Interested in Mental Health Leadership in Paediatrics?

Did you miss the PMHA Summer Meeting on Thursday 7th July 2022? You can still find out about this role here:

In 2020, the RCPCH issued a position statement that outlines the role of Paediatricians in supporting children and young people’s mental health and makes key recommendations to ensure their mental health needs are met. One of the recommendations was to have a Mental Health Lead in every team. Click here for full details about this.

More recently, NHS England created a website to outline the NHS response to meeting the challenge of increasing referrals to mental health services This gives links to useful resources and guidelines. Click here to learn more about this.

On 30 March 2022, the RCPCH hosted a webinar about the role that Paediatricians can play in supporting children and young people’s mental health. Click here to watch a recording of this Webinar.

Adverse childhood experiences: what support do young people need?

The National Institute for Health and Care Research (NIHR) recently published an interested article about supporting children who have had adverse experiences:

“Recent NIHR research aims to improve the lives of children and young people exposed to adverse childhood experiences. It identifies the types of support young people feel they need from services, and offers ways to support the mental health of children in care and those adopted from care…”

Click here to read more.

Popular papers from ACAMH journals

ACAMH (The Association for Child Mental Health) recently presented the ten most downloaded papers in each of their three journals in 2021.

The association publishes three journals, the JCPP, the CAMH and JCPP Advances. In recognition of the success of these publications during 2021, in their newsletter they have presented the ten most downloaded papers for each journal during the past year.

To see the articles which were most popular in each journal, click here.

Report: Children, Young People and Families’ Experiences of Chronic Asthma Management and Care

This recent report aims to better understand young people’s experience of managing chronic asthma and how asthma care and management could be improved particularly for groups experiencing exclusion and living in areas of deprivation.  

Click on the above image to see the report, or click here to go to the hosting website.

This report is led by the Young People’s Health Partnership working closely with partners at the Association for Young People’s Health, the Race Equality FoundationFriends, Families and Travellers and RCPCH &Us.

It was written by PMHA member Jeremy Sachs (to visit his personal website click here), who worked to produce it with the Association for Young People’s Health.

Liaison Psychiatry / Paediatric Liaison Network

Liaison psychiatrists work at the interface between physical and psychological health.

Providing specialist mental health assessment and treatment for patients attending general hospitals, they deal with a range of problems including self-harm, adjustment to illness and physical and psychological co-morbidities.

The clinical content of liaison psychiatry practice is complex, and every day brings a new challenge.

Liaison Psychiatrists educate general hospital colleagues to improve their knowledge, skills and confidence in the basics of management of common mental health problems that they encounter in their practice.

Liaison psychiatrists work with medical and surgical colleagues as their patients can have high levels of mental health problems.

Also, patients with chronic disease may have difficulty managing their condition which liaison psychiatric input can help.

Child and Adolescent Mental Health is moving increasingly under the spotlight on political and public agendas. We are seeing almost daily media articles focusing on the rising rates of acute presentations of children and adolescents in crisis to Emergency Departments (ED), as well as the expanding waiting lists for community Child and Adolescent Mental Health Services (CAMHS). Although there have been developments in policy to address the needs of young people with mental health difficulties such as Future in Mind1, the Five Year Forward View for Mental Health2 and the Long Term Plan3; there is still a long way to go to achieve parity with adult mental health services, let alone physical health provisions.

The Psychiatric Liaison Accreditation Network (PLAN) Accreditation Committee were keen to broaden the scope of the current PLAN Quality Standards to encompass patients of all ages.

The standards in this document have been developed from current legislation, guidance and experts, and shared with members of the RCPsych Paediatric Liaison Network6 for their input and approval.

Quality Standards for Children and Young People for Liaison Psychiatry Services Royal College of Pschiatrists April 2019

Click here for full report

Let them play…

Allowing young children to play with their friends must be prioritised as soon as possible when lockdown is eased.

This was the argument made by this really interesting post published recently on the ACAMH Blog.

The article discusses the fact that while the Covid-19 pandemic has posed a lower risk of physical health problems for children, it has transformed the social lives of children more rapidly than anyone could have imagined.

A recent rapid systematic review concluded that loneliness and social isolation adversely affect children’s short- and long-term mental health (Loades, M. E. et al). 

You can read the full post on the blog by clicking here.

Guardian Article about Covid-19 and mental health

There was an interesting article about the Coronavirus and mental health in the UK published in the comment section of the The Guardian today. Have a read and tell us what you think…

Has the pandemic really caused a ‘tsunami’ of mental health problems?

Richard Bentall, Professor of Clinical Psychology: University of Sheffield

“With a team of experts from the Universities of Sheffield, Ulster, Liverpool, UCL and Royal Holloway and Bedford College I have been monitoring the mental health of the UK population since the beginning of the crisis. Looking at our findings, we think that this tsunami narrative is misleading. If accepted uncritically, it could undermine efforts to protect the health of the population and also our ability as a nation to recover once the crisis is over. Here is why….

Click here to read the complete article

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

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