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newsGP – COVID has had 'profound' mental health impact on mothers – RACGP

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Many women experiencing mental health issues during lockdowns did not access support from GPs or psychologists, new study findings show.

Less than half of a cohort of surveyed women received support from a GP or psychologist for mental health difficulties during the pandemic.

It is no revelation that the mental health and wellbeing of many people has been impacted by the COVID-19 pandemic.
 
However, new findings indicate that for women, particularly mothers, that impact has been ‘profound’.
 
‘The pandemic has highlighted gaps in the current service delivery frameworks, especially for women with limited financial resources,’ social epidemiologist Professor Stephanie Brown said.
 
‘These gaps have resulted in many women in need of mental health support being unable to access mental health services.’
 
Professor Brown is Head of Intergenerational Health at the Murdoch Children’s Research Institute (MCRI) and led the Mother’s and Young People’s Study used to inform a policy brief on the pandemic’s impact on maternal mental health and wellbeing.
 
The prospective cohort study was originally investigating women’s health after childbirth, but expanded to include children and young people’s health and wellbeing, and how it links with their mother’s.
 
It identified that gaps in current health service delivery had widened during the pandemic, resulting in many women being unable to access appropriate services for mental health support.
 
In response, the researchers are calling for further policy action, including an extension of mental health strategies across the whole family.
 
‘It is important to provide multi-service frameworks that enable mothers, fathers, children and young people under 18 to receive appropriately tailored support,’ Professor Brown said.
 
According to an online survey of 418 women conducted as part of the study during Victoria’s second lockdown, almost one in three women reported ‘clinically significant’ mental health issues.
 
Notably, less than half (45%) of these women received support from health professionals, with just one in four talking to a GP or a psychologist.
 
More than half (55%) did not receive any mental health support from primary care or mental health services, and only 4% of women experiencing ‘clinically significant’ depression or anxiety had called a telephone support line.
 
The reported reasons for not receiving support from health professionals included prioritising support for their children’s mental health over their own, psychologists closing their books to new clients/long waiting periods, and a lack of confidence using telehealth.
 
Additionally, women experiencing mental health issues were almost four times more likely to delay their own medical care due to the cost of services.
 
Chair of RACGP Specific Interests Psychological Medicine Dr Cathy Andronis is not surprised by the findings.
 
‘The sense of isolation and disconnection from normal life as a result of the pandemic leaves many vulnerable people feeling abandoned by others and exacerbates underlying negative emotions 
and thoughts, leading frequently to helplessness and hopelessness,’ Dr Andronis told newsGP.
 
‘People give up on asking for help, particularly when there are urgent tasks at hand such as caring for a new baby that is needy night and day, and more helpless than their mother.’
 
The RACGP has recently raised a number of concerns around current Medicare structures for providing mental health care, leading to fragmentation and poor patient outcomes.
 
Acknowledging GPs’ essential place in providing mental health care, the college is lobbying for this space to be properly funded, including by implementing higher Medicare rebates for longer
consultations.
 
And although telehealth has helped expand access to care, Dr Andronis believes it is not always appropriate when it comes to mental health care.
 
‘The lack of human physical connection of telehealth services exacerbates this isolation [experienced by women in the study],’ she said.
 
‘We need real human, face-to-face connection when we are most distressed. Empathy and compassion online or over the phone is usually not as effective or responsive as live consultations.  
 
‘Fear by mothers of bringing COVID into their household was one more major stress that needed to be avoided when they were just coping with the necessary adjustments of the postnatal period.’
 
The Mother’s and Young People’s Study survey cohort also revealed that many women experienced:
 

  • fatigue (53%)
  • anxiety (41%)
  • irritability (33%)
  • sadness (27%)
  • loneliness (21).

 
In January and April 2021, when many restrictions were lifted, 391 women took part in a subsequent survey which revealed that despite reports of these issues being reduced, they remained ‘well above’ pre-pandemic levels.
 
Professor Brown said the findings are expected given the many family disruptions caused by the pandemic.
 
‘Much of the responsibility for remote schooling was shouldered by women,’ she said.
 
‘For some women, this meant giving up their paid job, taking leave without pay or reducing their hours of work significantly.
 
‘The challenges of remote learning were particularly acute for mothers of children experiencing neurodevelopmental conditions such as ADHD or autism, and for women whose children started at a new school just prior to the pandemic.’
 
While underlying mental health issues were exacerbated by the pandemic, one in five women with no prior history of depression also reported ‘clinically significant’ depressive symptoms during the pandemic.
 
One third of women from the study continue to experience significant mental health problems including ongoing fatigue and parenting stress.
 
Professor Brown says these ongoing impacts present further cause for policy action.
 
‘[The] continuing day-to-day effects of the pandemic are likely to have both short- and longer-term impacts on women’s workforce participation, their own mental health and wellbeing, and the mental health and wellbeing of other family members,’ she said.
 
The MCRI policy brief states that the ‘process of healing and recovery from the pandemic will take time’, suggesting GPs will continue to play a major role supporting mothers well beyond the perinatal period for years to come.
 
‘GPs have been the most accessible and available healthcare providers during this pandemic and are likely to continue to be so,’ Dr Andronis said.
 
‘We are able to meet these women in our clinics and offer timely support. We are highly appreciated by vulnerable people when we offer our support and hold hope for them.
 
‘Managing these life events and transitions, collaboratively with patients is something we do well.’
 
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children’s health maternal health mental health pandemic women’s health


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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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