COVID-19 resources

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A comparison of child abuse and neglect encounters before and after school closings due to SARS-Cov-2

Child Abuse and Neglect

Background: Risk factors for child abuse and neglect and commonly used reporting mechanisms were highly affected by SARS-Cov-2 pandemic; yet, little is known about the effects of SARS-Cov-2 on rates of child abuse and neglect. Objective: To compare overall rates, demographics, types of abuse and acuity of child abuse and neglect encounters seen at one university health system for the 6 months before and after school closings due to the SARS-Cov-2 pandemic. Participants and setting: Data was extracted from a database of billed ICD10 codes for child abuse and neglect including sexual abuse codes. There were 579 encounters for patients <18 years of age and 476 unique patients. Methods: In addition to ICD10 code and pre/post school closing, each encounter was identified to be inpatient, outpatient and/or emergency department. Demographic data such as age, gender, ethnicity, and race were extracted. Incident rate ratios in addition to descriptive statistics, Mann-Whitney U test, two-sample t-test, or the chi-square test of association were used in the analysis. Results: No significant differences were identified for total rates of child abuse and neglect encounters (p = .08), physical abuse (p = .91) nor child maltreatment (p = .86) codes or in the age (p = .46), gender (p = .58), and race/ethnicity (p = .15) of patient encounters pre- versus post-school closings. The sexual abuse incidence and inpatient encounters increased by 85% (IRR = 1.85, p < .0001; IRR = 1.85, p = .004, respectively). Conclusions: Our findings provide a unique contribution to the existing literature in that we identified a significant increase in the incidence of sexual abuse and higher patient acuity as evidenced by higher rates of inpatient encounters after school closing due to SARS-Cov-2.

Last updated on hub: 20 July 2021

A connected recovery: findings of the APPG on loneliness inquiry

UK Parliament

Findings of an inquiry into loneliness, which explored problems and identified solutions within four crucial policy areas, including: translating national policy into local action through local authorities; community infrastructure (including housing, transport and public spaces); how to adequately fund the voluntary and community sector upon which social prescribing depends; designing and implementing ways to test the implications of government policies on loneliness. The inquiry found that there are too many barriers preventing people from connecting – such as a lack of safe, welcoming and accessible green spaces, parks and gardens, public toilets, playing areas, local bus services, and ramps for people with disabilities. Too many people face barriers to digital connection as a result of lack of access to mobile technology and the internet, as well as a lack of digital skills and confidence. Poorly designed or unsuitable housing and neighbourhoods can make it hard for people to meet each other, maintain social connections and develop a sense of belonging. Some communities and groups were highlighted as facing particular disadvantage in relation to transport and mobility. The report makes the case for a “connected recovery” from the COVID-19 pandemic, recognising the need for long-term work to rebuild social connections following periods of isolation and the importance of connection to resilience to future shocks. To achieve this, the APPG sets out a roadmap, calling on the government to adopt 15 recommendations, designed to: tackle loneliness through national leadership; translate national policy into local action; invest in the community and social infrastructure needed to connect, particularly in areas with higher levels of deprivation; loneliness proof all new transport and housing developments, and close the digital divide by increasing digital skills and confidence.

Last updated on hub: 31 March 2021

A country report: impact of COVID-19 and inequity of health on South Korea’s disabled community during a pandemic

Disability and Society

The South Korean media boasts of its leading success–during the escalation of the coronavirus outbreak–in flattening of the curve thereby mitigating the grave outcomes of the public health crisis. Much of the success is reportedly attributed to the rapid and advanced development of test kits, essential equipment and implementation of protocols in precautionary measures. However, it has been an arduous task to stay afloat for one particular vulnerable community. The disabled citizens of Korea were confronted by the realities of health inequity during this disastrous period. Pre-existing the pandemic onset, the disabled community have faced stigmatization and under many circumstances de-prioritization by their own society. Through the lens of a visiting physician, my hope is to poignantly and respectfully share personal experiences and thoughts on these realties impacted by the COVID-19 pandemic in South Korea.

Last updated on hub: 07 November 2020

A COVID-19 guide for care staff supporting an adult with learning disabilities/autism

Social Care Institute for Excellence

A guide to help care staff and personal assistants supporting adults with learning disabilities and autistic adults through the COVID-19 crisis.

Last updated on hub: 17 April 2020

A COVID-19 guide for carers and family supporting an adult with learning disabilities/autism

Social Care Institute for Excellence

A guide to help family members and carers supporting adults and children with learning disabilities and autistic adults through the COVID-19 crisis.

Last updated on hub: 17 April 2020

A COVID-19 guide for social workers supporting an adult with learning disabilities/autism

Social Care Institute for Excellence

A guide to help social workers and occupational therapists supporting autistic adults and adults with learning disabilities through the COVID-19 crisis.

Last updated on hub: 17 April 2020

A critical juncture for public services: lessons from COVID-19

House of Lords

The COVID-19 pandemic represented an unprecedented challenge to the United Kingdom’s public services. This report describes how service providers responded, discusses lessons to be learned from the pandemic and recommends a number of principles to transform public service delivery. Many public service providers developed remarkable innovations to meet the challenge of COVID-19. Decisions which before the pandemic took months were made in minutes. Good personal and organisational relationships broke down longstanding barriers between the statutory and voluntary sectors. New ways to deliver services flourished. Digital technology was used more widely, and more successfully, than ever before. But the Committee also heard that the United Kingdom’s public services had entered the COVID-19 pandemic with low levels of resilience. The virus further disadvantaged many who were already left behind. Black, Asian and Minority Ethnic and Gypsy, Roma and Traveller people suffered disproportionately, the result of historical underfunding of preventative health services. Disadvantaged children fared worse during the pandemic, too; the educational attainment gap between the poorest children and their counterparts grew wider. The overall public health response was at times hampered by over-centralised, poorly coordinated and poorly communicated policies that were designed and delivered by central Government, even though local-level providers were often better equipped. This report makes recommendations for how public services can hold on to the advances that they achieved during the pandemic, setting out several principles, which include: focusing on preventative services to reduce inequalities; better collaboration between central government and local services; recognising charities, community groups, volunteers and the private sector as key public service providers; greater data sharing, access to digital technology and integration; and user involvement in the design and delivery of public services.

Last updated on hub: 16 November 2020

A data linkage approach to assessing the contribution of hospital-associated SARS-CoV-2 infection to care home outbreaks in England, 30 January to 12 October 2020

Public Health England

This study investigated care homes that received coronavirus (COVID-19) positive patients discharged from hospital, and subsequently experienced an outbreaks (herein referred to as hospital associated seeding of care home outbreaks). Hospital discharge records were linked to laboratory confirmed COVID-19 cases to identify care home residents who may have acquired their COVID-19 infection whilst in hospital and subsequent to their discharge, their care homes experienced an outbreak of COVID-19. In summary: from 30 January to 12 October 2020, there were a total of 43,398 care home residents identified with a laboratory confirmed positive COVID-19 test result; of these, 35,760 (82.4%) were involved in an outbreak, equivalent to a total of 5,882 outbreaks; 1.6% (n=97) of outbreaks were identified as potentially seeded from hospital associated COVID-19 infection, with a total of 806 (1.2%) care home residents with confirmed infection associated with these outbreaks; the majority of these potentially hospital-seeded care home outbreaks were identified in March to mid-April 2020, with none identified from the end of July until September where a few recent cases have emerged.

Last updated on hub: 31 May 2021

A dose of music with your COVID-19 vaccination

Music for Dementia

Guidance for individuals, carers and health professionals on how to use music to lessen people’s anxiety and distress when being vaccinated. Vaccinations can cause anxiety and agitation especially for those with an impairment, disability or condition e.g. dementia. Waiting or an unfamiliar journey can exacerbate disorientation and anxiety. While music can’t eliminate any physical pain, it can help manage the experience and physiological symptoms, leading to a more pleasant experience. Research has shown music can lessen distress by almost half when used during vaccination programmes, and almost double the level of coping behaviour. It can be a powerful distraction from pain.

Last updated on hub: 10 March 2021

A double burden of exclusion? Digital and social exclusion of older adults in times of COVID-19

Journals of Gerontology Series B Psychological Sciences and Social Sciences

The COVID-19 pandemic has excluded older adults from a society based on physical social contact. Vulnerable populations like older adults also tend to be excluded from digital services because they opt not to use the internet, lack necessary devices and network connectivity, or inexperience using the technology. Older adults who are frail and are not online, many of whom are in long-term care facilities, struggle with the double burden of social and digital exclusion. This paper discusses the potential outcomes of this exclusion and provides recommendations for rectifying the situation, with a particular focus on older adults in long-term care facilities.

Last updated on hub: 25 March 2021

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