Child and Adolescent Mental Health and Psychosocial Wellbeing Across the Life Course: Towards an Integrated Conceptual Framework for Research and Evidence Generation

Child and Adolescent Mental Health and Psychosocial Wellbeing Across the Life Course: Towards an Integrated Conceptual Framework for Research and Evidence Generation

AUTHOR(S)
Priscilla Idele; Manasi Sharma; Camila Perera Aladro; Prerna Banati; David Anthony

Published: 2022 Innocenti Working Papers

Mental health conditions affect about 1 in 7 adolescents globally. In the context of COVID-19, the importance of mental health and psychosocial support for all has been undoubtedly confirmed. Despite the increased attention to mental health issues, there is a dearth of evidence on what determines child and adolescent mental health, who is most at risk, and what works to foster mental health across contexts, cultures and distinct population groups.

This conceptual framework aims to inform research on child and adolescent mental health. It incorporates children’s developmental stages and the dynamic environment in which they live and grow. Informed by a review of existing theoretical frameworks on mental health and child development, this framework integrates elements of the socio-ecological model; the life course approach; the social determinants of health approach; and Innocenti Report Card’s Worlds of Influence Framework. Combining diverse aspects of these frameworks and approaches, we propose an integrated model to guide UNICEF’s research in this area. 

Life in Lockdown: Child and adolescent mental health and well-being in the time of COVID-19

Life in Lockdown: Child and adolescent mental health and well-being in the time of COVID-19

Published: 2021 Innocenti Research Report

COVID-19 lockdowns have significantly disrupted the daily lives of children and adolescents, with increased time at home, online learning and limited physical social interaction. This report seeks to understand the immediate effects on their mental health. Covering more than 130,000 children and adolescents across 22 countries, the evidence shows increased stress, anxiety and depressive symptoms, as well as increased alcohol and substance use, and  externalizing behavioural problems.

Children and adolescents also reported positive coping strategies, resilience, social connectedness through digital media, more family time, and relief from academic stress. Factors such as demographics, relationships and pre-existing conditions are critical.

 To ensure children and adolescents are supported, the report recommends building the evidence on the longer-term impact of the pandemic on child and adolescent mental health in low- and middle-income countries, including vulnerable populations.

Mind Matters: Lessons from past crises for child and adolescent mental health during COVID-19

Mind Matters: Lessons from past crises for child and adolescent mental health during COVID-19

AUTHOR(S)
Lorraine Sherr; Lucie Cluver; Mark Tomlinson; Priscilla Idele; Prerna Banati; David Anthony; Kathryn Roberts; Katharina Haag; Xanthe Hunt

Published: 2021 Innocenti Research Report

COVID-19 is a crisis like no other in modern times. It has reached every population and community. While the evidence base is still nascent, this report looks at the impacts of disasters and past epidemics – such as Ebola, HIV, SARS/MERS and Zika – on child and adolescent mental health and psychosocial wellbeing, and examines how these insights can guide policies and progammes to support children, their families and communities during the current pandemic.

COVID-19 – its associated public health responses and social and economic impacts – is likely to have multiple deleterious effects on mental health, including elevated risks of anxiety and depression, trauma, loss of family and friends, violence, loneliness and social isolation. However, this pandemic also offers opportunities for positive coping and resilience.

While there is no magic formula to address the mental health and psychosocial impacts of crises, there are proven and promising interventions from past experiences to mitigate the impact today – especially for the most vulnerable children and adolescents. These include social protection, caregiver skills and support, community and social support, life skills and school based programmes, and specialized care, to name a few.



Cite this publication | No. of pages: 70 | Thematic area: Mental Health | Tags: mental health
Rapid Review Protocol - Life in Lockdown: Child and adolescent mental health and well-being in the time of COVID-19

Rapid Review Protocol - Life in Lockdown: Child and adolescent mental health and well-being in the time of COVID-19

Published: 2021 Innocenti Working Papers

While there has been a global rush to generate rapid evidence on COVID-19 mental health impacts among adults, limited evidence exists on the potential impacts on children.

This is the protocol for our rapid review that seeks to (i) understand the immediate impact of COVID-19’s first wave on the mental health of children and adolescents (0–19 years); and (ii) apply lessons learned from this pandemic to mitigate the impacts of future health crises.

The key research questions of this review are: 

  • What has been the immediate impact of COVID-19 and associated containment measures on the mental health and psychosocial well-being of children and adolescents?
  • How and which risk and protective factors have affected mental health during COVID-19 and have they varied across subgroups of children and adolescents?

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