social welfare advice and health among young people: a scoping review

Social determinants of mental and physical health that influence young peoples' trajectories into adulthood are often remediable through law. To address inequalities, including those exacerbated since the COVID-19 pandemic, there is a need to better understand young people's need for and uptake of advice for social welfare legal problems. This scoping review aimed to review available evidence and identify gaps to inform further research. To identify studies relevant to social welfare legal advice among young adults we conducted searches of eight bibliographic databases (compiled between January 1998 and June 2020), hand searches of included article reference lists and targeted grey literature searches. 35 peer reviewed and grey literature studies were selected based on inclusion and exclusion criteria including evaluations of interventions to promote access to advice, general population surveys, observational studies, and audits of charity data or targeted surveys. Evidence suggests considerable and inequitable need for social welfare legal advice among young adults with adverse consequences for health and wellbeing. Needs among higher risk groups are likely underestimated. Evidence for interventions to enhance access/uptake of advice is limited and methodologically weak. We identify several gaps in the literature to inform research and to enable systematic reviews around more specific questions to inform practice.

On break: young people and managing "empty time" during the Covid-19 pandemic

Discussing the results of a qualitative research conducted with Italian university students (19-27 years), the article analyses young people's time management strategies during the first year of the Covid-19 pandemic. The research highlights how the forced deceleration imposed by anti-Covid policies has rarely translated into a conscious "practice of the present" (Sloterdijk 2007). Rather, young people's experience of the time during the pandemic is marked by a strong projection towards the future expressed through compulsive practices of programming, planning and accumulation of skills (Rosa 2013) - and regression in the past - noticeable in the return to childhood practices, interests, and behaviors. The article reflects on the potential consequences produced by the combination of these two apparently antithetical dynamics in terms of a "leap" of the biographical time of youth.

Exploring the Newer Horizons of Online Therapy – Its use and Effectiveness

The advancement of computing technology is becoming more important in the healthcare industry. Remotely assisted pain management treatments (Eaton et al., 2014) and tele-psychology (Godleski et al., 2012;Caver et al., 2020) have both been effectively adopted in the Veterans Affairs (VA) system throughout the United States. The American Psychological Association (2013) notes that the increasing reliance on technology to facilitate the delivery of psychological services brings with it a number of novel possibilities, factors to consider, and obstacles to practise. Glueckauf et al. (2018) found that although approximately 40% of practising clinical psychologists in the United States had utilised tele-psychology, the vast majority (60%) had never done so. Most clinical psychologists they surveyed expressed reservations about providing services through video chat and hence exclusively saw patients in person. Glueckauf et al. (2018) found that over half of psychologists surveyed felt they needed more training in crisis management for online therapy, and that nearly all therapists (79%) were worried about issues related to security, confidentiality, and HIPAA. © 2023, Journal for ReAttach Therapy and Developmental Diversities. All Rights Reserved.

Remote and digitally delivered mental health support for care-experienced young people: Some practice-based reflections in response to cummings (2023)

In a recent contribution to this journal, Cummings (2023) reports findings from a preliminary qualitative study of practitioner viewpoints regarding digitally delivered mental health support to care-experienced young people. Cummings' study highlights the need to engage with professional experiences of using digital methods with this group, both during and outside of the COVID-19 pandemic. A response to - and commentary on - Cummings' contribution is provided, to advance discussion of issues identified by the research. We reflect on our experience as practitioners and researchers working in and alongside specialist child and adolescent mental health service teams serving care-experienced children and young people. We focus on workspaces in remote working, therapeutic technique in online and telephone-based care, and virtues and challenges of remote care delivery. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Seeing rainbows through the storms of a health condition: Making space for LGBTQ+ young people to have their identity acknowledged.

LGBTQ+ youth accessing healthcare settings manage the 'storms' of health conditions (e.g. pain, fatigue, social isolation, etc.) while navigating emerging identity exploration and understandings in settings which may have historically overlooked or disaffirmed these identities. The launch of National Health Service Rainbow Badges across the paediatric division of an inner-city hospital provided a context for staff to begin thinking about their practice, development needs and dilemmas in working with LGBTQ+ youth. Through a programme of activity that included staff training, surveys, focus groups and youth engagement, we gained insight into current practice in supporting LGBTQ+ youth and families. This paper presents our findings, ideas for responding to challenges, and areas for future development, including implications in light of the coronavirus pandemic.

STI testing, diagnoses and online chlamydia self-sampling among young people during the first year of the COVID-19 pandemic in England.

PURPOSE: COVID-19 control measures reduced face-to-face appointments at sexual health services (SHSs). Remote access to SHSs through online self-sampling was increased. This analysis assesses how these changes affected service use and STI testing among 15-24 year olds ('young people') in England. METHODS: Data on all chlamydia, gonorrhoea and syphilis tests from 2019-2020, among English-resident young people were obtained from national STI surveillance datasets. We calculated proportional differences in tests and diagnoses for each STI, by demographic characteristics, including socioeconomic deprivation, between 2019-2020. Binary logistic regression was used to determine crude and adjusted odds ratios (OR) between demographic characteristics and being tested for chlamydia by an online service. RESULTS: Compared to 2019, there were declines in testing (chlamydia-30%; gonorrhoea-26%; syphilis-36%) and diagnoses (chlamydia-31%; gonorrhoea-25%; syphilis-23%) among young people in 2020. Reductions were greater amongst 15-19 year-olds vs. 20-24 year-olds. Amongst people tested for chlamydia, those living in the least deprived areas were more likely to be tested using an online self-sampling kit (males; OR = 1.24 [1.22-1.26], females; OR = 1.28 [1.27-1.30]). CONCLUSION: The first year of the COVID-19 pandemic in England saw declines in STI testing and diagnoses in young people and disparities in the use of online chlamydia self-sampling which risk widening existing health inequalities.

Short-Term Effects of a School-Based Comprehensive Sexuality Education Intervention Among Very Young Adolescents in Three Urban Indonesian Settings: A Quasi-Experimental Study.

PURPOSE: To evaluate the effects of a comprehensive sexuality education (CSE) intervention on short-term psychosocial outcomes related to healthy sexuality among very young adolescents in urban Indonesia. METHODS: A quasi-experimental study was conducted between 2018 and 2021 with students aged 10-14 years at 18 schools in Indonesia (Lampung, Denpasar, Semarang). Three schools per site were purposefully selected to receive the SEmangaT duniA RemajA intervention, a two-year, rights-based teacher-led CSE intervention delivered in classrooms (or online after the 2020 COVID-19 outbreak); and matched with three control schools. Surveys were completed by 3,825 students at pre- and posttest (82% retention). The final analytical sample included 1852 intervention and 1483 control students (N = 3,335). Difference-in-difference analysis was conducted to examine the intervention effect on healthy sexuality competencies (knowledge, skills, and attitudes) and personal sexual well-being. RESULTS: Baseline characteristics for intervention and control groups were similar in terms of sex (57% female) and age (mean 12 years). Students receiving SEmangaT duniA RemajA demonstrated significantly greater increase in competencies, including greater pregnancy knowledge, more gender equal attitudes, and communication about sexual and reproductive health and rights, compared to controls. There was no intervention effect on personal sexual well-being, except for self-efficacy to prevent pregnancy. Subgroup analysis indicated more significant effects among females and students in Semarang and Denpasar, than males or students in Lampung. DISCUSSION: While findings demonstrate the potential for CSE programs to improve healthy sexuality competencies in early adolescence, the effect appears to be highly contextualized which may be due to varying levels of implementation quality, especially since the COVID-19 outbreak.

Editorial Perspective: When is a 'small effect' actually large and impactful?

Reporting of effect sizes is standard practice in psychology and psychiatry research. However, interpretation of these effect sizes can be meaningless or misleading - in particular, the evaluation of specific effect sizes as 'small', 'medium' and 'large' can be inaccurate depending on the research context. A real-world example of this is research into the mental health of children and young people during the COVID-19 pandemic. Evidence suggests that clinicians and services are struggling with increased demand, yet population studies looking at the difference in mental health before and during the pandemic report effect sizes that are deemed 'small'. In this short review, we utilise simulations to demonstrate that a relatively small shift in mean scores on mental health measures can indicate a large shift in the number of cases of anxiety and depression when scaled up to an entire population. This shows that 'small' effect sizes can in some contexts be large and impactful.

‘The one thing guaranteed in life and yet they won't teach you about it': The case for mandatory grief education in UK schools

Nearly all British children are bereaved of someone close to them by the time they turn 16 and, with the Covid-19 pandemic and world humanitarian crises across the news and social media, they are being exposed to more anxiety about death than ever before. Learners need to be taught about grief and death to prepare them to manage bereavement and support others. As it stands, although teaching resources exist and some curriculum guidance documents mention loss or death, there is no statutory requirement for schools anywhere in the UK to cover grief or bereavement and many pupils have no classes about these difficult topics. This article consolidates the case for grief education in schools. We discuss six key questions to examine evidence that children benefit from talking about grief, death and loss;the current provision for grief education in UK schools;the obstacles to teaching these topics and ways to overcome them;and the potential further implications of a policy change. Following the lead of child bereavement charities, research and new national reports on UK bereavement support, we demonstrate the need for mandatory grief education in all four countries of the UK and offer evidence-based recommendations for its implementation. © 2023, Cruse Bereavement Care. All rights reserved.

Talk or something more? COVID-19 and youth discourses of participation

PurposePolitical participation of young people has been examined, but there is a lack of research about how these participation forms are interpreted and what counts as participation for young people. The study aims to identify discourses of political participation in Hungary, where the COVID-19 restrictions during 2020-2021 have confined young people's everyday interactions and political activism to the online space for an extended period. The authors' asteroid-effect hypothesis suggests that new discourses of political participation have become more widespread, which may have reinterpreted the previous dynamics between online and offline participation.Design/methodology/approachThe authors analyse the results of six focus groups and eight interviews with young people conducted between 2021-2022 through discourse analysis.FindingsThe qualitative results show that to intellectualise the everyday discourses of youth political participation, extending its classical theories is worthwhile. While online participation has not emerged as a paramount, positive interpretational framework, a new discourse of political participation has emerged, making conversation a fundamental act.Originality/valueWhile the results are limited to Hungarian youth, the strong appearance of participation as a communicative action can have consequences to theoretical approaches of political participation. The authors believe that COVID-19 restrictions had a significant role in this change, because family talks became more politicised.

Happier during lockdown: a descriptive analysis of self-reported wellbeing in 17,000 UK school students during Covid-19 lockdown.

Relatively little research has focused on children and young people (CYP) whose mental health and wellbeing improved during Covid-19 lockdown measures. We aimed to (1) determine the proportion of CYP who self-reported improvement in their mental wellbeing during the first Covid-19 lockdown and (2) describe the characteristics of this group in relation to their peers. We conducted a descriptive analysis of data from the 2020 OxWell Student Survey, a self-report, cross-sectional survey of English CYP. A total of 16,940 CYP primarily aged 8-18 years reported on change in mental wellbeing during lockdown. We characterised these CYP in terms of school, home, relational, and lifestyle factors as well as feelings about returning to school. One-third (33%) of CYP reported improved mental wellbeing during the first UK national lockdown. Compared with peers who reported no change or deterioration, a higher proportion of CYP with improved mental wellbeing reported improved relationships with friends and family, less loneliness and exclusion, reduced bullying, better management of school tasks, and more sleep and exercise during lockdown. In conclusion, a sizeable minority of CYP reported improved mental wellbeing during lockdown. Determining the reasons why these CYP felt they fared better during lockdown and considering how these beneficial experiences can be maintained beyond the pandemic might provide insights into how to promote the future mental health and wellbeing of school-aged CYP. All those working with CYP now have an opportunity to consider whether a systemic shift is needed in order to understand and realise any learnings from experiences during the pandemic.

A systematic review of the mental health changes of children and young people before and during the COVID-19 pandemic.

There is increasing knowledge that the COVID-19 pandemic has had an impact on mental health of children and young people. However, the global evidence of mental health changes before compared to during the COVID-19 pandemic focusing on children and young people has not been systematically reviewed. This systematic review examined longitudinal and repeated cross-sectional studies comparing before and during COVID-19 pandemic data to determine whether the mental health of children and young people had changed before and during the COVID-19 pandemic. The Web of Science, PubMed, Embase and PsycINFO databases were searched to identify peer-reviewed studies that had been published in English and focused on children and young people between 0 and 24 years of age. This identified 21 studies from 11 countries, covering more than 96,000 subjects from 3 to 24 years of age. Pre-pandemic and pandemic data were compared. Most studies reported longitudinal deterioration in the mental health of adolescents and young people, with increased depression, anxiety and psychological distress after the pandemic started. Other findings included deteriorated negative affect, mental well-being and increased loneliness. Comparing data for pandemic and pre-pandemic periods showed that the COVID-19 pandemic may negatively impact the mental health of children and young people. There is an urgent need for high-quality research to address the impact, risks and protective factors of the pandemic on their mental health, as this will provide a good foundation for dealing with future health emergencies and other crises.

The impact of the COVID-19 pandemic on physical activity and anxiety levels of young mental health patients and their parents

Introduction: One restriction measure during the COVID-19 pandemic period was the closure of sport-related facilities, generating substantial anxiety. This study analyzed longitudinal changes in anxiety and physical activity (PA) levels in young people (YP) attending a community child and adolescent mental health service, and their parents/caregivers from 2020 to 2022. Method: This quantitatively driven convergent mixed-methods cohort study utilized validated scoring tools (GAD-7/GLTEQ) as the core quantitative component, and open-ended questions as the supplementary qualitative component. The quantitative and qualitative data were statistically analyzed, and both results were integrated. Questionnaires were distributed in August-October 2020 (Phase 1: At the peak of restriction period), August-October 2021 (Phase 2: During gradual removal of restrictions) and August-October 2022 (Phase 3: When all restrictions were removed). Results: Parent/caregiver's anxiety levels significantly reduced from Phase 1 to Phase 3. Results revealed non-significant improvements in YP's PA levels from Phase 1 to Phase 3. PA levels in YP were significantly higher than those of parents/caregivers throughout all Phases. A significant negative correlation was revealed between PA and anxiety levels in parents/caregivers throughout all Phases. The fear of getting infected, lifting of restrictive measures, vaccination benefits, and pandemic-induced social/financial struggles were common themes generated from the qualitative comments. Conclusion: The authors recommend PA promotional campaigns and incentives during such restrictive periods, helping the population's mental well-being. The high attrition rates in this study may decrease its generalizability. However, the results generated from this innovative study may serve as a platform for future research carried out during traumatic periods. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Emergency and Deservingness: Young People in the Italian Pandemic Debate

Even before the Covid-19 pandemic, young people had a peculiar position in Italian public and institutional discourses. On the one hand, their complex living conditions nourished preoccupations and calls for intervention to save an "endangered"social group. On the other hand, young people's behaviours were constantly placed under scrutiny as potentially dangerous for themselves and society. Through an analysis of public and institutional discourses on youth and youth policies elaborated during the pandemic, the article analyses the interplay of these competing narratives in political and policy choices during the Covid-19 emergency exploring how young people's (un)deservingness has been framed. In doing so, the article asks what understanding of youth sustains recent institutional choices in terms of resources distribution and what institutions have learnt on (and from) young people during the pandemic. © FrancoAngeli.

Long COVID in Children and Young after Infection or Reinfection with the Omicron Variant: A Prospective Observational Study.

To describe the prevalence of long COVID in children infected for the first time (n = 332) or reinfected (n = 243) with Omicron compared with test-negative children (n = 311). Overall, 12%-16% of those infected with Omicron met the research definition of long COVID at 3 and 6 months after infection, with no evidence of difference between cases of first positive and reinfected (Pχ2 = 0.17).

Ties that bind: Young people, community and social capital in the wake of the pandemic

The connection that young people have to their local neighbourhood and community has been shown to impact on health and wellbeing, particularly for those living in the most deprived areas. We report on a qualitative participatory study using photo elicitation methods undertaken in three deprived neighbourhoods across London exploring concepts of community and social connection, with young people aged 13-24 years, against the backdrop of the COVID-19 pandemic. The construct of social capital, referring to the extent of solidarity and connection between groups, has been shown to impact on pandemic related outcomes, and is used in this study as a lens to enhance understanding of young people's experience of the pandemic. Young people created heterogenous physical social ties across class, ethnicity, and geographical area which were important during the pandemic, although these may be jeopardised by a range of factors including fear of violence, mistrust of those in power, parental control and place-based inequity. The isolation and localism enforced by the pandemic encouraged young people to pay more attention to the value of local connections they built up both with people and place. Place-based research needs to continue a dialogue with young people, acknowledging and drawing on existing networks, community assets and cultural beliefs. The impact of COVID-19 on accentuating existing inequalities means that the need for place-based action, addressing the social determinants of health and involving the experiences and input of the young, is more vital than ever.Copyright © 2022 London School of Hygiene and Tropical Medicine

Young People, COVID-19 and Social Protection

COVID-19 marks a significant generational moment for young people. The world as they knew it was transformed and perhaps will never be the same again. This transformation has impacted the world and people differently, young people included. In response to the pandemic, countries went into lockdown, economies plummeted, jobs were lost, university's shifted to online teaching and physical interaction was limited. Globally young people were impacted but some more so then others. These include, young people in precarious work (casual, part-time workers and university students that work), youth made unemployed as a direct result of COVID-19 and students in tertiary institutions whose future now looks bleaker then ever. This chapter draws on secondary resources to explore how young people in primarily New Zealand and the Pacific are being impacted by the pandemic and the associated consequences should they not have access to adequate social and economic protection. In high-income countries young people from deprived and marginal backgrounds are often most at risk. In lower and middle-income countries the lack of social protection measures places the majority of young people at risk. Resilience and the need for young people to adjust to economies in flux are often touted as a response. However, these places the responsibility on young people and undermines the immense contribution they currently make to their families and communities. The rest of the chapter explores some meaningful social protection strategies for young people that will ensure they live meaningful lives and act as a buffer to the potential of increased social problems like crime and civil unrest should societies fail to prioritise their wellbeing and livelihoods. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2021.

Relative Immunity: COVID-19 Pandemic Effects on the Emotional State, Economy, Leisure, and Socialization of Young People in Spain

This study aims to analyze the habits and attitudes of young people in Spain during the COVID-19 pandemic, specifically regarding leisure and free time, framed within a context of the objective structural indicators of the economy, employment, and health. To this end, we reviewed official data banks and surveys conducted in Spain on the effects of the COVID-19 pandemic on the general population. We performed a descriptive and longitudinal analysis with the aim of amalgamating the data on the general behavior of Spanish youth in terms of the impact of the COVID-19 pandemic on their mental health and their positioning on the issues most important to them, especially in regard to their social relationships and leisure activities. Based on the results, we found evidence that young people were negatively affected by the impact of the pandemic, and, similarly to other age groups, reported high levels of concern about the demise of many of the aspects of their prepandemic lifestyles. Although their concerns mainly focused on leisure activities and social relationships, young people are the population group that suffered the highest anxiety levels during the pandemic. In relation to this, we highlight how the emergency measures adopted by society to fight against the spread of the virus were precisely aimed at restricting social relationships and leisure activities.

From Exhibitionism to Addiction, or Cyber Threats Among Children and Adolescents

The purpose of the article is to reflect on cyber threats among children and adolescents, the main cause of which is usually behavior, based on the emotions and needs of young people. Another purpose of the paper is to try to identify and describe mainly the phenomenon of exhibitionism occurring in cyberspace. The problem raised in the article also indicates the need for cooperation of institutions responsible for the safety of young people in cyberspace. An important point of reference, is the experience of the COVID-19 pandemic, which forced people to intensify their interaction with each other in the virtual world. Using a comparative perspective, based on data from before the lock down as well as after it was lifted, a characterization will be made of the scale of digital threats occurring among young people. This, in turn, will make it possible to answer the question: whether a real threat such as a pandemic can have an impact on the growth of digital threats. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2023.