In our work with young people, it is important that we think about the many ways they may have been impacted by COVID-19. According to the Centers for Disease Control (CDC), "Coronavirus disease (COVID-19) can affect adolescents directly and indirectly. Beyond getting sick, many adolescents’ social, emotional and mental well-being has been impacted by the pandemic. Trauma faced at this developmental stage may have long-term consequences across their lifespan."
The CDC offers several briefing papers on how the pandemic has impacted the mental health of young people. They offer 4 papers by age group. Below we include excerpts from Social, Emotional, and Mental Well-being of Adolescents during COVID-19. You can read the complete paper here.
Change in Routines- In addition to everyday steps to prevent COVID-19, physical or social distancing is one of the best tools we have to avoid being exposed to the virus and to slow its spread. However, having to physically distance from someone you love – like friends, boyfriend or girlfriend, family or your worship community – can be hard. Adolescents may struggle when asked to change their social routines – from choosing to skip in-person gatherings, to consistently wear masks in public settings. It is important for adults to help adolescents take personal responsibility to protect themselves and others, as well as support them in safely taking time to connect with friends and family remotely.
Break in Continuity of Learning- School closures due to COVID-19 have meant that adolescents have been participating in learning from home. Online platforms and communities have become essential, as families turn to digital solutions more than ever to support students’ learning. Unfortunately, the immediate need for virtual learning environments brought to light inequity in resources, access and connectivity across families and communities. School closures have also meant a break in access to some essential developmental services like occupational, behavioral, or speech therapy. It could also have impeded continuity in adolescents’ development of athletic or hands-on vocational skills, with potential impacts on their higher education and professional future. It is important to understand how virtual learning could make learning increasingly challenging for students with limited resources or special needs. Moreover, some children may experience anxiety about going back to school in-person or virtually. Some may also experience fatigue from online video conferencing— commonly referred to as “zoom fatigue .”
Break in Continuity of Health Care- Parents may have avoided seeking health care for their adolescents due to stay-at-home orders and may continue to do so because they are afraid of getting sick with COVID-19. This includes important well-child visits, immunizations and oral health care. Additionally, school closures have impacted many adolescents’ ability to receive mental health, speech therapy and occupational health services on campus. It is important to ensure adolescents receive continuity of health care, including continuing mental health, occupational and speech therapies (e.g. via telehealth), and receiving vaccines – including COVID-19, when it becomes available.
Missed Significant Life Events- Physical distancing can feel as if one is placing life on hold. The truth is that the clock keeps ticking. Birthdays, graduations, proms, homecoming, vacation plans, births and funerals are just a sample of the many significant life events that adolescents may have missed experiencing during COVID-19. Social distancing, stay-at-home orders and limits to gatherings have affected their ability to gather in person with friends and family to celebrate or grieve in typical ways. Grief is a normal response to losing someone or something important to you. It is important for family and friends to help adolescents and alternate, creative and safe ways to connect and support each other at a distance.
Loss of Security and Safety- Job loss and lost wages affected the household income of many adolescents’ families during COVID-19. Economic insecurity is consistently linked to adverse development, academic achievement, and health outcomes. It may affect adolescents’ ability to consistently access healthy foods, safe transportation and housing. Mounting economic stressors can increase their risk for exposure to violence. Along with stay-at-home orders during COVID-19, some adolescents may have been increasingly exposed to abuse and neglect, intimate partner violence at home, and sexual violence. Their increased online activity also puts them at increased risk for online harms, such as online sexual exploitation, cyberbullying, online risk-taking behavior, and exposure to potentially harmful content. It is important for parents and other prosocial adults to maintain a trustworthy relationship and open communication with adolescents, watching for behavior changes that may signal distress.
WHAT CAN YOU DO?
Recognize and Address Fear and Stress- Adolescence is a time of big changes. Adolescents can be particularly overwhelmed when stress is related to a traumatic event, expressed as excessive worry or sadness, unhealthy eating or sleeping habits, and difficulty with attention and concentration. Adults can provide stability and support to help them cope, as well as facilitate access to professional help and distress emergency hotlines, as needed.
Teach and Reinforce Everyday Preventive Actions- There are actions we can take to protect others, prevent getting sick and slow the spread of COVID-19. Encourage adolescents to be good role models— if they wash their hands often, stay at least 6 feet apart from others, and wear their masks in public spaces to help protect themselves and others, then younger children – and even their peers – are more likely to do the same.
Help Keep Adolescent Children Healthy- Teach adolescents the importance of taking care of their health. Engage them in scheduling routine check and immunizations visits. Ensure continuity in their mental health and occupational health care. Encourage them to eat healthy, drink water – instead of sugar sweetened beverages – for strong teeth, be physically active, or learn something new. It can help them stay healthy and focused.
Help Adolescents Stay Socially Connected- Encourage adolescents to reach out to friends and family via phone, video chats, social media, or even via video games. Schools may have tips and guidelines to help support their social and emotional needs.
Steps to Help Provide Stability and Support to Adolescents
- Maintain a normal routine
- Talk, listen, and encourage expression
- Give honest and accurate information
- Teach simple steps to stay healthy
- Be alert for any change in behavior
- Reassure adolescents about their safety and well-being