CAMHS: Ongoing improvements to children and young people’s mental health services

WAITING TIMES STANDARD MET FOR THIRD TIME IN ROW

  • Latest figures highlight 146 children waiting more than a year for mental health treatment, says SCSC

For the third consecutive quarter in a row, there has been continued progress on waiting times for children and young people’s mental health care.

From April to June this year, 91.8% of those referred to CAMHS were seen within 18 weeks, according to the latest statistics from Public Health Scotland. This is a slight increase from 91.6% in the previous quarter, and above the national standard of 90%.

Mental Wellbeing Minister Tom Arthur said: “I welcome the continued progress in these services – staff across Scotland are working hard to ensure children and young people are getting the support they need when they need it, and I am grateful for their continued dedication.

“We have exceeded our promise to provide funding for 320 additional staff for CAMHS by 2026, and this will have contributed to the improvements we are seeing.

“However, I am aware there is still more to do to ensure standards are consistent across the country and we are supporting all NHS Boards to meet the standard and continue development in the delivery of CAMHS and all mental health services.”

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 parity of action and parity of spend as new figures highlight 146 children and young people have been waiting more than a year for mental health treatment in Scotland.

These figures were highlighted in the latest waiting time statistics from Public Health Scotland published today (2nd September), indicating that 146 children and young people had been waiting over a year for treatment from child and adolescent mental health services (CAMHS) in the quarter ending June 2025.

Additionally, 271 individuals have been waiting for between nine months and a year for treatment.

The figures come out following a Freedom of Information request to NHS Boards that found that in 2024/25, a patient in NHS Highland waited 1189 days – more than three years – for treatment by CAMHS, and in NHS Tayside, a patient has been waiting 1,137 days to start treatment. 2

The Scottish Government’s target, dating back to December 2014, states that 90 per cent of children and young people should start treatment within 18 weeks of referral to CAMHS.

This comes against the background of a mental health emergency, with an increasing demand on services, 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 overstretched and under-resourced services struggling to keep pace with growing demand.

However, it should be noted that despite this greatly increased demand, only 0.82 per cent of the total frontline NHS budget was spent on CAMHS in the 2023/24 financial year, amounting to £134.188 million (real terms). This equates to just 82p in every £100 of the NHS budget. 3

A spokesperson for the SCSC commented: “The latest figures highlighting that 146 children and young people have been waiting over a year for mental health treatment are extremely alarming.

“While the fact that the Scottish Government is meeting its waiting time target is to be welcomed, many children and young people are still waiting years for help, which worsens their mental health and is a sure-fire way to add to their pain.

“What we need is not just parity of esteem between mental health and physical health, it’s parity of action and parity of spend.

“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. This is also having a negative impact on classroom behaviour, affecting the young people concerned, their fellow pupils and staff.

“Each one of these statistics is an individual, and we would urge the Scottish Government to ensure the adequate resourcing of mental health services for our children and young people so that they can get the care and support they need, without lengthy waits.”

In response to today’s Child and Adolescent Mental Health Services figures, chief executive of Children First Mary Glasgow said: “Today’s figures show the importance of keeping the spotlight on children’s mental health. 

“The reduction in waiting times is welcome, but while four months is the target, it is still too long, especially when children are suffering in severe distress.

“By urgently investing in more early help and support the Scottish Government can prevent children reaching a point of emergency.

“Every day our support line and our teams across Scotland hear from children and young people with high levels of worry and anxiety coming to us desperate for help.”

“If you are worried about your child our friendly support line team is here for you on 08000 28 22 33.”

Child and Adolescent Mental Health Services (CAMHS) waiting times – Quarter ending June 2025 – Child and Adolescent Mental Health Services (CAMHS) waiting times – Publications – Public Health Scotland

Edinburgh art show spotlights youth mental health and need for safe creative spaces

EXHIBITION: THE ART of TAKING UP SPACE

Edinburgh charity U-evolve, which has been supporting young people’s mental health since 2015, will host The Art of Taking Up Space, a three-day exhibition showcasing artwork created and curated by young people across the city.

The free exhibition takes place from 30th September to 2nd October 2025 at Out of the Blue Drill Hall, Leith.

Marking U-evolve’s tenth anniversary, the project is the culmination of an 8-week art and wellbeing programme, co-facilitated by the charity’s resident Art Therapist, alongside local artists and art students. Young people have explored their experiences of mental health, trauma, resilience and hope, using creativity as a tool for healing, connection and change.

Alongside the exhibition, U-evolve is partnering with organisations including the Royal Botanic Garden Edinburgh, The Ripple, LGBT Youth Scotland, Circle and Craigroyston Community High School to deliver pop-up workshops.

These partnerships aim to open up community spaces, widen access and encourage youth engagement with art as a pathway to improved wellbeing.

Alison Wright, Art Psychotherapist & Development Worker at U-evolve said: “I’m so proud of the young people who’ve taken part in our art therapy workshops.

“Art has given them a way to express feelings they can’t always put into words, and it has opened up space for conversations in a safe, informal way. The work going on display is honest and from the heart and shows how creative support groups, along with plenty of snacks, can support healing and better mental health!”

Susie McIntyre, U-evolve’s CEO added: “Our 2025-28 strategy is all about creating space for young people and places where they feel safe, heard and empowered.

“The Art of Taking Up Space will highlight just how vital these spaces and services are for healing, wellbeing, and engaging young people in therapies that resonate. We can’t wait to welcome visitors from across the city to the exhibition and to share these pieces from our amazing young people.”

A young person who has taken part in the art therapy courses commented: “These sessions have always been so helpful and even life-changing. I don’t know how my life would have been without this support.”

Since opening in 2015, U-evolve has supported around 200 young people annually, delivering more than 1,000 hours of free coaching, counselling and therapeutic services each year.

Based in Leith, the charity works extensively across North Edinburgh and the South East of the city, reaching young people aged 11 to 21, many of whom face significant challenges linked to poverty, inequality and trauma.

The Art of Taking Up Space is part of The Big Ten, U-evolve’s anniversary project funded by the National Lottery Community Fund and the event is sponsored by local Leith opticians Cameron Optometry.

The three days will feature several exhibition spaces, a retrospective of U-evolve’s decade of impact and an evening celebratory launch event on 30th September.

Tickets for the launch event, along with more information about U-evolve, are available at www.u-evolve.org.

DEBT: Impact on Mental Health

Problem debt affects many people, and the impact on mental health can’t be ignored. Debt problems can cause anxiety, stress, and sleep problems – and increase the risk of self-harm and suicide.

As well as seeking mental health support, it’s important to get help with debt.

Free, impartial advice is available – and it’s never too late to get help.

Read more about debt and mental health on our website:

https://bit.ly/3ILMCv2

International Day of Friendship 2025: Supporting a friend with their mental health

MENTAL HEALTH FOUNDATION

We all need a little help from our friends sometimes.💜

Friendship is a crucial element in protecting our mental health. Our friends can help to keep us grounded, put things in perspective, and manage/navigate life’s challenges. 🫂

Talking to friends about your mental health, and supporting a friend with a mental health problem, can be difficult to do.

We have tips on how to start a conversation, offer support, and look after yourself – check them out here: http://bit.ly/3GVqjps 🫶

#Besties

#InternationalDayOfFriendship

#FriendshipDay2025

Change Mental Health: Save the Stafford Centre

Our Stafford Centre in Edinburgh is under threat.

Proposed cuts by the EIJB would effectively end community mental health support in the city. This cannot happen.

We know that early intervention and prevention is key to better outcomes. Removing this funding just wouldn’t make sense: meaning more expensive support and longer waiting times elsewhere.

Stafford Centre and other community mental health services are vital for Edinburgh.

Sign the petition and urge the EIJB to stop these cuts: 

👇

https://buff.ly/0WNd2HG

A new approach to mental health is tackling NHS backlog

Innovative pricing model to boost access to support

A GROWING number of people in Scotland struggling with mental health are being offered access to support thanks to a fairer pricing structure introduced by an innovative community interest company.

Connections Counselling, founded earlier this year by trained counsellor Ian Nicholson-Kapasi, is using a tiered-fee model designed to remove financial barriers and offer accessible counselling to those most in need.

Based in Edinburgh’s Drill Hall, the service has quickly drawn attention for its bold stance on affordability. The tiered system sees clients on lower incomes paying what they can afford, sometimes as little as £1 per session, while clients with greater means may contribute more, helping to subsidise access for others who may not be able to afford the same help.

Ian said: “I set up Connections Counselling to challenge the systemic inequality that exists within mental health services.

“We know the most vulnerable in our society are often least able to afford counselling. People in distress face enough challenges as it is. Lifting financial barriers helps create the space for those seeking change, to take meaningful steps toward helping themselves.”

Ian has drawn from personal experiences and years of training to launch the practice. Every £600 raised through the service guarantees 15 sessions of counselling at £40 per session, which will be offered to those otherwise unable to afford it.  

While the core cost is covered, clients are still encouraged to contribute a nominal amount, helping preserve the value of the therapeutic relationship.

He added: “Our tiered system is designed to create fairer access, not just for those who can afford therapy, but for everyone. A higher fee doesn’t necessarily reflect the quality of the service, but often how a counsellor values their own time or circumstances. That’s not the same as the quality of the relationship.

“For many clients, especially those working through issues of self-worth, this can unintentionally reinforce a power imbalance. Our Tier 1 ‘pay-what-you-can’ model offers an alternative, one that honours client agency and sees the therapeutic relationship as a shared space of respect and care.”

The initiative comes at a time when the NHS is under unprecedented pressure, with wait times for mental health support in some areas stretching over a year.

While CBT (cognitive behavioural therapy) remains the standard modality offered through the NHS, Connections Counselling adopts a more holistic approach, incorporating person-centred and psychodynamic therapies to better serve clients working with challenges such as trauma or understanding neurodivergent needs.

Ian explains: “There are incredible people working within the NHS, but the system is under strain, narrowly focused with CBT as a singular modality approach and doesn’t help enough with limited sessions.

“We want to help by offering longer-term, trauma-informed care that allows people to build meaningful therapeutic relationships. That flexibility can be vital in helping someone properly recover.”

Since launching, Connections has seen a growing waiting list for its tier one services. However, limited access to early-stage funding means growth is being restricted at a time when demand is surging.

“We are actively looking to partner with funders and businesses who share our vision of sustainable, accessible mental health care. Even modest donations can make a lasting impact.”

In addition to eliminating upfront cost barriers, the practice has also scrapped the widely used 24-hour cancellation fee, recognising it as a punitive measure that disproportionately impacts clients already in distress.

“Let’s say someone cannot leave the house due to anxiety, crisis, childcare issue or other common life happenings – charging them for a missed appointment reinforces not just a power imbalance but a financial barrier too – one that might be enough to stop someone who really needs access to support, from seeking it altogether. That is not how healing works,” he said.

“Unless a counsellor also offers money back, or a free next session if they (the counsellor) missed one, then they are actually saying to a client that their time is more valuable than the clients. This is not an ethical approach to counselling.”

While still in its preliminary stages, the practice already has ambitions for growth, including peer-support groups for practitioners and potential longer-term expansions into new locations across Edinburgh, Scotland and the UK.

Ian added: “The goal is to build a community of counsellors and clients who support each other. If the model proves successful in Edinburgh, there is no reason we cannot replicate it elsewhere.”

The service is open to referrals and currently accepts clients both online and in-person around the UK. Individuals or organisations interested in supporting the initiative can find more details via the Connections Counselling website.

From Heartbreak to Hope: – New national charity for seriously ill children’s mental health

 Imagine This, the only UK charity solely dedicated to children’s mental health, today unveils its new name as part of a bold new chapter in its mission to support the mental wellbeing of seriously ill children and their families across the UK. Formerly known as The Murray Parish Trust, the rebrand marks a renewed focus on this urgent and underserved area.

Founded in 2014 by actors Sarah Parish MBE and Jim Murray MBE, following the tragic loss of their daughter Ella-Jayne at just 8 months old, the charity has spent over a decade delivering life-changing projects in paediatric care in Hampshire, where the couple live. In 2024, the charity expanded its mission nationally in response to the growing need for mental health support in children’s healthcare. 

MBE

Awarded in the 2025 New Year’s Honours List, their MBEs will be formally presented by HRH The Prince of Wales at Windsor Castle tomorrow. The Honours celebrate a decade of extraordinary dedication to improving the lives of seriously ill children and their families across the UK.

Their leadership has driven vital progress in paediatric care, from funding life-saving medical equipment to championing imaginative, mental health-focused projects that offer children and families hope, connection, and support during the hardest times.

Rebrand

Today, The Murray Parish Trust is rebranding as Imagine This: an inspiring new name designed to capture hearts, inspire hope, and raise the profile of the urgent mental health crisis facing seriously ill children and their families. This fresh identity reflects the charity’s renewed commitment to being more imaginative, accessible, and far-reaching in its mission.

The need for mental health support for these children is immense and growing, and to meet this, Imagine This is positioning itself to scale its projects and extend its reach across the entire UK. With a clear focus on ensuring no seriously ill child or family faces the mental health challenges of serious illness alone, the charity’s mission is to reach every seriously ill child by 2035.

Key Statistics

There are more than one million seriously ill children in the UK. These children, and their families, are significantly more likely to experience poor mental health, facing trauma, anxiety, and isolation, often with little or no emotional support.

Recent research shows that nearly one in five seriously ill children suffer from anxiety, and around one in seven live with depression, rates far higher than those in the general child population.

The emotional toll extends to parents, who are often expected to cope alone. Mothers of seriously ill children are particularly vulnerable, with one in four experiencing anxiety or depression . Fathers, too, frequently report suffering in silence.

Behind these statistics are children missing school, withdrawing from their friends, and struggling to cope with overwhelming diagnoses and medical trauma, without access to the broad, holistic support they urgently need.

From creative therapies to peer connection, tailored emotional care, and safe spaces just to be children, these forms of support can be life-changing, but far too many go without.

“Imagine being told your child has a serious illness, and trying to hold your family together while navigating a world focused almost entirely on their medical care”, says co-founder Sarah Parish MBE

“We know that trauma firsthand, and we know how much more support families need. Without early, meaningful support, the impact on children and their families’ mental health can last a lifetime.

“That’s why Imagine This exists:to help ensure no child or family faces the emotional toll of serious illness alone.

Our vision is for every seriously ill child and their family to have access to the kind of imaginative, empowering support that helps them navigate their journey with connection, resilience, and hope. This new identity marks our commitment to every one of these children and their families.”

The name Imagine This captures both empathy and possibility, a reflection of the daily challenges faced by seriously ill children and their families, and a call to reimagine what meaningful support can look like.

The charity delivers imaginative, diverse and impactful projects, helping families cope with the emotional and psychological toll of serious illness.

These innovative projects include groundbreaking Positivity in Motion – dance, music and yoga therapy delivered in partnership with Synergy Dance Outreach, to children at Great Ormond Street Hospital and Evelina London Children’s Hospital.

“This isn’t just a name change,” co-founder Jim Murray MBE adds. “It’s the beginning of a bold, nationwide movement to transform how we support the mental wellbeing of seriously ill children and their families living through the unimaginable.

“Our ambition is clear: by 2035, we aim to reach every seriously ill child in the UK, bringing imaginative and innovative projects to children in hospitals, hospices, and communities across the UK. Imagine This is the only UK charity solely dedicated to this urgent need, and we’re just getting started.”

Professor Lorna Fraser of Palliative Care and Child Health at King’s College London says, “When a child becomes seriously ill, this can impact the entire family.

“Our research shows the impact of serious physical illness on the mental health of the children and their parents, and how difficult it can be to access timely and appropriate support.

“We need to prioritise mental health support – it is an essential component of care for children with serious illness and their families. Imagine this is helping to shift that thinking, and it’s long overdue.”

This milestone also marks the start of an exciting new chapter, with the appointment of Ellie Main as Head of Fundraising and Operations.

Formerly Senior Fundraising Manager at BBC Children in Need, Ellie brings a wealth of experience in strategic growth and nationwide programme delivery, putting Imagine This in a strong position to scale its impact and reach every seriously ill child in the UK by 2035.

To find out more, visit imaginethis.org.uk 

Mental Health Foundation: Panic Attacks

Panic attacks can be frightening. But there are things you can do during a panic attack that help, like breathing and grounding techniques.

A panic attack can be caused by a traumatic or very stressful life experience.

If you’re having lots of panic attacks, you might be diagnosed with a panic disorder – and there’s help available for this.

🔗 Read our guide on panic attacks: https://bit.ly/3YNWmfG

Digging in to develop a community garden in Morningside

People carrying out unpaid work as part of a community sentence have been helping to develop an NHS community garden in Morningside.

The City of Edinburgh Council’s justice services have teamed up with the Cyrenians charity so that people carrying out a community payback order (CPO) can learn how to care for the garden.

Councillor Tim Pogson, Chair of Edinburgh’s Community Safety and Justice Partnership, said: “We have been exploring innovative ways to support those who have committed offences to repay the community for their crimes while at the same time, giving participants the opportunity to learn valuable skills and work as part of a team.

“Through joining forces with the Scottish charity Cyrenians we’ve been able to support the environment through the development of a community garden project offering placements to people completing unpaid work as part of a CPO.”

Cyrenians delivers the project in a supportive environment, delivering learning, while providing help to those on the project to access additional supports they may need to be reintegrated into their community and become contributing members of society.

The project has proved to be a great success with participants saying how working in the garden had improved their mental health and led to a renewed appreciation of the outdoors. Many have enjoyed contributing to a wider project team while being supported by Cyrenians through a low point in their lives to move on from their crime to a more positive space and a crime-free life.

A supervised team of people work together on the garden woodland and orchard, including landscaping, planting, pruning and composting. Participants learn how to grow vegetables, herbs and flowers and develop skills in making garden furniture.

Hannah Macrae, Community Gardens Service Manager at Cyrenians, said: “We have loved working in partnership with community justice services, to offer placements to people completing a community payback order.

“Our community gardens provide a lot of solace to people and we are very grateful to those who have come on placement for all their efforts to maintain and improve this special space. Many of the people who come really enjoy the time working in the garden and we hope that they take away a new set of skills and a sense of pride in what they have achieved.”

A  number of areas across Edinburgh have been transformed by people carrying out a CPO and previous projects have included fencing and decking work at Dr Neil’s Garden in Duddingston and supporting garden maintenance at Inverleith Park.

More than 11.6 million hours of unpaid work have been completed across Scotland since CPOs were introduced in 2010 – with around 1.4 million hours recorded benefiting communities for the reporting year 2023-24. There were 15,086 CPOs imposed by the courts – a three per cent increase on the previous year.  

There are various projects highlighted in the new annual CPO report 2023-24 by Community Justice Scotland. It shows that the number of CPOs imposed has increased and how people have been held to account and supported to reconnect and contribute to their communities. 

Catherine Dyer, chair of the board of Community Justice Scotland, said: “Community payback orders allow people to repay locally for the harm they’ve caused and access support to services, such as addiction counselling, to tackle the behaviour which led to their offending.

“The increase in the number of CPOs imposed by courts shows the confidence of Sheriffs in community-based sentences which can help reduce the risk of reoffending compared to short-term imprisonment.

“Unpaid work has transformed areas across the country, making a meaningful impact on communities such as improving school playgrounds, painting and gardening for local organisations as well as helping individuals who need work done.”

  • Edinburgh is seeking the public’s views on unpaid work and suggestions for new projects. You can complete the short survey online here at the City of Edinburgh Council’s website (until 8 September 2025).

Improving mental health nursing care

Review recommendations will benefit patients, staff and students

People affected by mental health issues can expect higher and more consistent standards of care following the publication of Scotland’s Mental Health Nursing Review.

The Review outlines ways to enhance and further support the mental health nursing profession. The paper was developed by mental health nurses and students, academics, with support from carers and people accessing mental health nursing care.

The Review makes a total of 24 recommendations including:

  • ensuring people accessing services have meaningful involvement in their mental health nursing care
  • improving support for newly qualified mental health nurses and sharing best practice
  • considering specific education needs for rural and island settings
  • improving access to post-registration learning for mental health nurses across all sectors

A new Mental Health Nursing Review Implementation Group will be established to ensure effective collaboration, delivery, monitoring and evaluation of the Review actions.

Mental Wellbeing Minister Tom Arthur said: “Through their expert care, compassion and dedication, mental health nursing staff make a significant and positive impact to people’s health and wellbeing every day.

“The Review focuses on their unique role, and it will ensure the profession is supported and empowered to drive the enhancement of mental health and wellbeing services now, and in the future.

“I want to thank all the mental health nursing staff and students, academics, carers and those people accessing care who engaged with and supported this work.

“I am looking forward to working collaboratively to deliver the ambition of ensuring Scotland is the best place for mental health nursing to flourish and where people live longer, healthier and more fulfilling lives.”

Chair of Scotland’s first Mental Health Nursing Review, former Chief Nursing Officer, Professor Alex McMahon said: “It has been an honour as a mental health nurse to have chaired the review and to have heard from mental health nurses and those that represent people who use services across Scotland.

“The report and its recommendations, mean that patients and mental health nurses who deliver services now and, in the future, will benefit from the reforms.

“It will be important to ensure these recommendations are implemented, and one aspiration I and others share is that we will attract and retain even more people into undergraduate nursing degree programmes.

“I believe being a mental health nurse, is one of the best and most fulfilling careers you can chose.”

Mark Richards, Associate Chief Nursing Officer said: “Our Mental Health Nursing Review highlights the vital role mental health nurses play in supporting the mental health and wellbeing of the people of Scotland.

During our work on the Review, we heard that mental health nurses are at the heart of care delivery and that their relational expertise often has a transformational impact on people’s lives.

“Mental health nurses told us they are proud of the work they do. They strive every day to deliver compassionate, high-quality care, and to work with people who need expert support to enable recovery and promote wellbeing.  

“This Review is important in advancing the contribution of mental health nurses and will help ensure we have a profession that is skilled, well supported and sustainable – now and for many years to come.

“It was collectively produced by our mental health nurses in Scotland, and I look forward to us working together to deliver our ambitions.”  

Darren Fullarton, Associate Nurse Director for NHS Ayrshire and Arran and Chair of the Mental Health Nurse Leads Group for Scotland, said: “The national review of mental health nursing recognises and celebrates the important role that mental health nurses play in their support and compassionate care for people experiencing mental health issues. 

“The National Mental Health Nurse Lead Group are delighted to have had the opportunity to support this significant piece of work which captures views from those with lived experience, families and carers and from mental health nurses themselves to develop an ambitious vision for mental health nurses that exemplifies our commitment to care, compassion and connection.”

The Mental Health Nursing Review commenced in 2024 and was a key action within the Mental Health and Wellbeing Strategy’s  Workforce Action plan.