5 results on '"CHILDREN"'
Search Results
2. Promoting optimal mental health outcomes for children and youth.
- Author
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Arruda, Wilma, Bélanger, Stacey A, Cohen, Janice S, Hrycko, Sophia, Kawamura, Anne, Lane, Margo, Patriquin, Maria J, and Korczak, Daphne J
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MENTAL illness treatment , *PSYCHIATRIC diagnosis , *EVALUATION of medical care , *HEALTH policy , *HEALTH services accessibility , *MENTAL health , *PEDIATRICS , *MEDICAL screening , *PSYCHOEDUCATION , *HEALTH care teams , *HEALTH systems agencies , *GOVERNMENT aid , *HEALTH promotion , *MEDICAL education , *MEDICAL needs assessment , *PSYCHOTHERAPY , *CHILDREN , *ADOLESCENCE - Abstract
While paediatric care providers are often the first point of contact for children or youth experiencing mental health challenges, they may lack the resources (e.g. access to a multidisciplinary team) or training to adequately identify or manage such problems. This joint statement describes the key roles and competencies required to assess and address child and youth mental health problems, and the factors that optimize outcomes in this age group. Evidence-informed guidance on screening for and discussing mental health concerns with young people and families is provided. Preventive and therapeutic interventions with demonstrated efficacy in community care settings are discussed. This foundational statement also focuses on the changes to medical education, health systems, and health policy that are needed to improve clinical practice and advocacy efforts in Canada, including appropriate remuneration models, stepped-care approaches, targeted government funding, and professional training and education. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
3. Impact of SARS-CoV-2 pandemic on the mental and physical health of children enrolled in a paediatric weight management clinic.
- Author
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Nsamenang, Sheri Agatha, Gutierrez, Carline Anne, Jones, Jane Manayathu, Jenkins, Glenn, Tibelius, Stephanie Anne, DiGravio, Anna Maria, Chamas, Basma, Ewusie, Joycelyne Efua, Geddie, Hannah, Punthakee, Zubin, Samaan, M Constantine, Wahi, Gita, and Morrison, Katherine M
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REGULATION of body weight , *CHILDREN'S hospitals , *CHILDHOOD obesity , *ANTHROPOMETRY , *MENTAL health , *HEALTH status indicators , *TERTIARY care , *RETROSPECTIVE studies , *ACQUISITION of data , *PSYCHOLOGISTS , *DISEASE incidence , *SUICIDAL ideation , *COMPARATIVE studies , *WEIGHT loss , *MEDICAL records , *MEDICAL referrals , *DESCRIPTIVE statistics , *BODY mass index , *COVID-19 pandemic , *HEALTH promotion , *SOCIAL case work , *EATING disorders , *SELF-mutilation , *CHILDREN - Abstract
Background Obesity is a global public health concern. Given the widespread disruption caused by the SARS-CoV-2 pandemic, it is important to evaluate its impact on children with chronic health conditions. This study examines the health of paediatric patients with obesity enrolled in a tertiary hospital weight management program, before and 1 year into the COVID-19 pandemic. Methods This is a retrospective chart review of patients aged 2 to 17 years enrolled in a paediatric weight management clinic. Mental health outcomes (i.e. new referrals to psychologist, social work, eating disorder program, incidence of dysregulated eating, suicidal ideation, and/or self-harm) and physical health (anthropometric measures) were compared before and 1 year into the pandemic. Results Among the 334 children seen in either period, there was an increase in referrals to psychologist (12.4% versus 26.5%; P=0.002) and the composite mental health outcome (17.2% versus 30.2%; P=0.005) during the pandemic compared with pre-pandemic. In a subset of children (n=30) with anthropometric measures in both periods, there was a lower rate of decline in BMIz score (–1.5 [2.00] versus –0.3 [0.73]/year; P=0.002) and an increase in adiposity (–0.8 [4.64] versus 2.7 [5.54]%/year; P=0.043) during the pandemic. Discussion The pandemic has impacted the mental and physical health of children with obesity engaged in a weight management clinic. While our study provides evidence of a negative impact on mental health outcomes and less improvement in anthropometric measures, future research when patients return to in-person care will enable further examination of our findings with additional objective measures. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
4. Perceived changes in lifestyle behaviours and in mental health and wellbeing of elementary school children during the first COVID-19 lockdown in Canada.
- Author
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Maximova, Katerina, Khan, Mohammad K.A., Dabravolskaj, Julia, Maunula, Laena, Ohinmaa, Arto, and Veugelers, Paul J.
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WELL-being , *FOOD habits , *CONFIDENCE intervals , *CROSS-sectional method , *MENTAL health , *REGRESSION analysis , *PHYSICAL activity , *SCREEN time , *HEALTH behavior , *DESCRIPTIVE statistics , *SCHOOL children , *STAY-at-home orders , *ODDS ratio , *BEHAVIOR modification , *COVID-19 pandemic , *HEALTH promotion - Abstract
The closure of schools to prevent the spread of COVID-19 prompted concerns of deteriorating lifestyle behaviours, mental health, and wellbeing of children, particularly those in socioeconomically disadvantaged settings. We assessed changes in lifestyle behaviours (physical activity, screen time, eating habits and bed/wake-up times), mental health and wellbeing during the first lockdown in Spring 2020 as perceived by school children from disadvantaged settings, and examined determinants of these changes. Cross-sectional study. We surveyed 1095 grade 4 to 6 students (age 9–12 years) from 20 schools in socioeconomically disadvantaged communities in northern Canada. Students reported on changes in lifestyle behaviours, mental health and wellbeing during the lockdown. Determinants of these perceived changes were examined in multivariable regression models. A majority of students reported declines in physical activity, having late bed/wake-up times, and modest improvements in mental health and wellbeing. Many students reported increases rather than decreases in screen time and snacking. Positive attitudes toward being active, eating healthy, going to sleep on time and being healthy were strongly associated with maintaining healthy lifestyle behaviours during the lockdown. Positive attitudes toward active and healthy living and healthy lifestyle behaviours were associated with maintaining positive mental health and wellbeing during the lockdown. The considerable changes in lifestyle behaviors, superimposed on the pre-existing burden of unhealthy lifestyle behaviours, put this generation of children at increased risk for future chronic disease. Findings call for effective health promotion of active and healthy lifestyles to benefit both physical and mental health. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
5. Mobilizing communities and families for child mental health promotion in Canada: Views of African immigrants.
- Author
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Alaazi, Dominic A., Salami, Bukola, Gabriel Ojakovo, Oghenevwarho, Nsaliwa, Christina, Okeke-Ihejirika, Philomina, Salma, Jordana, and Islam, Bonnieca
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IMMIGRANTS , *AFRICANS , *HEALTH services accessibility , *HEALTH outcome assessment , *COMMUNITY health services , *DECISION making , *THEMATIC analysis , *PARENT-child relationships , *MANAGEMENT , *MENTAL health services , *HEALTH promotion , *PSYCHOLOGICAL resilience - Abstract
• The African immigrant population is increasing rapidly in Alberta and across Canada. • African immigrants face barriers accessing mainstream mental health (MH) supports. • Family-, community-, and structural-level stressors present challenges to child MH. • Family-, community-, and structural-level strategies can help promote child MH. • These strategies include measures to build and enhance resilience during childhood. Available evidence in Canada suggests mental health disparities between immigrant and non-immigrant children. Children born to immigrants face a greater risk of poor mental health outcomes. However, these comparisons often mask important ethno-racial differences in mental health risks and outcomes among immigrant populations. Recent evidence suggests African immigrant children have some of the poorest social and mental health outcomes in Canada. Despite this awareness, research has yet to identify community-based strategies for addressing the stressors underpinning such outcomes. This study used data obtained from focus groups with African immigrant parents in Alberta, Canada, to identify child mental health stressors and child mental health promotion strategies in the African immigrant community. These strategies, thematically partitioned into family-, community-, and structural-level interventions, include building supportive parent–child relationships, strengthening resilience in childhood, economic empowerment of families, destigmatizing mental illness, influencing institutional policies and practices, supporting labour integration, and enhancing access to mental health supports. Ways in which policymakers and service providers can support child mental health promotion efforts in the African immigrant community are also discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
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