Children walk with their parents to Sherwood Park Elementary in North Vancouver for the first day back-to-school Thursday, September 10, 2020. Dr. Charlotte Waddell, a specialist in child and adolescent psychiatry, says she’s expecting to see increases in the number of kids experiencing anxiety, depression, post-traumatic stress and other behavioural challenges as a result of the COVID-19 pandemic. THE CANADIAN PRESS/Jonathan Hayward

Children walk with their parents to Sherwood Park Elementary in North Vancouver for the first day back-to-school Thursday, September 10, 2020. Dr. Charlotte Waddell, a specialist in child and adolescent psychiatry, says she’s expecting to see increases in the number of kids experiencing anxiety, depression, post-traumatic stress and other behavioural challenges as a result of the COVID-19 pandemic. THE CANADIAN PRESS/Jonathan Hayward

Clinicians worry pandemic is worsening youth mental health

Long-term studies and data are needed to assess exactly how the pandemic is affecting kids’ development

British Columbia’s children’s representative says the COVID-19 pandemic has amplified inadequacies in mental health services as experts brace for rising rates of anxiety, depression and post-traumatic stress in children and young people.

“Going forward, we would be very wise to invest significantly more in mental health,” given the pre-pandemic shortfalls and the benefits over time, said Jennifer Charlesworth in an interview.

Her office released a review Thursday of previous studies focused on kids’ mental health after infectious disease outbreaks and natural disasters.

The review was led by Dr. Charlotte Waddell, the director of the children’s health policy centre at Simon Fraser University.

Long-term studies and data are needed to assess exactly how the pandemic is affecting kids’ development and mental health in B.C. and beyond, said Waddell, but she’s concerned.

“The studies that we examined really strongly predict that we’re going to see significant increases in the number of kids with anxiety, post-traumatic stress, depression and behaviour challenges,” said Waddell, who’s a specialist in child and adolescent psychiatry.

The Representative for Children and Youth receives hundreds of reports and calls from youth and advocates each month, said Charlesworth, and throughout the pandemic her office has noticed concerning trends related to mental health, substance use and family violence.

Both Waddell and Charlesworth emphasized that the pandemic is expected to have an inordinate effect on children living with pre-existing conditions and vulnerabilities, including those in foster care or in families that were already struggling with job loss and financial insecurity.

In their review, Waddell and her colleagues evaluated 60 articles published in the last 70 years, though they didn’t find any studies on mental health related to COVID-19 and children because the pandemic is still unfolding.

One 2009 study focused on kids’ mental health in parts of North America hit by outbreaks of avian influenza, the swine flu and severe acute respiratory system, or SARS.

It showed 20 per cent of 369 children surveyed had been isolated and 3.8 per cent had been quarantined. Of those children, 30 per cent exceeded the clinical threshold for post-traumatic stress symptoms, compared with 1.1 per cent of kids who did not isolate. When parents met or exceeded the same post-traumatic stress threshold, 85.7 per cent of their children did too, compared with 14.3 per cent of youngsters whose parents did not.

The good news, said Waddell, is that clinicians know how to effectively treat and prevent such challenges.

But children and their parents were already facing a stark shortfall in mental health supports before the pandemic and it now demands a massive scaling up, she said.

Waddell pointed to recent estimates that nearly 800,000 kids in Canada meet thresholds for a mental disorder needing treatment, but fewer than half are accessing support services.

Many people will need help as the pandemic runs its course, said Waddell, adding her plea is that children aren’t forgotten among the competing demands for resources.

“If we don’t address this, we are really talking about what will happen to our next generation of Canadian nurses and teachers and front-line workers of all types and we cannot turn away from this. We cannot afford not to address this, to really keep the kids in the foreground.”

Dr. Ashley Miller, a psychiatrist at B.C. Children’s Hospital, echoed Waddell, saying without long-term data it’s tough to glean exactly how the pandemic and restrictions are affecting kids.

Anecdotally, she said, clinicians are seeing a range of experiences; the pandemic may not have significant adverse effects if young kids have nurturing relationships with their primary caregivers, while others are presenting with deepening anxiety, obsessive-compulsive disorder and eating disorders.

Miller said the nature and extent of restrictions limiting social interactions and other activities is also a factor.

“If parents are under substantial stress — financial stress, their own mental health issues, relationship issues and certainly domestic violence, then that can have a profound affect the development of young children who are growing up in the household.”

The pandemic has also led to a drop in calls to child protection services, which Miller said is “concerning because we assume that there’s more need but that the systems of care, whether it’s schools or other programming where kids would be seen, they’re not having as much access to right now.”

Miller said many children are resilient but it’s difficult to say how quickly they will transition back to “pre-COVID” ways of interacting with each other, like hugging or sharing food.

Some kids will adapt fairly quickly once they see how adults are behaving, she said, while others who had problems before the pandemic may be stuck in those patterns for longer.

“Is there more (obsessive-compulsive disorder) after the pandemic, because people have become so accustomed to avoiding touching surfaces?” asked Miller. “That’s the kind of thing where we’ll start looking for.”

Brenna Owen, The Canadian Press

Like us on Facebook and follow us on Twitter.

Want to support local journalism? Make a donation here.

Coronavirusmental health

Just Posted

Longtime SOWINS volunteer Diane Fru (far left) walks with members of her family as they Walk To End Abuse Sunday, June 13, 2021. South Okanagan Women In Needs Society (SOWINS) raised a record amount this year. (Monique Tamminga Western News)
Walk to End Abuse in South Okanagan breaks fundraising record

More than $53,000 raised so far while the pandemic has increased need for SOWINS’ services

The Great Ogopogo Bathtub Race has been held in Summerland as a fundraising event. Do you know which Canadian city introduced this sport? (Black Press file photo)
QUIZ: A summer’s day at the water

How much do you know about boats, lakes and water?

RCMP thanked the public for assistance in finding Benjamin Archie, last seen in Princeton. (RCMP)
Missing Chilliwack man found safe and sound

The 80-year-old had walked away from his home in Chilliwack

.
Princeton’s Spotlight wins two provincial awards for excellence

Publisher takes first place for investigative reporting

Princeton GSAR responds 24 hours a day, 365 days a year. In 2020 the crew was called out 34 times, and members spent 721 hours on calls, and 683 hours training. Photo Princeton GSAR Facebook
Teen missing in Manning Park found after 24 hours

Young man spends night on mountain and survives with just a few scrapes

Singer-songwriter Jann Arden is pictured with a draft horse. (Canadian Horse Defence Coalition)
Jann Arden backs petition to stop live horse export

June 14 is the International Day to End Live Export of Animals

Montreal Canadiens goaltender Carey Price (31) is scored on by Vegas Golden Knights defenseman Alec Martinez, not pictured, during the second period in Game 1 of an NHL hockey Stanley Cup semifinal playoff series Monday, June 14, 2021, in Las Vegas. (AP Photo/John Locher)
Habs fall 4-1 to Vegas Golden Knights in Game 1 of NHL semifinal series

Match was Montreal’s first game outside of Canada in 2021

(Dave Ogilvie photo)
One injured after being pinned by fallen forklift near Peachland

West Kelowna emergency crews responded to reports of a person stuck under a forklift

Penticton Overdose Prevention Society co-founders Desiree Franz, Shane Surowski and Stephanie Lines have created the city’s first unsanctioned public overdose prevention site using an old wine-tour bus. The site began operations in June 2021. (Desiree Franz/Facebook)
Volunteers launch Penticton’s first public supervised injection site

2021 is on pace to be the deadliest year for overdoses in Penticton on record

Kelowna-Lake Country MLA Norm Letnick, assistant deputy speaker at the B.C. legislature, presides over committee discussions. The legislature is completing its delayed spring session this week, with most MLAs participating by video conference. (Hansard TV)
B.C.’s daily COVID-19 infections dip below 100 over weekend

Only 68 new cases recorded Monday, four additional deaths

B.C. ambulance station in Revelstoke is expected to get a new system called the Scheduled On-Call (SOC) this fall. (Liam Harrap - Revelstoke Review)
B.C. ambulance changes could put Revelstoke residents at risk, warn local paramedics

Paramedics said to expect a substantial increase in ambulance response time starting this fall

This goose family went for a leisurely stroll down Vernon’s Main Street Saturday, April 25. (Dave Deshane photo)
Controversial Vernon goose cull won’t fly this year

Necessary permit procedures held up at a federal level

Mounties cover a burgundy truck with a tent at Buckerfields in West Kelowna on Monday, June 14. The RCMP is investigating after a woman’s body was found inside the truck. (Amandalina Letterio/Capital News)
West Kelowna RCMP investigating suspicious death after body found in truck

Police responded to a truck parked out front of a Main Street business where the body was found

The BC Ferries website went down for a short while Monday morning following a provincial announcement that recreational travel between health authorities can resume Tuesday. (Black Press Media file photo)
BC Ferries’ website crashes in wake of provincial reopening announcement

Website back up now, recreational travel between health regions to resume as of Tuesday

Most Read