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The report calls on governments to prioritise early mental health and wellbeing through new comprehensive neighbourhood services, outlines evidence-based interventions, and sets nine recommendations to close treatment and prevention implementation gaps.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & 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REPORT  \nEndorsement and support  \nThis report has been endorsed by the following organisations:  \nAdditionally, this report has received support from the following organisations:  \n● Association of Directors of Public Health  \n● Maternal Mental Health Alliance  \n● PEDAL  \n● Royal College of Obstetrics and Gynaecology  \n● Royal College of Paediatrics and Child Health  \n● School and Public Health Nurses Association  \n● UNICEF UK  \nHow to cite this publication:  \nRoyal College of Psychiatrists (2023) College Report CR238 – Infant and early childhood mental health: the case for action  \n© 2023 The Royal College of Psychiatrists  \nFront cover illustration: © 2023 Gemma Mul reany  \nCollege reports and position statements constitute College policy and have been sanctioned by the College via the Policy and Public Affairs Committee (PPAC) .  \nThe Royal College of Psychiatrists is a charity registered in England and Wales (228636) and in Scotland (SC038369) .  \nContents  \nForeword 4  \nAbout the report 5  \nExecutive summary 8  \nThe importance of childhood early years 8  \nAim of this report 8  \nEarly years mental health treatment, prevention and promotion 9  \nThe implementation gap and required actions 9  \nRecommendations 10  \nIntroduction 12  \nPublic perception 12  \nRationale 13  \nPrevalence and nature of mental health conditions in infants and young children 17  \nRisk and protective factors 22  \nRisk factors 22  \nHigher-risk groups 28  \nProtective factors 29  \nPublic mental health interventions for infants and children under 5 years 30  \nPrimary prevention 31  \nSecondary prevention (treatment of mental health conditions in infantsand young children) 36  \nGroup-based interventions 41  \nProvision of early years/public mental health interventions 44  \nStructure of services and pathways to intervention 47  \nPublic mental health implementation gap 51  \nTreatment gap 51  \nPrevention and promotion gap 52  \nFactors contributing to the mental health implementation gap 54  \nCurrent early years/public mental health policy context 56  \nProposed actions to address the public mental health implementation gap for infantsand young children 61  \nExamples of good practice 63  \nLived experience case example 68  \nTraining 71  \nRole of psychiatrists 71  \nSuggested adaptations of adult mental health provision for parents of babies and young children 74  \nTraining for psychiatrists and professionals from different sectors 74  \nTraining recommendations 77  \nConclusions 78  \nReferences 79  \nAppendix 97  \nForeword  \nThe first five years of life, as well as the pre-birth period and even the time before conception, are crucial to a child’s development and to protecting them from future mental health conditions. All of society has a critical role to play in this, which includes securing children’s positive relationships and supporting their social emotional and cognitive development.  \nEnsuring the home environment is free from stress and that children receive the love, attention and care they need is key to protecting their mental health, including in those with a genetic predisposition to illness. By supporting parents and young children atthe earliest opportunity, we can prevent many mental health conditions from becoming established and continuing into adulthood. This must include the mental health of parents and carers as well.  \nUnfortunately, most babies, under 5s and their parents do not receive the support they need. This results in preventable suffering across the whole population, with negative impacts that can last throughout a person’s lifetime. Many economic costs come along with this too, as children can fail to achieve their potential or may not become the productive, functioning adults they otherwise would have been.  \nLack of intervention to treat or prevent mental health conditions also breaches a child’s right to the best possible mental health und","cbCaipUq7FefiKYw","https://ap.wps.com/l/cbCaipUq7FefiKYw","pdf",2015846,97,"English","# Foreword\n# About the report\n# Executive summary\n## The importance of childhood early years\n## Aim of this report\n## Early years mental health treatment, prevention and promotion\n# Introduction\n## Public perception\n## Rationale\n## Prevalence and nature of mental health conditions in infants and young children\n## Risk and protective factors\n# Public mental health interventions for infants and children under 5 years\n## Primary prevention\n## Secondary prevention\n## Group-based interventions\n# Provision, services, and implementation gap\n## Structure of services and pathways to intervention\n## Treatment gap\n## Prevention and promotion gap\n# Examples of good practice\n## Lived experience case example\n# Training\n## Role of psychiatrists\n## Training recommendations\n# Conclusions\n# References\n# Appendix","[{\"question\":\"Why does the report emphasise the earliest years, including the pre-birth period?\",\"answer\":\"The report states that the first five years of life, alongside the pre-birth period and even the time before conception, are crucial for development and for protecting children from future mental health conditions.\"},{\"question\":\"What problem does the report identify regarding current support for babies and under-5s?\",\"answer\":\"It reports that most babies and under-5s, along with their parents, do not receive the support they need, leading to preventable suffering with effects that can last throughout a person’s lifetime.\"},{\"question\":\"What actions and recommendations does the report propose?\",\"answer\":\"The report calls on governments to prioritise mental health and wellbeing for young children by rolling out comprehensive services in every neighbourhood and region, and it presents evidence-based interventions and nine recommendations to bridge current treatment and prevention gaps.\"}]","College Report CR238 - Infant and early childhood mental health - the case for action - October 2023 | PDF",244]