scholarly journals Practitioner review: health anxiety in children and young people in the context of the COVID-19 pandemic

2020 ◽  
pp. 1-15 ◽  
Author(s):  
A. Haig-Ferguson ◽  
K. Cooper ◽  
E. Cartwright ◽  
M.E. Loades ◽  
J. Daniels
Keyword(s):  
Young People ◽  
Health Anxiety ◽  
Developmentally Appropriate ◽  
Evidence Base ◽  
Physical Symptoms ◽  
Children And Young People ◽  
Global Pandemic ◽  
Assessment And Treatment ◽  
Health Related ◽  
The Face

Abstract Health-related fear is a normal and common response in the face of the global pandemic of COVID-19. Children and young people are frequently being exposed to messages about the threat to health, including from the media and authorities. Whilst for most, their anxiety will be proportionate to the threat, for some, existing pre-occupation with physical symptoms and illness will become more problematic. There is a growing body of evidence that health anxiety may occur in childhood, however much of the literature is taken from research using adult samples. This practitioner review aims to give an overview of the assessment and treatment of health-related worries in children and young people in the context of the COVID-19 pandemic. This review is based on the limited existing evidence in this population and the more substantial evidence base for treating health anxiety in adults. We consider the adaptations needed to ensure such interventions are developmentally appropriate.

Rethinking mental health provision in the secure estate for children and young people: a framework for integrated care (SECURE STAIRS)

2018 ◽  
Vol 17 (4) ◽  
pp. 193-201 ◽  
Author(s):  
Jenny Taylor ◽  
Lisa Shostak ◽  
Andrew Rogers ◽  
Paul Mitchell
Keyword(s):  
Mental Health ◽  
Young People ◽  
Evidence Base ◽  
Content Type ◽  
Theoretical Concepts ◽  
Record Keeping ◽  
Care Plans ◽  
Trauma Informed Care ◽  
Assessment And Treatment ◽  
Trauma Informed

Purpose The purpose of this paper is to outline the challenges to achieving positive outcomes for young people within the secure estate in England, and introduces a psychologically informed framework, SECURE STAIRS (SS), aimed at improving outcomes. Design/methodology/approach The paper argues that there is a need for a fundamental shift in the way care and intervention for young people within the secure estate is delivered. It gives an overview of current challenges and needs and summarises the theoretical concepts and evidence base which can guide practice and form the foundations of the SS framework. Findings The framework recommends that intervention shift from focussing primarily on individual assessment and treatment to a greater emphasis on supporting the work of the wider system of care. Recommendations include promoting trauma-informed care, a focus on the system dynamics within institutions and how these impact on the care young people receive, and on the collaborative development with residential staff and young people of formulation-led care plans that include a focus on issues of sustainability after leaving the secure estate. Practical implications These include the establishment of discrete residential groupings with truly integrated and trauma-informed work across residential, mental health, education and criminal justice agencies. This involves addressing governance issues around shared record keeping, and challenges to sustainability and the accompanying need for local implementation plans for each establishment alongside central support at a strategic level. Originality/value This paper describes a new and innovative way of working within secure settings to ensure children and young people’s needs are better met.

Principles of clinical examination in children

2016 ◽  
Author(s):  
Sharmila Jandial ◽  
Helen Foster
Keyword(s):  
Young People ◽  
Clinical Examination ◽  
Clinical Assessment ◽  
Clinical Skills ◽  
Detailed Examination ◽  
Evidence Base ◽  
Clinical Findings ◽  
Whole Child ◽  
Children And Young People ◽  
Musculoskeletal Development

The clinical examination of children and adolescents is an essential component of assessment, facilitates appropriate interpretation of investigations and is integral to the process of making a diagnosis. The clinical assessment of children and young people differs from that of adults, requiring greater reliance on physical examination as the history may be vague and illocalized and requires knowledge of normal musculoskeletal development, normal motor milestones and different patterns of clinical presentations across the ages. The interpretation of clinical findings needs to be in the context of the whole child and the clinical presentation. The degree of expertise required in clinical skills varies with the clinical practice of the examiner and ranges from the basic screening assessment to a more detailed examination of joints, muscles and anatomical regions. The evidence base for clinical assessment in children and young people is accruing and undoubtedly, competent clinical skills requires learning to be embedded in core child health teaching and assessment starting at medical school and reinforced in postgraduate training.

scholarly journals The development of a new measure of quality of life for children with congenital cardiac disease

2006 ◽  
Vol 16 (2) ◽  
pp. 165-172 ◽  
Author(s):  
Susan Macran ◽  
Yvonne Birks ◽  
Jonathan Parsons ◽  
Patricia Sloper ◽  
Geoff Hardman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Young People ◽  
Cardiac Disease ◽  
Clinical Context ◽  
Children And Young People ◽  
The United Kingdom ◽  
Congenital Cardiac Disease ◽  
Reliable Instrument ◽  
Health Related

The purpose of the study was to develop a questionnaire measuring health-related R1 quality of life for children and adolescents with congenital heart disease, the ConQol, that would have both clinical and research applications. We describe here the process of construction of a questionnaire, the piloting and the development of a weighted scoring system, and data on the psychometric performance of the measure in a sample of 640 children and young people recruited via 6 regional centres for paediatric cardiology from across the United Kingdom. The ConQol has two versions, one designed for children aged from 8 to 11 years, and the other for young people aged from 12 to 16 years. Initial findings suggest that it is a valid and reliable instrument, is acceptable to respondents, and is simple to administer in both a research and clinical context.

scholarly journals entre cercas, brincadeiras e feitiços: os conflitos e as apropriações do território por crianças e jovens quilombolas

2020 ◽  
Vol 16 (36) ◽  
pp. 01-27
Author(s):  
Beatriz Corsino Perez
Keyword(s):  
Young People ◽  
Social Inequalities ◽  
Daily Lives ◽  
Children And Young People ◽  
Agricultural Produce ◽  
Childhood And Youth ◽  
Electric Fence ◽  
The Face ◽  
Breeding Farms ◽  
Community Spaces

brazil has gone through a long process of colonization that still leaves violent marks in the ways of relating to quilombola communities, producing the devaluation of their cultures and knowledge. Through colonization, the lives of quilombola children and young people have become invisible in the face of scientific knowledge that uses European authors as a reference and the urban middle classes as a model. In this text, we present the results of an interventional research carried out between 2017 and 2019, with about 30 children and young people living in a quilombola community in Cafuringa, in Campos dos Goytacazes-RJ. We seek to understand how the experiences of childhood and youth are constituted from the relationships that children and young people establish with the territory, their uses and appropriations, and the modes of subjectification in the face of conflicts experienced in the community. Children take ownership of the territory through collective games held outdoors, in which they explore community spaces, and interact with the land, animals, plants and trees. For these children, these spaces can be "bewitched", "haunted", "sacred", and while fascinating, also generate fear. These ways of relating to the territory are in conflict with the agricultural produce and horse breeding farms, which consider the land as a business, and animals and plants as goods. The children's estrangement in encountering of the electric fence placed by the farm, which symbolizes the private use of the land, social inequalities, and the racial discrimination experienced in their daily lives, leads us to question the project of the overall “civilizing” project built into modernity

COGNITIVE BEHAVIOUR THERAPY WITH CHILDREN AND YOUNG PEOPLE: A SELECTIVE REVIEW OF KEY ISSUES

2002 ◽  
Vol 30 (3) ◽  
pp. 297-309 ◽  
Author(s):  
Paul Stallard
Keyword(s):  
Young People ◽  
Cognitive Processes ◽  
Cognitive Behaviour Therapy ◽  
Developmentally Appropriate ◽  
Theoretical Models ◽  
Behaviour Therapy ◽  
Children And Young People ◽  
Cognitive Behaviour ◽  
Childhood Problems ◽  
Key Issues

The growing interest in the use of cognitive behaviour therapy with children and young people has been encouraged by emerging evidence suggesting that CBT is effective with a wide range of child disorders. Typically, models and techniques developed for work with adults have been extended downwards and applied to children. This review questions the appropriateness of this approach and selectively identifies a number of key issues that need to be addressed. The absence of developmentally appropriate theoretical models to understand the onset and maintenance of maladaptive cognitive processes in children is highlighted. This lack of a coherent theoretical framework has led to a proliferation of diverse interventions falling under the general umbrella of cognitive behaviour therapy with the predominant emphasis being behavioural, rather than cognitive. Developmental factors, the nature, extent and type of cognitive processes in children and the important role of the parent in the onset and treatment of childhood problems have received comparatively little attention. There is a need to understand more about the cognitive processes of children and young people and to develop robust and testable developmentally appropriate theoretical models. In turn this will begin to address the question of which specific cognitive behaviour therapy programmes are effective for which childhood problems.

scholarly journals HEALTH-RELATED FAMILY QUALITY OF LIFE WHEN A CHILD OR YOUNG PERSON HAS A DISABILITY

2018 ◽  
Vol 9 (4) ◽  
pp. 49-74 ◽  
Author(s):  
Margaret R. Kyrkou
Keyword(s):  
Quality Of Life ◽  
Young People ◽  
Emotional Health ◽  
Family Members ◽  
Young Person ◽  
Family Quality Of Life ◽  
Children And Young People ◽  
People With Disability ◽  
Health Related

Parents of a child or young person with disability face not only the same challenges as parents of typically developing children and young people, but also the extra challenges of supporting the child or young person with disability in such a way as to maximise both their own quality of life (QOL) and family quality of life (FQOL) for all family members. Health-related quality of life (HRQOL) encompasses not only physical health but also mental and emotional health, equally important for FQOL. This article builds on information from previous publications, and illustrates relevant issues and the innovative methods parents, caregivers, and professionals have devised to enhance the HRQOL for children and young people with disability, and to improve FQOL. The author draws upon her personal lived experiences of having two daughters, the eldest an adult with disability, as well as being the medical consultant and manager of a newly created health unit tasked with supporting students with disability, who often have high health needs, in educational settings. The health conditions selected are those that have a major impact, not only on the young person with disability but also on family members. Vignettes, all deidentified true stories, will be included to illustrate the multiple issues faced by children and young people with disability, their families and extended families, and treating clinicians. These stories will hopefully resonate with families in particular.

scholarly journals A systematic review of effectiveness and cost-effectiveness of school-based identification of children and young people at risk of, or currently experiencing mental health difficulties

2018 ◽  
Vol 49 (1) ◽  
pp. 9-19 ◽  
Author(s):  
Joanna K. Anderson ◽  
Tamsin Ford ◽  
Emma Soneson ◽  
Jo Thompson Coon ◽  
Ayla Humphrey ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Cost Effectiveness ◽  
Young People ◽  
Evidence Base ◽  
Bibliographic Databases ◽  
Children And Young People ◽  
Presenting Symptoms ◽  
School Based ◽  
Mental Health Difficulties

AbstractBackgroundAlthough school-based programmes for the identification of children and young people (CYP) with mental health difficulties (MHD) have the potential to improve short- and long-term outcomes across a range of mental disorders, the evidence-base on the effectiveness of these programmes is underdeveloped. In this systematic review, we sought to identify and synthesise evidence on the effectiveness and cost-effectiveness of school-based methods to identify students experiencing MHD, as measured by accurate identification, referral rates, and service uptake.MethodElectronic bibliographic databases: MEDLINE, Embase, PsycINFO, ERIC, British Education Index and ASSIA were searched. Comparative studies were included if they assessed the effectiveness or cost-effectiveness of strategies to identify students in formal education aged 3–18 years with MHD, presenting symptoms of mental ill health, or exposed to psychosocial risks that increase the likelihood of developing a MHD.ResultsWe identified 27 studies describing 44 unique identification programmes. Only one study was a randomised controlled trial. Most studies evaluated the utility of universal screening programmes; where comparison of identification rates was made, the comparator test varied across studies. The heterogeneity of studies, the absence of randomised studies and poor outcome reporting make for a weak evidence-base that only generate tentative conclusions about the effectiveness of school-based identification programmes.ConclusionsWell-designed pragmatic trials that include the evaluation of cost-effectiveness and detailed process evaluations are necessary to establish the accuracy of different identification models, as well as their effectiveness in connecting students to appropriate support in real-world settings.

Sign in / Sign up

Export Citation Format

Share Document