Social Media and Young People's Mental Health

Alan Meale Excerpts

Wednesday 2nd November 2016 Westminster Hall

[Alex Chalk]

That is absolutely right. At the end of my hon. Friend’s intervention, he hit on a particularly important point in mentioning the growing problem. Let us be clear: negative body image has long been with us. When I was growing up, the finger was pointed at hard-copy magazine publishers and the size zero models that were in those magazines, but once again social media have the power to magnify the impact.

Interestingly, a study compared the impact on women of Facebook images against those on a fashion website. It found that the former led to a greater desire among them to change aspects of their appearance. One can speculate about the reasons for that: is it because people think, “Well, I recognise that in a fashion magazine things may be airbrushed and stylised, but I do not expect that on a Facebook post,” so it is somehow more damaging? I offer that as a possibility but there may be plenty of others.

As well as body image concerns, there are issues about popularity and feeling inadequate. Anecdotally, it is clear that teenagers make a habit of comparing their own posts’ popularity with those of other people. We increasingly get the sense that young people fear that their existence compares unfavourably with others. Much—probably too much—gets read into the absence of “likes” or “views”.

Finally, there is the effect that social media have on sleep patterns. That might sound rather prosaic, but it is important. A study presented by the British Psychological Society in September last year in Manchester found that the need to be constantly available and responding 24/7 on social media accounts is linked to poor sleep quality. Research from the Headmasters’ and Headmistresses’ Conference that was tweeted to me this morning suggests that almost half—45%—of students admit that they check their mobile device after going to bed, and that a staggering 23% check it more than 10 times a night. The concern is not just that they turn up to school exhausted but that sleep deprivation is well known to be a trigger for depression.

I know that the Government are very mindful of that issue and that a lot of excellent work is being done to support parents and schools to help children to use social media safely. The Department for Education funded MindEd to set up a new site, MindEd for Families, which was launched earlier this year and which I have looked at. It provides free online advice on a range of mental health issues affecting children and young people; it includes, of course, a section on social media. This morning I read the Department’s advice sheet entitled “Advice for parents and carers on cyberbullying”. It is really helpful and very good. I also pay tribute to the fact that the Government are continuing to provide funding to the YoungMinds parents helpline, which is a national service providing free and confidential online and telephone support, information and advice.

That is all hugely welcome—there is great deal more as well, and I look forward to hearing about that from the Minister—but the fact remains that young people’s mental health does not appear to be moving in the right direction. Against that context, I will make two points. First, if we are going to maximise the effectiveness of our response, I believe we need a more thorough and scientific investigation of the causes, because although strong emerging evidence shows a correlation between social media use and declining mental health, the time has come to bottom it out with something more robust.

Back in February 2014, the House of Commons Health Committee launched an inquiry into child and adolescent mental health services. A subject it took evidence on was the impact of bullying and of digital culture. It recommended that

“in our view sufficient concern has been raised to warrant a more detailed consideration of the impact of the internet on children’s and young people’s mental health…and we recommend that the Department of Health/NHS England taskforce should take this forward”.

That was eminently sensible and I invite the Government to do so, if they have not already. Again, it may be that we will get more information, but I was a bit concerned that that view may not be finding favour, because in answer to a question from Lord Blencathra, the Government said:

“The Department does not itself conduct research, but funds research through the National Institute for Health Research…and the Department’s Policy Research Programme”,

which they said

“have not funded specific research into the possible mental and psychological impact on children of using Twitter and Facebook and have no plans to commission research on this topic.”

Of course, I entirely recognise that public funding is tight and we cannot fund every single project, but it seems to me that the sheer weight of the evidence is now sufficiently strong that it calls for that robust study to take place.

My next point echoes one that was made earlier: social media platforms need to face up to their responsibilities. We rightly hold headteachers accountable for bullying and abuse that takes place on their premises. Social media platforms also need to take their fair share of responsibility for what takes place on their own digital premises. Creating safety guides is not enough. Suspending people from Facebook or even expelling them is perfectly sensible in theory, but does it happen in practice?

As my hon. Friend the Member for East Worthing and Shoreham (Tim Loughton), in an excellent debate last week, said about social media companies:

“They are huge companies employing many thousands of people, yet the numbers in their scrutiny and enforcement departments are woefully low.”—[Official Report, 27 October 2016; Vol. 616, c. 481.]

I am not here to beat up the social media companies. I think they do some important work and what happens is a fact of life, but I think they need to step up and face up to their responsibilities, because they have to recognise that they can be a force for good but that they can also be a force for something far less welcome.

In conclusion, social media are the phenomenon of our times. They have the ability to take all the ordinary experiences of growing up—the triumphs and disasters—and magnify them beyond anything we could ever have imagined a generation ago. They can create heroes in seconds, but they can crush people too. Their capacity to intensify bullying, enhance body anxiety and exaggerate exclusion is becoming increasingly clear. If we want a society that truly tackles those problems upstream, builds resilience in our young people and prevents as well as cures, the time has come to ramp up our response.

[Sir Alan Meale (in the Chair)]

This is only a 60-minute debate and seven Members of Parliament have written in to take part, if they can. As is laid down by the Chairman of Ways and Means, I have to provide the Front Benchers a total of 20 minutes of speaking time, which only leaves a short period for all the hon. Members who have indicated that they want to speak. Therefore, I will impose a time limit of four minutes per Member. If hon. Members go over that limit, I may drop the limit further.

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[Stuart Blair Donaldson]

rose—

[Sir Alan Meale (in the Chair)]

Order. Before I call Stuart Blair Donaldson, let me just tell you why you are being called last: because you intervened earlier and took some time. Do not think that your being new to the House goes against you in any way. You now have your four minutes.

[Stuart Blair Donaldson (West Aberdeenshire and Kincardine) (SNP)]

It is a pleasure to serve under your chairship, Sir Alan. As has been mentioned today, I speak as the youngest male MP and as someone who has grown up with social media—a digital native. I also speak as a vice-chair of the all-party group on body image and as someone with my own hashtag on Instagram—#instaMP, if anyone is interested.

I thank everyone who got in touch with me to share their stories and experiences of mental health and social media, particularly Vicky Kerr, who shared her dissertation on the subject. Social media can be a great tool in many ways, but platforms such as Instagram often portray a rose-tinted picture of a person’s life and can promote the idea of self-worth based on how many “likes” a picture gets.

The fact that young people can readily access at any time of the day pictures of famous people sharing their seemingly perfect lives can make them question their own self-worth. Additionally, the predominance of photos of those beautiful people present young people, mainly young girls, with a skewed vision of how they should look. The people they look at often look that way because of their job—they can dedicate time to it and will often have nutritionists, personal trainers and I dare say the odd bit of Photoshop. Most young people do not have access to such facilities, and famous people often do not acknowledge that they use them.

Constant exposure to those images and basing a positive self-image on likes can lead to significant deterioration in a young person’s mental health. In extreme cases, that can lead to the development of eating disorders such as anorexia nervosa or bulimia. That might be an over-simplification of a complex and serious illness, but the idealised body images so often portrayed in both conventional and social media have an effect on people at risk of suffering from it.

Unfortunately, social media often hinder rather than help people who suffer from significant mental health issues. Young people can often get caught up in eating disorder promotion on social media. Hashtags such as #thinspiration and #skipdinnerwakeupthinner allow people to connect and share tips on how to lose weight, purge and starve themselves. That makes the problems more severe and can have severe and tragic consequences. I have witnessed the devastating effects that losing a daughter to an eating disorder can have on a family, which is why I am incredibly grateful for the opportunity to speak in this debate and raise awareness—I wish I had more time to speak.

As a society, we could do a lot more to promote healthy body image and to talk about and be more open about our mental health, whatever age we are. I will leave Members with a quotation:

“The quickest way to get a bikini body is to put a bikini on”.

[Sir Alan Meale (in the Chair)]

Mr Donaldson, everybody gets worried and wants more time. Don’t worry about it.

[Dr Cameron]

rose—

[Sir Alan Meale (in the Chair)]

Dr Cameron, you have five minutes.

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[Barbara Keeley (Worsley and Eccles South) (Lab)]

It is a pleasure to serve under your chairmanship, Sir Alan. I congratulate the hon. Member for Cheltenham (Alex Chalk) on securing this important debate. I draw attention to the contributions made by my hon. Friends the Members for Neath (Christina Rees) and for Ogmore (Chris Elmore). There is not enough time for me to mention everybody who spoke because, as usual at the end of these short debates, we are tight for time, but I particularly thank the hon. Member for West Aberdeenshire and Kincardine (Stuart Blair Donaldson). He spoke of a painful experience, which is always so difficult to do.

Young people are growing up in an age in which online culture and social media are so central to everyday life. That is particularly true of social networking sites, to which more than 85% of children now belong. We have heard some interesting statistics relating to that throughout the debate. Commenting on social media and mental health, the Children’s Commissioner said:

“Excessive use of social media has been linked to poor mental health…When combined with bullying it can have a terrible effect.”

Consultant child and adolescent psychiatrist Dr Sebastian Kraemer gave evidence to the Health Committee as part of the inquiry into young people’s mental health mentioned by the hon. Member for Cheltenham. On the impact that digital culture can have, he said:

“It makes intimidation more alarming and more chronic. You can be teased in the playground and it has gone with the wind, but if you have got your photograph on Facebook then it stays there forever…The medium is not the cause, but it certainly facilitates different ways of harming each other, of abusing each other, and that is what young children do.”

Parents are seeing the link. In a survey of more than 1,000 parents with children under 18, four fifths blamed social media for making their children more vulnerable to mental health problems. It seems that the excessive use of social media can be linked to depression and can play a role in heightening underlying anxieties and lowering self-esteem—we have heard about some interesting cases.

These days, there is much concern about body image and appearance, which is another potential cause of anxiety and low self-esteem. It is clear that social media can intensify such feelings. A small study in the United States found that teenagers were affected by the “like” culture, with photos with more likes being more attractive to them. This like culture was found to affect self-esteem, as the hon. Member for Cheltenham and my hon. Friend the Member for Ogmore both said.

The damaging impact of social media has been seen as one of the causes leading to the increase in the number of children and young people self-harming in the past 10 years. ChildLine has seen a 35% increase in the number of contacts from young people with anxiety. That increase has been linked to the rise of social media, which has increased the pressure to attain a so-called perfect life. With increasing numbers of young people self-harming or being diagnosed with depression or anxiety, will the Minister tell us what action is being taken to understand the possible links between social media and depression, anxiety and other mental health issues? I agree with the hon. Member for Cheltenham that we need a robust strategy and some research that proves the links.

We have heard much about cyber-bullying, which is a growing problem, with more than one in 10 young people admitting they have been affected by it. We heard about Declan; I am very glad to hear that he has moved past the bullying phase that was so affecting him. Bullying UK found that 43% of young people aged between 11 and 16 had been bullied via social networks. Bullying has been found to be a factor associated with children’s mental health issues. One study reported by the Office for National Statistics found that children who had been bullied at 13 were more than twice as likely to have depression at age 18.

Stress and anxiety have also been linked to cyber-bullying. Will the Minister outline what action the Government are taking to tackle cyber-bullying and what measures will be put in place to help young people who are affected? Following the debate on young people’s mental health in the main Chamber last week, my concern is that help is not getting through to children before mental health problems escalate. Indeed, in 2015 the Children’s Commissioner found that one in four young people experiencing serious emotional or psychological problems were being turned away from specialist mental health treatment.

Early intervention can help. Lorraine Khan of the Centre for Mental Health said:

“There is good evidence for a range of interventions to boost children’s mental health, and the sooner effective help is offered the more likely it is to work.”

However, Government cuts to local authority budgets have meant the loss of services for children and young people. Cuts have been made to the numbers of social work staff and educational psychologists, and to mental health services in schools, leading to a reduction in care and support for young people. In the face of such cuts to early intervention and prevention services, will the Minister outline what steps are being taken to develop better early intervention?

From pressures about body image to cyber-bulling and the pressures caused by social networking sites, it is clear that we need to do more research on the impact that social media are having on young people’s mental health. Although Ministers have pledged extra funding for mental health services, we know it is not reaching the front-line services that children and young people need. Schools and colleges must be supported to help their students to cope with the challenges of online culture that we have heard about in this debate. The internet and social media are clearly here to stay, so it is vital that the Government ensure that young people receive the help, support and guidance that they need in this digital age.

[Sir Alan Meale (in the Chair)]

Before you begin, Minister, may I ask you to be so kind as to consider leaving up to a minute at the end of your speech for Mr Chalk to sum up?

[The Parliamentary Under-Secretary of State for Health (Nicola Blackwood)]

I shall do my utmost, Sir Alan. It is a pleasure to serve under your chairmanship.

I congratulate my hon. Friend the Member for Cheltenham (Alex Chalk) on securing this very important debate. Contributions have at times been distressing, but they have been hugely important. He is right to raise awareness about the impact of social media on young people’s mental health. I thank all constituents and colleagues who have bravely allowed their stories to be shared today; it does have an impact and it is important.

As the hon. Member for Strangford (Jim Shannon) said, in recognising the harms that are occurring on social media, we must not reject the positive role that social media can play. Instead, we have to put social media in their place and know that, like any tool, their impact is dependent on how they are used. How we use social media depends on our intentions, for good or ill, and on our skills.

For the disfranchised and those without a voice, social media have provided a powerful medium for advocacy and outreach, and at times messages that would not otherwise have been heard have found a global reach. Even for the most vulnerable groups, the evidence shows that by no means all influences on social media are negative, and that only a minority of people will use social media to exploit and harm others.

The Samaritans undertook a consultation as part of its Digital Futures project, which looked at how people use online sources in relation to suicidal and self-harm content. The study found that, as well as negative experiences, those who took part in the research also highlighted using the sites to build peer networks. Three quarters of those who took part said that they looked for support online.

If we can harness the power of online platforms, we can use them to deliver the effective prevention interventions that many Members have called for, to raise mental health awareness, and to provide advice and support. Indeed, many of the support organisations that help our young people and adults who experience emotional challenges and issues of poor mental health have a presence on social media. As the Minister with responsibility for public health and innovation, that is something I must encourage.

As constituency MPs and Members of this House, we can all cite examples of social media platforms being used to inflict harm, whether through grooming or cyber-bullying, or of the anxiety and low self-esteem caused through hyper-use, which some Members have described. The Government reject the laissez-faire attitude that says this is all just an inevitable by-product of our connected world and shrugs its shoulders. No child should be groomed, bullied or harassed online, or simply left without the skills they need to critically and sensibly engage with social media.

That is why we are working in partnership with industry, the community and schools to address the challenges. New technology and social media continue to be misused to exploit and target the vulnerable. We have been clear that we expect social media companies to respond quickly to incidents of abusive behaviour on their networks. We have robust legislation in place to deal with internet trolls, cyberstalking and harassment, and perpetrators of grossly offensive, obscene or menacing behaviour. We are absolutely clear that these are crimes, and will be treated as such.

The Child Exploitation and Online Protection Centre has available various resources, which can be accessed via its website. The “Thinkuknow” programme has web resources to educate and empower young people at risk of sexual abuse and exploitation. I hope that some of them may access that if they are watching the debate. We know that the worst cases of bullying, including cyber-bullying, can lead to serious depression and even thoughts of suicide. A recent study by the national inquiry into homicide and suicide found that bullying—the sense of there being “no escape” was articulated by many colleagues—was a factor in the suicide of children and young people. I particularly thank Declan, the constituent of the hon. Member for Glasgow South (Stewart Malcolm McDonald), for allowing his story to be told and may I say how sorry I am that he had to go through that experience. We know that we must do better.

That is why all schools are required by law to have a behaviour policy and measures to tackle bullying in all forms among their pupils. Schools are free to develop their strategies, but they are clearly held to account by Ofsted. That is also why the Government Equalities Office announced £4.4 million of extra money to tackle bullying, and why over the next two years four anti-bullying organisations will go in to support schools to tackle bullying and to improve the support that is available. In particular, the GEO has invested £500,000 in the UK Safer Internet Centre to provide advice to schools and professionals on how to keep children safe, and a further £75,000 in CEOP to support a national roll-out of Parent Info, which is delivered through schools, to stop parents feeling helpless because they are not digital natives. It is a free service and helps parents to show their children how to use the internet and mobile devices appropriately.

We are also working with the UK Council for Child Internet Safety, which brings together 200 organisations to form the digital resilience working group to take forward work to equip children and young people to identify and respond to risks online, including cyber-bullying and negative influences.

We know, as colleagues have said, that young people, as well as their parents and carers, continue to feel the impact of unrealistic representations of body image, which have a pervasive impact on social media. My hon. Friend the Member for Cheltenham may be aware that the Government launched a body confidence campaign in 2010, which publishes a regular progress report on how we are addressing negative body images to tackle the very “compare and despair” trap that he so rightly highlighted. I agree with him about the importance of prevention and resilience building. A great deal of work is under way to try to target the sources of online abuse and harmful content upstream, at source.

Central to tackling the challenges posed by online bullying, exploitation and self-image will be supporting young people, as well as those who care for them, to build resilience. This year, Public Health England’s £337,000 Rise Above campaign is intended to do just that, building the resilience of young people by providing online information and tackling issues that include body image and online stress.

Alongside supporting young people in developing resilience, we know that parents and schools have a role to play in preventing mental ill-health, and we will continue to work with the Department for Education to improve mental wellbeing in schools, and to support children and teachers in addressing mental health issues through educational resources and by providing single points of contacts for mental health in schools.

My hon. Friend rightly highlighted the good work of the DFE in developing the MindEd web-based tools for children and parents. We are looking for ways in which those tools can be developed further to support local areas and to improve online contact.

Underpinning all of that is the need to tackle the stigma around mental health in all areas of society. That is why we have increased funding for Time to Change, which is our national anti-stigma campaign, to ensure that young people are confident in coming forward to get the help that they need. Underpinning all of that is our programme to reform and improve mental health support for young people. That is why we have increased investment in mental health to £11.7 billion, and local clinical commissioning groups are required to increase spending on mental health each year. That is part of a holistic strategy to improve key areas of mental health services, such as perinatal mental health, services to tackle eating disorders and better crisis care resolution in the community, as laid out in “Future in mind” and “The Five Year Forward View for Mental Health”, so that we can give young people with mental health problems the care and support that they deserve.

My hon. Friend was right when he said that we need to have the proper research in place, because this is an emerging area. That is why the Mental Health Taskforce asked the Department of Health, working with relevant partners, to publish a report by February 2017 to set out a 10-year strategy for mental health research. The final 10-year strategy planned for publication will identify the needs of mental health research. It will include a specific focus on the mental health of children and young people.

We know that there is much more to do and my hon. Friend is aware that the Lords Select Committee inquiry into children’s access to and use of the internet is currently under way. We are watching that closely and will look at its recommendations about online safety and the role that the Government, regulators and media companies can play to protect our children online because we know that more needs to be done.

We recognise the challenge of social media for young people up and down this country. We are determined to do our part to equip them with the tools they need to meet that challenge, not only in terms of their mental health but to protect them online, to make them more resilient and alert to the risks, and to make them confident digital natives who can critically and sensibly harness the power of digital tech for good.

[Sir Alan Meale (in the Chair)]

I call Alex Chalk to sum up—briefly.