Mental Health Support: Educational Settings

Anna Dixon Excerpts

Thursday 13th March 2025 Commons Chamber

[Chris Bloore]

I think that is the first time the hon. Gentleman has intervened on me, so I feel very honoured. I absolutely agree with him, and I will talk about other affected groups later in my remarks. I thank him for his intervention.

I hope this debate can be about how we support our schools and education professionals, but I also hope that the discussion raises awareness about the challenges facing young people. I know that some people like to hand-wave away any discussion about mental health problems among children and young people. Since the announcement of this debate, I have read previous debates elsewhere, and a few people have whispered in my ear that they do not believe that children are resilient enough these days. Well, I simply do not buy that argument. I know it makes some uncomfortable when young people talk about their mental health challenges, but it can only be positive that awareness and the mainstreaming of mental health conditions have given so many across society the confidence to have honest conversations about how they are feeling and the impact that others’ actions can have on their mental health.

What do the statistics tell us about the state of our young people’s mental health? NHS statistics show us that about one in five children and young people aged eight to 25 had a probable mental disorder in 2023, and that the number of urgent referrals of children and young people to emergency mental health services has tripled since 2019. The uncomfortable truth is that waiting lists for children and adolescent mental health services can be a postcode lottery. For instance, in November last year, the average waiting time for a child to receive a referral for a first appointment in Hereford and Worcestershire was seven weeks, compared with the national average of five weeks. From freedom of information requests, we know that one child waited almost two years for an appointment. Referrals at the Hereford and Worcestershire health and care NHS trust have increased by 118% in the last five years—a trend that is reflected across the country.

[Anna Dixon (Shipley) (Lab)]

I thank my hon. Friend for securing this Backbench Business debate. That statistic of one in five young people having a mental health condition must concern us all. I hear from my own constituents in Shipley that they are waiting a long time to get their children seen on the NHS—whether for an attention deficit hyperactivity disorder assessment or to get medication—and during that time the children are unable to participate in school. Does my hon. Friend agree that it is vital that children and young people get access to mental health support and that we get waiting times down so that they can participate properly in school?

[Chris Bloore]

I absolutely agree. This is about parity between mental and physical health. We would move heaven and earth if those children had physical injuries, and we must do more to assess and treat the mental health conditions from which young people are suffering.

--- Later in debate ---

[Chris Bloore]

I thank my hon. Friend for that important contribution to this debate and I pay tribute to the group she mentioned. It is such a critical issue to the future of our young people. I congratulate anyone who comes into this space and makes a positive difference to the outcomes.

Despite the best efforts of many teachers, education settings are yet to have much of that dedicated support. The experience of some young people and their families shows that the support on offer in some schools is not sufficient. The Mental Health Foundation works with whole families to support them in developing their mental health together. Ahead of this debate, it asked two of the participants in one of its programmes in London, Bemi and her daughter Ayo, to share their own experiences. Bemi said that the Government

“say are going to invest in children’s mental health, but this isn’t happening. There is a lot of pressure on children”

these days. She said that

“it is having a toll on children’s mental health, and as a parent, I am also feeling this strain of seeing the constant breakdowns”

and the failure to access support. Her 13-year-old daughter Ayo suggested that schools needed to be much more proactive in asking about children’s mental health:

“Nobody is asking how we feel and never attempting to get to the root cause of things; they only pick up on when you are behaving irrationally but never try to figure out why you feel this way.”

School staff are often the first point of contact when a pupil struggles with their mental health, so they need to feel confident to support their pupils and be able to spot the signs of difficulties. Education Support, a charity supporting the mental health and wellbeing of teaching and education staff, found that 74% of staff often help pupils with personal matters beyond their academic work. Educators are filling in where there are gaps, further highlighting the need for joined-up and embedded services.

[Anna Dixon]

I totally agree with my hon. Friend that schools and teachers are at the forefront of the mental health crisis facing our children. I recently visited a local primary school, Burley and Woodhead Church of England primary, and I pay tribute to the staff there for the excellent work they do to support the young people with their mental health and to make it much easier for them to talk about it. Does my hon. Friend agree that it is vital that schools have adequate resources to provide such support?

[Chris Bloore]

I thank my hon. Friend for her intervention; I absolutely agree. It is not just young people who are struggling. The additional workload of carrying out wellbeing checks, sometimes in distressing situations, is taking its toll on staff: 78% of all staff are stressed in education settings, rising to 84% among senior leaders. No one can do their best at work if they are mentally depleted, and healthy teachers can better provide high-quality support for their pupils.

What else can we do? We cannot ignore the other factors that have a significant impact on a young person’s wellbeing, which is why we need a whole-of-Government approach. Children and young people might be experiencing poor-quality housing and overcrowding, family members in low-paid and insecure work, or the inability to get a GP or NHS dentist appointment when they need it—all challenges that I am glad this Government are taking action to remedy.

But we can go further. “A Mentally Healthier Nation”, a report unanimously endorsed by mental health charities, calls for the roll-out of anti-bullying programmes across the country. Crucially, the evidence shows that these programmes work best when delivered in a “whole school” way. That is, rather than taking a narrow approach based on discipline, the student and staff body understands what constitutes bullying and its impacts, stands against it and has tactics to prevent it. These programmes have been tested and shown to be effective. They create healthier school environments, prevent mental health problems in the future and lead to economic gains. The costs of picking up the pieces of childhood bullying in later life are enormous, as are the losses to the labour market it can cause, as well as the toll of bullying in the here and now.

Young people can text Shout, a crisis line, for help when they are being bullied. Those who run the service report texters struggling with suicidal thoughts, urges to self-harm, insomnia and feelings of depression and anxiety. Some referred to the anger, shame, fear, confusion, vulnerability, hopelessness and frustration that resulted from being bullied. Others spoke about their lack of focus and poor performance at school as a result of their bullying.

We also need to look at innovative ways that have been developed to address the threats our young people are experiencing. In a world where so-called influencers like Andrew Tate can get their claws into our young men’s minds, we need to look to at work such as the Mental Health Foundation’s “Becoming a Man” programme. Currently operating in Lambeth and Islington, it works with young men aged 12 to 16 who face disadvantage and inequality that put them at greater risk of developing mental health problems. It creates a safe space for young men to come together and discuss issues about their lives, taking into account their lived experiences and the often difficult environments they navigate. It helps them to develop strengths such as integrity, self-determination, positive anger expression and respect for women. Early evaluations of this work are promising, and Government support is needed to grow the evidence base.

Schools have a vital role in understanding young people’s online experiences and how they might impact their mental health. The Girlguiding girls’ attitudes survey found that one in eight young people aged 13 to 18 had seen sexual threats directed at women and girls online, including those of rape. One in eight girls said that they had received sexual threats online from strangers or someone they knew.

Over a year after the passing of the Online Safety Act 2023, suicide, eating disorder, race hate and incel forums remain easily accessible, and it is not clear if and when action might be taken against them. Given Ofcom’s permissive approach, it is likely that school staff will need to understand what sorts of communities pupils are involved in and the impact they are having on them. At a time when 36% of boys say they have had Andrew Tate content shown to them by a friend in school, the onslaught against young girls’ self-confidence, value and worth goes further than being content on a screen; it is putting them at risk.

How do we pull all this together? Preventive mental health initiatives, perhaps overwhelmed by the complexity of the challenge, are scattered and rarely appropriately funded, and they often do not learn from each other. Sometimes, we even use localism as an excuse to neither fund systems nor hold them accountable. We must create a public mental health infrastructure. The Mental Health Foundation describes it as having a clear road map, led by evidence, in which every part of the system knows its own responsibility for reducing mental health problems, and is funded and held accountable for its delivery. That means re-examining the public health grant, which despite a welcome uplift this year is still well below 2015 levels. It means ringfenced funding for schools and the NHS tied to specific outcomes. It also means the roll-out of England-wide mental health support teams and counsellors in each school.

The Children and Young People’s Mental Health Coalition responded to the NHS 10-year plan consultation, calling for the plan to financially support integrated care systems to deliver a comprehensive road map for mental health for 0 to 25-year-olds. The Association of Colleges found that more than 30% of colleges are not involved in their local suicide prevention plan, and 65% stated that they do not have a joint provision with their local NHS trust. It is clear that to keep children well and safe, our NHS services and their commissioning bodies must be fully integrated into mental health support in educational settings. Schools, colleges and universities should be included in local mental health strategies, and data should be shared freely.

I am excited by the Government’s pledge to roll out Young Futures hubs, which aim to bring local services together, deliver support for teenagers at risk of being drawn into crime or facing mental health challenges, and, where appropriate, deliver universal youth provision. These initiatives could represent the start of such an infrastructure and an implementation plan for a national network of these hubs. The Royal College of Psychiatrists states that the hubs have the potential to support some of the most minoritised children who might not be able to access CAMHS or school-based services consistently. I am pleased to see that the NHS remains committed to expanding access to children and young people’s mental health services, and that the operational planning guidance recognises that early intervention improves outcomes for children throughout their lives, reduces long-term pressures on health services, and benefits the economy and wider society.

I urge the Government to seize this moment and see if they can create a true network of mental health support across the country by getting anti-bullying programmes in place, following the evidence and committing to relentlessly drive down levels of poor mental health, and thereby build mentally healthy communities in our schools and beyond. Prevention, early help and treatment can help young people to deliver positive outcomes. Yes, many of the measures I have referred to today and those already announced by the Government will require significant investment, but the cost of inaction and the knock-on impacts on education and children’s social care would far outweigh any initial outlay. Now is the time for action.