Strengthening additional support for learning

Delivering better experiences for learners, teachers and practitioners to thrive

A rapid review of Additional Support for Learning (ASL) has set out recommendations to ensure young people’s evolving needs continue to be met across Scotland.

Professional Education Advisor Janie McManus’ expert review of ASL said that clearer expectations, stronger pathways to support across education, health and social care, and early interventions should underpin the next steps in delivering Additional Support Needs (ASN) provision in schools.

Education Secretary Jenny Gilruth welcomed publication of the review outcomes and accepted the recommendations in a speech to practitioners – the first in a series of national events on ASL convened by the Scottish Government.

In her address, Ms Gilruth also confirmed that an app to streamline administrative tasks and free up teachers’ time to focus on pupil needs would be rolled out more widely later this year, backed by £700,000 government funding, subject to the success of ongoing pilots in six council areas.

Ms Gilruth said: “I am grateful to MSPs from across Parliament for their constructive engagement on the additional support needs review. I am also thankful to Janie McManus for leading this short, sharp review into ASN, with clear recommendations for the next Scottish Government to address.

“The pandemic was an undoubtedly challenging time for schools, but none more so than for our additional support needs pupils. It is with the needs of those young people in mind, that we have come together to work collegiately to drive the improvement we all want to see in Scotland’s inclusive schools.

“Across the country our teachers and school staff display extraordinary commitment working with pupils with ASN to provide a nurturing, supportive environment. Through our investment in the CivTech programme, we are seeing how technology can be harnessed to cut the time spent on paperwork and free up valuable time for teaching and learning, helping ensure teachers and school staff have the time to focus on what matters most – their pupils.”

COSLA Children and Young People Spokesperson Cllr Tony Buchanan said: “We welcome the final progress report on the Additional Support for Learning Action Plan.

“Six years after Angela Morgan’s review, progress has been made, though more remains to do. We now better understand the needs of children and young people, supported by new tools and stronger partnerships.

“Local and Scottish Government must continue working together with a shared vision that enables local and individualised approaches. We note Janie McManus’s report and will consider it jointly with Scottish Government.”

A spokesperson for the Scottish Children’s Services Coalition commented: “While we welcome the outcomes of the expert review on additional support for learning (ASL), including the call for timely access to specialist services across education, health and social care, and early intervention, there needs to be adequate resourcing in place to turn this vision into a reality.

“Across the last decade, spending per pupil on ASL has declined by almost a third, and there have been cuts in the like of specialist ASN teacher numbers, which have been slashed by 240 over the same time period. We are facing a lost generation of vulnerable children and young people who are not getting the care and support they so vitally need.

“We would urge the Scottish Government to prioritise the windfall that will come from proposed increased spending on those with special educational needs and disabilities (SEND) in English schools, on those Scottish pupils with ASN.

“With more than two out of five pupils identified with additional support needs, and the Scottish Parliamentary elections forthcoming, we would additionally urge the political parties to concentrate on this issue as they draft their manifestoes and for the public to focus on what these parties intend to do if voted into office.”

Call for greater resourcing as spending to support vulnerable children in Scotland is slashed

  • Spending cut of £1,700 per pupil from 2014/15 for those identified with additional support needs (ASN) – 30.1 per cent cut over a decade.
  • The number of pupils identified with ASN has more than doubled (102 per cent increase) over the same period.
  • A cut of 240 in the number of specialist ASN teachers.

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, has warned of a potential lost generation of children and young people with ASN, and urged greater resourcing for this group.

ASN includes the likes of autism, dyslexia and mental health problems, and the coalition has urged provision of support for this to be a central issue in the forthcoming Scottish Parliamentary election campaign. 

The call comes as new figures contained in a parliamentary answer to the Cabinet Secretary for Education and Skills, Jenny Gilruth MSP, reveal that average additional support for learning (ASL) spend per pupil has been slashed by nearly a third (30.1 per cent) over the last decade.[1]This comes against a perfect storm of escalating numbers of pupils with ASN and cuts in support.

The SCSC is urging the Scottish Government to work with local authorities to increase funding to support the needs of vulnerable children and young people, including greater provision of specialist ASN teachers, educational psychologists, speech and language therapists, behaviour support staff and classroom assistants.

The figures highlight that average spending per pupil on ASL by local authorities in Scotland (primary, secondary and special education) has fallen from £5,504 in financial year 2014/15 to £3,804 in 2024/25 (based on 2024/5 prices). This amounts to an overall cut in spending of £1,700 per pupil, representing a 30.1 per cent drop.

This funding fall is against the backdrop of a 102 per cent increase over the same period in the number of pupils identified with ASN, from 140,501 to 284,448, amounting to 127,443 individuals. Those with ASNrepresent more than a third of all pupils (36.7 per cent).2

In parallel with this, there has been a cut of 240 in the number of specialists ASN teachers, from 3,077 in 2014 to 2,837 in 2024.3

A report from Audit Scotland has called on the Scottish Government and local authorities to fundamentally rethink how they plan, fund and staff additional support for learning as part of core school education in Scotland.4

In January 2026, the Scottish Government announced a national review into the provision of ASL, led by the former Chief Inspector of Education in Scotland, Janie McManus. This will look at how to strengthen delivery, including provision in schools, and how policy is translating into effective practice.5

A spokesperson for the SCSC commented: “It is deeply concerning to see cuts to spending that support children and young people with ASN. While there is a record amount of spending in support of those with ASN, this is offset by a dramatic increase in the number of pupils affected, meaning that spending per pupil has been slashed.

“We urge all political parties to make provision for this group a central commitment in their election campaigns.

It is vital that the Scottish Government and local authorities increase resources to expand access to the likes of specialist ASN teachers, educational psychologists, and classroom assistants. Without this investment, we risk a lost generation of children with ASN missing out on the care and support they need, when they need.

“Additionally, proper resourcing is essential if we are to achieve genuine classroom inclusion and close the educational attainment gap. We therefore expect that the national review of ASL provision should address the critical issue of sufficient resourcing.

“The Scottish Government and local authorities must work together to ensure properly funded, consistent support across Scotland for children and young people with ASN — some of the most vulnerable members of our society.”

NOTES

[1] Scottish Parliament, Jenny Gilruth MSP Written Answer- S6W-43553, table 5, 20th February 2026. Available at: https://www.parliament.scot/chamber-and-committees/questions-and-answers/question?ref=S6W-43553

2 Scottish Government, Pupil Census 2025 supplementary statistics, table 1.5, 9th December 2025.

Scottish Government, Teacher census supplementary statistics 2024, table 6.7, 25th March 2025. Available at: https://www.gov.scot/publications/teacher-census-supplementary-statistics/

Audit Scotland, Fundamental review needed of planning and resourcing of additional support for learning, 27th February 2025. Available at: https://audit.scot/news/fundamental-review-needed-of-planning-and-resourcing-of-additional-support-for-learning

Scottish Government, Delivering Additional Support for Learning, 15th January 2026. Available at: https://www.gov.scot/news/delivering-additional-support-for-learning/

SCSC: New figures highlight 145 children waiting more than a year for mental health treatment

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, has raised concerns that 145 children and young people have been waiting more than a year for mental health treatment.

These figures were highlighted in the latest waiting time statistics from Public Health Scotland published yesterday (4th March), indicating that 145 children and young people had been waiting over a year for treatment from child and adolescent mental health services (CAMHS) in the quarter ending December 2024.

This is an increase from 115 in the previous quarter ending September 2024.

In addition, 4,362 children and young people were waiting to start treatment at quarter ending December 2024, which is an increase of 3.1 per cent (131) compared to 4,231 in the previous quarter

On a more positive note, 90.6 per cent of children and young people started treatment within 18 weeks of referral. The Scottish Government target, dating from December 2014, states that 90 per cent of children and young people should start treatment within 18 weeks of referral to CAMHS. This has been achieved for the first time.

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

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. 

A spokesperson for the SCSC commented: “The latest figures highlighting that 145 children and young people have been waiting over a year for mental health treatment 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 as they battle with the long shadow of lockdown and the rising cost of living.

“This is also having a major effect on classroom behaviour, impacting the young people concerned, their fellow pupils and staff.

“Each one of these statistics is an individual, and we would urge the Scottish Government 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.”

Call for urgent action as number of legal plans for vulnerable children in Scotland slumps to a new low

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 urgent action following a sharp decline in the number of legally binding education support plans for those with complex or multiple additional support needs (ASN).

So-called co-ordinated support plans (CSPs), prepared by local authorities, are the only education plans that are legal documents.  These provide some guarantees of entitlement to additional resources and legal redress, placing statutory duties on local authorities to review and ensure the provisions contained within it are being met.

However, despite a Scottish Government promise that there would be no reduction in the proportion of pupils receiving them since their introduction in 2004, there has been a significant fall in the number of pupils with a CSP, as highlighted in the recent Scottish Government’s annual census of pupils and teachers in publicly funded schools.

In 2014, there were 3,128 pupils with such a plan. 1 However, by 2024 this number had fallen to 1,215. 2 This amounts to a drop of 61.1% and is a reduction from 2.2% to 0.4% of those with ASN, amounting to 0.2 per cent of the pupil population.

This sharp fall in the number of CSPs contrasts with a dramatic increase in number of pupils with ASN, such as autism, dyslexia and mental health problems, which in 2024 reached a record high of 284,448.3 This represents 40.5% of the pupil population, rising from 140,542 in 2014 (20.8% of all pupils).It amounts to a more than doubling (102.4%) in numbers over the past decade.

This situation is in contrast with England, where the number of those receiving an education, health and care plan (EHCP), the CSP equivalent, is 4.8 per cent of the pupil population.5 Amounting to around 24 times the percentage of those receiving a CSP in Scotland, this figure is also on the increase.

A concern raised by the SCSC is that local authorities are reluctant to issue CSPs because they are seen as cumbersome and time-consuming, as well as being resource-intensive and subject to enhanced scrutiny.

This is all set against the backdrop of a lack of resources, with many local authorities now reluctant to provide, what would be legally enforceable support, due to cuts in health, education and social work services. With legal action taken if the needs of the child or young person are not believed to have been met, non-statutory alternatives are often being offered in their place, with families or carers not being offered the option of a CSP.

Despite a greater prevalence of those with ASN in the most deprived communities, CSPs are more likely to be opened for pupils with ASN living in the least deprived neighbourhoods, compared with those living in the most deprived neighbourhoods. This means that they may not be getting the care and support they so vitally need.

The SCSC has called for an expansion in access to CSPs, with the Scottish Government, local authorities, health and other relevant agencies collaborating more effectively to ensure that those requiring such a legal plan receive one.

This needs to be supported by the necessary resourcing of the services involved, and increased awareness and understanding of CSPs by families or carers, and professionals. This includes training for local authority and school staff, including highlighting statutory entitlements.

The SCSC has also called for a particular focuson care- experienced children and young people, and those from the most deprived neighbourhoods.

A spokesperson for the SCSC commented: “We are calling for action following figures highlighting a decline in the use of CSPs, which are designed to support those with the most complex needs.  This is despite a Scottish Government assurance that they would not decline and against the backdrop of a dramatic increase in the numbers of those with ASN.

“By not providing this legally enforceable provision, many of these vulnerable individuals are being failed and not getting the support they are entitled to. This is of particular significance given the devastating impact of Covid-19 and cost-of-living crisis. The Scottish Government, local authorities and other agencies need to collaborate to ensure that those requiring a CSP receive it, with the necessary resourcing in place to support this.

“With those with ASN drawn disproportionately from poorer neighbourhoods, if we are to genuinely close the educational attainment gap, they must get the care and support they need, when they need it.”

Scottish Government, Summary Statistics for Schools in Scotland, No. 5: 2014 Edition, 10th December 2014, table 3.5.

Available at: https://www.gov.scot/publications/summary-statistics-schools-scotland-5-2014-edition/pages/16/ (accessed 10th December 2014).

Scottish Government, Summary Statistics for Schools in Scotland 2024, 10th December 2024, figure 23. Available at:   https://www.gov.scot/publications/summary-statistics-for-schools-in-scotland-2024/pages/classes-and-pupils/ (accessed 10th December 2024).

Ibid.

Op. Cit.,Scottish Government, Summary Statistics for Schools in Scotland, No. 5: 2014 Edition,

Department for Education, Special Educational Needs in England 2023/24 ,20th June 2024. Available at:https://explore-education-statistics.service.gov.uk/find-statistics/special-educational-needs-in-england(accessed 13th December 2024).

Record number of pupils in Scotland are identified with additional support needs as support falls

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, has raised concerns over an increase to a record high in the number of pupils identified with additional support needs (ASN).

The figures were released today (10 December) in the Scottish Government’s annual census of pupils and teachers in publicly funded schools.Concerns have also been raised about a decline in the number of special schools, and the level of statutory support being offered to those with the most complex needs, meaning that thousands of children and young people are being let down overall.

The figures show that the number of pupils with ASN, such as autism, dyslexia and mental health problems in 2024 has reached a record high of 284,448. This  represents 40.5% of the pupil population, rising from 140,542 in 2014 (20.8% of the pupil population).

It amounts to a more than doubling (102.4%) in numbers over the past decade.

Amounting to more than two out of five of the pupil population, this is set against a backdrop of budgetary cuts and an ongoing lack of support for those with ASN, including cuts in numbers of specialist ASN teachers and support staff.

The SCSC has called for increased resourcing to address this growing need, which is also having an impact on surging levels of classroom disruption and violence, as well as adequate training and development of staff. This includes increases in the numbers of specialist teachers, pupil support assistants, mental health professionals and educational psychologists.

The rise in the number of those with ASN, is against the background of a slump in the number of special schools, which have fallen from 145 in 2014 to 107 this year.

The SCSC has also voiced concerns over a declining number of those with complex or multiple ASN needs receiving a co-ordinated support plan (CSP).

Prepared by local authorities, CSPs are the only education plans that are legally enforceable documents. They require services such as education, health and social work to work together to give a child or young person the support they need. This provides some guarantees of entitlement to additional resources and legal redress, placing statutory duties on local authorities to review and ensure the provisions contained within it are being met.

Despite a Scottish Government promise that there would be no reduction in the proportion of pupils receiving them since their introduction in 2004, there has been a significant fall in the number of pupils with a CSP. In 2014, there were 3,128 pupils with CSPs.3 However, in 2024 this number had fallen to 1,215.4 This amounts to a drop of 61.1% and is a reduction from 2.2% to 0.4% of those with ASN.

The coalition has called for an expansion in access to CSPs, with the Scottish Government, local authorities, health and other relevant agencies collaborating more effectively to ensure that those requiring such a legal plan receive one.  

This needs to be supported by the necessary resourcing, and increased awareness and understanding of CSPs by families or carers and professionals.

A spokesperson for the SCSC commented: “While more children and young people are being identified as having ASN, now at a record high, this is against the increasingly challenging backdrop of a lack of specialist teachers, support staff and the resources needed to support them.

“This is not only letting down thousands of children and young person, but also their fellow pupils, teachers and support staff. Increased support is critical, especially post the Covid-19 pandemic and the damaging impact this has had on many of our children and young people, exacerbated by the cost-of-living crisis, all of which is hitting the poorest hardest.

“A decline in the number of special schools is also worrying, putting increased pressure on the mainstream sector, with many of those with ASN more suited to a special school environment.

“We are also concerned that despite an increase in the numbers of those with ASN, there has been a notable decline in the use of CSPs, which are legally enforceable and designed to support those with the most complex needs.

“The Scottish Government, local authorities, health and other agencies need to work in collaboration with the private and third sectors to provide the necessary resourcing and support to address the needs of children and young people with ASN. They must also work together to ensure that those who are entitled to a CSP receive one.

“With those with ASN drawn disproportionately from poorer neighbourhoods, if we are to genuinely close the educational attainment gap, these children and young people must get the care and support they need when they need it.”

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

  • Decline in the number of specialist ASN teachers by 392 since 2013
  • Near doubling in the number of pupils with additional support needs since 2013

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, has called for greater resourcing to support those with additional support needs (ASN).

The call comes as new figures from the Scottish Government’s annual teacher census indicate that while the number of specialist ASN teachers has fallen to 2,898 in 2023, the number of those pupils with ASN has soared to a record high.

Between 2013 and 2023 the number of ASN teachers (publicly funded primary, secondary, special and centrally employed) has fallen from 3,290 to 2,898, a decrease of 392 teachers, representing a cut of 11.9 per cent.1

This fall is against the background of an increase of 96.8 per cent increase between 2013 and 2023 in the number of pupils identified with ASN, from 131,593 to 259,036, amounting to 123,628 individuals. This includes those with mental health problems, learning disability, autism and dyslexia, and currentlyrepresents more than a third of all pupils (36.7 per cent).2

In 2013, while each ASN teacher was supporting 40 pupils with ASN, by 2023 this figure had risen to each teacher supporting 89 such pupils.

Against a background of spending cuts and reduction in specialist support, the SCSC has called for greater resourcing from both the Scottish Government and local authorities to ensure that those with ASN, who are disproportionately drawn from poorer neighbourhoods, 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, without the necessary support.

A spokesperson for the SCSC commented: “It is vital that those with ASN get the care and support they need. This is also key if we are to genuinely close the educational attainment gap as we know that those with ASN are disproportionately drawn from poorer neighbourhoods.

“With cuts in support, including in the number of specialist teachers, it is going to be extremely challenging to reduce the current inequalities faced by those with ASN.

“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 given the fall in specialist support and increase in the number of those with ASN.

“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 action as number of legal plans for vulnerable children slumps

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, has called for action following a sharp decline in the number of legally-binding education support plans for those with complex or multiple additional support needs (ASN).

So-called co-ordinated support plans (CSPs), prepared by local authorities, are the only education plans that are legal documents.  

These provide some guarantees of entitlement to additional resources and legal redress, placing statutory duties on local authorities to review and ensure the provisions contained within it are being met.

However, despite a Scottish Government promise that there would be no reduction in the proportion of pupils receiving them since their introduction in 2004, there has been a significant fall in the number of pupils with a CSP.

There were 3,279 pupils with such a plan in 2013 1. In 2023, this had fallen to 1,318, amounting to a drop of 59.8%. 2  This is a reduction from 2.5% to 0.5% of those pupils with ASN, amounting to 0.2% of the pupil population.

This is in contrast with England where the number of those receiving an education, health and care plan (EHCP), the CSP equivalent, is 4.3% of the pupil population. 

Amounting to more than 22 times the percentage of those receiving a CSP in Scotland, this figure is also on the increase.3

A concern raised by the coalition is that local authorities are reluctant to issue CSPs because they are seen as cumbersome and time-consuming, as well as being resource-intensive and subject to enhanced scrutiny. Being legally enforceable, with legal action taken if the needs of the child or young person are not believed to have been met, is also another cause of this reluctance to issue.

This is all set against the backdrop of a lack of resources to support adequate CSP provision, with non-statutory alternatives often being offered in their place.

Also of concern is the fact that CSPs are more likely to be opened for pupils with ASN living in the least deprived neighbourhoods, compared with those living in the most deprived neighbourhoods This is despite the fact that there is a greater prevalence of those with ASN in the most deprived communities.

The coalition has called for an expansion in access to CSPs, with the Scottish Government, local authorities, health and other relevant agencies collaborating more effectively to ensure that those requiring such a legal plan receive one.

This needs to be supported by the necessary resourcing and increased awarness and understanding of CSPs by families/carers and professionals. It has also called for a particular focus on care- experienced children and young people, and those from the most deprived neighbourhoods.

This sharp fall in the number of CSPs contrasts with a dramatic increase in the number of pupils with ASN, such as autism, dyslexia and mental health problems. In 2023 this reached a record high of 259,036.4 This represents 36.7% of the pupil population, rising from 131,593 in 2013, and is a near doubling (96.8%) in numbers from that year.5

If a lower number of those in more deprived communities are receiving a CSP in comparison with least deprived communities, they may not be getting the care and support they need, which has the potential to make closing the educational attainment gap even harder.

A spokesperson for the SCSC commented: “We are calling for action following figures highlighting a decline in the use of CSPs, which are designed to support those with the most complex needs.  This is despite a Scottish Government assurance that they would not decline and against the backdrop of a dramatic increase in the numbers of those with ASN.

“By not providing this legally enforceable provision, many of these vulnerable individuals are being failed and not getting the support they are entitled to. This is of particular significance given the devastating impact of Covid-19 and cost-of-living crisis. The Scottish Government, local authorities and other agencies need to collaborate to ensure that those requiring a CSP receive it, with the necessary resourcing in place to support this.

“With those with ASN drawn disproportionately from poorer neighbourhoods, if we are to genuinely close the educational attainment gap, they must get the care and support they need, when they need it.”

Concern over rise in number of young people with mental illness being treated in adult wards

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist children’s services, is urging the Scottish Government to up its game in response to figures from the Mental Welfare Commission noting an increase in the number of young people under 18 being admitted to non-specialist hospital wards for the treatment of mental illness.

In 2021/22 there were 90 admissions involving 80 young people to mainly adult wards, an increase on 2021-21 when there were 86 admissions involving 62 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 children and young people (aged 12 to 18) with mental health problems. 

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 address need, including provision north of Dundee. It has also called on it 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.

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 a comparable way when admitted to an adult mental health ward as opposed to a specialist CAMHS inpatient 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 service providers warn of mental health emergency caused by cost-of-living crisis

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist children’s services, has warned of a child mental health emergency caused by the cost-of-living crisis, driven by increasing energy costs.

With inflation, energy costs and shopping bills now outstripping wage levels, this has replaced Covid and lockdown restrictions as the primary cause of poor mental health for children and young people

The coalition has called for an urgent co-ordinated response by both the Scottish and UK Governments to address the crisis and avoid a potential “lost generation” of children and young people with mental health problems, such as anxiety, depression and self-harm. It has also called for greatly increased investment in mental health services.

Poverty is a major contributor to mental ill health, and children living in low-income households are three times more likely to suffer mental health problems than their more affluent peers. So more young people will experience worse mental health as a result of the current cost-of-living crisis and as families fall behind with their bills, causing increased anxiety.

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

The pandemic and cost-of-living crisis have exacerbated this, with more children and young people driven into poverty, with the resulting impact on their mental health. This has led to unprecedented demand and backlogs, with services struggling to keep up.

Figures published by Public Health Scotland in June indicate that over the quarter covering January to March 2022, 9,672 children and young people were referred to CAMHS for treatment, a staggering 22.4 per cent increase in numbers from the same quarter of the previous year when the equivalent figure was 7,902.2 The cost-of-living crisis is set to further worsen this. At the end of March 2022, a staggering total of 1,322 children and young people had been waiting for over a year for treatment.3

A spokesperson for the SCSC commented: “Millions of our children and young are at breaking point, with stress and anxiety reaching alarming levels because of the effect of the cost-of-living crisis.

“Since the pandemic, referrals have increased and the cost-of-living crisis is only going to make it worse, creating a potential lost generation of vulnerable children and young people.

“If we don’t give young people the support they need, when they need it, the consequences can be catastrophic.

“By minimising the drivers of mental health problems – such as poverty – we can reduce the impact on services and we would urge the Scottish Government and UK Government to work together and address this.”

Mental health emergency as child referrals increase by more than 22%

Over 1,300 children waiting more than a year for treatment

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist children’s services, has warned of a mental health emergency and called for greatly increased investment as the impacts of the Covid-19 pandemic on the young become clearer.

It notes that the mental health of children and young people is set to further worsen given the cost-of-living crisis, as more people are driven into poverty.

The SCSC has also warned of the devastating impact of cuts in public services on those with mental health issues, as outlined in the Scottish Government’s Resource Spending Review, with an estimated £3.5 billion spending shortfall by 2026/27.

The call comes as new figures published by Public Health Scotland yesterday (7th June 2022), indicate that over the quarter covering January to March 2022, 9,672 children and young people were referred to specialist child and adolescent mental health services (CAMHS) for treatment.

This includes issues such as anxiety and depression and represents a staggering 22.4% increase in numbers from the same quarter of the previous year when the equivalent figure was 7,902.

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

Even before the pandemic, cases of poor mental health were at unprecedented levels with services in crisis, and there are a growing number of vulnerable children who cannot access adequate support. The pandemic and cost-of-living crisis has exacerbated this, with more children and young people driven into poverty, with the resulting impact on their mental health. This has led to unprecedented demand and backlogs, with services struggling to keep up.

In total, 5, 016 children and young people started treatment at CAMHS during the period January to March 2022, an increase of 7.7% from the previous quarter (4,659). Just over a quarter (26.8%) were not seen within the Scottish Government’s maximum waiting time for the NHS of 18 weeks from referral to treatment (to be met by at least 90% of patients). 

A total of 1,322 children and young people had been waiting over a year for treatment at the end of March 2022.

In addition to increased investment in specialist CAMHS, the SCSC has called for greater workforce planning and a renewed focus on expanded prevention and early intervention services, reducing the need for referral to costly specialist mental health services. It has also called for greater partnership working between the public, private and third sectors as well as greater awareness of the services on offer, especially those at a community level.

A spokesperson for the SCSC commented: “We have been warning for some time that we are facing a potential lost generation of vulnerable children and young people, whose mental health is being impacted even further by the Covid-19 pandemic and the cost-of-living crisis.

“Adding to this are cuts in public services, which will impact especially on local government and the third sector, responsible for many of the preventative and early intervention services supporting those with mental health problems.

“Faced by such a devastating series of factors, there must be a radical transformation of our mental health services, investing in specialist services and with a renewed focus on preventing such problems arising in the first place through intervening early.

“This is a crisis we can overcome, but as the country comes to terms with the biggest hit to its mental health in generations, it will require a similar energy and commitment to that demonstrated for Covid-19 if we are to achieve this and prevent many young people giving up on their futures.”