Digital mental health service engagement changes during Covid-19 in children and young people across the UK: Presenting concerns, service activity, and access by gender, ethnicity, and deprivation

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(2), P. e0316468 - e0316468

Published: Feb. 13, 2025

The adoption of digital health technologies accelerated during Covid-19, with concerns over the equity access due to exclusion. aim this study was assess whether service and presenting differed before pandemic. Sociodemographic characteristics (gender, ethnicity, deprivation level) were examined identify disparities in use. To do we utilised routinely collected data from a text-based online mental for children young people. A total 61221 users consented sharing their which represented half population. We used interrupted time-series models there change level rate use Covid-19 pandemic (April 2020-April 2021) compared pre-pandemic trends (June 2019-March 2020) varied by sociodemographic characteristics. majority identified as female (74%) White (80%), an age range between 13 20 years age. There evidence sudden increase (13%) at start (RR 1.13 95% CI 1.02, 1.25), followed reduced (from 25% 21%) engagement 0.97 0.95,0.98). almost all issues apart physical complaints. step number contacts Black/African/Caribbean/Black British (38% increase; CI: 1%-90%) ethnic groups (14% 2%-27%), most (58% 1%-247%) least (47% 6%-204%) deprived areas. During pandemic, contact rates decreased, referral sources changed start. Findings on activity align other studies observing utilization. lack differences levels ethnicity lockdown suggests exploring anonymous service. provides unique insights into changes UK.

Language: Английский

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Mental Health of Young Adults Students Pursuing Higher Education in Tier-1 Cities of India: A Cross-Sectional Study

Asian Journal of Psychiatry, Journal Year: 2025, Volume and Issue: 106, P. 104447 - 104447

Published: March 12, 2025

Language: Английский

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The Role of Artificial Intelligence in Transforming Mental Healthcare: Bridging Gaps, Enhancing Accessibility, and Personalizing Interventions

Published: Jan. 1, 2025

Language: Английский

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Frequency and patterns of substance-induced psychosis in persons with concurrent mental health and substance use disorders during the COVID-19 pandemic: A Norwegian register-based cohort study

European Psychiatry, Journal Year: 2024, Volume and Issue: 67(1)

Published: Jan. 1, 2024

Abstract Background Substance use may be associated with the onset of psychotic symptoms, necessitating treatment for individuals comorbid mental health and substance disorders (MHD/SUD). COVID-19 significantly impacted MHD/SUD, reducing access to appropriate care treatment. Changes in drug availability prices during pandemic have influenced consumption. This study aimed determine frequency substance-induced psychosis (SIP) among MHD/SUD explore fidelity by following patterns SIP over time. Method In this retrospective cohort study, we analyzed data from all registered 2019–2021 Norwegian Patient Register. We used graphical approaches, descriptives, Poisson regression occurrence risk episodes three-year observation period. Sankey diagrams were examine trajectories induced various substances. Results Despite a decrease diagnosed COVID-19, increased overall. observed decline cannabis-induced psychosis, but rise involving amphetamines multiple Among recurrent episodes, was more often different substances (2020: RR, 1.50 [95% CI, 1.34–1.67]; 2021: 1.30 1.16–1.46]) than 2019. Conclusion During fewer hospitalized SIP, those patients experienced episodes. There hospitalizations caused central stimulants diagnoses substances, possibly reflecting changes pricing.

Language: Английский

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Qualitative Evaluation of a Digital Inclusion Initiative to Facilitate Access to Mental Health Services (Preprint)

JMIR Mental Health, Journal Year: 2024, Volume and Issue: 11, P. e51315 - e51315

Published: May 25, 2024

Digital exclusion, characterized by a lack of access to digital technology, connectivity, or skills, disproportionally affects marginalized groups. An important domain impacted exclusion is health care. During COVID-19, care services had restrict face-to-face contact limit the spread virus. The subsequent shift toward remote delivery mental exacerbated divide, with limited delivery. In response, Camden and Islington National Health Service Foundation Trust launched innovative Inclusion Scheme (DIS).

Language: Английский

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“With the system as it is, I honestly don't know there's anything available that would help me”: COVID-19 experiences for autistic and non-autistic adults with pre-existing mental health concerns.

Published: Aug. 30, 2024

Objective: Widespread mental health impacts occurred early in the COVID-19 pandemic, especially for those with pre-existing conditions. Less is known about how these groups fared later phases and post- pandemic. We compared late-pandemic on adults ill-health other vulnerabilities to enable better service planning future crises.Design methods: This mixed-method study surveyed 532 online, 2021-2022. All participants self-reported ill-heath either formal autism diagnosis (181), self-identification of (167), or were non-autistic (184). Self-ratings health, need healthcare ease access during COVID across demographics. Responses an open question analysed using Reflexive Thematic Analysis.Results: Most reported poor high needs great difficulty obtaining appropriate care Significant differences found age, neurotype education level: younger worse health; people neurodivergent conditions than (NDCs) greater healthcare; NDCs lower levels care. analysis identified four themes/sub-themes: “Greater most”; “Exceptions rule: improvements some (mainly autistic people)”; “Navigating a scarce resource”; “Telehealth: enabler some, barrier others”. Conclusions: Having condition rather status was more important determining pandemic impacts.

Language: Английский

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Parental Factors Moderate the Association Between COVID-19 Disruption and Adolescent Emotional and Behavioural Difficulties

The Journal of Early Adolescence, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 23, 2024

Past work shows that COVID-19 impacted adolescent mental health, but the moderating role of parental factors remains unclear. Ninety-one parent-adolescent dyads (ages 12–15) completed online surveys. Parents reported on disruption within their household, reflective functioning (i.e., ability to consider state child), and adolescent’s emotional behavioural difficulties. Adolescents rated own difficulties perception support. Positive associations between household emerged, regardless informant. However, linked varied by Parental moderated association (parent-report). showed some stronger with than other stress measures, not consistently. Findings replicate extend prior work, emphasizing negative while highlighting functioning’s potential for mitigating

Language: Английский

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An Overview of Health-Promoting Programs and Healthy Lifestyles for Adolescents and Young People: A Scoping Review

Healthcare, Journal Year: 2024, Volume and Issue: 12(20), P. 2094 - 2094

Published: Oct. 21, 2024

The health of children, adolescents, and young adults is a primary global concern. In 2021, there were 2.1 million deaths among children adolescents. Injuries, violence, communicable diseases, nutritional deficiencies, substance use, non-communicable mental disorders are the leading causes death in this age group.

Language: Английский

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Perspective Chapter: Epidemiology of Post-COVID Syndrome in Indian Subcontinent

IntechOpen eBooks, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 31, 2024

Post-acute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, also known as long-COVID (LC) or post-COVID (PCS), became a significant public health concern after the initial COVID-19 outbreaks. PCS refers to symptoms that persist beyond weeks- and months-long phase infection. Prioritizing management instances lower mortality rate led neglect cases such extended duration, until it was discovered many patients continued experience long they had recovered. “Long COVID” describes group persistent are detectable identified, often four weeks following sickness. can be diagnosed based on patient’s history physical results other diagnoses have been ruled out due lack conclusive test. The complicated interplay between virus host factors causes change from post-acute sequelae. high absolute number healthcare system’s variability contribute varying prevalence throughout Indian subcontinent. This chapter explores epidemiology in subcontinent, focusing its prevalence, pathogenesis, clinical manifestations implications for policy systems, society, culture effective management.

Language: Английский

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Changes in Healthcare Utilization in Japan in the Aftermath of the COVID-19 Pandemic: A Time Series Analysis of Japanese National Data Through November 2023

Healthcare, Journal Year: 2024, Volume and Issue: 12(22), P. 2307 - 2307

Published: Nov. 19, 2024

The COVID-19 pandemic precipitated substantial disruptions in healthcare utilization globally. In Japan, reduced during the pandemic's early phases had been documented previously. However, few studies have investigated impact of later stages (2022-2023) on rates, particularly Japanese context.

Language: Английский

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