Speech in the Scottish Parliament

6 January 2010

The American declaration of independence declares that people have

"certain unalienable Rights"

and

"that among these are Life, Liberty and the pursuit of Happiness."

Happiness is not attainable by those with poor mental health.

We need to tackle that issue to enable children to grow up leading fulfilled and happy lives.

We need to ensure that all our citizens have a right to good mental health, to help them with their pursuit of happiness.

We need to start at a young age, to help young people to develop resilience and emotional wellbeing.

Action for Children highlighted that issue in its submission to the Health and Sport Committee's inquiry.

The report's discussion of the consequences of poor mental health makes stark reading.

Having inadequate services in place for children and young people who have mental health problems is inexcusable: the effect on their development and life chances is severe.

Malcolm Chisholm talked about the American research that has been done into the issue.

Our prison statistics show that the vast majority of prisoners have mental health problems.

Our inability to deal with mental health issues at an early age creates problems for the future, as well as a cost to our society.

However, the cost to the person who is affected is immeasurable.

Those who gave evidence to the committee made it clear that "The Mental Health of Children and Young People: A Framework for Promotion, Prevention and Care" was the right way forward; the problem was in its implementation.

The Government is committed to implementing the framework by 2015.

The long lead-in time means that work towards implementation of the framework is often patchy and inconsistent.

The committee is keen that interim targets should be put in place, to ensure that progress is measured.

That would also allow inconsistencies to be identified.

Waiting times are far too long.

As we have heard, in Highland some people wait for more than a year for an out-patient appointment.

That is unacceptable for an adult, but it is even more unacceptable for a child in its formative years.

Each day, week or month that goes by without intervention makes that intervention more difficult and makes treatment longer.

In its report, the committee discussed the lack of research and the need to increase staffing levels to allow research time, as well as to cut waiting times and to increase service provision.

Research is fundamental to improving the way in which treatment is offered.

It is a false economy to reduce research in order to increase patient care—both are required.

Possibly the most unacceptable wait is for reports to the children's panel.

When young people find themselves at a children's panel, they are already at crisis point.

The panel needs to be able to react quickly and to intervene to address the situation in which that young person finds themselves.

Waiting times of up to five months were quoted in evidence; that is too long for a young person who is already in crisis.

Staffing levels directly affect service delivery, research work and the work of the children's panel.

We therefore need more investment in the training and recruitment of professionals to increase the workforce.

The committee looked at the transition from CAMHS to adult services.

It became obvious that the two services worked very differently and that many young people had difficulties with the transition.

There were several aspects to the issue: the handover, the way of dealing with patients in the two services, and the way in which patients could be transferred.

As we have already heard, children's services often use a broader definition of mental health that does not fit easily with adult service provision.

Action for Children made the point that it is important to keep that wide definition within children's services, to allow for early intervention.

It must be possible for professionals from both services to work together to draw up a single pathway that is geared to the needs of the individual.

In our casework, we often hear of families who feel abandoned when a child leaves school and falls into adult service provision.

There is a lack of support and advice and a lack of protected workplaces or college places.

The committee was frustrated by that issue and recommended the setting up of a transitional service to bridge the gap between young people's services and adult services.

We have been discussing for many years the effect of the stigma that is attached to mental health issues.

I agree with Action for Children's statement that work needs to be carried out locally and nationally to deal with the issue.

If we do not deal with it, those needing help will be reluctant to ask for it. It is therefore even more crucial to provide an immediate response to those who ask for help, given that they may already have suffered in silence for some time.

School counselling is one way of providing help in familiar settings, which helps to remove stigma.

However, the British Association for Counselling and Psychotherapy tells us that Scotland is lagging behind:

"the Governments of Wales and Northern Ireland have in place national strategies for school counselling and its implementation, and provide ring fenced funding for the provision of these services in every secondary school".

We must ensure that we keep pace and provide these services to all children.

There are many other issues that have not been touched on in the report, including services to deaf people and tailored services for those who suffer from anorexia.

Both groups need to travel out of Scotland for specialist care, which, at a time when people need the support of their families and friends, can only hamper their recovery.

We need those services locally.

The committee's report is sound and well balanced.

I therefore appeal to the Government to implement its recommendations.