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RCPCH statement on Child Mental Health

1st September 2020

Mental health issues are increasingly common among children and young people—suicide is now the leading cause of death for both males and females aged five to 19 years old, and one in eight people among this age group is currently living with a mental health condition. 

Children and young people in vulnerable groups are even more at risk, including LGBTQ+ people, low income households, children in care, and those with parental mental health issues, special educational needs, on child protection plans, or in the criminal justice system. 

Underinvestment in mental health is a longstanding concern. This has been amplified by the pandemic due to the extra stress caused by prolonged school closures, social isolation, adverse social and environmental circumstances, and a lack of access to usual support services. 

RCPCH’s Assistant Officer for Mental Health and Wellbeing, Dr Karen Street, says: “Our key message is that our patients’ mental health is our business. There is a joint responsibility to provide necessary services across the children’s workforce. 

“In the wake of COVID-19, many children and young people will have greater mental health support needs. As services begin to recover, the time is ripe to connect across the entire child health workforce and local, regional, and national boundaries. Together, we can work to develop improved and integrated mental health services.” 

In its statement, the College includes a number of recommendations, including: 

  • All paediatric teams should have a nominated lead for mental health. 
  • Paediatric training must include promotion of wellbeing in children and young people and management of common mental health issues. 
  • Paediatricians with higher exposure to issues need more extensive training and support. 
  • Paediatricians should not be expected to work in isolation when managing severe cases of mental illness. 
  • Use of mental health screening tools in higher risk people should be considered. 

The College will also continue to support mental health through its activities, including: 

  • Having an Assistant Officer for Mental Health on its Health Improvement Committee. 
  • Working with NHSE and HEE to implement of the NHSE Long Term Plan. 
  • Developing training through its Child Mental Health Specialty Advisory Committee. 
  • Developing the Progress curriculum for all paediatric trainees to include mental health. 
  • Partnering with MindEd to produce a paediatric ‘learning path’. 

Read the College’s full position statement on the role of paediatricians in mental health here

24th World Congress of the International Association for Child and Adolescent Psychiatry and Allied Professions’ (IACAPAP)

The virtual edition of the 24th World Congress of IACAPAP will be held from 2 – 4 December 2020. Themed “Starting from the Beginning – Laying the Foundation for Lifelong Mental Health”, this 3-day virtual congress will cover issues that are close to our hearts, as well as emerging trends and topics of interests to the adolescent and child psychiatry community.

Reasons to attend:

  • Join the programme designed to cater to delegates from different time zones, and engage live with speakers and presenters
  • Get access to session recordings on demand, even after the congress
  • Experience comprehensive programme featuring cutting-edge research and trends in Child and Adolescent Psychiatry
  • Gain international networking opportunities with potential collaborative partners, sponsors and exhibitors
  • Garner invaluable insights and experiences from renowned industry and academic experts

Visit www.iacapap2020.org for more information.

Read read more about IACAPAP 2020 in the email newsletter.

COVID-19: Child & Adolescent Mental Healthcare – Disruption or Evolution?

A related webinar on ‘COVID-19: Child & Adolescent Mental Healthcare – Disruption or Evolution?‘ was held in July 2020. You can watch a recording of this webinar here.

RSM Webinar

How to build a brain: From infancy to adolescence – Part 1

Date: Tuesday 27 Oct 2020
Time: 5:00pm to 7:10pm,
£10 – £40

This is the first part of a two-part webinar series that will provide an overview of both normal and abnormal brain development across a wide range of topics that are relevant to anyone working with infants, children and young people.

During this session, you will be able to:

  • Understand developmental ‘red flags’ 
  • Develop an insight into common neurological conditions that present in childhood, including movement disorders and childhood epilepsy 
  • Explore how cutting-edge neuroimaging techniques allow us to describe normal structural brain development 
  • Gain insights into current topics in neuroimaging 
  • Explore the MDT approach to managing children and adolescents with chronic neurodisability 
  • Gain insight into what features of neurodevelopment are important to parents and young people

Join a panel of clinicians and academics who are experts in their fields. Topics covered will focus on the MDT management of common neurological conditions in childhood, including emergency presentations. At this webinar, expand your understanding of the normal brain development as a window and to understand what happens when things go wrong.

During this session, you will be able to:

  • Understand developmental ‘red flags’ 
  • Develop an insight into common neurological conditions that present in childhood, including movement disorders and childhood epilepsy 
  • Explore how cutting-edge neuroimaging techniques allow us to describe normal structural brain development 
  • Gain insights into current topics in neuroimaging 
  • Explore the MDT approach to managing children and adolescents with chronic neurodisability 
  • Gain insight into what features of neurodevelopment are important to parents and young people

Key Speakers:

Dr Dennis Grigoratos
Consultant Paediatrician, Princess Royal University Hospital, King’s College NHS Trust

Dr Max Davie
Community Paediatrician and RCPCH Officer for Health Promotion, Evelina London Children’s Hospital

Click here for more information and to book

World Mental Health Day

Today, October 10, is World Mental Health Day. In connection with this, we wanted to tell you about this great training tool:

We Can Talk is an online training tool to improve staff knowledge and confidence when supporting children and young people attending A&E and hospital wards due to concerns about their mental health.

It is free, takes less than an hour, and features young people with lived experience.

Click on the link below to start this training:

We Can Talk

Reminder: The RCPCH’s Online Conference

The RCPCH conference is taking place now. As part of the conference, the PMHA is holding a joint workshop next week:

‘Difference and Self’ – A joint workshop with the British Association for Paediatricians in Audiology

Date: Tuesday 13th October
Time: 2 – 5 pm

This workshop will now be delivered in webinar form. Chaired by Dr Winfred Baddo and Dr Sheila Peters, this free, live online event will feature guest lectures and abstract presentations, with opportunities for delegates to ask questions. 

To find out more and to register, click on the link below:

https://www.rcpch.ac.uk/news-events/events/conference-webinar-difference-self-mental-health-audiology

WORKSHOP SCHEDULE:

14:00 – 15:10 Chair: Dr Winifred Baddoo, Associate Specialist Paediatrician, Chairperson of the British Association of Paediatricians in Audiology (BAPA)

14:00 – 14:20 Voice of the child – views from children and young people on difference and self (video)

14:20 – 14:50 Visual difference: A contextual approach to understanding and supporting children, Dr James Kiff, Clinical Psychologist Specialising in Appearance Related Concerns

14:50 – 15:00 A biopsychosocial model of care for children and young people with persistent, unexplained, physical symptoms (PUPS), Abstract ID 250, J Pales

15:00 – 15:10    Engaging a community in supporting the mental health of young people, Abstract 591, S Green


15:10 – 15:30 Comfort break


15:30 – 17:00 Chair: Dr Sheila Peters, Consultant paediatrician, University Hospitals Southampton, Convenor of the Paediatric Mental Health Association

15:30 – 16:00 Social emotional functioning of deaf children and young people, Emmanouela Terlektsi, University of Birmingham Lecturer in deaf education and Programme lead of the teachers of the Deaf programme

16:00 – 16.30 National Deaf CAMHS: The first 10 years, Dr Rob Walker, Consultant Child and Adolescent Psychiatrist, National Deaf CAMHS (Central England) 

16:30 – 17:00 Questions and poster discussion

17:00 Finish

Upcoming Event: Enhancing young people’s mental wellbeing through digital technology

Delivered via Zoom
On the 6th November, from 09.30am – 12.30pm
From £30pp, includes CPD certificate.
 

Next month, the Oxford and Reading ACAMH Branch are offering an online event titled ‘Enhancing young people’s mental wellbeing through digital technology’.

“Now more than ever we need to be considering the impact of digital media on the mental health of young people, both positive and negative, and how we can support them. We will discuss the key challenges faced in relation to child and adolescent mental health in the fast-paced digital environment.

Dr. Amy Orben, Dr. Ann Oszivadjian, Professor Pete Etchells, and Mary Jane Stroud look at how digital tech affects well-being, an autism app, gaming, and the impact of digital media on the mental health of young people, both positive and negative, and how we can support them.

Click below to read more or to book a place:
Full details.

BEST PRACTICE Article

BMJ September 2020

Jessica R Turnbull, Michael Farquhar

Fifteen-minute consultation on problems in the healthy child: sleep

ABSTRACT

Sleep-related issues are common reasons children present to health professionals. Many factors can adversely affect sleep quality, and there are many associations of inadequate sleep, including behavioural problems, obesity and accidental injury. We review the current evidence, and suggest practical management strategies to promote better sleep, and hopefully, better functioning for child and family alike.

Click here to read the article

Royal College of Psychiatrists

Useful Resources: Young People’s mental Health

The Royal College of Psychiatrists has a wide range of useful information about young people’s mental health written to support young people, as well as their parents and carers.

The information is written by psychiatrists and young people working together. It includes information on topics such as…

coping with stress
depression in children and young people
worries about weight and eating problems
drugs and alcohol
psychosis and schizophrenia for young people

Click on the links above to go to the specific section, or click on the link below to go an overview of all the information:

https://www.rcpsych.ac.uk/mental-health/parents-and-young-people

RCPCH Online course

The RCPCH is organising this interesting one-day online course

How to Manage: Emotional and behavioural problems in community paediatrics

“This online course will help you to confidently support children and young people with a range of emotional and behavioural difficulties.”

October 16 from 09.45 – 16.00

For more information, click on the link below:

https://www.rcpch.ac.uk/education-careers/courses/rcpch-course/how-manage-emotional-behavioural-problems-community