Children Are Being Refused NHS Mental Health Treatment Recommended By Their GPs, Figures Show

A third of cases are not even assessed.

Children suffering from mental health problems are not being granted access to the treatment they need on the NHS, figures have shown.

Information from 15 mental health trusts obtained under Freedom of Information Act by medical publication Pulse, revealed six in 10 children referred to mental health services by their GPs didn't go on to receive treatment. 

The figures showed a third of cases passed to Child and Adolescent Mental Health Services (CAMHS) teams are not even assessed.

Pulse claimed the situation for young people with mental health issues appears to be worsening, with the number of referrals that progress to treatment decreasing from 44% in 2013 to 39% in 2015.

"It’s unacceptable that so many vulnerable children aren’t getting the support they need," Sarah Brennan, the chief executive of charity Young Minds told The Huffington Post UK.

"Without treatment, children are more likely to self-harm or become suicidal, to be violent and aggressive towards those around them, or to drop out of school, which can ruin their prospects for the future.

"Delays can also have a disastrous effect on families, with parents forced to leave their jobs to look after their children."

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GPs have claimed CAMHS sites across the country are refusing to treat patients unless they have attempted suicide.

"They’ve included children who self-harm, a child who was physically abusing his mother and a child with severe night-terrors after the loss of his father.

"All three of them were advised to contact local charitable organisations."

Brennan added: "We welcome the government’s extra investment, but it’s crucial that it is spent where it’s intended and not siphoned off to other priorities.

"We also know that – as the Head of NHS England has admitted – the new money won’t be nearly enough to meet all the needs on the ground."

A Department of Health spokesperson told Pulse: "No child who needs help should be refused it. That is why we have introduced the first-ever mental health access and waiting time standards and are putting in a record £1.4bn to transform support for young people.

"This investment is just beginning, so will be making an increasing difference in the years ahead – every area in the country has produced plans on how they are going to work together to make sure young people get support before they reach a crisis point."

This Is How Bad It Is To Be A Young Person With Mental Health Issues In 2016
Nearly a quarter of children and young people are being turned away by providers(01 of09)
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Child and adolescent mental health services (CAMHS) are turning away nearly a quarter (23%) of all children and young people referred to them for help by parents, GPs, teachers and others.

This was often because their condition was not deemed serious enough or suitable for specialist mental health treatment.
(credit:© Naufal MQ via Getty Images)
You might not be able to access specialist support if your BMI isn’t low enough(02 of09)
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CentreForum noted that in some cases, support for anorexia was denied unless a young person was under a certain BMI threshold. (credit:Donald Iain Smith via Getty Images)
You might not be able to get specialist support if you’re hearing voices(03 of09)
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Criteria in one area suggested those “hearing voices in the context of mild anxiety, low self-esteem or low mood” should see their GP or voluntary sector counselling service and only be referred to CAMHS if they “heard voices that command particular behaviours”. (credit:H. Armstrong Roberts/ClassicStock via Getty Images)
You might not be able to access specialist support if you've only expressed suicidal thoughts once(04 of09)
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CentreForum found one CAMHS would refer people to more generic support unless they had “enduring suicidal ideation” (i.e. they had felt they wanted to commit suicide on more than one occasion). (credit:Jacques LOIC via Getty Images)
You might not be able to get specialist support if your condition hasn't reached a high level of severity(05 of09)
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In some areas, referrals were not accepted unless the young person's condition was “having a major impact on the child’s life such as an inability to attend school or involving a major breakdown in family relationships”. (credit:Arvydas Kniuk?ta via Getty Images)
Maximum waiting times for services have more than doubled in the last two years(06 of09)
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CentreForum's analysis of NHS Benchmarking data found that the average of the maximum waiting times for all providers has more than doubled since 2011/12. (credit:Hero Images via Getty Images)
Maximum and average waiting times vary greatly(07 of09)
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Respondents reported maximum waiting times ranging from four weeks to over two and a half years. The average of these longest waiting times for each service was nearly 10 months for treatment to begin.

Average waiting times for different providers also varied widely, from two weeks in Cheshire to 19 weeks in North Staffordshire. The average waiting time in Gateshead is five times as long as for those in nearby Tyneside. Similarly, waits in London vary widely from two months in Kensington and Chelsea to nearly six months in neighbouring Brent.
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There were also 'hidden waits' concealed in average waiting times(08 of09)
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CentreForum has uncovered that the median of the maximum waiting times for all providers was 26 weeks (6 months) for a first appointment and nearly ten months (42 weeks) for the start of treatment.

Some providers did not even measure waiting times at all, meaning that some patients could even be waiting longer than this.
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Where you live can affect how much is spent on your treatment(09 of09)
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CentreForum’s analysis of regional expenditure on mental health also revealed a North/South divide, with northern regions spending more on services while capacity problems exist in the South. (credit:Sverrir Thorolfsson Iceland via Getty Images)

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