Data released last month again highlighted the scale of the challenge Scotland faces as it seeks to improve youth mental health.
Waiting times for young people to be assessed by their local Child and Adolescent Mental Health Services (CAMHS) grabbed the headlines once more.
In some regions over 80% of referrals are seen within the Government’s stated 18 week limit for referrals. However in many it is as low as just 20%.
The data also highlighted the number of ‘rejections’ within each NHS board area. These are the children and young people deemed unsuitable for support through the current system.
CAMHS services are not the problem
The current model of treatment was intended to route all forms of mental health issue – low and high tariff cases – to CAMHS. However in reality CAMHS is now restricted – by various factors – to helping the most vulnerable young people.
Even the terminology – rejections – implies CAMHS services are not interested in helping. The truth is they simply cannot.
And this rather than the headline grabbing statistics on waiting times and rejection rates is where solutions to the problem lie.
What needs to change?
As Scotland’s largest provider of school-based counselling services, The Spark is well placed to understand the realities of the current youth mental health system.
The present model – which allows personal issues to escalate into full-blown mental health problems before children are seen by a professional – needs to be turned on its head.
50% of all diagnosable mental health issues in children begin before they reach the age of 14. Scotland therefore needs to break new ground by focusing on prevention first and foremost.
Making early-intervention a priority
Taking an early intervention approach – as The Spark does with our school-based counselling and education programmes – offers a more efficient and effective solution. By focusing on preventing minor issues from becoming major problems we can achieve a step-change in how we tackle youth mental health.
Expanding the current model of youth mental health care
The current model of care is based on a restrictive set of options for young people struggling with mental health issues. Through the NHS model – irrespective of severity – a young person attends their GP and if they cannot resolve the issue the final step is a CAMHS referral.
This ignores the highly skilled youth mental health practitioners’ operating out with NHS infrastructure. Directing young people to third sector providers like The Spark could provide a more inclusive approach.
For those who do not meet criteria for CAMHS support, third sector providers could offer an effective alternative. Thus reducing pressure on CAMHS services and cutting waiting times/rejection rates without the need for huge investment.
Utilising the third sector in support of CAMHS
To achieve this there needs to be better understanding of available services for those on the frontline. GPs, parents, carers, CAMHS themselves need to be equipped with better knowledge of the services available.
And more importantly they need to be given permission to signpost and recommend services that sit outside the NHS infrastructure.
Time to move on from the NHS-only model
We owe it to current and future generations of young people to get a better system in place. In order to do so we must no longer be slavish to the old ‘NHS-only’ models of provision.
Joining up services from both the public and third sectors can fill the gaps in the current model. CAMHS should still have a vital role to play but alongside additional support services.
Indeed this something specifically referred to in the Scottish Government’s own 2017-2027 mental health strategy.
Using the skills and expertise available Scotland can create a more comprehensive and inclusive approach to youth mental health.
School based counselling, education programmes and support
The Spark is Scotland’s largest supplier of school based counselling and support services.
Our specialist Children and Young People counsellors are embedded within the school community, working in partnership with teachers, support staff and families.
If your child has been rejected by CAMHS, we may be able to support them with youth counselling. To find out more make an enquiry online or freephone 0808 802 0050.