000			03326nab a22003257a 4500
999			_c7520 _d7520
005			20250625151607.0
008			220224s2022 ||||| |||| 00| 0 eng d
040			_aAFVC
100			_aTso, Winnie W.Y. _eet al _910743
245			_aMental health & maltreatment risk of children with special educational needs during COVID-19 _cWinnie W.Y. Tso, Ko Ling Chan, Tatia M.C. Lee, Nirmala Rao, S.L. Lee, Fan Jiang, Sophelia H.S. Chan, Wilfred H.S. Wong, Rosa S. Wong, Keith T.S. Tung, Jason C. Yam, Anthony P.Y. Liu, Gilbert T. Chua, Jaime S. Rosa Duque, Almen L.N. Lam, K.M. Yip, L.K. Leung, Yuliang Wang, Jin Sun, Guanghai Wang, Godfrey C.F. Chan, Ian C.K. Wong, Patrick Ip,
260			_bElsevier, _c2022
500			_aChild Abuse & Neglect, 2022. First published online, 10 January 2022
520			_aBackground Children with special educational needs (SEN) are more vulnerable during the COVID-19 pandemic with risk of poor mental wellbeing and child maltreatment. Objective To examine the impact of COVID-19 on the mental health of children with SEN and their maltreatment risk. Participants and setting 417 children with SEN studying at special schools and 25,427 children with typical development (TD) studying at mainstream schools completed an online survey in April 2020 in Hong Kong during school closures due to COVID-19. Method Emotional/behavioural difficulties, quality of life and parental stress of children with SEN were compared with typically developed children using mixed effect model. Linear regression analyses were performed to explore factors associated with child emotional/behavioural difficulties and parental stress during the pandemic. Chi-square test was performed to detect the differences in maltreatment risk before and during COVID-19. Results Children with SEN had significantly poorer overall quality of life (68.05 vs 80.65, p < 0.01). 23.5% of children had at least one episode of severe physical assault and 1.9% experienced very severe physical assault during COVID-19. Rates of physical assault increased significantly (59.8% vs. 71.2% p < 0.001) while children with mental disorders had increased risk of severe physical assault comparing to those without mental disorders (RR = 1.58, ꭓ2 = 5.19 p = 0.023). Conclusion Children with SEN had poorer mental health than typically developed children during the COVID-19 pandemic. Maltreatment risk for children with SEN is higher in comparison to pre-COVID-19 era. Surveillance of child maltreatment, continuity of medical and rehabilitation care to support children with SEN are essential during a disease pandemic. (Authors' abstract). Record #7520
650			_aCHILD ABUSE _9103
650			_aCHILDREN _9127
650			_aCOVID-19 _98949
650			_aDISABLED PEOPLE _9196
650			_aMENTAL HEALTH _9377
650			_aPANDEMICS _98950
650		4	_9317 _aPEOPLE WITH LEARNING DISABILITIES
650		4	_9439 _aPHYSICAL ABUSE
650		4	_aPSYCHOLOGICAL ABUSE _9472
650		4	_aRISK FACTORS _9505
651			_aINTERNATIONAL _93624
651			_aHONG KONG _96383
773	0		_tChild Abuse & Neglect, 2022. First published online, 10 January 2022
830			_aChild Abuse & Neglect _94477
856			_uhttps://doi.org/10.1016/j.chiabu.2021.105457 _zDOI: 10.1016/j.chiabu.2021.105457
942			_2ddc _cARTICLE