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Transforming Children and Young People's Mental Health Provision: a Green Paper

Presented to Parliament by the Secretary of State for Health and Secretary of State for Education by Command of Her Majesty

December 2017 Cm 9523

Transforming Children and Young People's Mental Health Provision: a Green Paper

Presented to Parliament by the Secretary of State for Health and Secretary of State for Education by Command of Her Majesty December 2017 Cm 9525

? Crown copyright 2017

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Transforming children and young people's mental health provision Page | 1

Contents

Ministerial foreword ................................................................................................. 2 Executive summary.................................................................................................. 3 Chapter 1 - Case for action: the evidence .............................................................. 6 Chapter 2 - Action already underway ................................................................... 11 Chapter 3 - Working together to improve support for children and young people...................................................................................................................... 18 Chapter 4 - Wider action to support children and young people ....................... 26 Appendix A: Evidence review ............................................................................... 37 Appendix B: Existing support for children and young people in schools and colleges................................................................................................................... 40 References .............................................................................................................. 45

Transforming children and young people's mental health provision

Ministerial foreword

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All young people deserve the best start in life. But too often, young people with a mental health problem are not able to fulfil their potential. Mental ill-health costs individuals, and society, dearly. And we know that adults with mental ill-health are likely to have already experienced mental health problems in their childhood or adolescence.

People with mental health problems have too often in the past experienced unfair discrimination and poor treatment. In recent years however, we have seen a welcome shift in attitudes to mental health. The Prime Minister and this Government have provided the leadership needed to correct this historic injustice and are committed to delivering and building upon the vision set out in Future in Mind.1 We are a major funder of anti-stigma initiatives. And we were among the first to legislate for `parity of esteem' between mental and physical health. This means that in delivering health services, the two should be considered equally important.

We are now investing more than ever before in mental health services, and a huge programme of work is underway to transform children and young people's mental health services. Across the country there are many committed health staff working hard to improve care for children and young people with a mental health problem. In education too, many school and college leaders and staff are also giving real priority to supporting and promoting their students' wellbeing and good mental health. There are great examples throughout the country where health services, education and children's services, the voluntary sector and many others work together with families to support young people in being mentally well.

However, in some cases, support from the NHS is only available when problems get really serious, is not consistently available across the country, and young people can sometimes wait too long to receive that support. Support for good mental health in schools and colleges is also not consistently available. This green paper therefore sets out an ambition for earlier intervention and prevention, a boost in support for the role played by schools and colleges, and better, faster access to NHS services, in order to fill these gaps and fulfil the commitments set out in our manifesto. We set out here specific proposals that represent a fundamental shift in how we will support all young people with their mental health, and we look forward to working with you in making these proposals a reality.

The Rt Hon JUSTINE GREENING MP Secretary of State for Education

The Rt Hon JEREMY HUNT MP Secretary of State for Health

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