{"id":49109,"date":"2020-11-26T17:10:40","date_gmt":"2020-11-26T16:10:40","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=49109"},"modified":"2020-12-01T16:34:07","modified_gmt":"2020-12-01T15:34:07","slug":"covid-19-could-prompt-an-end-to-our-continued-betrayal-of-childhood","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/11\/26\/covid-19-could-prompt-an-end-to-our-continued-betrayal-of-childhood\/","title":{"rendered":"Covid-19 could prompt an end to our continued betrayal of childhood"},"content":{"rendered":"

Many children in wealthy countries such as the UK face huge yet avoidable adversities, risk factors for toxic stress and lifelong physical and mental health problems. <\/span>Al Aynsley-Green <\/b>notes how the covid-19 pandemic has compounded this scandal, but presents a chance to reset the baseline and end the betrayal<\/span><\/em><\/p>\n

Our children overall have some of the worst outcomes in the developed world for health, education, social care, justice, and poverty, as my 2018 book <\/span>The British Betrayal of Childhood<\/span><\/i><\/a> documented<\/span>. High levels of childhood adversity can give rise to a toxic stress response, with lifelong implications for physical as well as mental health<\/a><\/span>.<\/span><\/p>\n

My findings were not new. In 2013 the BMA argued that children had been \u201cbetrayed on a grand scale<\/a>\u201d by a lack of political support <\/span>with little changing by 2016<\/a><\/span>.<\/span><\/p>\n

In 2017, the Royal College of Paediatrics and Child Health<\/a><\/span> documented shocking key indicators, including for child mortality, preventable injuries, mental ill health, adverse health behaviours, long term conditions, and family and social environments. Three years later progress<\/a> has stalled or is even reversing<\/span>.<\/span><\/p>\n

The covid-19 response<\/b><\/p>\n

Children seem more resistant to covid-19 infection, but have suffered disproportionately from 2020\u2019s lockdowns<\/a>: school closures, isolation, loss of education continuity, denial of play and sport, with soaring domestic violence, child abuse, and obesity<\/a><\/span>.\u00a0<\/span><\/p>\n

\u201cChildren simply haven\u2019t been at the forefront of decisions,\u201d concludes the current Children\u2019s Commissioner for England<\/a><\/span>. Especially searing are her comments on the plight of children in care<\/a>.<\/span>\u00a0<\/span><\/p>\n

The pandemic has also had deleterious impacts on children\u2019s health services<\/a><\/span>. Particularly vulnerable children, including those with special educational needs<\/a>, disabilities<\/a>, and in the criminal justice system may be faring worst<\/a>.<\/span><\/p>\n

The 1001 Critical Days Manifesto<\/a><\/span> emphasises the powerful economic return from investing in babies, infants, and their families. But the early years sector is at risk of collapse<\/a><\/span>.<\/span><\/p>\n

Far from being a leveller, the pandemic is exacerbating the widening social inequality <\/a><\/span>exposed by Sir Michael Marmot.<\/span><\/p>\n

Prioritise children\u2019s needs<\/b><\/p>\n

The Children\u2019s Society charity<\/a> wants <\/span>the government to put\u00a0<\/span>children’s <\/span>interests at the heart of recovery from coronavirus<\/span> despite children\u2019s needs seemingly forgotten as a government priority, eclipsed by economic concerns of getting parents back to work<\/a>.\u00a0<\/span><\/p>\n

Why does British society have such long standing indifference to children? And why are children being let down so savagely now? We have four fundamental problems.<\/span><\/p>\n

First, unhelpful attitudes towards children and the importance of their start in life are rife in public and political discourse. It\u2019s engrained that families care for their own children, but society does not care enough for other people\u2019s children, especially if they are different or troublesome. Political polarisation of the roles of the state and parents in feeding children was recently laid bare by the footballer Marcus Rashford\u2019s campaign to provide free meals to poor children in school holidays<\/a>.\u00a0<\/span><\/p>\n

Second, untrustworthy politicians and short-term decision making systematically decimated the internationally applauded <\/span>Every Child Matters<\/span><\/i> policy. Every department of state had been obliged to promote five key outcomes<\/a><\/span>. <\/span>Local directors of children\u2019s services provided local coordination, focused on Sure Start Centres, most of which have closed.<\/span><\/p>\n

Who in government now is responsible for children\u2019s needs overall? Who has responsibility for developing joined-up policies to support children?\u00a0<\/span><\/p>\n

Third, the sector lacks coordinated advocacy. Fourth, silos within and between professions, organisations, and government departments are ubiquitous. Individuals and organisations with passion, skills, innovation, and knowledge are waiting to build on what has gone before. But the gap between what is needed and what seems possible is often too daunting.<\/span><\/p>\n

Building local communities with resilient children should be embedded in all policy and practice. Needs should be identified early and interventions made available. This takes inspirational local leadership, as is being developed in Newark <\/a><\/span>and the north east and Cumbria<\/a><\/span>.\u00a0<\/span><\/p>\n

Reasons for optimism<\/b><\/p>\n

The pandemic gives some reasons for optimism. Greater family cohesion, home learning, and imaginative online study can mitigate adversity<\/a>. <\/span>The Co-space Study <\/a><\/span>has shown remarkable resilience in some young people, and we must acknowledge articulate and motivated young people themselves.\u00a0<\/span><\/p>\n

Not all rich countries had similarly dismal outcomes pre-covid-19<\/a>, <\/span>and the Netherlands, Norway, and Denmark may have done best for children during covid-19<\/a>. <\/span>Canada shows how local organisations can map the needs of children and families across health, education, social justice, and poverty<\/a><\/span>.<\/span><\/p>\n

Article 12 of the UN Convention on the Rights of the Child insists we listen to children. We must put their needs at the centre of healthcare services, schools, outdoor space, the built environment, care systems, and courts.<\/span><\/p>\n

Children are the future of the very society that keeps letting them down so badly. As we emerge into a post-covid-19 world, we must rethink the society in which we hope to live. We must reset a better baseline for adversity in childhood to reduce the impact of toxic stress. We cannot allow children to be betrayed again.\u00a0<\/span><\/p>\n

Practical steps to improve outcomes<\/b>\u00a0<\/span><\/p>\n