TY - JOUR
T1 - British Society for Paediatric and Adolescent Dermatology assessment and support of mental health in children and young people with skin conditions
T2 - a multidisciplinary expert consensus statement and recommendations
AU - McPherson, Tess
AU - Ravenscroft, Jane
AU - Ali, Rukshana
AU - Barlow, Richard
AU - Beattie, Paula
AU - Bewley, Anthony
AU - Bennett, Sophie
AU - Bleiker, Tanya
AU - Buckley, Liz
AU - Burgess, Gary
AU - Copperwheat, Sarah
AU - Cunliffe, Tim
AU - Dejong, Hannah
AU - Fazel, Mina
AU - Heyman, Isobel
AU - Howard, Emma
AU - Lambert, Alice
AU - Manktelow, Claire
AU - Moledina, Zahra
AU - Mohandas, Padma
AU - Moss, Celia
AU - Northover, Guy
AU - Paz, Isabel
AU - Proctor, Andrew
AU - Roxborough, Christine
AU - Shibib, Shatha
AU - Solman, Lea
AU - Srinivasan, Jo
AU - Wood, Damian
AU - Baron, Susannah
N1 - Publisher Copyright:
© 2023 The Author(s). Published by Oxford University Press on behalf of British Association of Dermatologists. All rights reserved.
PY - 2023/10
Y1 - 2023/10
N2 - Background: Psychological and mental health difficulties are common in children and young people (CYP) living with skin conditions and can have a profound impact on wellbeing. There is limited guidance on how best to assess and support the mental health of this population, who are at risk of poor health outcomes. Objectives: To provide consensus-based recommendations on the assessment and monitoring of and support for mental health difficulties in CYP with skin conditions (affecting the skin, hair and nails); to address practical clinical implementation questions relating to consensus guidance; and to provide audit and research recommendations. Methods: This set of recommendations was developed with reference to the AGREE II instrument. A systematic review and literature appraisal was carried out. A multidisciplinary consensus group was convened, with two virtual panel meetings held: an initial meeting to discuss the scope of the study, to review the current evidence and to identify areas for development; and a second meeting to agree on the content and wording of the recommendations. Recommendations were then circulated to stakeholders, following which amendments were made and agreed by email. Results: The expert panel achieved consensus on 11 recommendations for healthcare workers managing CYP with skin conditions. A new patient-completed history-taking aid ('You and Your Skin') was developed and is being piloted. Conclusions: The recommendations focus on improved mental health assessments for CYP presenting with a skin condition, with clinical guidance and suggested screening measures included. Information on accessing psychological support for CYP, when required, is given, and recommendations for staff training in mental health and neurodiversity provided. Embedding a psychosocial approach within services treating CYP with skin disease should ensure that CYP with psychological needs are able to be identified, listened to, supported and treated. This is likely to improve health outcomes.
AB - Background: Psychological and mental health difficulties are common in children and young people (CYP) living with skin conditions and can have a profound impact on wellbeing. There is limited guidance on how best to assess and support the mental health of this population, who are at risk of poor health outcomes. Objectives: To provide consensus-based recommendations on the assessment and monitoring of and support for mental health difficulties in CYP with skin conditions (affecting the skin, hair and nails); to address practical clinical implementation questions relating to consensus guidance; and to provide audit and research recommendations. Methods: This set of recommendations was developed with reference to the AGREE II instrument. A systematic review and literature appraisal was carried out. A multidisciplinary consensus group was convened, with two virtual panel meetings held: an initial meeting to discuss the scope of the study, to review the current evidence and to identify areas for development; and a second meeting to agree on the content and wording of the recommendations. Recommendations were then circulated to stakeholders, following which amendments were made and agreed by email. Results: The expert panel achieved consensus on 11 recommendations for healthcare workers managing CYP with skin conditions. A new patient-completed history-taking aid ('You and Your Skin') was developed and is being piloted. Conclusions: The recommendations focus on improved mental health assessments for CYP presenting with a skin condition, with clinical guidance and suggested screening measures included. Information on accessing psychological support for CYP, when required, is given, and recommendations for staff training in mental health and neurodiversity provided. Embedding a psychosocial approach within services treating CYP with skin disease should ensure that CYP with psychological needs are able to be identified, listened to, supported and treated. This is likely to improve health outcomes.
UR - http://www.scopus.com/inward/record.url?scp=85171600161&partnerID=8YFLogxK
U2 - 10.1093/bjd/ljad193
DO - 10.1093/bjd/ljad193
M3 - Article
C2 - 37291902
AN - SCOPUS:85171600161
SN - 0007-0963
VL - 189
SP - 459
EP - 466
JO - British Journal of Dermatology
JF - British Journal of Dermatology
IS - 4
ER -