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Call for transformation of children's mental health services Concern at child mental health rejections
(about 2 hours later)
Six children and young people's groups have joined forces to call for a radical transformation of mental heath services. Mental health campaigners have called for an urgent review into why so many young people in Scotland are being turned down for specialist treatment.
The Scottish Children's Services Coalition (SCSC) wants the Scottish government to increase investment. More than 7,000 children and adolescents had their mental health referrals rejected last year.
The call comes as new waiting time figures show that an 18-week target for children and young people to receive specialist treatment has been missed. The Scottish Association for Mental Health (SAMH) described the figure as "astonishing".
The Scottish government said the numbers of people seen were increasing. The Scottish government has already said it will commission a review into rejected referrals.
Health Minister Maureen Watt said three more health boards had met the target since the end of last year, which she said was "encouraging". But SAMH said the issue needed to be addressed as quickly as possible because young people were "waiting now to get help and support".
Since the end of 2014, the Scottish government has had in place a target of 90% of children to be seen within 18 weeks of referral for mental health support. 'Inundated with calls'
But that target has never been met nationally. The charity's Jo Anderson said 17,500 people had been turned away from receiving Child and Adolescent Mental Health Services (CAMHS) support over the past three years.
'Urgent inquiry' She added: "That's an astonishing figure, and we don't know what happens to them after they've been turned away. We don't know whether they received any other support.
At the end of March, 6,932 children and young people were waiting to start treatment at Child and Adolescent Mental Health Services (CAMH) in Scotland. "In the last few weeks of the campaign we've been running, we've been inundated with calls from parents who're in that situation and their child has been rejected from receiving a CAMHS service.
The figures also showed that 74 children and young people starting their treatment had been waiting more than a year to be seen. "They haven't been signposted anywhere else - that's a very worrying picture."
The statistics also showed:
The NHS in Scotland provides mental health services for children and young people with a wide range of mental health problems including anxiety, behaviour problems, depression and early onset psychosis.
The SCSC, which is made up of Falkland House School, Spark of Genius, Who Cares? Scotland, Young Foundations, Kindred and Action for Sick Children Scotland, wants an inquiry into why the referrals were rejected.
'Astonishing figure'
The Scottish Association for Mental Health (SAMH) is also calling for an inquiry into the number of referrals being turned down.
Jo Anderson, SAMH director of external affairs said: "In the last year alone 7.000 young people were turned away from receiving a CAMHS service and for the last three years it's 17,500 people.
"That's an astonishing figure. And that is young people that we don't know what happens to them after they've been turned away. We don't know whether they received any other support.
"What we do know in the last few weeks of the campaign we've been running at SAMH, we've been inundated with calls from parents who're in that situation and their child has been rejected from receiving a CAMHS service and they haven't been signposted anywhere else. That's a very worrying picture."
Referral rejection 'made me feel even more worthless'Referral rejection 'made me feel even more worthless'
Caitlin Wyllie-Quinn, 20, a student from Irvine had a difficult transition to secondary school. Caitlin Wyllie-Quinn, 20, a student from Irvine, had a difficult transition to secondary school.
Bullying left her isolated and very down, crying all the time.Bullying left her isolated and very down, crying all the time.
She got some initial help from the local Child and Adolescent Mental Health Service but after leaving therapy she went downhill rapidly.She got some initial help from the local Child and Adolescent Mental Health Service but after leaving therapy she went downhill rapidly.
Her GP made another referral to CAMHS but this time it was rejected. Caitlin was told that because she was not suicidal or self-harming, her case was not serious enough.Her GP made another referral to CAMHS but this time it was rejected. Caitlin was told that because she was not suicidal or self-harming, her case was not serious enough.
"If the person doing the assessment had asked me if I was suicidal or self-harming I would have answered yes to both those questions but basically I was refused help because they didn't have the capability to assess me properly," she said. "If the person doing the assessment had asked me if I was suicidal or self-harming I would have answered yes to both those questions, but basically I was refused help because they didn't have the capability to assess me properly," she said.
"I was at a real low point and I felt that getting referred to CAMHS was some sort of light at the end of the tunnel and finally maybe getting some help."I was at a real low point and I felt that getting referred to CAMHS was some sort of light at the end of the tunnel and finally maybe getting some help.
"For that to be stripped away from me made me feel even more worthless and just made things so much worse for me.""For that to be stripped away from me made me feel even more worthless and just made things so much worse for me."
The SCSA has called for greater investment CAMHS, as well as a renewed focus on prevention and early intervention. The NHS in Scotland provides mental health services for children and young people with a wide range of mental health problems including anxiety, behaviour problems, depression and early onset psychosis.
This includes in-school counselling, on-demand counselling services in GP surgeries and greater community support, reducing the need for referral to CAMHS. The Scottish government's mental health strategy commits it to carrying out reviews into school counselling and rejected child and adolescent mental health service referrals.
It has also called for action plans to be put in place for the health boards failing to achieve the waiting time target. Its mental health minister, Maureen Watt, said the reviews would happen "soon", and would allow improvements to be made to the system.
'Postcode lottery' Ms Anderson said this was encouraging, but added: "We really urge that to be quick and thorough because there are young people waiting now to get help and support.
An SCSC spokesman said: "These figures highlight that four of our health boards were failing to meet maximum waiting times, a clear 'postcode lottery' when it comes to treatment. "It might be that the CAMHS service isn't appropriate for them, but we simply don't know what the problem is."
"In addition, 74 of those with mental health problems were waiting more than a year to be seen and we are deeply concerned about what is happening to the more than a fifth of children and young people not accepted for treatment. Meanwhile, statistics published on Tuesday also showed that a waiting time target for people to receive specialist mental health treatment has again been missed.
"There is a need for an urgent inquiry to ascertain why these young people are being rejected for treatment and what is happening to them post-rejection. The Scottish government has had a target in place since 2014 for 90% of patients to be seen within 18 weeks of referral for mental health support.
"We need to radically transform mental health services, with a focus on preventing such problems arising in the first place and intervening early to ensure that children and young people are able to realise their full potential." But the target has never been met nationally - with the latest figures showing that 83.6% of children and adolescents, and 73.7% of adults, were seen within the required timescale between January and March of this year.
The spokesman said the coalition welcomed the Scottish government committing an extra £150m in mental health services over the next five years but said more needed to be done. At the end of March, there were 6,932 children and young people across Scotland waiting for help from CAMHS, up from 6,359 at the end of December, according to the NHS statistics.
"Families usually experience months of waiting even before a referral to CAMHS," he said. At the same time, there were 20,952 adults waiting for treatment, compared to 20,195 in December.
"The consequent delay in diagnosis and appropriate support can lead to a crisis situation for the child or young person concerned, as well as for their family, and the need for costly extra resources to address this." Average waiting times varied dramatically across the country, with 10 NHS boards meeting the target for CAMHS treatment but only three health boards meeting it for adult psychological care.
School counselling The figures also showed that 74 children and young people starting their treatment had been waiting more than a year to be seen.
The Scottish government said the CAMHS workforce had increased by 65%, with the the number of CAMHS psychologists having more than doubled. NHS Grampian met the waiting time target for just 45.2% of young people, while in NHS Lothian the target was met for 47.8% of youngsters
Health Minister Maureen Watt said: "This continued reduction in CAMHS waiting times is encouraging, with 10 boards achieving the target this quarter - up from seven at the end of 2016. And in the NHS Forth Valley area, only 40% of adults starting psychological treatment between January and March were seen within 18 weeks, with an average wait of 25 weeks.
"However, I'm clear that we must continue to reduce waiting times and I will not be satisfied until our target is met sustainably. A spokesman for the Scottish Children's Services Coalition (SCSC) said research has suggested 10% of children aged between five and 16 have a clinically diagnosable mental health problem.
"Our recently published 10-year strategy for mental health sets out a range of measures that focus on prevention and early intervention to meet the mental health needs of children and young people, backed by £150m of funding." 'Range of measures'
She added: "We will also soon commission reviews into school counselling and rejected child and adolescent mental health service referrals, as a foundation for making further improvements." Pointing to a "clear postcode lottery" when it comes to treatment, he added: "We are deeply concerned about what is happening to the more than a fifth of children and young people not accepted for treatment.
"There is a need for an urgent inquiry to ascertain why these young people are being rejected for treatment and what is happening to them."
Ms Watt, the mental health minster, said the number of health boards which had met the waiting time target for young people had increased from seven to 10 since the end of 2016.
She added: "However, I'm clear that we must continue to reduce waiting times and I will not be satisfied until our target is met sustainably.
"Our recently published 10-year strategy for mental health sets out a range of measures that focus on prevention and early intervention to meet the mental health needs of children and young people, backed by £150m of funding.
"We will also soon commission reviews into school counselling and rejected child and adolescent mental health service referrals, as a foundation for making further improvements."