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Children in care ‘too often denied mental health treatment’


The Commons Education Committee says children fostered in England are sometimes denied treatment simply because they move placement too often.

They should instead be given priority for mental health support, the committee says in a report.

The government says it is investing £1.4bn in children’s mental health.

Almost half of children in care have a diagnosable mental health disorder, the MPs heard, compared with about one in 10 children who are not in care.


But provision for children in care with mental health problems is poor in many parts of England, says the report.

A significant number of local authorities are failing to identify mental health issues when children enter care, it adds.

Poor provision

And in some areas children in care can be turned away because their conditions are not deemed severe enough to qualify for treatment.

The MPs heard some child and adolescent mental health services (Camhs) were unwilling to begin treatment if a child moved into a new foster placement, even if this was within the same local authority.

“Given children in care may have unstable family lives and are frequently moving foster or residential placement, this inflexibility puts vulnerable children in care at serious disadvantage in getting the support they deserve,” said Neil Carmichael, who chairs the committee.

“This must change – we recommend children in care be given priority access to mental health assessments and never refused care based on their placement or severity of their condition.”

The committee heard evidence from one 16-year-old girl in foster care who had waited for more than two and a half years to be seen by her local Camhs.

In her evidence, given last December, the girl told the committee she had not been seen because she had moved placement 13 times.

Her foster carer told the committee the 16-year-old had been with her for 10 months and was still waiting for an appointment.

This was in spite of official guidance that states: “Looked-after children should never be refused a service, including for mental health, on the grounds of their placement.”


Similar incidents of Camhs refusing to see children without stable placements were described in several other pieces of evidence to the committee.

Too often, schools are left to try to help children with mental health problems with little support from other agencies, its report says..

It also calls for more mental health support for young people leaving care, who are more than five times more likely than their peers to attempt suicide.

The report urges:

  • better mental health assessments of children entering care
  • better mental health support for care leavers
  • better integration of services for children in care, with more focus on mental health
  • more mental health training for teachers, foster carers and children’s home staff
  • a bigger voice for children in care on the services they receive
  • better research on the prevalence of mental illness in children

A spokesman for the Department for Education said: “Children in care have often lived through traumatic experiences, and it is vital they receive the support they need.

“That’s why we are putting a record £1.4bn into children and young people’s mental health, and investing in better links between these services and schools.

“This is backed up by £700m in reforming the social work profession, so staff are supported to make the right decisions for those in their care.”

The Local Government Association’s community wellbeing spokeswoman, Izzi Seccombe, said mental health services for children needed urgent improvement.

She said it was wrong for any child to have to wait a long time for treatment, but for the level of support needed, there had to be a joint approach with every organisation involved in a young person’s life, such as schools, carers and health services, as well as councils.

If the government’s vision to improve mental health services was to be realised, it needed to be backed with proper funding, she added.


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