School-based Counselling Services
Debate between Catherine McKinnell and Nicholas Brown
Mr Nicholas Brown (Newcastle upon Tyne East) (Lab)
I beg to move,
That this House has considered the provision of school-based counselling services.
Let me start by saying how grateful I am to the Backbench Business Committee for affording me almost half a day for this topic. I thank my friends throughout the House for making the case to the Committee, and I particularly thank my friend the right hon. Member for Harlow (Robert Halfon), who has joined me in sponsoring the neutral proposition on which the debate is based.
It is estimated that in England, one in eight young people—13% of those aged between five and 19—are living with diagnosable mental health disorders. They include depression, anxiety, and conduct disorder, which is a type of behavioural problem. While the announcement earlier this year of extra funding for young people’s mental health services is welcome, it is targeted specifically at the extra dimensions of the problem caused by covid within schools. The problem was there before. It has grown, and it needs to be addressed. The services were under pressure before the pandemic, and they remain so now.
The Children’s Society tells us that 75% of young people are not receiving the help that they need, and 34% of those who manage to be referred to NHS services are not accepted for treatment. Public Health England says that in the north-east the number of pupils with social, emotional and mental health needs is higher than the national average, and the same is true in respect of hospital admissions resulting from 10 to 24-year-olds self-harming. This is an issue for the country, but it is a particular issue for our region.
Catherine McKinnell (Newcastle upon Tyne North) (Lab)
I apologise for interrupting an excellent and very timely speech, and congratulate my right hon. Friend on securing the debate. I do not know whether he has seen the data, but does he share my concern that there seems to have been a much steeper increase in the mental health challenges faced by girls throughout their secondary school years than has been the case among boys? By the time they leave secondary school, girls have had almost twice as many contacts with mental health services as boys. Many of those challenges could potentially have been avoided if there were proper counselling in schools, for which I am sure my right hon. Friend will be making the case. Moreover, if boys are more reluctant to come forward for that help, is that not also a problem demonstrated by the data?
Mr Brown
Whatever the cause, the problem is clear enough, and it needs to be addressed. My hon. Friend is right to make the point, and she is also right to suggest that the roots of this, particularly in our region and the city that we both represent, are to be found in deprivation and in poverty. That is a particular feature of our region, and my hon. Friend spoke about it very movingly in the earlier debate. We know that mental health issues have a disproportionate impact on the most vulnerable children, and the roots of that are in social deprivation. It is a particular problem in my own constituency. In 2014, 27% of children in east Newcastle lived in poverty; the latest figure, for 2019-20, is 38%, and it is increasing year on year.
The north-east of England is bearing the brunt of the increase in child poverty, with all 12 local authorities within the north-east region in the top 20 authorities that have seen the highest increase across England as a whole. The last Labour Government boosted the life chances and welfare of children, and I am proud to being a part of that. Policies such as Sure Start, working tax credits and well-funded family-friendly public services ensured that every child had a positive start in life. How far we have slid from that, and how misguided and mistaken we were to get ourselves into that position.
I particularly want to make the case for services for the disabled, whether they have a physical disability or mental health problems. I recently met representatives of the National Deaf Children’s Society who told me about the disproportionate impact that the coronavirus lockdowns have had on the mental health of deaf children. Measures taken to fight covid, such as the widespread wearing of face masks, particularly in the classroom, have led to communication difficulties for deaf children. As a result, 60% of deaf children have indicated that their mental health has worsened, and 58% have reported feeling isolated and lonely. Many felt that services relied too much on the telephone for booking appointments, and others did not like the fact that some appointments were now available only on the telephone.
I also want to say something about the special needs and significant mental health problems that child refugees face when they enter the United Kingdom and, eventually, the school system. I have received a substantial amount of casework regarding the situation in Afghanistan, including many requests for help to leave that country. I do my best to help my constituents, and I know that other MPs are in the same position. On the point about ring-fenced funding for mental health support in schools, I have written to the Home Secretary on behalf of my constituents and I look forward to receiving a response. It is a specific problem and it requires a specific response.
Existing provision of schools-based counselling is patchy. There is currently no legal requirement on schools in England to provide counselling services. There is, however, a specific requirement for such provision in Scotland, Wales and Northern Ireland. I understand that the Department for Education does not routinely collect school workforce data that would allow us to identify how many schools directly employed their own counsellors. Some employ their own, and some link up with other schools and share a counsellor. We know that provision is varied. Some have more casual arrangements with the voluntary sector or local authority partners. Some simply do not offer any school-based provision, and instead refer children to an external service.
There is a demand to make schools-based counselling services more consistent. More than two thirds of young people would prefer to be able to access mental health support without going through their GP. The Government’s roll-out of mental health support teams goes some way towards meeting the lower-level mental health support needs of children by offering group work and cognitive behavioural therapy for emerging issues. However, by 2023, the new teams will reach only about 30% of schools and colleges, leaving a worrying 70% with no additional early help or support other than funds that may be accessed directly via the education recovery plan.