(8 years, 6 months ago)
Commons ChamberIt is an absolute pleasure to follow that speech by the hon. Member for Berwick-upon-Tweed (Mrs Trevelyan), and I congratulate the right hon. Member for Chesham and Amersham (Mrs Gillan) on securing this debate and on her contribution over the years.
We have touched on autism awareness and autism understanding, but I would like to focus on something not explicitly mentioned so far—autism acceptance. As hon. Members have noted, public awareness of autism has grown dramatically in recent years, aided by a proliferation of books, media articles and not always accurate portrayals of people with autism on television and in film. This explosion of information on autistic spectrum disorders and the incorporation of individuals with autism into everyday culture has helped to familiarise people with the condition, and it is right that we celebrate that achievement.
Essential as it is, however, awareness alone has not necessarily led to greater understanding of ASDs, and it has not prevented the perpetuation of stereotypes and clichés, as even a cursory Google search would attest. Awareness alone has not keep people with autism from being abused, has not helped them find jobs and has not supported them to live independently. In short, we will not overcome ignorance and help those with autism— young and old—to live independent and fulfilling lives simply by increasing awareness alone.
I am lucky enough to have in my constituency a fantastic organisation called Greenwich Parent Voice. It is a group of exceptional parents, some of whom are in the Public Gallery today, who came together to support each other and to fight for a better deal for their children, all of whom have special educational needs or disabilities ranging from the mild to the most profound and complex. They have not only helped to deepen my understanding of ASDs and the challenges faced by those with autism and their parents, but have made it clear to me, over the course of many meetings, that what is really required is acceptance of autism.
Anyone who has sat and listened to parents or carers of children with autism or adults with autism for even a short time will know that the system in place at the moment, despite some improvements, still does not work. Whether it be through the problems in transferring from a statement to education, health and care plans, the difficulties trying to secure specialist support in the care system, or the strain of supporting children with autism into adulthood, the system causes families unimaginable levels of stress and exhaustion.
In common with other speakers, my hon. Friend is making a very powerful speech about awareness and understanding. Does he agree—I thought his remarks were leading towards this—that we also need to translate such awareness into some hard practical action on service delivery, and that this applies whether it be about education or housing? My hon. Friend, like others, has been dealing with parents of autistic children who are forced to share rooms or to live in 10th or higher storeys in tower blocks because housing policy does not reflect the needs of autistic children. We need to build on greater awareness, but also to resource it and turn it into some practical action that will really assist people.
My hon. Friend makes a very good point. I have dealt with allocation cases myself, and I agree that detailed policies need to be put in place that are based on recognition of the particular needs of autistic children and their families. As I have said, having to navigate the system as it stands can cause those families unimaginable stress and anxiety.
Those who can grow the sharp elbows necessary to navigate the system often do so at great personal cost, and, as the hon. Member for Mid Derbyshire (Pauline Latham) said, not everyone has the ability to do that. The range of challenges faced by those with autism and their families is vast, and this is not the debate for delving into any particular one in great detail.
My sense is, however, that our collective will and readiness to do something to help people on the spectrum would be stronger if more of us were not only aware of autism and understood it, but were more accepting of it as a society. If we were, I suspect we would be compelled more urgently to address the lack of suitable childcare provision for autistic children and the fact that too many schools are still not autism-friendly and too many children are not getting the support they require. We would be compelled more urgently to address the prevalence of mental health conditions in those with autism, and the isolation that young people with autism too frequently face in school. We would be compelled to address the cliff edge in support—that is what it is—that still faces autistic people in too many parts of the country as they transition to adulthood. We would also be compelled to address the huge challenges that still face autistic adults in terms of diagnosis, employment and housing.
I have no doubt that these challenges will be overcome in time, not least because more and more people with autism and their families, such as those who helped establish Greenwich Parent Voice in my constituency, are advocating more strongly for themselves. I believe that each of us here in this Chamber and in the wider country can hasten the process by working towards a society in which more of us are not only aware of autism and understand it, but accept those with it and indeed celebrate them and their contribution—not only as family members and friends, but as classmates, colleagues and members of our communities.
(8 years, 8 months ago)
Commons ChamberI agree. However, it is not just youth services; there is also pressure on child and adolescent mental health services. For all the talk about giving mental health services parity, there has been an unprecedented squeeze in modern times on mental health services, particularly on CAMHS. My hon. Friend the Member for Streatham made a point about mental health and I want to spend a minute or two on that. Westminster council—again, I praise it when it does good things—commissioned a report on gangs and mental ill health, a vastly unexplored subject that is important in understanding serious youth violence.
The report said:
“Street gangs and associated serious violence have been a growing concern in the UK over the past decade and a specific concern in Westminster. They are concentrated in poor urban areas with high crime and multiple social problems. The mental health needs of young people in gangs have, until recently, been overlooked.”
The report demonstrated extremely high mental health need among those involved in gangs. Compared with non-violent men, gang members had increased rates of antisocial personality disorder—57 times higher than the average. Suicide attempts are 13 times higher, psychosis is four times higher, and anxiety disorder rates are twice the average. Gang members are significantly more likely than non-violent men to have used mental health services, with gang members eight times more likely to have consulted a psychiatrist, eight times more likely to have been admitted as a mental health in-patient and five times more likely to have used psychotropic medication.
We have a mental health crisis that affects the very people that we need to deal with, yet, at the same time, CAMHS are being reduced, and particularly some of the school-based services that can provide early referral. I am especially worried that the mental health intervention in my local authority is half what it was two years ago, and is funded only until next year. Of course, the Mayor’s Office for Policing and Crime—MOPAC—anti-gangs initiative is funded only until next year. There is therefore uncertainty about intervention.
My hon. Friend is making a powerful case. There have been 35 gang-flagged incidents in Greenwich and Woolwich in the few months since I was elected last May, including far too many tragic deaths in the Woolwich area. Given that, and the epidemic that hon. Members have described, does she agree that it makes no sense for the Government to pull front-line capacity, peer reviewers and national co-ordinators out of the ending gang and youth violence programme?
I totally agree. We understand a great deal about what is going on, even with a changing dynamic, yet we are in danger of doing all the wrong things. We are scrapping youth intervention in some places; we are closing down the youth service in some places; we are cutting CAMHS and so many other areas of early intervention; and we are—fatally in my view—ensuring that services that work for children and young people who are at risk of gang involvement are short term and end quickly.
I believe two things. First, it takes a village to raise a child. Those of us who live in the city, which is diverse, mobile and disconnected, know that we have to build and rebuild that village every single day. Voluntary endeavour alone cannot do it: our village must include neighbourhood police and the youth service, the national health service, CAMHS and schools, as well as churches, mosques, voluntary groups and individual families. Secondly, we should treat gangs and serious youth violence as a public health emergency as much as a criminal justice matter. Mental health services are on the frontline of that battle.
(9 years ago)
Commons Chamber4. What assessment he has made of the effect of poverty on increases in the number of people living in temporary accommodation since 2010.
6. What assessment he has made of the effect of poverty on increases in the number of people living in temporary accommodation since 2010.