This report confirms many of the issues raised in the Five year forward view for mental health and comments on the difficulties children and young people face in accessing appropriate support for their mental health concerns from a system that is fragmented and where services vary in quality | Care Quality Commission
This report is the first phase of a major thematic review requested by the Prime Minister in January 2017. The Care Quality Commission (CQC) has drawn on existing reports, research and other evidence and its inspections of children and young people’s mental health services, as well as conversations with young people to identify the strengths and weaknesses of the current system.
CQC has found that, whilst most specialist services provide good quality care, too many young people find it difficult to access services and so, do not receive the care that they need when they need it. One young person told CQC that they waited 18 months to receive help.
This report also lays the foundations for the next phase of CQC’s review. Phase two will seek to identify where has there been real change in the system, where change has been slower and what was needed to drive better care.
Education Policy Institute | Published online: November 2016
The Education Policy Institute has identified that specialist mental health services are, on average, turning away 23 per cent, or almost one in four, children and young people referred to them for treatment by their teachers or GPs. We also identified a postcode lottery of waiting times for those whose referrals were accepted.
The Institute’s investigation into progress and challenges in the transformation of children and young people’s mental health care has found wide variation in the quality of local strategies. Under our scoring system, only 15 per cent of local areas were found to have ‘good’ plans. We also identified significant barriers to progress. For example, 8 out of 10 providers face recruitment difficulties, and there has been an 80 per cent increase in expenditure on temporary staffing in the last two years.
This document aims to provide a snapshot of the most recent and salient evidence from published research and grey literature, as relevant to children and young people living in England in 2016. It addresses children and young people’s emotional and mental health difficulties as they manifest and are responded to, highlighting and exploring gender-related issues behind observed patterns across areas of mental health.
This rapid review presents evidence of clear gender differences in children and young people’s emotional and mental health, in terms of:
1. the general picture of children and young people’s emotional and mental health
2. the prevalence of specific difficulties and issues among children and young people
3. children and young people’s coping strategies and help-seeking behaviours
4. responses to children and young people’s emotional and mental health needs from parents and carers, schools, and public services
5. service responses to the needs of some particular groups of children and young people.
Summary of the key messages: Mental health and wellbeing in childhood – why it matters
Pregnancy and early years: critical to a child’s long-term development. Early interactions directly affect the way the brain develops and so the relationship between baby and parents is vital.
Five to 10: once a child has fallen behind in the early years they are more likely to fall further behind than catch up.
11 to 25: those with mental health and conduct disorders are twice as likely to leave school without qualifications.
One in four babies live in households affected by domestic violence, mental illness or drug and alcohol problems.
One in five mothers suffer from depression, anxiety or in some cases psychosis during pregnancy or the first year after birth. Teenage mothers are three times more likely to suffer from post-natal depression.
The cost to the economy is estimated at £8.1 billion for each annual birth cohort – that’s almost £10,000 per baby. Nearly three quarters of that is linked to the impact on the child.
Three quarters of mental health problems develop before the ages of 18.
YoungMinds along with the Royal College of Psychiatrists and the Children and Young People’s Mental Health Coalition today launch a Commission to improve mental healthcare provision for children and young people.
The Commission, chaired by Baroness Claire Tyler, focuses on what really matters to the children and young people who rely on the support of Children and Adolescents Mental Health services (CAMHS). It enforces the importance of involving young people, their parents and their carers alongside CAMHS professionals, partner agencies and commissioner when developing how these services are delivered.
Final recommendations from the Commission include:
Recommendations for service providers, commissioners and managers on improvements to the current service, based on updated core values
Recommendations on training requirements for service providers, commissioners and managers
Recommendations for the education and training of CAMHS staff
Recommendations for key UK health organisations including Department of Health, NHS England and the devolved assemblies’ Health Services and Departments of Health
Mental health of 11-year-old children living in the UK
The report finds that about one in ten (10.3 per cent) 11-year-olds in the UK has a mental health problem according to parents – or eight percent as reported by teachers, with symptoms including hyperactivity, conduct problems and peer problems as well as emotional problems.
The report shows that children from the lowest income families are four times more likely to have mental health problems than those from the highest earning backgrounds. It also suggests that not living with both natural parents is associated with mental health problems in children. Geography too has an impact – 11-year-olds in Scotland have a significantly lower prevalence of hyperactivity and peer problems than those in the rest of the UK.