The impact of the first phase of the COVID-19 pandemic on referral patterns and therapeutic service provision for children and young people's psychosocial distress in a Low-or Middle-Income Country: A service evaluation of routinely collected data from a non-government organisation operating in schools in the Western Cape, South Africa.

Emma Wilson, Maria E Loades, Suzanne Human, Bronwyne Coetzee, Hermine Gericke, Gerrit Laning
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Abstract

Introduction: In low- and middle-income countries (LMICs), including South Africa, there is a paucity of psychosocial support services. Therefore, services are often provided in schools by non-government organisations like Community Keepers (CK). The COVID-19 pandemic and resultant restrictions meant that children and young people's (CYP) lives changed, negatively affecting their mental health. Further, organisations like CK had to change their working processes.

Method: This project compared routinely collected data from CK from 2019 (pre-pandemic) to 2020 (pandemic) to describe the changes that occurred in referral patterns to, and service provision by, CK.

Results: Both pre-pandemic and during the pandemic, most referrals of CYP were for emotional/psychological support and behavioural difficulties. In 2020, referrals for general guidance increased, whilst referrals for peer group issues and sexuality decreased. Further, CK completed more brief check-ins, provided wellbeing workshops to increased numbers of teachers, parents and CYP, and had more consultation sessions with other service providers during the pandemic.

Discussion: Routinely collected data from this community-based service in a LMIC context shows differences in the way that support was provided, and to whom, during the COVID-19 pandemic. Clinical implications, including the importance of increasing access to psychosocial support via technology, are included.

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COVID-19 大流行第一阶段对中低收入国家儿童和青少年心理社会问题转诊模式和治疗服务提供的影响:对在南非西开普省学校开展工作的非政府组织定期收集的数据进行服务评估。
导言:在包括南非在内的中低收入国家(LMICs),社会心理支持服务十分匮乏。因此,社区守护者(CK)等非政府组织通常在学校提供服务。COVID-19 的流行以及随之而来的限制意味着儿童和青少年 (CYP) 的生活发生了变化,对他们的心理健康产生了负面影响。此外,像 CK 这样的组织还必须改变其工作流程:本项目比较了从 CK 收集到的 2019 年(大流行前)至 2020 年(大流行期间)的常规数据,以描述 CK 在转介模式和服务提供方面发生的变化:无论是在大流行前还是在大流行期间,转诊的大多数儿童青少年都是为了情绪/心理支持和行为困难。2020 年,转介的一般指导服务有所增加,而转介的同伴群体问题和性问题服务有所减少。此外,在疫情期间,儿童健康中心完成了更多的简短检查,为更多的教师、家长和青少年提供了健康工作坊,并与其他服务提供者开展了更多的咨询活动:讨论:在低收入和中等收入国家的背景下,从这项社区服务中收集的常规数据显示,在 COVID-19 大流行期间,提供支持的方式和对象存在差异。讨论:从这一以社区为基础的服务中收集到的数据显示,在 COVID-19 大流行期间,提供支持的方式和对象存在差异,其中包括通过技术提供更多社会心理支持的重要性等临床意义。
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