Inequalities in children’s mental health care: analysis of routinely collected data on prescribing and referrals to secondary care - BMC Psychiatry

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An article published in BMCPsychiatry analyzes the increasing poor mental health in the UK since the start of the COVID-19 pandemic and finds an increase of 59% in mental health prescriptions for children between 2 to 17 years.

]. They also found that the average Warwick-Edinburgh Mental Wellbeing Scale had decreased between 2015 to 2018, which suggests worsening mental wellbeing. Both indicators also had clear patterns by sex, with 15-year-old girls having the highest rate of borderline/abnormal SDQ and the lowest average WEMWBS scores.

The same is also true of sex differences in referral and treatment for mental health conditions, although increasing CAMHS referral in girls but not boys since the start of the COVID-19 pandemic should prompt further investigation. Patterns of help-seeking behaviour may differ between boys and girls and this may also interact with age. Girls tend to appear in these records at older ages and in larger numbers, whilst boys are more likely to be in younger age groups.

Higher incidence of mental health prescribing and referral for specialist CAMHS for children in the most deprived areas has been persistent throughout the study period. The mechanisms through which area-level deprivation could influence mental health are varied [ More comprehensive data from primary care and other mental health support services available to children and young people should be made available for future research. In particular, community-based services and GP data should be prioritised as these are likely to be the first point of contact with health professionals for people in need of support around mental health.

 

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