Child mental health services: Coalition calls for national crusade

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. It has also called for a “national crusade” to tackle this.

The warning comes on the back of figures from Public Health Scotland which indicate that the number of referrals to child and adolescent mental health services (CAMHS) has dropped by a staggering 55.8 per cent between quarters January and March 2020 and April and June 2020 (from 9,017 to 3,985). 1

These range from a 66.7 per cent fall in referrals for NHS Dumfries and Galloway to 7.7 per cent in NHS Orkney (full table in Notes to Editors).

It also highlights that in June 2020, 1,136 children and young people had been waiting more than a year for treatment, up from 581 on the same point last year.2

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 called for a “national crusade”, with the Scottish Government working closely with authorities, including the third and independent sectors, and investing significantly in mental health services. The coalition has also urged that greater awareness is made of the services on offer, especially those at a community level.

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.3

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 specialist mental health services face being overwhelmed due to greatly increased demand.

“We need a ‘national crusade’ to deliver the mental health provision our young people desperately need. The Government needs to work urgently with the relevant authorities to ensure that not only is there sufficient provision available at the local community level, but that this is clearly communicated and easily accessible for young people and their parents or carers.

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

Six out of ten young people waiting over 18 weeks to be seen in Lothian

The number of children and young adults waiting over 18 weeks to be seen by a mental health professional has increased to 147 out of 247 patients seen, 59.5%, In June 2020 the latest month of statistics available.

As of June 2020 there are 2,482 young people waiting to be seen in Edinburgh and the Lothians, with a record 472 waiting for over a year, 19% of total waits.

In April to June 2020 there were 825 CAMHS referrals, with 109 rejected, making a total of 706 new referrals. This is compared to 1,659 referrals in January to March 2020, with 382 referrals rejected, making a total of 1277 new referrals.

Lothian MSP, Miles Briggs, said: “These figures reinforce the mental health crisis for young people in NHS Lothian with exceptionally long waits to be seen by a mental health professional.

“Mental Health professionals in NHS Lothian work incredibly hard to support young people who are struggling with their mental health, but services are simply not being properly resourced to meet demand.

“Lockdown, Covid-19 restrictions and failures by SNP Ministers over SQA results will all have added to stresses for young people making mental health support even more important.
“SNP Ministers have presided over our health service for over 13 years and have failed to support a generation of young people.”

1 NHS Information Services Division, Child and Adolescent Mental Health Services Waiting Times in Scotland – Full report (PDF link), 1st September, Table 5, Available at: https://beta.isdscotland.org/find-publications-and-data/conditions-and-diseases/mental-health/child-and-adolescent-mental-health-services-camhs-waiting-times/  (accessed 1st September 2020).

2 Ibid., waiting times table 1b

3  Young Scot, YouthLink Scotland and the Scottish Youth Parliament, Lockdown Lockdown – what young people in Scotland are thinking about COVID-19 (PDF), 23rd April 2020. Available at: https://www.youthlinkscotland.org/media/4486/lockdown-lowdown-final-report.pdf (accessed 11th August 2020).

Guidance on children with non-COVID ailments

Education Secretary John Swinney has asked council Directors of Education and Head Teachers to assist in sharing more information on coronavirus to parents and carers.

In addition, Scotland’s National Clinical Director Jason Leitch has written an open letter for parents with answers about when children need to be tested for coronavirus.

Cold-like Symptoms

  • We recommend testing only for those with a continuous cough, fever, or loss of or change in the sense of taste or smell. The UK senior clinicians continue to keep the symptoms for case definition under review and will continue to use evidence to adjust these if it becomes necessary.

COVID-19 Symptoms

The key symptoms to be aware of are:

  • A new continuous cough
  • fever/high temperature
  • loss of, or change in, sense of smell or taste

If a young person or a child in your care develops any of the above symptoms, they should self-isolate and you should book them a test as soon as possible using the online portal at NHSinform.scot/test-and-protect, or by calling 0800 028 2816.

Education Secretary John Swinney said: “We know that many concerned parents, acting in their children’s best interests, have been keeping children off school. Parents, carers and schools need clear and simple national information, and that is why we are providing further advice today.

“It is critical that we remain vigilant for the symptoms of COVID-19 and this information explains the actions that we should take if someone develops signs of COVID-19 symptoms, either at school or at home.

“We will ensure that pupils, teachers and other school staff get the support they need to remain safe and feel comfortable in the school environment.”

Read National Clinical Director, Jason Leitch, letter here.

Clear information has also been published on the Parent Club website.

Link to relevant NHS Inform web page.

Guidance on how COVID-19 symptoms differ from those of other infections circulating at this time of year, from Scotland’s National Clinical Director:

Common cold and COVID-19 symptoms

To parents/carers

I understand these last few months have often been challenging, particularly for parents and carers. Now that schools and nurseries have returned I am writing to provide some advice where a child or young person in your care presents with symptoms of the common cold or similar bugs during this pandemic.

Following the return of schools after a prolonged break, it is common for colds and similar viral infections to circulate. In many cases, children will be well enough to attend school and continue their learning with little or no interruption to their education. In other cases, for instance where they have quite a heavy cold, they may need to take a day or two off to recover.

This is not the case for children and young people with potential COVID-19 symptoms, they are required to self-isolate and seek a test through www.NHSinform.scot/test-and-protect or by calling 0800 028 2816.

In order to ensure your children do not miss out on their education, it is important to be clear about how COVID-19 symptoms differ from those of other infections that we normally see circulating at this time of year.

COVID-19 symptoms

It is important that all of us – including those who make up the community around a school – are vigilant for the symptoms of COVID-19 and understand what actions we should take if someone develops them, either at school or at home.

The main symptoms to be aware of are:

  • new continuous cough
  • fever/high temperature
  • loss of, or change in, sense of smell or taste

If a young person or a child in your care develops any of the above symptoms, they should self-isolate and you should book them a test as soon as possible at www.NHSinform.scot/test-and-protect, or by calling 0800 028 2816.

We recommend testing only for those with a continuous cough, fever, or loss of or change in the sense of taste or smell. The UK senior clinicians continue to keep the symptoms for case definition under review and will continue to use evidence to adjust these if it becomes necessary.

It is essential that people who have COVID-19 symptoms, or who share a household with someone who has symptoms, do not attend school, nursery or other childcare settings, and must self-isolate along with all members of their household. If the test is negative, self-isolation can end for everyone. If the test is positive, Test and Protect will give you further advice.

Cold-like symptoms

If, however, your child does not have symptoms of COVID-19 but has other cold-like symptoms, such as a runny nose, they do not need to be tested and they and you do not need to self-isolate. Your child can go to school if fit to do so.

The Scottish Government appreciates the huge effort being made by parents, carers and school staff to ensure the risk of COVID-19 is minimised and to support children’s education.

Further information

For further advice please visit the Parent Club website at: www.parentclub.scot or www.nhsinform.scot.

Professor Jason Leitch
National Clinical Director
Scottish Government

Caeden’s done it!

Ben Nevis victory for seven year old boy with cerebral palsy

Caeden Thomson (7) from Corby in Northamptonshire has conquered Ben Nevis to raise money for disability equality charity Scope and his local hospital.

The climb in total took 13.5 hours up and down.

Mum Lisa, who along with Caeden’s brother, sister and dad were with him every step of the way, said: “Caeden is an absolute legend. We started at 9am and reached the top at 5.30pm – and got back to the bottom at 10.30pm.

“It was such a massive challenge and much, much harder than any of us expected. There were many hard time along the way – from three quarters of the way up the pathway is just massive boulders and very hard to climb, and even at the top we didn’t think he would make it down.

“There were danger areas where carrying was very difficult, so Caeden did have to walk down a lot of it too. The temperature dropped hugely and many climbers said they were turning back. But we made it!

“We are all super proud of him, he deserves a medal! People we have spoken to at the campsite said they climbed it once and they will never climb it again – we now know why! Last night no-one could move or celebrate, so today we are resting up and will celebrate tonight!! We all love Caeden so much and can’t believe his passion for getting to the top.”

Caeden said: “My body hurts a lot but I’m ok! It was really, really hard! I felt sick and exhausted at the top, and I felt exhausted but happy at the bottom!”

Money raised will give back to the NHS Children’s services and the physiotherapy department at Kettering General Hospital and disability equality charity Scope.

To donate, click here

Funding to help mothers and infants at risk

STEPPING Stones North Edinburgh is among the charities providing counselling and peer and parental support to share funding to help improve the life chances and wellbeing of pregnant women, new mums and their families.

The Perinatal and Infant Mental Health fund will provide annual funding of up to £1 million to help third sector organisations deliver vital services.

Mental Health Minister Clare Haughey attended a virtual meeting with Amma Birth Companions to announce the successful organisations to receive a share of the funding.

The charity supports vulnerable women who would otherwise experience birth without a partner, including a number of women who are refugees, asylum seekers or living in poverty.

Ms Haughey said: “We want all mothers and their families to have access to good mental health care throughout pregnancy and during the postnatal period.

“The third sector provides an invaluable source of support and with the impacts of COVID-19, their work is more important now than ever. The fund will allow one-to-one support for organisations to help provide the care that women and their families need across Scotland.

“In our 2019-20 Programme for Government, we committed to support the third sector to deliver counselling and befriending services for women who might benefit from additional support in their community.

“Our delivery plan will help us continue to improve perinatal and infant mental health services, backed by £50 million and guided by the voices of women with lived experience.”

Sarah Zadik, Manager and Co-Founder at Amma Birth Companions said: “This funding will enable us to build on our existing work, address emerging needs, and reach even more women who would otherwise face pregnancy, birth, and early motherhood alone.

“We are delighted to receive this grant and grateful to the Scottish Government for recognising Amma’s role in providing vital support to vulnerable mothers who are at increased risk of experiencing perinatal mental health issues.”

Celia Tennant, Chief Executive at Inspiring Scotland said: “Inspiring Scotland is delighted to be supporting the Perinatal and Infant Mental Health Fund and today’s announcement.

“The commitment from Scottish Government to this vital area has been matched by the high number and calibre of proposals we received for funding . We are looking forward to working alongside these essential services over the next three years to support more families during the crucial perinatal period.”

The annual Perinatal and Infant Mental Health fund is designed to deliver key services and address gaps in provision.

The full list of organisations to receive funding can be found below:

Aberlour

Amma Birth Companions

Barnardo’s

Home Start Glasgow North and NL

Midlothian Sure Start

Stepping Stones North Ed

Home-Start East Highland / Caithness

PND Borders

Home-Start Dunfermline

Quarriers

CrossReach

Human Development Scotland

Action for Children

Healthy Valleys

Maternal Mental Health Scotland

More information can be found on Inspiring Scotland’s website, who will be administering the fund on behalf of the Scottish Government.

Fundraise for Held In Our Hearts this September

Held In Our Hearts are looking for your help in virtual events in September

The Edinburgh Marathon weekend was due to take place on 5th and 6th September and now will be a virtual event.

You can sign up and run your chosen distance anytime between now and the end of December  and fundraise for Held In Our Hearts. You will still receive that all important blue t -shirt and medal. https://virtual.edinburghmarathon.com

The Edinburgh Kiltwalk was due to take place on 13th September  but will now go ahead as a virtual event.

You can still sign up and walk your chosen distance and fundraise for the charityhttps://thekiltwalk.co.uk/events/edinburgh

Held In Our Hearts is a local charity proving baby loss counselling and support to families. Formerly known as SANDS Lothians, we have 40 years’ experience of offering compassionate care bereavement care in the community.

When a family’s baby dies, it is an incredibly traumatic and extremely lonely time as parents struggle to find others who can connect with the overwhelming emotions they experience.

The majority of our staff are bereaved themselves, so we are there to let them know they are not alone. Through our support services, we journey with families providing empathy, while they start to come to terms with what has happened and help support them in their grief.

As we are now going into the second half of 2020  bereaved families need your support more than ever and as the world starts to return to a new normal our families know that life without their precious baby is a new normal for them.

For more information on your events or if you want to fundraise in other ways you can contact tracy@heldinourhearts.org.uk

Granton pupil tests positive for Coronavirus

A Granton Primary School pupil has tested positive for COVID-19, it has been confirmed.

The information was revealed to councillors at a full council meeting this morning.

Local North and Leith MSP Ben Macpherson said: “I am in touch with the Head Teacher and the Council, and will continue to monitor this situation.

“The Council have said that they are working closely with NHS Lothian’s Health Protection Team to provide parents and the wider school community with information and reassurance.”

Dr Duncan McCormick, Consultant in Public Health Medicine, NHS Lothian and Chair of the Incident Management Team (IMT), said: “NHS Lothian is investigating after a child at Granton Primary School in Edinburgh tested positive for COVID-19. The pupil is self-isolating at home with their family.

“A multi-disciplinary Incident Management Team (IMT) has been established to assess the situation and decide any next steps required.

“Enhanced cleaning measures are in place in schools in line with national guidance. The Health Protection Team has traced close contacts of the case.

“Following a robust risk assessment by the expert group, the school will remain open and pupils should continue to attend as normal. Appropriate advice has been provided and anyone who came into close contact with the case has been told to self-isolate for 14 days. The situation will continue to be closely monitored.

“For anyone else, the risk to their health is extremely low, but they should continue to be vigilant and aware of the symptoms.

“If you experience a high fever, persistent cough or loss of taste or smell, you must self isolate and book a test via the national COVID-19 helpline on 0800 028 2816 or go to www.nhsinform.scot”.

  • more to follow

Negative thoughts: useful tips from Parent Club

Our kids have been through a lot this year – so if yours are finding it hard to get used to being back at school, that’s quite understandable 😔 

Here are some tips for helping your children deal with negative thoughts – they work for grown ups too!

🎨 Draw the worry – then scrunch up the paper and bin it

🏝️ Ask them to describe their favourite place – what can they see, hear and smell there?

✋ Get them to take deep breaths while tracing round their hand with one finger

🎵 Play their favourite music and dance or chill out together

For more tips, check out 👉 parentclub.scot/…/supporting-your-childs-mental-health-duri…

#ParentClub #HereForYou #ParentClubTips #BackToSchool

Letter to the Editor: new services to help families with disabled children in Edinburgh

Dear Sir

Recent research from the Disabled Children’s Partnership found that 66% of families with disabled children in Scotland have been providing a lot more care during lockdown and many continue to do so despite restrictions easing.

The current national emergency has compounded the challenges many parents of disabled children faced. And added layers of new ones as respite, therapies, care and schooling arrangements were largely stopped or changed and usual routines disrupted.

Contact, the charity for families with disabled children, is offering a helping hand to families in Edinburgh during this difficult time.

Family support appointments

We’ve launched free 1-1 telephone appointments with a family support adviser for parent carers looking for a listening ear, reassurance and practical and emotional support.

Workshops

We are running free virtual workshops on topics such as sleep, behaviour, wellbeing, money matters, and speech and language, to provide additional support for families who may be struggling during this crisis.

Families who have a disabled child can make an appointment or find out more details on the Contact website www.contact.org.uk/covid-response-services/

Yours sincerely,

Susan Walls

Contact Scotland, the charity for families with disabled children
The Melting Pot
5 Rose Street
Edinburgh
EH2 2PR

£11.6 million for looked after children

Funding provided for targeted projects

Programmes to help raise the attainment of care experienced young people are to benefit from £11.6 million of funding – Edinburgh’s share is £1,000,800.

Projects as diverse as mentoring programmes and outdoor and play-based education were supported through the Care Experienced Children and Young People fund last year.

Funding was also used to provide looked after children with laptops to support their home learning during the coronavirus (COVID-19) pandemic.

Local authorities will work with Chief Social Workers and Directors of Education to decide how this year’s funding will be used. Care experienced young people from birth up to the age of 26 are eligible for support.

To help mitigate the impact of COVID-19, local authorities will have flexibility to redirect some of this Care Experienced Children and Young People funding from existing plans to best support the most vulnerable and disadvantaged families, with a continued focus on equity in education.

Deputy First Minister John Swinney said: “Improving the education and life chances of all our children and young people is the defining mission of this government.

“The challenges presented by the current pandemic mean that efforts to deliver equity in education are more important than ever.

“We know that there are still many barriers facing young people in care and that they are not always able to access the same opportunities as their peers.

“This funding will help remove those obstacles and allows local authorities to provide targeted help for some of our most disadvantaged pupils.”

Conifox re-opens to help you escape the city and have some safe family fun this summer

Family run for family fun, Conifox has re-opened its doors to welcome back kids, adults, parents and friends all in need of a little (wild) escape.

The adventure park and restaurant, situated 20 minutes from Edinburgh city centre, has passed the Visit Britain Covid 19 We’re Good To Go Industry Standard and is excited to once again see the park flooded with smiling faces and hear it ringing with peals of laughter whilst ensuring maximum safety guidelines are being followed and operated.

James Gammell, director of Conifox, is thrilled to see the park returned to its former pre-pandemic buzz: “we are so excited to welcome our friends and family back to Conifox.

“Whether we are watching you speed around the pedal go-kart racetrack or peeking out from behind our fingers as you off-road on our pedal tractors, it is so wonderful to be reminded of the park as it should be; a kids – and adults! – wonderland!

“To ensure the safety of our guests and our staff, we are adhering to the strictest guidelines, so even if you are showing off your skills on the 9-hole footgolf course, jumping on the giant pillow, bouncing all over the trampolines or excavating the giant sand pit, you can feel content that your wellbeing – and your enjoyment – is our paramount concern.

“As a family run business, we are passionate not only about what we do, but also about delivering the absolute best in customer experience. No matter if you are 8 or 80 you are welcome here and we will do everything in our power to make it a day that stays with you as an everlasting, happy memory.”

Constantly innovating and improving their customer offering, Conifox is the perfect spot for a full day out with family and friends. Although the Stables Bistro is closed to ensure compliance with social distancing measures, there is still a selection of delicious food available, including a sizzling BBQ (weather permitting) and all-day breakfast baps, as well as coffee and tea when you need a little refresh.

Alongside the huge and varied to-do list of activities you will certainly have planned ready for your arrival, there is also an exciting and everchanging calendar of events offering fresh and unique entertainment each and every month. From ‘Princess Parties’ to ‘Living Room Magic’, you will wish you had more hours in your day!

Situated on the outskirts of Kirkliston, just five minutes from Edinburgh Airport, Conifox is the ideal venue for school group outings, corporate fun days and birthday parties, thanks to boasting plenty of outdoor space for everyone to enjoy.

To keep visitors safe, tickets are currently only available to pre-book and some attractions will be closed at certain times throughout the day for deep cleaning.

To find out more visit the Conifox Facebook page@conifoxadventurepark or www.conifox.co.uk.