This week, we continue our Ask a Tinto Expert series with a discussion around children’s mental health with clinical psychologist, Dr Caroline Gibbs. In the podcast, we talk about how the difficulties of the last 18 months have affected our children’s mental health, including how vulnerable children have become even more vulnerable. We cover children’s anxiety and the signs that your children might be struggling, including how children often use physical symptoms, such as a tummy ache, to explain their emotions. We also discuss the best way to access mental health services and the impact children’s mental health can have on parents - and vice versa - and how we can better support them too. Thank you so much for listening. If you’d like to know more about what we discussed, here are some resources that you may find useful Anna Freud – Some very helpful Covid research and support/advice for parents and for professionals - https://www.annafreud.org/coronavirus-support/support-for-mental-health-professionals/ Sutton Trust – Early Years research - https://www.suttontrust.com/our-research/coronavirus-impacts-early-years/ Covid 19 Early Years Research Round-Up - http://www.crec.co.uk/announcements/covid-19-impact-early-years-research-round-up Digestible book aimed at parents whose children are experiencing anxiety: Helping Your Child with Fears and Worries 2nd Edition. Cathy Cresswell and Lucy Willetts – Mental Health Tier System Tier 1: Primary care and first line support: GP, school, nurses, or school-based support e.g. school counsellor Tier 2: This is what we often refer to as early help, but these tend to be more targeted services, so you might have a Child and Adolescent Mental Health Service (CAMHS) service here offering support for mild-moderate mental health difficulties Tier 3: Here you have specialist CAMHS, who would tend to see those with more severe or enduring mental health difficulties, complex: comorbidities. Here you would have an MDT approach, so you might have input from a range of professionals including talking therapists and psychiatry. This is also where specialist CAMHS sits, e.g. eating disorder services, neurodevelopmental assessment services. Tier 4: This is where our inpatient services sit and also what we call outreach services, who aim to prevent children/YP needing an admission and who may therefore offer a more intensive service, for example, several appts a week for a short period until things have settled down a bit.

This week, we continue our Ask a Tinto Expert series with a discussion around pelvic girdle pain with physical therapist, Dr Deborah Riczo. In the podcast, we break down the symptoms of pelvic girdle pain to help you understand any issues you might be having. We also give some tips on how to manage this pain, covering everything from round ligament pain and our pelvic floors to posture, strength and flexibility throughout and after your pregnancy. As always, seek professional advice from your GP or a physiotherapist if you have any unexplained aches and pains during pregnancy. Early intervention is key to keep you moving freely. Thank you so much for listening. If you’d like to know any more about what we discussed, here are some resources that you may find useful. To hear more from Dr Deborah, take a look at the following: WEBSITE - https://riczohealtheducation.com INSTAGRAM: http://instagram.com/RiczoHealthEduca...  FACEBOOK: http://www.facebook.com/RiczoHealthEd...  LINKEDIN: http://www.linkedin.com/in/deborahriczo/  TWITTER: http://www.twitter.com/DebRiczoPT/ Prenatal and Postpartum Exercises and Posture Tips Dr. Deb, physical therapist:Pregnancy & Postpartum Exercises for back, pelvic girdle, hip, leg pain Pelvic girdle pain resource https://pogp.csp.org.uk/system/files/publication_files/POGP-PGP%28Pat%29%28UL%29.pdf Pelvic floor exercises resource https://pogp.csp.org.uk/system/files/publication_files/POGP-PelvicFloor%20%28UL%29.pdf