestic helper. Remember that the minimum wage for any employee is CI$6 an hour, and extras (living-in, the use of a car) can only account for 25% of their total salary. See page 176 for more information on the logistics of hiring a nanny or helper.

Do you need a driver? If you require help with driving your child to and from school or after school activities, then a nanny who can drive is essential. Consider whether or not the nanny's car is suitable and safe for your children to be driven around in, or whether you will provide a car for the nanny's use. Remember to pay for their gas or give them a fair allowance towards the weekly cost of their fuel bill. Live-in or out? Some positions that require long or late hours are more suitable for a live-in person. If opting for a live-in caregiver, you will be required to provide accommodation with sufficient space. If you are considering bringing a nanny onIsland, it is important to be mindful of the cost of living in Cayman for a single person, and factor that into your salary offer. If your nanny or helper is from Jamaica, or somewhere relatively close, most families will include a yearly ticket back home as part of their contract. If your nanny or helper is from the Philippines, then a ticket back every two years is the norm. In this case, your nanny will probably request to save two years’ worth of vacation so that they can go home for longer once every two years.

Where to look. The best reference for a nanny is a positive referral from a friend or colleague. However, if you are new to the Island, take a look on Ecay Trade, Nanny Finder or Real Women on Facebook or ask agencies such as AAA Caregivers or Best Home Care. Cayman is a transient place and when families leave the Island, they will often try their best to find their nanny another position. You could also place an advert yourself on Ecay Trade. TOP TIP: Living so close to the water it's important to know whether your nanny can swim. Sky Blue Aquatics offers water safety courses to teach nannies about pool safety and how to swim. Turn to page 127 to find out more.

Are they patient and kind with a loving and caring nature? Are they physically fit with high energy levels? Are they good at communicating and do they have good interpersonal skills? Are they trustworthy and reliable? Are they creative and do they show initiative? Are they flexible and adaptable? Can they drive? Can they swim? Do they have an up-to-date CPR certification? Can they prepare healthy meals and snacks for your children? Can they help with evening and weekend babysitting? Choose which of these factors are the most important to you before you start the interviewing process.

AAA Caregivers

EARLY YEARS

Experience and outlook. Early childhood care greatly impacts childhood development. Does the nanny have experience and qualifications? Do they speak clearly? Are they warm and engaging? Do you feel comfortable and relaxed in their company? Do they have a similar set of values to you? Does their outlook on child rearing and education coincide with yours? Are they willing to learn through on-Island workshops and training?

What to look for in a Nanny

Serving your household needs to give you peace of mind since 2001

AAA Caregivers is a housekeeping/childcare agency with a staff of experienced housekeepers/nannies trained in first aid/CPR, basic childcare, fire safety and food handling. They can also find a suitable nanny for a fee, perform background checks and provide training. For a monthly fee, they can also hold the work permit.

Highlights:

Family support. For many families with young children who have moved here from overseas, the lack of family support can make life seem difficult. Your children's nanny or family helper, if chosen carefully, will become an important person in your child's lives: your children will blossom if they are cared for by someone who truly cares for them.

Thoroughly-vetted, first aid and CPR trained nannies, baby sitters and domestic helpers • Finder and assessment services available • Vacation support for travelling families: locals going abroad and/or those from overseas • Term break holiday babysitting and nanny services

Be realistic. Could you care for a baby, entertain a toddler, clean a house, do the laundry, iron, cook, run errands, take the kids to school and do homework with your children? Doing all those things to a high standard is challenging for anyone. Prioritise your requirements and understand the difference between a nanny and a helper.

Babysitters • Nannies • Holiday childcare • Sick child care • Live-in domestic housekeeper • Bespoke services

Services Include:

(345) 916 5925 | Grand Cayman aaacaregivers@candw.ky | www.aaacaregivers.ky www.caymanparent.com

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Decoding

Jolly Phonics

EARLY YEARS

Miss Amy from Little Trotters. Photo by Bouke Maddock

I truly believe, through teaching literacy with laughter and fun, children can blow our minds with what they learn. – Amy Miller, Jolly Phonics & SEN Teacher at Little Trotters Farm & Nursery School.

Working alongside different families daily, it is clear to see that a parent’s purpose is to provide their child with the support to become the very best versions of themselves. Part of this is by providing opportunities to lay those important foundations in key areas such as literacy. A proven method to aid literacy, and the one that we use at Little Trotters, is the Jolly Phonics programme. This is a multisensory, fun, exciting way of introducing children to the English alphabet in a simple yet structured way.

What is Jolly Phonics

When we think of literacy, we may automatically go straight to ABC’s but what if we took it back a little further, allowing those little minds to explore and grow, and introduce them to the sounds that the letters make?

Jolly Phonics is a world-leading English literacy method that teaches children how to read and write using phonics. The programme teaches children the sounds that letters make, rather than the names of letters in the alphabet. Having letter-to-sound knowledge will help develop the child’s ability to begin reading words and sentences.

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Rather than memorising thousands of words, children are instead taught a phonics ‘code’. This code helps children work out how to read 95% of the English language. There are five basic skills for reading and writing within the Jolly Phonics Method. At Little Trotters, we teach the first two phases, depending on the individual ability of the children, and hope to instil a love of learning in them. The children go on to the next stages once they are in primary school. 1. Learning the Letter Sounds 2. Letter Formation (Writing) 3. Oral Blending 4. Segmenting 5. Tricky Words

How Jolly Phonics is Taught

1. Learning the Letter Sounds There are 26 letters in our alphabet and each has its own ‘sound' but the sounds are very different to how a letter is ‘said' in the alphabet. For example, ‘a’ in ‘arrow’ and ‘b’ in ‘bat’. However, there are more than 26 sounds in the English language, in fact there are 42 in total, which is where the Jolly Phonics method stems from:

• There are a mix of single sounds such as ’a’ and ‘b’. • There are some sounds made up of two letters, known as diagraphs, meaning that two letters come together to form one sound such as ‘ee’ and ‘or’. • There are also three letter sounds are called trigraphs such as ‘t-r-ee’.

With my trusty sidekick Inky the mouse, a Jolly Phonics puppet who comes along to see how well the children are doing, the literacy lessons are a highlight of everyone’s day. Once your child can understand, identify, speak and action the basic phonetical letters/sounds, they will be able to progress to the next stage of Jolly Phonics 2. Letter Formation (Writing) It is so important that a child holds their pencil in the correct way. The pencil should be held in the “tripod” grip between the thumb and the first two fingers. The grip is the same for both left and right-handed children. At Little Trotters, I use multi-sensory methods to teach children to form and write letters. For example, colouring exercises to familiarise them with the letter shapes, special craft activities and teaching rhymes to help the children remember letter formation.

EARLY YEARS

When it comes to teaching Jolly Phonics, we follow a letter order rather than alphabetical order. There are seven groups of six letters, the first group makes up a greater number of simple three-letter words than any other six letters. 1. 2. 3. 4. 5. 6. 7.

s, a, t, I, p, n ck, e, h, r, m, d g, o, u, l, f, b ai, j, oa, ie, ee, or z, w, ng, v, oo, oo y, x, ch, sh, th, th qu, ou, oi, ue, er, ar

At Little Totters Farm & Nursery School, my focus is to create excitement and curiosity towards literacy with our 3-4 year old’s. I use interactive and fun visual and audio aids such as poems, nursery rhymes, and games to teach phonetical sounds. Each sound has an action which helps children remember the letter(s) that represent it.

Photo by Bouke Maddock

3. Oral Blending This is the process of saying the individual sounds in a word then running them together to make the word. Children can start to practise this skill as soon as they have learnt the first three letter sounds for example s-a-t = sat and c-a-t = cat. 4. Segmenting: Identifying sounds in words The easiest way to know how to spell a word is to listen for the sounds in that word. Children start by listening for the first sound in a word. For example, the ‘e’ sound in egg or elephant. Games like I-Spy are ideal for this. Next, they then move on to listening for the end sounds, before finally the middle sound of the word as these are the hardest to hear. 5. Tricky Words There are 72 words in the English language that are not decodable, so these words must be learnt by memory. Examples include the, was, all, my, do, she. We split the 72 words into five different groups, each level building on the words learned in the previous level. Schools use mnemonics and other fun techniques to help children learn these words.

www.caymanparent.com

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Fun Ways to Support Your Child’s Learning at Home

I recommend trying to capitalise on opportunities by adapting learning to focus on your child’s interests. When children are intrigued, they will learn more. If you would like to support your child’s learning at home then here are some ideas:

EARLY YEARS

Letter Sounds • Introduce a single letter sound, for example the sound ‘sss’. Find objects – sticker, strawberry, stone – and listen for the sound as you say the word together. • Learn the Jolly Phonics letter song (these are readily available on YouTube) ‘The Snake is in the Grass, The Snake is in the Grass, ssss, ssss, The Snake is in the Grass’ • Make up a letter story, for example - Sam and Sally sang sweet songs. Get creative and see if you can come up with longer or sillier stories each time. • Learn the action – each letter in Jolly Phonics has a corresponding action that serves as a useful prompt. Again, these are available on YouTube.

• YouTube music videos (Jack Hartmann and Alphablocks are firm favourites). Fine Motor Activities in and Around Your Home To Help With Pencil Grip and Pencil Control • Crocodile fingers colouring – sliding the pencil into the snappy crocodiles’ mouth – this is the tripod pencil grip. • Spray bottle alphabet game – chalk a letter and spray it away. • Threading beads, making necklaces, bracelets. • Cutting outlines on paper (spirals, straight lines, circles, zig zags). • Dot to Dot your name – Q-Tip painting over the top. Listening Activities In and Around Your Home • Musical instruments – close your eyes and guess the instrument. • Bean dance – follow dance instructions i.e. jellybean, jumping bean, runner bean. • Story sharing – parents allowing the child to add in what they think happens next to draw out a story. • Noisy or quiet – gather a basket of objects, place one object in a small metal tin and shake it- which object makes the loudest noise? • "What can you hear in the garden?" Close your eyes and listen to sounds all around.

Photo by Bouke Maddock

Language Activities In and Around Your Home • Rhyme or slime (if it doesn’t rhyme, add it to the slime!). • Letter sound hunt (hide objects with the same beginning sound - dog, digger, dinosaur). • Beat out the syllables in your name (count the beats you hear - Sweet Beets on YouTube is a great resource). • Listen for sounds in rhyming books.

Photo by Bouke Maddock

My name is Amy Miller, originally from a small town in the UK, I moved to Grand Cayman around five years ago. I knew from a young age that my passion was children and that has not changed. I have travelled to different countries, gaining knowledge and skills by working with children before landing on this beautiful island. I was given the opportunity nearly three years ago to join the Little Trotters team as the Jolly Phonics teacher and I jumped in headfirst! I honestly believe that the Jolly Phonics programme and method of learning can be taught effectively by teachers and parents alike. I hope to have inspired you with ideas to help you, and your family, help your children learn their letters. Wishing you all the fun on your Jolly Phonics Journey! Miss Amy Miller.

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Cayman Parent Magazine | Early Years

Early Years Best for Parents

Book Club Best for Toddlers A beautiful, empowering picture book about two sisters who work with their community to promote change. Inspired by a true story from the childhood of the author's aunt, Kamala Harris, and mother, lawyer and policy expert Maya Harris.

Ijeoma Oluo offers a hardhitting but user-friendly examination of race in America. Oluo guides readers through subjects ranging from intersectionality and affirmative action in an attempt to achieve honest conversations about race and racism, and how they infect American life.

A little girl makes a string of paper dolls with her mother. The dolls then go on a fantastical adventure where they encounter a pair of scissors. Evoking a sense of childhood loss and the power of memory, this gentle and moving story might bring a tear to the adult reader's eye.

Psychologist Meg Jay takes readers into the world of the supernormal: those who soar to unexpected heights after childhood adversity. She tells the tale of everyday heroes who have made a life out of dodging bullets, even as they hide in plain sight as doctors, artists, lawyers, activists, teachers and students.

Insightfully sweet, with a gentle humour and poignancy, here is Oliver Jeffers' user's guide to life on Earth. He created it specially for his son, yet with a universality that embraces all children and their parents. A must-have book.

Best Podcast for Kids

EARLY YEARS

Discover how fun and educational growing plants can be. Perfect for beginner gardeners with tons of awesome projects that help kids grow their science, technology, engineering, art, and maths (STEAM) skills.

Best Digital App for Kids The Alien Adventures of Finn Caspian This serialised podcast tells the story of an 8-year-old boy living on an interplanetary space station who explores the galaxy and solves mysteries with his friends. Free on Apple.

Teach Your Monster to Read is a phonics and reading game that helps children learning to read. It covers matching letters and sounds to enjoying small books. US$4.99 on Apple, Android, Amazon, or free on computers.

www.caymanparent.com

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Childproofing Your Home

& Pool

The leading cause of serious injury and death among young children are accidents that could have been easily prevented. Thoroughly childproofing your home, garden and pool is essential for both safety and peace of mind. The Home Baby/Child Gates & Wall Fasteners • Block off the top and bottom of stairs using gates that have been firmly attached to the walls, as opposed to pressure gates, which can easily be pushed or pulled down. • Block access to spaces such as the patio, kitchen and bathroom to prevent children accessing potentially dangerous areas unsupervised. • Secure large items (TVs, dressers, bookshelves, etc.) to the walls using screws and fasteners to prevent a child pulling them over onto themselves.

Windows & Window Treatments • Ensure all windows within reach of children have locks and/or window guards to prevent children from being able to open, climb through or fall out of windows. • Shorten or fix blind cords so that they are entirely out of possible reach. These pose a high strangulation risk. Safety Latches • Install safety latches on all cupboards and drawers (bathroom, kitchen, etc.) containing sharp or harmful substances. • Install safety latches on your toilet lid, oven, dishwasher, washing machine and dryer to prevent accidental drowning, burns, suffocation or entrapment. Child-friendly Furniture • Small tables and chairs for children are useful for toddlers and young kids to prevent mishaps, as are low toddler beds with bedrails to prevent falling. See page 237 for a list of stores that stock childproofing products.

The Pool • Always ensure that there is an adult supervising children in or near the pool. If you think you might be distracted by other tasks, designate another adult ‘water watcher’ to keep an eye on the children at all times. • Install a fence of at least four feet in height around the perimeter of your swimming pool. • Ensure that the gate for entry to the pool has childproof locks, handles and/or latches to prevent children from being able to open the gate. • Remove or secure any items that a child could use to climb up and over the gate/fence to gain access to the pool. • Install a pool alarm to notify you if anyone enters the fenced-in area. Some systems are capable of detecting underwater movement and will notify you accordingly. • Install an automatic pool safety cover that can only be opened and closed with a key. • Upgrade drain covers to be ‘VGBA compliant’ and the pump to an ‘SVRS’, which will reduce the chance of entrapment. • Ensure children who are playing near a pool are wearing life vests or floaties. Make sure your children receive basic swimming lessons that teach them how to roll over in the water and swim towards and hold onto the edge. A list of certified swim schools and instructors can be found on page 237.

EARLY YEARS

Electrical Outlets, Plugs & Cords • Use plastic safety plugs to block access to any electrical outlets within reach of children. • Tape exposed cords to baseboards, walls or behind furniture to ensure children cannot pull cords out of sockets or pull lamps, computers or other household items down onto themselves. • Ensure that all electrical items such as hair dryers, tools, toasters, fans and cell phone cords are well out of reach. • Do not allow children to play with items containing batteries, except for children’s toys that were designed to keep the batteries safely enclosed (i.e. only accessible by removing a set of screws). Accidental ingestion of batteries by children can have disastrous outcomes. Remote controls and other electronics can pose serious risks to children.

For more information on making your pool area safe, contact Pool Patrol (345) 949 8543, Oasis Pools (345) 945 7665 or Spartan Fencing (345) 946 3191. www.caymanparent.com

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Q&A Jo-Ann Gruba

Rebekah Clark

What is your favourite place to take the children to play? Camana Bay. Esme loves running around there and meeting or making friends. While Maya loves the fresh air and watching the fountain and kids playing around.

Do the children have a favourite game they like to play with you? There are so many games! Clue, Chess and the Game of Life are the games of choice at the moment. But if we have a spare few minutes we always find time to play a quick card game or two.

EARLY YEARS

Do the children have a favourite game they like to play with you? Esme loves to play with different things but our favourite time spent together is singing and dancing to songs from 'Frozen' or 'Moana', as well as the song 'Shake it Off'! If a child becomes upset or angry, how do you calm them down? Kneel down, talk to her eye to eye and ask her what happened. After listening I then ask her how I can help. If there is a meltdown then I administer lots of hugs. If she makes a bad choice, I’ll take her to timeout and talk to her after she stops crying. Who gave you the best advice or tips for childcare? My mother. Sadly she has now passed away but she taught me to be strong and keep smiling despite any hardships. What do you find the most rewarding part of looking after children? It’s their smiles, their laughter and the hugs and kisses. I also love learning new things from them. Do you have kids in your home country and how do you manage maintaining long distance relationships? I have four lovely kids. Genesis 21, Sean 16, Liliana 14 and Luisa who is 5 years old. My family in the Philippines look after them for me. I call them every day before I go to work and again in the evening. Most of the time, I play games with my youngest, not forgetting to remind them all how much I love and miss them. I always include them in my prayers.

Jo-Ann Gruba, from the Philippines, is a nanny to Esme aged 4 years and Maya aged 1.

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What is the most challenging situation you have faced so far whilst looking after the children? During the Covid-19 lockdown last year I moved in with the family and had to juggle three children’s home-schooling needs. Making sure they were ready for their video calls, helping them with their schoolwork and making sure it was completed and submitted each day. If one of the children becomes upset or angry, how do you calm them down? I look after older children so usually I try and talk to them about what has happened to cause the upset or anger as it’s not always apparent, then try and come up with a plan of action between us going forward on how we are going to solve the problem that has caused the upset or anger. What has looking after children taught you? Patience! What do you think are the best things about raising kids in Cayman? The children here have lots of opportunities for extracurricular, especially activities connected to the ocean, such as snorkelling and scuba diving. It’s great that they get to play at the beach regularly too. What was your childcare experience prior to working with your current family/children? I worked as a nanny for 10 years in Munich and London with children aged 3-14 years old, as well as being a teacher in a bilingual school.

Rebekah Clark, from the UK, is a full-time nanny to two girls aged 11 & 9 years and a boy aged 8 years.

Cayman's Super Nannies

Suzette Drummond

Tanesha Munroe

What is your favourite place to take Meymey to play? When she was younger we spent a lot of time in Camana Bay, running around and hiding behind the trees. Now she’s older with lots of activities on we love to hang out in her playroom. We do puzzles together and play with her ‘babies’ but I often get told off for not doing it right!

What’s the most popular meal you cook for Branden? Curried chicken, however, he is a foodie, so is always finding recipes for me to try out like stir fries, chicken parmigiana and chicken pot pie.

What is the most challenging situation you have faced so far while looking after the child? When the 2020 earthquake struck I collected Meymey from school and it took us two hours to get home. To pass the time we listened to stories, I sang her songs and we played games in the car. It was hard but we kept each other company and stayed calm until we were safely back.

What has looking after children taught you? Looking after other people’s children has taught me that it’s important to work for a family whose values match mine so that I can help support their family fully. It’s important that I follow the family rules, but also that I communicate regularly with the family if something isn’t working. Building trust between me and my employer family is key as is offering love and patience to the child. What do you find the most rewarding part of looking after children? Watching them grow into wonderful people. I feel proud thinking that I played a part in shaping the people that they will become and I love hearing about the things that they achieve. I keep in touch with all of the families that I have worked for and love receiving photos and updates.

Suzette Drummond, from Jamaica, is a nanny to Meymey who is 8 years old.

What do you find the most rewarding part of looking after Branden? Right now it’s that I feel like part of the family. I live with them full time and they treat me like one of their family. We cook together and spend time together – they take me to family functions and outings and I enjoy being a part of their life. My relationship with Branden has developed into a friendship too. We spend a lot of time together and talk about different things – he teaches me a lot. What’s the best thing about looking after someone with special needs? It gives me a much better appreciation for life and health. We have very specific routines and days that certain things need to be done, so it helps me to keep organised and on my feet. What do you think could be done in Cayman to improve the lives of children and adults with Duchenne Muscular Dystrophy? I have witnessed places that are not wheelchair accessible which makes it harder for him to get to appointments or enjoy a place with his family. I’ve heard his parents talk about challenges as well, with insurance, healthcare, schooling, employment – I think more can and should be done to focus on children and adults with Duchenne Muscular Dystrophy to see what they are missing and what they need to make their lives easier.

Tanesha Munroe, from Jamaica, is a carer to 24-year-old Branden who has Duchenne Muscular Dystrophy. She lives with him and his family full time.

EARLY YEARS

If the child becomes upset or angry, how do you calm them down? Sometimes, especially when she was younger, I would sing to her and give her cuddles. Now I talk to her, cuddle her and reassure her. Sometimes if it’s appropriate I make her laugh, we spend a lot of time playing and laughing. She’s not often upset or angry.

Does Branden have a favourite game he likes to play with you? We watch TV together and enjoy programmes like Ridiculousness and funny home videos. We laugh a lot and discuss US politics as well.

30 Fun Free Things To Do

With Kids Every Day of the Month! 6. Visit the Duck Pond on Bel Air Drive where kids will be able to feed ducks, chickens and loads of hicatees (turtles). Try not to feed them bread or crackers as it’s not good for their tummies. Instead bring corn, peas or seeds.

8. Practise your plane spotting at the Airport Park (the playground next to Foster's). Aviation enthusiasts big and small will love watching the planes take off and land. Bring a blanket, lay down in the grass and make yourselves comfortable for the full effect of feeling the rumble of the engines and the wheels upon impact! 9. Lounge in the hammocks on the island at Camana Bay. Sometimes doing nothing is really, really fantastic. Encourage your kids to bring a book and spend some time just swinging away in the shade of the palms.

Photo by Lisa Reid

EARLY YEARS

7. Plan a family adventure to the Cayman Turtle Centre where kids can learn about these amazing and majestic creatures. Ride the Turtle Twister waterslide too! Entrance for resident children aged five years and under is free and a seasonal pass is available for CI$50 for resident adults. A valid Cayman ID is required.

1. Visit Cayman’s public parks and make it a family goal to try each park on-Island. See pages 234-235 for a complete list and a map. 2. Community Chess classes and open challenges are free and open to anyone, including complete beginners. Every Saturday at George Town Library from 11am-12pm. 3. Grab a mask and snorkel and check out Cayman’s top snorkelling sites including Turtle Reef (West Bay), Cemetery Beach (SMB), Governor's Beach (GT), Wreck of the Cali (GT), Morritt's (East End) and Rum Point (Cayman Kai). 4. Hike the Mastic Trail and look out for parrots, hermit crabs and beautiful birds along the 2.3 miles. Don’t forget to pack water and bug spray! Self-guided leaflets are available from the National Trust’s visitor centre. (Not suitable for children under 10). 5. Experience the thrill of hermit crab racing. Find hermit crabs (rainy season is best for this!), mark your competitor with a dab of paint, draw a big circle in the sand and place the crabs in the middle. First crab to the edge wins! 232

Cayman Parent Magazine | Early Years

10. Discover historic and natural sites with the National Trust’s Explorer Passport available to purchase for CI$10. With nearly 40 sites to see and explore – many hidden – adventure is calling for all to enjoy. The Passport includes a map of Grand Cayman and a fun sticker sheet to mark off the stops you’ve made along the way. 11. Plan a beach clean-up with friends or family members. Bring lots of rubbish bags and see who can collect the largest bag of trash for bragging rights to Seven Mile Beach Saviour of the Year! 12. Visit Pedro St. James and check out the 3D movie theatre, playground and the 18th Century Great House! Kids under 5 enjoy free entry. 13. Play some beach volleyball. You’ll find nets at Public Beach (SMB) where you can teach your kids to bump, set and spike their way to victory. Follow practice drills with some healthy family competition. Don’t forget to bring a ball! 14. Practise rock climbing at Camana Bay. Be sure kids are wearing some sturdy trainers with good grips and, with your supervision, they can practise their climbing skills on the rocks lining the Crescent by the fountains.

15. Take a trip to Starfish Point and count how many of these fascinating marine invertebrates you can spot amongst the shallow shores. Be sure not to remove these little guys from the water!

a fun and safe environment. Coaching and the uniform are included but children must bring their own glove. Contact the Cayman Islands Little League Association at info@ littleleague.ky to register.

16. Visit the Humane Society and give Cayman’s homeless cats and dogs some much needed attention. The pups are always eager for a good stroll and the kitties in the cat room are always happy to receive a cuddle or two!

26. Cool down in the fountains at Camana Bay. Both operate daily on the Crescent and outside Jasmine Court.

17. Visit the Cayman Islands Museum. Learn about Cayman’s history and stroll through the children’s gallery. Take a virtual submarine dive and view a turtle nesting site. Residents enjoy free entry on the first Saturday of each month. 18. Plan a day trip out to East End. Stop along your way at the blow holes and watch your kids’ wonderment as the powerful sea water is blown into the air. Or head to Lover's Wall for a walk along the rocks, and maybe a photo or two, stopping for a picnic lunch on your way back home!

20. Enjoy free entry to the National Gallery and pick up a Family Guide filled with interactive activities such as scavenger hunts and games. Don’t forget to see the permanent collection upstairs. 21. Feed the tarpons at Rackam's or The Wharf. No matter the age, kids and adults are sure to be impressed by the sheer size of these fish. With nightly feedings, show up, grab yourselves some grub as well, sit back and enjoy a truly entertaining show!

28. Watch the weigh-ins at fishing tournaments for a chance to see some truly impressively sized fish! Visit the Cayman Islands Angling Club’s website to learn of upcoming tournament dates and locations for weigh-ins at www.fishcayman.com. 29. Visit local artist Gordon Solomon’s art studio, Solomon Studio, in Cayman Brac, for a truly incredible artistic experience. His studio is open by appointment. Visit www.gordonsolomon.com for more information. 30. Have a blow-up floatie race using inflatables you have kicking around. Set up a race, use your arms as paddles and may the best and fastest paddler win!

EARLY YEARS

19. Have a Sandcastle Building Contest. Make the most of Cayman’s beaches and host your own sandcastle building competition. May the best imagination win!

27. Head to The Local Farmers Markets. Learn to identify vegetables and learn about how they grow by talking to local farmers at the Camana Bay and The Hamlin Stephenson Farmers' Market.

KIDS CUTS AND HAIR PRODUCTS

22. Climb the 75ft Observation Tower in Camana Bay and enjoy panoramic views of Grand Cayman. Check out the mosaic tiles, which mimic the experience of scuba diving Little Cayman’s famous Bloody Bay Wall. Spot the horse-eye jacks, the spotted eagle ray and other marine life! 23. Head to Spotts Beach and see if you can find the sea turtles who come in to feed on the sea grass. The rock pools to the far right of the dock are also fun to explore when the tide is low; here you can search for whelks, crabs and tiny fish. 24. Visit Davinoff’s Concrete Sculpture Garden. Located between Old Man Bay and Old Robin Road in East End, is a child friendly larger than life animal sculpture park which provides excellent photo opportunities for both adults and children. 25. Play Baseball. Learn how to play baseball for free in

BOOK NOW WE CARRY THE ORGANIC LINE

(345) 943-3722 @STUDIO54WEST.KY STUDIO54WESTCAYMAN WWW.STUDIO54WEST.KY

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Parks & Playgrounds

Cayman's Parks are a great place to host a children's party for free! Call the Parks Department on (345) 946 8250 for more information.

Cayman has a wealth of public parks and playgrounds with climbing frames, swings, restrooms and shaded areas. They can be found everywhere from West Bay to North Side and are a fun place to spend time with your children.

1 Scholars Park

Corner of Birch Tree Hill Road and Stadium Drive, West Bay Sanded play area, playground, baby swings, restrooms, drinking fountain, gardens and shaded grassy areas.

7 Newland Heights Park

Hemlock Way, off Moonbeam Drive, Savannah Children’s play set, sand pit area, basketball court, BBQ pit, landscaped areas and a gazebo.

2 Seven Mile Beach Park

EARLY YEARS

Next to Public Beach Playground, grassy area, restroom facilities and trees for shade.

8 Moonbeam Park

3 Camana Bay Fountains A. Jasmine Court, Camana Bay

Moonbeam Drive, Savannah Jungle gym play area set in sand, cabana and a half basketball court.

Mini fountains, perfect for toddlers to splash around in! B. The Crescent, Camana Bay Bigger kids will enjoy the fountains which spout water 30ft in the air. Every Tues and Sat (10am-7pm) giant foam blocks are available for kids to play with.

4 Windsor Park

Corner of Mango Turn and Hawkins Drive, off Windsor Park Drive, GT Two climbing frames, swings, covered picnic area and a full-size basketball court.

9 North Sound Gardens Park

Children’s play set, sand pit, BBQ, cabana, basketball court and landscaped areas.

6 Foster's Airport Park

Dorcy Drive, George Town Climbing frame, swing set, basketball court, shaded picnic area and restrooms.

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5 5 Dart Park

South Church Street, south of GT Slides, climbing frames, an amphitheatre, gazebos, lots of shade and restroom facilities.

10 Pedro St. James

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Pedro Castle Road, Savannah A playground, acres of green space, nature and history trails, restrooms and refreshments to purchase.

Don’t forget sunscreen! See our article on Sun Safety on page 248.

13 Mastic Trail

Off Frank Sound Road 843 acres of semi-deciduous forest and wetlands to explore. The National Trust offers a three hour guided tour on Tuesdays and Thursdays.

12 Jerald Smith Park

Hutland Avenue, across from the North Side Police Station Slide and swing set, shaded picnic area and restrooms.

17 Davinoff's Concrete Sculpture Garden

Old Robin Rd, Old Man Bay View a range of concrete animals such as a 16ft iguana, 6ft land crab and a 17ft crocodile. Free.

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16 Cayman Parrot Sanctuary

Austin Conolly Dr, East End Meet parrots, agoutis, reptiles and other local wildlife. Two playgrounds, plenty of shade, restrooms and refreshments for sale. Check opening hours. CI$10 adults, CI$7 ages 3-5, free for under 2s.

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15 Captain George Dixon Park

14 Queen Elizabeth II Botanic Park 11 Harold McCoy Sr. Park Gun Square Road, Bodden Town Jungle gym, play facilities, shaded picnic areas, restrooms and a BBQ area.

Open & Close Times

Parks are open seven days a week from sunrise to sunset!

Off Frank Sound Road, North Side Over 65 areas with different gardens and trails to discover.

Sea View Road, East End Play facilities, slide, shaded picnic areas, water fountain, BBQ area and restrooms.

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Listings Photo by Daria Keenan Photography

EARLY YEARS

Playgroups, Childcare, Book Shops, Sun Safe Clothing, Child Proofing

Book & Toy Shops Atlantic Kids Paddington Place, Godfrey Nixon Way, George Town. Tel: (345) 943 2296 Web: www.atlanticak. com A large selection of books, games and other educational items for children. Baby Express 68 Mary Street, George Town. Tel: (345) 640 2397 Email: customerservice@babyexpress. ky They sell a large selection of toys for children from newborns to age five years. They also stock Fisher-Price toys. Bedside Manor Market Street, Camana Bay. Tel: (345) 947 2711 Web: www.bedsidemanor.ky A good selection of high quality toys for infants and toddlers including stuffed animals, crib mobiles and playmats. Book Nook Unit #1, Galleria Plaza, West Bay Road, Seven Mile Beach. Tel: (345) 945 4686 A great selection of children’s books, toys and games.

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Cost-U-Less Governors Square, 51 Lime Tree Bay Avenue. Tel: (345) 745 5377 Web: www.costuless.com A reasonably priced selection of toys and books. Next Chapter 45 Market Street, Camana Bay. Tel: (345) 640 2665 Web: www.nextchapter.ky A vast range of high quality children’s books, toys and craft activities with options for all budgets. The Baby Shoppe Alissta Towers, 85 North Sound Road, George Town. Tel: (345) 949 2229 A large selection of toys for all age ranges The Book Loft Above the Humane Society, 153 North Sound Road, GT. A large selection of second-hand books, games and puzzles in good condition. . The Bump to Baby The Strand, SMB. Tel: (345) 938 6498. Email: thebumpboutique@outlook.com Web: www. thebumptobaby.com A beautiful selection of high quality maternity clothing, nursery décor,

baby and kids clothes, baby equipment and other newborn essentials. The Christian Enlightenment Centre 185 Elgin Avenue, GT. Email: cecenter@candw.ky. Christian books and Bibles for children. Priced Right Two locations: Airport Centre, 63 Dorcy Drive, GT. Tel: (345) 815 1070; Republix Plaza, 2373 Willie Farrington Drive, West Bay. Tel: (345) 949 3214 Web: www.fosters.ky A small selection of toys.

Childcare Agencies AAA Caregivers Agency Tel: (345) 916 5925 Email: aaacaregivers@candw. ky Web: www.aaacaregivers.ky A childcare agency with experienced and highly trained nannies. They also offer evening babysitting services. Best Home Care Agency Tel: (345) 947 2297 Email: bhc@candw.ky They offer professional childcare and babysitting services as well as housekeeping services.

Child Safety & Security A. L. Thompson's 189 North Sound Road, George Town. Tel: (345) 949 8622 Web: www. althompson.com Mommy's Helper safety items to childproof your home. Island Electronics (Security & Monitoring) Ltd. Godfrey Nixon Way, George Town. Tel: (345) 949 8255 Email: info@ielgroup. com Web: www.ielgroup.com Residential home security packages with a 24-hour monitoring service. Kirk Home Centre 257 Eastern Avenue, George Town. Tel: (345) 949 2521 Sells Safety 1st® along with Dreambaby® safety items to childproof your home. Pool Patrol North Sound Plaza, George Town. Tel: (345) 949 8543 Web: www.poolpatrol. ky They sell various levels of safety equipment. The Security Centre Cayman Technology Centre, 115 Printer Way, George Town. Tel: (345) 949 0004 Email: info@security.ky Web: www.security.ky Keep your home and family safe with a wide range of security products and services.

Playgroups

Motions Unlimited Sparky's Drive, George Town. Tel: (345) 749 8365 Web: www. motionsunlimited.com They host numerous toddler play days and classes.

Swimming Lessons CBAC (Camana Bay Aquatic Club) Cayman International School, 95 Minerva Dr, Camana Bay. Email: info@cbac. ky Web: www.cbac.ky Competitive swim club with professional coaching for children ages 5-18 of all abilities. Group and private lessons for ages 18 months - 10 years old. Darren Mew Sports & Fitness Lions Aquatic Centre, Olympic Way George Town & Grace Christian Academy, West Bay Tel: (345) 323 9512 Swimming lessons for ages three and upwards. Fitness Connection 1 Bambi Close, Glen Eden Road, South Sound. Tel: (345) 949 8485 Email: fitness@fitness.ky Web: www.fitness.ky A Starfish Aquatic Institute Training Centre offering a variety of programmes for all ages and abilities. Swimming lessons for babies begin at six weeks old. Private and group classes available. Sky Blue Aquatics Tel: (345) 916 0054 Email: info@skyblueaquatics.com Web: www. skyblueaquatics.com Mobile swimming instructor with lessons for ages four months to adults. Private, semi-private and small group lessons provided. Stingray Swim Club Lions Aquatic Centre, Olympic Way George Town. Email: stingrayheadcoach@gmail.com Web: www.caymanswimming.com Competitive swimming club for ages six and up.

EARLY YEARS

Lil' Monkeys Bodden Place, Shedden Road, George Town. Tel: (345) 929 5737 Web: www. lilmonkeyscayman.com Indoor playground and café.

Waterman Cayman/Blue Wave 10 Shedden Road, GT and 6 Galleria Plaza, West Bay Road, SMB. Tel: (345) 769 7873 Swimwear, rash guards and sun tops for children.

The National Gallery of the Cayman Islands Esterley Tibbetts Highway. Tel: (345) 945 8111 Web: www.nationalgallery. org.ky Offers art classes and family fun days. Family tours available. South Sound Playgroup Cayman Baptist Church Youth Centre, 163 Pedro Castle Rd., Savannah. Tel: (345) 943 6556 Email: southsoundplaygroup@gmail.com Web: southsoundplaygroup.ky Held Mondays 9.30am-11.30am. The playgroup may return to the South Sound Community Centre in 2021/2022, please refer to the website for updated information.

Swimwear & Sun Tops Divers Supply West Shore Centre, West Bay Road. Tel: (345) 949 7621 Web: www. diverssupply.ky A good selection of swimwear and sun tops for children. Divers World Seven Mile Shops, West Bay Rd. Tel: (345) 949 8128 Kids swimwear and sun tops, also wetsuits, sun hats and beach toys. Funky Monkey Governors Square, West Bay Road. Tel: (345) 943 8659 A fantastic selection of swimwear, sun tops, rash guards and hats for children. Little Angels Market Street, Camana Bay. Tel: (345) 946 2645 Extensive selection of SPF 50+ sun protection tops, swimwear, ‘jelly’ shoes and more. Red Sail Sports Located at the Kimpton Seafire, Camana Bay, Morritt's Tortuga Resort and Rum Point. Tel: (345) 623 5965 Web: www.redsailcayman.com Swimwear and sun tops for adults and children.

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Cayman Island's Sailing Club

The National Sailing Authority of the Cayman Islands The Cayman Islands Sailing Club (CISC) is the National Sailing Authority of the Cayman Islands and accordingly governs and promotes the sport of sailing. A not-for-profit organisation, the Sailing Club was established in 1965 and was the first officially registered sporting organisation in the Cayman Islands when it started operating from the old Beach Club site (now Watercolours) on Seven Mile Beach. It relocated to its present location in Red Bay in the late 1980s and over the years its sailing programmes have grown from strength to strength. CISC provides lessons for adults and youth, and an extensive fleet of boats is available for hire to members and non-members. CISC also hosts kids camps during the school holidays.

EARLY YEARS

CISC Summer Camps: Under the instruction of CISC’s talented and caring coaching team, another generation of youngsters get an introduction to the sport of sailing whilst having fun in and on the water. CISC offers camps for age ranges 6-16 during the school holidays.

Youth Sailing Programme: The Club has an active and successful youth sailing programme, that caters for all levels of youth sailors; from their first introduction to the sport, to sailors in the Youth Racing Team(s), who represent Cayman internationally and aspire to compete at the highest level.

Details:

• Hours: Mon-Sun 9.30am6pm • Ages: 6 and above • Fees: Dependent on service, see website for details or contact CISC directly. • Booking: Visit website.

Highlights:

• Kids Camps • Youth Sailing Programme • Adult Sailing Lessons • Fleet Racing • Boat Rental and Storage • Social Events for Adults and Families

"We are dedicated to providing the best possible sailing experiences to everyone in the Cayman Islands."

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School Age

Photo by Daria Keenan Photography

After-school activities, homework help, bullying advice and more...

Q&As Teachers

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The Perfect Party Checklist Keeping Cayman Kind: p242 How to Spot & Stop Bullying After-School Classes & Activities Winning the Homework Battle p246 Getting the Most Out of Your Library Sun Safety for Kids p248 School Age Book Club Raising Children with Faith p249 The Listings The Gift of Giving p250

p254

Contents

Tuning In: The Importance of Fostering Musical Appreciation

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p258 p260 p262 p263

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Tuning In: The Importance of Fostering

Musical Appreciation in Children

Humans instinctively respond to music. Babies are soothed to sleep by lullabies, toddlers will jiggle around and dance to music almost as soon as they can walk, young children delight in singing along to their favourite tunes and no one will ever forget their first concert experience. Music is engrained in every culture and shows up one way or another in our daily lives, but in addition to the total enjoyment music can bring, studies also suggest it is an integral part of our children’s development in ways that go far beyond mastering their Do-Re-Mi’s!

How Learning Music Benefits Children

Aside from the obvious point that children are honing a new talent when they learn to sing or play an instrument, fostering an appreciation for music in children from a young age can also enhance certain life-skills which benefit other crucial areas of their development. These include: • Committing to regular practise instils in children key character traits: self-discipline, perseverance, and patience. • Learning music involves collaboration and communication: playing as a group is all about teamwork, learning one’s role within the bigger picture and working together to produce the desired result. • A child will naturally feel proud of having mastered new musical skills through their own efforts and playing or singing in front of an audience is a great confidence-booster. • Music is a great creative outlet for children and as their skill level advances, they can discover new ways to artistically express themselves. • Music has been proven to have a positive impact on children’s mental health. Playing and/or listening to music can reduce stress, and studies suggest mental disorders such as anxiety and depression can be effectively managed with 240

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music intervention therapy. • Exposing children to music from a young age can have a positive impact on their overall academic ability: children who sing or play a musical instrument tend to express themselves better, can memorise challenging words and even learn other languages more easily. There is also a strong correlation between music and maths. Children who play an instrument and come to understand beats, time signatures and formulaic progression are activating the same part of the brain that solves math equations.

What is the ‘Right’ Age to Start Learning Music?

Many children will encounter some form of musical education as part of their school’s curriculum. This will cover theory and likely touch on the practice of music. However, if you want your children to delve deeper, you may consider signing them up for extracurricular music lessons. Because every child is different and learns at his or her own pace, there is no universally correct answer to when a child should start lessons. While it is important to encourage an appreciation for music, some children may naturally gravitate towards it themselves. Continue to expose your children to

music regularly but allow them to feel out their own interests too. Of course, to be able to pursue a career in music, one would ideally start learning music as soon as possible – and certainly before age nine – but for those who simply want to learn to sing or play an instrument for their own personal pleasure, it is never too early nor too late to start.

teacher will be able to advise when your child is ready to learn a particular instrument. Every parent wants to help their child discover and develop his or her talents, however in the case that your child is not a natural musician, they can still be given an early grounding in music that will allow them to enjoy and appreciate the art.

What Instrument Should A Child Learn?

The piano and violin are the two most common ones to start with, although some children tackle the guitar or ukulele first. The recorder is another popular introductory instrument and is frequently incorporated into schools’ curriculums as part of their early music education. Certain brass and percussion instruments are best left until a child is a little older! Choosing the right instrument can also depend largely on the physical development of the child, i.e. their finger strength and length, body strength and muscle mass. The school’s music

Group Classes vs.

Private Classes If your child has expressed an interest in extracurricular music lessons, the first order of business is determining whether they want to join a group lesson or enrol in oneon-one sessions. We list the pros and cons of each below: Group Classes Pros Group lessons are often cheaper than private lessons. Playing with peers can be a great motivator for some children. Children can partake in community recitals. Cons

What Can Parents Do?

As the saying goes: monkey see, monkey do! Generally, it is recommended that parents expose their children to music early on – and this is most easily done by sharing your own appreciation for music with them. Dance around the kitchen with your child as you cook dinner, listen to music in the house or during car drives, take them to concerts, consider enrolling your toddler into an early music and movement class and always encourage any sign of interest they show in the practice! There are a few community ‘Mummy and Me’ music classes for toddlers and young children – these give children a chance to experiment with some age-appropriate instruments. For more information, see page 259.

Private Classes

Creating fun family memories around music means when it does come down to your child learning an instrument or attending music lessons, it won’t be seen as a dreaded chore but rather something they are excited about pursuing.

Pros

Cayman Resources

Classes aren’t tailored to the individual and children who need extra help may fall behind.

Students can move at their own pace. Lesson plans are customised to suit the individual student. Cons Can be very costly.

Regardless of whether a child has the potential to pursue music professionally, or simply wants to learn for their own personal enjoyment, learning music can only ever be beneficial. Luckily for budding Cayman Mozarts, there are a few trusted musical tutors and dedicated music schools on Island that offer lessons for a range of instruments and musical aptitudes. For full details, turn to page 119.

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Keeping Cayman Kind:

How to Spot & Stop Bullying

With over 130 nationalities residing in the Cayman Islands, respect for a wide variety of traditions and values has long been engrained in Cayman’s cosmopolitan culture. So much so that the term ‘Caymankind’ has been adopted to describe our welcoming spirit and the importance of extending courtesy, compassion, and kindness to others. However, bullying in schools threatens to derail these noble values. In the most recent Cayman Islands Student Drug Use Survey, the National Drug Council reported that 54% of children had been bullied. Distressingly, those children who reported being the victims of bullying were almost six times more likely to attempt suicide. Cayman Parent offers further insight into Cayman's bullying issue and what steps can be taken to protect your children.

What is Bullying?

Bullying can take on several forms, including physical, verbal, emotional, psychological and cyberbullying, which is on the rise amongst our tech-savvy children. Bullying happens when someone deliberately and repeatedly does or says something to another person which they find upsetting, embarrassing, hurtful, worrying, frustrating, humiliating or even frightening. People can be affected by bullying in three ways – as the individual being bullied, as an observer who sees it take place or as the person behaving in an intimidating way. Obvious examples of bullying include loud and threatening behaviour, yelling in someone’s face, and pushing and kicking. However, more insidious examples include telling secrets, spreading rumours, excluding others, and whispering behind someone’s back. These more subtle forms of bullying can often continue for longer and be more difficult to address.

Cyberbullying

Also known as ‘online bullying’, technological advancements mean that children can now be subjected to bullying through a

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variety of digital platforms. Since hiding behind a screen allows bullies to remain anonymous or even impersonate others online, cyberbullying can take on extreme forms. Negative comments and pictures circulated online through instant messages, social media and websites can spread very quickly and have destructive and long-lasting consequences for the victim. He or she who experiences this barrage of ‘hate’ daily can very quickly succumb to feelings of depression and/or anxiety as a result. In response to the growing issue, Logic launched an ongoing initiative and in-depth documentary in 2019, titled The Change Project, that aims to shine a light on cyberbullying in the Cayman Islands and its impact on the mental health of those affected. The Change Project strives to make a difference in the community, by encouraging people to take an online pledge to be mindful, kind and considerate when it comes to engaging online. Visit www.thechangeprojectcayman.com for more information on their mission, to watch the international award-winning documentary filmed in the Cayman Islands and to take the pledge.

The Family Resource Centre’s Anti-Bullying Programmes

Charmaine Miller from the Family Resource Centre (FRC) has spear-headed three initiatives to stamp out bullying in Cayman: ‘Owning Up & Connecting’, Stop Now and Plan (SNAP)®, and ‘Take a Stand Against Bullying’. These programmes seek to spread awareness of the harmful effects of bullying and teach children how to stop bullying in its tracks, but most importantly, encourages a culture of upstanders and social responsibility.

The Change Project Take a a stand stand against against cyberbullying cyberbullying Take and help help make make the the online online world world a a and safer place. place. Take Take the the pledge pledge by by safer scanning the the link link and and let’s let’s scanning make a a change. change. make

www.logic.ky | www.logic.ky |

thechangeprojectcayman.com thechangeprojectcayman.com

peers and their social group because the child has a disability”. The programme aims to implement child-friendly anti-bullying strategies in schools so that children will feel confident to put them into practise in everyday situations. It is also hoped that an increase in awareness amongst schools will lead to more reporting of incidents and less tolerance of bullying behaviour. Students are encouraged to think about the ‘SEAL’ acronym (see box) when dealing with bullying. Teacher participation is encouraged throughout the duration of the course so that they can use the tools to reinforce what the children have learned once the workshops are complete. Although there is no direct parent involvement in the programme, home exercises are set which cover topics such as friendship, how to apologise and how to deal with teasing, which parents can discuss in more detail with their children.

Owning Up & Connecting This early intervention initiative is based on developing a culture of personal dignity amongst students and it operates throughout public and private schools across the Islands. Ms. Miller explains that “the course is centred on empathy and raising kids’ self-awareness and responsibility to stand up when you see bullying behaviour. We focus on an ‘I’ message rather than placing blame”. The Family Resource Centre responds to requests from schools and provides workshops which address that school’s particular concerns. These are an hour per week and are run for eight weeks on the school's grounds. Children are addressed as a year group so that no individual feels singled out or that they are attracting unwanted attention. “Schools reach out to FRC depending on their need. The Owning Up programme is a great opportunity to ensure a continuous and effective dialogue with the children and teachers”, says Ms. Miller. Bullying can manifest differently among schools. An important element of the programme is its flexibility and the way it can be moulded to 'fit' the school environment and focus on different issues as they arise. “Typically, the school is very strategic about what assistance they are looking for – it depends on a particular class or scenario such as the exclusion of a child by S – Stop. Think rather than react. E – Explain. Identify the bullying behaviour. A – Affirm & Acknowledge. Identify your rights

and how you deserve to be treated.

L – Lock in or Lock Out. The friendship.

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Taking a Stand Against Bullying Taking a Stand Against Bullying is a campaign promoting awareness of bullying which has been running since 2013 and is growing in support every year. Ms. Miller says: “We thought that, in addition to the schools programme, why not include a community initiative which builds awareness of bullying?”. The campaign was inspired by a pink t-shirt campaign in Canada that started when two senior boys in Nova Scotia saw a ninth grader being bullied for wearing a pink t-shirt to school. That same day they went to the dollar store and bought 20 pink shirts to wear to school in solidarity with the boy. The Family Resource Centre re-tells this story to connect with children and demonstrate the world-wide support that anti-bullying messages have across student populations. October is anti-bullying month in Cayman, which ties in with the Family Resource Centre’s 16 days of activism against genderbased violence. On the last Friday in October, people can dress down or wear pink shirts to support the anti-bullying message and help to raise funds for the initiative. Sales of t-shirts in support of the campaign have sky-rocketed in recent years. “It’s just taken off here in Cayman. We are extremely pleased with the community’s engagement, which is reflected in the hundreds of shirts sold yearly”, says Ms. Miller. In 2018, the first Stood Up Fair was held at the Arts and Recreation Center (ARC) in Camana Bay where competitions were held for children to submit songs, posters and projects as part of a ‘science fair concept’ to promote the anti-bullying theme. Stop Now and Plan (SNAP) ® SNAP is an evidence-based, cognitive-behavioural model powered by the minds at Child Development Institute (CDI). SNAP® helps children and their parents learn how to effectively manage their emotions and “keep problems small”. The gender-sensitive SNAP® Boys and SNAP® Girls programmes are designed for children ages 6-11 who are engaging in aggressive, anti-social behaviour and/or have come into contact with authority figures at school or in the

community. Experienced and highly trained staff work with each family to assess the problems and develop an action plan. Children and families may participate in the following components, with the goal of preventing future anti-social behaviour and reducing the chances of conflict with family, peers and authority figures. Boys and girls attend gender-specific weekly group sessions for 13 weeks. A variety of topics, including dealing with angry thoughts and feelings, self-control, problem solving and bullying are addressed. The parent group meets concurrently with the SNAP® Boys/SNAP® Girls groups. Parents learn effective child management and SNAP® strategies. The group also provides parents with an opportunity to make connections with other parents facing similar challenges.

What You Can Do

Advice for Parents If you suspect your child may be a victim of bullying, raise the issue with them but do so carefully and calmly. The FRC tells parents to “validate your child’s feelings, take what they say seriously and give them the space to tell you what’s happening”. It is important to work with your child as part of any strategy to deal with bullying so that they feel personally empowered throughout the process. Ultimately, children can and will learn to stand on their own two feet and succeed in a world that is not always sugar-coated or fair.

• The Family Resource Centre encourages parents to teach children to stand up safely and confidently to bullying rather than retaliating. However, if there is a persistent or immediate danger to the child, the best thing to do is to contact the school and make your concerns known to a teacher who can bring the bullying to an end. • The Family Resource Centre operates within the Department of Counselling Services so referrals to other health professionals such as therapists can be made swiftly to address issues on a case by case basis. • In extreme cases, it may be appropriate to consider contacting the authorities to move forward. In its 2016 paper, ‘Bullying: Legislation, Policy or Both?’, the Law Reform Commission acknowledges that there are a number of offences which might be potentially relevant to the Cayman Islands Penal Code (2013 Revision), Information Communications Technology Authority Law (2011 Revision) and the Computer Misuse Law (2015 Revision). Advice for Kids Go through the following points with your child to help them better understand their options if they, or someone they know is being bullied. • If you are too scared to tell someone to stop bullying, find an adult you trust who can make it stop. The best thing you can do is tell someone or write a letter explaining how you

feel and give it to an adult or a friend. • Telling an adult is NOT tattling. Tattling is what you do to get someone IN trouble. Telling an adult is what you do to get someone OUT of trouble. If you see someone being bullied, you need to get them out of trouble and you need to go to an adult for help. • Walk away from bullying or fight back with words, not fists. Practise looking brave, even if you don’t feel brave. • Don’t blame yourself – everyone deserves to be shown respect and it is not your fault you have been bullied. Advice for Friends • Children who are being bullied often find it difficult to stand up for themselves and need you to stand up for them. By standing up to bullying, you can be part of the solution, not the problem! • If a kid is being bullied, invite them to play with you somewhere else – be their friend and let them know that no one deserves to be treated that way. • Tell the bully or bullies that what they are doing is not okay. If you feel frightened, tell an adult. • Don’t forward text messages, photographs, videos or emails to others if they could hurt someone else. • Don’t repeat rumours that could hurt your friend’s reputation. Advice for Kids who Bully • It may feel powerful to bully someone else but consider how that person feels – scared, hurt, embarrassed, sad, perhaps angry? Ask yourself if you have ever felt that way? Would you like to feel that way every day? • If you have been hurt by someone else, bullying won’t make you feel better. Speak to an adult that you trust and learn how you should treat others, and be treated, with respect. • Be powerful in other ways – be brave and apologise to the person you have hurt. • Play sports or take part in activities that make you feel good. • Just because other kids might laugh or watch when you bully doesn’t mean they like it. They are probably scared too. • Hang out with friends who are respectful to you and don’t encourage you to hurt others. • Think about your future – bullying behaviour can lead to losing privileges, being kicked off sports teams, suspension or expulsion from school. It can also lead to criminal charges.

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Winning the Homework

Battle

Homework is a point of contention in many households and the nightly battle of wills can leave both parents and children feeling frustrated. Fortunately, there are some tried and true techniques which can help parents achieve victory – or at least draw a truce!

Establish a Realistic Schedule Together

At the beginning of the school year sit down with your child and create a realistic homework schedule together. This is a chance for both of you to weigh in on what works and what doesn’t. Convey your expectations from the get-go, but allow your child to have an opinion on the matter. By levelling out the playing field, your child is less likely to see homework as a chore that they are being forced to do.

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Create a Suitable Homework Space

Remember that expectations should reflect the stage your child is at – one to two hours a night of dedicated homework time with regular breaks should be enough for a child in prep school, but as your child gets older that time will likely change to reflect their growing workload. Some children may prefer to dedicate time right after school to get their homework out of the way, whilst others may want some time to decompress after a full day before diving into their homework.

Now that a schedule has been established, get to work on creating a dedicated space at home where your child can concentrate on the task at hand. Ideally, the area you choose will benefit from good lighting and be free from distractions. Consider flipping a more secluded corner of your home into a dedicated home workspace. The older your child gets and the heavier their workload becomes means they will be spending an increasing amount of time in the evening on homework. Carving out a more centrally located workspace may help them still feel a part of the action while they get on with work. A shared workspace is also useful for monitoring your child’s screen time. More spacious kitchens might have unused corners that can be repurposed into a work area. If you are tight on space, a computer workstation on wheels is a great option that can be tucked away into a bedroom or hallway closet when necessary.

Once you have established a routine, write it down and place it somewhere where it is prominently displayed, such as pinned up on the fridge, to avoid any misunderstandings over what is expected. Treating it like a contract to which each party has agreed will also give your child a sense of responsibility for holding up their end of the bargain.

Their homework space should be roomy enough to accommodate whatever task they have been given, whether it is working on a math problem or finishing up an art project. Stock up on school supplies, such as colouring pencils and paper, and keep them within reach of their workspace to avoid any unnecessary disruptions to productivity.

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Be a Cheerleader

Words of encouragement will make a big difference to your child’s approach to homework. Shift the focus away from grades and performance, and instead celebrate the effort they are making. Telling children “Your ideas are so creative”, or “I can see that you are working so hard on this”, will remind them that the process itself is an important part of learning and will keep them motivated to press on, despite any bumps in the road.

Reward Good Behaviour

Some children require an extra nudge in the right direction and research shows a reward system can be a great motivator. Rewarding children for their good behaviour encourages good habits to form and take root to become a part of who your child is, which can be useful when introducing positive homework techniques! TOP TIP: Homework planners are a great way to keep your child on top of deadlines. Their planner should list the details of all upcoming assignments organised by subject and feature any useful instruction and the due date. They can tick off each piece of work as they complete it and you can regularly review their process. Check the local bookstores or dollar store for an affordable homework planner, or download a free organisational app, such as MyHomework Student Planner. Agree on potential rewards beforehand. Incentive systems don’t have to be elaborate, but they should be ageappropriate. Sticker charts are a great option for younger children, who will enjoy the process of creating and decorating his or her own sticker chart, and watching it fill up over time. Children will love helping create their own sticker chart – look at Pinterest for some inspiration. For children middle-school age and above, consider introducing a more complex system in which your children can 'cash in' stickers earned after completing schoolwork for bigger rewards, such as increased screen time or a trip to the beach. Remember, rewards don’t have to cost money! Regardless of which reward system you decide to use, the important thing is to your reiterate to children that this is a chance for them to take responsibility for their behaviour.

Let Your Child Own Their Choices and Consequences

Appreciate your supporting role – be there to answer any questions, but ultimately remember that homework is your child’s responsibility, and you should resist the urge to give them the right answers or complete their work for them.

Some parents find it unbearable to watch their children struggle and will often swoop in to save them, but your child will never learn to be resilient if you insist on taking over the reins when things get difficult. Lay the foundation for good, independent study habits from the get-go, and your child will feel supported to work through problems on their own. If your child is feeling really stumped, make sure helpful resources are available – such as schoolapproved online assistance, reference materials, apps or even organisational tools. Be aware that a child who is consistently having a hard time with their homework may require some additional support. Reach out to the school if you are concerned to discuss your options. If you are interested in getting a tutor, see our list of tutoring companies on page 116.

Homework

Red Flags

Lots of staring into space. Spending much longer than anticipated to complete a task. Needing instructions repeated. Getting lost in their train of thought. Unable to focus on one task at a time. Getting frustrated with themselves because they can’t do something. Constant fiddling and fidgeting. Doesn’t seem to listen when spoken to. Unable to keep tasks and belongings organised. According to the CDC (Centers for Disease Control & Prevention), up to 11% of children aged 4-17 have ADHD. There are lots of things you can do to help a child with ADHD; the key is to get it diagnosed and seek professional advice on the next steps. Turn to page 114 for a list of providers who can perform clinical assessments.

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Sun Safety In a tropical climate like Cayman, where the sun is strong and a good deal of time is spent outdoors, sun safety is a priority.

Protecting Skin from the Sun Whilst skin melanoma is rare in children, protecting their skin from a young age is essential for lifelong health. Here are some dos and don'ts of skin sun safety. DO: • Apply SPF30 or higher sunscreen every morning before school and keep a bottle of sunscreen in their school bag. • Use a reef-friendly sunscreen when spending time on the beach. • Reapply sunscreen every two hours, before an outdoor activity and after swimming or towelling off, even if the sunscreen is ‘water resistant’. • Throw away any sunscreen that you’ve had open for longer than 12 months or that has ‘split’ or changed in texture. • Keep infants under six months out of the sun as much as possible and keep children out of the sun during the hottest

for Kids

parts of the day when possible (10am to 4pm). • Cover up using a sun top, sunglasses and a hat. Choose clothes where you can’t see your hand through the fabric. • Be generous in the amount of sunscreen you use. • Apply in advance – it takes approximately 15 minutes for sunscreen to sink into your skin. DON’T: • Buy spray-on sunscreens as they may harm children’s lungs. • Leave sunscreen in the sun. • Use a sunscreen that includes bug repellents – the sunscreen’s ability to screen out UV can be decreased by the repellent, whilst the toxicity of the repellent is increased. • Miss less obvious areas like ears, feet, mouth, neck and back of the knees.

Protecting Eyes from the Sun Infants and children lack the pigment in their eyes that help filter UV light, so making your kids wear sunglasses is crucial. The reflective surfaces of sand and water can almost double your UV exposure. Here are six things to bear in mind when buying sunglasses for kids: • • • •

Glasses should offer 99-100% UV protection. Select more durable polycarbonate lenses. Wrap-around glasses offer the best protection. Grey-coloured lenses are best as they absorb all colours equally so kids can see the world in natural colours.

Knowing what to look for is only half the battle. It can sometimes feel impossible to encourage stubborn little ones to wear sunglasses. Here are a few tips which might help: • Let kids choose between colours or styles if possible. • Set a good example by putting them on whenever you leave the house. • Draw their attention to older kids, athletes and celebrities who are wearing shades. • If you can’t get them to keep sunglasses on, make sure they wear wide-brimmed hats for all activities in the sun. For more tips on eyecare for children, turn to page 146. TOP TIP: Kids spend a lot of time in school playgrounds so don’t forget to apply sun screen to them before school and encourage them to wear their hats during lunchtime.

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Raising Children

with Faith

Those who inhabit the great halls of learning in this world would claim that Socrates was the wisest of all the great philosophers. His most famous claim is that ‘the only thing I know is that I know nothing at all’. I do not believe that he was being falsely modest, rather that he was warning against the committed conviction that draws lines in the sand. Whilst his initial point was made in the face of the Greek sophists claiming to have the answers to life’s biggest questions, his assertion lends itself to the kind of humility needed when considering faith, religion, and its purpose in our children’s lives. Many of us in modern society do have a faith. If raising children with faith is argued to be in their best interest, we are faced with some difficult realities. One cannot fail to notice that The Holy Bible of the Judeo-Christian tradition differs in language and content from the Upanishads and the Vedas of the Hindu; that the teachings and wisdom of the prophet Muhammad, (pbuh) of the Hadith, and Buddha may not always be in concordance. Could it be, then, that in a world filled with varied and often contradictory certitudes regarding faith and religion, that we have lost our understanding of the importance of faith whilst trying so hard to prove the correctness of our own protestations? I believe that one thing we may all agree upon is that we want better for our children. We wish their lives to be filled with happiness, kindness, hope and love. If this is the case, then we are duty bound to equip them with as many tools as possible to successfully navigate the ups and downs of life. The ultimate manifestation of happiness is that they can create a secure, supportive, empowering life for themselves. For this to be available to our children they must be allowed to grow in knowledge, understanding and appreciation. Our children will need proficient mathematical understanding, a firm grasp on linguistics, and perhaps most importantly of all – a framework of faith rooted in whatever denomination or creed makes the most sense to their needs, so that despite whatever life throws at them, they know with full confidence they will be able to face it with squared shoulders. This faith will allow our children to trust in people, in themselves, in their capabilities and ultimately in the possibility of goodness. Faith provides a structure with which our children can validate their behaviours, opinions, and actions and ultimately become actualised as the very best versions of themselves. It is often said that it is better to have loved and lost than never to have loved at all, and so it is with faith. It may be that those without faith have never experienced the disappointment of being let down by people, friends and even their own actions – however nor will they experience the total peace from knowing

even when things feel impossible, you will never be alone when you are connected to your faith. I believe that is worth the risk. To end this article back where it began with a consideration of old Socrates: I also believe that the only thing I know is that I know nothing at all, save that faith is a confidence or a trust in a person, thing or concept. Try as I might, I cannot help but absolutely believe and trust in my wife, our children, their abilities and their struggles, this society of Cayman, her people and above all else that there is a God and that all shall be well. Will Doran served as the head of Religious Education and Theology at St. Benedict's College in Liverpool, before moving to the Cayman Islands in 2010 to head the Religious Department at St. Ignatius School. Since then he has worked across the Island in various Religious and Education roles. For a list of Sunday School and Sunday Church times, see page 267.

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The Gift of Giving:

Volunteering in Cayman

As parents, one of our main responsibilities is instilling in our children a sense of what it means to be a good person. While it’s easy to become consumed by today’s ‘give-me’ mentality, encouraging your children to lend their time and service to the community is an essential teaching moment for parents – and a great opportunity to lead by example!

Where to Start

Start as a family! Luckily there are a number of volunteer opportunities in the Cayman Islands that are perfect for families with kids of all ages. Decide together what type of activity you wish to participate in and how much time you can commit. Perhaps you’d prefer a variety of activities on a rolling basis, or you’d rather dedicate your time to a single charity. Try to match the activity to your family’s interests so it doesn’t feel like a chore. When you have settled on a service, talk to your children about what to expect and be enthusiastic about your newfound responsibility!

The Feed Cayman Programme

What they do: Feed Cayman, an offspring of Cayman ARK, has been invaluable to hundreds of families for over 15 years. Through this programme, ARK can commit to food support for the many families awaiting Government aid by the Needs Authority Unit (NAU) or those on-Island otherwise experiencing hardship. During the Covid-19 pandemic, Feed

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Cayman also offered food support to those who had lost their jobs as a result of the Island’s border closure. How to help: They welcome gift certificates or donations for purchase. For more information, email: info@arkcayman.com. Local Spotlight: ‘Noah’s Ark Project’ was established by Nikole Poirier to reunite Canadians, who were forced to relocate off-Island due to the ongoing Covid-19 travel restrictions, with their beloved four-legged friends. In early 2021, Poirier and several organisations came together to coordinate three 737-800 planes and two private jets to accommodate nearly 250 pets. Families came together at the Owen Roberts airport to get animals ready with appropriate carriers, supplies and food and children created beautiful signs to wish animals ‘farewell’ on their way home.

Become an Animal Ambassador with CARE

What they do: Cayman Animal Rescue Enthusiasts (CARE) is a self-funded volunteer organisation who are always looking for volunteers. How to help: CARE needs help transporting animals to the surgery to be spayed or neutered. There is a CARE van (which allows animals to be crated) that adults can drive

accompanied by their kids. Families can also help build animal feeding stations or assist with CARE's education programme within the local schools. Visit www.caymancare. ky/get-involved/volunteer. Who can help: Children of all ages can help if accompanied by an adult.

Dog Walking with the Humane Society

What they do: The Humane Society dogs love to be taken out for walks, whether it’s a short 10-minute jaunt or a trip to Seven Mile Beach to splash in the sea. How to help: Simply turn up any day of the week (mornings are best) and you will be paired with a pooch suitable for your family’s ages and experience. Who can help: Anyone and everyone! Children ages 18 and under must be accompanied by an adult - whether it be a parent or guardian.

Deliver Meals on Wheels (MOW)

What they do: MOW provides daily, hot, nutritious meals to seniors, homebound and disabled persons throughout Grand Cayman. Meals are provided free of cost to the clients and delivered to their homes every week. This service supplies them with the assistance needed to retain their independence in their own homes for as long as possible. Meals are prepared in four community kitchens and delivered to over 300 persons each day in all five districts - referrals continue to be made daily for more persons in need. How to help: Sign up as a MOW volunteer and take your children with you when delivering meals. Teenage children who can drive can deliver meals during their holidays. Who can help: As long as there is an adult present, age is not a disqualifying factor.

Community Involvement

Church groups and organisations like the Girl Guides, Scouts and the YMCA provide great community engagement opportunities for children. Families can also partake in an hour of social, charitable and environmental activities on a basis that suits their schedule. Read on for some family-friendly ideas.

Pick Up Litter

How to help: Help keep Cayman beautiful by dedicating an hour a week to picking up litter. Plastic Free Cayman hosts monthly beach clean ups. Visit www.plasticfreecayman.com/ volunteer for details. Choose a different park or beach each time and spend an hour picking up litter. Make a game out of it and see who can pick up the most trash. Who can help: Children aged five and up. Be sure to wear gloves and close-toed shoes and supervise children closely.

Create ‘Thinking of You’ Cards for the Sick

How to help: Making cards for the elderly and sick is an easy yet meaningful way to lift someone’s spirits and make a difference to their day. Residents of The Pines retirement community and patients of The Cayman Islands Cancer Society love to receive artwork and cards made by kids.

Who can help: Children of all artistic abilities and ages can make cards for residents and patients. Why not make it a craft activity the next time your child has a play date!

Host a Bake Sale for Charity

How to help: Let children sell homemade cakes and donate the proceeds to a charity of their choice. Not only do the kids feel the satisfaction of helping a cause, but they also get to flex their baking and maths skills. Set up a stand outside your home at the weekend and ask your friends and neighbours to pop by for a delicious treat! Who can help: Children aged six and up can work on the stand, although adult supervision is advised.

Make a Food Donation Basket

How to help: Each time you shop at the supermarket, ask your child to pick a non-perishable item which can be donated to those in need. Once you have a number of items, donate it all to a local charity, such as Feed our Future or the Cayman Islands Crisis Centre. Who can help: Kids aged four and up will begin to understand how their actions can make a difference to others.

Seasonal Giving

How to help: Christmas is a great time to introduce a family tradition of giving back and helping those who are less fortunate. Feed Cayman and the Cayman Food Bank always appreciate gift certificates and/or non-perishable food items from Cost-U-Less and the local grocery stores. You can also bag up gently used clothing and toys to drop off at the Red Cross or the Humane Society Thrift Shop. Who can help: Encourage the whole family to participate and spread goodwill to those in need. For more details on the organisations listed here, turn to page 270.

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Q&A Amy Miller

Ben Desrosiers

What inspired you to move into a more SEN focused role? I have always had a great interest in special needs and love finding strategies to suit each individual child. When given the opportunity to be involved in this, it felt like the perfect move for me. Each child deserves the chance to succeed, and my aim is to help make each child to feel included, heard and supported each day they come to school.

What’s your best technique for grasping everyone’s attention in class? When you can get the class on the edge of their seat without saying a word. I come from a background of teaching children with Autism and there is a technique called ‘Attention Autism’ which involves carrying out a multi-sensory demonstration in front of the class. Its purpose is to help children develop their attention skills. Of course, it works well for everyone. I recently acted out a West African creation story using a tray with sand, water, shells, and action figures. You could hear a pin drop!

Do you have any tips for parents who struggle to get their children to read at home? Following a child’s interests is the key, for example; If your child loves to bake, you could find a child’s baking book, making it exciting to find the information in the book! I think allowing time for your child to share thoughts, explore their imagination and adding story time to your routine is always going to be a positive to their learning. Funniest thing a child has said to you at school? “Miss Amy, is that a baby in your belly?” After eating a big slice of chocolate cake! Which of your current or previous colleagues do you admire the most and why? Without a doubt, it is my lovely colleague and friend Carolyn Jervis. She has worked in early years for many years, has experience from all over and inspires the teachers and children’s minds every day! If she had been my teacher growing up I would probably be an astronaut by now. Do you think there should be more opportunities to teach outdoors in Cayman? Yes I think outdoor learning is of huge importance to child development. Some of my favourite memories are from Forest School, using natural resources to support your teaching goals. Here in Cayman we have so much to explore, and it is right on our doorstep. I definitely think we should take as much advantage of that as possible.

Amy Miller, from the UK, is an SEN pre-school teacher at Little Trotters, which was awarded "Excellent" in the May 2021 inspection by the Office of Education Standards.

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What’s your favourite way to relax after a long day in the classroom? I am a keen practitioner of yoga and my absolute favourite thing to do after work is a good hour of yoga in my back yard. I do have three children though so feeding and entertaining them usually takes priority! Which famous actor would you love to invite into your class to read out loud to the children, and which book would it be? The British actor Brian Blessed reading anything. He could make the back of a cereal packet sound good. Do you think there should be more opportunities to teach outdoors in Cayman? Absolutely. We’re really lucky here at Footsteps because every Thursday the children travel to either Dart Park or Smith Cove for a day of outdoor learning. It’s like Forest School but on the beach. Sometimes I have to pinch myself when I’m teaching Maths under a shady tree looking out across the Caribbean Sea! Do you have any tips for parents who struggle to get their children to read at home? Switch off your screens. I mean everyone’s screens. Watching a screen will always be easier than reading a book, but never as rewarding. Books are supposed to be interesting, and children will see that once all of the screens are off.

Ben Desrosiers, from the UK, joined Footsteps School as an Inclusion Coordinator in 2020 and says it is the best moment of his career so far!

Early Years and Primary School Teachers

Steve Coles

Dianne Varona

How has teaching changed or evolved since you first became a teacher? We’ve come to realise that good teaching is student-focused. Teaching today nurtures the desire to know and understand and to accomplish this with, but not for, our students. Indeed, while it may come as a shock, teachers don’t know everything! We are constantly learning, often alongside our students.

What has been the best moment of your career so far? A former student met me in a store and proudly announced in front of everyone that because of me he learned to read and stayed in school. He was thinking about dropping out but had remembered that I always encouraged him to never give up. He hugged me with tears in his eyes and told me that he would love me forever.

Your ideal holiday – where, doing what and who with? Those who know me will know that who (family) and doing what (very little) remains largely unchanged, but in terms of ‘where’, I would have to say either to Little Cayman or the North Norfolk (UK) coast.

Which famous actor would you love to invite into your class to read out loud to the children, and which book would it be? James Earl Jones. I just love his love voice, with his distinct ‘Basso Profundo’, reading “Roots” by Alex Haley for the older students.

Do you have any tips for parents who struggle to get their children to read at home? For any reluctant reader, another’s involvement in the reading process is key. After all, reading is communication between people much like a movie or a play. This is where parents come in. In many cases our children don’t feel like they’ve fully experienced a book until they’ve shared it with someone. It completes the experience. We do the same thing with other forms of entertainment such as movies, plays and music. So, get involved and share in your child’s reading experiences, and let them also share in yours. If you hadn’t become a teacher what career might you have chosen? I dabbled with being part of a land surveying crew in Charleston for a while, but I deemed children as marginally less scary than alligators and poisonous serpents. It was close! Which of your current or previous colleagues do you admire the most and why? Having worked with my wife, Colleen Coles, for several years I had better get this right! But honestly, she is an amazing educator and an even more amazing wife and mum. I have no idea how she juggles all that she does and to the level she manages. She takes multitasking to a whole new level.

Steve Coles is the Deputy Principal at Cayman Prep. He was inspired to become a teacher after assisting in an inner-city school as part of community service programme whilst he was at school in the UK.

You can take your class anywhere in the world, budget unlimited. Where would you take them and why? I would take them to Egypt to see the colossal pyramids, great Sphinx and Valley of the Kings’ tombs to indulge in the rich culture and history, and of course to ride on the camels. Who was your favourite teacher as a young child and why? My mother! She stressed that education was important and taught me to read at three years old. She is the reason I love books. She taught me many things including that some people may take things away from you but they can’t take away your namesake, your heritage, or the knowledge you attained. What inspired you to move into a more SEN focused role? A family member had a son with special needs who didn’t talk. When I was 12 years old I told his parents I was going to teach him to talk. As grown-ups would do they smiled and patted me on the head. Each time I visited him I would pull out flashcards, and sound out and pronounce the words to him. On one occasion I didn’t go and sit with him as I felt unwell. I heard a great yell and came running to find his mother in tears. She stated that he became anxious because he didn’t see me and shouted out “Where is my teacher?” From that day to this, he talks. I would like to thank him for pushing me into SEN.

Dianne Varona always wanted to be a teacher and majored in SEN at university. She is currently a year 7-9 teacher at the Lighthouse School.

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The Perfect Party

Checklist

Take the stress out of party planning with Cayman Parent’s Perfect Party Checklist! We break down all the steps you need to take before the big day to guarantee a fun and memorable celebration for all. 1. Choose a Venue. Cayman is a treasure trove of kidfriendly party venues. Pedro's Castle offers a variety of childfriendly attractions, including a multi-sensory movie theatre and lots of green space. Kings Sports Centre is another popular option. See page 269 for more venue ideas.

Budget-Friendly Option: Host the party at home, at a park or on the beach. But bear in mind that while they are cheaper options, they usually require more work! Cabanas at parks and beaches are free, although you’ll need to book online at www.rpcu.gov.ky. If you decide to host a party at your home or condo pool, hiring a life-guard from one of the swimming schools (see page 266) is a good idea. That way you can ensure the childrens' safety while you are rushing around.

2. Decide on a Time. Younger kids tend to do better in the mornings, whereas school age children prefer afternoon parties and it gives you some extra party prepping time. If you're hosting a party outside, then be mindful of the heat (and rainy season!) and ensure you have plenty of water on hand.

The Cake Studio, Box 30716 George Town, Grand Cayman 345-926-4944 thecakestudio@ymail.com

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3. Send out Invitations. We suggest sending out invites 3-5 weeks before the event. You can buy themed invitations at any of Cayman’s party shops and some even offer customisation options. Don't feel pressured into inviting the whole class if it's not financially possible or you do not wish to host a large party. You could just invite the girls/boys. Be upfront on invitations about whether siblings of children invited can attend. Budget-Friendly Option: Utilise free digital email invitations such as those on Paperless Post or Evite. These same platforms can be used for sending out your ‘thank you’ notes post party. 4. Food & Drink. Party venues will usually provide food as part of their party package, but if you are hosting at home you will need to organise the food and drinks. Try one of Cayman’s caterers or the supermarkets, who can prepare

party platters of fresh sandwiches, snacks and fruit. Local bakeries can produce a delicious cake to match your theme. Budget-Friendly Option: Make the sandwiches and cake yourself or you can even just order pizzas or throw some burgers on the BBQ. Serve with chips and fruit skewers. Keep it simple so you don't find yourself stuck in the kitchen all morning. Note: Be sure to check beforehand whether any children attending the party have food allergies and have an alternative on hand for that child to eat. 5. Photographs. Hire a professional photographer for your child’s special day, so they can capture all the memories you’ll be busy making! Cayman is lucky to have a selection of first-rate photographers who can offer their services for a few hours at a time. See page 270 for more details. Budget-Friendly Option: Ask a friend or family member to be in charge of taking photographs with your camera so you can concentrate on the fun. Don’t forget to let them know if there are any key pictures you’d like, such as blowing out the candles. 6. Games & Entertainment. Face painters, magicians, balloon twisters and other entertainers will all elevate your child’s party, but make sure to book them well in advance. You could also hire a bouncy castle, water slide and giant garden games such as Connect Four, Jenga and Twister.

Budget-Friendly Option: Consider DIY entertainment! Games such as musical statues, sleeping lions and pass the parcel are suitable from about the age of four and offer lots of fun for little to no cost. 7. Theme & Decorations. Cayman’s party shops stock a wide variety of decorations. Popular themes include: Pirate (perfect for Cayman!), Disney, Mad Scientist, Animals/ Jungle, Circus, Sports – the choices are endless. They also offer equipment rentals such as tables and chairs. Budget-Friendly Option: Keep the decorations simple with just some balloons, streamers and bunting – or even better, create your own! You will find plenty of free templates online. 8. Party Favours. These serve as a fun way for the birthday child to thank their guests for attending their party. Gifts can range from pencils, stickers and mini colouring books to sweets and other confections. Try to avoid too much plastic, though. Budget-Friendly Option: Send children home with a homemade baked good or fill mason jars from the dollar store with a sweet or savoury pick and mix selection. Be sure to check for allergies beforehand. 9. Thank You Notes. Send out 'thank you' notes to show your gratitude for the children who attended the party and for presents received. Be sure to keep a gift log as you open presents so you remember who to thank for what.

Camp Seafire

Cayman's favourite year-round kid's camp and party venue (ages 3–12) Whether your little ones are celebrating a birthday, or you’re enjoying some self-care at the Spa, Camp Seafire is the perfect fun-filled, flexible childcare choice. Designed to accommodate those ‘pop-up’ bank holidays and brunch babysitting needs; Camp Seafire offers hourly, halfday, full-day and weekly childcare as well as bespoke events. Meaning while the kids have fun, you can too!

Highlights:

Birthday Parties: From waterslides to watersports, bouncy castles to face painting and magicians to movies under the stars, we’ve got the perfect party for your little one. Featuring enough space to accommodate even the wildest party theme and an on-site Pastry Chef to help you design the ultimate birthday cake.

School Holiday Camps: When school’s out, camp is in! Join Camp Seafire during every school break for themed activities, crafts and games. With half-day, full-day and whole week options, as well as early drop-off available, your out of school schedule has never been easier. Evening Events: Every Tuesday and Friday from 6pm–9pm drop off your little one for an evening of s’mores, kid’s karaoke, mocktail making, movies and more!

(345) 746 4048 | campseafire@seafireresortandspa.com | Kimpton Seafire Resort + Spa, Seven Mile Beach www.caymanparent.com 255

Ambassadors of the Environment A living classroom in the Cayman Islands

With activities for children and adults alike, Jean-Michel Cousteau’s Ambassadors of the Environment introduces guests to the natural wonders and rich cultural traditions of the Cayman Islands. Through our unique Caribbean eco-tours, the island’s ecological resources become a natural classroom and living laboratory in which adults, families and kids learn while having fun. At the heart of the Grand Cayman eco-tours are four basic principles: everything is connected; there is no waste in nature; everything runs on energy and biodiversity is good. The program was born through a treasured partnership between The Ritz-Carlton and the nonprofit organization, Ocean Futures Society.

Highlights:

• Schedule of activities includes Ambassadors Kids ages four and up, Youth and Families. • Activities range from immersive courses in nature, like Underwater Photography and Mangrove Kayak Tours, to interactive learning activities at the Ambassadors’ Heritage House. • Jean-Micheal Cousteau trained Naturalists lead all Ambassadors of the Environment programmes. • Ambassadors of the Environment also assists with planning special and fun birthday parties at Starfish Cay water park or on an eco-adventure at The Ritz-Carlton, Grand Cayman.

(345) 815 6120 | caymanambassadors@ritzcarlton.com | The Ritz-Carlton, Grand Cayman, Seven Mile Beach

CELEBRATE! with Shellby & Friends at Cayman Turtle Centre

Make your next birthday celebration one to remember! BOOK YOUR PARTY TODAY: events@turtle.ky | www.turtle.ky | 949-3894

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Kings Sports Centre Party Venue & Recreation Centre

Kings Sports Centre offers a unique and fun-filled setting for parties and events. Choose from a variety of party packages that include deals on bowling, skating and additional party rentals, or plan your own event with an option to rent out Kings' multipurpose rink, bowling alley or fitness room individually. Their facility can accommodate a range of events, including birthdays, banquets, baby showers, corporate meetings and more.

Highlights:

Skate Parties: Package includes set-up for up to 20 children with a CI$5 fee charged per additional child, as well as skates, chairs, tables, cutlery, table cloths, two large pizzas and two litres of soda. Outside additional food and drinks are permitted. Bowling Parties: Package includes set-up for up to 24 children, as well as bowling shoes, tables, cutlery, table cloths, four large pizzas and four litres of soda. Outside additional food and drinks are permitted.

Details:

Six different birthday party packages • Cayman's only multipurpose skating rink and 4-Lane bowling alley • Combined skate and bowl parties available • Rock climbing or bungee jumping can be added on to party packages

(345) 946 5464 | kings@candw.ky | www.kingssportscentre.com | 861 Crewe Road, George Town

Pedro St. James Party Venue & Cultural Site

Pedro St. James offers a unique combination of stunning scenery, equipment rental and custom catering to suit all your event needs. Their beautiful grounds have the capacity to accommodate parties for all occasions; from baby showers to kids’ birthday parties, to proms and graduation ceremonies, to wedding celebrations or corporate events and concerts.

Highlights:

Children's Parties: With a multi-sensory movie theatre, an 18th century Great House, a gazebo and playground, nature and history trails; your children will have lots of green space to run around and are guaranteed a fun event. Baby Showers: The Courtyard, Gazebo or Side Lawn with stunning ocean views is the perfect spot to host your baby shower. The Outpost Bar & Grill will work with your unique ideas and cater to your food, beverage and event service needs.

Details:

7 acres of lush landscape • Local rum tasting and catering options • Custom party activities • Ocean views • Electricity and on-site security • Use of restrooms and ample parking • Luxury backdrop for photography Show this ad to the Pedro Admin office and get $220 off your next children’s party! Includes 3D movie and tour, access to playground facility, lawn games and rental equipment (up to 45 people).

(345) 947 3329 | info@pedrostjames.ky | www.pedrostjames.ky | Pedro Castle Rd, Savannah www.caymanparent.com 257

After-School Classes

& Activities

With such a wide range of children’s activities available for your kids to choose from, it can be a challenge juggling not only their schedules, but also the costs associated with each. To make life a little easier, we have researched some of the different activities (and their costs) for you. Cricket

Coach Connor runs an ongoing cricket programme at Kings Sports Centre on Thursday nights for U10 (5.30pm-6.30pm) and U14 (6.30pm-7.30pm). The cost is CI$15 per session. Matches are held on Sundays. Call Coach Connor on (345) 922 3080 or email: connor.patterson001@gmail.com for enrolment details.

Crossfit

Crossfit Cayman, located in Camana Bay offers teen classes for 12-16 year olds on Mondays and Fridays from 3.45pm4.30pm and ages 8-11 on Tuesdays from 3.30pm-4.15pm. The cost is CI$15 per class or CI$125 for 10 classes. Email Tarasa on tarasa@crossfitcayman.com. 7 Mile Strength & Fitness offers classes for 8-11 year olds on Thursdays from 3.30pm4.15pm and for 12-17 year olds on Thursdays from 4.15pm5pm. The cost is CI$200 for one session a week for a 10 week programme. They are located in Cannon Place, Industrial Park and can be reaching via phone at (345) 925 1456 or by email at info@7mile.life.

Dance

Dance lessons are offered in a variety of genres including ballroom, contemporary, tap, jazz and include drama, theatre, singing and ballet fitness. Classes start at the age of two and go up to adult, plus there are classes just for boys. Visit Centre Pointe Dance Studio’s website for a full list of classes at www. centrepointedancestudio.com or call Miss Anita on (345) 926 5889.

Drama Training

The Cayman Drama Society, Musicians Ltd. and Centre Pointe Dance Studio offer acting classes for children of all ages and levels of experience. Contact the Cayman Drama Society at training@cds.ky, Musicians Ltd. at (345) 525 6787 or office@musicians.ky, or Centre Pointe Dance Studio at www. centrepointedancestudio.com or (345) 926 5889.

Football/Soccer

There are various groups who run excellent youth football development programmes with lessons once or twice a week and matches on the weekend. Contact Academy Sports Club

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at admin@academysportsclub.ky, Excel Sports Management at (345) 925 4347 or email: info@esmcayman.ky or Sunset Football Club via email at: pnm@gmail.com.

Golf

Cayman Golf Lab offers afterschool and weekend junior golf classes for up to four students per class. They play fun and entertaining games to build up interest and a love for the sport. Each junior golfer will have access to world class knowledge and technology to help them create a golf swing that is best for them. Cost of this class is CI$120 per month for a total of four hours of golf lessons. Suitable for ages 5-14. Tel: (345) 917 2444 or email: brad@caymangolflab.com for more information or to register.

Gymnastics

Group gymnastics classes at Motions Unlimited range from CI$230-CI$458 for one/two sessions a week per term, dependent upon age and skillset. Open Gym is CI$10 and Toddler Play Days are CI$15. Email: info@motionsunlimited. com or call (345) 749 8365.

Horseback Riding

Cayman Riding School located in Savannah offers English riding lessons from total beginner to Advanced. Specialising in Dressage, Jumping, Vaulting and Cross Country for Children from age five to adults. Contact Cayman Riding School at Tel: (345) 926 7669 or email: caymanridingschool@gmail.com The Equestrian Center also offers lessons and afterschool riding programmes for children from ages five and up. Semi- Private lessons range in price for both riding schools from CI$28 for 30 minutes with group lessons starting at CI$55 per hour. Private lessons available upon request, Tel: (345) 516 1751 or email: equestriancentercayman@gmail.com.

Inline/Roller Hockey

Learn to skate sessions cost CI$100 per term at Kings' Sports Centre and participation on a team varies from CI$200$350 per season. Visit www.kingssportscentre.com, email: kings.brebanks@gmail.com or call (345) 946 5464 for more information.

Karate

Many different types of karate classes are offered in Cayman for children as young as four up to adults. Classes are run by the month and range from CI$75-CI$200. For Fight Fit classes, which incorporate Cardio Combat, Striking and Tricking, call (345) 917 1812 or email: fightfit345@gmail.com. Krav Maga training and other karate programmes are run by The Academy Grand Cayman, call (345) 323 9778 for details. For traditional karate lessons contact Cayman Associated School of Karate at (345) 925 3367 or Purple Dragon Cayman Islands at (345) 946 1241.

Music Lessons

The cost of lessons ranges anywhere from CI$35-CI$45 for a private one-to-one session or CI$180-CI$260 for group sessions per term. There are numerous places on Island that offer lessons either in your home or in their music studio. The options include: Cayman Music School, visit www.caymanmusicschool. com, JukeBox, visit web: www.jukebox.ky; Musicians Ltd, Tel: (345) 525 6787 or email: office@musicians.ky; Nicole Bodden, Tel: (345) 917 3753 and The Music Studio, visit www. musicstudiocayman.com. There is also the Cayman Youth Choir which is open for children aged 7-17 who meet at John Gray High School on Mondays from 4.30pm-6pm. Check out their Facebook page: KYyouthchoir.

Rugby

Music School Tel: (345) 938 3838 and The Music Studio Tel: (345) 547 3101 offer private vocal training and singing lessons.

Skateboarding

Membership at the Black Pearl Skate Park ranges from CI$45 per month to CI$300 for a yearly membership. The drop-in rate is CI$7. Skateboards, scooters, table tennis and a wide assortment of other sports equipment are available for rent at the park, ranging from CI$4-CI$14 an hour. There are also basketball courts. Visit www.blackpearl.ky for further details.

Swimming

Semi-private and private lessons start at CI$50 for a half-hour session. Fitness Connection offers mobile swimming lessons for children and adults of all ages and tailor each session to the individual’s needs. Call (345) 949 8485 or email: fitness@fitness. ky. For a full listing of qualified swim teachers/schools and clubs please visit the Cayman Islands Aquatic Sports Association’s website: www.ciasa.ky.

Yoga

There are several excellent yoga teachers on-Island specialising in kid's yoga. Popular choices are Yoga Sprouts and Kula Kids. Group and semi-private lessons range from CI$180CI$230 per term. Many private schools also offer yoga as an afterschool club. Visit www.yogasproutscayman.com or www. kulakidsyogacayman.com for a full listing of their classes.

The Maples Group Community Junior Rugby season runs from October to May. Programmes are available for U6, U8, U10, U12, U14, U16 and U19. Annual Membership is CI$100. Visit www.caymanrugby.com or email: caroline.deegan@ caymanrugby.com for more information.

Tennis

The Tennis Federation of the Cayman Islands runs the PwC junior tennis circuit and organises a series of tennis tournaments every year for children 18 and under. Email: info@tfci.ky. For group or private tennis lessons contact the Cayman Islands Tennis Club on (345) 949 9464 or email: juniors@tennis.ky; The Courts at the Ritz-Carlton, Tel: (345) 323 0049 or email: grandcaymantennis@ ritzcarlton.com and Cayman Tennis Academy on Tel: (345) 547 6257 or email: caymantennisacademy@gmail.com. Group lessons can range from CI$20-CI$35 per individual per lesson, private lessons range from CI$65-CI$100 per hour.

Sailing

The Sailing Club runs an after-school sailing programme for kids aged 6+. The cost is CI$415 for 30 hours of sailing instruction (15 x 2-hour sessions each rotation). The club also hosts popular day camps during school holidays and teenagers who are competent sailors and good with youngsters, can find jobs interning as assistants at these camps. For more information visit www.sailing.ky or email: coach@sailing.ky.

Singing

Centre Pointe Dance Studio Tel: (345) 926 5889, Cayman

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Getting the Most Out of

Your Library

With six branches operating across Grand Cayman and Cayman Brac, the Cayman Islands is lucky enough to have a Public Library System which boasts an extensive physical book collection for both adults and children, as well as a comprehensive eBook collection and an online database. But all of these resources at your fingertips begs the question: where do you begin?

Get Signed Up

A great way to start getting the most out of Cayman’s library service is with a library card! Becoming a member at your local library gives you total access to its wealth of resources, as well as entry to a vibrant community and cultural centre. Members are able to use the library’s computer lab for free, and can take advantage of the designated quiet zones – perfect for doing your homework or reading a book in peace. After signing up, library card holders can check out a book for up to three weeks, with a chance to call and renew for another two! Children 17 and under and seniors age 60+ can join the library for free, Adults age 18-59 pay CI$5. Membership forms can be found at www.cipl.gov.ky and should be printed off, filled out and brought into your local library branch.

Online Services

As well as over 60,000 hard copy books, the library has an eBook collection with over 33,000 books, 1,700 magazine articles and 5,000 k-8 books in full text or PDF formats. They also have two student academic databases available where you can search for peer-reviewed and scholarly information on reading, language, arts, current events, science, social studies, 260

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history, health and technology. To access these resources go to www.cipl.gov.ky, click on the EBSCO link for eBooks and the SIRS link for the databases.

Educational Programming

The Cayman Islands Public Library Service (CIPLS) proudly hosts an assortment of educational programmes that consider the needs of different age groups, different backgrounds and each local district. Below are some of the services offered to the local community. Play, Read, Learn! This library-based programme is for children between the ages of 3-5 with a parent or caregiver present, at the George Town and North Side public libraries. Days and times vary; contact the George Town Library on Tel: (345) 949 5159 for details. Summer Reading Challenge Runs July through August, at all library locations. The challenge is geared toward school-aged readers as a means of developing a childhood enjoyment of reading and promoting continued reading and learning throughout the summer holidays.

• Vernon L. Jackson Library. 69 Bodden Town Road, Bodden Town, Tel: (345) 947 0966. Hours: Monday-Thursday 10am-6pm, Friday 10am-1pm and Saturday 10am-2pm. • East End Library. 2739 Sea View Road, East End, Tel: (345) 947 7729. Hours: Monday-Thursday 10am-6pm, Friday 10am-1pm, Saturday 10am-2pm. • North Side Library. 891 North Side Road, North Side, Tel: (345) 947 9362. Hours: Monday-Thursday 10am-6pm, Friday 10am-1pm, Saturday 10am-2pm. • Emily (Teacher) Redley Powery Memorial Library & Learning Centre. 182 Reverend Blackman Road, West Bay, Tel: (345) 949 7659. Hours: Monday-Friday 10am-6pm, Saturday 10am-2pm. • Cayman Brac Library. 263B Stake Bay Road, Cayman Brac, Tel: (345) 948 0472. See gov.ky for opening hours.

Alternative Resources

In addition to Public Libraries, there are a number of alternative educational resources available to children and adults across Grand Cayman:

Saturday Chess Free chess sessions, hosted by The Cayman Chess Club, are held every Saturday at the George Town Library, 11am-12pm, and are designed to introduce beginners to the game, and help intermediate players develop their skills. It is open to children of all ages but a parent or caregiver must be in attendance. LibraTech - Level 1: Computer Basics One-day introduction to computers classes are offered at all six library branches; they cover basic computer skills and are free to all participants. The curriculum is designed for seniors and first-time computer users. Contact your local library branch directly for more details on course dates. Music at the Library The Cayman Arts Festival and the CIPLS proudly present monthly one-hour concerts at the George Town Public Library, which includes classical music, in addition to poetry and readings from local poets and writers. Public Libraries With a branch in each district, and one location on Cayman Brac, the Island’s Public Library Service has continuously made strides to maintain the Islands’ widespread accessibility to information. Find your nearest branch below and start discovering all that these great community hubs have to offer. • George Town Library. 68 Edward Street, George Town, Tel: (345) 949 5159. Hours: Monday, Tuesday, Wednesday and Friday 10am-6pm, Thursday 10am-7.30pm and Saturday 10am-2pm.

School Libraries Many schools across the Island are equipped with a school library or student media centre. If your child’s school has a library, encourage them to get familiar with the various resources! Find out the hours of operation and what the book lending policies are. The Kiwanis Club of Grand Cayman The Kiwanis Club of Grand Cayman operates a ‘Book Mobile’ mobile library, filled with books for all ages. It is permanently parked next to the administration building at George Town Primary School and opens every Thursday from 12.30pm1.30pm for the children at the school to use in their lunch hour and borrow books. For more information about the mobile library and volunteering opportunities please email: info@ kiwanis.ky. The Rotary Central ‘Little Free Library’ Programme is a “take a book, return a book” free book exchange. Libraries are situated at various business establishments in the country in both Grand Cayman and Cayman Brac, and anyone can contribute or take books. Persons can take a book (or several) from any free library and return any book they choose to at any of the libraries on Islands. The Sam Basdeo Learning Resource Centre Located at the University College of the Cayman Islands (UCCI) it has some excellent academic resources within its collection. For further information on accessing their resources, please contact Mrs. Lucille Kong at (345) 623 0563 or email: lkong@ucci.edu.ky.

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School Age Best for Parents

Best for Children Jennifer Senior attempts to untangle the paradox of modern parenthood with a well-researched and emotionally intelligent examination of real-life parenting experiences.

Shel Silverstein’s timeless collection of whimsical poems and illustrations will stretch the bounds of imagination for children and be long cherished for years afterwards.

Julie A. Ross, executive director of Parenting Horizons, provides a peek into the perplexing tween mind and offers up the necessary tools for handling even the ‘prickliest’ tween moments.

Over one million copies of Hoffman’s classic tale have been sold, which reminds children that with some courage and determination, anything is possible.

Leading psychotherapist Philippa Perry shares the vital do’s and don’t’s of parenting. Full of sage and sane advice, Perry explains her recipe for good parentchild relationships.

Anne’s amusing adventures – underpinned by messages of the importance of love, friendship, and family – have been charming children for over 100 years. By the end of Anne of Green Gables, Anne is the heroine of her own story.

Best Digital for Parents

Best Digital for Children MamaBear allows you to receive alerts when your child arrives at a location, needs help, or wants you to pick them up without phone calls, giving them a feeling of independence. Free, available on Apple and Google Play.

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Elevate offers fun lessons in core subjects. As your child improves in a chosen area, they can track their progress. Free trial for 30 days, then $39.99 US a year. Available on iOS and Google Play.

the

Listings Extracurricular Classes, Sports, Party Venues and Water Activities

Photo courtesy of Lisa Reid

Attractions & Outdoor Facilities Explore Cayman’s many outdoor attractions and facilities, ideal for families and children of all ages. Take an eco-adventure, get up close and personal with some Cayman turtles and parrots or take a trip through history at the National Museum. Ambassadors of the Environment The Ritz-Carlton, West Bay Road. Tel: (345) 815 6120 Email: caymanambassadors@ ritzcarlton.com Web: www.ritzcarlton. com/en/hotels/caribbean/grand-cayman Eco-adventure days through Jean-Michel Cousteau’s Ambassadors of the Environment programme. Ages four and up. Black Pearl Skate Park Grand Harbour Shopping Centre, Red Bay. Tel: (345) 939 1301 Email: info@blackpearl.ky Web: www.blackpearl.ky 62,000sq ft of beginner, intermediate and expert flow, as well as street courses, plus three basketball half courts. Equipment available to rent.

Blue Iguana Safari Queen Elizabeth II Botanic Park, off Frank Sound Road, North Side. Tel: (345) 749 1121 Email: tours@nationaltrust.org.ky Web: www.nationaltrust.org.ky Meet the endangered Blue Iguana on this guided tour. Book through the National Trust. Cayman Islands National Museum 3 Harbour Drive, Waterfront, George Town. Tel: (345) 949 8368 Web: www.museum.ky Permanent exhibitions plus changing galleries (including one for children) and an audiovisual theatre. Residents enter for free on the first Saturday of every month. Cayman Motor Museum 864 North West Point Road, West Bay. Tel: (345) 947 7741 Web: www. caymanmotormuseum.com View classic automobiles, motorcycles, power boats and historical exhibits. Open November - May. Cayman Parrot Sanctuary Austin Conolly Drive, East End. Tel: (345) 926 4415 Email: caymanparrotsanctuary@gmail. com They offer a friendly, interactive and

educational experience for the whole family. Enjoy meeting Cayman's native animals face to face as well as see local plants in an unspoilt and natural landscape. Hold a racer snake, see the local agouti, check out the hermit crabs and chat to parrots who are healing in the safe and sociable setting of the parrot sanctuary made especially for them. Cayman Turtle Centre 786 North West Point Road, West Bay. Tel: (345) 949 3894 Email: info@turtle.ky Web: www.turtle.ky Meet the sea turtles and other sea creatures. Also features a pool, a crocodile, nurse sharks, a waterslide and waterfall for children. National Gallery of the Cayman Islands Esterley Tibbetts Highway, south of Camana Bay. Tel: (345) 945 8111 Email: info@nationalgallery.org.ky Web: www. nationalgallery.org.ky Home to the national art collection with activities and programmes for children and families. Pedro St. James Castle Pedro Castle Road, Savannah. Tel: (345) 947

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3329 Email: info@pedrostjames.ky Web: www.pedrostjames.ky Historic 18th Century Great House overlooking the sea with a multisensory movie theatre and playground. Queen Elizabeth II Botanic Park Off Frank Sound Road, North Side. Tel: (345) 947 9462 Email: manager@botanic-park.ky Web: www.botanic-park.ky A 65 acre park to explore. It is dedicated to preserving local flora and fauna. Famous for its partnership with the Blue Iguana Recovery Programme, the park maintains the natural habitat for the native Blue “Dragons” found only in Grand Cayman.

Activities/Sports

ATHLETICS

The Cayman Islands Athletics Association Tel: (345) 926 0719 Email: cay@mf.iaaf.org Web: trackandfieldcayman.ky The governing body for track and field in the Cayman Islands. 345 Athletic Club Truman Bodden Track, Olympic Way, GT. Email: dereklarner@management.ky Middledistance team looking for runners and field event athletes. All ages and abilities are welcome. Falcon Athletics Web: www.falconathletics.ky Track and field club for primary and high school aged children with local and international meets throughout the year.

BALLET & DANCE

Centre Pointe Dance Studio (CPDS) Alissta Towers, North Sound Road. Tel: (345) 926 5889 Email: centrepointedance@gmail. com Web: www.centrepointedancestudio. com Classes available for children from two years olds through to adults in the following disciplines: ballet, tap, jazz, contemporary dance, hip-hop, Irish dancing, freestyle, musical theatre, drama and vocal training. LAMDA exams can be taken. Boys only classes are also available. KRI Performing Arts School 98 Shedden Road, George Town. Tel: (345) 924 4089 Web: www.kriperformingartsschool. com Private dance lessons are available in salsa, modern jazz, hip-hop, contemporary, Afro-Caribbean and reggae.

BASKETBALL

Cayman Islands Basketball Association Tel: (345) 916 5083 Email: info@ caymanbasketball.com The programme participates in international competitions and has four leagues: under-12, under-14, under-16 and under-19, by gender.

BEACH VOLLEYBALL

Cayman Islands Volleyball Federation (CIVF) Email: youthvolley@civf.ky Web: www.civf. ky Indoor and beach volleyball programmes are available for teenagers aged 8-18. Training and clinics can also be arranged.

BOXING

Cayman Islands Boxing Association

Dalmain Ebanks Boxing Gym at the Truman Bodden Sports Complex, Olympic Way, George Town. Web: www.ciba.ky Email: info@cibaky.com.

CRICKET

Coach Connor Tel: (345) 922 3080 Email: connor. patterson001@gmail.com All cricket practice is done indoors at the Kings Sports Centre on a Thursday evening. The U10 practice from 5.30pm-6.30pm and U14 practice from 6.30pm-7.30pm. The cost is CI$15 per session.

CROSSFIT

7 Mile Strength & Fitness/CrossFit 7 Mile Cannon Place, North Sound Road. Tel: (345) 925 1456 Email: info@7mile.life Private group lessons where kids are taught basic functional movement can be arranged for ages 8-17 years. Cayman CrossFit Market Street, Camana Bay. Tel: (345) 929 8450 Email: tarasa@crossfitcayman.com Web: www.crossfitcayman.com CrossFit Kids is for boys and girls ages 8-11 years of all fitness levels and capabilities and runs on Tuesdays and Thursdays from 3.45pm to 4.30pm. CrossFit Teens/Tweens (1216) offers a class similar to an adult class. Classes start at 3.45pm and last 45 minutes on Mondays and Fridays.

DIVING

See Diving Courses on page 268.

Centre Pointe Dance Studio

Quality Dance & Performing Arts Instruction CPDS provides exceptional training in the areas of dance, drama and musical theatre. They are focussed on developing students' natural self-expression, creativity and musicality through our unique classes and performing arts programme. We encourage our students to express themselves and to strive for excellence in all they do - both inside and outside of the studio.

Highlights:

Fully integrated dance/musical theatre programme • External examinations offered 2/3 times per year • Outstanding examination results across all areas • Student-led fundraising activities • Student teaching education programme • Adult Classes 18yrs+ • Integrated Preschool programme • Fully qualified and experienced teachers

Details:

Opening Hours: Monday-Friday 3pm-7.30pm, Saturday 9am-4.30pm Ages: 2 Years to Early Adulthood Cost: Fees start from $190 per term

(345) 926 5889 | centrepointedance@gmail.com | www.centrepointedancestudio.com | 107-109 Alissta Towers 264

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FOOTBALL/SOCCER

Academy Sports Club Tel: (345) 923 5374 Email admin@ academysportsclub.ky Web: www. academysportsclub.ky A range of football programmes for children ages 5-18. They offer a Saturday morning Junior Football programme for players aged 4-5 and a special football programme for children with autism and other special needs. Cayman Islands Football Association (CIFA) Tel: (345) 749 5775 Email: cifa@candw.ky Web: www.caymanfootball.com Five Leagues for boys and girls aged 6-23 years. The Grassroots Programme for children aged 5-12 years is a FIFA-approved programme, with twice weekly training sessions. Excel Sports Management Academy Field, George Town. Tel: (345) 925 4347 Email: info@esmcayman.ky Web: www. esmcayman.ky Pro football training with UEFA qualified coaches, they offer a popular after school programme and camps in the school holidays. They also host competitions and talent spot exceptionally skills junior players. Sunset Football Club Email: pnm@gmail.com or gareththacker@ gmail.com for boys (4-10) football. Email: Gisela.Gamba@Gmail.com for girls. Coaching sessions for 4-10 year old boys are held on Sunday mornings 8.00am-10.30am and Saturday mornings for girls 8.30am-9.30am both at the Camana Bay Sports Complex. There is also midweek training and matches for boys

and girls under 8's to under 18's as well as men’s and women’s teams. The Girls Saturday Programme runs from January to May and costs CI$165. The Boys Sunday Programme runs from October to May and costs CI$275. This includes the football kit. Total Soccer Email: info@totalsoccercayman.com Web: www.totalsoccercayman.com Programmes and camps offered Monday through Friday in the afternoon. Camps are available for children ages 5-13. After school Skills and Control activity is offered to children in Kindergarten through to Grade 8 and takes place at CIS.

FLAG FOOTBALL

Cayman Islands Flag Football Association (CIFFA) Games held on the Camana Bay Playing Field. Web: www.ciffayouth.com Email: ciffa345youth@gmail.com A popular youth flag football league for boys and girls aged 7-19 years.

FENCING

Cayman Islands Fencing Federation Email: info@fencing.ky Web: www.fencing. ky The official governing body for all things fencing in the Cayman Islands.

GOLF

Cayman Golf Lab 37B Ashgo Street, Unit 6, George Town. Tel: (345) 917 2444 Email: brad@caymangolflab. com Web: www.caymangolflab.com They offer lessons, rental of the golf simulator or

you can just come and hit some balls or play a round of golf on one of the thousands of golf courses from around the world. Afterschool lessons cost CI$120 per month for a total of 4 hours instruction in a group of 4 students. North Sound Golf Club Safehaven Drive, SMB. Tel: (345) 947 4653 Web: www.northsoundclub.com Email: bryant. boshard@northsoundclub.com Year round junior camps and after-school programmes for junior golfers aged 6-12 years. Private lessons with PGA professionals are available. The Ritz-Carlton Golf Club, Grand Cayman West Bay Rd, SMB. Tel: (345) 815 6500 Web: www.ritzcarlton.com/en/hotels/caribbean/ grand-cayman/area-activities/activities/ golf Private instruction from the ages of 5 upwards.

GYMNASTICS

Motions Unlimited Sparky Dr, Industrial Park, George Town. Tel: (345) 749 8365 Email: info@motionsunlimited. com Web: www.motionsunlimited.com They have experienced coaches and state of the art gymnastics equipment for children. They also hold Toddler Playdays throughout the week and on Saturday morning. It's a great way for kids and other parents to meet each other.

HORSEBACK RIDING

Cayman Riding School Hirst Road, Savannah. Tel: (345) 926 7669 Email: caymanridingschool@gmail.com Cayman Riding School is a registered overseas

Fitness Connection

Celebrating Over 30 Years of Fitness and Fun in Cayman For over 30 years, Fitness Connection has been Cayman’s leader in providing safe, effective fitness and aquatic programmes for families. They are committed to offering high quality, personalised programmes, both mobile and on-site, for kids and adults. With a small and intimate facility located in the heart of South Sound, their kids camps, swimming lessons and personalised fitness classes are popular with residents and visitors alike!

Swimming

Fitness Connection is Grand Cayman's premier swim school and provides safe, effective fitness and aquatic programmes for all ages and abilities, specialising in adults learning to swim, infants, toddlers and special needs.

Kids Camps

Throughout the year Fitness Connection offers various holidays camps. Drop the kids at 9am for a fun filled day of excursions, swim time, arts and crafts, games and more with experienced camp counsellors.

Kids After School Programmes

Parents can drop their kids off at Fitness Connection for swim lessons and fun with friends up until 5:30pm every Tuesday and Thursday.

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center with the British Pony Club. Located in Savannah, Newlands CRS offers English riding lessons with BHS/FEI qualified instructors in Showjumping, Dressage Vaulting and cross country. Facilities offer Boarding, 2 full size arenas inc. a GGT jumping arena. Furry Friends Club and Pony Rides available every Saturday morning with a miniature children’s farm for birthday parties. Call (345) 926 7669 or email: caymanridingschool@gmail.com.

caymanrugby.com Web: www.caymanrugby. com The Maples Group Community Junior Rugby coaching is held every Saturday morning from October to May for children aged 3–19 years old. Programmes are available for U6, U8, U10, U12, U14, U16 and U19. Annual Membership is CI$100 and this includes a rugby shirt. Email Caroline to get signed up.

Cowboy Town Stables 160 Lottery Road, Lower Valley. Tel: (345) 916 8571 Email: shanna@cowboytownstables. com Web: www.cowboytownstables.com Riding and horsemanship lessons. A certified therapeutic horsemanship instructor specialises in providing lessons for people with physical, mental, social and emotional disabilities and disorders.

Cayman Islands Sailing Club 244 Spinnaker Road, Red Bay. Tel: (345) 947 7913 Email: admin@sailing.ky Web: sailing. ky CISC provides lessons for adults and youth, and an extensive fleet of boats is available for hire to members and non-members.

Equestrian Center Riding School Linford Pierson Highway, George Town. Tel: (345) 516 1751 Email: info@equestriancenter. ky Web: www.equestriancenter.ky A riding school and boarding stables. They also offer a “Pony Park” every Saturday morning from 9-10:30 where children can have pony rides for CI$5 and meet goats, rabbits and other small animals. Spirit of the West Barker's Beach, West Bay. Tel: (345) 916 6488 Email: info@seahorses.ky Web: www. caymanbeachrides.com Accompanied beach rides with a Caribbean Swim Ride option. Resident rates are available.

MARTIAL ARTS

Cayman Associated Schools of Karate (C.A.S.K.) King’s Sports Centre, Red Bay. Tel: (345) 925 3367 Email: caskkarate@gmail.com Web: www.caskcayman.com Youth (ages 4-12), co-ed adult and women-only classes, in traditional WADO style karate, as well as a Tai Chi programme. Purple Dragon School of Martial Arts Reliable Building, Compass Drive, George Town. Tel: (345) 946 1241 Email: purple@ candw.ky Web: www.purpledragon.ky Purple Dragon teaches the martial arts system called Don Jitsu Ryu for children aged four and older.

PARKOUR

Motions Unlimited Tel: (345) 749 8365 Email: info@ motionsunlimited.com Web: www. motionsunlimited.com Motions Unlimited offers parkour training for children from the age of eight years and older. Very popular with the boys!

ROLLER & INLINE SKATING

King's Sports Centre 861 Crewe Road, George Town. Tel: (345) 946 5464 Web: www.kingssportscentre.com Family skating is on Saturdays from 4.30pm10pm and Sundays from 1pm-4pm. Teen Jam Skate is on Saturdays from 7pm-10pm.

RUGBY

The Rugby Club South Sound Road, South Sound. Tel: (345) 525 6743 Email: caroline.deegan@

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stingrayheadcoach@gmail.com Web: www. caymanswimming.com A competitive swimming club for ages 6 and up.

SAILING

Synchronised Swimming (CBAC) Tel: (345) 325 7905 Email: caymanitesynchro@gmail.com Web: www. facebook.com/caymanitesynchro Training for young swimmers ages 5 - 17. Swimmers must be confident in deep water and be able to tread water before joining the team.

SKATEBOARDING

Thrive Fit Tel: (345) 938 1113 Web: www. thrivefitcayman.com Email: info@ thrivefitcayman.com Mobile swimming instruction for children aged 6 months and upwards. Private, semi-private and group lessons available.

Black Pearl Skate Park Grand Harbour Shopping Centre, Red Bay. Tel: (345) 939 1301 Email: skate@blackpearl. ky Web: www.blackpearl.ky 62,000sq ft of beginner, intermediate and expert flow, as well as street courses, plus three half-sized basketball courts. Equipment available to rent.

SQUASH

South Sound Squash Club 25 Anne Bonny Crescent, South Sound. Tel: (345) 526 5052 Web: www.squash.ky Email: info@squash.ky Junior coaching is available from ages five and up at beginner, intermediate and advanced levels.

SWIMMING

CBAC (Camana Bay Aquatic Club) 95 Minerva Drive, Camana Bay. Email: cbac@camanabay.com Web: www. camanabayaquaticclub.com Competitive swim club with professional coaching for children ages 5-18 of all abilities. Group and private lessons for ages 18 months - 10 yrs old. Darren Mew Sports and Fitness (SMS) Lions Aquatic Centre, Olympic Way George Town & Grace Christian Academy, West Bay Tel: (345) 323 9512 Web: www.teamunify. com Swimming lessons for ages 3 and upwards. Home lessons available. Fitness Connection 1 Bambi Close, Glen Eden Road. Tel: (345) 949 8485 Email: fitness@fitness.ky Web: www. fitness.ky A Starfish Aquatic Institute Training Centre offering a variety of programmes for all ages and abilities. Swimming lessons for babies begin at 6 weeks old. Private and group classes available. Sky Blue Aquatics Tel: (345) 916 0054 Email: info@ skyblueaquatics.com Web: www. skyblueaquatics.com Mobile swimming instructors with lessons for ages four months to adults. Private, semi-private and small group lessons provided. Their certified instructors specialise in customising lessons to each client’s individual needs to ensure the highest productivity. Stingray Swim Club Lions Aquatic Centre, Olympic Way George Town. Tel: (345) 323 2271 Email:

TENNIS

The Cayman Islands Tennis Club Anne Bonny Crescent, South Sound. Tel: (345) 949 9464 Email: tennis@tennis.ky Web: www.tennis.ky Coaching available from the ages of three to adults. After school programmes are also offered plus tournaments held throughout the year. Cayman Performance Tennis Tel: (345) 927 8690 Email: micabeach@gmail. com Web: www.caymanperformancetennis. com Private and group tennis lessons from the age of 6. The Courts at The Ritz-Carlton Ritz-Carlton Drive, Esterly Tibbetts Highway. Tel: (345) 323 0049 Email: caymantennis@ ritzcarlton.com Private or semi-private lessons offered for ages 6-16 years old. After school classes available. Tennis Academy 1960 West Bay Road, Seven Mile Beach. Tel: (345) 547 6257 Email: contact@ caymantennisacademy.com Web: www. caymantennisacademy.com Lessons for kids aged 3-10 years on their half-sized tennis courts. For ages 10 and up lessons are held on full-sized courts. Private, group lessons, and after school programmes are also offered.

TEN PIN BOWLING

King’s Sports Centre Red Bay. Tel: (345) 946 2695 Email: kingpinbowling@candw.ky Web: www. kingssportscentre.com Four bowling lanes plus a lounge and bar area.

YOGA

Kula Kids Yoga Tel: (345) 916 3007 Email: kulakidsyogacayman@gmail.com Web: www.kulakidsyogacayman.com Yoga classes for all ages with an emphasis on children's yoga. Yoga Sprouts Tel: (345) 326 9876 Email: info@ yogasproutscayman.com Web: www. yogasproutscayman.com Yoga classes from 3 months to 8 years old.

Church Services & Sunday Schools

ANGLICAN CHURCH

St. Alban’s Church of England 461 Shedden Road, George Town. Tel: (345) 949 2757 Web: www.churchofenglandcayman.org Sunday Matins 8.30am; Church School 9am; Holy Communion 9.30am with Sunday school. For weekday services and activities see the website calendar. All services are taken from the Church of England's Book of Common Prayer (1662).

ANGLICAN (EPISCOPAL)

St. George’s Anglican Church 64 Courts Road, George Town. Tel: (345) 949 5583 Email: stgeorgecaymanislands@gmail. com Sunday Eucharist 7am and 9am; Sunday School 9am; Wednesday Eucharist 10am; Youth evening Friday 7.30pm.

ASSEMBLIES OF GOD

Cayman International Assembly Meeting place: Camana Bay Cinema. Tel: (345) 916 2957 Sunday Service 10am. Cayman International Assembly of God offers a casual and contemporary style of worship. First Assembly of God 195 Old Crewe Road, George Town. Tel: (345) 945 2182 Email: fagod@candw.ky Children’s Church 10.45am. West Bay Assembly of God 100 Finch Drive (off Stadium Road). Tel: (345) 946 2455 Sunday School 10.30am.

BAPTIST CHURCHES

Cayman Islands Baptist Church 163 Pedro Castle Road, Savannah. Tel: (345) 946 2422 Email: office@cibaptist.ky Web: www. cibaptist.ky Pastor: Dr Stephen Tillis Sunday Worship Services 9am and 11am; Wednesday Bible Study 7pm; service delivered in Spanish at 6pm on Sundays. First Baptist Church of Grand Cayman 920 Crewe Road (Across from the Lion’s Centre and near Hurley's Shopping Centre). Tel: (345) 949 0692 Email: fbc@fbc.org.ky Web: www. fbc.org.ky Sunday School for all ages 9.15am; Sunday Service 10.30am. Wednesdays 6.30pm Bible Study, Spanish Bible Study every third Sunday of the month at 6.30pm. Fridays 7pm SPARK Children's Club and Ignite Youth Group. Small groups also meet throughout the week.

CATHOLIC CHURCHES St. Ignatius Catholic Church 597 Walkers Road, George Town. Tel: (345) 949 6797 Email: ignatius@candw.ky Weekday Masses: Monday-Friday 7am, Weekend Masses: Saturday 8.30am and 6pm, and Sunday 8am, 11.30am and 6pm; Sunday School 10.15am– 11.15am. There is also Eucharistic Adoration from 6am-9pm daily in the Divine Mercy Adoration Chapel. Christ the Redeemer Catholic Church Reverend Blackman Road, West Bay. Tel: (345) 949 7390 or (345) 949 6797 Sunday Mass 9.45am.

Stella Maris Catholic Church Alta Vista Drive, Cayman Brac. Tel: (345) 925 6215 or (345) 926 0551 Sunday Mass or Eucharistic Service 11am.

LUTHERAN Safe Harbour Lutheran Church 205 Andrew Drive, Snug Harbour. Tel: (345) 949 1835 Web: www.safeharbourlc.com Sunday service 10am at The South Sound Community Centre, South Church Street.

METHODIST Wesleyan Holiness Church 150 North West Point Road, West Bay. Tel: (345) 949 1121 Email: info@whccayman.com Sunday services: 11am and 6pm. Sunday School 9.45am.

MORAVIAN Covenant Moravia Church 6 Devon Road, Off Marina Drive, Prospect. Tel: (345) 947 7935 Sunday School: 10am, Sunday services: 11am.

NON-DENOMINATIONAL Agape Family Worship Centre 50 Fairbanks Road, George Town. Tel: (345) 949 2539 Email: agape@candw.ky Sunday service 10am; Sunday School 11am; Wednesday service 7.30pm; Friday youth group held at 7.30pm. Church of God Chapel George Town 22 Academy Way, George Town. Tel: (345) 949 9393 Email: cogcgt@candw.ky Web: www. churchofgodchapel-GT.org Online Bible study Wednesday evenings 6.30pm, Online Sunday School 9.30am-10.30am, Sunday Family Service at 10.30am. Sunrise Community Church Services held at the Harquail Theatre. Tel: (345) 926 7473 Email: paola@sunrise.ky Web: www.sunrise.ky Sunday Services 10am with Nursery Care and a Children’s Sunday School. Services last approximately 80 minutes and there is the opportunity to socialise afterwards with complimentary pastries and coffee. They also hold Community Groups which meet throughout the week at various locations and there is a monthly womens gathering called Flourish (September - June).

PENTECOSTAL All Nations United Pentecostal Church 23A Woodlake Drive, George Town. Tel: (345) 949 9533 Email: allnationupc@gmail.com Tuesday youth service 7.30pm; Sunday School 9am, Sunday worship 11am and Evangelistic service held at 7.30pm. The Power of Faith Deliverance Ministry Ltd. 100 Greenwood Drive, George Town. Tel: (345) 949 1516 Email: pofdm.ky@gmail.com Tuesday Prayer Service & Bible Study 7.30pm; Friday Youth Service 7.30pm; Sunday School 9.30am; Sunday Worship 10.30am and 7.30pm.

PRESBYTERIAN & CONGREGATIONAL

Elmslie Memorial United Church Downtown George Town on the waterfront, North Church Street. Tel: (345) 949 7923 Email: elmslieunitedchurch@gmail.com Web: www.Elmsieunitedchurch.ky Sunday service is held at 10.30am. Elmslie also has a smaller

affiliated congregation: South Sound United Church and their service is on Sundays at 9am. William Pouchie Memorial United Church 815 North Side Road, North Side. Tel: (345) 938 2239 Email: wpmucns@gmail.com. Minister: Rev. Rohan Forrester. Sunday service is held at 9am.

SEVENTH DAY ADVENTIST

Cayman Islands Conference of Seventh-Day Adventists Tel: (345) 640 2647 Web: www. caymanadventist.org Email: general.queries@ cicsda.org Saturday Sabbath School service 9.15am, Divine Service 11am. Adventist Youth Programme 5pm (may vary) and there are Sunday and Wednesday evening services at 7.30pm. Churches are located across Grand Cayman, Cayman Brac and Little Cayman.

JEWISH SERVICES Cayman Hebrew School 7 Mile Shops, West Bay Road. Tel: (345) 949 0770 or (345) 516 4474 Email: rikal@jewishcayman.com Web: www. chabadcaymanislands.com Offer an array of afternoon classes for children aged 1-13. From Hebrew Reading and Jewish history to Judaic art music and more, the Cayman Hebrew School provides creative opportunities for students to explore their Jewish identities.

MUSLIM SERVICES Islamic Society of The Cayman Islands Unit C3, Cayman Business Park, 10A Huldah Avenue, George Town. Web: www.isci.org. ky Tel: (345) 329 2079, Email: isci@candw. ky Friday Jummah Services at 1pm; Children's Sunday School 10am.

Watersports Operators Action Watersports Cayman Islands Yacht Club. Tel: (345) 548 3147 Email: reservationsactionwatersports@ gmail.com Web: www.ciactionmarine.com Waverunner tours and rentals for thrill seekers. Operating by reservation only. All Aboard Charters Cayman Islands Yacht Club. Tel: (345) 922 2177 Email: info@allaboardcharters.ky Web: www.allaboardcharters.ky Private boat charters with tours to Stingray City and around the North Sound. [Services suspended until borders open]. Cayman Kayaks Tel: (345) 926 4467 Web: www.caymankayaks. com Cayman Kayaks run wonderful bioluminescence tours by kayak and electriccatamaran in the bio bay near Rum Point when the moon is very new. They also point out various constellations in the night sky and the science behind the bioluminescence. It is an ideal thing to do with children aged 8 and up. Cayman Sea Elements Dock C4, Cayman Islands Yacht Club. Tel: (345) 936 8687 Email: caymansea@gmail.com Web: www.caymanseaelements.com They offer mangrove kayak, bioluminescent and Stingray City tours plus in the school holidays they team up with Clever Fish and run the watersports

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side of their educational/adventure camps. Cayman Stand Up Paddle Co. (CSUPco) Tel: (345) 938 4787 Email: info@ caymanstanduppaddleco.ky Web: www. caymanstanduppaddleco.ky Paddleboard rentals. A great activity for families. CSUPco will deliver the boards to you and offer a quick lesson. Dolphin Discovery North West Point Road, West Bay. Tel: (345) 769 7946 Web: www.dolphindiscovery.com/ grand-cayman Dolphin adventures suitable for children. Kitesurf Cayman Barker's Beach, West Bay. Tel: (345) 916 5483 Email: info@kitesurfcayman.com Web: www. kitesurfcayman.com Suitable for children aged nine and above who can swim. They offer kite surfing and wind surfing lessons and they hold wonderful morning and/or afternoon summer camps in the school holidays. Ocean Frontiers 344 Austin Conolly Dr, East End. Tel: (345) 640 7500 Email: info@oceanfrontiers.com Web: www.oceanfrontiers.com A variety of smallgroup snorkel trips which are great for families. Oh Boy Charters 292 Raleigh Quay, Governors Harbour. Tel: (345) 326 4967 (Charles) Email: ohboywatersports@gmail.com Web: www. ohboywatersports.com Fully customisable boat trips plus fishing, snorkelling and sunset charters.

Sports Clothing & Equipment Activ Angels 10 Market Street, Camana Bay. Tel: (345) 946 2645 Web: www.activangels.com Email: info@ activangels.com A large selection of swimwear and sun protection tops for children. Bliss Living Yoga Marquee Plaza, Lawrence Blvd. Tel: (345) 949 9642 Web: www.blissyogacayman.com. Sells Lululemon, Manduka and Dharma Bums yoga wear and equipment. Sports Supply Galleria Plaza, West Bay Road. Tel: (345) 949 7884 Web: www.sportssupply.ky Offers clothing for football, yoga, tennis and general fitness. Brands include Nike, Adidas, Asics, Champion and Under Armour. They also stock watersports equipment and home gym equipment. Sportista One Nexus Way, Camana Bay. Tel: (345) 926 1122 Clothing and accessories from top sporting brands.

Parasailing Professionals Seven Mile Beach. Tel: (345) 916 2953 Web: www.parasailgrandcayman.com Parasailing rides along Seven Mile Beach. Minimum age is five years, when accompanied by a parent.

Waterman Cayman Galleria Plaza, West Bay Road. Tel: (345) 769 7873 Sells equipment and clothing for watersports such as paddleboarding, surfing and kiteboarding.

Point Blue Sailing Boats leave from Camana Bay, Barcadere and Kaibo. Tel: (345) 925 7772 Email: dean@pointbluesailing.ky Web: www. pointbluesailing.ky Luxury private sailing charters that can be customised to you and your family’s needs.

Diving Courses

Red Sail Sports Located at the Kimpton, Camana Bay, Westin Beach Resort, Marriott Beach Resort, Rum Point and Morritt's Tortuga Resort. Tel: (345) 623 5965 Email: info@redsailcayman.com Web: www.redsailcayman.com Banana boat rides, sailing and diving. Beach toys available for rent. Sail Cayman Cayman Islands Yacht Club. Tel: (345) 916 4333 Email: neil@sailcayman.com Web: www. sailcayman.com A full service private charter company offering a variety of sail and power boat excursions, all suitable for families. Bioluminescence charters are also available. Soto’s Cruises 120 Palm Heights Drive, SMB. Tel: (345) 945 4576 Email: scruises@candw.ky Web: www. sotoscruises.com Guided snorkelling boat tours suitable for families.

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White Sand Water Sports Located at the Wyndham Reef Resort, East End and the Holiday Inn, Crighton Drive, Seven Mile Beach. Tel: (345) 938 7263 Email: whitesandwatersports@gmail.com Web: www.whitesandwatersports.com Family friendly activities including snorkel and kayak tours, stand-up-paddleboarding and hobie cat sailing.

Cayman Parent Magazine | School Age

Local diving companies offer a number of programmes for children, who can become PADI certified (Junior Open Water Diver) as early as age 10. Those who are younger have several options: the Bubblemaker programme is available to 8-9 year olds, and is a chance for them to try out scuba gear in the confines of a pool under the supervision of a qualified instructor. For children aged 5-8 years, there is S.A.S.Y (Supplied Air Snorkelling for Youth). This is for surface snorkelling only, but participants wear buoyancy jackets and regulators so they can feel what it might be like to use dive gear. Ambassador Divers Palm Heights Resort, Seven Mile Beach. Tel: (345) 916 1064 Email: ambassadordiverscayman@ gmail.com Web: www.ambassadordivers.com Various dive courses and boat dives. Divetech Lighthouse Point, North West Point Road, West Bay. Tel: (345) 946 5658 Email: info@divetech. com Web: www.divetech.com They offer the S.A.S.Y. training to children aged six and up. Eden Rock Diving Center 124 South Church Street, George Town. Tel:

(345) 949 7243 Email: info@edenrockdive.com Web: www.edenrockdive.com Full range of dive courses, guided dives, snorkelling and great shore diving. Red Sail Sports Tel: (345) 623 5965 Email: info@redsailcayman. com Web: www.redsailcayman.com They offer the Bubblemaker programme for 8-9 year olds. Sunset Divers 390 South Church Street, George Town. Tel: (345) 946 6789 Web: www.sunsethouse. com They offer various dive courses plus boat and shore dives along with dive photography courses. Wall to Wall Diving Lobster Pot Dive Centre, 245 North Church Street, George Town. Tel: (345) 916 6408 Web: www.walltowalldiving.com Email: info@ walltowalldiving.com A range of dive courses, boat dives and private charters. White Sand Watersports Located at The Wyndham Reef Resort & Colliers Beach East End and the Holiday Inn, Crighton Drive, Seven Mile Beach. Tel: (345) 938 7263. Web: www.whitesandwatersports.com Boat tours, snorkel trips, jet skis, kayaks and more.

Parties

CATERING

Cooking for a crowd can be challenging! Save money, stress and offer a versatile menu by hiring a catering company for your next event. The Cake Studio Tel: (345) 926 4944 Email: thecakestudio@ ymail.com Web: www.thecakestudiocayman. com. Carousel Creative Catering Tel: (345) 946 0926 Email: orders@carousel.ky Web: www.carousel.ky. Domino's Pizza Tel: George Town (345) 949 8282, Savannah (345) 947 1188, West Bay (345) 949 6633 Web: www.dominos.ky Party specials with pizza, chicken wings, pastas, sandwiches and glutenfree options. Foster’s Tel: (345) 945 3663 Email: catering@fostersiga.com Web: www.fosters.ky A wide selection of party platters, fruit baskets and cakes. Hurley’s Supermarket Tel: (345) 947 8488 Web: hurleys.ky Party trays, sushi, cakes and pizzas. Kirk Market Tel: (345) 949 7022 Email: delivery@ kirkmarket.ky Web: www.kirkmarket.ky Catering services including gourmet appetisers, sandwiches, wraps, snacks and desserts. Mise en Place Tel: (345) 623 2433 Email: info@catering.ky Web: www.catering.ky Catering for birthday parties, baby showers and other celebrations, large or small. Also offers custom-made cakes.

Petit Paris French Bakery Tel: (345) 328 4000 Email: info@ppcayman. com Web: www.ppcayman.com Catering for every occasion, large or small with sandwiches, baguettes, salads, cakes and more. Scratch Gourmet Desserts Tel: (345) 923 0081 Email: scratchgourmetdesserts.com Web: scratchgourmetdesserts.com doughnuts and French macaroons.

hello@ www. Cakes,

Treats Tel: (345) 945 4262 Email: treatsrestaurant@ gmail.com Web: www.treats.ky Catering for all types of parties.

Partybooth Cayman Tel: (345) 926 4100 Email: partyboothcayman@ yahoo.com Web: www.partyboothcayman. com Customised photo booths for parties and events. A range of props and party packs are also available.

Beach & Park Cabanas Tel: (345) 949 2547 Email: pwdadmin@gov.ky Web: www.publicworks.gov.ky (look under 'Reservations') Cabanas are free to hire on public beaches and in local parks. However, bookings are required.

Shilpa’s Creative Unique Arts Tel: (345) 927 1763 Email: tshilpa74@gmail. com Web: www.shilpasuniqueart.com Henna tattoos, face painting and arts and crafts activities and classes.

Black Pearl Skate Park Grand Harbour, Red Bay. Tel: (345) 939 1301 Email: info@blackpearl.ky Web: www. blackpearl.ky The skate park can be hired for fun and games. Equipment rental and food packages available.

FANCY DRESS & PARTY SHOPS

AI Rentals Tel: (345) 946 4935 Email: info@ai-rentals.com Web: www.ai-rentals.com.

EVENT PLANNING

Art'y Parties 6 Devon Road, Prospect. Tel: (345) 928 0284 Email: artypartiescayman@yahoo.com Web: www.artypartiescayman.com They offer customisable art parties as well as face painting and airbrushed tattoos. In the school holidays they offer art camps.

Celebrations Tel: (345) 623 2044 Email: customerservice@ celebrationsltd.com Web: www.celebrationsltd. com.

It’s Your Party Bodden Place, Shedden Road, George Town. Tel: (345) 946 4453 Email: sherleenduval@gmail. com Web: www.itsyourparty.ky.

Massive Equipment 134 Industrial Way, Airport Industrial Park. Tel: (345) 949 7990 Email: info@massivegroup.com Web: www.massivegroup.com .

Party Mania Dorcy Drive, Foster's Airport Center, George Town. Tel: (345) 945 3268 Email: caypartymania@gmail.com Party decorations, balloons, piñatas and costumes.

Poppet Studio 33 Eclipse Drive, Eastern Avenue. Tel: (345) 926 2551 Email: thepoppetstudio@gmail.com.

FLORISTS

Fresh flowers can add just the right touch to any occasion. Let Cayman's floral experts guide you in selecting the perfect flowers based on your budget, season and price. The supermarkets all sell flowers and some, like Kirk Market, have a 'flower bar' where they can make beautiful arrangements for you. Celebrations Tel: (345) 623 2044 Web: www.celebrationsltd. com. Every Bloomin’ Thing 384 Crewe Road, George Town. Tel: (345) 945 1701 Email: floral@ebt.com.ky Web: www.ebt. com.ky. Kirk Market 413 Eastern Avenue, George Town. Tel: (345) 949 7022 Ext 151 Web: www.kirkmarket.ky Email: TheFlorist@ksl.ky The florist station at Kirk Market is open Monday-Saturday 8am5pm. Trisha’s Roses North Church Street, GT. Tel: (345) 949 2423 Email: moments@candw.ky Web: www. trishasroses.com.

PARTY ENTERTAINMENT

Balloonimals345 Tel: (345) 917 7757 Email: balloonimals345@ gmail.com Balloon animals and face painting available for private parties and public events. Cayman Face Painting/Joan Ebanks Tel: (345) 922 6407 Email: kyfacepainters@ gmail.com Provides fun and creative face painting.

Party Source Paddington Place, George Town. Tel: (345) 947 2789 Email: party.source@hotmail.com Web: www.partysource.ky. PartyVille 38 North Sound Road, Plaza Venezia. Tel: (345) 943 8455 Email: partyvilleltd@gmail.com Web: www.facebook.com/thepartyvillegcm/ Party supplies for all events including decorations, table wear, costumes, balloons, bouncy castles, face painting and more. They also offer a party planning service.

DESIGN YOUR OWN COSTUME

Super Stitch Sewing and Fabric Centre Tel: (345) 949 2833 Email: customercare@ superstitch.com.ky Web: superstitch.com.ky. Creative Fashion & Design Tel: (345) 949 0034 Email: creativefashionanddesign.com Web: creativefashionanddesign.com.

info@ www.

PARTY VENUES

3 Girls & A Kiln 39 Market Street, Camana Bay. Tel: (345) 640 9990 Email: 3girlsandakiln@gmail.com Web: www.3girlsandakiln.com. Art Nest 80 Shedden Road, George Town. Tel: (345) 927 2258 Email: events@artnestcayman.com Web: www.artnestcayman.com. Art’y Parties 6 Devon Road, Prospect. Tel: (345) 928 0284 Email: artypartiescayman@yahoo. com Web: www.artypartiescayman.com Various packages are available which include art projects, music, dancing, food, gift bags, decorations and more.

Bon Vivant Market Street, Camana Bay. Tel: (345) 623 2665 Email: info@bonvivant.ky Web: www. bonvivant.ky Fun and interactive cooking parties where kids will prepare a child-friendly meal from scratch. Cayman Riding School Hirst Road, Savannah. Tel: (345) 926 7669 Email: caymanridingschool@gmail.com They host memorable birthday parties which include riding, games, party supervision, a gazebo to host the cake cutting and the pièce de résistance - a pool in the back of a truck! Cayman Turtle Centre 786 North West Point Road, West Bay. Tel: (345) 949 3894 Email: info@turtle.ky Web: www.turtle.ky Parties offering interactive games, activities and music. Equestrian Center Linford Pierson Hwy, George Town. Tel: (345) 516 1751 Email: info@equestriancenter.ky Web: www.equestriancenter.ky Kids parties include pony rides, access to the petting zoo, staff supervision and picnic areas. Kimpton Seafire Resort & Spa Tel: (345) 746 4048 Email: campseafire@ seafireresortandspa.com Waterslides, watersports, bouncy castles to face painting and magicians to movies under the stars. King’s Sports Centre Crewe Road, George Town. Tel: (345) 946 5464 Email: kings@candw.ky Web: www. kingssportscentre.com Bowling and roller/ in-line skating parties. They also offer multipurpose rooms to host events and parties. Food and drink packages available. Motions Unlimited Gymnastics Studio Sparky Drive, Industrial Park. Tel: (345) 749 8365 Email: info@motionsunlimited.com Children’s parties held on Saturday afternoons. Make sure to book in advance as they are a very popular venue and get booked up months in advance. National Gallery Esterley Tibbetts Highway, south of Camana Bay. Tel: (345) 945 8111 Email: events@nationalgallery.org.ky Web: www. nationalgallery.org.ky Themed parties with art activities, play area, games, staff supervision and food options. Pedro St. James Pedro Castle Road, Savannah. Tel: (345) 947 3329 Email: info@pedrostjames.ky Web: www.pedrostjames.ky Several lawn areas and a playground available to rent. Pirate and

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princesses tea parties available. Food can be provided or parents bring their own. Kids can watch the theatre show, take part in nature and trails, and explore the 18th Century Great House. The Ritz-Carlton Grand Cayman West Bay Road, Seven Mile Beach. Tel: (345) 943 9000 Web: www. ritzcarlton.com/en/hotels/caribbean/grand-cayman Birthday parties are available to residents at Starfish Cay Waterpark, The Courts and Ambassadors of the Environment. The package usually includes food and drinks at the water park. Yoga Sprouts Tel: (345) 326 9876 Email: yogasproutscayman@gmail.com Web: www. yogasproutscayman.com Party packages include yoga, craft activities, supervision, food and drinks. Parties can be hosted.

Photographers Creations Unlimited Tel: (345) 326 1557 Email: lucy@creations.ky Web: www.creations.ky Parties, newborn, maternity and family photography. Cathy Church's Photo Centre Sunset House, South Church Street, South Sound. Tel: (345) 949 7415 Email: info@caymanphotographers.com Web: www.cathychurch.com Photography for parties, maternity, newborn, families and more. Daria Keenan Photography Email: daria@pinkpalmstudio.com Web: www.dariakeenan.com Daria captures genuine, joyful, sunkissed portraits. Maternity, newborn and family photography. Deep Blue Images 13 Caymanian Village, North Sound Road, George Town. Tel: (345) 916 0016 Email: info@deepblueimages.com Web: www.deepblueimages.com Family, children and event photography.

Lisa Reid Photography/Blank Canvas Ltd Tel: (345) 916 2239 Email: lisa@lisareidphotography.com Web: www. lisereidphotography.com Photography for families, children, couples, birthday parties and events. Rebecca Davidson Photography Tel: (345) 916 1654 Email: rebecca@rebeccadavidson.com Web: www. rebeccadavidson.com Corporate (including 360 shots for real estate properties), maternity, newborn and family photography.

Voluntary Organisations For more information on some of the volunteer activities listed here, please see pages 250-251. Acts of Random Kindness (ARK) Tel: (345) 323 0719 Email: taranielson@arkcayman.com Web: www. arkcayman.org Helps the underprivileged and those affected by illness, economic hardship and personal misfortune. CARE - Cayman Animal Rescue Enthusiasts Tel: (345) 938 2273 Email: info@caymancare.ky Web: www.caymancare. ky. Volunteers are always needed. Cayman Islands Cancer Society 114 Maple Road (near CI Hospital), GT. Tel: (345) 949 7618 Email: info@cics. ky Web: www.cics.ky. Office open 9am-4pm Monday-Friday. Cayman Islands Humane Society 153 North Sound Road, George Town. Tel: (345) 949 1461 Email: info@caymanislandshumanesociety.com Web: www. caymanislandshumanesociety.com. Volunteers are always needed to walk dogs and help sort out the books in the Book Loft. Red Cross Thrift Shop 34 Huldah Avenue, George Town. Tel: (345) 949 7467 Email: shop@ redcross.org.ky Web: www.redcross.org.ky. Meals on Wheels Tel: (345) 769 1974 or (345) 546 8886 Email: info@mealsonwheels.ky Web: www.mealsonwheels.ky. The Pines Retirement Home 60 Pines Drive, GT Tel: (345) 949 5650 Email: info@thepinescayman.com Web: www.thepinescayman.com.

Teen Leadership Training For more information on leadership training, turn to page 283 or visit CaymanParent.com.

Children enrolled with BBBS are

52% less likely to skip school

B8 Trafalgar Place West Bay Road Grand Cayman

270

1 345 325 9661 info@bbbs.ky www.bbbs.ky

Cayman Parent Magazine | School Age

Girlguiding Cayman Islands Email: ggcimarketing@gmail.com Web: www.girlguidingcaymanislands. ky Girlguiding groups include Rainbows (5-7yrs), Brownies (7-10), Guides (10-14), Rangers (14+). Scouts Association Tel: (345) 949 1515 Email: ciscouts@candw.ky Scout groups include Beavers (6-8yrs), Cub Scouts (8-11yrs) and Scouts (11-19yrs). YMCA Cayman Islands Tel: (345) 926 9622 Email: info@ymcacayman.ky Web: www. ymcacayman.ky/programmes/y-day-camps A variety of after school programmes, sports and summer camps that instil the YMCA’s core values of honesty, care, respect, responsibility and faith. The Y offers camp programmes the entire summer and anytime schools are on break for ages 5-12 and a Counsellors-in-Training programme for teens aged 13-17. They also have the Ropes Challenge Course which can host birthday parties.

Tell them you saw it in

CAYMAN PARENT

Adolescence

Having 'the talk', credit lessons, activities for teens and more...

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p272

Young Adult Q&As

Disordered Eating

p274

Managing Credit for Teens

Contents

Part-Time Jobs for Teens

Parenting the Next Generation p276

Interview Tips

p289

p281

Learning to Drive & Rules of the Road

p290

p282

Adolescence Book Club

p292

The Listings

p293

Having 'The Talk'

p280

Low Cost & Free Activities for Adolescents

p286 p288

p279

The Importance of Work Experience

Teen Sports & Injuries Menstruation 101

p284

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Part-Time Jobs

for Teens

If you’ve reached that point where you’re starting to feel like your teenager’s personal ATM – regularly dispensing cash for new clothes, movie tickets or pizzas – it may be time for them to start earning their own money. Part-time jobs are a time-honoured tradition, even something of a rite of passage, for teenagers. Many students get their first jobs while in high school and continue to work part-time throughout their college years. Whether it’s merely for pocket money or to fund a major life goal, gainful employment puts more than cash in their pockets: it arms them with important life skills that will serve them in years to come.

Benefits of a part-time job

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For the vast majority of us, adulthood entails working for several decades – so introducing your children to the reality of finding and keeping a job is the best way to prepare them for that certainty. More than that though, securing work and earning an income can benefit teens in multiple ways.

Money management: Once teens start earning, money takes on a new meaning. Rather than simply asking for cash when they want to purchase something, they will start to relate the cost to hours of their time: a $150 pair of shoes suddenly represents 15 hours of their time at a $10/hour job – or a full weekend working. Being able to buy things with money they have earned themselves offers a different level of satisfaction and a greater appreciation for the value of money. Having an income also teaches you how to manage it: this is a chance not only to learn about the practicalities of opening a bank account, but also to budget, allocating portions to different outgoings or saving for their college fund. Responsibility: Beyond financial responsibility, being employed instils allround responsibility in adolescents. They will be expected to be punctual, and depending on the work, they may be expected to deal directly with customers, to handle cash or to work as a team. Knowing that their performance directly affects the business’s overall reputation and success is a sound introduction to responsibility. Work experience: It’s an age old conundrum: if businesses only employ people with experience, how do you ever get experience? Traditional teen jobs (see opposite page) often don’t require experience and thus provide that all-important first step into employment. And of course, having work experience is a

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big plus for their resumes, college applications and future job applications. Insight into jobs and industries: Work experience exposes young adults to different industries and roles, from customer-facing roles or working with kids to office-based positions. If they enjoy the role, it might prove a stepping stone and a chance to make professional contacts; and if they don’t, at the very least it helps them rule out industries they don’t want to work in.

When a part-time job is not right

Although there are studies that show students who work less than 15 hours per week get better grades in school, the reverse may be true when students work more than 15 hours per week. A part-time job might not be a good idea if: • their grades suffer as a result of working • the time demands of a job oblige them to give up extracurricular activities • they are not motivated or interested in the job – in this case volunteering with an organisation that aligns with their passions may be more rewarding • they are prone to anxiety or stress and risk being overwhelmed by the responsibility • they may spend the money on things like alcohol or cigarettes

Is your teen ready for a job?

Children mature at different rates, and while some may be ready for a part-time job at 14, others will still struggle at 17. Signs that your child is ready to work are: • Timekeeping Can your child manage their time responsibly? A teen who regularly oversleeps, misses the school bus or is late for class is unlikely to be punctual at work. • Communications Skills Does your teen communicate clearly? Is he/she comfortable conversing with adults? Most jobs will require them to speak to colleagues, superiors and customers in a professional manner. Teens who are nervous around adults or are afraid to ask questions may not be ready for the workplace. • Awareness Does your child dress appropriately for a

situation, arrive prepared with the materials they need, and show a professional demeanour? These are all positive signs - but if they tend to go to school looking unkempt, forget their homework or have a tendency to get into trouble, they may not yet be ready for the responsibility of a job. Of course, these are not deal-breakers: in some instances the responsibility of a job may be the incentive they need to behave more maturely. Ultimately, your teen has to want to work. If they are reluctant to apply for jobs or go to work, they are unlikely to make a good impression, perform well or to get positive references.

What jobs are available to teens in Cayman?

Per the law, non-Caymanians can only seek gainful occupation in the Cayman Islands with a Work Permit – which legally will not be granted under the age of 18. Children who fall within this category are still able to pursue unpaid volunteer opportunities, lots of which can be found on page 250. For Caymanian children, there are lots of parttime positions regularly made available to high schoolers and college-aged students. We have listed some popular options here. Another option for Caymanian children is paid internships. For more information on obtaining an internship, see page 288.

Babysitting: Babysitting is a good option for those looking for casual work that they can accept or decline depending on other commitments. Babysitting requires a certain level of responsibility and suits those who enjoy spending time with children. Start by asking neighbours, family, and friends if they need help with little ones. Teens can also look on Ecaytrade.com under ‘Domestic Help’ for babysitting opportunities. Dog Walking: For those who like animals, walking dogs or pet sitting can be a good source of casual work. Busy professionals who lack the time to walk their dogs or do other tasks around the home and garden may be willing to pay teens to help out. Ask friends and neighbours if they have any leads or consider placing an advertisement on Ecaytrade.com.

Retail Associates/Servers: Saturdays are busy shopping days and retail outlets often take on extra staff at weekends and around the holidays. Jobs in retail give teens experience in customer relations, cash handling, stock keeping and inventory, among others. • Camana Bay – Next Chapter (info@nextchapter.ky) / Forever Summer (info@foreversummer.com) / 3 Girls and a Kiln (3girlsandakiln@gmail.com) • Funky Monkey – Tel: (345) 943 8659, email: Jodi@ funkymonkeycayman.com • Cathy Church’s Photo Centre – Tel: (345) 949 7415, www.cathychurch.com • Eats Café/Legendz – www.eats.ky, email: eatscafe@ gmail.com Tutoring: Students with an aptitude for maths, science, English or languages may be well placed to help younger students who require extra help with their studies. As well as in-person tutoring, there are numerous online tutoring sites that take on college students. • Ecaytrade.com – www.ecaytrade.com or Browse online tutoring opportunities in over 100 subjects on www.preply.com/en/teach. • YMCA Cayman – www.ymcacayman.ky/careers/ General application online

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Grocery Bagger: Most major grocery stores take on students to bag groceries. This type of job requires no specific skills and will instil punctuality, customer service and responsibility. Teens looking for bagging jobs at grocery stores can approach any in-store manager with employment inquiries. • Hurley's – Tel: (345) 947 8488, www.hurleys.ky/ jobs/ → General Online Application • Foster's – Tel: (345) 945 7283, www.foster.ky/needhelp/about/careers/ → General Online Application

Reception: Hair salons and spas tend to be busier at the weekend and often take on students to help on reception during these times. A great option for those interested in the health and beauty industry, and who like interacting with customers. Reach out to local salons or spas in your area to express your interest in a part-time position. • Focus Hair Salon – Tel: (345) 943 6287, www. focussalon.com, Email: focus@candw.ky

Online Jobs: For teens who are tech-savvy there are numerous ways to earn some extra cash online. For those with an artistic eye, there is always demand for website and graphic design, and for those who love to share their opinions there are plenty of sites that pay teens to complete online surveys – or they could start their own blog or vlog. • Swagbucks – www.swagbucks.com – Fill out surveys for cash • Blogging can turn lucrative once you gain a following. Get started on www.wix.com or www.wordpress.com The ‘Job’ section on Ecaytrade.com is a good resource for all of the above areas of work. Some companies and people seeking employees for small businesses will also advertise there. However, remember that advertising your paid services on Ecaytrade.com is only legal if you have the right to work in the Cayman Islands, i.e. Caymanians and/ or Work Permit holders.

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Disordered Eating

What is Disordered Eating?

Eating disorders are complex mental illnesses that involve different types of disordered behaviour surrounding food consumption. These behaviours might mean that a person either limits the amount of food eaten, eats very large quantities of food at once, purges what they have eaten, misuses laxatives, fasts, engages in excessive exercise or perhaps presents with a combination of all of these behaviours.

Anorexia nervosa and bulimia nervosa are likely the most wellknown forms of disordered eating. However, other examples include binge eating disorder, avoidant/restrictive food intake disorder (ARFID) and purging disorder – which presents itself without binge eating behaviours. Eating disorders are not always easy to identify and can present themselves quite differently from person to person. Although eating disorders tend to be more common among females and teenagers, disordered eating can develop at any age and is becoming increasingly more prevalent among males, perhaps due to growing social pressures.

What Can Cause it?

While there are a variety of factors which can increase the risk of developing an eating disorder, it is vital to remember that an

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eating disorder is often not about food itself. It is a mental illness. Your psychological and emotional health plays a role, as can cultural pressures and messaging purported by the media. People with eating disorders often also suffer with anxiety, depression, and/or obsessive-compulsive disorders. Disordered eating then becomes a way to cope with underlying stressors and pressures, such as the perceived need to be ‘thin’. There is some evidence to suggest eating disorders can be hereditary. Higher rates of eating disorders are reported among those with a genetic disposition to perfectionism and sensitivity. Still, ultimately eating disorders can affect anyone of any age, gender, or background and they are NOT the fault of the person suffering.

Symptoms of Disordered Eating

Quite often a seemingly healthy person could be suffering privately from an eating disorder. There are some changes in behaviour that may be noticeable before you see changes in physical appearance. While some indicators may be specific to a certain eating disorder, generally you should remain on the lookout for the following signs and symptoms which suggest there could be an issue: • Saying they have eaten earlier or will eat later, or that they have eaten more than they have

• Strict dieting and avoiding food they think is fattening • Obsessive and/or rigid behaviour, particularly around food, i.e. counting calories, eating each type of food separately on a plate etc. • Avoiding eating with other people • Taking appetite suppressants, such as slimming teas or diet pills • Irritability • Excessive exercising – this might also include exercising when not physically well enough to do so or feeling guilty or anxious about not exercising • Social withdrawal and isolation • Distorted perception of body shape or weight, e.g. thinking they are much larger than they are • Minimising the seriousness of the problem or not believing there is a problem at all, even after diagnosis.

Complications

Eating disorders affect a person’s physical and emotional health, and complications can be fatal. Some potentially dangerous developments include: Anaemia Heart issues Electrolyte imbalance Loss of period (females) Decreased testosterone (males) Gastrointestinal issues Kidney issues

There are a few steps that can be taken to try to prevent disordered eating habits taking root, or to avoid a future relapse. Promoting a positive narrative around eating habits and body image is a good place to start. Discuss with your children why fuelling our bodies with food is important; be weary of how you speak about your own body and eating habits around your children, and reject the idea of there being an ‘ideal’ body type. For more information on managing and overcoming eating disorders, please refer to the resources listed below.

Diagnosis and Treatment

Unfortunately, many people who suffer with disordered eating may initially reject help. If you are at all worried about yourself or someone else, seek professional support as soon as possible. It is best to first approach your GP about any concerns. Your GP will typically run several tests, including a physical exam, lab tests, and a psychological evaluation. Generally, treatment is managed by taking a team approach with help from doctors, mental health professionals and dietitians collectively. That being said, treatment plans are highly individualised, and a trained professional will advise on what is the best route to take. For a comprehensive list of trained professionals who can offer guidance and treatment for eating disorders, please turn to page 152. In most cases eating disorders can be treated in outpatient facilities. More intensive treatment in an inpatient unit might become necessary if the condition worsens.

Recovery and Prevention

The road to recovery from an eating disorder is unique to each person. However, with the right treatment plan and support –

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• • • • • • •

recovery (whatever that means to the individual) is possible.

Useful Resources If you or someone you know is suffering with an eating disorder it is important to seek professional help. Contact your GP first for more information. The following websites can also provide further insight and help for eating disorders: • www.beateatingdisorders.org.uk • www.nedc.com.au • www.nice.org.uk/guidance/ng69/ifp/chapter/ Eating-disorders-the-care-you-should-expect • www.anorexiabulimiacare.org.uk • www.canped.ca • www.aroundthedinnertable.org

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Parenting the

Next Generation

ADOLESCENCE

Parenting teens is challenging. Where previously the markers of a good parent principally involved providing for your children and raising them up to be respectful and responsible adults, the yardstick for positive parenting has since gained some new notches. Raising the next generation introduces a new set of challenges and parents have had to adapt.

The bumpy and oftentimes challenging terrain that is the reality of raising a teenager has always left parents struggling to gain a foothold. According to science, there is good reason for this. Developmentally, the brain starts to undergo structural changes once you reach adolescence. Pair an actively changing brain and body with heightened levels of hormones, and you have conditions for the perfect storm. Although these issues are not new, the world that teens grow up in today, and the challenges they face, are so completely different from our own teenage experience that our reference book has been largely rendered useless. Thankfully, there are still some tried-and-true positive parenting techniques that can be incorporated to help remind parents that sunny skies are on the horizon.

New Challenges

It’s all too easy to dismiss your teen’s reactions and behaviours as part of the typical pubescent journey, but in order to better understand and empathise with their feelings, you must take a

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look at what teens nowadays are up against. Constant Digital Exposure The most obvious difference in the teenage experience today is the omnipresence of the internet. Digital developments mean screen-time is effectively all the time. If your teen is not staring at their laptop screen, they are scrolling on their smartphone, and if not chatting with friends, they need the internet for homework. Such pervasive use opens them up to every online experience, both positive and negative, and unfortunately the negative can be detrimental to teenagers. Exposure to cyber-bullying, unrealistic body expectations, violent and sexually explicit content are alarmingly commonplace and prey on teenagers’ vulnerability. There is also mounting pressure to share a perfectly filtered version of yourself online, which can leave teens feeling like they do not measure up against their peers. This is especially confusing during a time when they are trying to figure out their individual identity.

teen encountered something online which hurt their feelings, their reaction can come across as careless. As our children mature into teenagers, they become desperate to declare their autonomy and own their decision-making capabilities, and such parental tendencies become suffocating and can lead to

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Mounting Achievement Pressure A university education was once a bonus, nowadays it is an expectation. With an increase in applications comes increased competition and universities and colleges seek out wellrounded students: academics and extracurriculars are equally as important and the pressure to ‘do it all’ is very real. Parents list ‘sending my children to a good school’ as a primary child-rearing goal and go to great lengths to accomplish this. Although these aspirations come from a good place, they stoke the ever-growing achievement pressure that many children experience. Schools also feed into this culture with rigorous sports and academic programmes that promise admission to the top universities. While academic achievements deserve to be applauded, it becomes a problem when the drive to succeed eclipses your teen’s happiness. In many cases the balance is disrupted, and teens struggle to separate their individual desires from what their parents or teachers expect of them.

Positive Parenting Techniques

Equipped with some basic understanding of the present-day teenage experience, here are some tactics you can employ as a parent to help ease the burden.

Stop & Listen Parents are wired to revert into problem-solving mode when faced with an issue, however in doing so we often bypass ‘effective listening’ for ‘reactive listening’. Your haste to rationalise and offer solutions can quickly be misinterpreted as dismissal and can leave children feeling invalidated for their feelings. Even worse, if parents are quick to advise on an issue which they have no experience with themselves, i.e. your www.caymanparent.com

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teens bottling up their emotions instead. Alternatively, practising effective listening, whereby we fully offer up the stage for our child or teen to talk through their issues, uninterrupted, and allow them to come up with a solution on their own is empowering. Furthermore, it fosters a problemsolving approach which is an invaluable life skill. If your child seems uncertain of what they are feeling, feel free to prompt them by asking questions which encourage reflection, however, it is important to remain impartial from judgement, whether that be good or bad.

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Van Achterberg, founder of Capitol Hill Child Psychiatry in Washington, DC, urges parents to drop everything if their teens want to talk. “Put down your cell phone, computer, laundry or whatever pressing matters you have, because nothing is more important than hearing out your teenager when he/she wants to talk.” In cases where teens are not communicating enough, create the environment for a conversation to be sparked for you to relate to your teen. By making the effort to spend time talking to your teen every day, you will find that communicating with them about the 'big things' will become much easier. Parents can also find other chances to connect, such as watching a film or TV show together, playing sports or running through the highs and lows of the day at the dinner table. Adjust Your Approach to Discipline Providing your teens with greater autonomy as they grow essentially means learning a new way to care for them. Teens will naturally push for independence while parents instinctually tighten their grip when they feel their teen pulling away. It is the parent’s difficult, but necessary, responsibility to renegotiate their approach to parenting. Where previously parents maintained a very hands-on leadership role in their child’s life, teens require more breathing room as they transition into learning how to manage their own lives, and you take on more of a coaching position. Strike a balance and come to a mutual understanding that meets the needs of both parties: parents are ensured of their teen’s safety, while teens are given more room to exert their new-found judgement. However, increased freedom does not come without increased responsibility. If your teen makes a mistake (or intentionally breaks the rules), impose fair consequences which will serve as a reminder for what happens when they fail to act responsibly.

Things to Remember

Parenting your teen can often feel like flying blind, but there is some comfort in reminding yourself that no one has all the answers. Ultimately, the best thing you can do for your teen is provide a loving, supportive environment that allows them to develop into the best version of themselves they can be. TOP TIP: Turn to page 292 for a selection of the best literary and digital resources available for helping parents better understand the teenage brain.

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How to Stay Connected When your child was young, your role was to nurture and guide them. Now you might be finding that your relationship with your child is becoming more equal. How do you stay connected despite this? Communication is key. Maintain an open and trusting relationship with your adolescent by keeping all subjects on the table. Make yourself available to talk to so your teen knows they can approach you about a problem if needs be. Foster independence. Start giving teens more responsibility around the home and encouraging them to get a job or volunteer within the community. Know who your child’s friends are. Facilitate ways to get to know your child’s friends and their families to ensure they’re maintaining healthy relationships. Ensure you are a good role model. Teens gain a sense of the kind of adult they want to become from the adults they are surrounded by.

Remember that for all the stress that comes with parenting a teen, there are lots of 'eureka!' moments too. As your child grows and develops, so too does their personality, their passions and their commitments. Take time getting to know them.

Teen Sports & Injuries Why Exercise?

We all know that exercise is good for you, but it’s particularly great for teens! With life changing rapidly, new school pressures to deal with and bodies maturing into adulthood, there is never a more important time to reap the benefits of physical activity. Some of the upsides of exercise for teens include: •Relieving mental stress •Creating strong bones and muscles •Lowering body fat •Improved academic performance and memory •Reduced risk factors for health conditions including heart disease, obesity and Type 2 diabetes

Bear in mind that many sports and activities – e.g. running track, basketball and tennis – will touch on all three of these! TOP TIP: Team or group sports are particularly beneficial for teens, fostering respect, sportsmanship, leadership, cooperation and increased social confidence.

How to Decrease the Risk of Sports Injuries

While accidents do happen, there are a number of things you and your child can do to reduce the risk of them damaging themselves: •Talk to your child and let them know that they should always tell an adult and stop doing the activity if something hurts or doesn’t feel right. Don’t encourage kids to tough it out and push through. •Encourage your teens to play a variety of sports and take part in a range of different exercise options so that they’re not continually putting strain on the same muscles and joints. •Ensure they are aware of the importance of warming up. A few stretches before playing sport or working out can make all the difference to avoiding mid-session injuries. •Provide a healthy well-balanced diet full of fruits, vegetables, lean proteins and maintain a regular eating schedule.

•Hydration is always important before, during and after exercise, but in Cayman this is even more critical. Parents should keep an eye out for symptoms of heat-related illness, such as fatigue, nausea, vomiting, confusion or fainting. Don’t forget to apply high factor sunscreen before playing sports outdoors. •Make sure your child has the right equipment. Good quality footwear that is appropriate for the exercise your child is doing is key, as is protective equipment like helmets and pads.

When to See a Sports Medicine Doctor

Lots of sports injuries can be treated at home – for example the RICE treatment for sprains and strains (Rest, Ice, Compression, Elevation) – however, there may sometimes be signs that you need to seek professional medical help. These include: •Consistent pain during or after sports •Persistent or new swelling around a joint •Recurrent instability – joints 'give way' •Pain that is not alleviated by a period of active rest •A suspected break or serious injury.

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The guidelines for teen exercise recommend 60 minutes of moderate to vigorous exercise every day. The types of exercise should include: •Aerobic Exercise: Vigorous-intensity exercise, such as athletic team sports like football or running, should take place at least three days a week. •Muscle-strengthening: Muscle-strengthening activities, such as lunges or planks, should take place at least three days a week. •Bone-strengthening: Bone-strengthening activities, such as jumping rope or climbing stairs, should take place at least three days a week.

For a list of professionals who offer sports rehabilitation services, turn to page 164. PLEASE NOTE: It’s important for parents to be aware of the symptoms of concussion. These include headache, nausea, balance problems or dizziness, double or fuzzy vision, sensitivity to light or noise, feeling sluggish or groggy, concentration or memory problems, confusion. Seek medical attention straight away if your teen displays or mentions any of these symptoms after a head injury.

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Having The Talk According to an Adolescent Health and Sexuality Survey conducted among 15-19 year olds in the Cayman Islands, the average age at which children become sexually active is 14. At the same time, only 27.8% of participants felt comfortable sharing their sexual health concerns with a health care professional, while the majority of those surveyed had not discussed sex or contraception at all with a parent or trusted guardian. protect against sexually transmitted diseases (STDs). If your teen is sexually active, they need to be taking steps to ensure that they are staying safe. Talk to your teen about their options and the pros and cons of each to determine which birth control best suits their individual needs. Some factors to consider when discussing contraceptive methods include whether they want to take it daily, existing health issues such as a predisposition to migraines or a family history of high blood pressure, and any potential side effects.

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Some common birth control methods include: • Condoms: Condoms are the most widely used birth control method available. If used correctly, condoms are 98% effective in protecting against pregnancies and STDs, such as HIV/AIDS. Condoms can also be used in conjunction with other methods of birth control to increase their effectiveness.

'The Talk'

Talking to your children about sex can be a tricky subject to navigate. However, it is often our first encounter with the topic which shapes our views on it. Creating a precedence for openness and honesty when discussing sex and sexual health is setting the stage for safe sex practices that will follow children into adulthood.

What Age is the Right Age to Initiate 'The Talk'?

There isn’t one definitive answer to this question and all the bases don’t have to be covered in a single conversation. In fact, 'The Talk' should be the start of an ongoing and positive sexual health dialogue in your household. With that in mind, try to meet your child where they are. Consider the developmental context when responding to questions: the information a sevenyear-old is looking for is likely very different to what a 13-yearold wants to know.

Birth Control

Birth control, also known as contraception, helps protect against unwanted pregnancies and certain methods can also

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• Oral Contraceptive Pills: Commonly referred to as ‘the pill’, contraceptive pills contain hormones which prevent women from ovulating. If taken at the same time every day birth control pills can be very effective in preventing pregnancy. It is important to note that the birth control pill does not protect against STDs. • Long-Acting Reversible Contraceptives: For example, injections, implants or intrauterine devices (IUDs). You can get copper IUDs or hormonal IUDs (Mirena). These do not protect the user against STDs. Free condoms are available at all District Health Clinics, the Cayman Islands’ Red Cross, The Cayman AIDS Foundation and at the UCCI Student Services. Any other form of birth control requires a doctor’s appointment.

Sexual Health

All District Clinics, the Women’s Health Centre and OceanMed (Tel: (345) 946 2326) provide information on sexual health and STD screening. Dr. Heidi Fahy at Cayman Clinic (Tel: (345) 949 7400) specialises in women’s health and family planning. The Cayman Islands Health Services Authority provides free HIV and Syphilis testing at the Red Cross every Tuesday, 9am1pm.

Menstruation 101 A girl’s first period is a major milestone that marks the shift from girlhood to womanhood. However, it can also be a scary and confusing experience if she is unsure of what to expect. – Dr Lisa Joels Understanding What is Happening

Menstruation, commonly referred to as your period, signifies the start of a female’s menstrual cycle when a woman bleeds for anywhere between 3 to 8 days. A cycle begins on the first day of one period and ends on the first day of the following period. This timeframe is around 21 to 28 days. During the menstrual cycle, an egg is released by one of two ovaries, which then travels to the uterus through one of the fallopian tubes. Body tissue and blood cells form a thin layer of material on the walls of the uterus to protect the egg, however, if an egg remains unfertilised, the body will no longer need this protection and shed the lining during menstruation.

NOTE: It is important to have the contraception conversation early on as girls can still get pregnant even before their periods have regulated. The first few periods in puberty are usually irregular. If after a year her periods do not settle down into a regular pattern this is only really a problem if this is interfering with her schooling or extra-curricular activities, or if the gap between periods is longer than three months.

What to Have on Hand

It is important to talk to your daughter about what to expect from her period. The first few periods are not usually heavy, and she can expect to change a pad or tampon three to four times a day. Heavy periods can be managed with a nonhormonal tablet to reduce the flow, which is highly effective with very few side effects or risks. Really resistant problems may need a progesterone hormone but it’s important to avoid the contraceptive pill for a couple of years after the start of periods – unless of course she needs contraception too. The reason being that you may interfere with the final stages of puberty, which are full breast development and achieving full adult height.

Complications

Occasionally painful and/or irregular periods can indicate an underlying condition such as endometriosis or polycystic ovary syndrome. Both conditions can occur in teenagers but diagnosing them is a real challenge, and should only be done by a doctor with expertise in adolescent gynaecology to avoid over-diagnosis. The focus should be on managing symptoms and allowing your daughter to achieve her full potential, rather than giving her a label.

Paediatric & Adolescent Gynaecology

“as it should be”

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The average age for starting your menstrual cycle is12 years old but there is some variance. If your daughter hasn’t shown any of the early signs of puberty (i.e. growth spurt, body odour, mood swings) by the age of 14, there can be reason for concern and she should see a doctor who understands the stages of puberty. If she has had some body changes, then you should not be too worried unless she has not started periods by age 16.

Some girls experience period cramps the day before or during the first two days of menstruation, and the experience can be frightening at first. Typically, cramps are felt in the lower tummy and back area and sometimes at the top of your thighs. Pain can be managed with a combination of paracetamol and ibuprofen as they work together with an additive effect.

Sensitive care provided by a tertiaryexperienced UK consultant gynaecologist with a special interest in adolescent problems. • • • • •

Heavy or irregular periods Pelvic pain and painful periods Delayed or early puberty Vulval problems Contraceptive advice

Dr Lisa Joels

Dr Madhavi Manoharan

Obstetrician and Gynaecologist

MB ChB, MD, FRCOG, FHEA

T: +1 (345) 745 7450 E: team@integra.ky W: www.integra.ky

MBBS, MD, MRCOG, DFFP

Located in Grand Pavilion

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Low-Cost & Free Activities for Adolescents

Photo courtesy of the Cayman Islands Rugby Club

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It is essential to encourage children to explore different areas of interest while keeping them positively engaged during the adolescent years. Cayman is fortunate to have access to a wide range of free and low-cost programmes geared toward adolescents which can be found below.

Extended After-School Programmes

The Ministry of Education sponsors extended after-school programmes for public primary and high schools in every district. The programmes are free, operate from 3pm to 6pm weekly and include a rotating range of activities such as basketball, football, cricket, homework club, swimming, automotive workshops, archery and track and field. Transportation is provided by the school. Contact your child’s school to learn more.

Sports

Cricket Cayman Cricket organises competitions from May to June for primary and secondary schools (for boys and girls) and there are youth training sessions on Saturday mornings. Tel: (345) 925 7921, or email: secretary@caymancricket.ky. Baseball For over thirty years, the Cayman Islands Little League, operated by the YMCA of the Cayman Islands has continued to provide children aged 4-17 the opportunity to learn and develop skills in baseball and softball. If you are looking for a safe environment emphasising teamwork, good sportsmanship and learning the art of competition reach out to info@littleleague. 282

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ky, www.littleleague.ky, or contact them by phone at Tel: (345) 916 5643, or email: info@littleleague.ky. Football The Cayman Islands Football Association is in the advanced stages of developing a Grassroots Programme for kids up to twelve years in each district. The programme aims to build a close relationship between the football clubs, youth national teams and parents, and to identify and help to address the needs of the families and children involved. For further details email secretariat@cifa.ky or contact them at Tel: (345) 749 5775. Academy Football Club provides opportunities for families from different socio-economic backgrounds on a case-by-case basis by accepting assistance through fundraising and volunteering time in lieu of fees. Contact Virgil Seymour of Youth Development at Tel: (345) 925 5032, email: academysportsclub@hotmail. com, or visit www.academysportsclub.ky. Karate Students can try a free week of classes at Cayman Associated Schools of Karate (C.A.S.K.) at the Kings Sports Centre. Adolescents may be eligible for scholarships or financial

assistance and can contact the Chief Instructor Greg Reid directly to enquire at Tel: (345) 925 3367, or visit www.caskcayman.com. Rugby The Rugby Club in South Sound runs a well-established programme for students up to the age of eighteen with yearly membership fees of CI$100. Both girls and boys are encouraged to come down. Contact Caroline Deegan for more information at Tel: (345) 525 6743, email: caroline.deegan@caymanrugby. com, or visit www.caymanrugby.com.

building confidence and having fun at the same time. The programme is free for participants and requires an application and a successful interview. Call (345) 926 9622 or visit www. ymcacayman.ky for more information. The TAYA Lounge, run through the Cayman Islands Crisis Centre (Email: taya@cicc.ky), offers a supportive environment for at-risk adolescents to develop life training skills, connect with peers and utilise the amenities. Visit www.cicc.ky for more info. Big Brother Big Sisters of the Cayman Islands is part of an internationally known youth mentoring programme which serves children from ages 8-16 years old. Each child, known as a Little, is matched with an adult mentor, known as a Big brother or Big sister. The Little and their Big meet regularly, with professional support provided by BBBS staff. Bigs act as a friend and role model for their Little, helping them to achieve their best potential. For more information, Tel: (345) 326 0610 or visit www.bbbs.ky.

Netball The Cayman Islands Netball Association (CINA) has a junior league and games are played throughout the year for under-12s, under-14s and under-16s. A membership fee of CI$5 is made once a year. Lucille Seymour is the president of CINA and can be contacted on Tel: (345) 916 1944 or email: caymannetball@candw.ky. For more information, visit www. caymannetball.com.

The Scouts Association is a non-formal educational programme which encourages the holistic development of boys mainly through enjoyable, outdoor activities. From the BeaverScout programme (6-8 years) to the Cub Scouts (8-11 years) to the Scouts (11-19 years) boys will enjoy developing vital skills and earning badges. Groups meet weekly. Call (345) 949 1515, visit www.scouts.org.ky or pay them a visit at the Scout Headquarters on 34 Middle Road, George Town.

Black Pearl Skate Park

Arts & Culture

Michael Myles manages the Black Pearl Skate Park and the Cayman Islands Skateboard Association and has grown the park from a fledgling after-school programme into a bustling centre of activity for a diverse cross section of Cayman's children and teenagers. The dynamic course can be accessed for a daily fee of CI$7.00 and consists of beginner, intermediate and expert ramps and covers 62,000 sq. ft., making it the largest skate park in the Caribbean. For more information visit www.blackpearl.ky.

Personal Development & Leadership

The Cadet Corps Cadets instil life skills and high standards of conduct through challenging, military-style activities. The programme offers a wide range of activities including drills, field craft, adventure, navigation, first aid, music and waterbased activities which could result in BTEQ Level 2 qualification and/or honors in Duke of Edinburg Awards Scheme. They accept boys and girls from the ages of 11-17 and they have full-time members of staff but they are also always looking for enthusiastic volunteers from a cross-section of the Caymanian community. For further information they can be reached by phone at Tel: (345) 946 9810, email: cadetcorps@gov.ky, or visit www.cicadetcorps.ky. The YMCA's Counsellors-in-Training (C.I.T.) programme is offered to youth aged 13-17 years and runs during school breaks. Teens gain important leadership skills and experience, while learning more about the Y's core values, making friends,

The National Gallery of the Cayman Islands runs an afterschool Art Programme for ages 5-17. The classes are sponsored by Walkers and are free to attend. For more information email: education@nationalgallery.org.ky.

Time to Spare

Devoting time to a charitable cause is a valuable way to teach adolescents a sense of community responsibility. Cayman is very fortunate to be home to a large number of non-profit organisations and charities that assist different groups in need across the Islands.

ADOLESCENCE

Basketball After-school basketball training is available through the Cayman Islands Basketball Association for students up to 16 years of age. Practice takes place on Thursdays and Fridays from 3.30pm-5.30pm at a cost of CI$10 a month. There is also a onetime payment of CI$25 for a team shirt which is worn at every practice. Tel: (345) 916 5083, or email: info@caymanbasketball. org.

The Cayman Islands Humane Society (Tel: (345) 949 1461 or visit www.caymanislandshumansociety.com) is always looking for volunteers and is a great way for adolescents to get active through dog walking or helping with pet grooming and animal care. See page 250 for our article on Volunteering.

Church Groups

Most churches in Cayman offer a Friday night youth group which are very popular. They provide a supportive environment for your adolescent’s spiritual development and encourage teenagers to actively support their congregation. The Cayman Islands Baptist Church (Tel: (345) 946 2422) boasts one of the strongest youth followings and their group often also participates in interesting field trips. Visit www.cibaptist.ky for more info.

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Q&A Jesse Jackson

Pippa Grace

Who has inspired you the most during your sporting career? My very first sailing coach, Kelvin Brown. He regularly keeps in contact with me, no matter what part of the world I am in.

What is your greatest sporting achievement to date? I was Cayman Rugby’s Player of the Year in 2019, received the the Paul Howard Memorial award for Sportsmanship in 2018 and Paul Howard Memorial award for Excellence in sport in 2019. However, my overall greatest achievement to date was playing with my team and placing 5th out of 45 teams from across North America at the Las Vegas Invitational 7s in 2019.

How has the pandemic affected training for your sport? The pandemic has drastically affected my training. Several of the sailing camps I was booked to attend in Europe were cancelled. Travel and quarantine restrictions meant I was unable to train with my coaches and achieve the maximum training.

ADOLESCENCE

Why are you so passionate about your sport? Being on the water is something I have loved ever since I was a child. Sailing has given me the opportunity to be at one with nature on the seas, as well as having the opportunity to travel to various countries in the world and meeting new people who are passionate about sailing just like me. If you could go for dinner with a famous sportsperson, who would it be and why? I would choose Ben Ainslie, just to hear all his sailing adventures. He would have many stories to tell. Do you have any hobbies or interests outside of sports? In Cayman I like to go fishing with my Dad or my friends. I enjoy going offshore for deep water snapper, swordfish and tuna. In the UK I have started fly fishing — in particular for trout and grayling. What’s next for you competition wise? Lots of events have been cancelled or postponed due to Covid. Travel and finances permitting, I hope to enrol in smaller sailing camps and events in Europe and Australia and in the future the Olympics are always on my mind.

Jesse Jackson, 21, is a Laser Standard sailor and is studying Yacht Design & Production at Solent University in the UK. In 2019 he represented Cayman in the Pan American Games and came first at the Abanca sailing week in Spain.

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Why are you so passionate about your sport? Rugby has always been a part of my life, the game became second nature to me. What is one important lesson you've learned from your time as an athlete? Rugby has taught me not to aspire to be the best on the team, more to aspire to do the best I can for the team. There are no “Allstars” in rugby, everyone is fighting together towards the same goal. When a player goes down, she is supported by players who ruck over her and protect her and the ball. Off the field, I have learnt that supporting one another and working together to bring out the best in each other is what defines our success. If you could go for dinner with a famous sportsperson, who would it be and why? I would love to go to dinner with Pele, not only was he one of the greatest footballers in his time but additionally I look up to and respect his ideology on dedication. My favourite quotes include “Success is no accident. It is hard work, perseverance, learning, studying, sacrifice and most of all, love of what you are doing or learning to do” and “The ambition should always be to play an elegant game.” What advice would you give to girls looking to get into rugby? Rugby may look scary due to high levels of contact, but coaches are there to help you execute every movement in a safe environment. Rugby is all-inclusive sport and regardless of your physique, there is a position for everyone.

Pippa-Grace Parker is 18 and plays for Cayman’s U19 women’s rugby 7s team. She has just completed her A Levels at Cayman Prep & High School and has applied to Northumbria University for 2022.

Cayman's Inspiring Teens

Will Sellors

Willow Wilkinson

How has the pandemic affected training for your sport? We were not able to swim in the pool but we kept fitness levels up by doing workouts on land and over Zoom. Luckily, since we dealt with the pandemic quickly in Cayman it hasn’t affected swimmers here as much as others.

Who has inspired you the most during your sporting career? I think I would probably say Roger Federer and Dominic Thiem just because I love their game styles. I am constantly impressed, and I think ‘woah wouldn’t it be cool if I could do that.’

What’s the best and hardest thing about being so dedicated to your sport? The best thing is when you come first in a race or get a qualifying time and you know that all of the hard work and dedication has paid off. Unfortunately, this dedication can mean having to give up other activities or being with your friends — but I believe it is worth it.

How has the pandemic affected training for your sport? When we were in lockdown, all tennis came to a screeching halt. Even if I wanted to, I could not go out and practise my serve by myself. I was definitely rusty when we were allowed to play again. I think because of the pandemic, I can now appreciate how great it is that I can play every day and enjoy playing with other people for fun.

Is there a coach or athlete that you look up to as a role model and why? My coach Darren Mew, who is an Olympic breaststroke finalist. I would like to achieve what he did and maybe further, but in backstroke. I really like the way he trains our team. It is more focused on short high intensity swimming rather than long distance swimming.

How did it feel to break the 19-year-old 100m backstroke record this year? Obviously, it felt very good to break that record and go under the one-minute mark. It shows how all the hard work I have put into training is paying off. Andrew Mackay’s records have also been a very good goal that I had over this past year and his records have pushed me to become better.

Will Sellars, 15, is a Year 10 student at Cayman Prep & High School. He swims with Seven Mile Swimmers and has so far broken three Cayman records in 50m, 100m and 200m backstroke.

Is there a coach or athlete that you look up to as a role model and why? I have had quite a few coaches since I started playing tennis and I have especially looked up to Dale Avery and Yana Koroleva. Dale could always find the fun on court and Yana is an admirable person and an amazing player.

ADOLESCENCE

What is one important lesson you've learned from your time as an athlete? As an athlete I have learnt that you need perseverance. If something doesn’t go your way, if you lose your race or miss a time by a few milliseconds you can’t dwell on the mistakes you have made. You need to improve from your mistakes as almost always you will have another chance.

What’s the best and hardest thing about being so dedicated to your sport? Generally, I would say the best thing is that with so much practise, I can see the progress within my game. However, I find it difficult that sometimes when people think of me they instantly connect me with tennis and assume that is all I am interested in — I also love to play netball, volleyball and to bake!

Where is the most exciting place you’ve travelled to compete and why? Definitely the Island Games in Gibraltar. The atmosphere was so different from anything I have experienced here. I never thought I would have the chance to play in such a big tournament, climb the Rock and say a monkey stole my hat and threw it off a cliff!

Willow Wilkinson, 16, is a student at Cayman Prep & High School. She is one of Cayman’s top tennis juniors and represented Cayman at the Island Games, Gibraltar in 2019.

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Managing Credit Giving teens greater financial responsibility can be daunting. Whether or not you feel your teen is ready for credit, introducing them to the basics beforehand is vital to setting them up for financial success in the future. What is Credit? Credit is a form of borrowing that enables customers to obtain goods or services before payment, based on the trust that the payment will be made in the future. Explaining Credit to Teens: In the same way you don’t own the shirt you borrowed from a friend; you don’t own the money you borrow from the bank. It is important to stress to teens that any balance on their credit card must be repaid. To make this connection of cause and effect clear, parents can occasionally share their credit card bills with their teens.

ADOLESCENCE

Pros and Cons of Credit Like anything in life, there are both pros and cons of using a credit card, and parents should help teens weigh up both sides of the credit coin to ensure they are making a well-informed decision. Some advantages and disadvantages of credit include: PROS Teens can practise making payments on time and being responsible with their finances. They can start creating a good credit history early, which will benefit them later in life when making large investments. Very useful for teens abroad or at university when there is an emergency and you’re not always able to send them funds quickly. You can also see your teen’s credit card statement and monitor their spending to make sure they are not going overboard. CONS After paying interest, you’ll pay back a lot more than you originally borrowed. If not used responsibly can result in overspending. There are fees associated with having a credit card and if not managed carefully can end up costing a significant amount. Easy to negatively impact your credit score if you forget to pay your bill on time.

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Credit Scores From the first swipe of your credit card, a credit report is created. To calculate an individual’s score, a specific set of risk rules are applied to an algorithm, which draws some assumptions about the individual’s spending habits and then assigns a number – the score. This number indicates to lenders your capacity to repay a loan. The following factors can impact your credit score: • Payment History – Whether or not you pay your bills on time is the most important factor in your credit score - even the ones that seem small and insignificant. • Debt Accrued – Advise your teen to use less than 35% of their available credit limit – using a large amount of available credit may result in a large debt that is difficult to repay on time. • Length of Credit History – The longer your history, the more accurate your credit score will be. If your teen has only just started using credit, their score will be lower, but they can improve this over time. You may consider deferring credit for your teen if they are unable to make repayments on time. • Credit Applications – If you apply for more or new credit frequently, it generally is a warning sign to lenders that you’re having some sort of financial difficulty.

Explaining Credit Scores to Teens: Maintaining a good credit score can help teens more easily qualify for a loan or mortgage later in life and save money on interest rates, as they will have already demonstrated responsible credit behaviour. A low credit score can make it difficult when qualifying for financing later on, because you are viewed as a higher risk. That being said, it is still possible to obtain a mortgage without a credit history.

Types of Credit

RBC Dominion Securities Global Limited

It’s never too early for wisdom in wealth

The three most common forms of credit include: Credit Cards: A credit card is a beneficial option for building your credit score at an early age. In general, credit cards are meant for very short-term borrowing, and they allow you to borrow without interest until your statement’s due date. After the due date, credit cards charge a high rate of interest starting from the date of your purchase. Annual interest rates on credit cards in the Cayman Islands can range from 20%-25% depending on where you bank, and this is then calculated daily. So, for instance, if your annual rate is 20% and you have an outstanding balance of $500, your daily rate would be 0.055%. Thus, $0.275 worth of interest will be added to your balance each day until the end of the month ($500.275 on the first day, and so on).

Personal Loans: A personal loan may be a good option in instances where you need to borrow a larger sum of money, such as for buying a car. A personal loan can generally be paid back in monthly increments over a number of years and interest rates decrease as money owed decreases. Interest rates on loans vary but they can start as low as 13% per annum.

The Bottom Line Before your teen makes any rash decisions regarding credit or loans, make sure they fully understand the financial implications of late or failed payments and frivolous spending. Consider too whether they have demonstrated that they are financially responsible with their saving and spending habits. A universal rule of thumb that all teens should adhere to when first using credit is to not purchase anything that they could not afford using cash. If you feel out of your depths answering any questions your teen may have, arrange a meeting with a financial advisor that you can both attend to determine whether it is time to sign your teen up for credit. For more information on banking for children, turn to page 192.

As part of our comprehensive approach to wealth management, we believe educating your family on budgeting, sound financial planning and guiding them through important life transitions to be a critical part of the process. Contact us today to find out how we can help you and your children achieve your important goals.

ADOLESCENCE

Lines of Credit: Often arranged between banks and their clients, a line of credit is one of the most flexible ways to borrow money because it is a set amount of funds that can be accessed at any time, but they don’t need to be used all at once. In addition, lines of credit generally tend to carry a lower interest rate.

345-949-4066 rbcdscayman@rbc.com www.rbcdscayman.com

RBC Dominion Securities Global Limited is a foreign affiliate of RBC Dominion Securities Inc. RBC Dominion Securities Global Limited is regulated by the Cayman Islands Monetary Authority. RBC Dominion Securities Global Limited is a member company of RBC Wealth Management, a business segment of Royal Bank of Canada. ® / ™ Trademark(s) of Royal Bank of Canada. Used under license. © 2021 RBC Dominion Securities Inc. All rights reserved. 20_93097_009

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The Importance of In a highly competitive job market, employers look for candidates who show initiative and a willingness to work. For young adults transitioning into the workforce, it is more important than ever for your resumé to demonstrate a history of work experience that distinguishes you from other candidates.

Why Do You Need Work Experience?

Employers are increasingly treating their internships and work experience programmes as a means for hiring entrylevel applicants, so investing your time in such a scheme is an investment in your future. Depending on what stage you are at in your education, an internship can either provide you with your first taste of invaluable ‘real world’ experience, or fine-tune your interests as you commit to pursuing a career path. For those students pursuing a career where vocational or technical training is required, there are a wide variety of courses available on-Island. For more information, please see pages 102-104.

ADOLESCENCE

Finding an Internship

Caymanian students are lucky to have such a wide variety of work experience opportunities available to them which cater to various interests and skill sets. Many of the big law and accounting firms on-Island offer internships to students each year. These are usually advertised in the local newspaper in the months leading up to the summer break, but increasingly companies are pushing out their internship and work experience ads via social media, such as LinkedIn and Instagram. Smaller companies may also advertise their programmes in the paper and on their social media pages so it is worth regularly checking both. Alternatively, students can reach out to companies directly and inquire about offerings. Whether they are advertising for an intern or not, they’ll appreciate the go-getter attitude and a position might just open up!

Application Process

If responding to a company’s advertisement, the application process will usually be specified in the ad’s fine print. In some instances, companies have their own application portals where applicants can upload the necessary paperwork. Usually, however, the process involves emailing a contact at the company with a cover letter and resumé. It is good practise keeping your resumé up-to-date, so that when it comes time to apply for work experience you have one less thing to prepare.

Work Experience 5 Reasons Why Internships

are Important Soft skills development: Soft skills are

arguably just as important as hard skills when it comes to achieving success in the workplace. Soft skills enable you to effectively interact with your colleagues. Regardless of the job, you will need to be able to communicate well, work as part of a team and maintain a good attitude.

Network: An internship is a great opportunity

to meet and get to know professionals in your chosen career field. Take advantage of your time working alongside established industry experts and build deeper connections. Doing so can be beneficial to your future career.

Figure out what you like: Trying out different things gives you a better idea of the career path you want to pursue. An internship can either confirm your passions, or, in the case that you didn't enjoy your experience, confirm what you don't want out of a job. Build your resumé: Any experience gained is experience you can add to your resumé! Having a resumé that demonstrates professional experience can give you a leg up when applying for your first job out of school. Transition into a full-time position:

Although not a guaranteed outcome, some employers will headhunt previous interns as they have seen first-hand how you fit within the company and have already invested time and money into your training.

TOP TIP: Before leaving your internship, speak with your supervisor to get feedback and a letter of recommendation. Keep in touch so that you can reach out to him or her down the line when you are in need of a reference. This is also a great way to keep yourself on your supervisor’s radar, should any future job opportunities become available.

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Interview Tips First impressions matter. An interview is an opportunity for you to make the right one. Here are some tips and tricks for acing your next interview. Before

Get to know the company: Prior to the interview, take some time to find out information about the company you are interviewing with. Prepare some answers: Think of some answers to popular interview questions. Give extra thought to the questions you'd least like to be asked so you're not caught off guard. Look presentable: Your attire should be professionally appropriate to the position in which you are applying.

firm handshake at the beginning of the interview. Speak clearly and at a measured pace throughout and avoid fidgeting. Be positive: A positive attitude can go a long way in an interview! Present your qualifications favourably and demonstrate your willingness to take on new challenges. Ask questions: An interview is a chance for you to figure out whether the company is the right fit for you too! Have a list of questions in mind to ask.

Arrive on time: Ideally at least ten minutes early. When you arrive, state your name, the time of your appointment and the name of the person you are expecting to meet.

Stand out from the crowd: Other candidates interviewing for the position will have similar abilities, employment and academic experience to you. Express the ways in which you stand out from your peers.

During

After

Be aware of body language: Aim to project poise and confidence with your demeanour. Greet each interviewer with a

Follow-up: Send an email thanking your interviewers for their time, and reiterate your enthusiasm for the position.

ADOLESCENCE

The Ritz-Carlton

Grand Cayman | Internship Programme

Inspiring the industry leaders of the future The Summer Internship Programme at The Ritz-Carlton, Grand Cayman invites young Caymanian students into the world of hospitality, inspiring the industry leaders of the future. The students can explore their preferred areas of interest in different departments at the resort, that vary from front office, culinary to water sports, among others.

Internship Details:

• Students must be Caymanians and in University. A degree in hospitality or related field is preferred, or the desire to pursue a career in hospitality in the future. • Students may select up to four departments or areas of focus for the programme rotation. These may include rooms operations, food and beverage, marketing, recreation, finance and event management. • Curriculum includes a mentorship programme, enhancement of job and interview skills, lunch and learns with resort Executive Leaders, training sessions and weekly Culture Projects to create special experiences for guests.

Student Testimony:

“I appreciate my Ritz-Carlton experience very much and I am grateful to have been part of the summer internship programme. It was educational, inspirational and a first class introduction to the working world.” – Victoria, 2018 Intern, Student at UCCI

(345) 943 9000 | www.university.marriott.com | The Ritz-Carlton, Grand Cayman www.caymanparent.com

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Learning to Drive &

Rules of the Road

Getting Your Licence

ADOLESCENCE

Cayman's teens can begin the process of getting their driving licence at age seventeen. The first step is to sit the theory exam - a 40-minute test, made up of 40 questions. Teens will need to make an appointment at one of the Department of Vehicle and Drivers' Licensing (DVDL) offices. Candidates should prepare by studying the official road code booklet, available at any DVDL, or by reading Drive Safely in Cayman by Graham Walker. This helpful tool can be purchased directly from Graham (345) 926 2501 for CI$15 or is available for CI$18 at most book stores. A PDF version of the Cayman Islands’ Road Code booklet can be found on the DVDL website. After passing the theory test, a learner’s licence is issued; it is valid for six months and allows you to drive a vehicle while accompanied by a holder of a full Cayman licence. During this time, an ‘L’ plate must be visible on the front and back of the car. Learners need to wait six weeks before taking the practical test, and are encouraged to take driving lessons during this period. For driving lessons call Tony Martin on (345) 321 7218. Once the learner has passed the practical driving examination, they will receive a full, unrestricted driver’s licence. Cost of Getting Your Licence: • Theory Test - CI$25 • Learner's Licence - CI$60 • Practical Test - CI$50 • Full 3 Year Licence - CI$75 • Full 5 Year Licence - CI$125

Insuring a Young Driver

All drivers in the Cayman Islands must be insured on the vehicle(s) they drive. This includes learner drivers, which most insurance companies have specific policies for. Note, however, that insurance rates for young, inexperienced drivers can be very high. Certain vehicles such as those with engine sizes greater than two litres, convertibles or modified vehicles attract a higher premium, as do newer, higher value vehicles.

Buying a Used Car

For cheaper, second-hand vehicles, www.ecaytrade.com is a good place to look – but be aware that purchasing a car from a private individual can be risky. Consider getting a mechanic to check the car over for you prior to purchase. Transferring vehicle ownership is very straightforward, as long as you deal with the official owner of the vehicle or go through a reputable car dealer. Local car rental companies also occasionally have pre-owned fleet sales.

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The Rules of the Road

It is important that a new driver observes these four basic safety rules to keep themselves, their passengers, fellow drivers and pedestrians safe. Please review this section with them.

1) Never drink and drive. It is illegal to drive with a blood alcohol level over 0.1%. DUI penalties include CI$1000+ fines, imprisonment for 6-12 months and loss of your licence. Drinking and driving can also result in your death or the death of others. 2) Have a valid driving licence and insurance. It is illegal to drive without a valid licence or in an uninsured vehicle. 3) Slow down. Drivers caught speeding by the police face a standard fine of $20 for every mile over the speed limit. If your fine exceeds $500, it is mandatory for you to make a court appearance. 4) Don't use a mobile phone while driving. It is illegal in Cayman and may result in an accident, a fine or loss of your licence. If a driver loses their right to drive, they will be required to surrender their licence. In some cases, they may even be required to take out a learner’s licence and retake their driving examination. The Department of Vehicle & Drivers' Licensing (DVDL) 990 Crewe Road, Red Bay, Tel: (345) 945 8344, www.dvdl. gov.ky, Open: Monday-Friday, 8.30am-4pm 9 Reverend Blackman Road, West Bay, Tel: (345) 949 7231, Open: Tuesday-Friday, 10am-6pm, Saturday 9am-4pm Breakers, Frank Sound, Tel: (345) 244 5528, Open: TuesdayFriday, 10am-6pm, Saturday 9am-4pm The Department of Vehicle & Drivers’ Licensing (DVDL) in Cayman Brac: District Administration Building, Dennis Rd Tel: (345) 948 2222, Open: Monday-Friday, 8.30am-4pm Little Cayman: Little Cayman District Office, Open: (Normally) Every other Thursday, 9am-2.30pm

Adolescence

Best for Teens

ADOLESCENCE

Best for Parents Duffy addresses the evergrowing issue of teenage anxiety and depression, offering useful advice for parents on when and how to approach your teen.

Written with a frankness that teens will find refreshing, Dawson offers a comforting a medically sound guide to understanding teenage mental health.

Bridge the communication gap with Icard’s helpful guide that walks you through fourteen essential conversations you should be having with your tween.

This life-affirming story of friendship and confidence by Niven reminds the reader how important it is to love yourself first.

Brooks has produced an indispensable user’s guide to the 21st century adolescent. No topic is too tough to address, making it a must-read for those with teenage children.

This timeless coming-ofage story is brimming with characters so real, they become a part of you and their important lessons on tenacity remain relevant today.

Best Digital for Parents Cozi helps busy mums and dads make sense of it all. Organise your to-do-list, create shared chore lists, track grocery items, plan for dinner and more. Free, available on iOS and Google Play.

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Book Club

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Best Digital for Teens The Google Arts & Culture gives you access to reliable resources for research projects. Browse museum collections, pieces of art, historic figures and more. Free, available on iOS or Android.

the

Listings Cayman Universities, Trade Schools and Car Insurance Providers

Colleges & Universities

Vocational & Professional Training

International College of the Cayman Islands (ICCI) 595 Hirst Road, Newlands. Tel: (345) 947 1100 Email: info@icci.edu.ky Web: www.icci.edu.ky Numerous associate, bachelor and certificate programmes available.

Cayman Career Academy 60 Smith Road, George Town. Tel: (345) 945 6969 Web: www.caymancareeracademy.ky Offering CIDESCO beauty therapy diploma and post-grad diploma.

St. Matthew’s University School of Medicine Regatta Office Park, Leeward 3, West Bay Road. Tel: (345) 945 3199 Email: admissions@ stmatthews.edu Web: www.stmatthews.edu Medical students complete five semesters of basic science and pre–clinical studies in Grand Cayman, and then do clinical rotations at teaching hospitals in the US, Canada or the United Kingdom.

Chamber of Commerce Professional Development & Training Centre Governors Square, Lime Tree Bay Avenue. Tel: (345) 949 8090 Web: www.caymanchamber.ky Courses and workshops are available in: customer service, business essentials, legal masterclasses, finance, supervision, management and more.

School of Veterinary Medicine (part of St. Matthew's University) Regatta Office Park, Leeward 4, West Bay Road. Tel: (345) 814 3177 Email: admissions@ stmatthews.edu Web: www.stmatthews.edu Veterinary students complete seven semesters of basic science instruction in Grand Cayman and a year of clinical instruction at an affiliated US or Canadian veterinary school. The Truman Bodden Law School (TBLS) Old CIBC Building, 54 Edward St, 2nd & 3rd floor, GT. Tel: (345) 945 0077 Web: www.lawschool. gov.ky TBLS is an affiliated institution of the University of Liverpool (UK). Full and part-time Bachelor's and Master's law degrees plus the PPC are available. University College of the Cayman Islands (UCCI) 168 Olympic Way, GT. Tel: (345) 623 8224; Brac Campus: Stake Bay, Cayman Brac. Tel: (345) 623 0540 Email: admissions@ucci.edu.ky Web: www. ucci.edu.ky Numerous associate, bachelor and certificate programmes available. There are also graduate programmes, trade courses and an IT academy. University of the West Indies (Open Campus) Cayman (UWI) Olympic Way, George Town. Tel: (345) 946 8322 Email: cayman@open.uwi.edu Web: www.open. uwi.edu Distance learning as well as a number of shorter face-to-face courses are available.

Innovative Management & Professional Training (IMPT) 201 Alissta Towers, North Sound Road, George Town. Tel: (345) 926 6283 Email: info@impttraining. com Web: www.impttraining.com IMPT offers a range of accounting, finance, business and administration certifications, plus computer training courses and business skills seminars. Inspire Cayman Training Crown Square, 71 Eastern Avenue Tel: (345) 525 8990 Email: info@inspirecaymantraining.com Web: www.inspirecaymantraining.com Earn internationally recognised credentials and develop career readiness skills. Leadership Training for Teens (YMCA) Tel: (345) 926 9622 Email: info@ymcacayman.ky Web: www.ymcacayman.ky/programmes/ team-building The YMCA BesTeams Team Building and Leadership Development programme encourages participants to learn to improve their communication, trust and problem solving skills. Nova Grand Pavilion Commercial Centre, Seven Mile Beach. Tel: (345) 623 1029 Email: info@nova.ky Web: www.nova.ky Nova offers a range of online courses, covering Microsoft Office, presentation skills and business related courses to help develop careers. Passport2Success Tel: (345) 945 9672 Email: nwda.training@gov. ky Web: www.worc.ky A 12-week programme for 17-23 year old Caymanians and a 16-week programme for Caymanian single mothers, designed to enhance workplace readiness skills and increase the employability of participants.

unemployed, high school or recent university graduates. The programme delivers structured training, individual and group support to mitigate the barriers to employment. Workforce Opportunities & Residency Cayman (WORC) Apollo House West, 87 Mary St, George Town. Tel: (345) 945 3114 Email: worc@gov.ky Web: www.worc.ky.

Car Insurance Providers Aon Cayman Risk Solutions (Cayman) Ltd. 94 Solaris Avenue, 2nd Floor, Camana Bay. Tel: (345) 945 1266 Web: www.aon.com/ caymanislands. Caribbean Alliance Insurance 203 Alissta Towers, 85 North Sound Road. Tel: (345) 949 9744 Web: www.caribbeanalliance. com. Cayman First Insurance Company Ltd. 17 Vibert Bodden Drive, off Shedden Road Tel: (345) 949 7028 Web: www.caymanfirst.com. Cayman Insurance Centre (Insurance Brokers) Tel: (345) 949 4657 Web: www.cic.com.ky.

ADOLESCENCE

School of Hospitality Studies (part of UCCI) Tel: (345) 623 8224 Email: shs@ucci.edu.ky Web: www.ucci.edu.ky Offers an industry-driven, internationally accredited hospitality and tourism studies programme.

Ready2Work KY Tel: (345) 945 3114 Email: worc@gov.ky Web: www.worc.ky A government programme for

CG BritCay Tel: (345) 949 8699 Web: www.cgcoralisle.com. Fidelity Insurance (Cayman) Ltd. Dr. Roys Drive, George Town. Tel: (345) 949 7822 Web: www.fidelitygroup.com. The Insurance Company of the West Indies (Cayman) Limited (ICWI) Tel: (345) 949 6970 Web: www.icwi.com. Island Heritage Insurance Company Ltd. 128 Lawrence Boulevard, Seven Mile Beach. Tel: (345) 949 7280 Web: www. islandheritageinsurance.com. Massy United Insurance Ltd. Tel: (345) 743 1900 Web: www.massyunitedinsurance.com.

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Index

7 Dental 129, 159 A .L. Thompson's 18, 36, 48, 228, 237 AAA Caregivers 223, 236

Activities for adolescents 282-283 Activities for kids 232-233, 258-259 Activities listings 263-270 Acts of Random Kindness (ARK) 19-23, 270 Acupuncture 164, 220 ADHD 136-137 Adopting a pet 187 Aesthetic treatments 46-48 Allergy doctors 41, 166 Ambassadors of the Environment 256, 263 American schooling system 74 Aon Risk Solutions 143, 196 ARK 19-22, 23 Art classes 118 Ashley Furniture 8, 202-203 Athletics 264 Attractions 263-264 Autism 136

INDEX

B aby and children shops 220 Baby Express 200, 201, 212, 236

Baby food 32-34 Baby-proofing 229, 237 Babysitting 176, 222-223, 236 Ballet 264 Bank accounts 192-193 Banks 195 Basketball 264, 283 Beach volleyball 232, 264 Beauty Shape 48, 60 Bedside Manor 201-203, 212, 220 Behaviour therapy 134-137 Big Brothers Big Sisters (BBBS) 270 Birth classes 210, 220 Birth control 280 Boarding schools 82-89 Bodden Town Health Centre 211 Book club 40, 59, 105, 148, 194, 218, 227, 262, 292 Book Loft (The) 236 Book Nook 236 Book shops 236 Boxing 264 Breastfeeding 210-211 British schooling system 74 Bullying 242-245 Bump To Baby (The) 211, 213, 220, 236 Butterfield Bank 189, 193, 195 Buying a home 174-175

C ake Studio (The) 254, 268 Camana Bay 232-233, 234

Camp Seafire 255 Captain George Dixon Park 235 Car insurance providers 293 Car safety 290-291 Car seats 200 Caregivers 222-223, 236 Caribbean Alliance Insurance 173, 293 Caribbean schooling system 70-75 Cayman ABA 68, 164, 167 Cayman Clinic 41, 152, 167 Cayman Drama Society 116, 258 Cayman Family Law 184, 196 Cayman Fertility Centre 199, 219 Cayman First 162, 168 Cayman Hearing Center 163, 166 Cayman International School 73, 110, 112 Cayman Islands Cancer Society 126, 270 Cayman Islands Crisis Centre 164, 283

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Cayman Islands Department of Tourism (DOT) 93 Cayman Islands Hospital 155, 156, 220 Cayman Islands Humane Society 187, 270, 283 Cayman Islands Little League 233, 282 Cayman Islands Museum 263 Cayman Islands Red Cross 118 Cayman Islands Sailing Club (CISC) 238, 266 Cayman Learning Centre 110, 116, 117 Cayman Orthopaedic Group 42, 60, 165 Cayman Parrot Sanctuary 235, 263 Cayman Physiotherapy 45, 60, 166, 220 Cayman Prep and High School 75, 110, 113 Cayman Rehab Services 47, 60, 166 Cayman Theraplay 137, 167 Cayman Turtle Centre 256, 263 CaymanSpine 120, 157, 166 Cemetery Beach 232 Centre Pointe Dance Studio 118, 258, 264 Change Project 242-243 Charities 250-251, 270 Chatterbox 135, 114 Childbirth classes 210, 220 Childcare agencies 176, 236 Childhood illness 130-132 Childproofing 229, 237 Children's Clinic & Family Practice (The) 149 Children's playgroups 237 Chiropractic care (infant) 164, 166 Church services 267 Cleaners/helpers 176, 222-223 Clifton Hunter High School 110 Clongowes Wood College 86 Collas Crill 191 Cooking classes 118 Coronavirus 19-22, 144 Cost of children's activities 258-259 Cottesmore School 88 Counselling 164 Credit Cards 286-287 Cricket 258, 264 Cyberbullying 242-245

Estate planning 189, 190-191, 195 Event planning 254-255, 268-269 Examinations 73-75, 83, 92, 97 Extra-curricular classes 116, 118 Eye exams 146-147, 162 Eyewear 146, 248

Dart Family Park 234 Dental care 140-141, 156, 158-161 Dental Centre (The) 158, 160 Department of Environmental Health 5 Department of Vehicle and Drivers' Licensing 290 derma 60, 248 Dermatologists 164 Developmental checks 122, 216-217 Dieticians 41, 156 Dining out with kids 38-39 Diving 103, 118, 268 Divorce 182-184, 185-186 Divorce lawyers 195-196 Doctors 138, 149, 220 Doctors Express 151, 156 Doctors Hospital 154, 156 Dog walking 187, 251, 273, 283 Dorm & Day 83, 85 Doula services 207, 210, 220 Down Syndrome 208, 199 Dr. Foley's Eye Clinic 60, 147 Dr. Wolfe's Dental Centre 141, 160 Driving licences 290

Harold McCoy Sr Park 235 Health City 150, 156, Inside Back Cover Health insurance providers 162 Health listings 149-167 Health screenings 71, 122-126 Health Services Authority 155, 156, 210-211 Helpers 176, 222-223 High Achievement Academy 116, 117 Home security 3, 237 Homeschooling 76-77 Homework guidance 246-247 Hope Academy - Clinical Services 114, 136, 164, 167 Hope Academy 112, 114 Horseback riding 258, 265 Hospitals - Maternity 156, 209, 220 Humane Society 187, 233, 251, 270, 283 Hurricane checklist 172

D ance classes 258, 264 Daria Keenan Photography 256, 270

EEarlyarlylearning Intervention Programme (EIP) 20, 116, 135, 167 centres 106 East End Health Centre 211 Eating Disorders 274-275 Education - Government schools 110 Education - Private schools 110-114 Education psychology 134-135, 164, 167 Education systems 70-75 Elevation Health & Physiotherapy 60, 209 Embroidery services 119 ENT in Cayman 41, 138, 149, 166

FFamily aith Hospital 156 breakdown 182-184

Family counsellors 164, 211 Family dining 38-39 Family homes 174-175 Family law 182-184, 185-186 Family Practice (The) 152 Family Resource Centre 22, 164, 182, 211, 242-245 Fancy dress shops 269 Farmers markets 41 Fertility 198-199 Financial planning 95, 188-189, 192-193, 286-287 Financing a home 174-175 First aid/courses 118 First Baptist Christian School 110, 111 FirstCaribbean Bank 26, 195 Fitness 44-45, 60 Fitness Connection 60, 104, 118, 127, 237, 265, 266 Flag football 265 Flu (or Influenza) 144-145 Food (organic) 41 Food allergies 41 Football 258, 265, 282 Footsteps School 77, 110, 112 Foster's Airport Park 234 Fountains 234,235 Free activities 232-233, 282-283 Freight forwarders 220 Furniture 200-201, 202-203

G olf 258, 265 Government schools 72-74, 110 Gymnastics 258, 265 Gyms and exercise studios 60

H ampson & Company 181, 196 Hand, Foot & Mouth 132

IImmigration mmigration - Divorce law 182-184, 185-186 178-181

Immigration professionals 196 Immunisations 144-145 Infertility 198-199 Inline skating/hockey 258, 266 Insurance - Car 290, 293 Insurance - Health 142-143, 162 Insurance - Life 191, 196 Integra Healthcare 131, 152, 164, 217, 219, 281 International Baccalaureate 74, 75, 92, 97 International College of the Cayman Islands (ICCI) 100, 114, 293 Internships 288 Interview tips 289 Island Electronics (Security & Monitoring) Ltd 3, 237 Island Montessori 106, 107, 114 Island Smile Orthodontics 160, 161

IVF 198-199

JJollyeraldPhonics Smith Park 235 224-226 Karate 259, 282

K id's bedroom 202-203 Kids clubs/Playgroups 237

KidsAbility 67, 114, 139, 164, 166, 167 Kimpton - Camp Seafire 255 Kings Sports Centre 257, 259, 266, 269 Kirk Market Inside front cover, 41, 268, 269 KitchenAid 36 Kitesurfing 119, 267 Kohler 48

LLactation aboratories 164 consultants 211, 220

Lamaze childbirth classes 210, 220 Language courses & tuition 118 Language disorders 137 Law firms 195-196 Leadership training 119, 270, 293 Learning & cognitive issues 134-137 Liberty Wealth 188 Libraries 260-261 Licensing a vehicle 290 Life insurance 191, 196 Literacy development milestones 66-69 Little League 233, 282 Little Trotters 106, 108 Living.ky 203, 220, Back Cover Logic - Cyber Bullying 242, 243

M artial arts 119, 266 Mastic Trail 232, 235

N annies 176, 222-223, 230-231 National Drug Council 25, 277

National Gallery 237, 263, 269 National Roads Authority (NRA) 291 Natural Disasters - Preparing for 170-171, 172 Naturalisation 181 Netball 283 Newborn complications 214 Newland Heights Park 234 Next Chapter 65, 218, 236 North Side Clinic 211 North Sound Gardens Park 233 NovoClinic Cayman 55, 60 Nurseries and preschools 62, 106 Nursery furniture and equipment 200-201, 202-203 Nutrition 28-41

O asis Medical Group 124, 156 OBGYNs 208, 219

Occupational therapy providers 114, 116, 167

PPaediatric addleboarding 267-268 services 167, 207

Paediatric therapy services 114, 116, 167 Paediatricians 149-152 Pain management 133 Painting 118 Parkour 266 Parks 234-235 Part-time jobs 272-273 Party planning 254-255, 268-269 Party shops 269 Pasadora Family Dental Centre 160 Passports 177 Paternity leave 207 Pedro St. James Castle 234, 257, 263 Perimenopause 53 Permanent residence 178-181, 186 Pharmacies 161 Phoenix Legal 183, 190, 196 Photographers 270 Physiotherapy 164-166 Pilates 44-45, 220 Playgrounds 234-235 Playgroups 237 Positive parenting 276-278 Post-partum care 211, 220 Pre & Post-natal exercise 44-45, 60 Pregnancy books 218 Pregnancy listings 219-220 Prenatal health insurance 206-207 Preschools 62-63, 106 Primary schools 110, 114 Psychiatry 164 Psychology 164 Public Health Department 144, 155 Public Parks 234-235

Queen Elizabeth II Park 235, 264 R adio Flyer 237 RBC Dominion Securities 195, 287 RE/MAX - Kass Coleman 175 Reading tips 64-65, 78, 224-225 Real estate 174-175 Recipes 28-31 Renting a home 174-175 Restaurants - Family friendly 38-39 Ritz-Carlton - Internships 289 Road safety 290-291 Roller skating 258, 266, 269 Rugby 259, 266, 283 Rules of the road 290-291

S ailing 238, 259, 266 Saving for college 95

Scholars Park 234 Scholarship Secretariat 90, 91, 92, 94 Scholarships 73, 90-94 School health screenings 71 School listings (preschool) 106 School listings (primary, high) 110-114 School listings (public) 110 School uniforms 119 Schools - Enrolment policies 72 Schools (choosing preschools) 62-63 Schools (choosing primary/high) 70-75 Screen time 63, 147, 276 Scuba diving 103, 268 Sedbergh School 88 Self care 56-58 Seven Mile Beach Park 234 Seven Mile Medical Clinic 41, 132, 156 Sexual health 280, 281 Shipping companies 201, 220

Sister Janice's Early Learning Center 106, 116 Skateboarding & parks 234-235, 259, 266 Skating 258, 266 Sleep therapy 50-52 Smile Dental Clinic 160 Snorkelling 232, 268 Soccer 258, 265 South Sound Playgroup 237 Special needs education 114-115, 134-137, 167 Speech and language therapy 114-115, 137, 167 Sports activities/clubs 258-259, 264-266 Sports clothing and equipment 119, 268 Squash (sport) 266 St. Ignatius Catholic School 114, 115 St. Ignatius Church 267 St. Matthew's University 101, 114, 293 Stables 265-266 Standard Health Insurance Contract (SHIC) 142-143, 206 Stowe 26, 87 Studio 54 West 57, 233 Sun protection 237, 248 Sunday school 267 Supermarkets 41 Swim safety 127 Swimming 237, 259, 266 Swimwear and sun tops 237 Synchronised swimming 266 Synergy Chiropractic and Physiotherapy 133, 164, 166, 220

TTAYAai ChiLounge 266 283

Technical & vocational courses 92, 102-104, 293 Ten pin bowling 266 Tennis 259, 266 Theatre 116 Tomlinson Furniture 51, 220 Total Health 41, 60, 125, 156, 161, 164, 166 Toy shops 236 Traffic rules 290 Travel - Immigration rules 178-181 Travel - Passports 177 Travers Thorp Alberga 185, 196 Truman Bodden Law School 101, 293 Turtle Reef 232 Tutoring 78-79, 116, 273 Tutoring companies 116

U CCI University College of the Cayman Islands 100, 101, 293 Underage drinking 24-25 Uniko Eco Salon 58 Universities 96-99, 100-101 University entry requirements 96-99

V alspar 18 Vanguard School (The) 85

INDEX

Maternity hospitals 220 Maternity leave 207 Mattress Experts 52 Mattress Gallery 51 McGrath Tonner Attorneys 166, 179 Meals on Wheels 251, 270 Means testing 92 Medical health providers 149-167 Menopause 53-55 Menstruation 281 Mental health assessments 114 Mental health care providers 167 Midwifery services 207, 208 Ministry of Education 91, 106 Montessori by the Sea 109, 114 Montessori del Sol 106, 108 Montessori School of Cayman 106, 109 Moonbeam Park 234 Museums 263 Music equipment 118 Music for children 119, 240-241, 259 Musical instruments 118 My Island Dentist 158, 160

OceanMed 153, 219 Optical Outlook 69, 162 Opticians & ophthalmologists 146, 162 Optique 147, 162 Orthodontics 128-129, 160-161

Vehicle insurance 290, 293 Village Montessori 106, 111 Vocational courses 102-104, 293 Vocational scholarships 92 Volunteering 250-251

W ater rescue courses 118, 127 Watersports 267-268

Wealth planning 188-189 Well-child checks 216-217 Wellbeing 43-60 West Bay Health Centre 211 Wills and estate planning 190-191 Windsor Park 234 Worms 130 Wreck of the Cali 232

Y MCA 119, 270, 283, 293 Yoga 44, 56, 259, 266 Youth groups 267, 283

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In conversation with...

Dr. Denise Osterloh

General & Family Doctor at Cayman Clinic since 2011 and Director of Healing Paws.

to the small island life. When I arrived in Cayman, I’d already worked in different environments all over the world, so it was an easy transition. I liked the smaller community and the various cultures here. The team I worked with in the ER Department at George Town Hospital when I arrived were fabulous and I made some lifelong friendships.

What do you do as the Director of Healing Paws (HP) and why is animal and human welfare so important to you? Healing Paws is a non-profit, voluntary

service and I was given the task of running Healing Paws around four years ago. I decided to expand our services and make pet therapy available to school children and patients at the hospital and hospice. With the help of my HP Board, we help support and improve patients’ social, emotional, physical and cognitive functioning through the valuable comfort that comes with therapy animals. I believe that animal and human welfare are so important — a society that cannot be compassionate and caring towards any living creature, is a society that is seriously disabled. Through the use of therapy animals, we help many children learn empathy and nurturing skills, and this bodes well for the future.

ROLE ADOLESCENCE MODEL

Tell us about your background life in Cayman.

I moved here at the end of 1996. I had been working in Brunei for the Royal Family of Brunei, but I decided that I wanted a change — I saw an advertisement for an ‘Emergency Room Physician’ at George Town Hospital in the Cayman Islands. I’d never been to the Caribbean before, so I decided I would come here for two years, and then move back to South East Asia (which I loved!). My first impressions of being here? I loved it! I felt I had arrived ‘home’; there were a lot of similarities here to growing up in Zimbabwe, and after years of travelling, I was happy to settle down for a while. I also met my husband Andy here. We both loved Cayman and have been lucky to be able to make it our long term home.

What inspired you to become a doctor? It was a

tragic event that inspired me to become a doctor. I was in a motor vehicle accident whilst in school, in which two of my friends were killed. I felt so helpless at the scene and after, and it was this that made me choose a career in Medicine.

What was it like working in the Emergency Room (ER)? The ER can be very emotionally and physically

demanding. You deal with the sadness of illness and death constantly, but there are also happy and funny occasions. I had a patient arrive to the ER on his horse one afternoon, another came to the ER with his pet iguana on his shoulder, and another time we spent a good 15 minutes chasing down a lone chicken that decided to take a wander in the department!

What was it like moving from South East Asia to a small island that is Grand Cayman? I never had an

issue with moving to a small island like Grand Cayman. Before Brunei, I had worked in Jersey in the Channel Islands. I am used

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What's the best thing about living and being a doctor in the Cayman Islands? The best thing about

being a doctor in the Cayman Islands is how we practise medical care. We have a unique system here: there is an ability to blend the US's, UK's, and other countries' ideas and formulate our own unique care (obviously within the guidelines of the Health Practice Board). Due to this, we are all fortunate to be able to access high quality medical care that is also compassionate and caring.

What would you say are the biggest challenges facing parents and their children in the Cayman Islands right now? The biggest challenge facing parents

and their children right now is definitely Covid-19 and all of the repercussions that have come with this, especially the mental health fallout. Another difficulty is how to teach children about 'good home-grown values' and compassion for one another. Lastly... the internet... a friend and foe!

What would you say is the glue that holds the Cayman community together? The glue that holds the

Cayman community together is the uniqueness of our diverse community — people of all nationalities and cultures in one big melting pot. Some may say this can be a divisive thing, but I feel it makes us more accepting of others.

Why is taking an active role in addressing Cayman's health concerns, inside and outside of work, so important to you? I take an active role in

helping others… it is my job to help others and if I can do it in any way I can, I will. I believe in being caring and compassionate in whatever you do, and if I can help with someone’s health, I will.

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Cayman Parent 2022

Articles inside

Decoding Orthodontics for Cayman Parents

The Menopause: Demystified

Breaking Cycles: Changing the Narrative on Childhood Poverty

Teens & Underage Drinking

A Seat at the Table with Four Generations