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Contribution title The effect of Covid-19 on ASD referrals to Child and Adolescent Mental Health Services
Contribution code D3.031
Authors
  1. Patrick Fitzpatrick Presenter
  2. Ankita George
  3. Fionnuala Lynch
  4. Fiona McNicholas University College Dublin
Form of presentation Poster
Topic
  • T04 - ASD
Abstract Aims:
The COVID-19 pandemic has significantly impacted youth mental health, leading to increased referrals internationally for conditions such as anxiety, self-harm, and eating disorders. This study reports on the impact of the COVID-19 pandemic on referrals to Child and Adolescent Mental Health Services (CAMHS) in Ireland, focusing on General Practitioner referrals and the specific trends observed in ASD cases.

Methods:
All accepted referrals (N=962) to a Dublin-based CAMHS between January 1, 2019, and June 30, 2023, were analysed. This timeframe encompassed pre-pandemic, pandemic and post pandemic times. Referral letters were anonymised in batches, and information was extracted directly onto a designated proforma.

Results & Conclusions:

Post pandemic there was significant increases in referrals for anxiety (43.0% v. 78.2% p =.004), self-harm (18.5% v. 36.3%, p < .001), and eating disorders (0% v. 6.2%, p < .001).
Despite concerns for youth with ASD, linked to change in routine, lack of respite and school support, referrals for ASD decreased during the pandemic and did not return to pre-pandemic levels (26.5% vs 18.7, p =.008). This decline may be linked to the introduction of a new disability team ASD pathway in Ireland, which could have altered referral patterns. It is possible that the return to school, blended online learning and telehealth may have had beneficial effects for youth with ASD.
The study highlights a concerning continuous decline in ASD referrals after the COVID-19 pandemic, suggesting potential unmet treatment needs. Ongoing monitoring and tailored mental health support are essential to address these challenges in the post-pandemic era.