Public Health

Current Awareness Updates

Vulnerability in infancy.
Office for Health Improvement & Disparities (OHID); 2022.
(Descriptive analysis of vulnerability in infancy using data from the Community Services Dataset (CSDS). Analysis which describes and quantifies the reasons given for hospital and community services recording children as vulnerable in a child’s health record. Vulnerable children are at greater risk of experiencing physical or emotional harm or experiencing poor outcomes because of one or more factors in their lives.)

Unemployment and insecure housing are linked to less successful treatment for depression.
NIHR Evidence; 2022.
(The study found poorer outcomes after treatment for depression among people who are unemployed, struggling financially, not homeowners, and have educational qualifications beyond school. The research concluded that housing and employment status are likely to have a clinically meaningful effect on recovery, independent of the severity of depression, age, marital status or other factors.)


Commission on Young Lives,
Centre for Mental Health; 2022.
(Alongside the Children & Young People’s Mental Health Coalition, Centre for Mental Health have co-authored the fourth report from the Commission on Young Lives on rethinking mental health services for vulnerable young people. It reviews the latest data with a focus on those who are at higher risk, including those from racialised communities, lower socioeconomic backgrounds, young people with SEND, those in contact with the criminal justice and care systems, as well as LGBTQI+ communities.)

Library Bulletin

Depression

The current bulletin for Depression, produced by Merseycare NHS Foundation Trust, is now available to view and download.

For support accessing any of the articles within the bulletin please contact: academic.library@lscft.nhs.uk

The Health Foundation’s Networked Data Lab

Improving children and young people’s mental health services: local data insights from England, Scotland and Wales

This briefing presents analysis from The Health Foundation’s Networked Data Lab (NDL) about children and young people’s mental health. The analysis from local teams across England, Scotland and Wales has highlighted three key areas for urgent investigation, to help ensure children and young people get the care they need. These are: rapid increases in mental health prescribing and support provided by GPs; the prevalence of mental health problems among adolescent girls and young women; and stark socio-economic inequalities across the UK.

Public Health

Current awareness updates

Physical activity as an intervention in severe mental illness.
Kandola AA. BJPsych Advances 2022;28(2):112-121.
[After reading this article you will be able to: understand why physical activity is clinically important for people with severe mental illness; recognise the possible barriers to and facilitators of engagement in physical activity by people with severe mental illness; consider the next steps for commissioners, researchers and practitioners in this area.]

85% of adolescent girls don’t do enough physical activity: new WHO study calls for action.
World Health Organization (WHO); 2022.
[Adolescent girls are not getting enough physical activity and this problem is growing worldwide and can have serious effects on health and well-being. A new study into the ‘Barriers and Facilitators of Physical Activity Participation in Adolescent Girls’ brings good news – there are some clear steps to change this picture.]

Social prescribing and musculoskeletal conditions: a guide for link workers and social prescribing services.
Arthritis and Musculoskeletal Alliance (ARMA); 2022.
[Social prescribing has the potential to support people with MSK conditions and to reduce the chances of future MSK problems. This guide is aimed at social prescribers without a specific MSK service or background in MSK conditions to help them use social prescribing to make a difference to people’s lives and become a champion for the importance of good MSK health.]

Online food and drink marketing to young people.
Nesta; 2022.
[Young people are exposed to a range of marketing for unhealthy food and drink online, from adverts for fast food on social media to price offers and limited edition deals encouraging them to buy food via email and apps. This report shares findings from a project that sought to better understand the impact of this type of marketing on young people.]

Better Health Start for Life weaning campaign survey: March 2022.
Office for Health Improvement & Disparities (OHID); 2022.
[The survey was designed to provide attitudinal insights to support the launch of the Better Health Start for Life weaning campaign.]

Health first: how to talk about childhood obesity.
Impact on Urban Health; 2022.
[This toolkit aims to help organisations and individuals talk about children’s health, unequal access to nutritious food, and childhood obesity. The toolkit provides six key communications principles – from using metaphors that stick in people’s minds, to what key messages to leave in (and out) of communications to help them resonate.]

Covid 19

Current awareness updates

COVID-19 rapid guideline: managing COVID-19.
National Institute for Health and Care Excellence (NICE); 2022.
[This guideline covers the management of COVID-19 for children, young people and adults in all care settings. In February 2022, NICE added recommendations on molnupiravir and remdesivir for people with COVID-19 who do not need supplemental oxygen.]

A systematic scoping review of research on COVID-19 impacts on eating disorders: A critical appraisal of the evidence and recommendations for the field.[Abstract]
Linardon J. International Journal of Eating Disorders 2022;55(1):3-38.
[Symptom escalation and mental health worsening during-and due to-the pandemic were commonly reported, and those most susceptible included confirmed eating disorder cases, at-risk populations, and individuals highly anxious or fearful of COVID-19. Evidence emerged for increased demand for specialist eating disorder services during the pandemic. The forced transition to online treatment was challenging for many, yet telehealth alternatives seemed feasible and effective.]

Growing problems: What has been the impact of Covid-19 on health care for children and young people in England?
Quality Watch; 2022.
[This analysis from QualityWatch (a Nuffield Trust and Health Foundation programme) shows that the pandemic has led to an unprecedented increase in demand for mental health services for children and young people. Despite children and young people being 10 times less likely to be hospitalised with Covid, the period has had a heavy toll on them. The briefing explains the findings and discusses the potential implications for the younger generation.]

Beyond recovery: the case for transforming UK clinical cancer research.
Cancer Research UK (CRUK); 2022.
[This position paper finds that Covid-19 has worsened pre-existing barriers to clinical cancer research, and recovering to a pre-pandemic ‘normal’ for research won’t be enough to deliver world-class cancer outcomes. Instead, the UK government must choose to go beyond recovery by expanding clinical research capacity, transforming how research is delivered, and supporting innovative cancer research.]

Living with Covid-19.
House of Commons Library; 2022.
[This page provides an overview of the Government’s strategy on Living with Covid-19 and a summary of the relevant policy changes.]

Social care reform: an independent review by Baroness Cavendish.
Department of Health and Social Care (DHSC); 2022.
[A report looking at how the government can lock in the lessons of the COVID-19 pandemic to build a more robust, sustainable and joined-up system of social care.]

The rollout of the COVID-19 vaccination programme in England.
National Audit Office (NAO); 2022.
[According to this report, the Covid-19 vaccination programme met stretching and unprecedented targets, helping to save lives and reduce serious illness and hospitalisation. However, it concludes that there are risks to be managed as the programme continues to evolve in response to the Covid-19 pandemic and to new clinical advice and evidence about vaccines. The report concludes that the programme has provided value for money to date.]

Coronavirus (COVID-19) vaccination uptake in school pupils, England: up to 9 January 2022.
Office for National Statistics (ONS); 2022.
[Figures on vaccine uptake in school pupils aged 12 to 17 attending state funded schools, broken down by demographic and geographic characteristics, using a linked schools and vaccinations dataset, up to 9 January 2022 (experimental statistics).]

The response of the scientific community to a global crisis: a systematic review of COVID-19 research in 2020.
Srivastava PR. British Journal of Healthcare Management 2022;28(2):1-7.
[This article provides a bibliometric analysis of the direction of research relating to COVID-19 during the first year after the virus was first identified as a potential threat to public health.]

Covid 19

Current awareness updates

JCVI update on advice for COVID-19 vaccination of children aged 5 to 11.
Department of Health and Social Care (DHSC); 2022.
[JCVI advises a non-urgent offer of two 10 mcg doses of the Pfizer-BioNTech COVID-19 vaccine (Comirnaty®) to children aged 5 to 11 years of age who are not in a clinical risk group. The intention of this offer is to increase the immunity of vaccinated individuals against severe COVID-19 in advance of a potential future wave of COVID-19. Published 16 February 2022]

Growing problems, in depth: The impact of Covid-19 on health care for children and young people in England.
Quality Watch; 2022.
[“…The sharp increase in children and young people with mental health problems is a serious concern. Services are facing unprecedented levels of demand, and young people are waiting longer to receive mental health care. In particular, there has been a surge in eating disorder cases, and conditions are deteriorating to the extent that a greater number of children and young people are attending A&E departments…”]

Social care reform: an independent review by Baroness Cavendish.
Department of Health and Social Care (DHSC); 2022.
[A report looking at how the government can lock in the lessons of the COVID-19 pandemic to build a more robust, sustainable and joined-up system of social care.]

Public Health

Current awareness updates

Physical activity in disabled children and disabled young people: evidence review.
Department of Health and Social Care (DHSC); 2022.
[Findings of a rapid evidence review into the health benefits and potential risks of physical activity for children and young people who have disabilities.]

d-Nav insulin management app for type 2 diabetes.
National Institute for Health and Care Excellence (NICE); 2022.
[d‑Nav is an app used for guiding insulin dosing for adults with type 2 diabetes. The innovative aspects are the insulin dose can be calculated and adjusted based on a person’s current and historic blood glucose levels on a weekly basis and without healthcare professional approval. The intended place in therapy would be to help optimise insulin dosage in people with type 2 diabetes.]

Is there an effective dose of aerobic exercise associated with better executive function in youth with attention deficit hyperactivity disorder?
Khodaverdi Z. Child Neuropsychology 2021;:doi.org/10.1080/09297049.2021.1992378.
[Conclusion: Different dosage of aerobic exercise might differently influence aspects of executive function; however, this finding rests on preliminary evidence at this stage and thus should be treated with caution.It is necessary to establish suitable interventions with regard to the dosage of aerobic exercise types to improve executive function in young people with ADHD.]

NHS Confederation

Tackling the increase in demand for mental health support in children and young people

Recent survey results reinforce the urgent need for more funding to support the growing demand for children and young people’s mental health services.

Read more here.

Long COVID Research

Research Definition for ‘Long COVID’ in Children and Young People Agreed

Source: Medscape UK Disclosures

Long COVID can affect adults, young people, and children, and now for the first time, in a landmark study accepted for publication in the Archives of Disease in Childhood, formal agreement has been made on a research definition for post-acute COVID-19, or ‘long COVID’ as it is commonly known, in children and young people.

Read more here.