mental health – Page 3 – The NEN

Scottish Children’s Services Coalition: 137 children wait over a year for mental health treatment

New figures show 137 children waiting more for 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 for the Scottish Government to renew its focus on tackling the child mental health emergency.

The SCSC has also warned that the Scottish Government is in in danger of missing its Programme for Government commitment to Increase direct investment into mental health by the end of the parliamentary term, noting that only 75p in every £100 is spent on specialist child and adolescent mental health services (CAMHS).

While health is a devolved matter, it has also noted that the General Election provides an ideal opportunity to talk about this crucial matter in Scotland.

The call comes as the latest waiting time figures from Public Health Scotland, published on 4th June, indicate that 137 children and young people had been waiting over a year for treatment from CAMHS in the quarter ending March 2024.

The figures also show that a total of 5,557 children and young people were still stuck on waiting lists to start treatment at the end of that quarter.

In addition, just 86.0 per cent of patients with mental health problems were seen within 18 weeks from referral to treatment at CAMHS. This falls short of the Scottish Government’s waiting time target of 90 per cent being seen within 18 weeks.

This comes against the background of an increasing level of violent incidents in the classroom, a result in part due to the current mental health emergency, exacerbated by the long shadow of the Covid lockdown and cost-of-living crisis.

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.

The Scottish Government in its NHS Recovery Plan 2021-2026 committed to Increase direct investment into mental health by the end of the parliamentary term in 2026, ensuring that 10 per cent of the frontline NHS budget is invested in mental health, with 1 per cent directed specifically to children and young people through CAMHS.²

However, it should be noted that despite greatly increased demand, only 0.75% of the total frontline NHS budget was spent on CAMHS in the 2022/23 financial year, amounting to £114.799 million (real terms), just 75p in every £100 of the NHS budget.

The mental health budget overall amounts to only 8.53% of total frontline NHS expenditure, a decrease of 0.59% from 9.12% in the past decade (2011/12).³

The SCSC is calling the Scottish Government to refocus on the treatment of mental health issues, prioritising spending and avoiding a potential lost generation of children and young people with mental health problems.

A spokesperson for the SCSC commented: “The latest figures, highlighting that 137 children and young people have been waiting over a year for treatment from mental health services, is extremely alarming.

“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. Despite this, too many are waiting too long for treatment, and if the Scottish Government is to reach its financial commitment to spend 1 per cent of the frontline NHS budget on CAMHS, it will need to radically increase investment.

“While health is a devolved matter, this General Election provides an opportunity to talk about it, and we would urge the Scottish Government to refocus its efforts on delivering services that adequately address the needs of our children and young people.”

Richard Gadd helps survivors move ‘Beyond The Silence’

Male sexual abuse charity, We Are Survivors, has launched its brand new quarterly magazine, Beyond The Silence, with the help of the creator of the Netflix international smash hit Baby Reindeer, Richard Gadd.

This is the first ever magazine from the organisation and has been created to ensure that space is created for the important discussion on male victims / survivors of sexual abuse, rape and sexual exploitation.

Magazine Editor, Grahame Robertson, said: “Whilst the newsletter format served us well, our organisational vision is for a society where NO male survivor is left behind and with such a bold vision, we need an equally bold way to get the UK talking.”

This first edition is packed full of the latest news from the sexual violence sector; the lowdown on the organisation’s two new digital campaigns that look at ChemSex and being the best survivor ally you can be; and even takes the reader on a tour of the amazing new community space.

But is the issues cover star that we’re most excited to present. For around a decade now, writer, comedian, actor and now creator of the biggest Netflix series – Baby Reindeer, Richard Gadd has been an ambassador of the organisation and stood with us as a male survivor and in support of male survivors.

Talking exclusively in the magazine, Richard talks about the positive effect Baby Reindeer has had and why he is such a proud supporter of We Are Survivors.

In the interview, Richard describes how talking about using his lived experience as a survivor has been cathartic and how that conversation with the charity’s founder, Duncan Craig OBE, helped him see how vital the support for male survivors is from a first hand perspective.

To get your free copy of Beyond The Silence, sign up here: BEYOND THE SILENCE – SIGN UP

Scottish Book Trust survey of public librarians reveals a vital service under pressure across Scotland

An ambitious new report by Scottish Book Trust has revealed that one in three librarians in Scotland believe that their whole service is at risk of reduction or loss.

The Survey of Public Librarians, as part of the Value and Impact of Scotland’s Libraries research, published by Scottish Book Trust, Scotland’s national book charity, also revealed a vital service under threat from underinvestment. It reports:

82% of public libraries reported a restriction in their resources and funding
One in three public librarians said they had lost librarians and other library staff
One in three public librarians reported that their whole service is at risk of reduction or losses

The report reveals the vital role libraries play in the community as they help to close the poverty-attainment gap. Librarians overwhelmingly agreed that they not only provide free access to all forms of books, but offer a safe, warm and accessible space where those without computers can access digital resources and support, with help from knowledgeable and approachable staff.

While libraries across Scotland are facing ongoing cuts, librarians reported a widespread lack of understanding from their local authorities about the social, long-term impact of their service.

Two thirds of the librarians surveyed reported that their community faces digital poverty, and libraries are bridging the divide.

96% of librarians reported that their library offers access to Wi-Fi, 99% to computers with internet, 71% to ebooks and eReaders and 40% to courses in digital skills

These are lifelines for those with limited resources, including the homeless, the elderly and those who have been released from prison.

Librarians also reported that their libraries are a safe space for refugees and asylum seekers, LGBTQ+ people and disabled or neurodiverse people.

As one librarian stated: “We are the first place that people come when they need help, possibly the only place in a landscape of shrinking services. When we are gone then these other agencies will need to foot the time bill and the mental health crisis we are averting.”

This survey of public librarians is part of a wider study of both public and school libraries in Scotland, as conducted by Scottish Book Trust, in partnership with the National Library of Scotland (NLS), the Scottish Library and Information Council (SLIC), and the Chartered Institute of Library and Information Professionals in Scotland (CILIPS).

Preliminary findings from school librarians will be published over the summer, with the final report published later this year.

Marc Lambert, Chief Executive of Scottish Book Trust, said: ‘Libraries are a vital lifeline for communities across Scotland. Not only do they provide free access to books in a warm and safe environment, but, as this wide-ranging report reveals, they are also a levelling up factory that sends people in a positive direction.

‘There is no other public space where people can access information, combat digital poverty, learn new skills, socialise with others, express themselves creatively, and seek to self-improve, entirely for free. It’s incredibly concerning that these important institutions are endangered.’

Scottish Book Trust is also conducting a survey of public library users, which will be open for responses until the end of June 2024.

The impact of Scotland’s libraries – Scottish Book Trust

Support for football-focused mental wellbeing programme

Health Secretary announces additional £100,000 for the initiative

A programme which uses football to promote mental health and wellbeing has received additional funding from Scottish Government. The Changing Room – Extra Time initiative has been awarded £100,000 for a fourth year.

It builds on The Changing Room – a 12-week programme which takes place at football stadiums across Scotland and supports men to open up as they participate in walking football games, stadium tours, pitch-side walks and talks from a motivational speaker.

Extra Time aims to give people the chance to speak in more depth about their mental wellbeing and explore areas which are giving them particular challenges or concerns.

The programme is delivered by SAMH (Scottish Action for Mental Health) in partnership with the SPFL Trust and associated community trusts at Aberdeen (AFC Community Trust), Rangers (Rangers Charity Foundation), Heart of Midlothian (Big Hearts) and Hibernian (Hibernian Community Foundation) football clubs.

Health Secretary Neil Gray, who visited the initiative at Pittodrie, home of Aberdeen FC as part of Mental Health Awareness Week, said: “We know that it’s never been more important to look after our physical and mental wellbeing. It is pleasing to see this initiative go into its fourth year and to hear that is really is making a difference to people’s lives.

“We shouldn’t be afraid to talk about how we are feeling and this project has really helped people open up about their mental health.”

Billy Watson, Chief Executive at SAMH said: “The Changing Room – Extra Time project changes lives. It builds confidence, helps get relationships on the right track and it has even saved lives.

“Football and mental health are a great match. What this project shows is that football fans are not just comfortable talking about their mental health, they’re really keen to do so – as long as it’s in the right place.

“The Changing Room – Extra Time is the right place and we’re really grateful that the Scottish Government has agreed to continue to fund it.”

Kyle Hewitt, 37, from Dyce attended Changing Room Extra Time at Aberdeen FC and said: “I grew up aware of mental health and its potential impacts on people and those around them because of my own experience.

“But sometimes I didn’t feel like I had the ability to face the world. I had low moments as a parent and a husband, I wasn’t always nice to be around and I could be hyper-critical of myself.

“Then I embarked on a journey through Extra Time with like-minded men and amazing facilitators from SAMH. I realised I had been deflecting, avoiding and bottling things up. I was able to give myself credit for what I was doing.

“I also became more resilient and better at creating positive habits and finding ways to change my outlook and mind-set. I have thrived as a result.”

Aberdeen Community Trust Chief Executive, Liz Bowie said: “We are delighted to deliver the Changing Room Extra Time programme at Aberdeen FC Community Trust, working in partnership with SAMH and the SPFL Trust.

“We have learned so much through the support of SAMH, which has ensured that our staff are appropriately trained and mentored to provide excellent support to the men who participate in this initiative.

“We have seen amazing results and crucially have watched strong, supportive networks build amongst the participants which extend well beyond the term of the course itself. Football is a force for good and is so powerful in encouraging men to talk and open up to each other in support of their mental wellbeing.”

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.”

Visit the new Peer Recovery Hub

Scottish Recovery Network has launched their new online resource full of free tools, events, and opportunities to inspire you to develop and champion peer support for mental health recovery.

It’s a space where they’ll be shining a spotlight on your fantastic peer support projects, services, and organisations and a place to share ideas and learning from people planning and delivering peer support activities, to help you do the same.

Find it here: www.PeerRecoveryHub.Net

Sunak vows to tackle Britain’s ‘sick note culture’

TORIES TO OVERHAUL BENEFITS SYSTEM

THE Prime Minister has unveiled a package of welfare reform measures to tackle the unprecedented rise in economic inactivity and ensure the benefits system is ‘better targeted at those who need it most’.

PM to announce plans to overhaul benefits system to ensure people who are fit to work aren’t left behind on benefits
Fit note system to be reviewed after 11 million fit notes issued last year with 94% written off as unfit to work
Comes amid unprecedented rise in inactivity due to long term sickness with latest figures showing almost a third of working age adults are inactive

The Prime Minister’s new plan for welfare will end Britain’s “sick note culture”, which has resulted in a significant rise in people being unnecessarily written off work and parked on welfare.

It comes amid concerns that the fit note system has opened the floodgates for millions of people to be written off work and into welfare without getting the right support and treatment they might need to help them stay in work.

Data recently published by the NHS shows almost 11 million fit notes were issued last year, with an overwhelming 94% of those signed “not fit for work”. A large proportion of these are repeat fit notes which are issued without any advice, resulting in a missed opportunity to help people get the appropriate support they may need to remain in work.

To address this, the Prime Minister yesterday announced a review of the fit note system to stop people being written off as “not fit for work” by default and instead design a new system where each fit note conversation focuses on what people can do with the right support in place, rather than what they can’t do.

As part of this, the government will consider shifting the responsibility for issuing the fit note away from already stretched GPs, towards specialist work and health professionals who have the dedicated time and expertise to provide an objective assessment of someone’s ability to work and the tailored support they may need.

A call for evidence will be published later today to seek responses from a diverse range of perspectives, including those with lived experiences, healthcare professionals and employers, both on how the current process works and how it can better support people with health conditions to start, stay, and succeed in work.

The Prime Minister said: “We don’t just need to change the sick note, we need to change the sick note culture so the default becomes what work you can do – not what you can’t.

“Building on the pilots we’ve already started we’re going to design a new system where people have easy and rapid access to specialised work and health support to help them back to work from the very first Fit Note conversation.

“We’re also going to test shifting the responsibility for assessment from GPs and giving it to specialist work and health professionals who have the dedicated time to provide an objective assessment of someone’s ability to work and the tailored support they need to do so.”

Setting out his vision for a “new welfare settlement for Britain”, the Prime Minister outlined the new challenges that have emerged since the pandemic particularly the unprecedented rise in inactivity and how the government plans to tackle them.

Before the pandemic, we had the second lowest inactivity rate in the G7, lower than France, Germany, Italy, USA and Canada. But since the pandemic, a significant number of working aged people have become inactive due to long term sickness which has in large part been driven by mental health conditions.

Latest figures from the Office for National Statistics suggest there are currently 2.8 million people who are ‘economically inactive’ due to long-term sickness, a near-record high. Of those inactive due to long term sickness at the start of last year, 53% reported that they had depression, bad nerves or anxiety.

This is also driving an unsustainable increase in welfare spending as more people claiming disability benefits are now assessed as having anxiety or depression as their main condition.

Since the pandemic, total spending on working age disability and ill-health benefits increased by almost two-thirds from £42.3 billion to £69 billion and we now spend more on these benefits than our core schools’ budget or on policing.

The fit note process is often the first step to someone falling out of work and acts as a gateway towards some ill health and disability benefit assessments. There is also clear evidence that the longer someone is out of work, the lower the likelihood that they return to work – further exacerbating the rise in inactivity.

The Prime Minister made the case that we need to be more ambitious about how we help people, particularly with mental health conditions, back into work and ensure they are not left behind on the benefits system.

The Prime Minister added: “We should see it as a sign of progress that people can talk openly about mental health conditions in a way that only a few years ago would’ve been unthinkable, and I will never dismiss or downplay the illnesses people have.

“But just as it would be wrong to dismiss this growing trend, so it would be wrong merely to sit back and accept it because it’s too hard; or too controversial; or for fear of causing offence. Doing so, would let down many of the people our welfare system was designed to help.

“Because if you believe as I do, that work gives you the chance not just to earn but to contribute, to belong, to overcome feelings of loneliness and social isolation and if you believe, as I do, the growing body of evidence that good work can actually improve mental and physical health…

“…then it becomes clear: we need to be more ambitious about helping people back to work and more honest about the risk of over-medicalising the everyday challenges and worries of life.”

Yesterday’s fit note review builds on the significant steps the UK Government has taken so far to break down barriers to work and tackle inactivity.

This includes through our £2.5 billion Back to Work Plan which is already helping over a million people, including those with mental health conditions, break down barriers to work by expanding access to mental health services and putting an additional 384,000 people through NHS Talking Therapies.

The new WorkWell pilot is also being rolled out and will support almost 60,000 long-term sick or disabled people to start, stay and succeed in work once it has gone live in approximately 15 areas across England.

The WorkWell services provides a single, joined-up assessment and gateway into local employment support services, to help people manage their health conditions and get back to work sooner. This is part of an ambitious programme to support disabled people and people with health conditions to start, stay and succeed in work.

DWP are also testing reforms of the fit note process to integrate it more closely with WorkWell, enabling the people who need it to have a work and health conversation, with a single, joined-up assessment and gateway into local employment support services.

It will also complement the role of Occupational Health in ensuring employers understand and benefit from more expert work and health support to retain and support those in work.

The fit note call for evidence is part of five key reforms the Prime Minister outlined in his speech to put work at the heart of welfare and modernise the welfare system to ensure it is fit for the future.

£30 million more funding to support mental health services

Further community support for adults, children and young people

Two funds to support projects aimed at improving mental health and wellbeing in adults, children and young people have been awarded a further £30 million.

The Communities Mental Health and Wellbeing Fund for Adults, and the Children and Young People’s Community Mental Health and Wellbeing Supports, have been awarded £15 million each for 2024-25.

Launched in 2021, the fund for adults has supported grass roots community groups to deliver programmes for adults which build resilience and tackle social isolation, loneliness and mental health inequalities. Projects focused on connecting people and providing peer support were delivered through activities such as sport, outdoor activities and the arts.

Funding for the children and young people’s support began in 2020 to help with the mental health impact of the pandemic and its restrictions.

The new funding means more than £65 million has been made available to local authorities since then to deliver community-based mental health and wellbeing support for five to 24 year-olds and their families.

Support delivered includes mentoring, art-based therapies, digital services, whole-family support, counselling and sport or physical activities.

First Minister Humza Yousaf, who today visited Edinburgh Community Performing Arts Re-connect project for older people, said: “On becoming First Minister I reiterated my personal commitment to supporting those living with mental health challenges.

“We know how important it is for our society to have access to mental health and wellbeing support. That is why my government is committed to ensuring we fund vital services in our health service and in community settings to ensure we try, as much as possible, to provide a national network of community support for adults, children and young people.

“This further £30 million will fund community based projects which are focused on prevention and early intervention, and this is a significant step forward in supporting people’s mental health and wellbeing by making sure they can easily access the help they need, when and where they need it.

“Since 2020 the Scottish Government has invested over £100 million in community-based mental health support. An independent evaluation published last year shows that projects for adults have lowered social isolation thereby alleviating some of the negative mental and physical health impacts from the pandemic, as well as providing support and self-help for individuals with ill mental health issues.

“More than 300 children and young people’s supports and services are in now in place across the country, and evaluation published by the Scottish Youth Parliament found that nearly three-quarters of young people agreed or strongly agreed that they received support when they needed it.”

Fundraiser and Project Manager at Edinburgh Community Performing Arts Emma Stewart-Jones said: “We are delighted to have funding from the Communities Mental Health and Wellbeing Fund.

“The difference that these community arts projects can have on individual’s health, sociability and well-being can be profound.”

Support for adult survivors of childhood abuse

Funding for mental health and wellbeing services

Up to £2.23 million funding is being made available to third sector organisations providing counselling, peer support and practical support to adult survivors of childhood abuse.

Support groups can now apply for the latest round of grants from the Survivors of Childhood Abuse Support (SOCAS) Fund which will be made available from October 2024 to March 2026 and will enable groups to enhance or expand their current services.

Since it was set up in 2020, the SOCAS fund has seen more than 16,000 survivors supported by 29 organisations.

Mental Wellbeing Minister Maree Todd said: “We want all survivors to be provided with services which allow them to lead happy, healthy, and fulfilling lives.

“This latest round of funding, up to £2.23 million per annum, builds on almost £10 million invested since establishing the Fund in 2020, and is designed to reduce the impact of the inequalities and disadvantages survivors often experience as a result of abuse.

“Our recently published Mental Health Strategy Delivery Plan outlines the importance of survivors having access to services which promote sustained recovery through person-centred, trauma-informed support and treatment – this funding will enable more people to get the help which is right for them.”

Director of Funds at Inspiring Scotland Kaylie Allen said: “The Survivors of Childhood Abuse Support fund provides vital help for survivors to enjoy a safe and healthy life with improved wellbeing and sense of safety.

“Helping people affected by trauma is at the heart of the Inspiring Scotland strategy so we welcome the continuation of the Scottish Government’s funding and look forward to supporting applicants through the application process.”

Survivors of Childhood Abuse Support Fund 2024 – 2026 – Inspiring Scotland

Support for family mental health

Funding for perinatal and infant services

Charities providing support to pregnant women, new mums and their families are to share £1.5 million expand and enhance their mental health and wellbeing services.

It has been estimated that up to 20% of mums and up to 10% of dads are affected by poor mental health in the perinatal period.

The Perinatal and Infant Mental Health Fund, which is now open for applications, enables organisations to provide a range of one-to-one and group-based support and care for parents, carers and new babies.

Over 10,000 parents, expectant parents and infants have been supported by existing funded organisations since 2019.

The new round of funding will start from October 2024.

Mental Wellbeing Minister Maree Todd said: “It is very important that all mothers and their families have access to good mental healthcare throughout pregnancy and the postnatal period.

“The third sector provides vital access to perinatal mental health support, and we are dedicated to supporting them to do so.

“This latest round of funding of up to £1.5 million, building on previous awards of over £2.8 million over four years, is designed to increase the provision of parenting and infant support, peer support and counselling or psychological support. The Fund will enable organisations to provide the services that women and their families need.”

Marie Balment, Infant Mental Health Lead, Perinatal Mental Health Network Scotland said: “We’re delighted the Perinatal and Infant Mental Health Fund has been opened for a new round of funding for 18 months.

“This will enable statutory perinatal and infant mental health services to work alongside charity partners to continue offering essential perinatal mental health services that support families with babies.

“The contribution of third sector organisations is needed now more than ever, providing necessary support to parents recovering from mental illness and promoting the mental wellbeing of families during a time of vulnerability. This includes vital work promoting positive parent – infant relationships and infant mental wellbeing, which has a lifelong impact.”

Kaylie Allen, Director of Funds at Inspiring Scotland said: “We are pleased to be managing the application process for the next 18 months of Scottish Government Perinatal and Infant Mental Health funding.

“We know from the last three years of managing the fund the extraordinary impact community-based peer, parenting and infant focussed support can make for babies, parents, and families. It is so important that we focus on the early years to give all children the best start in life.”

Perinatal Infant Mental Health Fund 2024 – Inspiring Scotland