The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records

Introduction During the COVID 19 pandemic children and young people (CYP) faced significant restrictions. The virus and restrictions also affected how health services could function, including mental health. Research analysing the COVID 19 pandemic is important to ensure dynamic and resilient service design in case of future national emergencies. Objectives To investigate the impact of COVID-19 lockdowns on CYP psychiatric admission trends during lockdowns 1 (started 26 March 2020) and 2 (started 20 November 2020) of the COVID 19 pandemic in England. Methods Routinely collected, retrospective, English, administrative data looking at the CYP hospital admissions, length of stay and patient demographics were analysed using an interrupted time series analysis to compare pre-pandemic service use with service use during COVID 19 lockdowns 1 and 2. The analysis used an ordinary least squares (OLS) approach with Newey–West standard errors to handle autocorrelation and heteroscedasticity. Results Table 1. Patient characteristics in the entire sample (n=6,250) Variable Pre-pandemic Post-pandemic Total sample (n=1,156) (n=94) (n=6,250) Mean age at admission (SD) [Median; IQR] 15.3 (1.7) [16;3] 15.6 (1.6) [16;2] 15.3 (1.7) [16;3] Gender Female 70% 72% 70% Missing 1% 2% 1% BAME background Yes 18% 18% 18% Missing 7% 6% 7% Looked after Yes 11% 8% 11% Missing 14% 13% 14% In full education Yes 43% 34% 43% Missing 35% 47% 35% Mean number of admissions per patient (SD) [Median; IQR] 1.7 (1.2) [1;1] 1.2 (0.6) [1;0] 1.7 (1.2) [1;1] Mean length of stay (SD) [Median; IQR] n 93 (94) [68;94] 6,065 65 (65) [43;77] 71 93 (94) [67;94] 6,136 Mean number of out-of-area admissions per patient (SD) [Median; IQR] 0.48 (0.8) [0;1] 0.33 (0.6) [0;1] 0.48 (0.80) [0;1] SD: standard deviation; IQR: Interquartile range Image: Image 2: Image 3: Conclusions During lockdown 1 and 2, psychiatric admissions for CYP were fewer and shorter. The rise in admissions for more deprived CYP and looked after children suggests these CYP may have been disproportionately affected by the pandemic. Disclosure of Interest None Declared Ausführliche Beschreibung

Gespeichert in:

Autor*in:	A. Tsiachristas [verfasserIn] J. Holland [verfasserIn] B. Guo [verfasserIn] K. Sayal [verfasserIn] A. Pari [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Übergeordnetes Werk:	In: European Psychiatry - Cambridge University Press, 2020, 66(2023), Seite S340-S341
Übergeordnetes Werk:	volume:66 ; year:2023 ; pages:S340-S341

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.1192/j.eurpsy.2023.743

Katalog-ID:	DOAJ094569312

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520			\|a Introduction During the COVID 19 pandemic children and young people (CYP) faced significant restrictions. The virus and restrictions also affected how health services could function, including mental health. Research analysing the COVID 19 pandemic is important to ensure dynamic and resilient service design in case of future national emergencies. Objectives To investigate the impact of COVID-19 lockdowns on CYP psychiatric admission trends during lockdowns 1 (started 26 March 2020) and 2 (started 20 November 2020) of the COVID 19 pandemic in England. Methods Routinely collected, retrospective, English, administrative data looking at the CYP hospital admissions, length of stay and patient demographics were analysed using an interrupted time series analysis to compare pre-pandemic service use with service use during COVID 19 lockdowns 1 and 2. The analysis used an ordinary least squares (OLS) approach with Newey–West standard errors to handle autocorrelation and heteroscedasticity. Results Table 1. Patient characteristics in the entire sample (n=6,250) Variable Pre-pandemic Post-pandemic Total sample (n=1,156) (n=94) (n=6,250) Mean age at admission (SD) [Median; IQR] 15.3 (1.7) [16;3] 15.6 (1.6) [16;2] 15.3 (1.7) [16;3] Gender Female 70% 72% 70% Missing 1% 2% 1% BAME background Yes 18% 18% 18% Missing 7% 6% 7% Looked after Yes 11% 8% 11% Missing 14% 13% 14% In full education Yes 43% 34% 43% Missing 35% 47% 35% Mean number of admissions per patient (SD) [Median; IQR] 1.7 (1.2) [1;1] 1.2 (0.6) [1;0] 1.7 (1.2) [1;1] Mean length of stay (SD) [Median; IQR] n 93 (94) [68;94] 6,065 65 (65) [43;77] 71 93 (94) [67;94] 6,136 Mean number of out-of-area admissions per patient (SD) [Median; IQR] 0.48 (0.8) [0;1] 0.33 (0.6) [0;1] 0.48 (0.80) [0;1] SD: standard deviation; IQR: Interquartile range Image: Image 2: Image 3: Conclusions During lockdown 1 and 2, psychiatric admissions for CYP were fewer and shorter. The rise in admissions for more deprived CYP and looked after children suggests these CYP may have been disproportionately affected by the pandemic. Disclosure of Interest None Declared
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allfields	10.1192/j.eurpsy.2023.743 doi (DE-627)DOAJ094569312 (DE-599)DOAJ3e346466b4bf456c9b2cda8b838a3f47 DE-627 ger DE-627 rakwb eng RC435-571 A. Tsiachristas verfasserin aut The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction During the COVID 19 pandemic children and young people (CYP) faced significant restrictions. The virus and restrictions also affected how health services could function, including mental health. Research analysing the COVID 19 pandemic is important to ensure dynamic and resilient service design in case of future national emergencies. Objectives To investigate the impact of COVID-19 lockdowns on CYP psychiatric admission trends during lockdowns 1 (started 26 March 2020) and 2 (started 20 November 2020) of the COVID 19 pandemic in England. Methods Routinely collected, retrospective, English, administrative data looking at the CYP hospital admissions, length of stay and patient demographics were analysed using an interrupted time series analysis to compare pre-pandemic service use with service use during COVID 19 lockdowns 1 and 2. The analysis used an ordinary least squares (OLS) approach with Newey–West standard errors to handle autocorrelation and heteroscedasticity. Results Table 1. Patient characteristics in the entire sample (n=6,250) Variable Pre-pandemic Post-pandemic Total sample (n=1,156) (n=94) (n=6,250) Mean age at admission (SD) [Median; IQR] 15.3 (1.7) [16;3] 15.6 (1.6) [16;2] 15.3 (1.7) [16;3] Gender Female 70% 72% 70% Missing 1% 2% 1% BAME background Yes 18% 18% 18% Missing 7% 6% 7% Looked after Yes 11% 8% 11% Missing 14% 13% 14% In full education Yes 43% 34% 43% Missing 35% 47% 35% Mean number of admissions per patient (SD) [Median; IQR] 1.7 (1.2) [1;1] 1.2 (0.6) [1;0] 1.7 (1.2) [1;1] Mean length of stay (SD) [Median; IQR] n 93 (94) [68;94] 6,065 65 (65) [43;77] 71 93 (94) [67;94] 6,136 Mean number of out-of-area admissions per patient (SD) [Median; IQR] 0.48 (0.8) [0;1] 0.33 (0.6) [0;1] 0.48 (0.80) [0;1] SD: standard deviation; IQR: Interquartile range Image: Image 2: Image 3: Conclusions During lockdown 1 and 2, psychiatric admissions for CYP were fewer and shorter. The rise in admissions for more deprived CYP and looked after children suggests these CYP may have been disproportionately affected by the pandemic. Disclosure of Interest None Declared Psychiatry J. Holland verfasserin aut B. Guo verfasserin aut K. Sayal verfasserin aut A. Pari verfasserin aut In European Psychiatry Cambridge University Press, 2020 66(2023), Seite S340-S341 (DE-627)320445070 (DE-600)2005377-0 17783585 nnns volume:66 year:2023 pages:S340-S341 https://doi.org/10.1192/j.eurpsy.2023.743 kostenfrei https://doaj.org/article/3e346466b4bf456c9b2cda8b838a3f47 kostenfrei https://www.cambridge.org/core/product/identifier/S0924933823007435/type/journal_article kostenfrei https://doaj.org/toc/0924-9338 Journal toc kostenfrei https://doaj.org/toc/1778-3585 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_217 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2110 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 66 2023 S340-S341
spelling	10.1192/j.eurpsy.2023.743 doi (DE-627)DOAJ094569312 (DE-599)DOAJ3e346466b4bf456c9b2cda8b838a3f47 DE-627 ger DE-627 rakwb eng RC435-571 A. Tsiachristas verfasserin aut The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction During the COVID 19 pandemic children and young people (CYP) faced significant restrictions. The virus and restrictions also affected how health services could function, including mental health. Research analysing the COVID 19 pandemic is important to ensure dynamic and resilient service design in case of future national emergencies. Objectives To investigate the impact of COVID-19 lockdowns on CYP psychiatric admission trends during lockdowns 1 (started 26 March 2020) and 2 (started 20 November 2020) of the COVID 19 pandemic in England. Methods Routinely collected, retrospective, English, administrative data looking at the CYP hospital admissions, length of stay and patient demographics were analysed using an interrupted time series analysis to compare pre-pandemic service use with service use during COVID 19 lockdowns 1 and 2. The analysis used an ordinary least squares (OLS) approach with Newey–West standard errors to handle autocorrelation and heteroscedasticity. Results Table 1. Patient characteristics in the entire sample (n=6,250) Variable Pre-pandemic Post-pandemic Total sample (n=1,156) (n=94) (n=6,250) Mean age at admission (SD) [Median; IQR] 15.3 (1.7) [16;3] 15.6 (1.6) [16;2] 15.3 (1.7) [16;3] Gender Female 70% 72% 70% Missing 1% 2% 1% BAME background Yes 18% 18% 18% Missing 7% 6% 7% Looked after Yes 11% 8% 11% Missing 14% 13% 14% In full education Yes 43% 34% 43% Missing 35% 47% 35% Mean number of admissions per patient (SD) [Median; IQR] 1.7 (1.2) [1;1] 1.2 (0.6) [1;0] 1.7 (1.2) [1;1] Mean length of stay (SD) [Median; IQR] n 93 (94) [68;94] 6,065 65 (65) [43;77] 71 93 (94) [67;94] 6,136 Mean number of out-of-area admissions per patient (SD) [Median; IQR] 0.48 (0.8) [0;1] 0.33 (0.6) [0;1] 0.48 (0.80) [0;1] SD: standard deviation; IQR: Interquartile range Image: Image 2: Image 3: Conclusions During lockdown 1 and 2, psychiatric admissions for CYP were fewer and shorter. The rise in admissions for more deprived CYP and looked after children suggests these CYP may have been disproportionately affected by the pandemic. Disclosure of Interest None Declared Psychiatry J. Holland verfasserin aut B. Guo verfasserin aut K. Sayal verfasserin aut A. Pari verfasserin aut In European Psychiatry Cambridge University Press, 2020 66(2023), Seite S340-S341 (DE-627)320445070 (DE-600)2005377-0 17783585 nnns volume:66 year:2023 pages:S340-S341 https://doi.org/10.1192/j.eurpsy.2023.743 kostenfrei https://doaj.org/article/3e346466b4bf456c9b2cda8b838a3f47 kostenfrei https://www.cambridge.org/core/product/identifier/S0924933823007435/type/journal_article kostenfrei https://doaj.org/toc/0924-9338 Journal toc kostenfrei https://doaj.org/toc/1778-3585 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_217 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2110 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 66 2023 S340-S341
allfields_unstemmed	10.1192/j.eurpsy.2023.743 doi (DE-627)DOAJ094569312 (DE-599)DOAJ3e346466b4bf456c9b2cda8b838a3f47 DE-627 ger DE-627 rakwb eng RC435-571 A. Tsiachristas verfasserin aut The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction During the COVID 19 pandemic children and young people (CYP) faced significant restrictions. The virus and restrictions also affected how health services could function, including mental health. Research analysing the COVID 19 pandemic is important to ensure dynamic and resilient service design in case of future national emergencies. Objectives To investigate the impact of COVID-19 lockdowns on CYP psychiatric admission trends during lockdowns 1 (started 26 March 2020) and 2 (started 20 November 2020) of the COVID 19 pandemic in England. Methods Routinely collected, retrospective, English, administrative data looking at the CYP hospital admissions, length of stay and patient demographics were analysed using an interrupted time series analysis to compare pre-pandemic service use with service use during COVID 19 lockdowns 1 and 2. The analysis used an ordinary least squares (OLS) approach with Newey–West standard errors to handle autocorrelation and heteroscedasticity. Results Table 1. Patient characteristics in the entire sample (n=6,250) Variable Pre-pandemic Post-pandemic Total sample (n=1,156) (n=94) (n=6,250) Mean age at admission (SD) [Median; IQR] 15.3 (1.7) [16;3] 15.6 (1.6) [16;2] 15.3 (1.7) [16;3] Gender Female 70% 72% 70% Missing 1% 2% 1% BAME background Yes 18% 18% 18% Missing 7% 6% 7% Looked after Yes 11% 8% 11% Missing 14% 13% 14% In full education Yes 43% 34% 43% Missing 35% 47% 35% Mean number of admissions per patient (SD) [Median; IQR] 1.7 (1.2) [1;1] 1.2 (0.6) [1;0] 1.7 (1.2) [1;1] Mean length of stay (SD) [Median; IQR] n 93 (94) [68;94] 6,065 65 (65) [43;77] 71 93 (94) [67;94] 6,136 Mean number of out-of-area admissions per patient (SD) [Median; IQR] 0.48 (0.8) [0;1] 0.33 (0.6) [0;1] 0.48 (0.80) [0;1] SD: standard deviation; IQR: Interquartile range Image: Image 2: Image 3: Conclusions During lockdown 1 and 2, psychiatric admissions for CYP were fewer and shorter. The rise in admissions for more deprived CYP and looked after children suggests these CYP may have been disproportionately affected by the pandemic. Disclosure of Interest None Declared Psychiatry J. Holland verfasserin aut B. Guo verfasserin aut K. Sayal verfasserin aut A. Pari verfasserin aut In European Psychiatry Cambridge University Press, 2020 66(2023), Seite S340-S341 (DE-627)320445070 (DE-600)2005377-0 17783585 nnns volume:66 year:2023 pages:S340-S341 https://doi.org/10.1192/j.eurpsy.2023.743 kostenfrei https://doaj.org/article/3e346466b4bf456c9b2cda8b838a3f47 kostenfrei https://www.cambridge.org/core/product/identifier/S0924933823007435/type/journal_article kostenfrei https://doaj.org/toc/0924-9338 Journal toc kostenfrei https://doaj.org/toc/1778-3585 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_217 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2110 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 66 2023 S340-S341
allfieldsGer	10.1192/j.eurpsy.2023.743 doi (DE-627)DOAJ094569312 (DE-599)DOAJ3e346466b4bf456c9b2cda8b838a3f47 DE-627 ger DE-627 rakwb eng RC435-571 A. Tsiachristas verfasserin aut The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction During the COVID 19 pandemic children and young people (CYP) faced significant restrictions. The virus and restrictions also affected how health services could function, including mental health. Research analysing the COVID 19 pandemic is important to ensure dynamic and resilient service design in case of future national emergencies. Objectives To investigate the impact of COVID-19 lockdowns on CYP psychiatric admission trends during lockdowns 1 (started 26 March 2020) and 2 (started 20 November 2020) of the COVID 19 pandemic in England. Methods Routinely collected, retrospective, English, administrative data looking at the CYP hospital admissions, length of stay and patient demographics were analysed using an interrupted time series analysis to compare pre-pandemic service use with service use during COVID 19 lockdowns 1 and 2. The analysis used an ordinary least squares (OLS) approach with Newey–West standard errors to handle autocorrelation and heteroscedasticity. Results Table 1. Patient characteristics in the entire sample (n=6,250) Variable Pre-pandemic Post-pandemic Total sample (n=1,156) (n=94) (n=6,250) Mean age at admission (SD) [Median; IQR] 15.3 (1.7) [16;3] 15.6 (1.6) [16;2] 15.3 (1.7) [16;3] Gender Female 70% 72% 70% Missing 1% 2% 1% BAME background Yes 18% 18% 18% Missing 7% 6% 7% Looked after Yes 11% 8% 11% Missing 14% 13% 14% In full education Yes 43% 34% 43% Missing 35% 47% 35% Mean number of admissions per patient (SD) [Median; IQR] 1.7 (1.2) [1;1] 1.2 (0.6) [1;0] 1.7 (1.2) [1;1] Mean length of stay (SD) [Median; IQR] n 93 (94) [68;94] 6,065 65 (65) [43;77] 71 93 (94) [67;94] 6,136 Mean number of out-of-area admissions per patient (SD) [Median; IQR] 0.48 (0.8) [0;1] 0.33 (0.6) [0;1] 0.48 (0.80) [0;1] SD: standard deviation; IQR: Interquartile range Image: Image 2: Image 3: Conclusions During lockdown 1 and 2, psychiatric admissions for CYP were fewer and shorter. The rise in admissions for more deprived CYP and looked after children suggests these CYP may have been disproportionately affected by the pandemic. Disclosure of Interest None Declared Psychiatry J. Holland verfasserin aut B. Guo verfasserin aut K. Sayal verfasserin aut A. Pari verfasserin aut In European Psychiatry Cambridge University Press, 2020 66(2023), Seite S340-S341 (DE-627)320445070 (DE-600)2005377-0 17783585 nnns volume:66 year:2023 pages:S340-S341 https://doi.org/10.1192/j.eurpsy.2023.743 kostenfrei https://doaj.org/article/3e346466b4bf456c9b2cda8b838a3f47 kostenfrei https://www.cambridge.org/core/product/identifier/S0924933823007435/type/journal_article kostenfrei https://doaj.org/toc/0924-9338 Journal toc kostenfrei https://doaj.org/toc/1778-3585 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_217 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2110 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 66 2023 S340-S341
allfieldsSound	10.1192/j.eurpsy.2023.743 doi (DE-627)DOAJ094569312 (DE-599)DOAJ3e346466b4bf456c9b2cda8b838a3f47 DE-627 ger DE-627 rakwb eng RC435-571 A. Tsiachristas verfasserin aut The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction During the COVID 19 pandemic children and young people (CYP) faced significant restrictions. The virus and restrictions also affected how health services could function, including mental health. Research analysing the COVID 19 pandemic is important to ensure dynamic and resilient service design in case of future national emergencies. Objectives To investigate the impact of COVID-19 lockdowns on CYP psychiatric admission trends during lockdowns 1 (started 26 March 2020) and 2 (started 20 November 2020) of the COVID 19 pandemic in England. Methods Routinely collected, retrospective, English, administrative data looking at the CYP hospital admissions, length of stay and patient demographics were analysed using an interrupted time series analysis to compare pre-pandemic service use with service use during COVID 19 lockdowns 1 and 2. The analysis used an ordinary least squares (OLS) approach with Newey–West standard errors to handle autocorrelation and heteroscedasticity. Results Table 1. Patient characteristics in the entire sample (n=6,250) Variable Pre-pandemic Post-pandemic Total sample (n=1,156) (n=94) (n=6,250) Mean age at admission (SD) [Median; IQR] 15.3 (1.7) [16;3] 15.6 (1.6) [16;2] 15.3 (1.7) [16;3] Gender Female 70% 72% 70% Missing 1% 2% 1% BAME background Yes 18% 18% 18% Missing 7% 6% 7% Looked after Yes 11% 8% 11% Missing 14% 13% 14% In full education Yes 43% 34% 43% Missing 35% 47% 35% Mean number of admissions per patient (SD) [Median; IQR] 1.7 (1.2) [1;1] 1.2 (0.6) [1;0] 1.7 (1.2) [1;1] Mean length of stay (SD) [Median; IQR] n 93 (94) [68;94] 6,065 65 (65) [43;77] 71 93 (94) [67;94] 6,136 Mean number of out-of-area admissions per patient (SD) [Median; IQR] 0.48 (0.8) [0;1] 0.33 (0.6) [0;1] 0.48 (0.80) [0;1] SD: standard deviation; IQR: Interquartile range Image: Image 2: Image 3: Conclusions During lockdown 1 and 2, psychiatric admissions for CYP were fewer and shorter. The rise in admissions for more deprived CYP and looked after children suggests these CYP may have been disproportionately affected by the pandemic. Disclosure of Interest None Declared Psychiatry J. Holland verfasserin aut B. Guo verfasserin aut K. Sayal verfasserin aut A. Pari verfasserin aut In European Psychiatry Cambridge University Press, 2020 66(2023), Seite S340-S341 (DE-627)320445070 (DE-600)2005377-0 17783585 nnns volume:66 year:2023 pages:S340-S341 https://doi.org/10.1192/j.eurpsy.2023.743 kostenfrei https://doaj.org/article/3e346466b4bf456c9b2cda8b838a3f47 kostenfrei https://www.cambridge.org/core/product/identifier/S0924933823007435/type/journal_article kostenfrei https://doaj.org/toc/0924-9338 Journal toc kostenfrei https://doaj.org/toc/1778-3585 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_217 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2110 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 66 2023 S340-S341
language	English
source	In European Psychiatry 66(2023), Seite S340-S341 volume:66 year:2023 pages:S340-S341
sourceStr	In European Psychiatry 66(2023), Seite S340-S341 volume:66 year:2023 pages:S340-S341
format_phy_str_mv	Article
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topic_facet	Psychiatry
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container_title	European Psychiatry
authorswithroles_txt_mv	A. Tsiachristas @@aut@@ J. Holland @@aut@@ B. Guo @@aut@@ K. Sayal @@aut@@ A. Pari @@aut@@
publishDateDaySort_date	2023-01-01T00:00:00Z
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Tsiachristas</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="4"><subfield code="a">The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Introduction During the COVID 19 pandemic children and young people (CYP) faced significant restrictions. The virus and restrictions also affected how health services could function, including mental health. Research analysing the COVID 19 pandemic is important to ensure dynamic and resilient service design in case of future national emergencies. Objectives To investigate the impact of COVID-19 lockdowns on CYP psychiatric admission trends during lockdowns 1 (started 26 March 2020) and 2 (started 20 November 2020) of the COVID 19 pandemic in England. Methods Routinely collected, retrospective, English, administrative data looking at the CYP hospital admissions, length of stay and patient demographics were analysed using an interrupted time series analysis to compare pre-pandemic service use with service use during COVID 19 lockdowns 1 and 2. The analysis used an ordinary least squares (OLS) approach with Newey–West standard errors to handle autocorrelation and heteroscedasticity. Results Table 1. Patient characteristics in the entire sample (n=6,250) Variable Pre-pandemic Post-pandemic Total sample (n=1,156) (n=94) (n=6,250) Mean age at admission (SD) [Median; IQR] 15.3 (1.7) [16;3] 15.6 (1.6) [16;2] 15.3 (1.7) [16;3] Gender Female 70% 72% 70% Missing 1% 2% 1% BAME background Yes 18% 18% 18% Missing 7% 6% 7% Looked after Yes 11% 8% 11% Missing 14% 13% 14% In full education Yes 43% 34% 43% Missing 35% 47% 35% Mean number of admissions per patient (SD) [Median; IQR] 1.7 (1.2) [1;1] 1.2 (0.6) [1;0] 1.7 (1.2) [1;1] Mean length of stay (SD) [Median; IQR] n 93 (94) [68;94] 6,065 65 (65) [43;77] 71 93 (94) [67;94] 6,136 Mean number of out-of-area admissions per patient (SD) [Median; IQR] 0.48 (0.8) [0;1] 0.33 (0.6) [0;1] 0.48 (0.80) [0;1] SD: standard deviation; IQR: Interquartile range Image: Image 2: Image 3: Conclusions During lockdown 1 and 2, psychiatric admissions for CYP were fewer and shorter. 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spellingShingle	A. Tsiachristas misc RC435-571 misc Psychiatry The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records
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topic_title	RC435-571 The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records
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title	The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records
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title_full	The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records
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author_browse	A. Tsiachristas J. Holland B. Guo K. Sayal A. Pari
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title_sort	impact of the covid-19 pandemic on children and adolescent mental health inpatient service use in england: an interrupted time-series analysis of national patient records
callnumber	RC435-571
title_auth	The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records
abstract	Introduction During the COVID 19 pandemic children and young people (CYP) faced significant restrictions. The virus and restrictions also affected how health services could function, including mental health. Research analysing the COVID 19 pandemic is important to ensure dynamic and resilient service design in case of future national emergencies. Objectives To investigate the impact of COVID-19 lockdowns on CYP psychiatric admission trends during lockdowns 1 (started 26 March 2020) and 2 (started 20 November 2020) of the COVID 19 pandemic in England. Methods Routinely collected, retrospective, English, administrative data looking at the CYP hospital admissions, length of stay and patient demographics were analysed using an interrupted time series analysis to compare pre-pandemic service use with service use during COVID 19 lockdowns 1 and 2. The analysis used an ordinary least squares (OLS) approach with Newey–West standard errors to handle autocorrelation and heteroscedasticity. Results Table 1. Patient characteristics in the entire sample (n=6,250) Variable Pre-pandemic Post-pandemic Total sample (n=1,156) (n=94) (n=6,250) Mean age at admission (SD) [Median; IQR] 15.3 (1.7) [16;3] 15.6 (1.6) [16;2] 15.3 (1.7) [16;3] Gender Female 70% 72% 70% Missing 1% 2% 1% BAME background Yes 18% 18% 18% Missing 7% 6% 7% Looked after Yes 11% 8% 11% Missing 14% 13% 14% In full education Yes 43% 34% 43% Missing 35% 47% 35% Mean number of admissions per patient (SD) [Median; IQR] 1.7 (1.2) [1;1] 1.2 (0.6) [1;0] 1.7 (1.2) [1;1] Mean length of stay (SD) [Median; IQR] n 93 (94) [68;94] 6,065 65 (65) [43;77] 71 93 (94) [67;94] 6,136 Mean number of out-of-area admissions per patient (SD) [Median; IQR] 0.48 (0.8) [0;1] 0.33 (0.6) [0;1] 0.48 (0.80) [0;1] SD: standard deviation; IQR: Interquartile range Image: Image 2: Image 3: Conclusions During lockdown 1 and 2, psychiatric admissions for CYP were fewer and shorter. The rise in admissions for more deprived CYP and looked after children suggests these CYP may have been disproportionately affected by the pandemic. Disclosure of Interest None Declared
abstractGer	Introduction During the COVID 19 pandemic children and young people (CYP) faced significant restrictions. The virus and restrictions also affected how health services could function, including mental health. Research analysing the COVID 19 pandemic is important to ensure dynamic and resilient service design in case of future national emergencies. Objectives To investigate the impact of COVID-19 lockdowns on CYP psychiatric admission trends during lockdowns 1 (started 26 March 2020) and 2 (started 20 November 2020) of the COVID 19 pandemic in England. Methods Routinely collected, retrospective, English, administrative data looking at the CYP hospital admissions, length of stay and patient demographics were analysed using an interrupted time series analysis to compare pre-pandemic service use with service use during COVID 19 lockdowns 1 and 2. The analysis used an ordinary least squares (OLS) approach with Newey–West standard errors to handle autocorrelation and heteroscedasticity. Results Table 1. Patient characteristics in the entire sample (n=6,250) Variable Pre-pandemic Post-pandemic Total sample (n=1,156) (n=94) (n=6,250) Mean age at admission (SD) [Median; IQR] 15.3 (1.7) [16;3] 15.6 (1.6) [16;2] 15.3 (1.7) [16;3] Gender Female 70% 72% 70% Missing 1% 2% 1% BAME background Yes 18% 18% 18% Missing 7% 6% 7% Looked after Yes 11% 8% 11% Missing 14% 13% 14% In full education Yes 43% 34% 43% Missing 35% 47% 35% Mean number of admissions per patient (SD) [Median; IQR] 1.7 (1.2) [1;1] 1.2 (0.6) [1;0] 1.7 (1.2) [1;1] Mean length of stay (SD) [Median; IQR] n 93 (94) [68;94] 6,065 65 (65) [43;77] 71 93 (94) [67;94] 6,136 Mean number of out-of-area admissions per patient (SD) [Median; IQR] 0.48 (0.8) [0;1] 0.33 (0.6) [0;1] 0.48 (0.80) [0;1] SD: standard deviation; IQR: Interquartile range Image: Image 2: Image 3: Conclusions During lockdown 1 and 2, psychiatric admissions for CYP were fewer and shorter. The rise in admissions for more deprived CYP and looked after children suggests these CYP may have been disproportionately affected by the pandemic. Disclosure of Interest None Declared
abstract_unstemmed	Introduction During the COVID 19 pandemic children and young people (CYP) faced significant restrictions. The virus and restrictions also affected how health services could function, including mental health. Research analysing the COVID 19 pandemic is important to ensure dynamic and resilient service design in case of future national emergencies. Objectives To investigate the impact of COVID-19 lockdowns on CYP psychiatric admission trends during lockdowns 1 (started 26 March 2020) and 2 (started 20 November 2020) of the COVID 19 pandemic in England. Methods Routinely collected, retrospective, English, administrative data looking at the CYP hospital admissions, length of stay and patient demographics were analysed using an interrupted time series analysis to compare pre-pandemic service use with service use during COVID 19 lockdowns 1 and 2. The analysis used an ordinary least squares (OLS) approach with Newey–West standard errors to handle autocorrelation and heteroscedasticity. Results Table 1. Patient characteristics in the entire sample (n=6,250) Variable Pre-pandemic Post-pandemic Total sample (n=1,156) (n=94) (n=6,250) Mean age at admission (SD) [Median; IQR] 15.3 (1.7) [16;3] 15.6 (1.6) [16;2] 15.3 (1.7) [16;3] Gender Female 70% 72% 70% Missing 1% 2% 1% BAME background Yes 18% 18% 18% Missing 7% 6% 7% Looked after Yes 11% 8% 11% Missing 14% 13% 14% In full education Yes 43% 34% 43% Missing 35% 47% 35% Mean number of admissions per patient (SD) [Median; IQR] 1.7 (1.2) [1;1] 1.2 (0.6) [1;0] 1.7 (1.2) [1;1] Mean length of stay (SD) [Median; IQR] n 93 (94) [68;94] 6,065 65 (65) [43;77] 71 93 (94) [67;94] 6,136 Mean number of out-of-area admissions per patient (SD) [Median; IQR] 0.48 (0.8) [0;1] 0.33 (0.6) [0;1] 0.48 (0.80) [0;1] SD: standard deviation; IQR: Interquartile range Image: Image 2: Image 3: Conclusions During lockdown 1 and 2, psychiatric admissions for CYP were fewer and shorter. The rise in admissions for more deprived CYP and looked after children suggests these CYP may have been disproportionately affected by the pandemic. Disclosure of Interest None Declared
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title_short	The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records
url	https://doi.org/10.1192/j.eurpsy.2023.743 https://doaj.org/article/3e346466b4bf456c9b2cda8b838a3f47 https://www.cambridge.org/core/product/identifier/S0924933823007435/type/journal_article https://doaj.org/toc/0924-9338 https://doaj.org/toc/1778-3585
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The impact of the COVID-19 pandemic on children and adolescent mental health inpatient service use in England: An interrupted time-series analysis of national patient records

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