Mental Health Services

Baroness Warwick of Undercliffe Excerpts

Wednesday 25th February 2015 Lords Chamber

[Baroness Warwick of Undercliffe (Lab)]

My Lords, I thank the noble Earl, Lord Listowel, for introducing this timely debate, and for his sustained interest in some of our most vulnerable children and young people. As we await the findings and recommendations of the Child and Adolescent Mental Health Services taskforce, I welcome this opportunity to consider the disturbing statistics that have prompted its work.

We know that childhood and the teenage years are where patterns are set for the future. A child with good mental health is more likely to develop healthy relationships, to do well at school, and to become an adult with good mental health, able to take on adult responsibilities and fulfil their potential. Yet the pressures of today’s society can be overwhelming. Family breakdown, violence in many communities and the fear of crime can be a real source of distress for young people. Social media and social networking keep up a constant pressure to have the right lifestyle, the right friends or the right possessions. Inequalities in childhood also have a bearing on mental health: young people in the poorest households are three times more likely to have poor mental health than those in wealthier homes.

It is nevertheless a shock to hear that 45% of children in care are suffering from a diagnosable mental health disorder, and that these particularly vulnerable children also have a greatly increased risk of “conduct disorders”, the most common childhood psychiatric disorders. Yet the stigma around mental health means that young people often do not get the right help: disruptive, difficult, withdrawn and disturbed children need to be supported, not ignored or punished. My aim in speaking today is therefore quite simple. Will the Minister reassure us that the CAMHS taskforce will have teeth and that its recommendations for improving access to services more responsive to children’s and young people’s needs—particularly to those for care leavers and those in local authority care—will be given real, urgent consideration?

The importance of early intervention in relation to vulnerable children is something I have spoken about before. The task force’s most urgent priority must be to focus on how to bring about a shift in resources to invest in early intervention, so that no child or young person has to wait two years to be seen, by which time the situation is so dire that they need intensive support. The recent announcement of £8.5 million for schemes to provide families with mental health support and early intervention services is therefore welcome, but we need to know how local authorities, schools, GPs, the NHS and clinical commissioning groups are going to be enabled to work together to target the right, cost-effective actions.

The noble Earl, Lord Listowel, referred to parenting programmes. The College of Psychiatrists says that up to 60% of the cost of these programmes is recovered within two years, and all costs recovered within about five years. Given that the lifetime cost to society per child with a severe behaviour disorder is about £260,000, that is pretty effective. Will the Minister tell us what the Government are doing to ensure that a cross-departmental strategy is in place to improve the provision and accessibility of parenting programmes? I ask the question in the knowledge that two-thirds of local authorities in England have been shown to have reduced their CAMHS budget since 2010. The stark reality is that funding has been cut by both local authorities and clinical commissioning groups, with the catastrophic effects that we have heard outlined today already.

I was shocked last week to learn that during 2013-14 there were 17,000 visits to hospital emergency departments by young people in mental health crisis. That is almost double the figure for 2010-11. How can the Minister ensure that effective children’s mental health services are not compromised by cuts to local government?

We need to be able to provide support to children, young people and their families when they start to struggle. Only then will we avoid the costly and intense suffering that entrenched mental illness can cause.