Children’s Mental Health Week

Lyn Brown Excerpts

Thursday 6th February 2020 Commons Chamber

[Preet Kaur Gill]

The hon. Gentleman makes a really important point. Far too often, we do not recognise the work that schools are doing, and the charity sector, especially, has contributed significantly. Importantly, the Green Paper does not recognise that.

Today I want to focus on the public health approach, utilising early intervention and prevention. This is far too often overlooked, but it is a vital part of any attempts to tackle the crisis we are facing. Furthermore, if we fail to support children at an early stage, we will inevitably feel the impact further down the line when emergency services will be forced to step in. That is what we are seeing at the moment, and change clearly needs to happen.

So what am I talking about and what does it look like in practice? Let us take local government. Because of huge cuts by national Government, 60% of local authority areas have seen a real-terms spending drop on mental health services for children that come under the “low level” bracket, which includes early intervention for things like eating disorders and depression. Or let us look at our creaking and failing criminal justice system. Research by Revolving Doors found that children of offenders are three times more likely to have mental health problems or to engage in antisocial behaviour than their peers—and, as I said, almost all 15 to 21-year-olds in custody suffer from a mental health disorder. Reducing reoffending and the number of parents experiencing incarceration is not just a good in itself but may prevent their children from having mental health problems and reduce the likelihood that the child is involved in offending in the future. Will the Minister explain why, in answer to my written question, the Department for Health and Social Care admitted last week that it had

“not made a formal assessment of the adequacy of mental health services or mental health assessment in Young Offender Institutions”?

Let us take community-based mental health services. The Care Quality Commission, in its review of healthcare and adult social care in England in 2018-19, found that 21% and 10% of community-based mental health services for children and young people are rated as “requires improvement” or “inadequate” for the responsive key question.

Take schools, which the hon. Member for Strangford (Jim Shannon) mentioned. Schools in Birmingham are facing a funding shortfall of more than £90 million in 2020, but they are still working hard to fund their own mental health support or arranging peer mentors. Why are they doing that? One reason is that waiting times for referrals—if the referral is even granted—are far too long. Last year, I conducted a survey of schools in my constituency of Birmingham, Edgbaston and discovered that 90% had seen an increase in staff and students suffering from mental health problems. That is not sustainable without a substantial increase in support for our schools. Take looked-after children. According to Government data, they are nearly five times more likely to have a mental health disorder than their peers.

Take poverty. The TUC found that poverty in working households has increased by 800,000 since 2010. Poverty contributes to mental wellbeing. The Centre for Mental Health’s Commission for Equality in Mental Health found that children from the poorest 20% of households are four times more likely to have serious mental health difficulties by the age of 11 than those from the wealthiest 20%.

[Ms Lyn Brown (West Ham) (Lab)]

My hon. Friend’s speech is resonating with me. In the conversations I have had with primary school teachers, they talk about the stress that children as young as six, seven and eight are under because their families are struggling to pay the rent, despite the fact that the parents are at work. Poverty is a major driver of this. We have to tackle both things—the mental health needs of our young people, but also the poverty in which they live.

[Preet Kaur Gill]

My hon. Friend is right; poverty has consequences.

Take social security. The Government’s flagship policy of universal credit is not only driving more households into poverty but is creating a climate of fear and threats. Those are all factors that lead to poor mental wellbeing.

No child should have to reach crisis point before they are able to get help with their mental health. We cannot pretend that the causes of mental health are simple or that they are not impacted and exacerbated by inequalities and injustice. The Centre for Mental Health has rightly raised the futility of funding mental health services that support symptoms if those resources are diverted from preventive measures to tackle poverty and inequality, including policies in the criminal justice system, education, public health, youth services, housing and social security.

Those sectors and services are all in vital need of long-term, sustainable support, and that is why I am calling on the Minister to ensure that a public health approach is introduced that promotes mental wellbeing, prevents future mental health problems and supports recovery from mental health issues. There are different ways to achieve that, but I would like to ask the Minister to take the first step and, with a reshuffle imminent, ask the Prime Minister to introduce a children’s wellbeing commissioner, or similar, with real teeth, powers and resources to work across Departments.