Child and adolescent depression and other mental health issues during lockdown and SARS-CoV-2/COVID-19 pandemic: A survey in school setting

AbstractDevelopmental trajectories of mental health issues can often be usefully summarised in a small number of clinically meaningful subtypes. Given the high levels of heterotypic and homotypic comorbidity in child and adolescent mental health symptoms, we explored whether it was possible to identify clinically meaningful developmental subtypes of multiple commonly co-occurring mental health issues. We evaluated the combined developmental trajectories of the most common and commonly co-occurring child and adolescent mental health issues: attention-deficit/hyperactivity disorder (ADHD), internalising, and externalising symptoms in a normative sample of youth with data (n = 1620) at ages 7, 8, 9, 10, 11, 12, 13 and 15 using group-based multi-trajectory modelling. Multinomial logistic regression was used to evaluate predictors of group membership. Our optimal model included six trajectory groups, labelled ‘unaffected’, ‘normative maturing’, ‘internalising’, ‘multimorbid late onset’, ‘multimorbid remitting’, and ‘multimorbid with remitting externalising’. Examining covariates of group membership suggested that males and bully victims tend to have complex mental health profiles; academic achievement and smoking during pregnancy have general associations with mental health irrespective of symptom developmental trajectories or combination; and maternal post-natal depression is primarily related to symptoms that are already in evidence by the beginning of the school years. Results suggest that developmental trajectories of commonly co-occurring mental health issues can be usefully summarised in terms of a small number of developmental subtypes. These subtypes more often than not involve multiple co-occurring mental health issues. Their association with mental health covariates depends on the combination and developmental timing of symptoms in ways that suggest they can be clinically informative.

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Athletic Trainer-Reported Prevalence of Mental Health, Substance Use, and Barriers to Health in Secondary Schools

Journal of Athletic Training ◽

10.4085/1062-6050-0359.19 ◽

2021 ◽

Author(s):

J Beaupre ◽

Sam W. Meske ◽

Meghan Buckley

Keyword(s):

Mental Health ◽

Health Care ◽

Substance Use ◽

Health Disparities ◽

Student Athletes ◽

Athletic Trainers ◽

School Setting ◽

Health Issues ◽

Mental Health Issues ◽

Barriers To Health

ABSTRACT Context: Where a person lives can have a significant impact on health. Limited access to health care, food insecurity, lack of affordable housing, and violence increases a person's likelihood for poor health. Athletic trainers can have an impact on identifying and improving the determinants of health that affect student-athletes. Objective: To understand 1) What are the current perceptions athletic trainers have about the health behaviors (specifically mental health and substance use) of high school student-athletes? 2) What are the barriers that athletic trainers experience when providing health services to high school student-athletes? 3) How does the developed environment effect the health behaviors and barriers that athletic trainers observe? Design: Survey Setting: Online Participants: Certified National Athletic Training Association Members employed in the secondary school setting Main Outcome Measure(s): Demographics of athletic trainers, athletic trainers' perceptions on the health of student-athletes across developed environments, prevalence of mental health issues, tobacco and substance use, barriers to health care services, and housing and food insecurities among student-athletes. Descriptive statistics for the outcome measures are reported. Results: 7,600 electronic surveys were distributed to athletic trainers, with 910 respondents. Respondents were 61% female; average age was 36 years old; and an average of 12.5 years of experience. 82% of athletic trainers identified their school setting as public, 43.7% of respondents identified their school as suburban, 30.1% rural, and 26.2% urban. Athletic trainers perceived a high average prevalence of mental health issues (32%), e-cigarette use (31.7%), and marijuana use (26.9%) in student athletes. There were significant perceived barriers to health including access to transportation, poverty, housing and food insecurities. Conclusions: This study highlights health disparities and barriers athletic trainers observe when addressing health care needs of student-athletes. Understanding determinants of health to identify causes of health disparities may better prepare athletic trainers to manage the health needs of underserved student-athletes.

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Public health nurses’ experience, involvement and attitude concerning mental health issues in a school setting

Nordic Journal of Nursing Research ◽

10.1177/2057158517711680 ◽

2017 ◽

Vol 38 (2) ◽

pp. 61-67 ◽

Cited By ~ 3

Author(s):

Øyfrid Larsen Moen ◽

Hege Skundberg-Kletthagen

Keyword(s):

Public Health ◽

Mental Health ◽

Mental Health Problems ◽

School Setting ◽

Further Education ◽

Public Health Nurses ◽

Health Issues ◽

Physical And Mental Health ◽

Cross Sectional ◽

Mental Health Issues

The aim of the study was to describe and explore public health nurses’ perceptions of involvement and their attitudes concerning the mental health aspects of their work in schools. Furthermore, we wished to explore their need for useful approaches and training topics. The teenage years in particular are associated with an incidence of mental health problems such as depression. Public health nurses in schools have an extensive role in relation to health promotion and the prevention of both physical and mental health. A cross-sectional study with 284 public health nurses from 163 municipalities in Norway was carried out, using the Depression Attitude Questionnaire. The public health nurses reported various degrees of confidence and time spent working with mental health issues. Confidence was found to be related to further education and courses.

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