9. Short Debate: 'Listen to us. Support us.': The need to ensure access for young people to mental health support

Part of the debate – in the Senedd at 6:20 pm on 3 November 2021.

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Photo of Lynne Neagle Lynne Neagle Labour 6:20, 3 November 2021

We're also working in partnership with the Wolfson centre at Cardiff University. This is a multi-disciplinary team aiming to understand the causes of adolescent mental health problems and inform new ways of supporting our young people. I'm very pleased that the centre has recruited young people with lived experience of mental health to join its new advisory group and I see this as a huge opportunity to ensure that mental health support for children and young people is informed by world-leading research. I also very much welcome the questionnaire that Rhun has put on his social media, and would be grateful if, when he has completed that, he could share the findings with me. I'm actually meeting Beat tomorrow to talk about their services and I'm pleased that Welsh Government has very significantly increased investment in Beat in recognition of the increase and acuity we've seen in young people presenting with eating disorders. 

In addition to this, ensuring that formal advocacy services are available for children and young people is also vital, and each health board has its own arrangements in place to offer this. In addition, there are, as I said, a variety of ways in which individual health boards have been working to support children and young people, including hosting young people's groups and producing a young people's charter that is consistent with the UN Convention on the Rights of the Child. I do, though, recognise that more work needs to be done to strengthen advocacy services for children and young people, because that work has been impacted by the pandemic, and just want to reiterate my commitment to driving that work forward.

Peredur referred to the recommendations of the Children's Society, so I thought it would be useful to highlight the work that we're doing already to ensure that there is support for children and young people available at the earliest opportunity. Our current approach in Welsh Government has been informed by a number of key pieces of work, including the 'Mind over matter' report, the inquiry that I chaired and drove forward as Chair of the Children, Young People and Education Committee, and the whole-system approach task and finish group. It's also been informed by the national youth stakeholder group. This work has supported a whole-system approach, ensuring that this support is available across multiple settings to improve access and, vitally, those are settings where children and young people live their lives—in schools, in colleges and in youth services.

Health boards are currently establishing single points of contact, which will help identify those young people who do not require specialist mental health support, but link them to appropriate support in the community. We're also finalising plans to pilot alternatives to admission for young people in crisis. Providing the right support in the right environment is essential, which is why, in March this year, we published a new statutory framework to embed a whole-school approach to support children and young people's mental health and well-being across Wales. Supporting implementation of the framework, we've agreed funding of £360,000 in 2021-22 to appoint implementation co-ordinators to work with schools and partners, supporting them to assess and address their well-being needs.

As part of our whole-system approach, we've invested in child and adolescent mental health services school in-reach pilots. The final evaluation, published in June 2021, showed promising results, and, in particular, the support provided by dedicated mental health practitioners in building capacity within schools to support pupil mental health and well-being. And I'm pleased to say, Peredur, that, based on this positive experience, we are now rolling out this service across the whole of Wales, and, earlier in the summer, awarded almost £4 million in the current year to support national roll-out. We see the in-reach service as a key aspect of support under our whole-school approach and the statutory framework we published on 15 March. In the three-year budget period, 2019-20 to 2021-22, we've increased the budget to support our whole-system approach work by 360 per cent, demonstrating our commitment in this area. Nine million pounds has been committed to support this programme in 2021-22. This includes funding to extend and improve school counselling provision, support to deliver universal and targeted intervention for learners in schools, and to support the training of teachers and other school staff on their own and children's well-being. 

Earlier this year, we also published the NHS NEST, or NYTH, framework—nurturing, empowering, safe and trusted is what NEST stands for—and this framework provides a planning tool for regional planning boards to implement a whole-system approach for developing mental health, well-being and support services for children, young people and their families. We're supporting regional planning boards to implement the NEST framework in a systematic and integrated way across Wales and I'm holding regular meetings with health boards and will be visiting individual regional partnership boards across Wales to drive progress. Crucially, this will help provide appropriate emotional mental health support for those who do not need clinical support or intervention. Crucially, it will also be co-produced with children and young people and their families. 

We're also making good progress in terms of delivering on actions to improve mental health in youth work approaches. We've introduced additional flexibility into the youth support grant and national voluntary youth organisation grant. This has enabled local authorities in the voluntary sector to respond in a more agile way to the needs of young people to help support their emotional well-being and mental health needs throughout the pandemic. This includes online activities, keeping in touch and face-to-face contact for the most vulnerable young people. 

I do of course recognise the need to ensure that specialist services are available for those children who need that level of support. Building on our previous investment this year, we've committed an additional £5.4 million to improve CAMHS support both in the community and in our specialist CAMHS units in Wales. We've also invested in NHS crisis services and we're on track to have a 24-hour all-age single point of contact available for mental health crisis in all health board areas by April next year. This support will be critical in providing rapid access to a mental health practitioner to advise and support and to refer into other support if needed. 

So, in conclusion, acting Presiding Officer, I hope that I have been able to demonstrate today and give some reassurance that this issue remains top of my political agenda and that I'm absolutely determined to continue to drive this work forward. There is nothing more important than delivering on the mental health and emotional support needs of our children and young people. Diolch yn fawr.