Children in Scottish hospitals deprived of mental health support

Charity Starlight highlights the need for play to reduce healthcare-induced trauma

Only one in four (25%) health boards in Scotland report having budgets for essential mental health play services for seriously ill children, according to a freedom of information request carried out by Starlight, the national charity for children’s play in healthcare. 

Areas with the most children living in areas of highest deprivation tended to have less or no resourcing. As noted in Starlight’s recent report2, these children are most at risk of trauma.     

Cathy Gilman, chief executive of Starlight said: “Play services, which include evidence-based activities, games and toys, are one of the most effective ways to reduce trauma in children undergoing healthcare treatment.

“It can explain complex procedures in child-friendly ways, distract children from pain and help professionals do their jobs by reducing children’s stress. 

“The lack of budget for this vital support in Scotland is as shocking as it is sad, with so many children facing incredibly harrowing circumstances without support.” 

Starlight’s research also revealed that even those trusts with budget for play services did not extend support to evenings and weekends – quiet periods that can be hardest of all for children to face. 

Claire’s daughter Lucy, 12, has had a rare condition affecting her oesophagus and trachea since birth. Claire said: “We live two hours away from Aberdeen and Lucy’s dad is in the RAF, so it’s hard for him and Lucy’s two siblings to visit when we are staying there, and other family are five hours away.

“This means it’s usually just me there, so having the play workers in hospital organising fun things to do, for example face painting and having visits from exotic animals, means that Lucy can have some fun, and I can do things such as have a shower, and not have to worry about her being alone in hospital, as I know she is with the play workers and having fun.” 

Heather Beattie, play service manager at Royal Aberdeen Children’s Hospital, said: “I genuinely believe that a paediatric hospital couldn’t function properly without a solid, well-trained play team.

“Play is such a vital component of creating a positive experience for both the child and their family and is an inseparable part of their treatment journey. 

“You can’t separate children from play, it’s inherent to who they are. But it’s crucial that this play is appropriate and provided by trained professionals who understand the unique needs of these young patients.” 

In October 2024, Heather’s team won Play Team of the Year award at Starlight’s annual Play in Healthcare Awards.