Scottish Childrens Services Coalition – Page 4 – The NEN

Coalition raises concerns as new figures highlight slump in support for vulnerable children

Near doubling in the number of pupils with additional support needs since 2012
Decline in the number of specialist ASN teachers by 578 since 2012
500 per cent increase in those with mental health problems

An alliance of leading providers of children’s services, the Scottish Children’s Services Coalition (SCSC), has called for greater resourcing to support children and young people with additional support needs (ASN), both during and after the Covid-19 crisis.

The call comes as new figures out today (23^rd March 2021) from the annual Scottish Government pupil census, reveal that while the number of specialist ASN teachers has slumped to a record low, the number of those pupils with ASN has escalated dramatically.

Between 2012 and 2020 the number of full-time equivalent ASN teachers (publicly funded primary, secondary, special and centrally employed) has fallen from 3,389 to 2,811, a decrease of 578 teachers (17%).

This fall is against the background of an overall increase by 92.2 per cent since 2012 in the number of pupils identified with ASN, from 118,034 to 226,838 in 2020,representing just under a third of all pupils (32.3 per cent).

The number of those with autism spectrum disorder has increased by over 150 per cent (from 8,650 to 21,820) between 2012 and 2020, those with social, emotional and behavioural difficulties by over 125 per cent (from 23,485 to 52,921) and those with mental health problems by 500 per cent (from 1,254 to 7,524).

Against a background of a per pupil cut in spending and in specialist support, the SCSC has called for greater resourcing from both the Scottish Government and local authorities to ensure that those with ASN in Scotland’s schools, who disproportionately come from lower income families and areas of deprivation, are getting the care and support that they need.

The coalition has also raised concerns about the effectiveness of a presumption of mainstreaming, meaning that all pupils are educated in a mainstream educational environment unless exceptional circumstances apply.

A spokesperson for the SCSC commented: “It is vital that those with ASN get the care and support they need, especially during and as we come out of the current Covid-19 crisis.

“This is also key if we are to genuinely close the educational attainment gap as we know that those with ASN disproportionately come from lower income families and areas of deprivation. Such a situation is clearly challenging in an environment of austerity and evidence of cuts in spending per pupil with ASN and in the number of specialist teachers supporting this group.

“While we also support the presumption of mainstreaming, which means that all children and young people are educated in a mainstream educational environment unless exceptional circumstances apply, it is clearly difficult to see how this is functioning properly for all those with ASN given this fall in specialist support and increase in the number of those identified with conditions such as autism and mental health problems.

“The Scottish Government and local authorities need to work together to provide the necessary resourcing to address the needs of those children and young people with ASN, who represent some of the most vulnerable individuals in our society. “

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.”

Latest suicide figures are ‘the tip of the iceberg’, says charity

Data from National Records of Scotland (NRS) released yesterday shows that there were 833 probable suicides registered in Scotland in 2019, an increase from 784 in 2018.

Six hundred and twenty men and 213 women took their own lives in 2019, with people aged 45-54 most at risk. People in our poorest areas were also more likely to take their own lives.

This link between deprivation and suicide is well known. Between 2015 and 2019, people living in the most deprived areas were three times more likely to die by suicide compared to those living in the least deprived areas.

Claire Sweeney, Director of Place and Wellbeing at Public Health Scotland said: “Each of these deaths are a tragedy arising from profound distress, and are all preventable. They will have left immeasurable grief across families and communities.

“The unprecedented challenges we have all faced in 2020 perhaps make it easier to understand that anyone can experience mental illness. That’s one of the reasons why Public Health Scotland is prioritising improving mental wellbeing as part of our strategic plan (A Scotland where everybody thrives).

“We will work with our partners to help grow the understanding of levels of suicide in the communities they work with, and more broadly to support better mental wellbeing across Scotland.”

Following the release of these figures the Scottish Public Health Observatory has published supporting information available.

View the report on the ScotPHO website

If you or someone you know are experiencing thoughts of suicide please call Breathing Space on 0800 83 85 87 or Samaritans on 116123.

Responding to Public Health Scotland figures revealing that 833 people died by probable suicide in 2019, a spokesperson for the Scottish Children’s Services Coalition commented: “The statistics highlighting that there were 833 probable suicides registered in Scotland in 2019 is devastating for so many families and only the tip of the iceberg when it comes to highlighting the mental health crisis we are currently in.

“We have for some time called for radical transformation in our mental health services and expressed our concerns over the lack of investment in these for our children and young people. Currently around 50p in every £100 of NHS spending goes to child and adolescent mental health services (CAMHS), and yet we know that one in ten children has a diagnosable mental health problem and that figure is increasing. These problems of course if not addressed carry on into adult life.

“With increased numbers of those experiencing mental health problems, as well as those whose existent conditions are being worsened due to the coronavirus pandemic, coupled with further cuts in services, this points to a mental health crisis ‘perfect storm’.

“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.

“In addition to the NHS, local authorities, the third sector and other independent organisations play a key role in providing mental health support. Yet these services have seen their resources cut over the years, putting an even greater burden on specialist and costly mental health services. It is vital that they receive increased funding or we face witnessing a ‘lost generation’ of vulnerable children and young people

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

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.”

¹NHS Information Services Division, Child and Adolescent Mental Health Services Waiting Times in Scotland – Full report (PDF link), 1^st 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 1^st September 2020).

²Ibid., waiting times table 1b

³Young 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).

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%.

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.

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.

“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.”

Concerns over falling numbers of pupils with Additional Support Needs in positive destinations

Commenting on the Scottish Government’s latest statistics for leaver destinations, a spokesperson for the Scottish Children’s Services Coalition – an alliance of leading independent and third sector service providers – said:

“We are deeply concerned about falling level of those school leavers with additional support needs (ASN) such as autism, dyslexia and mental health problems in positive destinations. This includes further education, higher education, employment and training.

“While 87.9 per cent of those school leavers with ASN were in positive destinations in 2018/19, this is a drop on 2017/18 when the figures was 88.4 per cent. For those with no ASN the figures are 95.1 per cent and 95.3 per cent respectively.

“The attainment gap between those school leavers with ASN and those with no ASN has increased from 6.9 per cent for 2017/18 to 7.2 per cent in 2018/19.

“It is deeply disappointing to see a fall in the number of school leavers with ASN in positive destinations and to note that this gap is growing when compared with those with no ASN. There is also a clear gap between the number of those with ASN who are unemployed (10.2 per cent), compared with those with no ASN (3.9 percent).

“As the impact of COVID-19 becomes more evident we anticipate this gap growing and it is crucial that resourcing is targeted at those individuals with ASN to give them the best possible opportunities, both in the classroom and beyond.

“The statistics come hot on the heels of recent evidence that the attainment gap between those school leavers with ASN and those with no ASN has increased from 7.3 per cent for 2017/18 to 7.6 per cent in 2018/19 for those with at least one pass at National 4, and from 21.8 per cent to 22.4 per cent for those with at least one pass at National 5. It has dropped from 31.9 per cent to 31.2 per cent for those with at least one pass at Higher.

“It is vital that those with ASN get the care and support they need in order to give them the best possible start in life, to close the educational attainment gap and give them the best opportunities possible beyond the classroom.

“This is clearly challenging in an environment of austerity, however, the cost to society in the long term if adequate resourcing is not provided will far outweigh any potential savings made today.”

‘Perfect COVID storm’ for children’s mental health

The NHS in Scotland failed to meet a maximum 18-week waiting time target for children and young people to receive treatment from mental health services
More than a third are waiting more than 18 weeks for treatment.
All health boards bar the Island health boards failed to meet this target
Danger of ‘perfect storm’ of pent-up demand as lockdown eases overwhelming services

The Scottish Children’s Services Coalition (SCSC), an alliance of leading independent and third sector providers of children’s services, has warned of a “perfect storm” of a mental health crisis coupled with further cuts to some services following the Coronavirus pandemic.

It has urged the Scottish Government to invest significantly in mental health services to address this, warning of an overwhelming demand on services, and urged parents and young people to seek support if they need it.

The call comes as latest waiting time figures from Public Health Scotland, covering the period January to March 2020 (just as the lockdown came into force), show that 4,093 children and young people started treatment at specialist child and adolescent mental health services (CAMHS) in this period.

Of this number under two-thirds (65.1 per cent) received this treatment within the Scottish Government’s 18-week waiting time target from referral to treatment.

This was lower than the previous quarter (66.4 per cent) and significantly lower than the same period last year (73.6 per cent), meaning that just over a third are not being seen within the waiting time target.

All bar the island health boards failed to meet the Scottish Government 18-week waiting time target for children and young people to receive treatment from CAMHS. This target should be delivered for at least 90 per cent of patients.

Individual health boards failing to meet this target are: NHS Borders (89.8 per cent), NHS Fife (76.0 per cent), NHS Ayrshire & Arran (71.4 per cent), NHS Grampian (86.0 per cent), NHS Greater Glasgow & Clyde (58.8 per cent), NHS Highland (84.8 per cent), NHS Lanarkshire (57.7 per cent), NHS Lothian (54.6 per cent), NHS Tayside (65.0 per cent), NHS Dumfries & Galloway (87.2 per cent) and NHS Forth Valley (54.2 per cent).

The coalition has warned of a significant demand on services once the lockdown ends as subsequent to these figures there has been a fall in the number of children being referred for specialist help during lockdown, which could have a devastating impact on their mental health.

It warned that the absence of support from teachers and other care professionals could result in early warning signs being missed and lead to a surge in demand for services once the lockdown ends. Self-isolation and social distancing are already having an impact on young people struggling with issues such as anxiety and depression.

A recent report by Young Scot 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: –

https://youngscot.net/news-database/lockdownlowdown-results

And a separate report from YouthLink Scotland showed the youth-work sector was facing a mental health crisis due to projected budget cut of £20.5 million this year – https://www.youthlinkscotland.org/news/may-2020/survey-report-reveals-20m-funding-hit-for-sector-as-youth-mental-health-crisis-looms/

Although the coalition welcomes the announcement made by the First Minister (27 February) to invest £3.8 million in developing mental health services to cope with the coronavirus pandemic, it fears that not enough will be done to safeguard the mental health of our vulnerable children.

A spokesperson of the SCSC commented: “These latest waiting time figures highlight that nearly all of Scotland’s health boards are failing to meet the Scottish Government waiting time target for treatment.

“Along with cuts in services this points to a ‘perfect storm’ of a mental health crisis as we come out of lockdown, coupled with further 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 these same under-pressure services face being overwhelmed due to a greatly increased demand.

“Children are not currently getting access to social services and are not going to school or reporting their experiences. Taking them to see the GP may currently be considered low priority.

“It is important to stress that these services are still available and the Scottish Government must look to support these young people as we come out of lockdown by investing significantly in services.”

Concerns raised over escalating number of children needing additional support

Increase of over 97,000 in the number of pupils with ASN since 2012
Decline in number of specialist ASN teachers by 376 since 2012
Decline of almost £1000 spend per ASN pupil since 2012/13

An alliance of leading independent and third sector organisations, the Scottish Children’s Services Coalition (SCSC), has called for greater resourcing to support children and young people with additional support needs (ASN), both during and after the Covid-19 crisis.

The call comes as new figures from the annual Scottish Government pupil census reveal that while the number of specialist teachers supporting those with ASN has dropped the number of those with ASN has escalated dramatically.

Between 2012 ¹ and 2019 ² the number of specialist teachers supporting those with ASN (publically funded primary, secondary, special and centrally employed) has decreased from 3,840 to 3,464, a decline of 376.

This fall is against the background of an overall increase by 82.9 per cent since 2012 in the number of pupils identified with ASN, from 118,034 ³ to 215,897 in 2019 ⁴,representing just under a third of all pupils (30.9 per cent).

Recently revealed figures also indicate that average spend per pupil on additional support for learning by local authority (primary, secondary and special education) has fallen from £4,276 in 2012/13 5 to £3,286 in 2018/19.

It has also raised concerns about the effectiveness of a presumption of mainstreaming, meaning that all pupils are educated in a mainstream educational environment unless exceptional circumstances apply.

The fall in the number of specialist teachers is set against a background of dramatic increases in the reasons pupils being identified with ASN, such as autism, dyslexia and mental health problems, in Scotland’s schools.

A spokesperson for the SCSC commented: ““It is vital that those with ASN get the care and support they need, especially during and as we come out of the current Covid-19 crisis.

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.”

Children’s mental health services ‘creaking at the seams’

The NHS in Scotland failed to meet a maximum 18-week waiting time target for children and young people to receive treatment from mental health services
More than a third are waiting more than 18 weeks for treatment.
11 out of 14 health boards, including NHS Lothian, failed to meet the 18-week waiting time target.
272 children and young people waited more than a year prior to being seen
Coalition calls for fundamental rethink and renewed focus on prevention and early intervention, including embedding mental health within education.

Latest waiting time figures have reinforced the call by a coalition of leading independent and third sector children and young people’s service providers for dramatically increased investment in mental health services in the budget to address the current mental health crisis.

It has also called for an urgent need for transformational change in services, focusing on prevention and early intervention in order to tackle what is one of the greatest public health challenges of our time.

The call from the Scottish Children’s Services Coalition (SCSC), which campaigns to improve services for vulnerable children and young people, comes as the latest waiting time figures from the Information Services Division, part of NHS National Services Scotland, highlight that thousands of children and young people are failing to treated within a Scottish Government waiting time target.

With an increasing number of children and young people being identified with mental health problems they also highlight a postcode lottery for mental health treatment across the country.

Covering the quarter October to December 2019, the figures highlight that 3,884 children and young people started treatment at specialist child and adolescent mental health services (CAMHS) in this period.

The NHS in Scotland, including 11 of the 14 regional health boards, failed to meet the Scottish Government 18-week waiting time target for children and young people to receive treatment from CAMHS. This target should be delivered for at least 90 per cent of patients.

While 66.4 per cent in the NHS in Scotland are being seen within this 18-week waiting time, still in itself far too long, more than a third (33.6 per cent) are failing to be seen within this period.

Individual health boards failing to meet this target are: NHS Fife (66.1 per cent), NHS Ayrshire & Arran (89.9 per cent), NHS Grampian (80.1 per cent), NHS Greater Glasgow & Clyde (68.9 per cent), NHS Highland (75.2 per cent), NHS Lanarkshire (57.8 per cent), NHS Lothian (48.4 per cent), NHS Tayside (57.4 per cent), NHS Dumfries & Galloway (88.6 per cent), NHS Shetland and NHS Forth Valley (57.7 per cent).

The figures also indicate that 272 children and young people in the October to December quarter had been waiting for more than a year prior to being seen for treatment, an increase from 204 in the previous quarter and a considerable increase from the same quarter of last year (108).

Mental health services are creaking at the seams due to greatly increasing demand, as evidenced by these waiting time figures. 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), with 50 per cent of mental health problems established by the age of 14 and 75 per cent by the age of 24.

While acknowledging the great efforts the Scottish Government is making, such as an additional £250 million of funding announced in the Programme for Government of 2018, the SCSC has called for the Scottish Government to greatly increased investment in CAMHS and for a more consistent approach to delivering these services across Scotland. ³

It has also called for a renewed focus on prevention and early intervention for those with mental health problem, reducing the need for referral to under-pressure specialist CAMHS.

This includes embedding mental health within education from an early age in order to strengthen knowledge and awareness of mental health, as well as reducing the stigma associated with mental health.

SCSC says emotion and resilience classes should be provided to all students from primary one to teach students how to work through their emotions in a healthy way and there should be a whole-school approach, with training for all staff involved in education and providing counselling support.

A spokesperson for the SCSC said: “These latest waiting time figures highlight that we desperately need increased investment in the forthcoming budget to address this situation. The simple fact is that we are continuing to fail thousands of children and young people with mental health problems, and more clearly needs to be done to address this epidemic.

“These newly released figures highlight that the NHS in Scotland, including eleven of our health boards, are failing to meet what is already a lengthy waiting time. Yet we know that three children in every classroom has a clinically diagnosable mental health problem.

“There must be a radical transformation of our mental health services, with a focus on preventing such problems arising in the first place and intervening early, especially when we know that half of all mental health problems begin before the age of 14. This includes embedding mental health within education from an early age as well as providing training for all staff involved in education.

“With mental health and the issues associated with it representing one of the greatest public health challenges of our time, we must ensure that children and young people are able to get the care and support they need, when they need it. This includes investing in greater community support and support at school, reducing the need for referral to specialist CAMHS.”

One in three young people in the Lothians are waiting over a year for mental health support.

Miles Briggs, Scottish Conservative Lothian MSP, said: “It is deeply concerning that we are now in a situation where over a third of young people referred for mental health support in NHS Lothian are having to wait over a year.

“SNP Ministers have allowed us to reach crisis point by not properly managing NHS Lothian’s workforce and must take responsibility for neglecting to take action over the mental health crisis amongst young people.

“These figures show just how urgently we need an additional 40 whole time equivalent mental health professionals in NHS Lothian.”