Wednesday 30 September 2020


Taken From-

https://www.facebook.com/permalink.php?story_fbid=3606121156078488&id=249222445101726

Lisa Terni Dion- September 22nd

"“Being calm” is one of the most misunderstood parts of regulation.  Being calm is not the point- learning how to stay mindfully connected to ourselves in the midst of the internal activation we experience is the the goal of learning how to regulate.  

When we put more value on being calm, we not only send a message that the other emotional states inside us are “not as good” setting ourselves up to feel guilt and shame when they arise or when being calm is a struggle, but we also set the stage to inadvertently bypass the most important part of the regulation experience- Learning how to mindfully “be with” all aspects of our human experience."  



Monday 28 September 2020

NHS announces independent review into gender identity services for children and young people

22nd September 2020

"The NHS has today announced that Dr Hilary Cass OBE, former President of the Royal College of Paediatrics and Child Health, will lead an independent review into gender identity services for children and young people.

The review will be wide-ranging in scope looking into several aspects of gender identity services, with a focus on how care can be improved for children and young people including key aspects of care such as how and when they are referred to specialist services, and clinical decisions around how doctors and healthcare professionals support and care for patients with gender dysphoria.

It will also set out workforce recommendations for specialist healthcare professionals and examine the recent rise in the number of children seeking treatment.

The NHS has today announced that Dr Hilary Cass OBE, former President of the Royal College of Paediatrics and Child Health, will lead an independent review into gender identity services for children and young people.

The review will be wide-ranging in scope looking into several aspects of gender identity services, with a focus on how care can be improved for children and young people including key aspects of care such as how and when they are referred to specialist services, and clinical decisions around how doctors and healthcare professionals support and care for patients with gender dysphoria.

It will also set out workforce recommendations for specialist healthcare professionals and examine the recent rise in the number of children seeking treatment.

Dr Cass will then make clear recommendations for children and young people’s gender identity services reporting back next year.

The Gender Identity Development Service for Children and Adolescents is managed by the Tavistock and Portman NHS Foundation Trust.

The Care Quality Commission (CQC) is due to carry out a focused inspection of The Tavistock and Portman NHS Foundation Trust, Gender Identity Services for children and young people, during the autumn. The inspection will cover parts of the safe, effective, caring, responsive and well-led key questions and will include feedback from people using the service, parents, relatives, carers, and staff. Separately, Dr Cass will also review the service’s clinical practice with the support of the Royal College of Paediatrics and Child Health and engagement of other professional bodies to provide multi-professional insight working closely with the CQC.

The review includes an examination of the issues surrounding children and young people who are prescribed puberty blocking and cross sex hormone drugs. "

Link to News report

Wednesday 23 September 2020

"Leading experts appeal for an energetic and sustained response to childhood trauma during and beyond the pandemic"

 17th September 2020  |  By: Michelle Cunliffe

"Today, a new and independent expert body, the UK Trauma Council (UKTC), launches with an appeal for an energetic and sustained response to childhood trauma. Its launch is timely, in light of increasing evidence of the effects of the coronavirus pandemic and lockdown on child mental health."

"The UKTC brings together 22 leading experts in research, policy and practice from all four nations of the UK, making it a unique multi-disciplinary group which will drive positive change in the care and support provided to children and young people who have been exposed to different forms of traumatic event – including single incidents, as well as abuse and neglect. It will empower professionals and local communities in supporting children and young people. It is hosted and supported by the Anna Freud Centre."

"In ‘Beyond the pandemic: Strategic priorities for responding to childhood trauma’, published today, the UKTC identifies three ways in which the pandemic is impacting on the experience of childhood trauma:

"It increases the risk that more children will be exposed to trauma, including through sudden bereavement or exposure to domestic violence; It increases the likelihood that those with prior experiences of trauma (for example, because of abuse) will experience significant difficulties; and it compromises the ability of adults and professional systems to identify a struggling child and mitigate the impact of trauma, including mental health problems."

"The UKTC explains that the consequences for those affected may be profound and lifelong, unless there are clear UK-wide responses which seek to support children and young people. Professor Eamon McCrory, Co-Director of the UKTC, says: “Across the UK, there exists enormous expertise about what support children need following experiences of trauma, but we do not always make best use of it. The UK Trauma Council will harness this expertise and help others learn from it. Perhaps never before has there been such a pressing need for collaboration across communities, professionals and services at national and local levels, in the interests of children and young people.”"

"David Trickey, Co-Director of the UKTC, adds: “None of us has escaped the impact of the coronavirus pandemic and lockdown, but some have been more affected than others. For many children and young people, particularly those who have lived through previous trauma, the pandemic represents a series of potentially traumatic events. We should be in no doubt that this could have far-reaching consequences for their lives unless appropriate evidence based help is available. We are seeing an increased need for services, and there is a need for a new energy in supporting children if we are to successfully mitigate against the impact of the pandemic.”"

"The UKTC makes four recommendations in response to the pandemic, which it addresses to government departments, professional bodies, and those developing policy and practice. These are to:

 - Prioritise responding to trauma in national and local strategies;

 - Invest in specialist trauma provision for children and young people;

 - Equip all professionals who work with children and young people with the skills and capacity to support those who have experienced trauma;

 - Shift models of help towards prevention, through research, clinical innovation and training.

"Each recommendation is followed by suggested steps to be taken to achieve it, often focusing on the need for increased collaboration and the harnessing of existing expertise. With examples of specialist expertise and ground-breaking work emerging across the four nations, the UKTC will provide a platform for this to be more fully utilised than at present."


Wednesday 9 September 2020

"A history of abuse increases the risk of suicide attempts in youth"

 "Researchers in Belgium and the USA have conducted one of the first investigations into whether a history of various forms of abuse and the presence of mood disorders and psychotic symptoms can predict suicide attempts in psychiatrically hospitalized children."

"In their retrospective approach, Baptiste Barbot and co-workers analyzed archival inpatient chart data from 101 hospitalized children and adolescents predominantly with bipolar disorder and other mood disorders with and without psychotic symptoms. They found that a history of sexual abuse associated with bipolar disorder, was indirectly related to a history of suicide attempts.  A history of emotional abuse was also indirectly related to suicide attempts in boys (mediated by mood disorders) and in girls (mediated by psychotic symptoms). “Put simply, a history of abuse increases the odds of suicide attempts in youth”, explains Barbot. “However, abuse history often has an indirect influence through the increased psychopathology commonly associated with abuse.”

"Barbot points out that uniquely, the data used in this study were retrieved and analyzed in the format that they were originally recorded in, in the hospital setting (i.e., not directly designed for research). As such, “real life” data might be valuable for similar research purposes."

"Overall, these study findings point to the importance of abuse and sexual harassment prevention programs in schools and the critical need for family support and intervention programs for at-risk, vulnerable children and families. The researchers hope that having access to empirically based studies on suicide risk, as well as detailed patient medical, developmental, biological family and trauma histories will help identify those at risk of engaging in suicidal behaviours and guide subsequent treatment planning."

Link to article

"BRAVE-ONLINE elicits a strong reduction in anxiety for most young people, irrespective of age, sex, type and severity of anxiety and parent mental health"

"In the wake of the current coronavirus pandemic, more practitioners are turning to online service delivery for children and adolescents in need of mental health support. The recent JCPP publication from Susan Spence and colleagues on internet-delivered cognitive behaviour therapy (iCBT) for anxious children is thus particularly timely."

“Certainly for now, delivering cognitive behaviour therapy using the internet rather than face-to-face offers a way of increasing access to treatment for many young people with mental health problems who would otherwise not receive the help they need”, says Spence. “With the COVID-19 virus not only impacting upon the mental wellbeing of young people, but also restricting the opportunities for receiving clinic-based treatment, the option of effective iCBT for youth mental health is more important than ever.”

Link to PDF

Tuesday 8 September 2020

"Effectiveness of Telephone Counseling: A Field-Based Investigation"

Robert J. Reese

Abilene Christian University

Collie W. Conoley and Daniel F. Brossart

Texas A&M University

"The use of the telephone has become an increasingly popular mode for providing counseling. However, little is known about its effectiveness. This study is an initial effectiveness study on telephone counseling. Participants ( N 186) who had received counseling from a telephone counseling service rated the effectiveness of telephone counseling and the quality of their counseling relationship. 

Generally, respondents indicated that telephone counseling was helpful for both global and specific improvement and that they were satisfied with the counseling they received. Respondents also rated the counselling relationship and level of interpersonal influence similarly to face-to-face counseling studies measuring the same attributes. 

The telephone counseling results are given in the context of face-to-face counselling data from other studies"

Link to article 

Monday 7 September 2020

"No child left behind: A public health informed approach to improving outcomes for vulnerable children"


"The report sets out how adopting a public health informed approach offers substantial

opportunities to reduce inequalities and improve health and wellbeing outcomes for the

most vulnerable children.

The approach advocates for action across organisations to reduce vulnerability and the

potential harm of adverse childhood experiences. The report sets out an approach

which encompasses preventing such occurrences, intervening early when problems

arise and creating an environment throughout the life course where negative impact is

mitigated. Action is required that considers:

• the individual level, where the approach emphasises that poorer circumstances

and adverse experiences in a person’s early life do not lead inevitably to poorer

opportunities and outcomes but places children at increased risk of

disadvantage

• family and other care settings which provide a safe and secure environment

are an essential protective factor so that, even when circumstances may mean

that a child is at greater risk of poorer outcomes, they are more resilient, thus

reducing the potentially harmful impact

• a place based public health approach to prevention emphasises the role of the

community in creating environments where the right conditions are in place to

support children to thrive"


"Studies also indicate that children and young people are being affected by the changes

the pandemic has brought to their lives, including to their education, time with family and

to their emotional health and wellbeing (2). More generally, the underlying wider

community and social conditions which can make children more vulnerable which

existed before the pandemic are likely to remain; these are the focus of this report."


Link to PDF