Highlights in child mental health research: June 2021
Various, Australia, June 2021
The monthly research summary provides a selection of recently released papers, systematic reviews, and meta-analyses related to infant and child mental health.
Each summary includes an introductory overview of the content for the month, followed by a list of selected articles. Each article is accompanied by a brief synopsis which presents the key messages and highlights. Links to abstracts, full-text articles and related resources, where available, are provided.
- What’s new this month in child mental health research?
- Coronavirus (COVID-19) and children: Resources, research, and reports
- Household income and children’s outcomes
- Maternal and child health services for Aboriginal families
- The evidence on screening for social-emotional development in early infancy
- Police contact and developmental vulnerabilities in young children
What’s new this month in child mental health research?
This month’s highlights include:
Drawing on 54 studies from the EU and OECD, this article demonstrates that household income can shape children’s outcomes. There is strong evidence for a link between income and children’s educational attainment and cognitive development. There is also evidence for a link between income and social, behavioural and emotional outcomes and physical health outcomes. A limitation of the included studies is that children’s own perspective on wellbeing is absent, and the majority of the evidence comes from the US and may not be generalisable.
The Glenelg Shire Council (Vic) maternal child health (MCH) services developed an approach to engage Aboriginal families with children from conception to 3.5 years. The 2009-2014 pilot period saw participation rates rise above the state average, with an increase in Aboriginal children being breastfed, fully immunised and attending early start kindergarten. The pilot also saw an increase in referrals for related services and decreased episodes of out-of-home care for children. Elements of a co-designed, strengths-based model allow for services to learn from and integrate Aboriginal childrearing practices in mainstream service provision and provide better outcomes for children.
This paper examines risk and protective factors for two early markers of social-emotional development: attachment security and behavioural regulation mid-infancy. Drawing on 12 meta-analytic reviews and 38 original studies, the authors propose 12 indicators that could help predict infant attachment and behaviour at 12-18 months. Caregiving responsiveness, maternal mental health, couple relationship, and socio-economic status as a contextual factor, were some factors identified. The development of a reliable tool for early screening of infant social-emotional development could improve outcomes.
This study assessed whether mental health vulnerability is associated with risk of criminal justice system contact in early in child development. Drawing on data from a total of 79 801 children, the strength of the association between emotional or behavioural problems and police contact was greatest when the child was identified as a person of interest. Children with emotional or behavioural problems at school were twice as likely to have police contact. Findings suggest that the prevention of poor outcomes relies on the identification of vulnerability early in life, including the start of police contact in a child’s life.
Household income and children’s outcomes
Does household income affect children’s outcomes? A systematic review of the evidence
Author: Cooper, K., & Stewart, K.
Journal: Child Indicators Research
- This article suggests that household income plays a role in the cognitive, social-behavioural development and health of children, particularly in households that started with a low income.
- Fifty-four studies from the EU and OECD that use methods appropriate to finding a causal relationship between income and children’s outcomes (through Randomised Controlled Trials, quasi experiments or longitudinal data) form the basis of this study.
- Income level shaped outcomes that are important for children’s development, including maternal mental health, parenting and the home environment.
- A majority of studies found a link between income and children’s educational attainment and cognitive development. Evidence also exists for the relationship between income and social-behavioural-emotional outcomes and physical health outcomes, although some studies have mixed findings regarding physical health outcomes.
- There is a clear relationship between income and early birth outcomes but the relationship between income and later health measures for children is less clear.
- A limitation of the included studies is that children’s own perspective is notably absent and indicators of emotional well-being are almost exclusively based on parent or teacher reports.
- Income in the period before birth is particularly important, but effects of parental income on educational and social-behavioural outcomes are also found for older children and teenagers.
- While 45% of the studies come from the US and may not always be generalisable to other contexts, the findings suggest that policies to support household income have a key role to play in any strategy to improve life chances for children from low-socio economic backgrounds.
- These results underline the potential for income support early in a child’s life to have lasting effects.
Maternal and child health services for Aboriginal families
Improving the engagement of Aboriginal families with maternal and child health services: a new model of care
Author: Austin, C., & Arabena, K.
Journal: Public Health Research and Practice
- The Glenelg Shire Council (Vic) maternal child health (MCH) services developed an approach to improve engagement with Aboriginal families with children from conception to 3.5 years, who are not engaged in MCH services, or who are at risk of difficulties.
- This paper assesses an Early Assessment Referral Links (EARL) as it was trialled between 2009–2014 and reports on an improved engagement of Aboriginal families in MCH services.
- Regular meetings between stakeholders, in consultation with the Aboriginal community, helped identify families that were not engaged in MCH services and who required further assessment, intervention, referral and/or support.
- Participation of Aboriginal women and children in MCH services was consistently above the state average during the pilot period, rising from 54% to an average of 89% (Victorian state average of 57%).
- In the pilot period, there were increases in Aboriginal children being breastfed, fully immunised and attending early start kindergarten which gives eligible children 15 hours of free or low-cost kindergarten a week. Engagement with Aboriginal women at risk of vulnerabilities also improved with a dramatic increase in referrals for family violence and child protection, and decreased episodes of out-of-home care for children.
- There was an increase in the percentage of Aboriginal children fully immunised in the Glenelg Shire from 84% before the pilot to 97% by the fourth year into the pilot (state immunisation rates in the same period were 85% and 90% respectively).
- A streamlined referral system can increase engagement with Aboriginal families.
- Increased engagement with MCH services was associated with positive outcomes including increases in Aboriginal children being breastfed, fully immunised and attending a kindergarten program.
- Elements of a co-designed, strengths-based model allow for services to learn from and integrate Aboriginal childrearing practices in mainstream service provision.
Police contact and developmental vulnerabilities in young children
Incidence of early police contact among children with emerging mental health problems in Australia
Authors: Dean, K., Whitten, T., Tzoumakis, S., Laurens, K., Harris, F., Carr, V., Green, J.
Journal: JAMA Open Network
- Drawing on data from the New South Wales Child Development Study in Australia, this study assessed whether mental health vulnerability is associated with risk of criminal justice system contact during early childhood.
- A total of 79 801 children who entered full-time schooling in New South Wales in 2009 and had no police contact before January 1, 2009 were included in the study. The children in the cohort were followed up until 13 years of age.
- Children whose teacher identified emotional or behavioural problems at school had an incidence rate of police contact (for any reason) that was twice that of children without such problems.
- Contact with police as a survivor of crime was most commonly recorded. However, the strength of the association between emotional or behavioural problems and police contact was greatest when the child was identified as a person of interest.
- Children with aggressive behaviours had an incident rate of person of interest police contact that was almost 7 times higher than the rate for children without aggressive behaviours.
- An increased incidence of police contact was seen across all indices of emotional or behavioural problems and developmental risk profiles that were evident at school entry.
- Preventing outcomes such as repeated contact with the criminal justice system, relies on identifying vulnerability early in life, including the start of police contact in a child’s life.
- The well-known association between mental health problems and contact with the criminal justice system in adults and adolescents can be identified at an earlier developmental stage and extends to any type of police contact.
- The extent to which the findings are generalisable to other jurisdictions, within Australia and beyond, is uncertain. Criminal justice policies and practices that affect patterns of police contact may differ even in otherwise comparable populations.