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The problem
Intervention: Service continuity and medication management during COVID-19 lockdown restrictions
Who it was tested with: Children and young people with intellectual disability (ages 9-17) receiving specialist child and adolescent mental health services in South Wales.
Experience from people who deliver programmes: stories, case studies and lessons learned. Valuable for understanding how and why, and for spotting what to test next, but not a measure of effect.
"Case notes and email correspondence were reviewed to obtain the number and content of crisis calls made to specialist CAMHS across an eight week period during the first UK COVID-19 lockdown. Data were gathered on frequency, purpose, and outcome of calls. Comparison data were also collected for the period October 2019 to March 2020." The design compares the same service's crisis call patterns before and after lockdown, documenting that system disruption led to worse outcomes (increased crisis calls and medication use) rather than improved service efficiency.
Small sample size from single specialist team in one region; no direct child or family voice; cross-sectional comparison design without control group; cannot establish causality or isolate COVID-19 effects from medication side effects or other factors; no follow-up data on long-term outcomes or medication continuation.
Across countries and designs
1 study · 1 country