BC gov’t standing committee welcomes message about children’s mental health

Senior members of the Children’s Health Policy Centre (CHPC) team addressed the BC provincial government Select Standing Committee on Children and Youth on Dec. 5/22. This talk was given in collaboration with Jennifer Charlesworth, the BC Representative for Children and Youth.

The topic? How to reduce the number of children needing to come into government care while improving mental health outcomes for those who do.

Christine Schwartz, Simon Fraser University Adjunct Professor, and Charlotte Waddell, CHPC director, were the spokespeople. They shared key findings, including that parents who are at-risk for maltreating their children can be kept out of the government care system with effective interventions, such as the Nurse-Family Partnership program.

“BC policymakers need to be acknowledged for the substantial investments they’ve already made in keeping children with their parents by offering the Nurse-Family Partnership,” said Schwartz. “The program has proven success in supporting children and families.”

Schwartz also spoke about the mental health burdens experienced by children in care. She noted, “As a practicing psychologist, I’ve seen the connection between the trauma children in government care have experienced and the mental health burdens they still carry.”

Still, CHPC team stressed how children who end up in care can have their health needs met with well-proven prevention and treatment interventions such as cognitive-behavioural therapy for anxiety, depression and posttraumatic stress disorder.

CHPC team member named co-investigator on digital child mental health initiative

Associate Director of the Children’s Health Policy Centre, Nicole Catherine — who has recently been named Canada Research Chair Tier 2 in Child Health Equity and Policy — is a co-investigator for a new mental health initiative know as DIVERT.

The Digital, Inclusive, Virtual, and Equitable Research Training is a transdisciplinary mental health online training platform dedicated to improving child mental health research and practice in Canada. DIVERT aims to improve inclusion and increase accessibility for underserved children and families.

The national team is funded primarily by a multi-million-dollar investment from the Canadian Institutes of Health Research and enabled by a multi-million-dollar investment in digital infrastructure and expertise from IBM Canada.

DIVERT aims to harness the knowledge of a diverse range of educators so they can all learn together through online connections, national mentorship groups based on lived experiences, research collaborations (with children, families, industries, Non-Governmental Organizations and health care organizations), annual in-person meetings, and the future evolution of a certificate program. Anyone can join DIVERT Mental Health. Doctoral students, post-doctoral trainees and early career researchers conducting research on digital child mental health are encouraged to apply.

Building on her research expertise, Catherine will be mentoring three trainees and providing lectures on child health equity and policy and on efforts to better support underserved children and families.

Child heath policy researcher earns major award

Nicole Catherine has been officially been named Canada Research Chair (CRC) Tier 2 in Child Health Equity and Policy. And, with this announcement, she has also become the new Associate Director of the Children’s Health Policy Centre.

The announcement of her CRC appointment, which was made yesterday in Ottawa, is highly significant and a tremendous honour. The CRC program provides universities with the opportunity to recruit world-class scholars who are emerging global leaders in their field.

Catherine joined the CHPC team in 2012 when she was named Scientific Director, and later Co-Principal Investigator, for the BC Healthy Connections Project. She became the Mowafaghian University Research Associate in 2013 and was appointed Assistant Professor in the Faculty of Health Sciences at SFU in 2022.

Catherine’s research to date has focused on three areas:

  • Ensuring better inclusion of children who are experiencing disadvantage — in both research and policy-making
  • Promoting health and wellbeing in early childhood through public health programming
  • Informing the development and evaluation of interventions that address avoidable early childhood adversities and health inequities.

“I continue to be inspired by the children and young mothers who generously contribute to this research,” Catherine said in reflecting on her award.

CHPC director Charlotte Waddell, had an enthusiastic response to the announcement. “I find Nicole’s commitment to scholarship and to children to be exemplary,” she said. “And she could not be a more creative and supportive person to work with. We are thrilled with this news.”

A story on Catherine can also be found on the website of SFU’s Faculty of Heath Sciences.

High school students learn about the importance of mental health

The Children’s Health Policy Centre provided a keynote talk at a recent workshop for high school students.  The talk took place Oct. 19, 2022, on the invitation of BC Children’s Hospital and the UBC Mini Medical School.

Some 450 students from 27 school districts and 117 high schools across BC attended. Roughly 100 attended in person while the rest participated virtually or on-demand.

In the workshop, CHPC director Charlotte Waddell described the critical importance of children’s mental health. She also outlineded how common mental disorders are, how they affect young people, and what causes these disorders. She then described effective prevention and treatment programs to help young people.

A lively question and answer period followed the presentation and some students reached out later, by email, with even more questions.

More mental health support needed, even in wealthy countries

Children’s Health Policy Centre Senior Research Manager Jen Barican is the lead author in a study recently published in the journal Evidence-Based Mental Health.

The study is titled, “Prevalence of childhood mental disorders in high-income countries: a systematic review and meta-analysis to inform policymaking.

Barican and her colleagues considered close to two decades of research from 11 countries covering more than 60,000 children aged four to 18. They discovered that roughly one in eight children from high-income countries, including Canada, has a mental health disorder at any given time.

An interview about the study with co-author Charlotte Waddell, director of the Children’s Health Policy Centre, can be found on the SFU website.

 

 

New study to investigate impact of COVID-19 on children in Canada

The Children’s Health Policy Centre is part of a national team investigating how COVID-19 public health measures — such as school closures, distancing and masking — have affected children’s day-to-day lives, it was announced Oct. 6/22.

Charlotte Waddell, Centre director, and Nicole Catherine, Centre faculty member, are part of the team. “This is the first study to look at a large, representative sample of children both before and during the pandemic,” Waddell said. “So, we will able to really see how all kids were doing,” she added.

Kathy Georgiades from the Offord Centre for Child Studies at McMaster University is leading the research which is funded by the Canadian Institutes of Health Research, to a sum of $3.1 million.

The team is partnering with Statistics Canada, the Public Health Agency of Canada, and Children’s Healthcare Canada to collect data on children’s physical, emotional, and social well-being, as well as their COVID-19 vaccination status. This study will provide the most robust evidence to date to inform new strategies to support children affected by the mental and physical health challenges stemming from the pandemic.

Close to 27,000 children between the ages of five and 21 will participate in the national study, which gets underway in January and wraps up in June 2023. Statistics Canada previously evaluated this same group, then aged one to 17 years, for the 2019 Canadian Health Survey on Children and Youth.

The results collected in 2019 give the research team solid pre-pandemic baseline data, which will allow them to assess the effects of the pandemic on the group’s well-being. Look to this website for ongoing updates as the study proceeds.

Improving the mental health of BC’s children in care

Children in government care face extraordinary challenges. Some of them may have entered  care because they have experienced maltreatment. Then once in the care system, many continue to experience avoidable adversities, such as multiple changes of placement.

This situation can lead to inconsistent caring relationships, school disruptions and cultural disconnections. These children also face higher rates of mental disorders, lower rates of high-school graduation and more conflicts with the law.

Compounding these issues are the unfair burdens faced by Indigenous children who often experience overinvolvement of the child welfare system, an ongoing legacy of colonialism.

How to reduce the need for care — or manage it better when it’s necessary —  was the subject of a report recently prepared by the Children’s Health Policy Centre at the request of the office of the BC Representative for Children and Youth.

The report identifies:

  • Successful programs for preventing child maltreatment
  • Numbers on the burden of mental disorders for children in care, with prevalence approximately four times higher than in the general population of children
  • Successful prevention and treatment programs for addressing mental well-being specifically for children in government care

These findings can inform efforts to improve the well-being of some of British Columbia’s most disadvantaged children.

For more information and to review the entire report, see here.

 

Dealing with the overdose crisis means starting with children

How can the province of BC better address the current opioid crisis?

That was the subject of a 60-minute Zoom-based talk by the Children’s Health Policy Centre on Aug. 3/22 to the Select Standing Committee on Health for the BC Legislature.

Roughly 10 MLAs and their staff attended to hear a presentation prepared by Charlotte Waddell, Christine Schwartz, Nicole Catherine, Jen Barican and Donna Young.

The CHPC team urged the province to tackle the toxic drug supply problem in a new way — by addressing social inequities that contribute to substance use problems for young people and by providing effective prevention and treatment programs for them. 

“We need to start early in life — not waiting until problems are entrenched in adolescence or adulthood,” said director of the Centre, Charlotte Waddell. “We also need to address the underlying social inequities that are driving the problem.”

The group suggested that the province needs to double its investments in child and youth mental health and work to ensure that services are better coordinated across the multiple ministries and health authorities currently involved.

 

Celebrating BC’s Nurse-Family Partnership nurses

What are the next steps for the Nurse-Family Partnership (NFP) program in BC?

That was the subject of a 45-minute talk to the Fraser Health Authority NFP nursing team on June 1/22. Nicole Catherine, Mowafaghian University Research Associate with the Children’s Health Policy Centre had been invited to provide a celebratory update to the nursing team.

A primary prevention program for young, first-time moms, Nurse-Family Partnership, has been the subject of a scientific evaluation, the BC Healthy Connections Project led by the Children’s Health Policy Centre in collaboration with Fraser Health Authority, the BC government and three other health authorities.  “The NFP nursing team’s dedication and commitment was tremendous,” Catherine told the group. “The trial is now providing rigorous evidence on how NFP works in BC.”

She also commented on the special challenges presented by Covid. “I’ve heard from the NFP nurses how life has become even more difficult for these children and families since the onset of the pandemic,” she said. “But we feel united by our desire to see all children flourish.”

Many of the nurses currently delivering the program were involved in the original trial and they said they have been impressed by the knowledge being generated by the study – and they hope it will inform new policies and programs to better support underserved children.

Engaging students in child health research and policy

How can we prevent maltreatment and ensure all children flourish?

That was the subject of a 30-minute talk to a group of undergraduates, graduate students and faculty at an SFU Faulty of Health Sciences student conference held May 3/22. Nicole Catherine, Mowafaghian University Research Associate with the Children’s Health Policy Centre was the person addressing the group.

Speaking on the results of the BC Healthy Connections Project, an evaluation of a primary prevention program for young, first-time moms, Nurse-Family Partnership, Catherine said the results of the research had been moving. “We were honoured that more than 700 girls and young women and their children had shared their experiences with us,” she said. The research group conducted some 3,700 research interviews for the project.

“We’ve learned that prevention needs to start early in pregnancy before children are born,” Catherine said. “Adversities such as family socioeconomic disadvantage and child maltreatment are socially produced and are therefore preventable.”

Students expressed curiosity about how policymakers are interpreting the trial findings, whether the program is continuing in BC and whether other provinces will explore this intervention. They also noticed that the majority of the research was conducted in English which will have excluded children and families from other cultural backgrounds representative of BC.