{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T15:38:02Z","timestamp":1787585882760,"version":"build-2736575974"},"reference-count":30,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T00:00:00Z","timestamp":1721347200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T00:00:00Z","timestamp":1721347200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In low- and middle-income countries (LMICs), including South Africa, there is a paucity of psychosocial support services. Therefore, services are often provided in schools by non-government organisations like Community Keepers (CK). The COVID-19 pandemic and resultant restrictions meant that children and young people\u2019s (CYP) lives changed, negatively affecting their mental health. Further, organisations like CK had to change their working processes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This project compared routinely collected data from CK from 2019 (pre-pandemic) to 2020 (pandemic) to describe the changes that occurred in referral patterns to, and service provision by, CK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Both pre-pandemic and during the pandemic, most referrals of CYP were for emotional\/psychological support and behavioural difficulties. In 2020, referrals for general guidance increased, whilst referrals for peer group issues and sexuality decreased. Further, CK completed more brief check-ins, provided wellbeing workshops to increased numbers of teachers, parents and CYP, and had more consultation sessions with other service providers during the pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Routinely collected data from this community-based service in a LMIC context shows differences in the way that support was provided, and to whom, during the COVID-19 pandemic. Clinical implications, including the importance of increasing access to psychosocial support via technology, are included.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13591045241264861","type":"journal-article","created":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T23:43:15Z","timestamp":1721432595000},"page":"1462-1480","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["The impact of the first phase of the COVID-19 pandemic on referral patterns and therapeutic service provision for children and young people\u2019s psychosocial distress in a Low-or Middle-Income Country: A service evaluation of routinely collected data from a non-government organisation operating in schools in the Western Cape, South Africa"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0242-4530","authenticated-orcid":false,"given":"Emma","family":"Wilson","sequence":"first","affiliation":[{"name":"University of Bath"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0839-3190","authenticated-orcid":false,"given":"Maria E","family":"Loades","sequence":"additional","affiliation":[{"name":"University of Bath"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Human","sequence":"additional","affiliation":[{"name":"Department of Psychology, Stellenbosch University, SA"},{"name":"Community Keepers"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bronwyne","family":"Coetzee","sequence":"additional","affiliation":[{"name":"Department of Psychology, Stellenbosch University, SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hermine","family":"Gericke","sequence":"additional","affiliation":[{"name":"Department of Psychology, Stellenbosch University, SA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerrit","family":"Laning","sequence":"additional","affiliation":[{"name":"Community Keepers"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,7,19]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2022.0249"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12374"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/camh.12495"},{"key":"e_1_3_4_5_1","doi-asserted-by":"crossref","unstructured":"Demkowicz O. Panayiotou M. Parsons S. Feltham A. Arseneault L. Ingram B. Patalay P. Edge D. Pierce M. Creswell C. (2021). Looking back to move forward: Reflections on the strengths and challenges of the COVID-19 UK mental health research response. Frontiers in Psychiatry 12 Article 622562. https:\/\/doi.org\/10.3389\/fpsyt.2021.622562","DOI":"10.3389\/fpsyt.2021.622562"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/26410397.2020.1804717"},{"key":"e_1_3_4_7_1","unstructured":"Devereux S. Hochfeld T. Karriem A. Mensah C. Morahanye M. Msimango T. Mukubonda A. Naicker S. Nkomo G. Sanders D. (2018). School Feeding in South Africa: What we know what we don\u2019t know. 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