Westport School Start Time Committee Recommendation

84
Westport School Start Time Committee Recommendation

Transcript of Westport School Start Time Committee Recommendation

Westport School Start Time Committee

Recommendation

School Start Time Committee Recommendation

It is the recommendation of the School Start Time Committee that schools start and end at the following times:  

This is a budget neutral recommendation that was unanimously approved by the School Start Time Committee.

Committee Process

Committee Formation

The committee convened in November 2017 and was comprised of a variety of community stakeholders including the superintendent, pupil services director, board members, supervisor of health services, parents, administrators, athletic director, high school students, chief financial officer, and transportation director.

Mission

This committee will review and study the impact of various school start times within the Westport Public Schools. The committee will consider the needs of and impact of various school start times for students, faculty, families, and the broader Westport community, including budgetary and fiscal impact. Recommendations made to the Superintendent by June 2018 should:• Optimize the educational experience within the Westport Public Schools• Promote the health, academic performance, and quality of life for students, staff, 

and families• Consider the needs of and impact on adjusting school start times for the broader 

Westport community

Committee Process

School Bus Consultants (SBC)• Hired in January, 2018.• Analyzed and provided various options to the School Start Time Committee

Sleep Presentations

• Community Presentation by Dr. Susan Rubman, Assistant Clinical Professor in the Department of Psychiatry at the Yale School of Medicine and the Director of the Behavioral Sleep Medicine Program at the Hospital of Central Connecticut, New Britain

• Committee presentation by Terra Ziporyn Snider, Ph,D. Executive Director and Co‐Founder of Start School Later, Inc.

• Later School Start Time Workshop at Trinity College attended by several committee members

Preliminary Recommendation: In the fall of 2018, after Coleytown Middle School closed, the committee unanimously recommended that no school start before 8:00 am.

Criteria Developed Through the Process

• Elementary school students being picked up and dropped off during civil twilight (enough natural light).

• No schools starting before 8:00 a.m.

• Middle schools having the same start and end time

• SHS dismissal time considered in order to minimize the amount of disruption to after school student activities and responsibilities (sports, theater, clubs, after school jobs, etc.)

• No more than a 1 tier busing difference between elementary schools

• A minimum of 30 minutes between bus tiers (40 minutes or more required if elementary is not on the last busing tier)

• Budget implications (annual cost per bus is approximately $90,000)

Challenges of Flipping Elementary and High School Start and End Times

This option did not meet the criteria in several ways:• At some times of the year, elementary students would be at the bus stop in the 

dark• SHS dismissal at 3:15 or later would create significant disruption to after school 

student activities and responsibilities (sports, theater, clubs, after school jobs, etc.)• Starting the elementary on the first tier would require a minimum of 40 minutes 

between tiers, resulting in an additional delay to the high school

Additional concerns:• Additional supervision at the elementary level would be required as elementary 

students can not enter elementary buildings prior to the contractual teacher wrap around time

• Would require an increase in fleet of at least 4‐6 buses 

Why not 8:30 a.m. for Staples High School?

• Lack of committee support

• Data from athletic department indicates that the number of early releases would almost quadruple

• Daylight for sports decreases the window for practices and contests, especially in the fall. There is a town ordinance that limits the use of lights

Committee Recommendations Made on May 31, 2018

Tier 1 Schools Times Tier 2 Schools Times Tier 3 Schools Times Fleet +/-

BMS & CMS 7:40-2:25 SHS & SES 8:20-3:05 CS, KHS, GFS, LLS 9:00-3:45 +2 to 4

GFS, KHS, LLS, CS

7:40-2:25 SHS & SES 8:20-3:05 BMS & CMS 8:55-3:40 +2 to 4

SHS, BMS, CMS 8:00-2:45 GFS, LLS, KHS, CES, SES

8:40-3:25 +12 to 14

SHS 8:00-2:45 BMS, CMS, SES 8:30-3:15 GFS, KHS, LLS, CES 9:00-3:45 0

Why not 8:30 a.m. for Staples High School?

Scenario Tier 1 Schools

Tier 1 Times

Tier 2 Schools

Tier 2 Times

Tier 3 Schools

Tier 3 Times

Fleet +/-

2A BMS & CMS 7:45-2:30 SHS & SES 8:15-3:00 CS & KHSGFS & LLS

8:40-3:258:55-3:40

+2 to 4

*3A BMS & CMS 7:30-2:15 SHS & SES 8:10-2:55 GFS, KHS, LLS, CS

8:50-3:35 -1 to 3

*4A Change BMS & CMS 7:45-2:30 SHS & SES 8:15-3:00 GFS, KHS, LLS, CS

8:45-3:30 +4 to 6

New GFS, KHS, LLS, CS

7:45-2:30 SHS & SES 8:20-3:05 BMS & CMS

8:55-3:40 +2 to 4

Schools Planning Delayed Start and End Times

Norwalk (Implementation for 2020‐21) Early Childhood Center:                    9:00 – 3:30 Elementary                                          8:00 – 2:35, 8:50 – 3:25, or 9:15 – 3:50 Middle Schools                                   8:15 – 2:50 High Schools                                        8:30 – 3:15

New Canaan (Budget Proposal Includes Implementation in 2020‐21)New Canaan High School   8:30‐3:00Saxe Upper Division (7/8)   8:35‐3:05Saxe Lower Division (5/6)   9:15‐3:45Elementary                           7:45‐2:15

Schools with Delayed Start and End Times

Wilton (Implemented in 2003‐04)Wilton High School and Middlebrook Middle School   8:20‐2:50Cider Mill School (Grades 3‐5)                                          7:40‐2:10Miller‐Driscoll School (Grades PK‐2) 9:05‐3:35

Greenwich (Implemented in 2017‐18)Greenwich High School                                   8:30‐3:15Middle Schools                                                   8:00‐2:50Elementary Schools                                           8:15‐2:45 or 8:45‐3:15

Newtown (Implemented in 2017‐18)Newtown High School and Middle School           8:00‐2:32Elementary Schools and Reed Intermediate                   9:05‐3:35 or 8:15‐3:00     

RoadmapWhy should we change our school start times?

1. SST Background Information and the Ad. Sleep Cycle Shift

2.   The Impact of School Start Times on(a) Learning(b) Substance abuse and other risky behaviors, and(c) Mental health.

3. FAQs and Concerns• Is a 30 ‐minute change to 8:00 a.m. worth disrupting the status quo?

• Won’t students staying awake for another 30 minutes because they have just as much to do?

• Is 9:00 a.m. too late for the start of elementary school?

Local School Start Time History

• SHS started at 9:00 a.m. as late as the mid‐1950s.1

• In 1958, homeroom started at 8:30 a.m. and first period started at 8:44 a.m.2

• Most U.S. schools used to start at 9:00 a.m., but following the population boom of the 1960s and rising oil prices, most school districts switched to tiered schedules.3

• SHS starts at 7:30 a.m.1. Oral testimony (2018).  Westport Historical Society. 2. Woog, D. (2010).   See, e.g.,  National Sleep Foundation (2014), Wahlstrom, et al. (2014), Watson, et al. (2017),  Eaton, et al. (2010), National Sleep Foundation (2006),  

American Academy of Pediatrics (2014),  American Medical Association (2016), .3. See, e.g., Owens, Drobnich, Baylor, & Lewin  (2014), Walker (2017).

SHS Start Time in Context

• The average high school start time in the U.S. is 7:59 a.m.1

• The average start times for the Niche and U.S.N.W.R. top 10  are 8:10 a.m. and 8:36 a.m., respectively (as of 1/2018)

• NYC SuburbsCATEGORY Average 1st Period Start

Top 10 Public High Schools in Westchester County, New York 8:06 a.m.Top 10 Public High Schools in Bergen and Union County, New Jersey 8:08 a.m.Top 10 Public High Schools in Fairfield County, Connecticut (2018)Top 10 Public High Schools in Fairfield County, Connecticut (with N.C. 2020 adjustment)

7:39 a.m.7:48 a.m.

1. National Center for Education Statistics, U.S. Department of Education (2011‐12).

SHS Start Time in Context

• Area private schools

• The average start time for the Niche.com Top 10 CT private schools is 8:13 a.m. (as of 1/2018)

Town School 1st Period StartWestport The Pierrepont School 8:30 a.m.Westport Greens Farms Academy M,T,W,F:  8:00 a.m., Th:  9:00 a.m.Fairfield Fairfield College Preparatory School 8:35 a.m.Stamford King School 8:00 a.m.New Haven Hopkins School 8:00 a.m.New Canaan St. Luke’s School (2018‐2019 M,W,F:  8:30 a.m., T,Th:  9:00 a.m.

“For decades, starting school after 8:30 a.m. has been the standard in many countries, such as Finland, Japan, New Zealand, Australia, and England, all of which outperform the United States on international student achievement tests.  Out of 50 countries, U.S. children ranked worst in sleep deprivation.”

‐ Society of Behavioral Medicine, November 20171

SHS Start Time in Context

1. Trevorrow, T., Zhou, E., Dietch, J., Gonzalez, B. (2017). Position Statement: Start Middle and High Schools at 8:30 a.m. or Later to Promote Student Health and Learning,  Society of Behavioral Medicine.  

“There are no demonstrable health or learningbenefits to support early start times for middle and high schools. “ 

‐ Society of Behavioral Medicine, November 20171

SHS Start Time in Context

1. Trevorrow, T., Zhou, E., Dietch, J., Gonzalez, B. (2017).  Position Statement: Start Middle and High Schools at 8:30 a.m. or Later to Promote Student Health and Learning.  Society of Behavioral Medicine.  

“While the local governing boards of some school districts in the state have been able to implement healthier school start times, school boards in other districts continue to maintain the status quo, failing to prioritize the health and safety of their students and putting them at a competitive disadvantage.” 

‐ American Academy of Sleep Medicine, Letter regarding CA SB 328, November 20191

SHS Start Time in Context

1. American Academy of Sleep Medicine (September 2019).  Letter to California Governor Gavin Newsom – urging him to sign SB 328 into law.  Retrieved from https://j2vjt3dnbra3ps7ll1clb4q2‐wpengine.netdna‐ssl.com/wp‐content/uploads/2019/09/school‐start‐times‐California‐SB328‐Newsom‐2019.pdf

Sleep Science has “exploded” in the past 15 

years

Why is sleep important?1

• Learning capacity• Attention• Information retention• Abstract Thinking and 

Creativity• Academic achievement• Productivity

• Behavioral Control

• Athletic Performance and Risk of Injury

• Musical Achievement

• Social and emotional intelligence

• Automobile Accidents

• Mental Health• Mood• Anxiety• Depression• Suicidal Ideation• Suicide

• Substance abuse and other risk taking behavior

• Obesity• Cardiovascular health• Immunity and Disease• Metabolic Dysfunction• Cancer

1. See, e.g., Trevorrow, T., Zhou, E., Dietch, J., Gonzalez, B. (2017), Guadagni, V., Burles, F., Ferrara, M. and Iaria, G. (2014), Walker (2017),  Watson et al. (2017), American Academy of Pediatrics (2014), American Psychological Association (2014). 

How many hours of sleep?

You don’t get to choose.

Sleep needs have a genetic basis.1

1. See, e.g., Dashti, Jones, & Woods (2019), Mindell & Owens (2010). 

Sleep loss is cumulative.

For example, even for adults – who need 7 to 9 hours of sleep as opposed to the 8 to 10 hours needed by adolescents – two weeks of sleeping for six hours per night reduces cognitive functioning and performance to a level equivalent to a full 24 hours of sleep deprivation.1

1. See, e.g., Van Dongen et al. (2003), Walker (2017), Moller‐Levet et al., (2013) Curcio et. al (2006). 

Sleep deprivation is sneaky

Individuals with cumulative sleep loss can be aware of their cognitive impairments at first, 

but this awareness quickly decreases to the point that an individual can become unaware of their poorer functioning and performance.  

The constant and steady state of sleep deprivation becomes the new “normal.”1

1. See, e.g., Van Dongen et al. (2003), Walker (2017), Moller‐Levet et al., (2013) Curcio et. al (2006). 

At what time?

The Adolescent Sleep Cycle Shift

Process CMelatonin secretion and circadian rhythm shifts

Process SSleep drive accumulates more slowly compared to 

prepubertal years

This adolescent sleep‐phase shift is a universal, neuro‐biologicalphase of human development,  

experienced by teenagers around the world, 

regardless of parenting methods, technology use, or sleep hygiene.1

Even adolescents in pre‐industrial cultures without cell phones or computers experience the same, average 2‐3 hour delay of sleep 

timing in the brain.2

1. See, e.g., Hagenauer et al. (2014), Shapiro (2015), Evans et al. (2017), Colrain & Baker (2011), Wahlstrom (2017). 2. See, e.g., Hagenauer et al. (2014).

Many other mammals experience it too.1

1. See, e.g., Hagenauer et al. (2014), Wahlstrom (2017).

SHS Start Time + Neurobiology = SLEEP DEPRIVED STUDENTSLESS REM SLEEP

The average adolescent gets 6.75 hours of sleep per school night.1

At Princeton High School (#47)2 with 7:50 a.m. start = average of 6 to 6.5 hours3

In a study of students in a high school of similar caliber to SHS, students lost as much as 120 minutes of sleep per school night compared to the summer 

months.41.      See, e.g.,  American Academy of Pediatrics Supports Childhood Sleep Guidelines (2016), Hirshkowitz, M. et al. (2015).2. https://www.niche.com/k12/princeton‐high‐school‐princeton‐nj/rankings/3. Gilpin, D. (2019), Bellano, A. (2018).4. Hansen, Janssen, Schiff, Zee, & Dubocovich (2005).

Percentage of children sleeping in range:1

• 11% ‐ 34% of high school students• 41% ‐ 42% of middle school students• 69% ‐ 83% of elementary school students

“Catch‐Up” Sleep

Even if an adolescent only has an 8‐hour sleep need, he or she would need to log over 14 hours of sleep EACH weekend night to 

erase that sleep debt.

1.      See, e.g.,  National Sleep Foundation (2014),Watson et al. (2017), Wahlstrom, et al. (2014), Watson, et al. (2017),  Eaton, et al. (2010), National Sleep Foundation (2006).  American Academy of Pediatrics (2014).  American Medical Association (2016),  

“The findings are unequivocal, and as a sleep scientist, I rarely get to speak with that kind of certainty. Teens from districts with later start times get more sleep.”

‐ Dr. Wendy Troxel, TED Talk (2017)

Why Later School Start Times?

“All studies had a delayed start time 25 to 60 minutes… relative to pre-intervention, there was a significant positive net change in all studies, indicating an increase in the total minutes of sleep. The net increase ranged from an additional 25 min - 77 minutes of sleep per weeknight.”

‐ Minges & Redeker (2016)

Benefits of later school start times1

• Improved learning, academic achievement, and standardized test scores

• Improved attention and concentration

• Increased engagement in class activities

• Improved productivity

• Improved behavioral control

• Improved athletic performance• Improved reaction times

• Reduced tardiness and improved attendance

• Reduced automobile Accidents

• Improved Mental Health• Improved mood• Reduced irritability• Reduced anxiety• Less depression• Less suicidal Ideation

• Increase in quality of student‐family interaction

• Decreased substance abuse and other risk taking behavior

• Improved physical health

1. See, e.g., Trevorrow, T., Zhou, E., Dietch, J., Gonzalez, B. (2017), Walker (2017),  Watson et al. (2017), American Academy of Pediatrics (2014), American Psychological Association (2014) , National Sleep Foundation (2005), Kelley P., Lee, C. (2015). Mukherjee, S., Patel, S., Malhotra, A. (2015). Owens, Drobnich, Baylor, & Lewin (2014), Owens,  Belon, & Moss (2010), Winsler, Deutsch, Vorona, Payne, & Szklo‐Coxe, (2015). Wahlstrom, K., Berger, A., & Widome, R. (2017), Semenza, D., Meldrum, R., Jackson, D., Vaughn, M., Piquero, A. (2020).  

All Westport Pediatricians

American Academy of Child & Adolescent PsychiatryAmerican Academy of PediatricsAmerican Academy of Sleep MedicineAmerican Medical AssociationAmerican Psychological AssociationAmerican Sleep AssociationAmerican Thoracic SocietyCenters for Disease ControlNational Association of School NursesNational Sleep FoundationSociety of Behavioral MedicineSociety of Pediatric Nurses

National PTA (“encourage high schools and middle schools to aim for start times that allow students the opportunity to achieve optimal

levels of sleep.”)

Education Commission of the States

Position Statements

There is virtually unanimous agreement in the research community that later start times in adolescent education would produce a positive change in adolescent learning, health and safety… Few, if any, educational interventions are so strongly supported by research and evidence from so many different disciplines and experts in the field.

‐ Education Commission of the States (2015)

Preparation for learning the next day

• The brain has limited “short term storage” (hippocampus) available for new information.  (i.e., ”learning ability”)1

• During NREM stage 2 sleep, ”sleep spindles”                                move memories to “long‐term storage”                                             in the cortex.2

• There is a direct, causal relationship between sleep duration and specifically the sleep spindles a person has during total NREM stage 2 sleep and “learning ability” the next morning.3

• When scien sts perturb just the sleep spindles → subjects couldn’t learn the next day.

• Caffeine doesn’t help.4

1. See, e.g. Abel et al. (2013), Walker (2017), Lustenberger  et al. (2012), Anwar (2010), Heim et al. (2017), Nishida & Walker (2007), Spinks (2001), Yoo et al. (2007), Walker & Stickgold (2006), Van Der Werf et al. (2009).

2. Id.3. Fattinger et al. (2017).4. Harrison & Horne (2000), Walker & Stickgold (2006).

Sleep After Learning – Memory Consolidation

(1) “stabilization” ‐ integrating new information into your                            more permanent knowledge base1

(1) “enhancement” ‐ your brain practices the information.                   Cognitive performance is improved during sleep and                    independent of further wake‐time training or study2

Examples:

Music practice:  subsequent “‘offline’ learning with respect to these skills occurs exclusively across a period of sleep, and not across equivalent time periods spent awake.”3

Learning words in a foreign language: “the wake group reached the same performance as the sleep group but expended much more time and effort to do so.”4

1. See, e.g. Abel et al. (2013), Diekelmann et al. (2009), Stickgold et al, (2000), Stickgold (2005), Stickgold & Walker (2007), Stickgold & Walker (2005), Vahdat et al. (2017), Walker et al. (2002), Walker, Braleford. Hobson, & Stickgold (2003), Walker & Stickgold (2006), Diekelmann (2014), Rasch and Born (2013), Walker (2008), Vahdat, Fogel, Benali, & Doyon (2017), Gruber et al. (2010), Gais, Molle, Helms, & Born (2002), Fattinger et al. (2017). 

2. Id.3. See, e.g.Walker et al (2002), Mazza (2016), Walker (2017)4. Mazza (2016)

Sleep After Learning – Memory Consolidation

(1) “stabilization” ‐ integrating new information into your                            more permanent knowledge base

(1) “enhancement” ‐ your brain practices the information.                   Cognitive performance is improved during sleep and                    independent of further wake‐time training or study

Without adequate sleep the very first night after learning, a person1) Misses out on memory enhancement – the extra practice – that sleep 

provides, and           

2) Never fully transfers or “stabilizes” and integrates the all the new knowledge into the brain’s long‐term storage

Creativity, Abstract Thinking, and Complex Problem Solving

• Any amount of sleep deprivation quickly impedes a student’s ability to function at this higher level.  For example:

• 10 to 14‐year‐old students’ verbal creativity and abstract thinking skills were significantly impaired after only one night of 5 hours of sleep (in a laboratory setting).1

• Middle school students’ verbal fluency and creativity skills were significantly impaired after 3 nights of sleep limited to 7 hours (in a laboratory setting).2

• Similar findings with respect to math‐related skills3

1. Tandazzo, Muehlbach, & Schweitzer (1998), Cognitive function following acute sleep restriction in children ages 10‐14.2. Tandazzo,  Muehlbach, & Schweizer (1998), Cognitive function following 3 nights of sleep restriction in children 10‐14.3. See, e.g., Walker (2017), Barrett (2017), Rasch & Born (2013), Cai et al. (2009), Walker, Liston, Hobson, & Stickgold (2002).

Creativity, Abstract Thinking, and Complex Problem Solving

• Dependent on REM sleep:

“NREM sleep strengthens individual memories, as we now know.  But it is REM sleep that blends and fuses those elemental ingredients together, in abstract and highly novel ways… We awake with a revised “Mind Wide Web” that is capable of divining solutions to previously impenetrable problems [and] creating abstract overarching knowledge and super‐ordinate concepts out of sets of information… REM sleep is intelligent information processing that inspires creativity and promotes problem solving.”  

‐ Matthew Walker (2017)

Substance Abuse and Other Risky Behavior

∙ Adolescents that have slept less than the recommended 8 to 10 hours each night are significantly more likely to:1

o Abuse alcohol o Smoke cigarettes or marijuanao Use other drugso Engage in sexual activityo Drink and drive,o Ride with drivers that had been drinking, o Text while driving, o Not use seatbelts, and o Bully their peers 

∙ Teenagers with later school start times engage in significantly less of the risky behavior described above.2

1. See, e.g. Wheaton, Olsen, Miller, & Croft (2016), Trozel, Ewing, & D’Amico (2015), Wahlstrom, et al. (2014), McKnight‐Eily et al. (2011), Wheaton, Chapman, & Croft (2016),  Carskadon (1990), Weaver, Barger, & Malone (2018), Winsler et al. (2015).

2. See, e.g., Wahlstrom, et al. (2014)

Substance Abuse and Other Risky Behavior

∙ Adolescents that have slept less than the recommended 8 to 10 hours each night are significantly more likely to:1

o Abuse alcohol o Smoke cigarettes or marijuanao Use other drugso Engage in sexual activityo Drink and drive,o Ride with drivers that had been drinking, o Text while driving, o Not use seatbelts, and o Bully their peers 

∙ Teenagers with later school start times engage in significantly less of the risky behavior described above.2

1. See, e.g. Wheaton, Olsen, Miller, & Croft (2016), Trozel, Ewing, & D’Amico (2015), Wahlstrom, et al. (2014), McKnight‐Eily et al. (2011), Wheaton, Chapman, & Croft (2016),  Carskadon (1990), Weaver, Barger, & Malone (2018), Winsler et al. (2015).

2. See, e.g., Wahlstrom, et al. (2014)

WHY?WHY?

BREAKING SYSTEM:1

• Sleep aside, adolescents are already more prone to risk‐taking behavior than adults because the prefrontal cortex is still developing and connecting to other parts of the brain.

• The prefrontal cortex is involved in decision‐making, inhibitory control, and danger assessment.  

• The prefrontal cortex is extremely vulnerable to sleep loss.

GAS PEDAL:2 In sleep‐deprived individuals, the striatum – which is associated with impulsivity and reward – becomes hyperactive.  And this hypersensitivity to pleasurable experiences can lead to sensation‐seeking, risk‐taking, and addiction.  

Substance Abuse and Other Risky Behavior

1. See, e.g. Walker (2017), Jensen (2016), Winsler (2015), Gujar, Yoo, Hu, & Walker (2011), Kanwal, Jung, & Zhang (2015).2. See, e.g., Steinberg (2008), Kanwal, Jung, & Zhang (2015), Minnesota Sleep Society (2019).

Mental Health and Suicide

∙ Suicide is the second highest cause of death of US adolescents.1

∙ We now know that teens that sleep only one hour less each night than their individual 8‐10 hour sleep requirement are much more likely to commit suicide.2

∙ One recent study of over 27,000 middle and high school students found that, for each hour of lost sleep, there was:3∙ a 38% increase in feeling sad and hopeless, ∙ a 42% increase in considering suicide, and ∙ a 58% increase in suicidal attempts.

• 2018 study (over 67,000 HS students):  students sleeping less than 6 hours nightly were three times more likely to consider or attempt suicide and four times as likely to attempt suicide that resulted in treatment, compared to kids who got eight hours.4

1. See, e.g. National Alliance on Mental Illness (2019).  2. See, e.g., Fitzgerald and Messias (2011), McKnight‐Eily et al. (2011), Winsler et al. (2015).  3. Winsler, et al. 2015.4. Weaver, Barger, Malone (2018).

Mental Health and Suicide

∙ Suicide is the second highest cause of death of US adolescents.1

∙ We now know that teens that sleep only one hour less each night than their individual 8‐10 hour sleep requirement are much more likely to commit suicide.2

∙ One recent study of over 27,000 middle and high school students found that, for each hour of lost sleep, there was:3∙ a 38% increase in feeling sad and hopeless, ∙ a 42% increase in considering suicide, and ∙ a 58% increase in suicidal attempts.

• 2018 study (over 67,000 HS students):  students sleeping less than 6 hours nightly were three times more likely to consider or attempt suicide and four times as likely to attempt suicide that resulted in treatment, compared to kids who got eight hours.4

1. See, e.g. National Alliance on Mental Illness (2019).  2. See, e.g., Fitzgerald and Messias (2011), McKnight‐Eily et al. (2011), Winsler et al. (2015).  3. Winsler, et al. 2015.4. Weaver, Barger, Malone (2018).

WHY?WHY?

1. Sleep the day before1

The amygdala is one of the centerpiece regions for the generation of negative   emotional reactions.  

▪ If full night of sleep, there is a modest, controlled response to input.  ▪ In those same people who are sleep deprived, there is a 60% amplification of 

negative emotions. Without sleep you become all emotional gas pedal and too little control break.  What’s more concerning is that this is a neurological signature that is not dissimilar to numerous psychiatric disorders.   

2. Sleep the day after2 ‐ “Overnight Therapy”

While you sleep, your brain is transferring memories from the day into long term storage.  During REM sleep, concentrations of a key stress‐related chemical called noradrenaline are completely shut off in the brain.  This helps take the painful sting out of difficult, even traumatic, emotional episodes one experiences during the day.  

1. See, e.g. Yoo et al. (2007), Goldstein & Walker (2014), Walker (2017),  Gujar, Yoo, & Walker (2011),  Yoo, et al. (2007), Venter (2012)2. See, e.g., Van der Helm & Walker (2009), Van der Helm & Walker (2011), Walker (2017), Friedman & Salter (2018) , Anderson et al. (2004), Van der Helm et al. (2011)3. See, infra. Substance Abuse and Other Risky Behavior

“It is the lack of REM sleep‐that critical stage occurring in the final hours of sleep that we strip from our children and teenagers by way of early school start times – that creates the difference between a stable and unstable mental state.” (p. 310)

Thirty Minutes is a Meaningful Improvement

• The committee’s two outside experts explained that a 30‐minute shift is worthwhile.1

• Princeton High School – feedback on moving from 7:50 a.m. to 8:20 a.m. for 2019‐2020 school year:2• Has overwhelming support from staff and students • Tardies dropped by 37% • Teachers have reported that students are more awake• Students have reported that they fell better.• GPAs are up• It’s anticipated that Challenge Success data (February 2020) will 

show improvements in emotional wellness, sleep duration, and student engagement 

1. Ziporyn (2018), Rubman (2018).  2. See, e.g., Gilpin (2019), Kantor (2019).

Thirty Minutes is a Meaningful Improvement

• Another example:• At a private Northeast H.S., a 30‐minute start time delay = 

• Increase in sleep duration• Decrease in daytime sleepiness• Students rated themselves as less depressed

“Given the recent concerns raised regarding the relationship between insufficient sleep and both depressive symptoms and suicidal ideation in adolescents, this positive effect on mood associated with delaying the start time is particularly noteworthy.” 

• American Academy of Pediatrics:   “Studies comparing high schools with start times as little as 30 minutes earlier versus those with later start times demonstrate such adverse consequences as shorter sleep duration, increased sleepiness, difficulty concentrating, behavior problems, and absenteeism.”2

1. Owens, Belon, & Moss (2010).   2. American Academy of Pediatrics (2014) Policy Statement: School Start Times for Adolescents. 

Thirty Minutes is a Meaningful Improvement

• Any additional sleep and especially sleep in the late morning towards the end of the sleep cycle is extremely important.  Among the many things profoundly impacted by small differences in sleep duration and timing are:1

• higher‐level abstract thinking, • creativity, • impulse control and risk‐taking behavior, and• and mental health.

1. Explained in sections on learning, mental health, and substance abuse

“Many of these studies report deleterious effects on business outcomes on the basis of only very modest reductions in sleep amount within an individual, perhaps twenty‐ to sixty‐minute differences between an employee who is honest, creative, innovative, collaborative, and productive and one who is not.”   (p. 302)

1. Sleep Improves Productivity.1

1. See, e.g.,  Webb & Levy (1984), Walker (2017), Engle‐Friedman & Riela (2004), Engle‐Friedman et al. (2003), Hafner, Taylor, Troxel, & Van Stolk (2016), McKinsey & Company (2016). Rosekind et al. (2010), Fryer (2006).

2. Walker (2017).

“The irony that employees miss is that when you are not getting enough sleep, you work less productively and thus need to work longer to accomplish a goal.  This means you you often must work longer and later into the evening, arrive home later, go to bed later… creating a negative feedback loop.”2

Work Smarter, not Harder!

A study of 4 large U.S. companies found that insufficient sleep cost almost $2,000 per employee per year in lost productivity, and over $3,500 for those suffering the most serious lack of sleep, for a TOTAL ANNUAL LOSS OF $54 MILLION

Inadequate sleep (less than 7 hours/night for adults) costs America at least $411 BILLION EACH YEAR.  This is 2.28% of of US GDP. 

“Sleep is beneficial for a host of cognitive functions ‐ insight, pattern recognition, and the ability to come up with innovative and creative ideas ‐ that help us solve problems effectively.  One study has shown that a good night’s sleep leads to new insights: participants who enjoyed one were twice as likely as those who didn’t to discover a hidden shortcut in a task… Other research has established that creative thinking is especially likely to take place during dream sleep, enhancing the integration of unassociated information and promoting creative solutions.” 

The Organizational Cost of Insufficient Sleep (2016)

1. Sleep Improves Productivity.

2. We need to teach our students about the importance of sleep.

1. Sleep Improves Productivity.

2. We need to teach our students about the importance of sleep.

3. Wilton’s Experience:  “We found that student bedtimes were essentially unchanged compared with before the schedule change, but later rise times were reported such that they obtained nearly all of this time as additional sleep.”1

1. O’Malley & O’Malley (2008), National Sleep Foundation (2005).

1. Sleep Improves Productivity.

2. We need to teach our students about the importance of sleep.

3. Wilton’s Experience

4. Students would benefit even if they did stay up 30 minutes later.• For example, and controlling for sleep duration, studies have 

shown that post‐pubertal adolescents perform better in later‐starting classes and even perform better on IQ tests in the afternoon.1

• In a controlled study of adolescents with an average SAT score higher than the average SHS SAT score, students with earlier first‐period classes performed worse in that class and in their subsequent classes.2

1. See, e.g., Pink (2018), Dills & Hernandez‐Julian  (2008), Goldstein et al. (2007).  2. Carrell, S., Maghakian, T., West, J. (2011). 

What about my primary school‐aged child?

There isn’t as much research on elementary school start times.

We do know definitively, however, that for elementary school students, getting enough sleep is vital to their academic success and health.  

What about my primary school‐aged child?

For elementary school students, getting enough sleep is vital to their academic success and health.  For example:  

• There was a study of hundreds of twin pairs in which one twin was routinely obtaining less sleep than the other.  “By ten years of age, the twin with the longer sleep pattern was superior in their intellectual and educational abilities, with higher scores on standardized tests of reading and comprehension and a more expansive vocabulary than the twin who was obtaining less sleep.”1  

• In a meta‐analysis of 86 studies on 35,936 children between 5‐12 years old, “sleep duration show[ed] a significant positive relation with cognitive performance” while “insufficient sleep in children [was] associated with deficits in higher‐order and complex cognitive functions and an increase in behavioral problems.”2

• There is research suggesting that sleep problems in early childhood predict the early use of alcohol, cigarettes, and other substances.3

1. Walker (2017), Weissbluth (2015). 2. Astill, van der Heijden, van Ijzendoorn, & van Someren (2012).3. See, e.g., Wong et al. (2004), Gruber et al. (2014), Warren, Riggs, & Pentz (2017). 

What about my primary school‐aged child?

At least as compared to adolescents, the sleep/wake cycles of children are more malleable,1 and the “sweet spot” for elementary school start times may be between 7:30 a.m. and 9:00 a.m.2

Sample Studies:

• 8:15 a.m. vs. 9:15 a.m. start time had no effect on the academic performance of elementary school students.3

• In a region with a variety of start times, a start time that was effectively 60‐minutes later resulted in a significant improvement in elementary students’ reading scores and a minor improvement in math scores.4

1. See, e.g., Appleman, Gilbert, & Au  (2015). 2. See, e.g., Owens, J. (2018). Epstein, Chillag, & Lavie (1998), Keller et al. (2015), 3. Edwards (2012).4. Heissel & Norris (2017).

∙ Based on the latest available data, the average elementary school start time in Connecticut is 8:41 a.m.1

∙ The New Canaan, Darien, Easton, Norwalk, Ridgefield, and Wilton school districts have elementary schools that start at 9:00 a.m. or later.

∙ Wilton has the earliest elementary school start time at 7:40 a.m.

∙ Primary school start times vary widely across the U.S. and there’s no primary‐aged child “sleep crisis.”

Town# of 

Elementary Schools

Elementary School Hours

Darien 53 @ 8:25 a.m. ‐ 2:55 p.m.2 @ 9:00 a.m. ‐ 3:30 p.m.

New Canaan 31 @ 8:15 a.m. ‐ 2:45 p.m. 2 @ 9:05 a.m. ‐ 3:35 p.m.

Easton/Redding 21 @ 8:05 p.m. ‐ 2:50 p.m.1@ 8:55 a.m. ‐ 3:40 p.m.

Fairfield1 @ 8:10 a.m. ‐ 2:45 p.m.10 @ 8:55 a.m. ‐ 3:30 p.m.

Greenwich 113 @ 8:15 a.m. ‐ 2:45 p.m.8 @ 8:45 a.m. ‐ 3:15 p.m.

Norwalk 124 @ 8:00 a.m. ‐ 2:35 p.m.3 @ 8:50 a.m. ‐ 3:25 p.m.5 @ 9:15 a.m. ‐ 3:50 p.m.

Ridgefield 63 @ 8:35 a.m. ‐ 3:25 p.m.3 @ 9:10 a.m. ‐ 4:00 p.m.

Westport 51 @ 8:00 a.m. ‐ 2:45 p.m.4 @ 8:30 a.m. ‐ 3:15 p.m.

Weston 2 2 @ 8:30 a.m. ‐ 3:15 p.m.

Wilton 21 (K ‐2nd) @ 9:05 a.m. ‐ 3:35 p.m.1 (3rd ‐ 5th) @ 7:40 a.m. ‐ 2:10 p.m.

1. See, e.g., National Center for Education Statistics (2011‐12).

What about my primary school‐aged child?

Time‐of‐day research suggests that, to optimize the achievement of students at any given start time, elementary schools should:

• Organize schedules so that work on analytic skills, like reading and math, takes place towards the beginning of the school day and creative classes like art and music, take place in the afternoon.1

• Schedule substantial breaks/recesses throughout the day.2

1. See, e.g., Pink (2018), Wan (2018).2. Id.

References CitedAbel T, Havekes R, Saletin J, Walker M (2013). Sleep, Plasticity and Memory from Molecules to Whole-Brain Networks, Current

Biology, 23(17), pp. R774-R788

American Academy of Pediatrics Policy Statement: School Start Times for Adolescents (2014). Pediatrics, 134(3), pp. 642-649

American Academy of Pediatrics (August 25, 2014). Let Them Sleep: AAP Recommends Delaying Start Times of Middle and High Schools to Combat Teen Sleep Deprivation. Available at https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/let-them-sleep-aap-recommends-delaying-start-times-of-middle-and-high-schools-to-combat-teen-sleep-deprivation.aspx

American Academy of Pediatrics (2016). American Academy of Pediatrics Supports Childhood Sleep Guidelines. Retrieved from https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/American-Academy-of-Pediatrics-Supports-Childhood-Sleep-Guidelines.aspx

American Academy of Sleep Medicine (September 2019). Letter to California Governor Gavin Newsom – urging him to sign SB 328 into law. Retrieved from https://j2vjt3dnbra3ps7ll1clb4q2-wpengine.netdna-ssl.com/wp-content/uploads/2019/09/school-start-times-California-SB328-Newsom-2019.pdf

American Medical Association (Jun. 14, 2016). AMA Supports Delayed School Start Times to Improve Adolescent Wellness. Retrieved from http://news.cision.com/american-medical-association/r/ama-supports-delayed-school-start-times-to-improve-adolescent-wellness,c2029027

American Psychological Association (2014). Position Statement: Later School Start Times Promote Adolescent Well-Being. Retrieved from https://www.apa.org/pi/families/resources/school-start-times.pdf

Anderson, M.C., Ochsner, K.N., Kuhl, B., Cooper, J., Robertson, E., Gabrieli, S.W., Glover, G.H., Gabrieli, J.D. (2004). Neural systems underlying the suppression of unwanted memories. Science, 303, pp. 232-35

Anwar, Yasmin, (February 22, 2010). An afternoon nap markedly boosts the brain’s learning capacity, Berkeley News. Retrieved from https://news.berkeley.edu/2010/02/22/naps_boost_learning_capacity/

Appleman, E., Gilbert, K., Au, R. (2015). School start time changes and sleep patterns in elementary school students, Sleep Health, June 2015, 1(2) 109-114

Astill, R.G., Van der Heijden, K.B., Van Ijzendorn, M.H., & Van Someren, E.J.W. (2012). Sleep, cognition, and behavioral problems in school-age children: A century of research meta-analyzed. Psychological Bulletin, 138(6), pp. 1109–1138.

Barnett, D. (2015). Start school day at 11am to let students sleep in, says expert. The Guardian. Retrieved from https://www.theguardian.com/science/2015/sep/08/start-school-later-11am-students-sleep

Barrett, D., (2017). Dreams and creative problem-solving, Annals of the New York Academy of Sciences, 1406, pp. 64-67

Bellano, A. (Jan. 24, 2018). Princeton High School to Start Day Later Next Year. Patch.com. Retrieved from https://patch.com/new-jersey/princeton/princeton-high-school-start-day-later-next-year-report

Cai, D., Mednick, S., Harrison, E., Kanady, J. (2009). Mednick, S., REM, not incubation, improves creativity by priming associative networks. Proc. Natl Acad Scie U.S.A., 106(25): 10130-10134.

Carrell, S., Maghakian, T., West, J. (2011). A’s from Zzzz’s? The Causal Effect of School Start Time on the Academic Achievement of Adolescents. Am. Economic J., 3, pp. 62-81

Carskadon, M. (1990). Adolescent sleepiness: Increased risk in a high-risk population. Alcohol, Drugs, and Driving, 5, pp. 317–28

Carroll, A. (March 28, 2016). Schools Are Slow to Learn That Sleep Deprivation Hits Teenagers Hardest. The New York Times. Retrieved from https://www.nytimes.com/2016/03/29/upshot/schools-are-slow-to-learn-that-sleep-deprivation-hits-teenagers-hardest.html

Centers for Disease Control (2015). School Start Times for Middle and High School Students. Retrieved from https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6430a1.htm

Children’s National Medical Center (2014). Blueprint for Change Team, School Start Time Change: An In-Depth Examination of School Districts in the United States. Mind, Brain, and Education, 2014 8(4)

Colrain, I., Baker, F. (2011). Changes in Sleep as a Function of Adolescent Development. Neuropsychol Rev., 21(1), pp. 5-21

Curcio, G., Ferrara, M., De Gennaro, L. (2006). Sleep loss, learning capacity and academic performance. Sleep, 10, pp. 323-337

Dashti, H.S., Jones, S.E., Wood, A.R. (2019). Genome-wide association study identifies genetic loci for self-reported habitual sleep duration supported by accelerometer-derived estimates. Nat Commun., 10(1100)

Diekelmann S. (2014). Sleep for cognitive enhancement. Front Syst Neurosci., 8(46), pp. 1-12

Division of Sleep Medicine, Harvard Medical School (2010). A ‘Catch Up’ Night of Sleep Not Enough to Compensate. Retrieved from https://sleep.med.harvard.edu/news/337/A+Catch+Up+Night+Of+Sleep+Not+Enough+to+Compensate

Dills, A., Hernandez-Julian, R. (2008). Course Scheduling and Academic Performance. Economics of Education Review, 27(6), pp. 646–54

Diekelmann S., Wilhelm, I., Born, J. (2009). The whats and whens of sleep-dependent memory consolidation. Sleep Med Rev., 13(5), pp. 309-321

Eaton DK, McKnight-Eily LR, Lowry R, Perry GS, Presley-Cantrell L, Croft JB (2010). Prevalence of insufficient, borderline, and optimal hours of sleep among high school students — United States. J Adolesc Health, 46(4), pp. 399-401

Edwards, F. (2012). Early to Rise: The Effect of Daily Start Times on Academic Performance. Retrieved from SSRN: https://ssrn.com/abstract=1628693

Engle-Friedman, M., Riela, S. (2004). Self-imposed sleep loss, sleepiness, effort and performance. Sleep and Hypnosis, 6(4), pp. 155-62

Engle-Friedman, M., Riela, S., Golan, R. (2003). The effect of sleep loss on next day effort. Journal of Sleep Research, 12(2), pp. 113-24

Epstein, R., Chillag, N., Lavie, P. (1998). Starting times of school: effects on daytime functioning of fifth-grade children in Israel. Sleep, 21(3), pp. 250-256

Evans, M., Kelley, P., Kelley, J. (2017). Identifying the Best Times for Cognitive Functioning Using New Methods: Matching University Times to Undergraduate Chronotypes. Front. Hum. Neurosci., 11(188). Retrieved from https://doi.org/10.3389/fnhum.2017.00188

Fattinger, S., Beukelaar, T., Ruddy, K., Volk, C., Heyse, N., Herbst, J., Hahnloser, R., Wenderoth, N., Huber, R. (2017). Deep sleep maintains learning efficiency of the human brain. Nature, 8(15405), pp. 1-13

Fitzgerald, C., Messias, E. (2011). Teen Sleep and Suicidality: Results from the Youth Risk Behavior Surveys of 2007 and 2009.J Clin Sleep Med., 7(4) pp. 351-356

Franzen, P., Buysse, D., Siegle, G. (2009). Sleep deprivation alters pupillary reactivity to emotional stimuli in healthy youngadults. Biol. Psychol., 80(3), pp. 300-305

Friedman N, Salter L. (2018). A sleep expert explains what happens to your brain when you dream, Business Insider, February 2018. Retrieved from https://www.businessinsider.com.au/matthew-walker-what-happens-to-your-brain-when-you-dream-2018-2

Fryer, B. (2006). Sleep Deficit: The Performance Killer, Harvard Business Review, Retrieved from https://hbr.org/2006/10/sleep-deficit-the-performance-killer

Gais, S., Molle, M., Helms, K., Born, J. (2002). Learning-dependent increases in sleep spindle density. J Neurosci., 22(15), pp. 6830-6834

Gilpin, D. (Dec. 4, 2019). PHS Takes Steps to Combat Student Stress. Town Topics. Retrieved from http://www.towntopics.com/wordpress/2019/12/04/phs-takes-steps-to-combat-student-stress/

Goel, N., Rao, H., Durmer, J., Dinges, D. (September 2009). Neurocognitive Consequences of Sleep Deprivation. Semin Neurol., 29(4), pp. 320-339

Goldstein, A., Walker, M.P. (2014). The Role of Sleep in Emotional Brain Function. Annu Rev Clin Psychol, 10, pp. 679-708

Goldstein, D., Hahn, C., Hasher, L. Wiprzycka, U., Zelazo, P. (2007). Time of Day, Intellectual Performance, and Behavioral Problems in Morning versus Evening Type Adolescents: Is there a Synchrony Effect? Personality and individual Differences, 42(3), pp. 431–40

Gromov, I., Gromov, D. (2009). Sleep and substance use and abuse in adolescents. Child Adolesc Psychiatr Clin N Am., 18(4), pp. 929–946

Gruber, R., Carrey, N., Weiss, S., Frappier, J., Rourke, L., Brouillette, R., Wise, M. (2014). Position Statement on Pediatric Sleep for Psychiatrists. J Can Acad Child Adolesc Psychiatry, 23(3), pp. 174-195

Gruber, R., Wiebe, S.T., Wells, S.A., Cassoff, J., Monson, E. (2010). Sleep and academic success: mechanisms empirical evidence, and interventional strategies. Adolesc Med State Art Rev., 21(3), pp. 522-41

Guadagni, V., Burles, F., Ferrara, M. and Iaria, G. (2014). The effects of sleep deprivation on emotional empathy. J Sleep Res, 23, pp. 657-663

Gujar, N., Yoo, S-S., Hu, P. T., & Walker, M. P. (2011). Sleep deprivation amplifies reactivity of brain reward networks, biasing the appraisalof positive emotional experiences. Journal of Neuroscience, 31(12), 4466-4474.

Hagenauer, M.H., Perryman, J., Lee, T., Carskadon, M. (2009). Adolescent Changes in the Homeostatic and Circadian Regulation of Sleep. Dev Neurosci., 31(4) 276-284

Harrison, Y., Horne, J.A. (2000). Sleep loss and temporal memory, Q J Exp Psychol A, pp. 53(1), pp. 271-279

Hansen, M., Janssen, I., Schiff, A., Zee, P.C., Dubocovich, M.L. (2005). The Impact of school daily schedule on adolescent sleep. Pediatrics, 115(6), 1555-61

Hasler, B., Soehner, A., Clark, D. (2015). Sleep and Circadian Contributions to Adolescent Alcohol Disorder. Alcohol, 49(4), pp. 377-387

Heim S, Klann J, Schattka K, Bauhoff S, Borcherding G, Nosbusch N, Struth L, Binkofski F, Werner C, A Nap But Not Rest or Activity Consolidates Language Learning, Front Psychol., May 2017 8(665): 1-8

Heissel, J., Norris, S. (2017). Rise and Shine: The Effect of School Start Times on Academic Performance from Childhood Through Puberty. Retrieved from https://ssrn.com/abstract=2674256 or http://dx.doi.org/10.2139/ssrn.2674256

Hirshkowitz, M. et al. (2015). National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health, 1(1), pp. 40-43

Jensen, F. (2016). The Teenage Brain: A Neuroscientist’s Survival Guide to Raising Aolescents and Young Adults. New York: Harper Collins

Kantor, J. (2019). The Fight for Later School Start Times. NJ Family. Retrieved from https://www.njfamily.com/the-fight-for-later-school-start-times/

Kelley P., Lee, C. (2015). Later Start Times in Adolescence: Time for Change, Education Commission of the States. Retrievedfrom https://www.ecs.org/clearinghouse/01/12/19/11219.pdf

Kanwal, J., Jung, Y., Zhang, M. (2015). Brain Plasticity during Adolescence: Effects of Stress, Sleep, Sex and Sounds on Decision Making. Anat. Physiol., 6(1)

Kirov, R., Kolev, V., Verleger, R., Yordanova, J. (2015). Labile sleep promotes awareness of abstract knowledge in a serial reaction time task, Front. Psychol., 6, p. 1354

Klass, P. (May 22, 2017). The Science of Adolescent Sleep. The New York Times. Retrieved from https://www.nytimes.com/2017/05/22/well/family/the-science-of-adolescent-sleep.html

Lustenberger, C., Maric, A., Durr, R., Achermann, P., Huber, R. (2012). Triangular relationship between sleep spindle activity, general cognitive ability and the efficiency of declarative learning. PloS One, 7(11), pp. 1-5

Mazza, S., Gerbier, E., Gustin, M.P., Kasikci, Z., Koenig, O., Toppino, T., Magnin, M. (2016). Relearn Faster and Retain Longer:Along with Practice, Sleep Makes Perfect, Psychological Science, 27(10)

McKinsey & Company (2016). The organizational cost of insufficient sleep. McKinsey Quarterly. Retrieved from https://www.mckinsey.com/business-functions/organization/our-insights/the-organizational-cost-of-insufficient-sleep

McKnight-Eily, L., Eaton, D., Lowry, R., Croft, J., Presley-Cantrell, L., Perry, G.S. (2011). Relationships between hours of sleep and health-risk behaviors in U.S. adolescent students. Prev Med., 53(4-5), pp. 271-273

Miller, M.B., Janssen, T., Jackson, K.M. (2017). The prospective association between sleep and initiation of substance use in young adolescents. J Adolesc Health., 60(2) pp. 154–160

Minnesota Sleep Society (2019). Risk Taking Behavior. Retrieved from https://www.mnsleep.net/school-start-time-toolkit/why-improve-sleep-for-teenage-students/evidence-confirms-link-between-teen-sleep-biology-and-improved-outcomes/risk-taking-behavior/

Mindell, J.A. & Owens, J.A. (2010). A Clinical Guide to Pediatric Sleep: Diagnosis and Management of Sleep Problems. Second Edition. Philadelphia: Lippincott Williams & Wilkins.

Minges, K., Redeker, N. (2016). Delayed school start times and adolescent sleep: A systematic review of the experimental evidence. Sleep Medicine Reviews, 28, pp. 86-95

Moller-Levet, C., Archer, S., Bucca, G., Laing, E., Slak, A., Kabiljo, R., Lo, J., Santhi, N., von Schantz, M., Smith, C., Dijk, D. (2013). Effects of insufficient sleep on circadian rhythmicity and expression amplitude of the human blood transcriptome. National Academy of Sciences for the United States of America, PNAS, 110(12), pp. E1132-E1141

Mukherjee, S., Patel, S., Malhotra, A. (2015). An Official America Thoracic Society Statement: The Importance of Healthy Sleep.Recommendations and Future Priorities. Am. J. of Respiratory and Critical Care Medicine, 191(12), pp. 1450-1458

National Alliance on Mental Illness (2019). Mental Health by the Numbers. Retrieved from https://www.nami.org/Learn-More/Mental-Health-By-the-Numbers

National Center for Education Statistics, U.S. Department of Education (2011-12) Average start time for public high schools in 2011-2012. U.S. Department of Education. Institute of Education Sciences. Retrieved from https://nces.ed.gov/surveys/sass/tables/sass1112_201381_s1n.asp

National Center for Education Statistics, U.S. Department of Education (2011-12) Average start time for public primary schools in 2011-2012. U.S. Department of Education. Institute of Education Sciences. Retrieved from https://nces.ed.gov/surveys/sass/tables/sass1112_505_s1s.asp

National Sleep Foundation. (2014). 2014 Sleep in America® poll - Sleep in the modern family: Summary of Findings

National Sleep Foundation (2006). Teens and sleep. Retrieved from: www.sleepfoundation.org/article/sleep-america-polls/2006-teens-and-sleep.

National Sleep Foundation (2005). Changing School Start Times: Fayette County, Kentucky, Retrieved from http://www.sleepinfairfax.org/docs/CS.Fayette.pdf

National Sleep Foundation (2005). Changing School Start Times: Wilton, Connecticut. Retrieved from http://www.sleepinfairfax.org/docs/CS.Wilton.pdf

National Sleep Foundation (2004). 2004 Sleep in America Poll: Summary of Findings. Retrieved from https://www.sleepfoundation.org/sites/default/files/inline-files/FINAL%20SOF%202004.pdf

Nishida M., Walker M.P. (2007). Daytime naps, motor memory consolidation and regionally specific sleep spindles, PLoS One, 2(4), pp. e341

Nieuwenhuis, I.L., Takashima A. (2011). The role of the ventromedial prefrontal cortex in memory consolidation. Behav Brain Res., 218(2), pp. 325-334

O’Brien, E.M., Mindell, J.A. (2005). Sleep and risk-taking behavior in adolescents. Behav Sleep Med. 2005, 3(3) pp. 113–133

O’Malley, E., O’Malley, B. (2008). School Start Time and Its Impact on Learning and Behavior, Sleep and Psychiatric Disorders in Children and Adolescents, Chapter 7. Boca Raton: CRC Press

Owens, J., Drobnich, D., Baylor, A., Lewin, D. (2014). School Start Time Change: An In-Depth Examination of School Districts in the United States. Mind, Brain, and Education, 8(4)

Owens, J. (November 2018). Presentation by Dr. Judith Owens, Director of Sleep Medicine at Boston Children’s Hospital and Professor at Harvard Medical School. Retrieved from https://andover.vod.castus.tv/vod/?video=1a610f0b-dfa3-4380-be08-173e03cd9643

Owens, J., Belon, K., Moss, P. (2010). Impact of Delaying School Start Time on Adolescent Sleep, Mood, and Behavior. Arch Pediatr Adolesc Med, 164 (7), pp. 608-614

Owens, J. A., Drobnich, D., Baylor, A., & Lewin, D. (2014). School start time change: An in-depth examination of school districts in the United States. Mind, Brain, and Education, 8(4), pp. 182-213

Pink, D. (2018). When: The Scientific Secrets of Perfect Timing. New York: Penguin Random House Books

Hafner, M., Stepanek, M., Taylor, J., Troxel, W., Van Stolk, C. (2016). Why sleep matters - the economic costs of insufficient sleep: A cross-country comparative analysis. Rand Corporation. Retrieved from https://www.rand.org/pubs/research_reports/RR1791.html.

Rasch, B., and Born, J. (2013). About sleep’s role in memory. Physiol. Rev., 93, pp. 681– 766.

Rosekind, M.R., Gregory K.B., Mallis M.M., Brandt, S.L., Seal, B., Lerner, D. (2010). The cost of poor sleep: workplace productivity loss and associated costs. J Occup. Environ. Med., 52(1), pp. 91-98

Rubman, S., (2018). Westport Community Presentation on School Start Times. Retrieved from https://view.earthchannel.com/PlayerController.aspx?&PGD=wstprtscct&eID=160

Semenza, D., Meldrum, R., Jackson, D., Vaughn, M., Piquero, A. (2020). School Start Times, Delinquency, and Substance Use: ACriminological Perspective. Crime & Delinquency, 66(2), pp. 163-193

Shapiro, T. (2015). The educational effects of school start times. IZA World of Labor, 181, pp. 1-10

Spinks, S. (2001). Adolescents and Sleep: A summary of what researchers know about teenagers’ need for sleep and why sleep affects memory and learning. Retrieved from https://www.pbs.org/wgbh/pages/frontline/shows/teenbrain/from/sleep.html

Steinberg, L. (2008). A Social Neuroscience Perspective on Adolescent Risk-Taking. Dev Rev., 28(1), pp. 78-106

Stickgold, R., James, L., Hobson, J.A. (2000). Visual discrimination learning requires post-training sleep. Nat Neurosci., 3(12), pp.1237-1238

Stickgold, R., Walker, M.P. (2007). Sleep-Dependent Memory Consolidation and Reconsolidation, Sleep Med., 8(4), pp. 331-343

Stickgold, R., Walker, M. (2005). Memory consolidation and reconsolidation: what is the role of sleep? Trends Neurosci., 28(8), pp. 408-15

Stickgold, R. (2005). Sleep-dependent memory consolidation. Nature, 437(27), pp. 1272-1278

Terman L., Hocking A. (1913). The Sleep of School Children: Its Distribution According to Age and its Relation to Physical and Mental Efficiency, excerpt Retrieved at https://teensneedsleep.files.wordpress.com/2011/04/terman-and-hocking-part-3.pdf

Tandazzo, A.C., Muehlbach, M.J., Schweitzer, P.K. (1998). Cognitive function following acute sleep restriction in children ages10-14. Sleep, 21, pp. 861-68

Tandazzo, A.C., Muehlbach, M.J., Schweitzer, P.K. (1998). Cognitive function following 3 nights of sleep restriction in children ages 10-14. Sleep, 21, pp. s249

Trevorrow, T., Zhou, E., Dietch, J., Gonzalez, B. (2017). Position Statement: Start Middle and High Schools at 8:30 a.m. or Later to Promote Student Health and Learning. Society of Behavioral Medicine. Retrieved from https://www.sbm.org/UserFiles/file/late-school-start-statement-FINAL.pdf

Troxel, W., Ewing, B., D’Amico, E.J. (2015). Examining Racial/Ethnic Disparities in the Association between Adolescent Sleepand Alcohol or Marijuana Use. Sleep Health, 1(2), pp. 104-108

Troxel, W. (2017). Ted Talk: Why School Should Start Later for Teens. Retrieved from https://www.ted.com/talks/wendy_troxel_why_school_should_start_later_for_teens/transcript?language=en

Vahdat, S., Fogel, S., Benali, H., Doyon, J. (2017). Network-wide reorganization of procedural memory during NREM sleep revealed by fMRI. eLife, 6(30774), pp. 1-24

Van der Helm, E., Walker, M.P. (2009). Overnight therapy? The role of sleep in emotional brain processing. Psychol Bull., 135(5), pp. 731-48

Van der Helm, E., Yao, J., Dutt, S., Rao, V., Saletin, J., Walker, M.P. (2011). REM Sleep Depotentiates Amygdala Activity toPrevious Emotional Experiences. Current Biology, 21(23), pp. 2029-32

Van der Helm, E., Walker, M.P. (2011). Sleep and emotional memory processing. Sleep Med. Clin, 6(1), pp. 31-43

Wahlstrom, K., Dretzke, B., Gordon, M., Peterson, K., Edwards, K., Gdula, J. (2014). Examining the Impact of Later High School Start Times on the Health and Academic Performance of High School Students: A Multi-Site Study. Center for Applied Research and Educational Improvement. Retrieved from: https://conservancy.umn.edu/bitstream/handle/11299/162769/Impact%20of%20Later%20Start%20Time%20Final%20Report.pdf?sequence=1&isAllowed=y

Wahlstrom, K. (2017). Sleepy teenage brains need school to start later in the morning. The Conversation: Academic rigor, journalistic flair. Retrieved from https://theconversation.com/sleepy-teenage-brains-need-school-to-start-later-in-the-morning-82484

Wahlstrom, K., Berger, A., & Widome, R. (2017). Relationships between school start time, sleep duration, and adolescent behaviors. Sleep Health, 3, pp. 216-221

Walker, M., Brakefield, T., Morgan, A., Hobson, J.A., Stickgold, R. (2002). Practice with sleep makes perfect: sleep dependent motor skill learning. Neuron., 35(1), pp. 205-11

Walker, M.P., Liston, C., Hobson, J.A., Stickgold, R. (2002). Cognitive flexibility across the sleep-wake cycle: REM-sleep enhancement of anagram problem solving. Brain Res Cogn Brain Res., 14(3), pp. 317-24

Walker, M.P., Brakefield, T., Hobson, J.A., Stickgold, R. (2003). Dissociable stages of human memory consolidation and reconsolidation. Nature, 425(6958), pp. 616-620

Walker M, Stickgold R. (2006). Sleep, Memory, and Plasticity. Annu. Rev. Psychol., 57, pp. 139-66

Walker, M.P. (2009). Sleep-Dependent Memory Processing, Harv Rev Psychiatry, 16(5), pp. 287-298

Walker, M. (2017). Why We Sleep. New York: Scribner

Wan, T. (January 2, 2018). ‘When’ does learning happen best? Dan Pink on the Science Behind Timing and Education. EdSurge, Retrieved from https://www.edsurge.com/news/2018-01-02-when-does-learning-happen-best-dan-pink-on-the-science-behind-timing-and-education

Watson, N.F., Martin, J.L., Wise, M.S., Carden, K.A., Kirsch, D.B., Kristo, D.A., Malhotra, R.K., Olson, E.J., Ramar, K., Rosen,I.M., Rowley, J.A., Weaver, T.E., Chervin, R.D. (2017). Delaying middle school and high school start times promotes student health and performance: an American Academy of Sleep Medicine position statement. J Clin Sleep Med., 13(4), pp. 623–625

Warren, C., Riggs, N., Pentz, M.A. (2017). Longitudinal relationships of sleep and inhibitory control deficits to early adolescent cigarette and alcohol use. J. Adolesc., 57, pp. 31-41.

Weissbluth, M. (2015). Health Sleep Habits, Happy Child, Fourth Edition. New York: Ballantine Books, p. 83

Wheaton, A.G., Chapman, D.P., Croft, J.B. (2016). School Start Times, Sleep, Behavioral, Health, and Academic Outcomes: A Review of the Literature. J. Sch. Health, 86(5), pp. 363-81

Wheaton AG, Everett Jones S, Cooper AC, Croft JB (2015). Short sleep duration among middle school and high school students —United States. MMWR Morb Mortal Wkly Rep 2018(67), pp. 85-90

Wheaton, A.G., Olsen, E.O., Miller, G.F., Croft, J.B. (2016). Sleep Duration and Injury-Related Risk Behaviors Among High SchoolStudents — United States, 2007–2013. MMWR Morb Mortal Wkly Rep, 65, pp. 337–341

Winsler, A., Deutsch, A., Vorona, R.D., Payne, P.A., & Szklo-Coxe, M. (2015). Sleepless in Fairfax: The difference one more hour of sleep can make for teen hopelessness, suicidal ideation, and substance use. Journal of Youth & Adolescence, 44, pp. 362-378

Urrila A, Artiges E, Massicotte J, Miranda R, Vulser H, Bézivin-Frere P, Lapidaire W, Lemaître H, & The IMAGEN consortium, Sleep habits, academic performance, and the adolescent brain structure. Scientific Reports, 2017, 7(41678), pp. 1-9

Van Der Werf, Y. D., Altena, E., Schoonheim, M. M., Sanz-Arigita, E. J., Vis, J. C., De Rijke, R. W., et al. (2009). Sleep benefits subsequent hippocampal functioning. Nat. Neurosci. 12, pp. 122–123

Van Dongen H.P., Maislin, G., Mullington, J.M., Dinges, D.F. (2003). The cumulative cost of additional wakefulness: dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. Sleep26(2), pp. 117-26

Venter, R. (2012). Role of Sleep in Performance and Recovery of Athletes: A Review Article. S. Afr. J. for Res. In Sport, 34(1) pp. 167-184

Weaver, M., Barger, L., Malone, S. (2018). Dose-Dependent Associations Between Sleep Duration and Unsafe Behavior Among US High School Students. JAMA Pediatrics, 172(12), pp. 1187-1189

Watson, N.F., Martin, J.L., Wise, M.S., Carden, K.A., Kirsch, D.B., Kristo, D.A., Malhotra, R.K., Olson, E.J., Ramar, K., Rosen, I.M., Rowley, J.A., Weaver, T.E., Chervin, R.D. Delaying middle school and high school start times promotes student health and performance: an American Academy of Sleep Medicine position statement. J Clin Sleep Med., 13(4), pp. 623–625

Wong, M., Brower, K., Fitzgerald, H., Hiram, E. Zucker, R. (2004). Sleep Problems in Early Childhood and Early Onset of Alcohol and Other Drug Use in Adolescence. Alcoholism: Clinical and Experimental Research, 28(4), pp. 578-87

Wong, M.M., Robertson, G.C., Dyson, R.B. (2015). Prospective relationship between poor sleep and substance-related problems in a national sample of adolescents. Alcohol Clin Exp Res., 39(2) pp. 355–362

Woog, D. (Jun. 6, 2010). Those Were The Days. 06880danwoog.com. Retrieved from https://06880danwoog.com/2010/06/06/those-were-the-days/

Yoo, S.S., Gujar, N., Hu, P. Jolesz, F.A., Walker, M.P. (2007). The human brain without sleep – a prefrontal amygdala disconnect. Curr. Biol., 17(20), pp. R877-78

Yoo, S., Hu, P., Gujar, N., Jolesz, F., Walker, M.P., A deficit in the ability to form new human memories without sleep. Nat Neurosci. March 2007, 10(3), pp. 385-392

Yoo, S. S., Gujar, N., Hu, P., Jolesz, F. A., & Walker, M. P. (2007). The human emotional brain without sleep--a prefrontal amygdala disconnect. Current Biology, 17(20), R877-878. doi: 10.1016/j. cub.2007.08.007

Ziporyn, T. (2018). Westport School Start Time Committee Presentation. Retrieved from http://video.vzaar.com/vzaar/vzb/f03/target/vzbf03bf1d5483496396fd2967fc399e5e.mp4?response-content-disposition=inline&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=AKIAJ74MFWNVAFH6P7FQ%2F20191119%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Date=20191119T144545Z&X-Amz-Expires=3660&X-Amz-SignedHeaders=host&X-Amz-Signature=a445323709263559feb406a634ecabed427a9c83e2bc8b43c0d0cbd046eabc9b

Zuckerman D, Early Morning Classes, Sleepy Students, and Risky Behaviors, National Center for Health Research, http://www.center4research.org/early-morning-classes-sleepy-students-risky-behaviors/