scholarly journals Lockdown and adolescent mental health: reflections from a child and adolescent psychotherapist

2020 ◽  
Vol 5 ◽  
pp. 132 ◽  
Author(s):  
Jocelyn Catty

The author, a child and adolescent psychoanalytic psychotherapist working in the UK NHS, ponders the varied impacts of ‘lockdown’ on adolescents, their parents and the psychotherapists who work with them, during the COVID-19 pandemic. She asks, particularly, how psychological therapies are positioned during such a crisis, and whether the pressures of triage and emergency can leave time and space for sustained emotional and psychological care. She wonders how psychoanalytic time with its sustaining rhythm can be held onto in the face of the need for triage on the one hand and the flight to online and telephone delivery on the other. Above all, the author questions how the apparent suspension of time during lockdown is belied by the onward pressure of adolescent time, and how this can be understood by, and alongside, troubled adolescents.

2021 ◽  
Vol 5 ◽  
pp. 132
Author(s):  
Jocelyn Catty

The author, a child and adolescent psychoanalytic psychotherapist working in the UK NHS, discusses the varied impacts of ‘lockdown’ on adolescents, their parents and the psychotherapists who work with them, during the COVID-19 pandemic, in this short observational paper that contributes to the Waiting in Pandemic Times Wellcome Collection in response to COVID-19. She asks, particularly, how psychological therapies are positioned during such a crisis, and whether the pressures of triage and emergency can leave time and space for sustained emotional and psychological care. She wonders how psychoanalytic time with its containing rhythm can be held onto in the face of the need for triage on the one hand and the flight to online and telephone delivery on the other. Above all, the author questions how the apparent suspension of time during lockdown is belied by the onward pressure of adolescent time, and how this can be understood by, and alongside, troubled adolescents.


2003 ◽  
Vol 183 (6) ◽  
pp. 547-551 ◽  
Author(s):  
Anne O'Herlihy ◽  
Adrian Worrall ◽  
Paul Lelliott ◽  
Tony Jaffa ◽  
Peter Hill ◽  
...  

BackgroundLittle is known about the current state of provision of child and adolescent mental health service in-patient units in the UK.AimsTo describe the full number, distribution and key characteristics of child and adolescent psychiatric in-patient units in England and Wales.MethodFollowing identification of units, data were collected by a postal general survey with telephone follow-up.ResultsEighty units were identified; these provided 900 beds, of which 244 (27%) were managed by the independent sector. Units are unevenly distributed, with a concentration of beds in London and the south-east of England. The independent sector, which manages a high proportion of specialist services and eating disorder units in particular, accentuates this uneven distribution. Nearly two-thirds of units reported that they would not accept emergency admissions.ConclusionsA national approach is needed to the planning and commissioning of this specialist service.


BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e027339 ◽  
Author(s):  
Hristina Petkova ◽  
Mima Simic ◽  
Dasha Nicholls ◽  
Tamsin Ford ◽  
A Matthew Prina ◽  
...  

ObjectivesThis study aimed to estimate the incidence of DSM5 anorexia nervosa in young people in contact with child and adolescent mental health services in the UK and Ireland.DesignObservational, surveillance study, using the Child and Adolescent Psychiatry Surveillance System, involving monthly reporting by child and adolescent psychiatrists between 1st February 2015 and 30th September 2015.SettingThe study was based in the UK and Ireland.ParticipantsClinician-reported data on young people aged 8–17 in contact with child and adolescent mental health services for a first episode of anorexia nervosa.Main outcome measuresAnnual incidence rates (IRs) estimated as confirmed new cases per 100 000 population at risk.Results305 incident cases of anorexia nervosa were reported over the 8-month surveillance period and assessed as eligible for inclusion. The majority were young women (91%), from England (70%) and of white ethnicity (92%). Mean age was 14.6 years (±1.66) and mean percentage of median expected body mass index for age and sex was 83.23% (±10.99%). The overall IR, adjusted for missing data, was estimated to be 13.68 per 100 000 population (95% CI 12.88 to 14.52), with rates of 25.66 (95% CI 24.09 to 27.30) for young women and 2.28 (95% CI 1.84 to 2.79) for young men. Incidence increased steadily with age, peaking at 15 (57.77, 95% CI 50.41 to 65.90) for young women and 16 (5.14, 95% CI 3.20 to 7.83) for young men. Comparison with earlier estimates suggests IRs for children aged 12 and under have increased over the last 10 years.ConclusionThese results provide new estimates of the incidence of anorexia nervosa in young people. Service providers and commissioners should consider evidence to suggest an increase in incidence in younger children.Trial registration numberISRCTN12676087.


2005 ◽  
Vol 68 (4) ◽  
pp. 181-185 ◽  
Author(s):  
Melanie Harrison ◽  
Kirsty Forsyth

This opinion piece invites a professional debate on the organisation of Child and Adolescent Mental Health Services (CAMHS) occupational therapy in order to deliver the modernisation agenda while sustaining its excellent record for practice development and innovation. In the face of such challenges, there needs to be reflection on whether CAMHS occupational therapy is ‘poised’ or ‘paused’ for action and what strategies would tackle existing challenges and support its growth. The piece puts forward a potential vision involving occupation-focused theory and developing academic and practice partnerships in order to ensure that children with mental health difficulties access occupation-focused, theory-driven and evidence-based occupational therapy services.


2000 ◽  
Vol 5 (3) ◽  
pp. 102-107
Author(s):  
Philip Messent

A study was conducted to investigate reductions in the numbers of social work posts located within Child and Adolescent Mental Health Services in the UK. Results suggested that reductions in posts noted in earlier studies are continuing. Interviewees' ideas about factors contributing to the survival of such posts are summarised. The significance of the loss of posts is discussed, with an account of changing ideas about the role of social workers within CAMHS teams, and of an audit undertaken of one service lacking such a post. Conclusions are drawn concerning ways of ensuring the preservation of such posts.


2006 ◽  
Vol 3 (1) ◽  
pp. 49-76 ◽  
Author(s):  
Wen-Chin Chang

In the face of a complex external situation, the migrant Yunnanese in northern Thailand have undergone repeated moves since the 1950s, and the narratives of their lived experiences disclose an ongoing negotiation of their inner self with the external social world across time and space. The feeling of “dwelling in displacement” is the fundamental basis of their narrated stories and this constructs particular discourses on “home away from home”. The primary aim of this paper is to analyze their conceptualizations of home and the intertwining of their various migration patterns. It seeks to see how they are shaped by external structural forces on the one hand, and their reaction to them with their interstitial agency on the other. Moreover, by probing their diasporic consciousness linked to the longue durée of Yunnanese mobility, the paper attempts to accentuate the different layers of their perceptions of time and place, and to illuminate their interplay.


2003 ◽  
Vol 183 (06) ◽  
pp. 547-551 ◽  
Author(s):  
Anne O'Herlihy ◽  
Adrian Worrall ◽  
Paul Lelliott ◽  
Tony Jaffa ◽  
Peter Hill ◽  
...  

Background Little is known about the current state of provision of child and adolescent mental health service in-patient units in the UK. Aims To describe the full number, distribution and key characteristics of child and adolescent psychiatric in-patient units in England and Wales. Method Following identification of units, data were collected by a postal general survey with telephone follow-up. Results Eighty units were identified; these provided 900 beds, of which 244 (27%) were managed by the independent sector. Units are unevenly distributed, with a concentration of beds in London and the south-east of England. The independent sector, which manages a high proportion of specialist services and eating disorder units in particular, accentuates this uneven distribution. Nearly two-thirds of units reported that they would not accept emergency admissions. Conclusions A national approach is needed to the planning and commissioning of this specialist service.


2020 ◽  
Author(s):  
Linda Theron ◽  
Yael Abreu-Villaça ◽  
Marcus Augusto-Oliveira ◽  
Caroline Brennan ◽  
Maria Elena Crespo-Lopez ◽  
...  

Abstract Background Whilst there is little uncertainty about the deleterious impact of pollution on human and planetary health, pollution’s impact on child and adolescent mental health is less well understood. This is particularly true for young people in underdeveloped and developing world contexts, about whom research is generally lacking. Furthermore, although child and adolescent resilience continues to be a research priority, little attention has been paid to child and adolescent pathways of resilience in the face or aftermath of pollution exposure. Methods We will conduct a systematic review that adheres to PRISMA guidelines. Its purpose is to document what is known about how pollution affects child and adolescent mental health, along with what protects children and adolescents against these effects and associations across diverse contexts. Discussion Systematic insights are likely to support psychologists and other mental health practitioners to better support child and adolescent wellbeing globally regardless of exposure to pollution. Systematic review registration We have registered the review protocol in PROSPERO (registration: CRD42020176664).


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