Young People’s Mental Health

Nusrat Ghani Excerpts

Thursday 27th October 2016 Commons Chamber

[Nusrat Ghani (Wealden) (Con)]

I would like to start by commending the hon. Member for Dulwich and West Norwood (Helen Hayes) for securing such an important debate and raising so many important issues. The quality of the debate has been incredibly high so far, and I am grateful for the opportunity to be able to make a short contribution.

I will start, as others have, by paying tribute to the Youth Parliament. I want to give a shout-out to our young Members of the Youth Parliament in East Sussex: Joshua Moreton, Orla Phipps and Reuben Hayward-Brown. These MYPs do a fantastic job, and I hope that, one day, at least a couple of them will be sitting on these Benches as grown-up MPs—Madam Deputy Speaker, I am sure that you, for one, will agree that we could do with far more grown-up MPs in the House of Commons. The mentor of those three MYPs—and my mentor—Councillor Sylvia Tidy, has done a great job in supporting them, and she is a huge credit to East Sussex County Council.

I also pay tribute to the work of the Youth Select Committee, which has produced this important report. It is still shocking how mental health is treated as a second-class health issue, compared with physical illnesses.

This October, we recognise Breast Cancer Awareness Month by wearing pink ribbons. This month is also when some celebrate Halloween parties up and down the country. It remains a common occurrence for people to dress up as someone with a mental health illness because it is seen as scary to portray mental hospital patients next to flesh-eating zombies. In our culture, sufferers of mental illnesses are often supposed to be feared or ridiculed, and that must change. We have to challenge the stigma and attitude that are so present today; we must challenge those prejudices.

We are all often guilty of making assumptions that are just wrong—I am also guilty of that. As a new MP I received an early piece of casework. I heard about a young teenager who was struggling with an eating disorder, who was self-harming and who had run away from home. I just assumed it was a girl. When I met the parents, “she” was a boy.

We have already heard about the impact of mental health issues on young men. Suicide rates among young men are shockingly high. In the UK today, a young man between 20 and 49 is more likely to die as a result of suicide than he is to die from a cancer, in a road accident or from heart disease. The stats are shockingly high. We do better than Japan, where suicide is the leading cause of death for men aged 20 to 44, but we have a lot of work to do on prevention, early diagnosis and early treatment.

Mental illness also has consequences. It has particular consequences for young people who are already vulnerable to grooming and exploitation, who become more vulnerable when they suffer from a mental health issue. I recently chaired an inquiry for Barnardo’s into harmful sexual behaviour between children, where the victims and survivors are children, and where the perpetrators are children as well. A lack of self-esteem, an eating disorder or depression can sometimes be a factor in children committing, or being victims of, sexual abuse. That makes effective early diagnosis and therapy even more important.

There is an issue about these children sometimes being seen as troublesome, but not recognised as vulnerable or struggling with mental illness. Here, the Government can do more, by sharing best practice across schools, councils and police services. The integration of education and health is key—something my hon. Friend the Member for East Worthing and Shoreham (Tim Loughton) has already touched on.

The role of the digital world is also important in terms of its impact on young people’s mental health—something my hon. Friend the Member for High Peak (Andrew Bingham) has spoken about. The internet can be a dangerous vehicle for grooming vulnerable young people, so I especially welcome the Youth Select Committee’s recommendation that the Department of Health should develop a trusted app, with NHS branding, that young people can use to access mental health services—a positive use of the digital world that stands in stark contrast to the negative use of it. The Government have done great work on the youth mental health hub website, but the hub has not quite made it into app form, so I would be grateful for an update from the Minister.

Though we less youthful MPs have many disagreements across the Floor of the House, there is one thing on which we can all agree: we would be nowhere without the energy, enthusiasm and youthful brains of our hard-working teams. I was touched to hear the story of one young parliamentary assistant, who lost his brother to suicide. This is Jed’s story. Jed woke up on his day off to find his mum in despair at a Facebook message posted by his brother. The message read, “I’m sorry”, with the location, “At the Needles”—a beautiful but treacherous location on the Isle of Wight. Jed’s brother was hard-working, reliable, genuine and caring. He had suffered a marriage breakdown, but he was back to his former self, with a fantastic new girlfriend by his side. But Daniel Dwight took his own life. Writing afterwards, Jed said:

“It seems such a shame to think that he felt that he had nothing to live for...I for one can promise that I shall do everything I can to ensure that the world I grow old in will learn to be fairer, more caring, with a greater willingness to understand others whilst providing all important support.”

Jed’s experience, like that of others, shows what is at stake. We need to tackle stigma. We also need early diagnosis, early support and good-quality therapy that is offered within a sensible timeframe. Waiting months for therapy, whether for depression, anxiety, a personality disorder or an eating disorder, often just because someone has not quite reached a trigger level of concern, does not help them. It hinders their recovery because time allows their suffering to get worse, and they come to believe that their case cannot possibly be important, because if it was then surely the therapy would be provided sooner. This means that when the therapy finally is available, it is even less likely that it will be successful.

One of the key lines in the Youth Select Committee’s report is this:

“Until young people’s mental health services receive funding proportionate to that of physical health, we do not believe parity of esteem can be achieved.”

For me, that squares the circle. The amount of funding we put into mental health support and therapy is linked to our attitude towards it, and our attitude towards it is linked to the amount of funding we put into it. One must lead to the other. We in this place can lead on the funding, ensuring timely and good-quality therapy and support for mental health.

I welcome all the steps the Government have taken so far to improve support for mental health, and youth mental health in particular. The investment of an extra £1.4 billon in children and young people’s mental health services over the course of this Parliament is especially welcome, although there is always more that we could invest, and I urge the Minister to do exactly that. When funding parity is achieved, and timely and appropriate support is available to everyone who needs it, the taboo that surrounds mental health can be crushed.

Finally, I pay tribute to Jed for allowing me to share his touching account of the painful and still vivid memories of the day his brother committed suicide. We both hope that sharing his story might help to prevent others from taking that most desperate route, and remind any young person struggling with their mental health who is listening today that they are valuable and valued.