SLPSurveyJournal of autism and developmental disorders2023

Silver linings of the Covid-19 pandemic… for some! Comparing Experiences and Social demographic characteristics of autistic and non-autistic children with SEND in England.

Susana Castro-Kemp, Arif Mahmud Orcid

PMID 35945387

WHAT IT FOUND

Parents did not report different lockdown effects on mental or physical health for autistic versus other SEND children.

Some parents who reported no detrimental effect described reduced school stress, calmer children at home, and more family support.

Key findings

01Parent-reported detrimental effects of school closures on child mental health, child physical health, and parent physical and mental health did not differ between Autistic children and other SEND children.

0254.2% of parents reported a detrimental impact of lockdown on their child's mental health, 50.6% on physical health, and 62.7% on their own physical and mental health.

03For Autistic children whose parents reported no detrimental effect on child mental health, reduced stress and anxiety was the most frequent theme (8 meaning units), and family support and safety was the second most frequent theme (7 meaning units).

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The sample was a convenience sample of 83 parents recruited through social media and author networks, so it may not represent all families with SEND in England. All outcomes were parent-reported; the study did not measure children's own stress, wellbeing, or physical health directly. The sample was small, and ethnicity was excluded from regression because of low numbers and unequal distribution, so demographic effects may be unstable. The survey asked about the spring 2020 school closures and early reopening, so it reflects one period of the pandemic and cannot show longer-term effects. Qualitative themes came only from parents who reported no detrimental effect and who answered open-ended questions; some responses were not applicable and were excluded. Children in the Autistic and other SEND groups were not matched on co-morbidities or objective functioning, and English SEND records do not provide official functioning data, so groups may have been more similar than labels suggest. Socio-economic status was estimated from postcode deprivation, not individual family income.

The easy way to misread this

Do not read the reported silver linings as evidence that lockdown improved outcomes for autistic children. The study was a small convenience survey of parent reports, and no difference was found between autistic and other SEND children in reported detrimental effects on mental or physical health.

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