Child mental health is a critical area that demands focused attention, particularly in light of recent research findings from the 2021 UCD School of Medicine Summer Student Research Awards (SSRA 2021). One study, "THE ASSESSMENT OF THE SEVERITY OF ILLNESS TO THE EMERGENCY DEPARTMENT FOR PSYCHIATRIC ASSESSMENT" by Springael and Doherty, sheds light on the significant impact of COVID-19 on psychiatric services and emergency department (ED) presentations related to self-harm. This blog explores how practitioners can implement these findings to improve outcomes for children requiring mental health interventions.
Understanding the Research
The study conducted a retrospective review of patient logs referred to the liaison psychiatry team at an inner-city Dublin hospital, focusing on three distinct timeframes: pre-COVID-19 (T1), during the first lockdown (T2), and post-lockdown reopening (T3). The findings revealed a notable increase in self-harm presentations during the lockdown period (T2) and a continued elevated rate post-lockdown (T3).
Key data points include:
- Self-harm presentations during T2 were 55.1% (n=27) and 38.1% (n=16) during T3, compared to 34.7% (n=70) pre-COVID-19 (T1).
- Psychiatric admissions rose to 26.8% (n=11) during T3 from 19.9% (n=39) during T1.
- Increased severity of presentations measured by the Threshold Assessment Grid (TAG) and DUNDRUM readmission scales.
Implementing Research Findings in Practice
To enhance child mental health outcomes, practitioners can leverage these insights in several ways:
1. Early Identification and Intervention
Data-driven decisions are paramount. Utilize tools like the TAG and DUNDRUM scales to assess the severity of presentations accurately. Early identification of at-risk children can lead to timely interventions, potentially reducing the incidence of severe self-harm cases.
2. Strengthening ED Protocols
Given the increased severity and frequency of self-harm cases during and post-lockdown, it is essential to review and strengthen ED protocols. This includes training staff to recognize and manage psychiatric emergencies effectively and ensuring that liaison psychiatry teams are adequately staffed and resourced.
3. Enhancing Community Support Systems
The research underscores the need for robust community support systems. Post-discharge, children and their families should have access to continuous mental health support, including counseling and follow-up care. Collaborate with community organizations to create a safety net that prevents re-admissions.
4. Addressing the Impact of COVID-19
The pandemic has exacerbated mental health issues among children. Practitioners should be aware of the unique stressors brought about by COVID-19, such as social isolation and disrupted routines. Tailored interventions that address these specific challenges can be more effective in mitigating their impact.
Encouraging Further Research
While the findings from SSRA 2021 provide valuable insights, further research is needed to fully understand the long-term impact of COVID-19 on child mental health. Practitioners are encouraged to participate in and support ongoing research efforts, contributing to a broader understanding of the issues and the development of evidence-based interventions.
Conclusion
Implementing the findings from the 2021 UCD School of Medicine SSRA can significantly improve outcomes for children facing mental health challenges. By focusing on early identification, strengthening ED protocols, enhancing community support, and addressing the specific impacts of COVID-19, practitioners can create a more responsive and effective mental health care system for children.
To read the original research paper, please follow this link: Meeting abstracts from the 2021 UCD School of Medicine Summer Student Research Awards (SSRA 2021)
