Mental health & maltreatment risk of children with special educational needs during COVID-19

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dc.contributor.authorTso, W., Chan, K. L., Lee, T., Rao, N., Lee, S. L., Jiang, F., Chan, S., Wong, W., Wong, R., Tung, K., Yam, J. C., Liu, A., Chua, G. T., Rosa Duque, J. S., Lam, A., Yip, K. M., Leung, L. K., Wang, Y., Sun, J., Wang, G., … Ip, P.
dc.date.accessioned2015-09-24T14:14:24Z
dc.date.available2015-09-24T14:14:24Z
dc.date.issued2022
dc.description.abstractBackground: Children with special educational needs (SEN) are more vulnerable during the COVID-19 pandemic with risk of poor mental wellbeing and child maltreatment Objective: To examine the impact of COVID-19 on the mental health of children with SEN and their maltreatment risk Participants and Setting: 417 children with SEN studying at special schools and 25,427 children with typical development (TD) studying at mainstream schools completed an online survey in April 2020 in Hong Kong during school closures due to COVID-19 Method: Emotional/behavioral difficulties, quality of life and parental stress of children with SEN were compared with typically developed children using mixed effect model. Linear regression analyses were performed to explore factors associated with child emotional/behavioural difficulties and parental stress during the pandemic. Chi-square test was performed to detect the differences in maltreatment risk before and during COVID-19. Results: Children with SEN had significantly poorer overall quality of life (68.05 vs 80.65, p < 0.01). 23.5% of children had at least one episode of severe physical assault and 1.9% experienced very severe physical assault during COVID-19. Rates of physical assault increased significantly (59.8% vs. 71.2% p < 0.001) while children with mental disorders had increased risk of severe physical assault comparing to those without mental disorders (RR = 1.58, ꭓ 2 = 5.19 p = 0.023). Conclusion: Children with SEN had poorer mental health than typically developed children during the COVID-19 pandemic. Maltreatment risk for children with SEN is higher in comparison to pre-COVID-19 era. Surveillance of child maltreatment, continuity of medical and rehabilitation care to support children with SEN are essential during a disease pandemic.en_US
dc.identifier.citationTso, W., Chan, K. L., Lee, T., Rao, N., Lee, S. L., Jiang, F., Chan, S., Wong, W., Wong, R., Tung, K., Yam, J. C., Liu, A., Chua, G. T., Rosa Duque, J. S., Lam, A., Yip, K. M., Leung, L. K., Wang, Y., Sun, J., Wang, G., … Ip, P. (2022). Mental health & maltreatment risk of children with special educational needs during COVID-19. Child Abuse & Neglect, 105457. Advance online publication. https://doi.org/10.1016/j.chiabu.2021.105457en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743505/pdf/main.pdf
dc.identifier.urihttp://hdl.handle.net/11212/2475
dc.language.isoen_USen_US
dc.publisherChild Abuse & Neglecten_US
dc.subjectchild maltreatmenten_US
dc.subjectInternational Resources
dc.subjectHong Kong
dc.subjectCOVID-19
dc.subjectspecial educational needs
dc.subjectmental health
dc.subjectresearch
dc.titleMental health & maltreatment risk of children with special educational needs during COVID-19en_US
dc.typearticleen_US
dc.typeen_US
dc.typeen_US

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