“Yet another report pleading the case for better child mental health services. The experts of the Care Quality Commission expressed “surprise to find that accessing care took so long”. I was a co-founder of YoungMinds, the national children’s mental health charity, in the early 1990s. Since then, I have taken part in or witnessed numerous reports and reviews published by all manner of concerned organisations. Their findings have consistently been the same: high prevalence of child mental disorders (approximately 10% of the child population under 15 in UK) set alongside grossly underfunded specialist services. In my experience, the situation has got worse in the last 10 years.
The problem is not only long waiting lists. Much more serious is the lack of qualified professionals to provide the necessary treatment following assessment. Commissioners of services, driven by government demands to cut costs, have gone about their business blindly and without any understanding of what it takes to provide a good service.
Previously well-functioning services have been dismantled or deformed under what is deceptively called the “transformation” of service delivery. Highly trained senior child and adolescent mental health professionals have been downgraded and submerged beneath a growth of needless bureaucracy. CBT has been the favoured treatment because it is supposed to be cheap, despite inconclusive evidence for its effectiveness, most particularly for the more disturbed children and their families.
Recent increased government funding for child mental health services has not been ringfenced; adult services have benefited more. The destruction of specialist child and adolescent services is a national scandal and no responsible person should be surprised to hear about it any more.
Co-founder and former director of Young Minds, London”