Professional Documents
Culture Documents
Over the last two years, research about the psychological impact of
COVID-19 on children and young people has been emerging.
Before the pandemic, England’s Mental Health of Children and
Young People (MHCYP) survey found that one in nine children and
young people were affected by a mental health condition. By
October 2020, eight months since the virus first reached the UK,
this figure had risen to one in six children. At this point, young
people were reporting high levels of loneliness, disrupted sleep, and
anxiety about leaving the house due to fear of catching or spreading
the virus. Determining the direct impact of the pandemic on mental
health is challenging, since pre-pandemic measures are required
for comparison. As a result, longitudinal studies which began data
collection before the pandemic are extremely valuable. One of
these studies is the Resilience, Ethnicity, and Adolescent Mental
Health (REACH) study at the Centre for Society and Mental Health
– a collaboration between the Institute of Psychiatry, Psychology &
Neuroscience (IoPPN) and the Faculty of Social Science and Public
Policy at King’s. This study has been following a cohort of children
from inner London since 2016, but has not yet published their
research on the impact of COVID-19. Nonetheless, co-investigator,
Dr Gemma Knowles, summarises some of the key findings on BBC
Radio 4’s documentary ‘Generation Covid’.
Featured How safe are our children? Our report compiles and
analyses the most robust and up-to-date child protection data that
exists across the four nations in the UK. Find out more Featured
COVID-19: safeguarding and child protection Resources to support
your work with children, young people and their families throughout
the coronavirus (COVID-19) pandemic. Find out more Featured The
impact of COVID-19 on child abuse in the UK Read our report
summarising the risks to children’s safety due to the conditions
created by the coronavirus crisis, and why these risks might
intensify during the pandemic. Read the briefing
Children are not the face of this pandemic. But they risk being
among its biggest victims. While they have thankfully been largely
spared from the direct health effects of COVID-19 at least to date –
the crisis is having a profound effect on their wellbeing. All children,
of all ages, and in all countries, are being affected, in particular by
the socio-economic impacts and, in some cases, by mitigation
measures that may inadvertently do more harm than good. This is a
universal crisis and, for some children, the impact will be lifelong.
The paediatric age group is equally prone to the COVID-19
infection, but they show lesser manifestations of the disease and
often recover rapidly, according to lessons learned from previous
similar outbreaks of SARS and MERS and research completed to
date. Critical care infrastructure, such as ICUs and oxygen support,
as well as mechanical ventilation, are not required. However, with
comorbid and congenital illnesses children are just as vulnerable as
adults because they are already in an immunological state. They
are required to be handled with caution. Almost all investigations
have found that vertical transmission of the infection is unlikely,
although additional research is needed. The psychological and
behavioural aspects of children’s lives are frequently disregarded,
but it is past time to address them as well. The absence of research
on such matters is a big roadblock, and more and more studies
examining the mental health of children in various settings must be
conducted on a regular basis. Vaccination has proven to be an
effective strategy against COVID-19, and it should be expanded to
include children of all ages, as mutations in the novel coronavirus
can damage anyone.
The social disruptions over the last several years have been
immense. Infrastructure that supports children remotely will help to
minimise and protect them from future disruptions. The expansion
of internet services to resource poor communities will improve
access to virtual medical services. The rapid transition of health
care system's capacity to shift to online and virtual medical services
has been, in one sense, a triumph because it enabled virtual child
health visits during the pandemic.145 However, it also widened the
access gap among children and families with limited access to
internet and personal electronic devices.146 Increasing families’
access to technology and in particular internet services may prove a
potent public health intervention. Of course, in person child health
visits remain critically important for child health. Finally, primary
clinicians can work with other community leaders to dispel parents’
vaccine misconceptions.
Overall, 132 (6.3%) participants had at least one missing data, that
was deemed missing at random and imputed using multiple
imputation by chained equations with the R mice package .
Predictive mean matching was used for numerical variables, logistic
regression for dichotomous ones and polytomous regression for
categorical ones. Variables included in the above-described
models, as well as children’s general health, mood, country of birth
and daily physical activity time were added as predictors for the
imputation.
Health care access & qualityThere are millions of children who have
missed vaccines and preventive well child visits. Families should be
counselled on the need for scheduled well child visits and
immunizations and prioritise catch-up visits for routine scheduled
visits & recommended vaccinations. Providing safe environments to
avoid exposure to COVID-19 during visits will be important. Of
course, if large numbers of children remain unvaccinated for
common childhood diseases (e.g., measles and pertussis) then
community outbreaks could occur. A sudden increase in the need
for vaccines may strain the vaccine supply chain. As discussed, the
pandemic has adversely affected the development, mental health,
and social circumstances of many children. Developmental and
social/emotional screening tools may need to be re-supplied with
training and support of newly hired staff.Disparities in children's
healthcare access, unmasked by the pandemic, can inform
infrastructure changes. The identification of community-specific
barriers that children and families face when accessing care
continue to be an important area of child health research. This may
include mapping primary care clinic sites to foster equitable
distribution to primary care services. Primary care clinicians and
community organisations can work together to educate families on
the importance of routine preventive visits, immunizations, and age
appropriate developmental and socio-emotional screening.144 The
social disruptions over the last several years have been immense.
Infrastructure that supports children remotely will help to minimise
and protect them from future disruptions. The expansion of internet
services to resource poor communities will improve access to virtual
medical services. The rapid transition of health care system's
capacity to shift to online and virtual medical services has been, in
one sense, a triumph because it enabled virtual child health visits
during the pandemic.145 However, it also widened the access gap
among children and families with limited access to internet and
personal electronic devices.146 Increasing families’ access to
technology and in particular internet services may prove a potent
public health intervention. Of course, in person child health visits
remain critically important for child health. Finally, primary clinicians
can work with other community leaders to dispel parents’ vaccine
misconceptions.