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Building a mass movement for children and young people’s mental

health• Vs Bullying• Vs sexed up• Vs school stress• Vs no help• Vs no work

WHAT’S THE PROBLEM?

At any one time around 1.3 million children will have a diagnosable

mental health disorder.

Although effective treatments are available only 25% of those who need

such treatment receive it.

The key drivers - School pressures–Sexual pressures

- Consumerism–Technology and the online world

–Bullying

–Body image–Poverty–cuts to services including CAHMS–Family breakdown and parental mental health

–Alcohol and drugs

–Violence

–Unemployment

The Facts– Number of children and young people with mental health problems

doubled since 1980’s– Equivalent to 1 in 10, three in every classroom– 1 in 5 young adults show signs of an eating disorder– 1 in 15 self harm and 68% increase in young people admitted to hospital

due to their injuries in last ten years– 85,000 diagnosed with depression– 2 young people kill themselves every day– More than have of adults with mental health problems were diagnosed in

childhood, less than half got the treatment they needed at the time– ¾ of young offenders in prison have a mental health disorder– 60% of looked after children have mental health problems

Investment in mental health services

• Only 6% of the NHS mental health budget is spent on children and young people

• 60% of LA’s have cut or frozen their CAHMS budgets in the last 4 yrs and 77% of CCG’s have cut or frozen their budgets for CAHMS in 2014-5 and 2013-4

• Lack of data on what is spent on MH• Changes to commissioning landscape: NHSE,

CCGs, LAs with Public Health budgets, Schools-whose problem is it?

Impact

– Tier 1 and 2 services devastated– Pushing thresholds towards crisis end– Specialist CAMHS reporting overwhelmed (tiers

3&4)– Schools role and expertise as commissioners

underdeveloped – Gaps in commissioning a comprehensive,

integrated CAMHS service across the whole pathway,

– Transitions from CAHMS to AMHS continue to be really bad

• Stella and Tamanna’s stories-where do services go wrong (and right!) ?

Ideal services-what would they look like?

• 6% isnt enough for prevention/early intervention/treatment • We need parity between physical and mental health services-more than

the sum of our parts• See the whole child/ young person• Embedded in the heart of communities-easy to access• One stop shops-times that suit young people• Self referral and no waiting lists• Wide ranging including digital services, face to face and phone support• Whole school approaches to building resilience and offering support• Training for all who need it as often the frontline when young people’s

problems first arise

Ideal services continued• Variety of interventions-help when young people need it not just when ill

enough• Support for parents• Community outreach teams if problems are serious• Transition stops being a cliff edge• Fast track re entry into services• Learn from good practice• Make experiences and views of young people central to service design and

delivery• Proactive in reaching a range of communities• Appropriate Inpatient provision for those who need it-not adult wards and

not hundreds of miles away!• Supportive emergency services• Appropriate step downs from hospital -1st week from discharge carries

highest suicide risk

• Parents Helpline 0808 802 5544• resources for parents, professionals and

children and young people• www.youngminds.org.uk • Training and development • marcella.verdi@youngminds.org.uk• #gettingthroughit