Children needing NHS mental health services 'must be seen in four weeks'

All children needing NHS mental health services must have a guarantee to be seen within four weeks, or the next day for those at risk of self-harm and suicide, according to a new report.

The study, from the Commission on Young Lives, which is chaired by former children's commissioner for England Anne Longfield, said the current system is buckling under pressure and called for a huge cash injection.

It criticised the fact NHS services often reject referrals for help, including for children who have self-harmed, tried to commit suicide or have eating disorders, while there are long waits for those who do make the list.

It called on the Government and the next Prime Minister to sign up to a five-to-10-year strategy with an immediate £1bn cash injection to improve support for youngsters with "guaranteed appointment and treatment times".

This means a national guarantee that all children and young people requiring NHS Child and Adolescent Mental Health Services are seen within a four-week period, "with guaranteed next-day emergency appointments for children at risk of serious self-harm and suicide".

The report said access to mental health services remains a "postcode lottery", with a recent survey from YoungMinds finding 76% of parents saying their children's mental health deteriorated while waiting for help.

Furthermore, in 2020/2021, just 23% of children referred to NHS services actually started treatment within four weeks, it added.

This is against a huge rise in the demand for help, with areas such as eating disorders among those seeing a surge.

In March 2022, 90,789 young people were referred to NHS children and young people's mental health services, the highest figure since records began.

The report said:

"YoungMinds told us of two particularly harrowing examples of young people who had attempted suicide but had still not been able to access NHS children and young people's mental health services (CYPMHS).

"We heard about one teenage boy who was discharged from hospital after trying to take his own life, but after 10 days nobody from mental health services had been in touch.

"A young woman was admitted to A&E by ambulance following a suicide attempt but was discharged 12 hours later. Her family contacted mental health services every day for over a week but did not receive any follow up appointment or phone call."

Overall, one in six children aged six to 16 has a probable mental health problem - a "huge increase" from one in nine in 2017, the report said.

It highlighted those who are more likely to suffer poor mental health, with half of all children in care meeting the criteria for a possible mental health disorder, compared with one in 10 outside the care system.

It comes as we continue our Charley's Campaign, along with Jay Patterson.

Her daughter Charley, who was 12 years old and from Cramlington, took her own life after being told she may have to wait years to be seen.

Jay says it's vital for those at risk of self harm or suicide to be seen the next day:

"It can happen so quickly and unfortunately once they've got that thought into their head, that's all they can think about.

"They do it because they want the pain that they are feeling to end and it's the only way they can see out of it.

"Having somebody to talk to as soon as they feel like that can be so beneficial".

"A regular part of their professional lives."

Children from LGBTQI+ groups are also "disproportionately affected", as are those with special educational needs and disabilities, and children from black, brown and minority ethnic backgrounds.

Furthermore, children in poverty are more likely to suffer and "feel as though no one and/or no service cares about them".

In a foreword to the study, Ms Longfield described "a very profound crisis in children and young people's mental health in England."

She said the Covid pandemic had a major impact, and school leaders, youth workers and people working in children's services "have told me that dealing with students who self-harm and make suicide attempts is now a regular part of their professional lives".

Among the recommendations are a guaranteed mental health assessment for children and young people at points of vulnerability, such as those entering care, and a bigger focus on increasing staffing across all services.

There should also be a national implementation programme to embed a "whole school and college approach to mental health", with a Government commitment to provide a funding package for mental health support teams beyond 2023/24.

The study warns that failing to support young people with mental health problems could lead to more behavioural incidents at school, a rise in exclusions, and more children becoming at risk of grooming and exploitation.

The report also called for a "national social prescription scheme in every area that enables GPs and health professionals to pay for sports, arts, music, drama, activities, youth clubs, volunteering, and outlines to improve young people's confidence and self-esteem."

Ms Longfield said: "The children's mental health emergency in England is so profound that we face a generational threat to our country's future national prosperity and success.

"The overall response from the Government to this children's mental health crisis has so far been too slow and inadequate, and we are failing to support hundreds of thousands of children with mental health problems."