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[Social pediatric care situation and needs during the COVID-19 pandemic from 2020 to 2022. What is needed now?]
Elke Peters1,2, Hannah Schmidt3,4, Hannah Baltus5
1Institut für Sozialmedizin und Epidemiologie, Universität zu Lübeck, Lübeck, Deutschland. Elke.Peters@uksh.de.
Insights
Social pediatric care faced limitations during the pandemic, impacting vulnerable families. Experts recommend prompt identification and unbureaucratic outreach services to address unmet needs for children and adolescents.
Area of Science:
- Pediatrics
- Social Work
- Public Health
Context:
- Children and adolescents with social pediatric care needs present unique challenges.
- The COVID-19 pandemic significantly disrupted healthcare services, including social pediatrics.
- Understanding expert perspectives is crucial for adapting care models.
Purpose:
- To describe social pediatric care during the pandemic from the viewpoint of experts.
- To identify challenges and needs arising from pandemic-related care disruptions.
- To inform future social pediatric care strategies.
Summary:
- Social pediatric care services were notably limited during the pandemic.
- Families with existing support networks benefited from telehealth, but at-risk groups faced access barriers.
- Increased needs for mental health support and early developmental interventions were observed due to service limitations.
Impact:
- Highlights the need for proactive identification of underserved families.
- Emphasizes the importance of tailored, unbureaucratic outreach services.
- Informs policy and practice for more resilient social pediatric care systems.
Background:
Children and adolescents with social pediatric care needs represent a group with special challenges. The aim of this qualitative study was to describe social pediatric care during the pandemic from the perspective of experts. From this, conclusions were to be drawn for any social pediatric care needs that may have arisen.
Methods:
Between May and November 2022, 25 experts from the field of social pediatrics were interviewed using guided interviews on the following topics: deviations in care, utilization behavior of families, individual burdens and resources, and sustainable needs. The interviews were analyzed by two research assistants.
Results:
Overall, the social pediatric care offer was temporarily clearly limited. While families who were already well connected before the pandemic could be adequately cared for with the help of telephone/video contacts, an unreported number of at-risk groups, were described, for example, those with low competence to act, who did not make use of services or did so with delays. It was observed that there was a need for care for newly developed mental disorders and regression in therapy due to limited opportunities for support, as well as a need to catch up on missed opportunities for early support in the case of developmental disorders.
Discussion:
To meet the needs that have arisen, underserved families should be identified and cared for promptly, taking individual characteristics into account. To this end, for example, more outreach services should be established that reach affected families unbureaucratically.
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