Children of the millennium

Children of the millennium: understanding the course of conduct problems during childhood | The Centre for Health Economics | University College London Institute of Education  

millenium
Image source: http://www.centreformentalhealth.org.uk

This report presents an analysis of the Millennium Cohort Study which follows the lives of children born in 2000 and 2001.  The report finds that one child in every twelve in the UK has behavioural problems from a young age into their teenage years and calls for the government, NHS, schools and local authorities to do more to support children with persistent behavioural problems.

Children with persistent problems are much more likely to have a multitude of risks early in life, including poverty and housing insecurity, parental mental illness and developmental delay.

 

The report calls for:

  • Government to seek to reduce child poverty and housing insecurity
  • The NHS to continue to boost mental health support to new parents
  • Local authorities to get the funding they need to boost early years services such as Sure Start and to offer evidence-based parenting programmes to families with the greatest needs.

Full document: Children of the millenium: Understanding the course of conduct problems during childhood | Centre for Mental Health

Additional link: Centre for Mental Health press release

Fair Funding For Mental Health

Fair Funding For Mental Health: Putting Parity Into Practice | Institute for Public Policy Research (IPPR)

The NHS is currently in the process of writing a long-term plan that will set out what it wants to achieve with additional funding and how this funding will be allocated. This report argues that it is crucial that this plan raises our ambitions on mental health, what parity of esteem looks like and how much it will cost to get there.

The report states the NHS must scale up access to – and improve the quality of care – across all areas of treatment. In consultation with the sector, the authors identify the following themes that the long-term plan must address:

  • more investment in early intervention for children and young people (CAMHS)
  • scale up access to treatment for common mental health conditions such as
    depression and anxiety including through Improving Access to Psychological
    Therapies (IAPT)
  • provide universal high-quality community care for people severely affected
    with conditions such as psychosis, bipolar disorder, personality disorder and
    eating disorders
  • provide universal high-quality liaison and 24/7 crisis care for people living with
    poor mental health
  • reduce inpatient admissions, with more people treated in the community and
    supported at an earlier stage of their condition
  • set up a Mental Health Innovation Fund (MHIF) to spread best practise across
    the system.

 

A&E visits by young people with mental health problems have almost doubled in five years

There has been a steep rise in the number of young people aged 18 or under arriving at A&E departments in England with psychiatric conditions, according to new figures released this week | via YoungMinds

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The Department of Health and Social Care has revealed that, in 2017-18, there were 27,487 attendances in A&E by young people aged 18 or under with a recorded diagnosis of a psychiatric condition. This figure has almost doubled since 2012-13, when there were 13,800 equivalent attendances, and almost tripled since 2010.

The findings coincide with a survey by mental health charity YoungMinds, which revealed that 61 per cent of parents said the care their child received in crisis was “bad” or “unacceptable.” In the survey of 1,531 parents whose children have experienced a mental health crisis:

  • 75% agreed that “it would have been helpful for my child to have a safe place to go to while they were in crisis within our local community”.
  • 65% agreed that “It would have been helpful for me or my child to have access to a mental health crisis telephone hotline”.
  • 86% agreed that “it would have been helpful for my child to have access to support before they reached crisis point.”

Full detail: A&E attendances by young people with psychiatric conditions almost doubled in five years – new figures | YoungMinds

Local leadership and accountability For children and young people’s mental health and wellbeing services

Local Government Association | October 2018 | Local leadership and accountability
For children and young people’s mental health and wellbeing services

The Local Government Association (LGA) highlights case studies where 10 areas have improved their children and young people’s mental health and wellbeing services . LGA’s research explores how 10 areas, from across the country, have  improved their services through better leadership and accountability and by putting
young people centre stag(Source: LGA).

LGA
Image source: local.gov.uk

 

Local leadership and accountability For children and young people’s mental health and wellbeing services

Read the press release here 

World Mental Health Day

World Mental Health Day is observed on 10 October every year, with the overall objective of raising awareness of mental health issues around the world and mobilizing efforts in support of mental health 

This year, the theme of World Mental Health Day is “Young people and mental health in a changing world” – a vital concern given that approximately 1 in 5 adolescents experience mental and behavioural problems in any given year. Moreover, half of all mental health problems in adulthood have their onset during or before adolescence.

In the UK, the Prime Minister has announced a number of initiatives around mental health to mark World Mental Health Day.  The initiatives include funding for the Samaritans’ helpline for the next four years, the appointment of the first UK Minister for Suicide Prevention and the publication of an annual ‘State of the Nation’ report highlighting trends and issues in young people’s mental well-being starting in 2019.

See also:

Access to children and young people’s mental health services- 2018 

Education Policy Institute |October 2018 |Access to children and young people’s mental health services- 2018 

Access to children and young people’s mental health services- 2018  is the third report in a series from the Education Policy Institute to  look at the increased demand for children’s mental health services; what proportion of those referred for support are not accepted and how they are then treated; and what changes to service availability are emerging.

camhs
Image source: epi.org.uk/

The report is based on freedom of information (FOI) requests to providers of specialist child and mental health services (CAMHS) in England. The report finds that the number of referrals made to CAMHS has increased by a quarter (26 %) in the last five years (Source: Education Policy Institute).

The key findings focus on:

  • Referrals to children’s mental health services
  • Waiting times for children’s mental health services
  • CAMHS data deficiencies hinder progress

Education Policy Institute Access to children and young people’s mental health services- 2018 

Recommendations for urgent and emergency mental health care

NHS Clinical Commissioners and RI International publish recommendations for urgent and emergency mental health care | via NHSCC

NHSCC RI
Image source: http://www.nhscc.org

A new report, ‘Be the change: Ensuring an effective response to all in psychiatric emergency equal to medical care,’ outlines ten recommendations that if fulfilled would make urgent and emergency psychiatric health care ‘minimally adequate’, and calls on governmental agencies, policy makers and health and social services to take radical action to address inequalities and improve mental health crisis care.

The recommendations were agreed by delegates at an international summit in May 2018, hosted by NHS Clinical Commissioners and RI International. The ten recommendations, aimed at government, policymakers and those implementing health and social services, are to:

  1. End the current fragmentation of care through an integrated, systematic approach to behavioural health crisis care at the national level.
  2. Actively develop crisis service alternatives to the usual emergency measures of formal assessment and psychiatric inpatient care.
  3. Include special consideration to cater for armed forces veterans.
  4. Implement an integrated health information exchange capable technology solution to enable seamless care across organisations.
  5. Develop balanced scorecard dashboards that display real-time, meaningful data and outcome measures that support continuous quality improvement.
  6. Embed users, peers and carers should be embedded in the design and leadership of crisis systems; peer support staff should be trained and integrated in crisis service delivery.
  7. The zero-suicide aspiration should be owned by governmental agencies, policy makers and those implementing health and social services.
  8. Family and friends should be fully engaged in crisis care and inappropriate barriers created by confidentiality or privacy need to be sensitively overcome.
  9. Implement a single national three-digit crisis hub number that drives easy access in which all callers are welcome, the crisis is defined by the caller, and which is promoted via intelligent social media to get the word out to those who need it.
  10. Significant system-wide investment is needed to deliver these recommendations.

The report also concludes that the aim must be to provide 100% access to services to those in a behavioural health crisis and to aspire to zero suicide in healthcare settings. It calls for an approach equal to medical care to ensure an effective response to all in psychiatric emergency.

Full report: Be the change. Ensuring an effective response to all in psychiatric emergency equal to medical care. Recommendations from the first international summit on urgent and emergency behavioural healthcare