Mental Health Support: Educational Settings

Helen Hayes Excerpts

Thursday 13th March 2025 Commons Chamber

[Helen Hayes (Dulwich and West Norwood) (Lab)]

I congratulate my hon. Friend the Member for Redditch (Chris Bloore) on securing this important debate and on his excellent speech.

The starting point for thinking about mental health services in educational settings must be an understanding of the foundational nature of good mental health and wellbeing in everything we seek to do in life. Challenges with mental health are corrosive in every aspect of our lives. Depression or anxiety can ruin the happiest of celebrations on the sunniest of days, prevent us from focusing on essential tasks, affect our relationships with friends, family members and colleagues and leave people feeling unable even to get out of bed in the morning. That is true for all of us as adults, and it is equally true for children and young people.

Good mental health and wellbeing is essential for accessing and getting the most out of education, yet our children and young people are suffering an epidemic of poor mental health and wellbeing, and it is holding them back. On visits to schools in our constituencies, I am sure all Members will have heard headteachers, senior leaders and teachers in our classrooms talking about the challenges the young people in their classes face with their mental health. That is borne out by the data, too. In 2023, one in five children aged eight to 16 had a probable mental health disorder such as depression or anxiety, while the rates of probable mental health disorder among young people aged 17 to 19 have increased over just five years from a tenth in 2017 to more than a quarter by 2022. In this context, I welcome the Government’s commitment to place a mental health professional in every school across the country.

However, I wish to raise some additional points that will be relevant to the effectiveness of that roll-out. The first is clarity on the level of qualification that the mental health professional in every school will be required to have, which I hope the Minister can provide. The second is on their remit: in addition to delivering services to young people, will they be expected to drive a culture across the whole school that is conducive to good mental health and wellbeing? That, as we all know, will involve the buy-in of the most senior school leaders.

There are also other areas outside school that are relevant to children’s mental health and wellbeing, including the crisis in our special educational needs and disability system, which is having a profound impact on children’s mental health and wellbeing. My Committee heard this week from children who had been hospitalised and diagnosed with post-traumatic stress disorder as a consequence not of their additional needs, but of being in schools that are unable to meet their needs. I know that the Minister is aware of the urgent need to reform our SEND system.

Mental health professionals in schools will also quickly be overwhelmed if we cannot get to grips with the crisis affecting our children and young people as a consequence of their addiction to smart phones and their access to social media, which we know is making them more anxious, less able to focus, more sleep deprived and more stressed out.

I welcome the measures that the Minister announced in response to the Bill of my hon. Friend the Member for Whitehaven and Workington (Josh MacAlister), but I do believe that there is a need to go further with this urgent crisis, which is affecting the mental health and wellbeing of our children.

Finally, I wish to touch on the vital issue of CAMHS waiting times. We have GPs to prescribe antibiotics so that infections do not become sepsis, or blood pressure medication to prevent a heart attack or stroke, but when an infection has become a critical illness, or a patient has suffered a heart attack or stroke, we would not think for one second that it was appropriate to send them back to their GP. Yet that is exactly what happens to far too many children and young people who are seriously mentally unwell.

It is an unacceptable situation and, as well as looking at mental health and wellbeing support in education settings, we also need to look at how our NHS can deliver much more quickly and effectively for children whose problems are much more serious than that.

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[The Parliamentary Under-Secretary of State for Education (Stephen Morgan)]

I am grateful to my hon. Friend the Member for Redditch (Chris Bloore) for securing a debate on such an important subject, which rightly invites considerable cross-party support.

We know that one third of adult mental ill health originates before age 14, and six in 10 of those that suffer from mental ill health have their first onset by age 25, meaning that childhood and early adulthood is a critical period for early interventions and prevention. That is why this Government have set a bold new ambition to raise the healthiest generation of children in our history, which of course includes their mental health and wellbeing.

We have seen increases in mental health issues in children. NHS surveys suggest that around 20% of 8 to 16-year-olds had a probable mental health disorder in 2023, up from 13% in 2017. The wellbeing and life satisfaction of children and young people also show cause for concern. Long-term reductions in the wellbeing of children and young people are a common trend across countries, and we have to acknowledge that England and the UK report among the lowest levels of average life satisfaction among participating countries.

There is no one simple reason for that, and rising mental health challenges are an international phenomenon. The ongoing impacts of covid-19, brought about by school closures and reduced opportunities for social and emotional development, are a factor, as are changes in health behaviours, such as low physical activity, increased eating and sleeping problems and increased screen time and social media use—points made by a number of Members this afternoon. There is also a wider range of contributing societal factors and ongoing national and global issues, such as the economic outlook, international conflict and climate change. The relative influence of those different drivers is complex, and taken together they show the scale of the challenge that we face.

[Helen Hayes]

Among children and young people who suffer the most acute mental health challenges are looked-after children and young people, all of whom will have experienced some kind of adverse childhood experience or trauma resulting in their being taken into the care system. My Committee heard evidence a couple of weeks ago from children and young people who talked about the lack of adequate assessment of their mental health when they are taken into care and when they move placements. They called for a strengthening of the regulations around that so that their mental health and wellbeing are properly taken into account. I have tabled an amendment to the Children’s Wellbeing and Schools Bill, which we will discuss early next week. Will the Minister give a commitment to look at that and see whether we can make the support better for children who are looked after?

[Stephen Morgan]

I know that my hon. Friend is a real champion of looked-after children. We will certainly look at those proposals and at all the work the Education Committee does to support the most vulnerable children in society.

Prevention is vital, and schools and colleges can naturally play a preventive role in what they do from day to day. Attainment is a vital factor in longer-term mental health, as it helps young people to access the things they want to do in life, in further study and in jobs. The best schools and colleges set high standards and expectations, and support children to overcome barriers to their learning, including those with special educational needs and disabilities. We also understand that a child’s experience of school helps them to both achieve and thrive. Education settings also support the social and emotional development of their pupils through what is taught in lessons, extracurricular activity and pastoral support.

Pupils who are thriving, with positive subjective wellbeing and a strong sense of belonging, accomplishment, autonomy and good health, achieve better educational outcomes and are more likely to attend school. They are better equipped to face issues in their lives, which is important. Not every child facing mental health issues will need clinical interventions; the support that they get from their friends, families and school or college staff can be what they need. Like my hon. Friend the Member for Weston-super-Mare (Dan Aldridge), I acknowledge and recognise the many thousands of school leaders, teachers and staff who are committed to promoting and supporting the mental health and wellbeing of their pupils every day through the things that they do to make school a safe, supportive and inclusive place for children, by supporting their specific needs and by working with parents, families and other community services.

We know that as many as nine in 10 schools have a designated lead for students’ mental health and that more than three quarters of them have benefited from DFE-funded training, helping leaders to embed effective whole-school or whole-college approaches to mental health and wellbeing. Nevertheless, schools and colleges themselves need support with what to do and cannot deal with every issue that pupils have.

That is why, as a Government, we have committed to provide access to specialist mental health professionals in every school, so that every young person has access to early support to address problems before they escalate. That commitment will be delivered through the expansion of NHS-funded mental health support teams, which will work in schools and colleges to offer early support through evidence-based one-to-one and group interventions. They will liaise with specialist services and support leads to develop their holistic approach to mental health and wellbeing. Those functions, supervised by a clinical professional, are what make mental health support teams such a valuable resource. I have seen that important work at first hand on visits to education settings in Brighton, Manchester and Rugby. By April 2025, we expect those teams to cover over 50% of children and young people in schools and colleges, and plans for further expansion are being drawn up with the NHS to achieve 100% coverage as soon as is practically possible.