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

Tim Wilkinson, who will attempt a double anvil triathlon on Vancouver Island on July 3, poses with his training partner, Shadow, who has been dragged up and down the Nanaimo Parkway many times. (Submitted)
Vancouver Island triathlete takes on ‘double anvil’ for charity

7.6km swim, 360km bike ride, and 84.4km run, all within 36 hours

From left: Thomas Kuecks, David Lane, John Ivison, Denis Berger, Rod Gray, and James Kuecks are Cabin Fever. Catch their performance on the Cowichan Performing Arts Centre website. (Ashley Foot photo)
A&E column: Music Festival winners, CVAC awards, and Cabin Fever

The latest from the Cowichan Valley arts and entertainment community

BC Green Party leader and Cowichan Valley MLA Sonia Furstenau introduced a petition to the provincial legislature on Thursday calling for the end of old-growth logging in the province. (File photo)
Cowichan Valley MLA Furstenau introduces old-growth logging petition

BC Green Party calls for the end of old-growth logging as protests in Fairy Creek continue

The city-owned lot at 361 St. Julien St., which has been home to a temporary homeless site for more than a year, will be sold and plans are to build a three-storey mixed-use development there, Peter de Verteuil, Duncan CAO explained at a recent council meeting. (File photo)
New development planned for homeless site in Duncan

Lot on St. Julien Street would see three-storey building

Historian and longtime Citizen columnist T.W. Paterson photographs the historical wreckage of a plane on Mount Benson. Paterson recently won an award from the British Columbia Historical Foundation. (Submitted)
Cowichan’s Tom W. Paterson wins award for historical writing

British Columbia Historical Federation hands Recognition Award to local writer

People line up to get their COVID-19 vaccine at a vaccination centre, Thursday, June 10, 2021 in Montreal. THE CANADIAN PRESS/Ryan Remiorz
Vaccines, low COVID case counts increase Father’s Day hope, but risk is still there

Expert says people will have to do their own risk calculus before popping in on Papa

The Co-op gas station at Whiskey Creek is burning after a camper van exploded while refueling just before 4 p.m. on Thursday, June 17, 2021. (FACEBOOK PHOTO)
Exploding camper van torches Highway 4 gas station between Qualicum Beach and Port Alberni

Highway traffic blocked after Whiskey Creek gas station erupts into flames

Helen Austin performing with Trent Freeman at the 2018 Vancouver Island MusicFest. Austin is one of the many performers listed for the 2021 event.
Vancouver Island MusicFest goes virtual for 2021

Black Press to stream 25 hours of programming July 9-11

Cannabis bought in British Columbia (Ashley Wadhwani/Black Press Media)
Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

Greater father involvement in the home leads to improved childhood development and increased marital satisfaction, says expert. (Black Press Media file photo)
Vancouver Island researcher finds lack of father involvement a drag on gender equality

Working women still taking on most child and household duties in Canada: UVic professor

FILE – A science class at L.A. Matheson Secondary in Surrey, B.C. on March 12, 2021. (Lauren Collins/Surrey Now Leader)
Teachers’ union wants more COVID transmission data as B.C. prepares for back-to-school

BCTF says that details will be important as province works on plan for September

Provincial health officer Dr. Bonnie Henry outlines B.C.’s COVID-19 restart plan, May 25, 2021, including larger gatherings and a possible easing of mandatory masks on July 1. (B.C. government photo)
B.C. records 120 new COVID-19 cases, second vaccines accelerating

Lower Pfizer deliveries for early July, Moderna shipments up

A Heffley Creek peacock caught not one - but two - lifts on a logging truck this month. (Photo submitted)
Heffley Creek-area peacock hops logging trucks in search of love

Peacock hitched two lifts in the past month

The Calgary skyline is seen on Friday, Sept. 15, 2017. THE CANADIAN PRESS/Jeff McIntosh
2 deaths from COVID-19 Delta variant in Alberta, 1 patient was fully immunized

Kerry Williamson with Alberta Health Services says the patients likely acquired the virus in the hospital

Most Read