Children’s Mental Health Week 2024

George Freeman Excerpts

Tuesday 30th January 2024 Westminster Hall

[Dr Allin-Khan]

I thank the hon. Member for his passionate intervention. He is right that prevention is better than cure. Anybody who knows anyone who has lost someone through suicide will know that it is not a pain someone ever gets over. They simply hope to God that they can learn to live with it in some way, so that they may get through their own lives with a semblance of existence. If there is any way in which we could prevent even one needless loss of life, that would go a long way.

The 3 Dads Walking are incredible—I have had the honour of following their marvellous work—but there are many people who are not in the public light, and many who are too embarrassed to admit how they lost their loved ones, for fear of blame and shame and what that means. We know that many people who have lost people in that way feel they want to take their own lives, and often do.

[George Freeman (Mid Norfolk) (Con)]

I, too, congratulate the hon. Member on securing the debate and her passionate advocacy. Many of us across the House share a deep understanding of the need for it. Does she agree that, if we are to tackle the causes, we need better data? We need to understand what is driving this epidemic. I particularly want to draw attention to the children of alcoholics and the great work done by the National Association for Children of Alcoholics; the children of divorce and conflict; and those children badly affected during the pandemic. Does the hon. Member agree that we need better data to understand the causes, then we can start to prevent it, as well as, importantly, treating it when it occurs. We could prevent a lot more of this.

[Dr Allin-Khan]

I thank the hon. Member for that intervention. Yes, I wholeheartedly agree that there is definitely space for more research. Adverse childhood experiences are the single biggest driver of mental ill health in children and, later on, in adults. I will touch on that later.

I want to know today when the Government will finally get their act together to end the wait for children’s mental health services. We are sick and tired of the same old meaningless platitudes from the Government. I know the Minister: I had the pleasure of working with her in my role as a shadow Minister. I know she is decent, good and kind, and she absolutely wants the best for children. I believe that. I also understand that her hands, regardless of what she might want to do, will be tied. However, in my role as shadow Cabinet Minister for mental health over three and a half years, the number of times the Minister and her predecessors have harped on, quite frankly, about the £2.3 billion they have put into mental health services! They have used that figure no fewer than 90 times in five years for many different things, depending on the focus of the debate. Whenever we have a debate about eating disorders, the £2.3 billion comes out. Whenever we have a debate about access to IAPT—improving access to psychological therapies—the £2.3 billion comes out. Whenever we have a children’s mental health debate, it is again rolled out. I understand that, but we really need tangible answers because the waiting lists grow, children are let down and families suffer.

--- Later in debate ---

[Wera Hobhouse]

I could not agree more. I hope my speech will make everybody here realise that we need much more understanding about ACEs. Some countries have that understanding and roll out trauma-informed services across the board, including police, education, welfare and health. A better understanding of ACEs will lead to more specialism and more people understanding this area. Trauma-informed schools, for instance, would also mean that teachers pick things up and go deeper into the issues of childhood trauma. I was a secondary school teacher before I became a Member of Parliament, and I sometimes wish I had known about ACEs, given some of the behavioural challenges I faced, which would make someone think, “That is just a very difficult child.” If I had known more, I would probably have picked up the behaviour as that of a traumatised child, rather than that of somebody who was consistently causing trouble. We would therefore deal with children differently.

[George Freeman]

The hon. Lady is making a powerful case, and I am keen to hear as much of it as I can. To the point I was trying to make earlier, extreme poverty is one cause of childhood trauma, but there are many others. Like many people in this House—I put my own hand up—I experienced childhood trauma, but I was in a materially privileged family. Poverty can provide a lot of those drivers that the hon. Lady has talked about, but I was taken out of the arms of my father by the police at 11 months, and I was a child carer of an alcoholic parent. Poverty has a part to play, but does the hon. Lady agree that we need to make sure we frame this in the context of the real causes, some of which are not related to poverty but to other chronic problems, such as alcohol, addiction or domestic violence? If we view the matter simply through the prism of a poverty attack, we are in danger of missing out some of the causes that are really embedded in repeated patterns of trauma within families.

[Wera Hobhouse]

First of all, it is brave that the hon. Gentleman is sharing his experiences of trauma. I think we need more people to do that. He is also absolutely right that not all of this is directly linked to poverty. Poverty or extreme poverty is one ACE among many others, and these things can happen in any family. Those who are doing research into ACEs would always recognise that trauma is not just suffered in a particular type of household but across socioeconomic backgrounds. The hon. Gentleman will know how difficult it is to overcome the traumas of early childhood and deal with them.

I want to make some progress. I am sorry that I cannot expand on ACEs now, but I encourage everybody who is here to inform themselves about them and the research that the WAVE Trust has done into the subject, which is fascinating and ongoing. That research suggests that the adverse childhood experiences of abuse and neglect alone, which can happen in any family, cost the UK more than £15 billion a year. Clearly, the cost of preventing adverse childhood experiences is less than that of inaction.

Unnoticed and unaddressed, adverse childhood experiences can be a lifelong sentence. Childhood trauma does not end with the child and it gets transferred to the next generation—that is also something that the APPG for childhood trauma has researched further. Then, there is a spiral or a vicious circle of repeat trauma. If childhood trauma is not addressed, those who become parents will carry their adverse childhood experiences into the next generation, and their children may suffer trauma, too. We must end this cycle, and that starts with early intervention. One factor that can help to prevent childhood trauma is whether the child feels capable and deserving. A supportive and reliable adult presence is key, and we often hear about how teachers, for example, have helped a great deal because they, as an adult, have been in the room when home life has been very difficult.

As I have said, trauma-informed services across the board—in schools, the NHS, the police and our prisons—would have a transformative impact on the whole of our society. Social workers must be supported to recognise the effect of ACEs early in children’s lives. Early years practitioners can spot signs of trauma at the age at which it is most likely to be resolved. I hope to hear commitments from the Minister on implementing trauma-informed services. Examining how trauma affects minds allows us to gain an enriched understanding of behaviour, and I have mentioned how that would support teachers. Rounded insights and changes in approach lead to better care for children, and better care for children now will be felt for generations to come.