– in the Scottish Parliament at on 23 March 2017.
6. To ask the First Minister what the Scottish Government's response is to reports that, in 2015, around one in five referrals to child and adolescent mental health services were rejected and, over the last three years, approximately 17,000 children and young people have been affected. (S5F-01073)
All children who are referred to specialist child and adolescent mental health services are assessed on an individual basis. If, as a result of an assessment, a clinician did not believe that CAMHS was the best course, we would expect the child to be referred to an appropriate service.
As the chamber is aware, the Minister for Mental Health will next week bring forward our new 10-year mental health strategy. I am able to tell the chamber today that an early action of that strategy will be to commission an audit of rejected referrals. Its findings will help to ensure that children are being referred to the right services and that those services can provide the help that children need.
I thank the First Minister for that answer, which is encouraging. Half of all adults who are mentally ill experience the onset of their mental health problems by the age of 15 so, if we can identify and support young people early, we can make a difference. According to the Scottish Association for Mental Health, three in 10 young people in classrooms across Scotland have a mental health problem. We will not close the attainment gap unless we address the mental health needs of children and young people.
Children and young people live in five NHS board areas—including mine, NHS Lanarkshire—where the 18-week target is not being met. One NHS board—Lothian—reports a median wait of 20 weeks. SAMH has called for mental health waiting time targets to be reduced to 12 weeks, in line with other waiting time targets. Does the First Minister think that that is achievable?
I agree with the general thrust of Graham Simpson’s question. If we can identify mental health problems in younger people, we prevent problems deteriorating later in life. That view will ensure that CAHMS is a central part of the strategy that we will outline next week.
The member is right to raise the issue of waiting times. Progress is being made towards meeting the 18-week waiting time; some boards are further behind than others, and we are working closely with them to support them in accelerating progress.
As I have said before in the chamber, one of the things that we should be positive about—counterintuitive though it often sounds—is that more people, young and old, are being identified with mental health issues and are coming forward for support. As I have said before, that means that the stigma that has often prevented people from seeking support in the past is fading, and that is a good thing that we should all welcome.
However, that places a responsibility on the shoulders of the Government and services across the country. Encouraging people to come forward for help is counterproductive if they cannot then access that help timeously. That is why the aspects that I have talked about—Maureen Watt will outline others next week—are so important. We are increasing support for mental health services; indeed, I announced at the weekend moves that we are making not just in the health service but in our criminal justice system.
Mental health is one of the most important issues that we face not just in our health service but across our society. I am sure that the strategy will receive a lot of robust scrutiny when it is outlined next week, but I hope that we can also build a lot of consensus about what it will seek to do.