Children with autism and other neurodevelopmental conditions are far more likely to have additional mental disorders, according to a report authored by the Children’s Health Policy Centre and released April 5/23.

The report concludes that effective treatments for all these disorders already exist and should be made readily available to all children who need them.

Sponsored by the BC Office of the Representative for Children and Youth, the report begins by identifying the prevalence of common mental disorders for children with autism spectrum disorder (ASD), fetal alcohol spectrum disorder (FASD) and intellectual disabilities.

Available data show that the five most common childhood mental disorders overall — anxiety, attention-deficit/hyperactivity disorder (ADHD), oppositional defiant and conduct disorders, and depression — are much more prevalent for children with neurodevelopmental conditions.

For example, estimated prevalence for any anxiety disorder was nearly eight times higher for children with ASD. Estimated prevalence for ADHD was more than 14 times higher for children with FASD, and estimated prevalence of oppositional defiant and conduct disorders was nearly four times higher for children with intellectual disabilities.

The report then goes on to identify effective treatments for at least one mental health concern for all three neurodevelopmental conditions. Specifically, cognitive-behavioural therapy leads to clinically meaningful reductions in anxiety disorder diagnoses and symptoms for children with ASD — across multiple studies. As well, parent training successfully reduces behaviour challenges for children with FASD and intellectual disabilities. And emerging evidence shows that social skills training helps children with FASD.

The report concludes: “Services also need to be offered in ways that celebrate children’s strengths and recognize their preferences, thereby meeting society’s collective responsibility to ensure that all children can flourish and meet their potential.”

The report may be found here.

Nicole Catherine has been awarded a Mowafaghian Child Health Faculty Award, Faculty of Health Sciences, SFU for 2023, her second such award in two years.

Holding the Canada Research Chair in Child Health Equity and Policy, Tier 2 and associate director of the Children’s Health Policy Centre, Catherine is a passionate advocate for Indigenous-led initiatives that promote child wellbeing.

The new award, which will be used to financially support the work of an Indigenous graduate student in collaboration with a project Indigenous Advisory Board, “will provide British Columbia’s Indigenous communities with access to timely and relevant research evidence to guide Indigenous child health policy,” Catherine says.

The project’s aim is to collaborate with BC Indigenous communities to generate new knowledge on the strengths and resilience of the 200 Indigenous mothers and 237 Indigenous children who participated in the BC Healthy Connections project (2011–2022), for which Catherine was co-leader.

“The girls and young women demonstrated remarkable strength and resilience in seeking prenatal services in early pregnancy,” Catherine says. The families participated in six research interviews starting in pregnancy through until children were age two years.

Catherine says, “These data belong to BC First Nations. We have an ethical responsibility to ensure that each families’ story, told through their research data, is shared in a respectful and empowering way.”

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.

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.

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.

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.

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.

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.

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.

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.