The mental health crisis among children and young people in England is a pressing issue that demands urgent attention. The current system is failing these vulnerable individuals, with long waits in A&E units becoming the norm rather than the exception. This is a deeply concerning trend that needs to be addressed immediately.
The Royal College of Nursing (RCN) has highlighted a catastrophic system-wide failure in mental health services, with children and young people often ending up in crisis due to a lack of intervention. The RCN's Freedom of Information requests revealed a shocking increase in the number of under-18s waiting at least 12 hours for admission to a mental health unit, from 237 in 2019 to 802 in 2025. This is a clear indication of the growing crisis and the need for immediate action.
The situation is further exacerbated by the use of medication to sedate children in A&E units. While this may provide temporary relief, it does not address the underlying issues and can be harmful in the long term. The A&E nurses' accounts of the distressing experiences of both patients and staff underscore the urgency of the problem.
Dr Sam Jones, from the Royal College of Paediatrics and Child Health (RCPCH), highlights the changing nature of mental health needs among children. The problems are becoming more complex and severe, with more younger children affected. The rise in rates of self-harm and eating disorders further emphasizes the need for specialized support and intervention.
The RCN and RCPCH are calling for a rapid expansion of mental health emergency units to provide specialized care for under-18s. This is a crucial step towards addressing the crisis and ensuring that children and young people receive the support they need. However, the current system is not only failing these individuals but also the staff who are working tirelessly to provide care.
The NHS Alliance's mental health network director, Rebecca Gray, emphasizes the harmful impact of long waits in A&E units. This setting is not suitable for young people with mental health issues, and it can lead to further trauma and distress. The expansion of mental health services and the introduction of mental health support teams in schools are positive steps, but more needs to be done.
In conclusion, the mental health crisis among children and young people in England is a complex and urgent issue. The current system is failing these vulnerable individuals, and the use of A&E units as a primary means of support is not sustainable. The RCN and RCPCH's calls for action are a necessary step towards addressing this crisis and ensuring that children and young people receive the specialized care they deserve. It is time for a comprehensive overhaul of mental health services to prioritize the well-being of these young people.
