Las Vegas Review-Journal

It’s time to address the children’s mental health pandemic

- Dr. Jacques Ambrose, Dr. Rana Elmaghraby and Dr. Stephanie Garayalde Jacques Ambrose, M.D., M.P.H., Rana Elmaghraby, M.D., and Stephanie Garayalde, M.D. are members of the American Psychiatri­c Associatio­n Council on Children, Adolescent­s, and Their Famili

We are in a time of societal crisis that is strongly affecting our children and families. The degree of pathology child and adolescent psychiatri­sts are seeing at all levels of care demands immediate attention to protect our children. The American Psychiatri­c Associatio­n, and its member psychiatri­sts together with the larger child and mental health community, are sounding the alarm for our kids’ mental health.

The worsening of youth mental health appears to be correlated to the detrimenta­l impact of the COVID-19 pandemic in the United States. Since the onset of the pandemic, suspected suicide attempts among adolescent girls are up more than 50%, emergency room visits among young children (aged 5-11 years old) have increased 24%, and emergency room visits among teenagers are up 31%. These changes are possibly related to poor coping skills to mitigate COVID-19 related stressors and the disruption of daily life routine. However, the U.S. health care system is poorly prepared to address the increase in mental health demands and the severity of cases.

Furthermor­e, minority youths face additional stressors as underrepre­sented communitie­s have experience­d worsened health care outcomes as evidenced by disproport­ionate COVID-19 infection rates, mortality and economic downturns.

The disproport­ionate harm of the COVID-19 pandemic to minority and vulnerable population­s such as refugees and immigrants, including high mortality and economic devastatio­n, has contribute­d to escalating depression, anxiety, suicidalit­y, and traumatic loss for many youths. These outcomes highlight the underlying impact on children, adolescent­s, and families of health care inequity and the pandemic. It also stresses the need for more health care resources and federal funding for children and their families, especially in underserve­d communitie­s.

We can take action to address this pandemic in a number of ways, including: to resources;

Supporting and advancing the integratio­n n of mental health care among primary care and pediatrics through collaborat­ive and integrativ­e care models;

Supporting ongoing efforts to n address suicide crisis and safety measures among children and adolescent­s; and

Supporting increased recruitmen­t n into psychiatry residencie­s and child and adolescent training.

The American Psychiatri­c Associatio­n has endorsed a joint statement urging all policymake­rs to make necessary and needed changes to support children’s access to mental health care and services, and joined Sound the Alarm for Kids to help raise awareness about the mental health emergency in children and adolescent­s.

We’re in a moment of emergency for the nation’s children, and we call on policymake­rs at all levels of the government to act now to ensure that screening and treatment are available to everyone. It is critical that we address this crisis before it becomes a full-fledged calamity.

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