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Children and COVID-19 Research Library

UNICEF Innocenti's curated library of COVID-19 + Children research

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Accessibility at what price? Therapists' experiences of remote psychotherapy with children and adolescents during the COVID-19 pandemic

AUTHOR(S)
Anette Erlandsson; David Forsström; Alexander Rozental (et al.)

Published: November 2022   Journal: Journal of Infant, Child, and Adolescent Psychotherapy
Psychotherapy has traditionally been delivered in person, but recent technological advances have made it possible to conduct remote treatments. There is currently strong evidence for the efficacy of guided self-help with online support from a therapist, but less is known about video-mediated psychotherapy. The COVID-19 pandemic has however forced many therapists to provide remote treatments. This transition might be especially trying for therapists of children and adolescents, but their experiences are underexplored. This study aimed to investigate their perceptions of video-mediated psychotherapy. Semi-structured interviews were conducted with 16 therapists and analyzed using thematic analysis. The therapists described how they struggled with technical and ethical issues and tried to overcome the loss of their usual therapeutic tools. They were concerned that the online format led to less effective treatments or could have negative effects, even if it might increase care availability. Generally, they felt frustrated, inadequate, and stressed, and experienced less job satisfaction. The therapists concluded that video-mediated sessions might be a good alternative for children and adolescents – provided the therapists themselves could determine for whom and when to offer video sessions. Implications of their experiences are discussed, including how psychotherapy training might have to incorporate issues related to remote psychotherapy.
Internet-based parent training with telephone coaching on managing disruptive behavior in children during The COVID-19 pandemic

AUTHOR(S)
Saana Sourander; Andre Sourander; Susanna Hinkka-Yli-Salomäki (et al.)

Published: October 2022   Journal: JMIR Pediatrics and Parenting

There is growing concern about the short- and long-term impacts that the COVID-19 pandemic will have on the mental health and psychosocial well-being of children and families. There are no existing studies about feasibility and outcomes using internet-based parent training programs with telephone coaching for disruptive behavioral problems in childhood during the COVID-19 pandemic in clinical settings.  This study explored how the Strongest Families Smart Website (SFSW) parent training program, with telephone coaching, provided support during the COVID-19 pandemic at specialist family counseling centers in Helsinki, Finland, when restrictions made face-to-face counseling impossible. This study followed the success of a randomized controlled trial (RCT) and its implementation study of the SFSW parent training program by primary care child health clinics. The aim was to improve parenting skills, so that parents could tackle disruptive behavior by developing positive parent-child relationships. It started in May 2020, when the COVID-19 pandemic was at its height in Finland.

Improve children's wellbeing and learning in Central Sahel: increasing psychosocial support in schools
Published: January 2022

To address the situation in the central Sahel region, improve learning and restore hope of the displaced children in Central Sahel, NRC, UNHCR and UNICEF have been implementing several activities other the past years. In December 2020, NRC launched the Better Learning Program (BLP) implemented by teachers to support children’s recovery from the traumatic events experienced during conflict and displacement. The programme improves conditions for learning through mobilization of a child’s support network of caregivers, teachers and counsellors to assess and address the level of mental and psychological trauma faced by children. In 2021, UNHCR has strengthened the capacity of teachers and members of community structures in refugee and IDP hosting areas of the three countries by organizing training sessions dedicated to the psychosocial support (PSS) of students. Psychosocial support was also provided on an individual basis for cases requiring child protection interventions. UNICEF has broadly taken a multi-sectoral approach to providing  psychosocial support to children in the Sahel, across education, child protection and nutrition activities in particular. Moving forward, there will be an increasing drive to consider this within the broader consideration of mental health as a foundation for resilience and learning. As part of NRC BLP Program, an assessment has been conducted, in Burkina Faso, Niger and Mali aiming to measure promoters and barriers for learning before and after interventions.

Counselling support for the mental health of children in Hong Kong’s international schools during the COVID-19 pandemic: parents’ perspectives

AUTHOR(S)
Mark G. Harrison; Chloe Ka Yi Tam; Susanna Siu-sze Yeung

Published: November 2021   Journal: Educational and Developmental Psychologist

This study investigated how school counsellors in international schools in Hong Kong supported the wellbeing of students and families during the period of school closure caused by the COVID-19 pandemic from the perspective of parents.Sixteen parents with children in eleven different international schools in Hong Kong were interviewed and the data were analysed thematically.

Collective wellbeing and posttraumatic growth during COVID-19: how positive psychology can help families, schools, workplaces and marginalized communities

AUTHOR(S)
Lea Waters; Kim Cameron; S. Katherine Nelson-Coffey (et al.)

Published: July 2021   Journal: The Journal of Positive Psychology
Positive psychology approaches have been shown to play a vital role in protecting mental health in times of challenge and are, therefore, important to include when studying the psychological outcomes of COVID-19. While existing research has focused on individual psychological health, this paper focuses on collective wellbeing and collective posttraumatic growth, with the aim of more clearly identifying the positive experiences and potential for positive growth for key institutions in our society during the pandemic. A range of positive psychology interventions for families, schools, workplaces, and clinical psychology are presented. The paper then considers how three broad-reaching phenomena existing in our wider society (i.e., arts and culture, eco-connection, and wellbeing literacy) can be used to boost collective wellbeing. A positive systems approach to understand civilian responses to the pandemic together with an examination of the role that positive psychology can play in supporting marginalized groups are also discussed.
Coparenting autistic children during COVID-19: emerging insights from practice

AUTHOR(S)
Sarah Southey; Rae Morris; Michael Saini

Published: May 2021   Journal: International Social Work
Globally, parents and caregivers of children with autism have been particularly impacted by the recent changes due to COVID-19. Reduced access to schools, community supports, and therapeutic services makes parenting more challenging during the pandemic, and especially for parents with children with autism and who are experiencing family breakdown. There remains little guidance to assist coparenting autistic children during COVID-19 after separation and divorce. This brief paper summarizes emerging issues arising in clinical practice to offer recommendations for social work practice.
Beyond the four walls: the evolution of school psychological services during the COVID-19 outbreak

AUTHOR(S)
Gary E. Schaffer; Elizebeth M. Power; Amy K. Fisk (et al.)

Published: May 2021   Journal: Psychology in the Schools
The emergence of the novel coronavirus disease (COVID-19) in early 2020 led to the sudden temporary closure of K-12 schools across the United States. Schools were tasked with providing remote instruction to students, and many of these children continued to require mental and behavioral health services provided by school psychologists. In this study, 675 school psychologists were surveyed across the United States to examine how their roles and responsibilities changed as a result of COVID-19. Participants reported the perceived impact of COVID-19 on students’ mental health and difficulty serving students and families, as well as their concerns and recommendations pertaining to school reentry. Overall, respondents in this study reported that their roles and responsibilities notably changed because of COVID-19. Participants noted their belief that children and educators will need increased mental health support upon returning to school. Implications for future practice and research are discussed.
Playing and digital reality: treating kids and adolescents in a pandemic

AUTHOR(S)
Leora Trub

Published: April 2021   Journal: Psychoanalytic Perspectives
The COVID-19 pandemic forced therapists and patients to physically separate and conduct sessions from afar. This created particular challenges for child and adolescent work, which tends to center around movement and embodiment. As therapists navigated the constraints of their new reality, early skepticism quickly gave way to creative, on-the-spot solutions. Born out of necessity, therapist’s flexibility and accommodations brought about changes to the analytic frame that were unprecedented in scope. Common themes include the therapist’s loss of control over the structure of psychotherapy, a renegotiation of therapist and patient roles, placing the parent at the center of treatment, findings new ways to play, and virtual treatment as a new mechanism for modulating closeness and intimacy in the therapeutic dyad. Rooted in clinical vignettes of clinicians from the early weeks of the pandemic, this paper will illustrate these themes and consider their implications for the future of psychotherapy with children and adolescents.
Use of kids helpline by children and young people in Australia during the COVID-19 pandemic

AUTHOR(S)
Samantha Batchelor; Stoyan Stoyanov; Jane Pirkis (et al.)

Published: April 2021   Journal: Journal of Adolescent Health

The benefits of helplines are particularly valuable during a pandemic when face-to-face services and natural supports are difficult to access. Kids Helpline, Australia's national youth helpline, provides children and young people with free 24/7 information and counseling through telephone, WebChat, and e-mail. This study aimed to examine the use of Kids Helpline during the COVID-19 pandemic. It analyzed monthly and weekly time trends of demand for and response by the Kids Helpline. The frequency of counseling contacts by common concern types, age, and gender were also examined.

Promoting children's mental, emotional, and behavioral (MEB) health in all public systems, post-COVID-19

AUTHOR(S)
Kimberly Eaton Hoagwood; William Gardner; Kelly J. Kelleher

Published: April 2021   Journal: Administration and Policy in Mental Health and Mental Health Services Research
The COVID-19 pandemic exacerbates the mental, emotional, and behavioral (MEB) health problems of children and adolescents in the United States (U.S.). A collective and coordinated national economic and social reconstruction efort aimed at shoring up services to promote children’s MEB, like the Marshall Plan that helped rebuild Europe post-World War II, has been proposed to buttress against the expected retrenchment. The plan prioritizes children’s well-being as a social objective.
COVID-19: are school counseling services ready? students' psychological symptoms, school counselors' Views, and solutions

AUTHOR(S)
Mehmet Akif Karaman; Hasan Esici; Ismail Hakkı Tomar (et al.)

Published: March 2021   Journal: Frontiers in Psychology
The purpose of the current study was to investigate the effects of COVID-19 on high school students’ psychological symptoms and to understand how ready counselors and school counseling services are based on the data we have. Therefore, this research is designed under two different studies: (A) Study 1: Effects of COVID-19 pandemic on students’ psychological symptoms and (B) Study 2: Views and expectations of students and school counselors about school counseling services.
What was the impact of a global pandemic (COVID-19) lockdown period on experiences within an eating disorder service?: a service evaluation of the views of patients, parents/carers and staff

AUTHOR(S)
Hannah Shaw; Sarah Robertson; Nadia Ranceva

Published: January 2021
The World Health Organization declared the outbreak of COVID-19 as a global pandemic on the 11th March 2020. As a result, the UK Government imposed severe restrictions on working and social contact as part of “lockdown.” Whilst the full extent of the pandemic’s impact on eating disorder patients is unknown, the literature suggests that patients with pre-existing mental illness may be more vulnerable to the mental health impacts. In addition, the restrictions greatly reduced the access to mental health services and presented new challenges to service delivery. A service evaluation was carried out to explore how the COVID-19 global pandemic changed service provision in a young person’s eating disorder service and how this affected patient, family and staff experiences.
COVID-19’s effect on students: how school counselors rise to the rescue

AUTHOR(S)
Robert Pincus; TeShaunda Hannor-Walker; Leonis S. Wright (et al.)

Published: December 2020   Journal: NASSP Bulletin
The COVID-19 global pandemic has brought about many changes to our society, which will have long-term effects for our youth and adolescents. Due to social isolation and adverse childhood experiences, there are concerns of suicidality, technology addiction, and school safety as schools attempt to transition to a state of normalcy in the months to come. This crisis will require coordinated efforts to assist students in not only getting back on track academically but also in helping students cope with the trauma they have and are continuing to experience. As a result, insights from school counselors can be used to obtain a better understanding of the social and emotional effects of COVID-19 by collaborating with administrators to emphasize using school counselors as a mental health provider in schools. The authors highlight school counselors’ mental health training and their role in combating this issue and provide practical applications that can employed to create a systemic approach for social and emotional prevention and intervention during and after the pandemic.
Implementing group parent training in telepsychology: lessons learned during the COVID-19 pandemic

AUTHOR(S)
Jason M. Fogler; Sébastien Normand; Nicole O’Dea (et al.)

Published: October 2020   Journal: Journal of Pediatric Psychology
This article examines telepsychology delivery to meet families’ needs during the COVID-19 pandemic. The review describes how to use treatment fidelity as a guiding principle to orient adaptations for telepsychology, as well as preliminary findings and early lessons learned in the implementation.
Cite this research | Open access | Vol.: 45 | Issue: 9 | No. of pages: 983–989 | Language: English | Topics: Mental Health | Tags: COVID-19 response, family assistance, mental health services, parents, psychological counselling
Containing the anxieties of children, parents and families from a distance during the Coronavirus pandemic

AUTHOR(S)
Jordan Bate; Norka Malberg

Published: July 2020   Journal: Journal of Contemporary Psychotherapy

The coronavirus pandemic and the move to teletherapy has created uncertainty among both clinicians and patients. This paper will describe how the Mentalization-Based Treatment for Children (MBT-C) model offers a framework for an integrative approach that can inform treatment via teletherapy, so that clinicians can continue supporting young people and their families through this period.

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