5. Debate on the Children, Young People and Education Committee Report: 'Mind over matter: two years on'

Part of the debate – in the Senedd at 4:49 pm on 16 December 2020.

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Photo of Laura Anne Jones Laura Anne Jones Conservative 4:49, 16 December 2020

I'd just like to concur, obviously, with what my colleague Suzy Davies has said today, but also with what the Chair, Lynne Neagle, has said today. I think that you lead our committee extremely well, and your passion is abundantly clear and infectious, and you've done an awful lot, so thank you very much, from the bottom of my heart, and I'm sure from many people across Wales, for all that you've done.

The 'Mind over matter' report was published back in April 2018, providing an ambitious and exciting template for the reform of child and adolescent mental health services in Wales. It reflected the views of the majority of stakeholders, and outlined plans to end years of repeated restructures.

I'm going to focus today on crisis care. Amongst the latest findings was that support for 24/7 services was not always available across Wales, and there was an over-reliance on A&E departments and police to respond to young people in serious distress. Today, two years on, concerns still remain about a lack of consistent, 24/7 access to crisis support across Wales. Young patients and their families feel let down because they're unable to access help at the time that it's most needed, and crisis services are often too adult focused, as many services are that will be mentioned today.

Further to this point about crisis services being too adult focused, the report called on the Welsh Government to look at how mental health professionals can support the police when responding to calls, and how crisis teams can provide training to front-line staff. Children and young people in distress can find their condition worsened by being in an adult setting, such as an emergency department, and being handled in an insensitive manner by staff. Urgent action is needed to improve training for those front-line services, so that they deliver a more compassionate response to young people in distress. We also need to ensure that there are designated under-18 hospital beds for use by young people in crisis.

The committee welcomes positive reports from the collaboration between police and mental health services to help support young people in crisis. However, the committee expressed its disappointment that information provided by the Welsh Government about steps being taken to improve crisis and out-of-hours care is, sadly, lacking. Last year, the committee said the situation was not acceptable, and still the Welsh Government cannot provide an accurate picture of how 24/7 crisis and out-of-hours services look across Wales. It's not good enough. We need to see action taken to provide a plan, including timescales and deadlines, for crisis and out-of-hours care for young people in Wales.

The report points out that looked-after and adopted children have a much higher prevalence of mental health issues, often as a result of neglect or trauma. Many have lived in families where they've been exposed to mental illness, substance misuse, violence, abuse or neglect. The 'Mind over matter' report highlighted other potentially vulnerable groups who may also need specific emotional and mental health support. These included young carers, young offenders, homeless young people, black and ethnic minority children, young people, care leavers and those with substance misuse problems. Greater priority needs to be given to the emotional and mental health needs of looked-after children and young people to ensure they receive the support they need at an early stage, and prevent problems from worsening or deepening in further years ahead. People reported that children entering care are not systematically assessed or reviewed regularly. It is essential that care plans should address a child's or young person's emotional well-being needs. I also would really like to know how this Government is working to provide mental health services online these days, because I think that's a real way of getting to young people, and for them to be able to access services more quickly.

Two years ago, the Children, Young People and Education Committee's report said that those experiencing mental health problems needed urgent help, and highlighted deficiencies in crisis and out-of-hours support. It is vital, Minister, that these weaknesses highlighted in the report are addressed, and that we really deliver for young people because they deserve it. Thank you.