scholarly journals Addressing the Mental and Emotional Health Impacts of COVID-19 on Children and Adolescents: Lessons From HIV/AIDS

2021 ◽  
Vol 12 ◽  
Author(s):  
Prerna Banati ◽  
Priscilla Idele

The COVID-19 pandemic has led to lasting mental health and psychosocial consequences just as were experienced with the HIV epidemic. A rapid review of published systematic reviews on HIV/AIDS and mental health outcomes and responses among children and adolescents was used to identify lessons for the COVID-19 pandemic response. The review found that HIV/AIDS responses to promote mental health, prevent ill-health and treat mental health conditions included diverse interventions at the structural or national, community, household and individual levels. Some of these responses can be easily replicated, others require substantial adaptation, and some can inform development of new innovative offline and online responses to mitigate impact of COVID-19 on mental health of children and adolescents. Programs that mitigate economic impacts including child grants, income generating activities for caregivers, food distribution, health care vouchers, and other economic empowerment interventions can be replicated with minor adjustments. Helplines for vulnerable or abused children and shelters for victims of gender-based violence can be scaled up to respond to the COVID pandemic, with minimal adaptation to adhere to prevention of contagion. Mass media campaigns to combat stigma and discrimination were successfully employed in the HIV response, and similar interventions could be developed and applied in the COVID context. Some programs will need more substantial adjustments. In health facilities, mainstreaming child-sensitive mental health training of frontline workers and task sharing/shifting to community volunteers and social workers as was done for HIV with community health workers, could advance mental illness detection, particularly among abuse victims, but requires adaptation of protocols. At the community and household levels, expansion of parenting programs can help caregivers navigate negative mental health effects on children, however, these are not often operating at scale, nor well-linked to services. Programs requiring innovation include converting adolescent and youth safe physical spaces into virtual spaces particularly for at-risk girls and young women; organizing virtual community support groups, conversations, and developing online resources. Re-opening of schools and introduction of health and hygiene policies, provides another opportunity for innovation - to provide mental health and psychosocial support to all children as a standard package of care and practice.

2020 ◽  
Vol 9 (9) ◽  
pp. e704997687
Author(s):  
Cristina Maria Duarte Wigg ◽  
Isabella Maria Félix de Almeida Coutinho ◽  
Isabelle Cristine da Silva ◽  
Larissa Bezerra Lopes

The study was a narrative review on the mental health of children and adolescents during a COVID-19 pandemic. A search was performed in the PubMed, BVS and Google Scholar databases, between April and June 2020. The studies revealed greater psychological distress due to social isolation, increased family conflicts and violence between parents and children. The closure of schools, lack of social interaction, feelings of uncertainty and fear in the face of a pandemic also contribute to the emergence of anxiety and stress symptoms in families. The resources of the Internet and social media can be tools of psychosocial support to families during quarantine, enabling therapeutic practices, information and contact between peers; minimizing symptoms of stress, anxiety and depression. Public policies are urgent and demand innovation and new technologies applied to families' mental health care.


Author(s):  
Federica Guerra ◽  
◽  
Jessica Ranieri ◽  
Claudio Ferri ◽  
Dina Di Giacomo ◽  
...  

"Introduction. The rapid spread of coronavirus disease 2019 (COVID-19) has created unprecedent global challenges for health systems. National Healthcare Systems Hospitals adopted protective measures and medical equipment resources, exposing healthcare workers at risk for stress syndromes, subclinical mental health symptoms, and long-term occupational burnout. Health workers have had to deal with the most severe clinical cases in intensive care specialized operative division. Since the first months of the epidemic spread, some studies have established shown that nurses have shown symptoms of severe anxiety associated with peritraumatic dissociative experiences. Most of the studies examined the emotional impact of COVID 19 on health professionals but did not focus on different consider professionals roles and hospital departments workload. Objective. The aim of our study was to analyze the emotional characteristics of health workers during the II wave of coronavirus (November-December 2020), comparing the frontline (COVID 19) and second line (chronic diseases) hospital divisions and analyzing the differences between the health roles. Methods. We conduct a pilot study among health-workers. A sample of 28 healthcare workers (aged 23-62 years) were recruited from frontline and secondline hospital departments (L’Aquila, IT). The administered psychological battery was composed of n. 4 self-reports evaluating emotional variables (depression, anxiety, and stress) (DASS-21), personality traits (BFI-10), burnout risk (MBI), and perceived stress (PSS). Results. The results highlighted significant differences: older health workers were found to be more vulnerable than those who younger health workers; another interesting point was that healthcare workers serving in frontline wards showed symptoms of depersonalization. No significant difference for the type of role held. Conclusions. A prevention program should be activated to preserve frontline and older workers mental health. Earlier support could mitigate the effect of the pandemic experience, reducing the risk for emotional health workers' fragility."


2020 ◽  
Vol 10 (31) ◽  
pp. 142-154
Author(s):  
Davi Porfirio da Silva ◽  
Igor Michel Ramos dos Santos ◽  
John Victor dos Santos Silva ◽  
Marcos André dos Santos ◽  
Yanna Cristina Moraes Lira Nascimento

Verificar na literatura os sentimentos dos profissionais de enfermagem que atuam em saúde mental para auxílio na assistência após consequências pandêmicas do novo coronavírus. Revisão integrativa realizada nas bases BVS, SciELO e Periódicos CAPES através dos descritores: Enfermagem; Equipe de Enfermagem; Enfermagem Psiquiátrica e Saúde Mental, foram selecionados 10 artigos dos 254 encontrados. Os estudos revelaram sentimentos de insegurança, sobrecarga, medo, incapacidade e despreparo pelos profissionais de enfermagem que comprometem o cuidado, reforçam estigmas e aumentam o estresse vivenciado durante as atividades laborais. Dentre os fatores causadores podem ser mencionado deficiência na formação, questões de gestão, assistência no modelo biomédico e desvalorização profissional. Investimentos na formação acadêmica, no acompanhamento da saúde ocupacional e psicoemocional dos profissionais, promoção de ações de educação permanente, além de transformações na gestão podem ser indicadores atenuantes para sentimentos desconfortáveis nos trabalhadores em saúde mental após impactos gerados pela pandemia da COVID-19.Descritores: Saúde Mental, Profissionais de Enfermagem, Sentimentos. Feelings of nursing professionals in mental health: a review to assist the assistence after the new coronavirusAbstract: To verify in the literature the feelings of nursing professionals who work in mental health to assist in assistance after pandemic consequences of the new coronavirus. Integrative review conducted on the BVS, SciELO and CAPES journals using the keywords: Nursing; Nursingteam; Psychiatric Nursing and Mental Health.10 articles were selected from the 254 found. The studies revealed feelings of insecurity, overload, fear, incapacity and unpreparedness by nursing professionals that compromise the care, reinforce stigmas and increase the stress experienced during work activities. Among the factors can be mentioned deficiency in training, management issues, assistance in the biomedical model and professional devaluation. Investments in academic training, monitoring occupational and psycho-emotional health of professionals, promotion of continuing educationactions, in addition to changes in management can be mitigating indicators for uncomfortable feelings in mental health workers after impacts generated by the pandemic of COVID-19.Descriptors: Mental Health, Nursing Professionals, Feelings. Sentimientos de los profesionales de enfermería en salud mental: una revisión para ayudar después de la nueva asistencia de coronavirusResumen: Verificar en la literatura los sentimientos de los profesionales de enfermería que trabajan en salud mental para ayudar en la asistencia después de las consecuencias pandémicas del nuevo coronavirus. Revisión integral realizada en las revistas BVS, SciELO y CAPES utilizando las palabras clave: Enfermería; Equipo de enfermería; Enfermería psiquiátrica y salud mental, se seleccionaron 10 artículos de los 254 encontrados. Los estudios revelaron sentimientos de inseguridad, sobrecarga, miedo, incapacidad y falta de preparación por parte de profesionales de enfermería que comprometen la atención, refuerzan los estigmas y aumentan el estrés experimentado durante las actividades laborales. Entre los factores causales se pueden mencionar deficiencias en la capacitación, cuestiones de gestión, asistencia en el modelo biomédico y devaluación profesional. Las inversiones en capacitación académica, el monitoreo de la salud ocupacional y psicoemocional de los profesionales, la promoción de acciones de educación permanente, además de los cambios en la gestión, pueden ser indicadores atenuantes de sentimientos incómodos en los trabajadores de salud mental después de los impactos generados por la pandemia de COVID-19.Descriptores: Salud Mental, Profesionales de Enfermería, Sentimientos.


Author(s):  
Suad Kapetanovic ◽  
Lori Wiener ◽  
Lisa Tuchman ◽  
Maryland Pao

Mental health professionals need to understand how the psychosocial and mental health needs of HIV-infected youth evolve over time and to be able to identify salient clinical challenges that present with each developmental stage. It is also important to understand that HIV/AIDS affects children’s lives indirectly, by the presence of HIV/AIDS in a family member, even if the child is not HIV infected. This chapter uses a developmental perspective to introduce key mental health objectives in the lives of developing HIV-infected children and adolescents and provides an overview of epidemiological, psychosocial, and clinical parameters to be considered in their clinical care and management. The chapter also addresses issues facing perinatally and behaviorally HIV-infected children and adolescents. Separate sections of the chapter discuss biopsychosocial factors salient to children and adolescents who are affected by HIV infection in the family.


Author(s):  
Theresa S. Betancourt ◽  
David J. Grelotti ◽  
Nathan B. Hansen

2016 ◽  
Vol 45 (2) ◽  
pp. 120-126 ◽  
Author(s):  
Brittany Dawson ◽  
Zeina Azzam

This October 2015 interview with director of the Gaza Community Mental Health Programme (GCMHP) Dr. Yasser Abu Jamei addresses how mental health professionals care for themselves and each other in an environment with little break from sustained conflict. Mental health workers in the Gaza Strip must cope with the resource shortage generated by the Israeli blockade and their own trauma while aiding others. The United Nations Children's Emergency Fund (UNICEF) estimates that over one-third of Gaza's children require direct and specialized psychosocial support as a result of Israel's Operation Protective Edge (OPE), the fifty-day war on Gaza in the summer of 2014, and earlier assaults. GCMHP provides services free of charge at clinics, community centers, and by phone via a twenty-four-hour hotline, and since its founding, has served more than twenty thousand Gazans with capacity-building programs and trainings, community education, scientific research, and human rights advocacy. GCMHP provided mental health support to the community both during and after each of the three large-scale Israeli assaults on Gaza (in 2008, 2012, and 2014), helping the community to work through both collective and individual trauma. Over twenty-one hundred Palestinians, five hundred of them children, were killed during OPE and another eleven thousand injured. During OPE an airstrike killed twenty-eight members of Abu Jamei's extended family, including nineteen children, as they broke their Ramadan fast. It was the largest loss of life within a single family at that point in the war. The structural damage was similarly catastrophic, leaving over one hundred thousand Gazans homeless. Long after the cease-fire, the psychological wounds sustained during consecutive assaults continue to disrupt everyday life.


2021 ◽  
Vol 8 ◽  
Author(s):  
Ashley Leichner ◽  
Aemal Akhtar ◽  
Caoimhe Nic a Bhaird ◽  
Rebecca Wener ◽  
Shiromi M. Perera ◽  
...  

Abstract Background In the aftermath of the devastating 2015 earthquakes in Nepal, three non-governmental organizations collaborated to develop a program responding to the immediate mental health and psychosocial support (MHPSS) needs in three severely affected districts: Dhading, Gorkha, and Sindhuli. The program was implemented between April 2015 and February 2017 and aimed to (i) strengthen health worker capacity to provide integrated MHPSS services; and (ii) increase access to mental health services. This paper describes the program's implementation and the results of a pragmatic evaluation of the program's overall reach, effectiveness, and lessons learned. Methods The mixed-methods evaluation used routine program data, quantitative data from pre- and post-tests conducted with trainees and service users, and qualitative data from stakeholder interviews and focus group discussions. Results A total of 1041 health workers received MHPSS training and supervision. Participants demonstrated significant improvements in skills, knowledge, and self-rated perceived competency. Trainees went on to provide MHPSS services to 3422 people. The most commonly identified presenting problems were epilepsy (29%) and depression (26%). A total of 67% of service users reported being ‘completely satisfied’ with the services received and 83% of those experiencing severe functional impairments on enrollment demonstrated improvement after receiving services. Conclusions Despite operational challenges, the program successfully engaged both laypeople and health workers to provide MHPSS in the aftermath of the crisis. Lessons learned can inform the planning and implementation of future training and integration programs to provide large-scale MHPSS efforts in humanitarian settings.


2021 ◽  
Vol 9 ◽  
Author(s):  
Sabuj Kanti Mistry ◽  
Ben Harris-Roxas ◽  
Uday Narayan Yadav ◽  
Sadia Shabnam ◽  
Lal Bahadur Rawal ◽  
...  

The COVID-19 pandemic has been the most challenging public health issue which not only affected the physical health of the global population but also aggravated the mental health conditions such as stress, anxiety, fear, depression and anger. While mental health services are seriously hampered amid this COVID-19 pandemic, health services, particularly those of Low- and Middle- Income Countries (LMICs) are looking for alternatives to provide psychosocial support to the people amid this COVID-19 and beyond. Community Health Workers (CHWs) are an integral part of the health systems in many LMICs and played significant roles such as health education, contact tracing, isolation and mobilization during past emergencies and amid COVID-19 in many LMICs. However, despite their potentials in providing psychosocial support to the people amid this COVID-19 pandemic, they have been underutilized in most health systems in LMICs. The CHWs can be effectively engaged to provide psychosocial support at the community level. Engaging them can also be cost-saving as they are already in place and may cost less compared to other health professionals. However, they need training and supervision and their safety and security needs to be protected during this COVID-19. While many LMICs have mental health policies but their enactment is limited due to the fragility of health systems and limited health care resources. CHWs can contribute in this regard and help to address the psychosocial vulnerabilities of affected population in LMICs during COVID-19 and beyond.


2020 ◽  
Vol 36 (5) ◽  
Author(s):  
Nazish Imran ◽  
Irum Aamer ◽  
Muhammad Imran Sharif ◽  
Zubair Hassan Bodla ◽  
Sadiq Naveed

As COVID-19 grips the world, many people are quarantined or isolated resulting in adverse consequences for the mental health of youth. This rapid review takes into account the impact of quarantine on mental health of children and adolescents, and proposes measures to improve psychological outcomes of isolation. Three electronic databases including PubMed, Scopus, and ISI Web of Science were searched. Two independent reviewers performed title and abstract screening followed by full-text screening. This review article included 10 studies. The seven studies before onset of COVID 19 about psychological impact of quarantine in children have reported isolation, social exclusion stigma and fear among the children. The most common diagnoses were acute stress disorder, adjustment disorder, grief, and post-traumatic stress disorder. Three studies during the COVID-19 pandemic reported restlessness, irritability, anxiety, clinginess and inattention with increased screen time in children during quarantine. These adverse consequences can be tackled through carefully formulated multilevel interventions. doi: https://doi.org/10.12669/pjms.36.5.3088 How to cite this:Imran N, Aamer I, Sharif MI, Bodla ZH, Naveed S. Psychological burden of quarantine in children and adolescents: A rapid systematic review and proposed solutions. Pak J Med Sci. 2020;36(5):---------. doi: https://doi.org/10.12669/pjms.36.5.3088 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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