Children and young people's mental health in Scotland

Author: Cristina Marini

PDF Published: Tuesday 24 May 2022 (SB 22-29)

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Overview
Report

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Overview
Report
- Executive summary
  - Audit Scotland's 2018 report
  - Scottish Government policy
    
    Mental Health Strategy 2017-2027
    
    Audit into rejected referrals to CAMHS
    
    Delivery of policies
    
    COVID-19 response
    
    Parliamentary scrutiny
  - Trends in child and adolescent mental wellbeing
    
    Inequalities
    
    Impact of the COVID-19 pandemic
  - Key issues
    
    Funding
    
    Prevention
    
    General
    
    At-risk groups
    
    The third sector
    
    School counselling
    
    Community support
    
    Recruitment and workforce
    
    Delivery of prevention and early intervention supports
    
    Specialist CAMHS workforce
    
    Specialist CAMHS services
    
    Accessing services
    
    Referrals
    
    Rejected referrals
    
    Waiting times
    
    Crisis support
    
    In-patient care
    
    Monitoring progress and outcomes
- Introduction
- Definitions
  - Mental health and wellbeing
  - Mental illness
  - Children and young people
- Child and Adolescent Mental Health Services (CAMHS) tiers
  - Tier 1: Universal services
  - Tier 2: A combination of specialist children and adolescent mental health services and some community-based services
  - Tier 3: Specialist multidisciplinary outpatient children and adolescent mental health teams
  - Tier 4: Highly specialised inpatient children and adolescent mental health units and intensive community treatment services
- Audit Scotland's 2018 report
  - 2021 Blog
- Scottish Government policy
  - Getting it right for every child
  - Mental Health Strategy 2017-2027
  - Rejected referrals to child and adolescent mental health services: audit
  - Delivery of mental health and wellbeing policies
  - COVID-19 response
  - Parliamentary scrutiny
- Trends in children and young people's mental health and wellbeing
  - Health inequalities
    
    Low income and deprivation
    
    Care experienced children and young people
    
    LGBTI
    
    Adolescent girls
  - The COVID-19 Pandemic
  - Neurodevelopmental disorders
- Key issues
  - Funding
  - Prevention
    
    Encouraging good mental health and wellbeing
    
    At-risk children and young people
  - The third sector
    
    Scope of the third sector's work
  - School counselling
  - Community support
  - Recruitment and workforce
    
    Early intervention supports
    
    Specialist CAMHS
  - Specialist CAMHS Services
    
    Accessing specialist services
    
    Barriers to specialist services and care
    
    Referrals
    
    Impact of the COVID-19 pandemic
    
    Rejected referrals
    
    Waiting times
    
    Long waits
  - Crisis support and in-patient care
    
    Crisis support
    
    In-patient care for children and young people
  - Monitoring progress and outcomes
- Conclusions
Sources

Bar-chart showing the number of referrals to CAMHS by SIMD quintiles 1, 2, 3, 4 and 5. Figures provided in the text description.

Image: Referrals to CAMHS by SIMD quintile, September 2020 to September 2021.

A graph comparing the number of girls accessing school counselling to the number of boys. Figures are provided in the description.

Image: Access to counsellors in secondary school (July - December 2021)

Bar-chart showing the percentage of female referrals to CAMHS (left) compared to male referrals (middle), in addition to those not recorded or not known (right). Figures provided in the description.

Image: Referrals to CAMHS by sex

Graph showing the number of referrals received by CAMHS by quarter, from October to December 2018 to July to September 2021. Figures areprovided in the description.

Image: Referrals received by CAMHS by quarter (Oct-Dec 2018 to July-Sep 2021).

Graph detailing the impact of the COVID-19 pandemic on referrals to CAMHS. On the left, referrals for April-June 2020 (centre) are compared with referrals for April-June 2019 (left) and April-June 2021 (right). On the right, referrals for January-March 2021 (right) are compared with referrals for January-March 2019 (left) and January-March 2020 (centre). Figures are provided in the description.

Image: Impact of the COVID-19 pandemic on referrals to CAMHS

Graph presenting the percentage of referrals to CAMHS that were not excepted, from the quarter October-December 2018 until October-December 2018. Figures are provided in the description.

Image: Percentage of referrals not accepted by CAMHS

Graph showing the percentage of referrals to CAMHS not accepted, by SIMD quintile (1-5).

Image: Percentage of referrals not accepted by CAMHS, by SIMD quintile, between September 2020 and September 2021

Graph highlighting the percentage of patients to CAMHS seen within 18 weeks, from March 2017 (83.6%) to December 2021 (73.1%). Figures are provided in the body of the text.

Image: Percentage of CAMHS patients starting treatment within 18 weeks of a referral

Graph detailing the increase from January 2019 to September 2021 in the percentage of patients waiting 53+ weeks to start treatment. Figures are provided in the body of the text.

Image: Percentage of patients waiting more than 53 weeks to start treatment

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