Updates

A Canadian South Asian lifestyle magazine based in Vancouver, DARPAN, recently interviewed Children’s Health Policy Centre director Charlotte Waddell.

The feature, called the Darpan 10, is directed at community and thought leaders, addressing them with 10 questions relating to their role. Here, for example, is one of the questions:

“As part of your education and work that you have done with children, can you share some insights that would help better the public education system as a whole?”

Waddell’s answer:

“A huge lesson for me, in thinking of the research and the young people I have cared for as a child and youth psychiatrist, is to address social disparities in our society. Again, I am considering adversities such as socioeconomic disadvantage, colonialism, and racism. These problems do not cause all childhood mental disorders. But they affect kids unequally.

“So some kids have to carry higher burdens than others, through no fault of their own. In turn, the stresses associated with kids having to take these extra burdens can translate into higher rates of certain mental disorders over time. So it would help to address these disparities, treat all kids well, and ensure adequate prevention and treatment services for mental health difficulties. In turn, it will help the public education system if more kids are flourishing.”

The entire interview can be seen here.

There is a crisis in children’s mental health due to service shortages.

That was the key message of an April 4/23 talk by Children’s Health Policy Centre director Charlotte Waddell to roughly 200 public health leaders and practitioners from across BC.

Hosted by BC Centre for Disease Control Foundation for Public Health, the talk was the keynote event opening a two-day conference on strengthening mental health for children and youth — or the “Best Brains Exchange.”

“Public health can help greatly to improve children’s mental health by advocating for comprehensive population health approaches,” Waddell told the group. “You can also ensure that effective prevention and treatment interventions are made available to all children in need, and insist on good public data to track our progress.”

The talk was 20 minutes, followed by 40 minutes of conversation.

Many more children have needed treatment for mental health conditions — particularly anxiety and depression — during the pandemic, compared to before. This is according to a report authored by the Children’s Health Policy Centre and released April 27/23.

Concerningly, this situation arises against a backdrop of stark pre-existing service shortfalls. Recent international estimates have suggested that only 44.2% of children with mental disorders were receiving any services for these concerns before COVID-19.

The report concludes that BC should make additional investments in children’s mental health, to offset future health care and related social costs and to better meet children’s needs.

Funded by the BC Representative for Children and Youth, the report begins by identifying eight studies in high-income jurisdictions. Seven of eight studies found that children’s mental health suffered during the pandemic. And across three of them, these increases in clinically-important problems were substantial — ranging from 48.1% to 94.2%.

Children’s mental health symptoms also changed during the pandemic, albeit with different patterns for different conditions. Multiple studies found that anxiety and depressive symptoms increased. In contrast, behaviour problems improved according to one study but were unchanged according to another. Substance-related outcomes varied as well, with nicotine and cannabis use and alcohol intoxication showing significant declines in some studies but no change in others.

Beyond increased mental health concerns, some children experienced additional challenges during the pandemic. Those from families facing socio-economic disadvantage tended to have poorer mental health outcomes. As well, children had more mental health difficulties when they knew someone who had experienced COVID-19 and when they had fewer supports and less consistent daily routines. 

The report concludes: “Collectively, our current and future well-being depends on recognizing and addressing children’s rights to social and emotional well-being.”

The full report may be found here.

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.