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Young With Mental Health Issues ? Sorry , We're In Meltdown ! - Carers UK Forum

Young With Mental Health Issues ? Sorry , We're In Meltdown !

For issues specific to caring for someone with mental ill health.
Young and need mental health help ?

Best to stop reading at this point ?

https://www.theguardian.com/society/201 ... derfunding

Mental health services for the young is NHS's 'silent catastrophe.'

Survey of frontline staff finds chronic underfunding and redesign of services to blame.

Failings in treatment of children and young people with mental health problems is a “silent catastrophe” within the NHS and is due to chronic underfunding and serious structural issues, a report by the Association of Child Psychotherapists (ACP) claims.

The report, which exposes a “serious and worsening crisis” for the health service through a survey of those working in child and adolescent mental health services (Camhs), says trusts are being hollowed out and specialist services are disappearing owing to underfunding and the transformation and redesign of services in recent years.

The results are rising levels of suicide, self-referral to A&E departments and pressure on in-patient units, it says.

The number of children and adolescents failing to receive the right treatment or “fully slipping through the cracks” is on the rise, the report says. But Camhs funding is only part of the problem, with specialist services moving “towards something of much less quality and rigour”, it adds.

The survey of 416 frontline NHS child and adolescent child psychotherapists found the worst affected patients were those with the most severe and long-standing needs.

Specialist services are disappearing, and senior clinical roles and disciplines are being dismantled, leading to pressure on lower-banded staff, the report says.

Treatment is focused on symptoms rather than the whole child or young person in context, it continues. Children and young people are left to “get worse before being seen” and there is an “increasing mismatch between need and treatment offered”.

Competitive tendering has led to “unrealistic and under-funded service models” and left services fragmented and staff isolated, it says.

The failings have led to high staff turnover, poor morale and poor working conditions. One child psychotherapist, who wished to remain anonymous, said: “I am considering leaving the NHS as I am worried it is no longer safe to practise.

“It is tragic to witness the demise of a once-flourishing and truly multi-disciplinary specialist Camhs. My skills are going to waste.

“Once the service was taken over by a new trust, the service was redesigned and now does not meet the needs of a large section of the population who have significant mental health needs. There is no time for proper assessments and treatment.

“Specialist treatment for the most vulnerable children offered by child psychotherapists and others survives despite, not because, of service design.”

The ACP said it wanted to shift debate from recognition there was a crisis in Camhs to an understanding of the factors and forces ”behind our collective failure to respond to it”.

This year, the NHs watchdog the Care Quality Commission rated 39% (26 services) of specialist Camhs as requiring improvement. Those surveyed by the ACP were asked whether they could see any evidence of the government’s claim of making “one of the biggest expansion of services in Europe” – 93 % of respondents said they saw no evidence of this.

Dr Nick Waggett, the chief executive of the ACP, said the report showed the lack of funding, and the loss of clinical expertise and leadership in the recent redesigns of the service could lead to patients not being offered the effective and timely assessment and treatment they required.

Dr Marc Bush, the head of policy at the charity YoungMinds, said: “Every day we get calls to our helpline from parents whose children have been waiting months for an appointment with Camhs, or who have been turned down because the thresholds for treatment are so high. The system is overstretched and disjointed, with a devastating impact on thousands of families across the country.”

He added that there was a need for increased spending and greater recognition of specialist roles.

The survey of frontline NHS Camhs staff suggests a deterioration of specialist services:

• 61% of respondents said the main NHS service they work in was facing downsizing

• 72% said the threshold for access to services has increased in the past five years

• 33% described services as mostly inadequate or completely inadequate

• 73% reported a down-banding (pdf) of specialist clinical posts

• 64% reported negative changes in the number of practitioner posts

• 62% in sessions per client

• 65% in the frequency of sessions

• 73% said they felt there had been a negative change in staff morale.

Well , what should be done to slow the meltdown ?

Again , it is human beings here ... most failed by the System that purports to support them.

In which case , changing the System seems to be the only logical answer.

Oh yes , I forgot ... monies ... always the bottom line to anything involving health and social care !
I do wonder whether western society is simply 'medicalising' what is, in essence, a typical teenage 'angst' about their own existence, the world, and the meaning of life.

We should never forget that the Mental Health Industry (counsellors, therapists, big pharma, social work departments etc etc) do have a vested interest in people having mental illness. It's what they make their living out of, after all.

I dont' underestimate the malign impact of three of the current modern phenomena on mental health in young people, namely:

(1) Social media, where the impressionable young actually BELIEVE all the 'vanity hype' on it, and BELIEVE that 'everyone else' is beautiful, talented and having a wonderful social life. This always went on, but now on a huge 'international' scale.

(2) The pornographication of society in the west - this is the most malign aspect of modern life, and a horror to feminists of my generation, that the patriarchal mysogeny that my generation 'defeated' largedly - ie, identified and shamed! - simply came back in the back door to tell women that they had to be sexbots and it was their 'RIGHT' (dear God!) to be so. This is SO 'untrue' that no wonder both boys and girls being taught this by social media/media are going insane with it.

(3) Divorce and family breakdown - so that so many children/young adults are growing up in broken homes, with very little by way of 'moral/ethical education' to guide them. Only hedonistic parents who think 'me me me' all the time.

Actually, just listing the three pressures above, maybe the surprising thing is that not ALL children/young adults aren't mentally ill!!!!! (Grim.)
In many ways , the young and family carers share the same problem.

Both have their own world ( YoungLand and CarerLand ) , both segregated from the outside world ... what happens in that hardly effects either.

It's only when the outside world encroaches on ours do problems occur.
Thank you for sharing with us this very informative article.
.... and so it continues ... this one needs elevating to a National Scandal ?

https://www.theguardian.com/society/201 ... -treatment

Tens of thousands of children in England rejected for mental health treatment.

Even with evidence of self-harm many children are turned away, report finds.
More children than ever are seeking specialist mental health treatment in England but tens of thousands are being turned away despite evidence of self-harm or abuse, according to a report.

An investigation by the Education Policy Institute (EPI) found that referrals to children’s mental health services in England had increased by 26% over the last five years – but nearly one in four of those were rejected, meaning that at least 55,000 children were not accepted for treatment in 2017-18 alone.

Most of those were rejected because their condition was not regarded as serious enough to meet eligibility criteria – including young people who had experienced abuse or showed evidence of self-harm.

The report also found that even those who were accepted faced long delays in getting treatment. Children in London are having to wait more than two months on average, well above the government’s target of four weeks.

“This report shows a significant increase in demand for children’s mental health services over the last five years, even as many local authorities are having to cut back on the services they are providing. This is very worrying and could lead to increased access problems,” said David Laws, the former Liberal Democrat minister who now chairs the EPI.

The EPI collected the data through a series of freedom of information requests to child and adolescent mental health services (CAMHS) and local authorities. Responses were received from 54 out of 60 services and 111 of 152 local authorities.

Whitney Crenna-Jennings, the author of the report, said there was little evidence of any significant improvement in access to children’s mental services, although it does find a small reduction in the very longest waiting times.

“There continues to be a significant postcode lottery in the proportion of referrals accepted into specialist care and waiting times to treatment, with long waits in some areas,” the report notes, with the longest reported being 188 days.

The collected data showed that between a fifth and a quarter of children referred were deemed “inappropriate” for specialist treatment, with the most common reasons being that their condition was not suitable or serious enough.

“This bleak picture of vulnerable young people being turned away from specialist mental health services or facing long waiting times for treatment is all too familiar to schools,” said Anna Cole of the Association of School and College Leaders.

“The difficulty in accessing these vital services means that schools and teachers are frequently supporting and caring for young people in severe distress, even to the extent of having to take them to A&E because they have been unable to access timely specialist support.”
UK survey finds sharp decline in happiness of young women and girls

Treatment criteria vary widely between services and regions. In some cases children were turned down for support if they had not engaged with other services, if they only demonstrated difficulties at school, or if they displayed “normal” responses to traumatic events such as abuse or bereavement.

“Overwhelmingly, providers reported no or limited follow-up after a referral was deemed inappropriate – only a minority contacted other services deemed more appropriate and a small minority checked whether the young person had accessed other support,” the report found.

“The fact that self-harm is not always sufficient to trigger access to specialist services clearly signals that wider preventive services are needed.”

Paul Whiteman, the general secretary of the National Association of Head Teachers, said teachers were having to re-refer the majority of children who were turned down. “The reason given in most cases, that the problem is ‘not serious enough’, simply isn’t okay. Early intervention is vital when it comes to mental health,” he said.

“The government is taking steps to improve mental health services for children and young people, and its mental health green paper takes the right approach. But it is doesn’t go far enough quickly enough.

“New funding and training isn’t going to reach the vast majority of areas for more than five years. Children need help now.”

A quarter of local authorities said they had cut services related to young people’s mental and emotional wellbeing. Among the programmes cut were community-based early intervention services, school-based programmes to support children with mild or moderate mental health difficulties, and counselling and support for vulnerable young people.

Brexit ... in essence , economics ... how best to preserve power and wealth / workers rights a second consideration.

Whatever ... what's the point IF the WELFARE of the citizens is continually relegated to the " To do " pile ?

Priorities ... and then there are ... priorities ?
All depends whether they are 'really' mentally ill. Or it's just a peer-induced 'fad'. Sometimes the former, sometimes the latter.

'In my day' we EXPECTED our teenage years to be bloody miserable. And they were. We weren't mentally ill, we were just unhappy. (We weren't popular, didn't have a boyfriend, got spots, mum and dad didn't understand us, we had no idea what we wanted to do, life was boring, we hated schoolwork, we were scared of failing exams, we were ugly, fat, bullied, etc etc. Then, amazingly, we grew up, and life was OK.....)

So, basically, I am 'sceptical' to put it mildly.

Teach children resilience - 'life can be sh*t, do what you can to ameliorate what you can, stay strong, grow up, take control of your life when you get to that point in your life, accept that unhappinesss is part of life, and it's up to you to make the best of things, and there are children starving to death in the Yemen, and children in wheelchairs in the next street from ours, so let's all be glad about what is GOOD about our lives....'

Maybe the LAST thing you should tell a child or teenager is that they are 'mentally ill'........??????????
Unfortunately or maybe fortunately the previous posts have been made by those of you who have never had a child in need of CAMHS services experienced both how rubbish this service is and now how virtually impossible it is to get seen at all until your child has made several attempts to kill themselves! Most kids are still miserable during their teens and that’s par for the course but the kids seeking the service are in dire need and without early and effective interventions they are in for a lifelong MH condition, missed life and work opportunities and this is something that they Won’t grow out unfortunately. I don’t know what causes this increase in demand and can’t hazard a good guess but it’s definitely a real need and not trivial teenage angst believe me.
I think a great deal of mental anguish IS very real, and can tip over into 'illness' indeed. It's how to distinguish effectively....

'Medicalising unhappiness' is one undesirable extreme, but 'trivialising mental despair' is too dangerous to risk. If anything, better to err on the side of the former, to save the latter?

I agree that the teenage years, emerging from the cocoon of childhood into the bleak tragedy of human existence, with all its cruelties and horrors, both personal and global, and the cognitive 'impossibility' that self-awareness inherently imposes on us, are very dangerous......
It is not just children services, the adult services are diabolical, one of my carees had problems for years took an overdose, was in A&E for hours, saw the crisis team and was discharged with a load of leaflets of places that they knew about already. The places had done little to help passed them around in circles or made useful comments, have you seen your GP. Yes all the GP could do was offer tablets.

Contacting mental health services directly, I quote they had nothing to offer.

I saw an article in one of the papers I think it was a teenager, it was only when I took an overdose I was offered help.

There is supposed to be suicide prevention, there was a programme about it by Proffessor Green? I haven't seen any suicide prevention. There is the samaritans, we actually had a lady come into our school to talk about the samaritans, i think most of the kids well teenagers thought it was mainly for adults.

My caree is just receiving no help and support from the NHS, luckily have a supportive family.

But many have no family to offer a sympathetic ear.

I saw another programme about these poor kids with severe mental health proplems being put in hospitals hundreds of miles away from their familys, mental health facilities are closing beds not introducing more.

The whole mental health services is in meltdown
.... and so it goes on :

Cornwall council housed boy, 17, in a tent

Ombudsman cites " Long list of failures " over teenager who became emaciated and mentally ill.

A vulnerable 17-year-old who was housed in a tent by a council became emaciated and was detained in a psychiatric hospital, the local government watchdog has said.

An investigation by the local government and social care ombudsman found there had been “a long list of failures” by Cornwall council over how it responded to the boy’s situation, which had “dreadful consequences”.

The teenager, who cannot be named, spent five weeks in a tent over summer 2016, four weeks in a static caravan and several nights sleeping rough after approaching Cornwall council for help.

At one point the council even helped the boy pitch a tent, and the ombudsman said that it provided accommodation that was inappropriate and did not do enough to protect the 17-year-old from sexual exploitation or ill health.

It ordered the council to pay £2,500 to the now young man and to pay £1,500 to his mother for the severe distress and frustration it caused. It also recommended that the council review its policies and draw up an action plan to ensure there is sufficient accommodation for homeless young people.

Evidence suggests the council tried to place responsibility for the situation on the boy, the watchdog said, rather than provide the right support to a vulnerable child who was suffering from drug addiction and mental health problems.

The ombudsman, Michael King, said: “There is a long list of failures in this case which had dreadful consequences … But the starkest, and most worrying, element is the attitude shown towards his situation.”

He added: “It is true the boy in this case showed difficult behaviours. However, this is exactly why the Children Act exists to support the most vulnerable in our society and councils should not apportion blame when help is needed.”

The teenager had a history of cannabis use and had previously noted concerns about his mental health.

After having been arrested for drug dealing, the teenager was not allowed to return to live with his father so the council housed him in supported accommodation in another town. He was evicted from this placement for breaching conditions of his stay and became homeless.

The boy refused an offer from the council of supported accommodation 30 miles away from the area he knew. A social worker then bought the boy a tent and helped him pitch it. Council records show the teenager’s mother, who lived a long way from Cornwall and could not accommodate her son because of the risk to other children she fostered, challenged the decision but the local authority said no options were available as the boy would not come into care.

Over the coming weeks the boy asked the council for accommodation on a number of occasions. It also received two calls about his welfare, once after he had been found in an abandoned building having set fire to a mattress to keep warm. Case records show the council said if he could show he wanted to make some changes, his options would increase. At one point the council bought the boy a new tent after the first one started leaking.

Around five weeks after first being given a tent, the council decided the boy was at such risk that it moved him to a static caravan on a different site. The following week he reported being sexually assaulted by a man in a car. There is no evidence the council considered whether to take any action, under section 47 of the Children Act, to safeguard him following this report.

Around a month later, the council moved the boy to bed and breakfast accommodation, which is not suitable for a child under government guidance. He was then moved to appropriate supported accommodation. He lost a great deal of weight and two weeks later he was detained under the Mental Health Act. This lasted for 11 months.

The teenager told the BBC: “It was a pretty traumatic experience for me because I’ve always lived in a house somewhere. They should have done so much more. They should have put me somewhere with a roof over my head.”

He said that one night while he was in his tent there was a violent storm. “It was real bad. I thought my tent was going to go over so I was constantly in my tent … Loads of wind, torrential rain and all my stuff got wet. Everything was wet. Even I was wet when I woke up,” he said.

His mother travelled down to Cornwall at regular intervals to see her son, saying: “I felt ill all the time, tired, exhausted emotionally drained, just barely able to function really.”

Cornwall council said: “Cornwall council accepts the report of the ombudsman and its findings. There were several shortfalls in the response of the Council to the situation [the teenager] Mr B was in between August – October 2016. We have apologised to Mr B and to his mother for those failings.

“Although this was a unique and exceptional case, we will learn from it and do everything we can to prevent it ever happening again.”

Six of one , half a dozen of the other ?

Whatever ... just one case ... a fragment of the tip of a very large iceberg.