Tag: CAHMS

Edinburgh Children’s Hospital Charity: ‘No Time To Wait’

Charity head: New children’s mental health service has “the potential to be transformational”

  • ECHC reports promising data showing children and families benefiting from ‘The Haven’ 
  • No Time To Wait pilot service attracts almost 1,300 visits in first six months  

A new pilot service set up to tackle the mental health crisis facing children and young people in Scotland has released promising data showing the numbers benefitting from its service in the first six months of operating. 

Developed by Edinburgh Children’s Hospital Charity (ECHC), ‘The Haven’ wellbeing and resilience service opened at The Fraser Centre in Tranent in September 2023. It is the first centre to open under the Charity’s ‘No Time To Wait’ strategy.

The Haven aims to support families with children struggling with their mental health and prevent problems escalating to the point where professional intervention is needed.

It is open for three afternoons a week and has attracted 1,264 visits in the first six months. 

Roslyn Neely, CEO of ECHC said: “Children and young people in Scotland are in the midst of a mental health crisis, a crisis which doesn’t just impact the child, but the whole family who feel they have nowhere to turn. 

“We are staggered by the number of people we have been able to support through The Haven, and the impact the service has had on young people and their families. It really does have the potential to be transformational.

“We truly believe there is no time to wait. Allowing the mental health crisis to escalate just wasn’t an option.”

The service was developed in response to ECHC’s research which found that over half (59%) of Scottish families have a child who has experienced a mental health concern. It is hoped the service will be scaled and delivered in community settings and available to all children struggling with their mental health, and their families, across Scotland.

The Haven is open to any child or young person with a mental health concern, and any member of their family, including parents, carers, siblings and grandparents. It offers support in a relaxed and informal setting and provides interventions including family support groups, signposting, fun activities and a drop-in service for those who may just need a cup of tea and a listening ear.

Roslyn Neely added: “While we are humbled by the results of the first six months, this is just one pilot service in one small town. We want to see a Haven available for every child who needs it, in every community.”

The Haven is being piloted in Tranent for two years to ascertain the scale of demand. It is modelled on the charity’s existing Hospital Hub, which delivers very similar interventions to children and families visiting Edinburgh’s Royal Hospital for Children and Young People (RHCYP).

At its best, The Haven may negate a family’s need for future access to medical support, alleviating the pressures on Scotland’s CAMHS.

Fiona O’Sullivan, Director of Children’s Wellbeing at ECHC, said: “The Haven exists to support the whole family; the child, the parent, the grandparent, the auntie, the carer, whomever is closest to the child in need. 

“We have supported people suffering from a range of issues including anxiety, depression, self-harming, challenges with education and school attendance, and eating disorders. Without any medical intervention we have provided young people and their families coping mechanisms to deal with these issues, and crucially, we are seeing positive results.”

Coalition calls for political consensus as more than 460 children wait more than a year for mental health treatment

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, is calling on all Scotland’s political parties to come together and make mental health a key focus.

The call comes as new waiting time figures out yesterday (6th June), highlight that 469 children and young people had been languishing on waiting lists for more than a year for treatment from child and adolescent mental health services (CAMHS) at the quarter ending March 2023.1

Indeed, just 74.2 per cent of patients with mental health problems were seen within 18 weeks of referral to CAMHS, with more than a quarter waiting longer than this time. This is short of the Scottish Government’s waiting time target of 90 per cent being seen within 18 weeks. 1

The new figures indicate that it has failed to deliver a key pledge to clear waiting lists by March 2023, as outlined in the NHS Recovery Plan.2

Figures also show that as many as 7,701 children and young people were still stuck on waiting lists to start treatment at the end of the quarter ending March 2023, an increase of 138 on the previous quarter ending December 2022.

The new figures are set against the backdrop of a mental health emergency, which is set to worsen given the cost-of-living crisis and services already at breaking point.

The SCSC is calling on a cross party approach to prioritise spending on mental health, avoiding a potential lost generation of children and young people with mental health problems, such as anxiety, depression and self-harm.

Even before the Covid-19 pandemic, cases of poor mental health in children and young people were at unprecedented levels, with under-resourced services struggling to keep pace with growing demand, leaving an increasing number of vulnerable individuals unable to access support. Children and young people are still battling with the long shadow of lockdown, and the rising cost of living is adding to the pressure.

A spokesperson for the SCSC commented: “The latest figures highlighting that more than 460 of our children and young people have been languishing on waiting lists for treatment more than a year is extremely alarming.

“Disturbingly, this means that the Scottish Government has totally failed to achieve its pledge to clear waiting lists by March 2023, leaving many thousands of children and young people waiting for treatment.

“Even before the Covid-19 pandemic demand for already overstretched and under-resourced mental health services was increasing. The mental health of our children and young people has deteriorated markedly over the past decade, and both the pandemic and the cost-of-living crisis are making matters even worse, creating a potential lost generation of vulnerable children and young people.

“We are facing a mental health emergency and many of our children and young people are at breaking point, with stress and anxiety reaching alarming levels as they battle with the long shadow of lockdown and the rising cost of living.

“We must make the delivery of adequately resourced mental health services for our children and young people an absolute priority and would urge all of Scotland’s political parties to come together and make this a reality.” 

1 Public Health Scotland, Child and Adolescent Mental Health Services: Waiting Times in Scotland, Quarter Ending December 2022, 7th March 2023. Dashboard. Available at: https://publichealthscotland.scot/publications/child-and-adolescent-mental-health-services-camhs-waiting-times/child-and-adolescent-mental-health-services-camhs-waiting-times-quarter-ending-december-2022/

2 Scottish Government, NHS Recovery Plan, 25th August 2021. Available at: https://www.gov.scot/publications/nhs-recovery-plan/pages/9/ (accessed 2nd September 2021).

NHS Lothian launches innovative digital Wellbeing Hub

NHS Lothian Children’s Services is giving thousands of children and young people across Scotland access to important wellbeing resources with the launch of a new digital Wellbeing Hub.

Following the launch of the new Children’s Services website, a Wellbeing Hub has been developed to provide an interactive, engaging platform with expert support for young people aged 12–17 in Scotland. A children’s section for 5–11-year-olds has been launched at the same time.

The Wellbeing Hub was designed in collaboration with 10 key partners including CAMHS, the Children’s Rights Commissioner for Scotland, Young Scot, Chalmers Sexual Health Services, and Sleep Scotland who were all instrumental in providing outstanding resources and offering guidance in the development of a Wellbeing Hub that would be fit for purpose for children and young people across Scotland.

The new hub features a wealth of information to support a young person’s physical and mental wellbeing with topics such as anxiety, body image, social media, sleep, healthy relationships and consent featuring on the website.

The Wellbeing hub also incorporates Children’s Health Scotland’s SMS self-management service, advice about drugs, alcohol and tobacco, and support for young carers.

Young people will be able to access tools and resources, including top tips, videos and animations to help manage their own wellbeing.  With an increasing focus on the benefits of youth work, the Hub also includes a tool to ‘Find a Youth Club’ along with how to speak to a youth worker while in hospital.

NHS Lothian worked with Passion4Social, a social enterprise that nurtures the talent of people with disabilities, to develop and build the site with funding made available through Edinburgh Children’s Hospital Charity.  

Zoe Paige, Project Manager, Children’s Services, NHS Lothian, said: “Protecting and providing for the wellbeing and health of children and young people is a priority for the Children’s Services at all times and we know that there is a growing need for people to have digital choices if they are struggling and need to reach out, and the pandemic has only made this need more urgent. 

“Colleagues and partners have been eager to bring helpful content together and make our Wellbeing Hub a reality.  It was really important that we made our Wellbeing Hub as engaging and interactive as possible.

“The Wellbeing Hub encourages young people to feel empowered to seek out information on many things they might be struggling with or need advice online within a few clicks.

“The Children’s Services team at the RHCYP are always looking for ways to improve access to wellbeing support and we’re proud to continue to expand our Children’s Services website to support children and young people and their families. We have ambitious plans for its continued development.”

Professor Cathy Richards, Lead Clinician and Head of Psychology at CAMHS, said: “At CAMHS, we are thrilled that children, young people and families in the Lothians and across Scotland will benefit from access to the Wellbeing Hub.

“Young people who use the new platform can access mental health resources and information that are designed to keep them engaged and they can find recommendations for additional resources based on their needs.  

“The new hub contains information that has been created or recommended by the NHS Lothian CAMHS Psychology team. This includes some newly developed online information sessions for parents on supporting children with anxiety and access to computerised CBT.” 

Leanne Hughes, Communications Officer, Healthy Respect (Chalmers Sexual Health Services), said: “Young People can sometimes be embarrassed or unsure about accessing Sexual Health Services.

“We hope that the Wellbeing Hub will help to normalise using our services and highlight what is available locally for those 13+. The hub signposts to key Sexual Health information and resources in a way that makes sense to young people.” 

Bruce Adamson, Children and Young People’s Commissioner Scotland, said: “Children and young people have the right to good healthcare, to have decisions made in their best interests and to be a part of those decisions. They should also get all the information needed to make choices about care. 

“Good healthcare means that children can get the care they need, when they need it and that adults support them to get all of their human rights. The Wellbeing Hub will help children grow in confidence and understanding about the rights that they are entitled to in healthcare settings and will signpost them to extra support.”

Alyson O’Brien, Sleep Services Manager at Sleep Scotland, said: “Sleep Scotland is delighted to be working with the Wellbeing Hub.

“Children’s Services are committed to the health and wellbeing of children and young people in Scotland, and we wanted young people to understand that a lack of sleep can be detrimental to their physical and mental wellbeing.”

Find out more information on @LothianChildren. These channels will share the latest news and updates from the Wellbeing Hub.

Call for Scottish budget for mental health as figures show over 1,900 children have been waiting over a year for treatment

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of children’s services, has called for a Scottish Budget for mental health. It urged greatly increased investment in mental health services against a backdrop of concerns over a mental health pandemic as the impacts of Covid-19 on the young become clearer.

The call comes as new figures published today (7th December 2021) from Public Health Scotland indicate that at the end of September 2021, 1,978 children and young people had been waiting over a year for treatment from specialist child and adolescent mental health services (CAMHS) provided by the NHS.

This figure represents a doubling from September 2020 (959).They also represent 16.7 per cent of those waiting for specialist treatment. 

With already under-resourced and overstretched services facing overwhelming pressure due to increased demand, the SCSC has raised concerns over a potential “lost generation” of vulnerable children and young people whose mental health is being impacted by Covid-19. 

Even prior to the pandemic cases of poor mental health were at unprecedented levels and in crisis, and there are a growing number of vulnerable children who cannot access adequate support.

While 3,792 children and young people were treated over the period July to September 2021 by CAMHS, only 78.6 per cent were seen within the Scottish Government’s waiting time target for the NHS of 18 weeks from referral to treatment (met for at least 90 per cent of patients). Nine out of 14 health boards failed to meet this target.

Waiting times (with adjustments) for people who started their treatment from July to September 2021, by NHS Board of treatment.

Health boardTotal number seen% seen within 18 weeks
NHS Scotland3,79278.6
NHS Ayrshire & Arran38199.5
NHS Borders7755.8
NHS Dumfries & Galloway8133.3
NHS Fife34083.8
NHS Forth Valley8764.4
NHS Grampian39294.9
NHS Greater Glasgow & Clyde Valley1,02175.5
NHS Highland17076.5
NHS Lanarkshire18368.3
NHS Lothian66167.9
NHS Tayside35284.1
NHS Island Boards47100.0

In addition to increased investment in mental health services through a Scottish Budget for mental health, the SCSC has called for a renewed focus on expanded prevention and early intervention services, reducing the need for referral to costly specialist CAMHS.

It has also called for greater partnership working between the public, private and third sectors as well as greater awareness of the services on offer, especially those at a community level.

A spokesperson for the SCSC commented: “We are urging the Scottish Government to make the forthcoming budget a Budget for mental health for our children and young people.

“For some time we have raised concerns over a potential lost generation of vulnerable children and young people, whose mental health is being impacted even further by the Covid-19 pandemic.  It is more important than ever that children can access the support they need, when they need it, irrespective of where they live.

“To achieve this there must be a radical transformation of our mental health services, investing in specialist services and with a focus on preventing such problems arising in the first place and intervening early.

“This is a crisis we can overcome, but it will require a similar energy and commitment to that demonstrated for Covid-19 if we are to achieve this and prevent many young people giving up on their futures.”

Holyrood Committee launches inquiry into health and wellbeing of children and young people

An inquiry has been launched into the health and wellbeing of children and young people by a Scottish Parliament Committee.

The Health, Social Care and Sport Committee is seeking to find out the key issues around health and wellbeing for children and young people in Scotland. They will investigate what the challenges and opportunities are for improving their health and wellbeing, and how addressing poverty can lead to improved health and social care outcomes.

The inquiry will focus on 4 key areas:

• Child poverty (including the Scottish Government’s current child poverty delivery plan), inequality and adverse childhood experiences;
• Issues affecting care experienced young people;
• Mental health, access to Child and Adult Mental Health Services (CAMHS) and the importance of early intervention;
• Health and wellbeing in schools

Speaking as the inquiry launched, Gillian Martin MSP, Convener of the Health, Social Care and Sport Committee, said: “There are a whole host of factors which impact the health and wellbeing of our children and young people, and our Committee will consider these in detail.

“The physical and mental toll of the pandemic on children and young people cannot be overstated and we know that prior to this pandemic there was already a high and
increasing demand for youth mental health services in Scotland.

“As we emerge from the pandemic and with the Scottish Government’s current child poverty delivery plan due to run until 2022, our inquiry comes at a pivotal time. We are determined to find out how children and young people can best be supported to live healthy and flourishing lives.”

You can let the Committee know your views here: 

Inquiry into the Health And Wellbeing of Children And Young People – Scottish Parliament – Citizen Space

The call for views will close on 7 December 2021.

More funding for Child and Adolescent Mental Health Services

Support for children and young people with mental health issues

Funding of £10.83 million has been allocated for the remainder of this year to help improve access to Child and Adolescent Mental Health Services (CAMHS).

The investment will also increase the numbers of trained professionals to support children and young people with neurodevelopmental support needs.

The allocation is part the of £120 million Mental Health Recovery and Renewal Fund announced in February 2021, and will help to deliver a number of improvements, including:
· improve access to CAMHS assessments out of hours
· help to put in place specialist regional CAMHS services including those with learning disabilities and those requiring secure care
· Help provide access to CAMHS Intensive Home Treatment Teams
· Support mental health liaison teams within paediatric services.

The Recovery and Renewal Fund supports many mental health measures contained in the Programme for Government.

Other policies include extra support for health and care staff, completion of the commitment to recruit 800 additional mental health workers this year and a pledge that at least 10% of frontline NHS spending will go towards mental health over this parliament.

Mental Wellbeing and Social Care Minister Kevin Stewart, who announced the allocation during a visit to the Young People’s Inpatient Unit at The Royal Hospital for Children and Young People Edinburgh said: “I am pleased to announce the allocation of £10.83 million health boards to support children and young people with mental health issues, and those with neurodevelopmental support needs.

“This funding will lead to substantial improvements in the mental health care that children and young people receive in Scotland, ensuring that the right support is available in the right place at the right time.

“We know the pandemic has had a negative impact on many people’s mental health – whatever their age or circumstances. That is why we committed £120 million to the recovery and renewal of mental health services in this year’s Programme for Government. I hope that the allocation I have announced today makes a real and lasting difference to children, young people and their families.”

Joanna Barrett, Associate Head of Policy for the Devolved Nations, NSPCC Scotland, said: “Before the pandemic hit, thousands of children referred to mental health services in Scotland were having to wait unacceptable periods of time for treatment to begin.

“The profound impact of the conditions of the past 18 months on children has compounded this by increasing the need. Our Childline counsellors have heard from children struggling with loneliness and isolation, worries about education, abusive home environments and suicidal feelings.

“This funding by the Scottish Government to address young people’s mental health is therefore crucial. However, this investment must go alongside more preventative efforts, including the provision of mental health support in schools, to ensure children get the help they need before reaching crisis point.”

More than 1,500 children have been waiting over a year for mental health treatment

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of children’s services, has called for the Scottish Government to urgently increase mental health spend in its budget.

The call comes as new figures published today (2nd March 2021) from Public Health Scotland indicate that at the end of December 2020, 1,560 children and young people had been waiting over a year for mental health treatment.

These figures are the worst on record and represent a near tripling from December 2019 (589).

The SCSC has urged greatly increased investment in services for children and young people to tackle a current mental health pandemic. It has also called for a ‘national crusade’ as referrals begin to return to pre-lockdown levels.

The call comes amid growing concerns over a ‘lost generation’ of vulnerable children and young people, whose mental health is being impacted by the pandemic.  Even prior to the pandemic cases of poor mental health were at unprecedented levels and there are a growing number of vulnerable children who cannot access services.

However, just over 50p in every £100 of the NHS budget is being spent on specialist child and adolescent mental health services (CAMHS). A frighteningly low figure even though mental health services are literally creaking at the seams due to greatly increasing demand.

The figures from Public Health Scotland also indicate that only four Scottish health boards are meeting the Scottish Government’s waiting time target of 18 weeks from referral to treatment over the quarter to December 2020. One out of four individuals are not being seen within this already lengthy 18-week target.

While 4,091 children and young people were treated over the period October to December 2020 by child and adolescent mental health services (CAMHS), only 73.1 per cent were seen within the 18-week waiting target and only four health boards met this target.

In addition, 332 had been waiting over a year prior to treatment, compared with 272 in the same quarter the previous year.

The SCSC has warned that mental health services will face an overwhelming and unprecedented pressure due to pent-up demand created by the Covid-19 lockdown, coupled with a cut in youth support services. This could potentially lead to a ‘lost generation’ of vulnerable children and young people who are missing out on the support they vitally need.

The SCSC has also called for a renewed focus on prevention and early intervention and greater partnership working between the public, private and third sector. The coalition has also urged that greater awareness is made of the services on offer, especially those at a community level.

A spokesperson for the SCSC commented: “These latest figures are deeply troubling and point to a highly challenging environment for both our young people and our mental health services.

“We welcome the fact that the Scottish Government is intending to invest more than £1.1 billion in mental health services overall, but significantly greater funding is needed to address the current crisis facing our children and young people.

“While referrals are beginning to return to pre-lockdown levels, it is vital that children and families are provided with the support they so desperately need, especially given the impact of the pandemic on mental health. The fact that more than 1,500 of our most vulnerable children have been waiting more than a year for treatment in this respect is deeply disturbing.

“We would urge the Scottish Government to look to not just the NHS, but the third sector and other private sector organisations to play a key role in this, renewing its focus on prevention and early intervention.

“Our mental health services must receive the funding they vitally need or we face having a ‘lost generation’ of vulnerable children and young people.” 

Call for Scottish budget to address mental health pandemic for children and young people

A coalition of leading independent and third sector children and young people’s service providers has called on the Scottish Government to deliver a “budget for mental health” this afternoon.

The call from campaign group, the Scottish Children’s Services Coalition (SCSC), comes in advance of today’s Scottish Budget and Children’s Mental Health Week (1st-7th February). It comes amid growing concerns over a potential lost generation of vulnerable children and young people, whose mental health is being impacted by the pandemic. 

The SCSC has urged greatly increased investment in services for children and young people to tackle a current mental health pandemic and called for a national crusade to address this.

COVID-19 has had a devastating impact on young people’s mental health and wellbeing, with the recent Prince’s Trust long-running annual survey of young people’s happiness and confidence returned the worst findings in its 12-year history. It found that more than a quarter (26 per cent) say that they feel unable to cope with life since the start of the pandemic.

In addition, half of the young people interviewed said that their mental health has worsened, with more than half (56 per cent) said they always or often felt anxious. 1

Even prior to the pandemic cases of poor mental health were at unprecedented levels, representing one of the greatest health challenges of our time, and there is a growing number of vulnerable children who cannot access services. With a new lockdown and a return to home schooling, even some children who would not have accessed children’s mental health services normally will need support this year.

However, just over 50p in every £100 of the NHS budget is being spent on specialist child and adolescent mental health services (CAMHS). A frighteningly low figure despite the fact that mental health services are literally creaking at the seams due to greatly increasing demand. 

Research indicates that 10 per cent of children and young people (aged five to 16) has a clinically diagnosable mental health problem (around three in every classroom) – however, it should be noted that these figures are some years out of date and it is widely believed that numbers have increased and will increase further given the impacts of COVID-19.

Recent statistics however point to the fact that only one health board in Scotland is treating children and young people within an 18-week waiting time and more than 1,000 have been waiting over a year to be treated.

The SCSC has also called for greatly increased investment in services and for a renewed focus on prevention and early intervention. This includes on-demand counselling services in GP surgeries and greater community support generally, reducing the need for referral to under-pressure specialist CAMHS. 

A spokesperson for the SCSC said: “Our children are remarkably resilient, but the statistics on the mental health of our young people does create a compelling case for a national crusade to address what is a mental health pandemic representing one of the greatest public health challenges of our time.

“We are urging the Scottish Government to make the forthcoming budget a budget for mental health for our children and young people. Unless the government takes urgent action to improve access to services, this young generation will be destined for a future of mental ill health, with a resultant societal impact. 

“There must be significantly increased investment in and greater collaboration between the public, private and third sectors to deliver adequate mental health support. We must also use this as an opportunity to radically transform our mental health services, both for now and for the future, refocusing on prevention and early intervention.

“This mental health crisis is one we can address, but it will require a similar energy, drive and commitment to that which was demonstrated for COVID-19 if we are to achieve this and prevent this generation of young people giving up on their futures – and themselves.”

Mental health ‘perfect storm’ for young people

As schools reopen, the Scottish Children’s Services Coalition (SCSC), an alliance of leading independent and third sector providers of children’s services, has warned of a mental health “perfect storm” for children and young people.

The warning comes on the back of figures obtained by BBC Scotland via an FOI request which indicate that the number of referrals for child and adolescent mental health services (CAMHS) has dropped by a staggering 57 per cent* between April and June 2019 and April and June 2020.

These range from a 28 per cent fall in requests for NHS Orkney to 80 per cent in NHS Dumfries and Galloway. NHS Lothian reported a drop of 48%.

The SCSC has warned that mental health services will face an overwhelming and unprecedented pressure due to pent-up demand created by the COVID-19 lockdown, coupled with a cut in youth support services. This could potentially lead to a “lost generation” of vulnerable children and young people who are missing out on the support they vitally need.

It has urged the Scottish Government to work with authorities and invest significantly in mental health services as children return to school and to ensure that teachers and other staff are aware of the services on offer for young people needing support.

The SCSC has warned that self-isolation and social distancing have had an impact on young people struggling with issues such as anxiety and depression. It has noted that even the most resilient children are going to need additional support as they navigate this transition back into whatever is the new normal, and some will need a lot of extra support.

A  report commissioned by Young Scot, YouthLink Scotland and the Scottish Youth Parliament, called Lockdown Lowdown, found almost two-fifths of young people felt moderately or extremely concerned about their own mental wellbeing.

A spokesperson for the SCSC commented: “These latest figures are deeply troubling and point to a ‘perfect storm’ for our young people, with increased demand coupled with cuts in services.

“While referrals have dropped during lockdown and children are not accessing support, we are storing up immense problems for the future as mental health services face being overwhelmed due to greatly increased demand.

“The Government needs to work urgently with the relevant authorities to ensure that not only is there sufficient provision available at the local level, but that this is clearly communicated and easily accessible for young people and their parents or carers.

“Mental health services must be given funding and resources equal to that of physical health provision and this pandemic has ushered in an urgency and necessity that cannot be ignored.

“Not just the NHS but also third sector and other independent organisations who play such a key role in addressing mental health services must receive the funding they vitally need or we face having a ‘lost generation’ of vulnerable children and young people.” 

Support needed for children as they return to school,says NSPCC 

An NSPCC Scotland spokesperson said: “We know that many children in Scotland have suffered difficult and traumatic experiences over the past few months.

“During lockdown, we saw a rise in contacts to Childline about mental and emotional health and our NSPCC helpline made 40% more referrals to Police Scotland and local authorities.

“Now, as children across the country return to school, it is crucial they are given the support they need to help them recover from any mental and physical harm. The Scottish Government, local authorities and health boards need to ensure that they have sufficient resources in place to respond to a likely increased need for therapeutic services.”

Coalition urges government to up it’s game

The Scottish Children’s Services Coalition (SCSC), an alliance of leading independent and third sector providers of children’s services, is urging the Scottish Government to ‘up its game’ in response to a new report from the Mental Welfare Commission.

The report indicates that the number of young people under the age of 18 admitted to non-specialist hospital wards – mainly adult wards – for treatment of their mental illness in Scotland in 2018-19 rose for the second year running. There were 118 admissions involving 101 young people.

This is an increase on the 2017-18 figures which were 103 admissions involving 90 young people and a further increase from 2016/17 when there were 71 admissions involving 66 young people.

Admission of a young person to an adult ward should only be acceptable in rare situations.

However, despite a greatly increased demand on mental health services, there are currently only 48 specialist hospital beds provided by the NHS in Scotland for adolescents with mental health problems.

These are located in three child and adolescent mental health services (CAMHS) inpatient units (Dundee, Edinburgh and Glasgow) and there is a further six place unit for five to 12-year olds in the Royal Hospital for Sick Children in Glasgow. There is no inpatient provision north of Dundee.

Given the lack of provision, many children and young people with severe mental health problems are therefore being admitted to non-specialist adult and paediatric hospital wards, settings which are in many cases inappropriate to their needs.

The coalition has urged the Scottish Government to ensure that there are adequate specialist bed numbers that can deal with the requirements and to refocus its efforts on prevention and early intervention, ensuring that issues do not escalate so that they require the provision of these specialist services. It has also called for secure impatient facilities for young people with mental health illnesses, of which there are currently none in Scotland.

Under the Mental Health (Care and Treatment (Scotland) Act 2003 Health Boards are required to provide appropriate services and accommodation for young people admitted to hospital for treatment of their mental disorder.

Given admissions to non-specialist mental health wards, it is clearly arguable whether appropriate services are being provided.

There are a number of differences between specialist units and wards designed to treat the needs of adults with serious mental illness, both in terms of staff training and the overall ward environment. Given this, there is a clear concern that the needs of a young person may not be met in comparable way when admitted to an adult mental health ward as opposed to a specialist child and adolescent unit.

A spokesperson for the Scottish Children’s Services Coalition commented: “We are clearly concerned about the increasing number of those being admitted to adult mental health wards, often inappropriate to their needs, both in terms of staff training and the ward environment.

“The Scottish Government needs to up its game on this and provide adequate facilities, ensuring that there are sufficient specialist bed numbers for those requiring them. There is also currently no provision north of Dundee and this requires to be urgently addressed.

“For children and young people who require inpatient mental health care, a lack of such services means that they frequently remain at home, often until the family reaches crisis point, leaving them feeling isolated and delaying recovery.

“These are among the most vulnerable members of our society and we owe it to them to give them the adequate care and support that they need.”