Highlights in child mental health research: November 2020
Various, Australia, November 2020
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
- Social networking sites and child and adolescent mental health symptoms
- Emotion-focused parenting interventions that support child and adolescent mental health
- Wait times and costs as barriers to private child mental health support in Australia
- How does discrimination affect the wellbeing and sleep of Australian students?
What’s new this month in child mental health research?
This month’s highlights include:
Check out recently released reports and journal articles on the COVID-19 pandemic and how it might affect children and families.
This review of 19 studies identifies an association between the time spent on social networking sites and depressive and anxiety symptoms in children and adolescents. However, the authors note that these results should be interpreted with caution due to poor study quality and small effect sizes. This evidence is emerging and more robust studies are yet to be undertaken.
This article reviews data from 50 studies evaluating emotion-focused parenting interventions. The article identified extensive evidence showing the positive effects of emotion-focused parenting interventions, supporting its use in child and adolescent mental health settings.
This article presents findings of a study exploring wait times and costs faced by families in Australia trying to access private mental health care for their child. The study found that financial costs and lack of a mental healthcare workforce were key barriers to mental health care for children in Australia, particularly in rural areas.
This article explores the relationship between racial discrimination and socioemotional and sleep problems in Australian students aged 10-15 years old. The study found that both direct and vicarious experiences of discrimination were associated with socioemotional and sleep problems, and that these experiences were common for students from Indigenous or ethnic minority backgrounds.
UNICEF Innocenti has also produced a new Children and COVID-19 Research Library, collating available global scientific research and evidence on children and the coronavirus pandemic. The database includes research on topics such as child mental health, poverty, education, social protection and child wellbeing, and is a publicly available resource.
Emotion-focused parenting interventions that support child and adolescent mental health
Emotion-focused parenting interventions for prevention and treatment of child and adolescent mental health problems: a review of recent literature (Australia)
Authors: Havinghurst, S., Radovini, A., Hao, B., Kehoe, C.E.
Journal: Current Opinion in Psychiatry
- This review synthesised evidence on emotion-focused parenting These interventions aim to facilitate healthy emotional communication between parents and children, strengthening their bond and the child’s emotional development.
- Four domains of emotion-focused parenting interventions were highlighted as contributing to change, including:
- Emotional and attachment history of the parent
- Emotional awareness and regulation of the parent
- Parents’ response to their child’s emotions
- Parents’ skills in guiding their child’s emotional competence.
- Data were synthesised from 50 studies evaluating parenting interventions that addressed these four domains. Studies were published between January 2019 and June 2020. .
- The study identified extensive evidence to support emotion-focused parenting interventions, supporting its use in child and adolescent mental health settings.
- Interventions identified as targeting emotion included:
- Emotion coaching/communication parenting programs (e.g., Tuning in to Kids)
- Emotion-focused family therapy (e.g., 2-day workshops)
- Attachment-focused parenting programs (e.g., Circle of Security)
- Mindfulness parenting programs (e.g., Mindfulness-Based Parenting)
- Behaviours parenting programs with additional emotion-focused elements (e.g., Parent-Child Interaction Therapy).
- The study found that many reviewed interventions improved the emotional sensitivity and responsiveness of parents. This provides the foundation for facilitating healthy child emotional development.
- These findings will be of interest to practitioners and service providers who support children and adolescents with mental health difficulties. Professionals might be interested in drawing on this research to support a family-focused approach when working with children and adolescents.
Wait times and costs as barriers to private child mental health support in Australia
How long and how much? Wait times and costs for initial private child mental health appointments (Australia)
Authors: Mulraney, M., Lee, C., Freed, G., Sawyer, M., Coghill, D., Sciberras, E., Efron, D., Hiscock, H.
Journal: Journal of Paediatrics and Child Health
- This study is the first to provide objective data about the wait times and costs faced by families in Australia who try to access private mental health care for their child.
- Researchers used a ‘secret shopper’ method whereby they contacted private specialists posing as a parent enquiring about an initial mental health care appointment for their child.
- 327 specialist practitioners from Victoria and South Australia were contacted (198 psychologists, 81 paediatricians, and 48 psychiatrists).
- Key study findings included:
- Families face lengthy waiting times and significant out-of-pocket costs when seeking an initial mental health care appointment with a private specialist.
- Of the private practices contacted, around one third were not accepting new referrals. Reasons for not accepting new referrals included being at full patient capacity or not accepting referrals for children under age 12.
- The average wait-time for an initial appointment was 44 days for paediatricians, 34 days for psychologists, and 41 days for psychiatrists.
- The average out-of-pocket cost were $120 for paediatricians, $85 for psychologists, and $176 for psychiatrists.
- This landmark study highlights key barriers to mental health care for children in Australia, which include financial costs and the lack of a mental health workforce for supporting younger children. These difficulties are particularly pronounced in rural areas.
- The researchers offer multiple suggestions based on their findings, including:
- Practitioners and service providers should ensure that accurate and accessible details about their practice are easily available to families (e.g., current contact details; scope of practice, including client age ranges; clear and transparent fee information). This should also apply to any listings on professional body websites.
- Offering enhanced training in mental health for paediatricians may help strengthen the capacity of the workforce to support child mental health.
- ‘Shared care models’ should be considered by the sector to help reduce wait times and out-of-pocket costs. These models involve general practitioners working collaboratively ‘with child mental health specialists to co-manage children with mental health problems’ (p. 6).
- Increased funding for public child and adolescent mental health services may help lessen the demands in the private sector and increase accessibility for families (particularly for those whom out-of-pocket costs are a barrier).
How does discrimination affect the wellbeing and sleep of Australian students?
Racial discrimination and socioemotional and sleep problems in a cross-sectional survey of Australian school students (Australia)
Authors: Priest, N., Chong, S., Truong, M., Alam, O., Dunn, K., O’Connor, M., Paradies, Y., Ward, A., Kavanagh, A.
Journal: Archives of Disease in Childhood
- This article reviewed data from a cross-sectional study of Australian school students, examining the prevalence of racial discrimination and the impact this may have on socioemotional and sleep
- Study participants (n=4,664) were Australian school children in years 5-9 (10-15 years old).
- Participants reported their experiences of racial discrimination from peers, school and societal sources, and self-reported on the Strengths and Difficulties Questionnaire. Sleep problems were assessed on duration, latency, and disruption.
- Key findings included:
- Experiences of direct and vicarious racial discrimination (witnessing the racial discrimination of others) was common for students from Indigenous or ethnic minority backgrounds.
- Students from all backgrounds reported high levels of vicarious racial discrimination (70.15%).
- Both direct and vicarious discrimination were associated with socioemotional and sleep problems. Strong evidence supports an association between direct experiences of discrimination and socioemotional outcomes (e.g., internalising and externalising difficulties, child strengths).
- Strong evidence also supports an association between racial discrimination and sleep problems.
- Racial discrimination had a similar effect on students’ wellbeing regardless of the source (e.g., peer, school or societal).
- This article may be of interest to professionals working with, or writing policies for, school children, particularly including children from Indigenous or ethnic minority backgrounds. Addressing racism where possible can help to support child and adolescent health.