Public Policy Analysis Forum
Mental Health and Wellbeing
in Children
Slido #78803
@ONSfocus #ChildMentalHealth
13 October 2021
Public Policy Analysis Forum
Chair – Liz McKeown
Director, Public Policy Analysis
Office for National Statistics
13 October 2021
Slido #78803
@ONSfocus #ChildMentalHealth
Agenda
10:00 – 10:05 Welcome and introduction – Liz McKeown
10:05 – 10:25 Overview of ONS analysis and High level review of NHS Digital report findings –
Tim Vizard
10:25 – 10:45 Covid impact on health of children and young people – Professor Tamsin Ford
10:45 – 10:55 Q&A
10:55 – 11:15 Findings from The Big Ask consultation – Emma Nelson and Donna Phillips,
Children's Commissioner Office
11:15 – 11:25 Q&A
11:25 – 11:30 Closing remarks
@ONSfocus Slido #78803
Questions can be submitted via the slido app using code
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Overview of ONS analysis and
high-level review of NHS Digital
report findings
Tim Vizard
Office for National Statistics
Slido #78803
@ONSfocus #ChildMentalHealth
Measures of wellbeing before the pandemic
• Prior to the pandemic, the ONS
Children’s Wellbeing framework
provides insights into different domains
of a child’s wellbeing
• Domains include personal wellbeing,
relationships, health (including
mental health), what we do, where we
live, personal finance and education
/ skills.
• These are based on different sources,
including The Children’s Society
Household panel survey and
Understanding Society survey
Measures of Children’s happiness with different aspects of life (Understanding
Society) in UK 2009-10 to 2018-19
Source: Good Childhood Report (analysis of Understanding Society data)
The Children’s Society.
6.6
6.8
7
7.2
7.4
7.6
7.8
8
8.2
8.4
8.6
8.8
9
9.2
2009-10 2018-19
mean
happiness
score
(0-10)
Date
Life as a whole
Family
Friends
School
Schoolwork
Appearance
10 to 15 year old (2009-10 to 2018-19), United Kingdom.
Between 1999 to 2017 there was a small but
significant increase in mental disorders in children
• Mental Health of Children and Young
People Survey (England) has been
running since 1999
• Looks at rates of mental disorders:
• Emotional, Behavioural, Hyperactivity, and
other less common disorders
• Rates increased from:
• one in 10 children (9.7%) in 1999
• one in 9 children (11.2%) in 2017
9.7 10.1
11.2
11.8
12.2
13.1
7.5
7.9
9.3
0
2
4
6
8
10
12
14
99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17
Per cent All Boys Girls
Year
Any mental disorder in 5 to 15 year olds, 1999 to 2017
5 to 15 year olds identified with a mental disorder, England.
Source: Mental Health of Children and Young People in England (2017).
NHS Digital.
In 2017, mental disorders were higher in older
age groups
one in eighteen
5.5
one in ten
9.5
one in seven
14.4
one in six
16.9
2 to 4 year olds 5 to 10 year olds 11 to 16 year olds 17 to 19 year olds
Per cent
2 to 19 year olds identified with any mental disorder, England.
Source: Mental Health of Children and Young People in England (2017).
NHS Digital.
In 2017, Differences between boys and girls
were found in different age groups
6.8
12.2
14.3
10.3
4.2
6.6
14.4
23.9
2 to 4 year olds 5 to 10 year olds 11 to 16 year olds 17 to 19 year olds
Per cent Boys Girls
2 to 19 year olds identified with any mental disorder, England.
Source: Mental Health of Children and Young People in England (2017).
NHS Digital.
How have things
changed since 2017…
Between 2017 and 2020, rates of probable
mental disorders have increased in England
According to the Mental Health of Children and Young People:
• In 2017, one in nine (10.8%) children aged 5 to 16 had a probable mental
disorder
• In 2020, one in six (16.0%) children aged 5 to 16 had a probable mental
disorder
Source: Mental Health of Children and Young People in England (2020).
NHS Digital.
In July 2020, children had concerns around the
impact of COVID-19
• Parents of children aged 5 to
16 years were asked about
their child’s anxieties about
COVID-19 in July 2020.
• Over one third of children had a
parent who felt their child was
worried about their friends and
family catching COVID-19
(36.7%) and about missing
school/work (37.7%).
Pandemic anxieties parent thought child had about COVID-19 (England, July 2020)
Source: Mental Health of Children and Young People in England (2020).
NHS Digital.
Base: Parents of children aged 5 to 16 years old in England.
In July 2020, two in five children felt that lockdown
had made their life worse
Source: Mental Health of Children and Young People in England (2020).
NHS Digital.
39.2 37.3
48.4 48.2
54.1
59.0
11 to 16 year olds 17 to 22 year olds
Per cent
Unlikely to have a disorder
Possible disorder
Probable disorder
• Children and young people with
a probable mental disorder
were more likely to say that
lockdown had made their life
worse (54.1% of 11 to 16 year
olds, and 59.0% of 17 to 22
year olds), than those unlikely
to have a mental disorder
(39.2% and 37.3% respectively)
Base: 11 to 22 year olds, England.
One in ten children and young people reported
always or often feeling lonely (10.1%)
Source: Mental Health of Children and Young People in England (2020).
NHS Digital.
3.4 4.0 3.7
11.7
21.4
16.6
18.3
36.3
29.4
Boys Girls All
Per cent
Unlikely to have a disorder Possible disorder Probable disorder
Base: 11 to 22 year olds, England.
In 2020, 18% of children had “low wellbeing”
(based on a multi-item life satisfaction scale)
• In 2020, 18% of children scored
below the mid-point of a multi-
item measure of wellbeing.
• This reflects a larger proportion
scoring below the midpoint than
in previous years.
• In 2021, almost 12% scored
below the midpoint and, as such,
would be considered to have low
wellbeing.
Source: Good Childhood Report (2018 to 2021)
The Children’s Society.
11
12
18
12
0
2
4
6
8
10
12
14
16
18
20
2018 2019 2020 2021
Per
cent
10 to 17 year olds (2018 to 2021), United Kingdom.
Percentage of children (10-17 years old) with “low wellbeing”
Disruption to education
• March to July 2020: Schools across the UK
were largely closed to in-person attendance.
Vulnerable children and those of key workers
could continue to choose to attend in person.
• September to December 2020: Schools
across the UK reopened for general in-person
attendance.
• January to early March 2021: Schools were
again largely closed to in-person attendance.
As before, specific groups could continue to
attend in-person.
Source: ONS analysis of data from Department for Education (England), Welsh
Government, Scottish Government and Northern Ireland Government.
Percentage attendance in state-funded schools, 2020 to 2021
Children continued to experience disruption to
their education when schools reopened in 2021
• When schools in England
began opening to all pupils
from 8 March 2021,
attendance rates were
generally higher than in the
autumn 2020 term.
• However, after the May half-
term, attendance began to
decline.
Source: Coronavirus and Schools, House of Commons Library
(September 2021)
Home-schooling
• Analysis from the Opinions and Lifestyle
Survey looked at parents experiences of
home-schooling during:
• April to May 2020
• January to February 2021
• In early 2021, 63% of home-schooling
parents said home-schooling was
negatively affecting their children’s
wellbeing (43% in April 2020)
• 50% of home-schooling parents said
home-schooling was negatively affecting
their own wellbeing in early 2021 (up
from 28% in April 2020)
Percentage of home-schooling parents who agreed with the statement on
home-schooling, Great Britain
Source: Coronavirus and the Social Impacts on Great Britain (19 February 2021).
ONS
75
73
71
72
43
63
36
53
28
50
49
45
25
37
Adults with a dependent child or children in their household, Great Britain
Parents expressed worries around children
returning to school in September 2021
• In September 2021, around 1 in 2 (48%)
parents said they were very or somewhat
worried about the children or young people
in their household going back to school or
college after the summer holidays.
• The main reasons among those who
reported that they were worried:
• about the child catching coronavirus (COVID-19)
(58%)
• worried about the child spreading the coronavirus
(COVID-19) (31%)
• worried about the impact on their child’s mental health
and well-being because of the changes in schools and
colleges (30%).
Source: Coronavirus and the Social Impacts on Great Britain (10 September 2021).
ONS
Main worries express by from parents who said they were worried about their child
going back to school
Base: Of those who were very worried, somewhat worried, neither worried or
unworried, somewhat unworried or don't know (excluding Prefer Not to Say (16%)
and None of the above (14%)
1
2
5
6
10
15
25
30
31
58
0 10 20 30 40 50 60 70
Availability of transport to school or college
Don’t know
Other, please specify
My child is or has been shielding or has an underlying…
Member of the household is or has been shielding or…
Sending them back before the vaccine rollout has…
How prepared their school or college will be for…
The impact on their mental health and wellbeing due…
Child spreading the coronavirus (COVID-19)
Child catching the coronavirus (COVID-19)
Per cent
Wider evidence base (with links)
• Mental Health of Children and Young People in England (NHS Digital)
• Children’s Wellbeing framework (ONS)
• Schools Infection Survey (ONS)
• Good Childhood Report (The Children’s Society)
• State of the nation 2020: children and young people’s wellbeing (DfE)
• Co-Space Study (Oxford University and partners)
• Children’s Commissioner for Wales, Scotland, Northern Ireland & England
• Coronavirus and Me Survey: Children’s Commissioner for Wales
• #Scot Youth and COVID: Children and Young People’s Commissioner Scotland and A Place in Childhood
• A New and Better Normal: The Experiences and Impacts of COVID-19 on Children and Young People:Northern
Ireland Commissioner for Children and Young People
• The Big Ask Survey: Children’s Commissioner for England
Covid impact on health of children and young
people
Tamsin Ford
ONS Policy Analysis Forum 13 Oct 2021
tjf52@medschl.cam.ac.uk @Tamsin.J.Ford
https://www.depressd.ca/covid-19-mental-health
• 67,635 abstracts and titles
screened
• 403 trials registrations
• Eligible studies (on CYP)
Review 1: 99 (7)
Review 2: 42
Review 3: 83 (0)
• Review 1 – changes in mental health
(2/3 pre to post cf within pandemic)
• Review 2 – factors associated with
changes
• Review 3 intervention studies
Data gap for under 16s and high signal:noise
https://sphr.nihr.ac.uk/wp-content/uploads/2020/08/Young-Peoples-Mental-
Health-during-the-COVID-19-Pandemic-Report.pdf
https://www.thelancet.com/action/showPdf?pii=S2215-0366%2821%2900151-6
https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(20)30308-4/fulltext
https://psyarxiv.com/exktj/
National child mental health surveys
Year 1999 2000 2001 2002 2003 2004 2005 2006 2007 2017 2018 2016 2020 2021
1999 Base-
line
S
D
Q
FU
2004 Base-
line
S
D
Q
S
D
Q
FU
2017 Base-
line
S
D
Q
S
D
Q
Recent follow up surveys were conducted by:
Rates of probable disorder in 6 to 16 year olds
• In 2021, one in six
(17.4%) children aged
6 to 16 had a probable
mental disorder
• In 2020, one in six
(16.6%) children aged
6 to 16 had a probable
mental disorder
• In 2017, one in nine
(11.6%) children aged
6 to 16 had a probable
mental disorder
Pattern of prevalence from 2017 – 2020
12.4
10.9
7.0
13.4
16.8 16.3
8.7
27.3
18.6
16.2
10.3
24.8
Boys Girls Boys Girls
6 to 16 year olds 17 to 19 year olds
2017 2020 2021
%
Source: NHS Digital, 6 to 19 year olds, England.
5.1
8.4
29.6
60.5
8.4
17.8
41.0
76.4
Boys Girls Boys Girls
11 to 16 year olds 17 to 19 year olds
%
2017 2021
% of CYP with a possible eating problem between 2017 and
2021
11-16 year olds 17-19 year olds
Source: NHS Digital, 11 to 19 year olds, England.
13.5
5.8
19.6
7.5
20.1
9.7
White Ethnic minority
%
2017 2020 2021
Source: NHS Digital, 6 to 16 year olds, England.
Rates of probable disorder by ethnicity
There were ethnic differences in how the pandemic
affected households with children since August
50.6
42.1
23.3
25.4
43.8
6.5 6.3
18.6
10.9
8.6
White British White Other Black / Black British Asian / Asian British Mixed / Other
%
Parent worked from home more often
Fallen behind with bills, rent or mortgage
Rates in those with and without SEND rose between
2017 and 2021
39.2
52.5
39.0
32.3
21.8
15.2
6 to 16 year olds 17 to 23 year olds
Deteriorated Stable Improved
%
Source: NHS Digital. 6 to 23 year olds, England.
Four in ten children and over half of young people experienced
a deterioration in their mental health between 2017 and 2021
“Persistence” of MHCs 1999 & 2004 over 3 years
CLoCk study of Long COVID in Children
and Young People aged 11-17 years old
Professor Sir Terence Stephenson (UCL)
Professor Roz Shafron(UCL)
Dr Liz Whittaker (Imperial)
https://pubmed.ncbi.nlm.nih.gov/34446502/
On behalf of the CLoCk Consortium
Funded by NIHR/UKRI: In PrePrint
Why did we do this study and what did we ask?
• Since the start of the pandemic, 260 children & young people (CYP) have been
admitted to intensive care of whom all but 22 had a pre-existing health problem.
• BUT between 1st September 2020 and 31st March 2021: 234,803 CYP aged between
11 and 17 years tested positive for SARS-CoV-2 in England and 1,245,288 CYP
tested negative.
• PHE has a database with the name, postal address, sex and DoB of every person
PCR tested in England
• A matched cohort study following COVID positive CYP aged 11-17 years compared
with age, sex and geographically matched COVID negative CYP (all non-
hospitalised)
• Families will be contacted 3, 6, 12 and 24 months after the CYP’s COVID test, with
those CYP consenting completing an online physical and mental health assessment.
38
Initial symptoms at time of test?
https://www.researchsquare.com/article/rs-798316/v1
About 36% of young people who tested positive were symptomatic at the
time of testing compared to only 8% of those who tested negative.
Most common symptoms among test positives:
• Headache (26%)
• Unusual tiredness (23%)
• Sore throat (22%)
• Loss of smell/taste (21%)
Most common symptoms among test negatives:
• Sore throat (5%)
• Headache (5%)
• Persistent cough (4%)
• Fever (4%)
39
Physical symptoms at ‘3 months’ (15 weeks post-test)?
Most common symptoms among test positives:
• Unusual tiredness (39%)
• Unusual shortness of breath (23%)
• Headache (23%)
• Loss of smell/taste (14%)
• Dizziness (14%)
Most common symptoms among test negatives:
• Unusual tiredness (24%)
• Other (16%)
• Headache (14%)
• Unusual shortness of breath (10%)
• (Loss of smell/taste 1.4%)
Latent Class Analysis of symptom clustering at > 3
months (15 weeks post-test)?
Figure 2 (a) Latent classes of symptoms at 3 months in SARS-CoV-2 test positive CYP;
(b) Latent classes of symptoms at 3 months in SARS-CoV-2 test negative CYP.
(a) Positives
(b) Negatives
• For both test-positive and test-
negative CYP, those with multiple
symptoms were more likely to be:
• female, older, poorer baseline
physical and mental health
• at 3-months, more likely to have
problems with mobility, self-
care, usual activities and
pain/discomfort
• Also higher SDQ total difficulties &
CFS scores, and lower SWEMBS
scores
https://www.researchsquare.com/article/rs-798316/v1
The OxWell School survey
2020 & 2021
https://www.psych.ox.ac.uk/researc
h/schoolmentalhealth/summary-
report
• 27,910 CYP aged 9-18 years old from 180 schools in 4
counties in England in May / July 2021
• “Would you take a Covid-19 vaccine if offered?”
• 50% eager / willing; 37% not bothered / don’t know; 13%
unwilling or anti-vaccination
• Vaccine hesitancy was commoner among younger age
groups, less anxiety / depression or probable covid-19
infection & the more deprived and marginalised
https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(21)00424-7/fulltext
References
• Collishaw, S. (2015). Annual Research Review: Secular trends in child and adolescent mental health. Journal of Child Psychology
and Psychiatry, 56(3), 370-393. doi:10.1111/jcpp.12372
• Sellers, R., Warne, N., Pickles, A., Maughan, B., Thapar, A. & Collishaw, C. (2019). Cross-cohort change in adolescent outcomes
for children with mental health problems. Journal of Child Psychology and Psychiatry, 60 (7), 813-821. doi:10.1111/jcpp.13029
• Patel, V., Saxena, S., Lund, C., et al. (2018). The Lancet Commission on global mental health and sustainable development.
Lancet, 392:, 1553-1598
• Pitchforth, J. M., Viner, R. M., & Hargreaves, D. S. (2016). Trends in mental health and wellbeing among children and young
people in the UK: a repeated cross-sectional study, 2000-14. Lancet, 388, 93-93.
• Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual Research Review: A meta-analysis of the
worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, 56(3), 345-365.
doi:10.1111/jcpp.12381
• Sadler K., Vizard T., Ford T., Goodman A., Goodman R. & McManus, S. (2018). The Mental Health of Children and Young People
in England 2017: Trends and characteristics. Health and Social Care Information Centre; London.
•McManus, S., Gunnell, D., Cooper, C., Bebbington, B.E., Howard, L.M., Brugha, T., Jenkins, R., Hassiotis, A., Weich, S. &
Appleby, L. (2019). Prevalence of non-suicidal self-harm and service contact in England, 2000–14: repeated cross-sectional
surveys of the general population. Lancet Psychiatry 6, 573-581.
• Widnall et al https://sphr.nihr.ac.uk/wp-content/uploads/2020/08/Young-Peoples-Mental-Health-during-the-COVID-19-Pandemic-
Report.pdf
• Vizard et al. 2020. Mental health of children and young people in England 2020
https://files.digital.nhs.uk/CB/C41981/mhcyp_2020_rep.pdf
• Til Wykes, Andy Bell, Sarah Carr, Tina Coldham, Simon Gilbody, Matthew Hotopf, Sonia Johnson, Thomas Kabir, Vanessa Pinfold,
Angela Sweeney, Peter B. Jones & Cathy Creswell (2021) Shared goals for mental health research: what, why and when for the
2020s, Journal of Mental Health, DOI: 10.1080/09638237.2021.1898552
• Says who? https://www.thelancet.com/action/showPdf?pii=S2215-0366%2820%2930237-6
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Findings from The Big Ask survey:
Analytical briefing
Donna Phillips, Head of Data Science &
Emma Nelson, Head of Data Collection
44
About The Big Ask
45
Background
• Children’s Commissioner for England has:
• statutory role to promote rights and interests of children
• duty to consult with children to gather their views on issues that
matter to them
• In April, Commissioner launched 6-week national consultation with children
– The Big Ask – to gather at scale children’s views on their lives, future
aspirations and future concerns and worries
• The Big Ask aimed to:
• provide ‘state of the nation’ assessment of the views of children
• help inform Commissioner’s priorities and longer-term strategy
• help ensure that children’s needs and interests could be placed at the
forefront of national recovery from pandemic
46
Dame Rachel de Souza DBE, Children’s Commissioner
for England
Overall methodology
Overall approach:
• Large-scale national online survey
• Focus groups with range of vulnerable and harder-to-reach groups
• Programme of visits by Commissioner to specific settings
Main survey questions:
1. How happy are children with their life at the moment?
2. What do children say is most important for them to have a good life when they grow up?
3. What are children most worried about not having when they grow up?
4. Do children think they are likely to have a better life than their parents when they grow up?
5. What do children say is holding them back from having a better life or achieving what they want?
(free text)
47
Sample sizes
• Over 550,000 responses
• Equivalent to nearly 6% of 4-17 population in England
• Largest ever survey of children anywhere in the world (to our knowledge)
• Unprecedented scale of response from vulnerable groups (e.g. 3,800 children in care; 6k young carers)
• More responses from older children and girls, but data has been reweighted using ONS population
figures
• Data can be disaggregated by:
• Age, gender, ethnicity
• Local area (SOA, LA, parliamentary constituency)
• Local area characteristics (e.g. deprivation)
• School characteristics
• Vulnerable groups
48
Headline findings from survey
49
Top headlines (1)
1. Despite the pandemic, the overwhelming majority of children are happy: 9 in 10 (aged 6-8) and 7 in 10 (aged 9-17) are happy with
their life overall. But a significant minority are unhappy:
 1 in 5 6-8 year olds, and 2 in 5 9-17 year olds, are unhappy with at least one aspect of their life
 Girls and older children more likely to be unhappy. Clear issue around girls aged 16-17: 2 in 5 unhappy with their mental health
 6-8s most likely to be unhappy about the places where they can have fun, how much they can play, and their education
 9-17s most likely be unhappy about mental health; whether they have fun things to do outside; and life at school or college
 This is true across different genders, age groups, ethnicities, as well as across levels of disadvantage and vulnerability
 But vulnerable groups are more likely to be unhappy with family and home circumstances
2. What most children want in future are simply the basics – economic security, wellbeing and good relationships.
 Most common aspirations: a good job, having enough money, good mental health, good relationships with friends and family,
and a good education
 These aspirations are fairly universal, but:
 Older children less likely to say a good education is important, and more likely to prioritise mental and physical health
 White children and those from more affluent areas slightly more likely to say that mental health or environment are
important, and slightly less likely to say that a good job or education is important to them
50
Top headlines (2)
3. Many children (aged 9-17) still worry about not having ‘the basics’ in future, and also about the wider world
 Health of the planet is the 2nd most common future worry (after money)
 Top 5 future worries: having enough money, having a good job, and having good mental health, the environment and fairness
in society
 These worries are fairly universal, but:
 Teenagers less likely to worry about having a good education; more likely to worry about having good mental and
physical health, having a good job, and the wider world
 White children slightly more likely to worry about environment and having good mental health than BAME children;
slightly less likely to worry about having a good education
 Children from more affluent areas more likely to worry about environment, and less likely to worry about ‘the basics’
(e.g. getting a good education)
4. Just over of children aged 9-17 think they are likely to have a better life than their parents; 1 in 11 think the opposite
 Children who are unhappy with life at the moment are less optimistic about this – 1 in 4 think the opposite
 BAME children and children from deprived areas are slightly more optimistic
51
1. How happy are children with
their life at the moment?
52
Overall rates of happiness
• Most children are happy with their lives, especially younger
children. But a significant minority are unhappy about
something.
• Children are more likely to be unhappy with their mental health,
their lack of access to leisure and play, life at school, and their
physical health.
• Children are comparatively less likely to say they are unhappy
about life at home, their friendships, their safety and their
experiences online.
6-8 year olds:
9-17 year olds:
2. What do children say is most
important for their future?
54
Overall future priorities
• Most children economic want economic security (good jobs, enough money, good education), wellbeing (mentally or physical)
and good relationships as their top future priorities.
• Some children also concerned with wider world, e.g. environment (22% of 9-17s) and fairness in society (20% of 9-17s)
33%
37%
39%
42%
49%
56%
56%
64%
74%
Living in a nice area with things to do
Starting my own family
Having a good education
Enough money to buy the things I need
A nice home to live in
A good job or career
Getting on well with my current family
Being healthy and active
Good friends
Children aged 6-8:
5%
13%
20%
22%
26%
29%
31%
37%
52%
52%
57%
59%
69%
Being part of a good local community
Living in a nice area with things to do
Everyone being treated fairly
A healthy environment and planet
Starting my own family
Getting on well with my current family
Good physical health
A nice home to live in
Having a good education
Good mental health
Good friends
Enough money to buy the things I need
A good job or career
Children aged 9-17:
3. What do children most worry
about for the future?
56
Overall future worries (9-17 year olds)
• Children’s main future worries are similar to their main future priorities, but also take into account the wider world
• Along with money, jobs and their own mental health, lots of children are worried about the environment (2 in 5) and fairness in
society (3 in 10)
11%
14%
14%
17%
18%
18%
22%
24%
25%
31%
35%
37%
39%
41%
I'm not worried about anything
Being part of a good local community
Getting on well with my current family
Living in a nice area with things to do
Having a good education
Starting my own family
Good physical health
A nice home to live in
Good friends
Everyone being treated fairly
Good mental health
A good job or career
A healthy environment and planet
Enough money to buy the things I need
Proportion of children aged 9-17 who are most worried about having the following in future…
4. Do children think they will have
a better life than their parents?
58
Overall rates
• Just over half of children aged 9-17 think that they will probably have a better life than their parents, while 1 in 11 children think
that probably will not do so
9%
39%
52%
Unlikely will have a better life than parents
Neither likely/unlikely
Likely will have a better life than parents
5. What did we learn about the
young people’s mental health?
60
Qualitative analysis - Overview
• Children were asked: What do you think stops young people in England achieving what they want to achieve when they
grow up?
• We received around 260,000 responses to this question
• 8 main topics were identified across the responses. Examples of topics and how they were categorised:
• Full methodology available here.
61
Topic Example index word/phrase Number of responses
categorised under topic
Education and
school
School, Education, Homework, Teach, GCSE, Grade, Study, Skills, College, A-Levels, Academic,
Educated, Uniform, Maths, Pupil
79,995 (31%)
Politics and
society
Government, Racism, Prejudice, Background, Society, Discrimination, Capitalism, Stereotype,
Equal, Gender, Skin, Colour, Black, Homeless, Racist, White, Minister
31,849 (12%)
Feeling and
being well
Mental, Depression, Anxiety, Worry, Stress, Suicide, Pressure, Depressed, Wellbeing, Physical
health, Disability, Illness, Healthy, Disabilities, Junk food
48,790 (19%)
Social Influences Motivation, Confidence, Laziness, Fear, Believe, Failure, Doubt, Procrastination, Dream,
Attitude, Esteem, Determination, Motivate, High expectation, Work ethic, Negative thought
42,474 (16%)
Distribution of children who mentioned
mental health
Characteristic Percentage of children whose response
referenced mental health and emotional
wellbeing
Age
6-8 1%
9-11 12%
12-15 26%
16-17 29%
Gender
Male 13%
Female 22%
Self-identified gender 31%
Ethnicity
Asian 19%
Black 17%
Mixed 19%
Other 18%
White 19%
Ethnicity not given 13%
Happiness with current mental health
Happy with mental health 14%
Neither happy nor unhappy with mental
health
23%
Unhappy with mental health 37%
62
• By age, children aged 16-17 were
the most likely to mention mental
health in their response (29%).
• By gender, children who chose to
self identify their gender were the
most likely to mention mental
health (31%) compared to only 13%
of boys.
• Children who said that they were
unhappy with their mental health
were more likely to mention mental
health. However, 14% of children
who were happy with their mental
health mentioned it as a potential
barrier suggesting that awareness of
mental health isn’t limited to
children’s personal experience.
Causes of poor mental health – social media
• Social media can provide refuge and a source of understanding and inclusion. As one child said: ‘Social media has
helped me more than my own family. I wouldn’t be in a happy relationship without social media. I wouldn’t have
half of my friends without social media’ - Non-binary, 17.
• However, children also talked about how social media damaged their mental health:
• ‘Social expectations and limitations stop children from exploring due to their need to fit in with society and follow a
trend, leading to many children looks at social media influencers and strive to be like them instead of the best
version of themselves. Therefore, this limits their mind, and bashes their mental health.’ - Boy, 15
• ‘Social media which leads to mental health problems. Social media has made everyone so aware of themselves,
so stuck in their own head that they’ve lost touch with reality. It seems that so have I.’ - Girl, 13
• ‘I also think people judge themselves using social media too much and it can take over their lives so they become
paralysed by the idea that they need to be perfect when in reality no-one is perfect!’ - Girl, 16
• ‘Young people nowadays are constantly battling with pressure from all sides of life, such as body image,
academic pressure, social pressure and even economic pressure. This prevents us having an equal platform to
speak from, or to progress in life with a healthy and relaxed mentality.’ - Girl, 14
63
Causes of poor mental health - school
• Children talked about how important their education was, and many felt their mental health and wellbeing affected their
chances of success:
• ‘I think we all know education is important for jobs and careers but for many people, being unmotivated, low-self
esteem and other problems get in the way of our learning and education.’ - Girl, 13
• In particular, children talked about the link between exams and mental health due to a perceived ‘single point of failure’
where a grade on an exam can have a significant impact on the rest of a young person’s life.
• ‘We have a lot of pressure and exams […] I have to do well or I’ll be a mess and I feel like we think that exams if you fail it’s
the end of your life and you won’t get to do what you want to do in the future.’ - Girl, 15
• ‘The stress of GCSE exams, those exams make students fail and boom their entire life is down the drain.’ - Boy, 16
• The pandemic also impacted children’s education and they talked about the knock-on effect this had on their mental
health
• ‘Having been learning online for most of last year and half of this year, there is lots of pressure on us for next year, when
we do our GCSE exams in year 11. This deteriorates our mental health and causes lots of stress, especially because there
is little communication on what will happen to us next year. It’s like were being left in the dark.’ - Girl, 15
64
5. Conclusions and next steps
65
Conclusions
• Unique and unprecedented survey
• Scale of response is important in and of itself, regardless of findings
• Most children in England are happy with their lives, but there are some areas of concern:
• Older children and girls more likely to be unhappy, especially teenage girls
• Clear majority of children are happy with their family lives, but less so for vulnerable groups
• Remarkable consistency across age, gender, ethnicity, vulnerability, in top issues children are unhappy with
• Most children’s main future aspirations are simple: economic security, good relationships, and being well
• Many children prioritise the wider world – environment and fairness – but disadvantaged and vulnerable are less
likely to do so
• Children’s future worries revolve, for most, around environment as well as career and financial prospects
• But vulnerable groups more likely to worry about education and home; less likely to worry about environment
• Children are more likely than not to think that they will probably do better than their parents
• Ethnic minority and deprived children are more likely to be optimistic about this
66
Next steps
• The Big Answer report which summarises the findings has been published: link
• The quantitative data with breakdowns by demographic characteristics and vulnerability is available here:
link
• The qualitative and quantitative findings on mental health are available here: link
• Full quantitative and qualitative technical reports will be published soon
• Analysis here is only tip of iceberg – lots of other work possible, e.g.:
• Multivariate analysis
• Focussing on specific groups or issues
• More localised analysis and bespoke outputs
• Combining qualitative and quantitative data
• Exploring feasibility of securely sharing raw dataset with researchers and analysts (e.g. via ONS)
67
Any questions?
68
Additional findings
69
1. How happy are children with
their life at the moment?
70
Variation by age (9-17 year olds)
0% 5% 10% 15% 20% 25% 30% 35%
My personal safety
My access to somewhere outside to have fun
The choice of things to do in my local area
Life at school or college
My progress in education
My mental health
My physical health
My family's health
My family life
My life overall
Proportion of children aged 9-17 unhappy with…
Age 9-11 Age 12-15 Age 16-17
Biggest age differences:
• Physical health (16-17s nearly 4x more likely than 9-11s to be unhappy)
• Mental health (16-17s 3.5x likely more likely than 9-11s to be unhappy)
• Choice of things to do in local area (16-17s 3x more likely than 9-11s to be unhappy)
1 in 3 16-17s
unhappy with
mental health
1 in 3 16-17s
unhappy with
choice of things to
do in local area
1 in 8 16-17s
unhappy with
life overall 9-11 year olds are most unhappy about:
1. Choice of things to do in their local
area (1 in 9)
2. Life at school or college (1 in 10)
3. Mental health (1 in 11)
4. Access to somewhere outside to have
fun (1 in 15)
5. Progress in education (1 in 20)
16-17 year olds are most unhappy about:
1. Mental health (1 in 3)
2. Choice of things to do in their local
area (1 in 9)
3. Life at school or college (1 in 5)
4. Physical health (1 in 5)
5. Access to somewhere outside to have
fun (1 in 6)
• Older children significantly less happy than younger children – especially in terms of mental and physical health, their local area, and their
education
Variation by gender (9-17 year olds)
0% 10% 20% 30% 40% 50% 60%
My friendships
My experiences online
My personal safety
Life at school or college
My progress in education
My mental health
My physical health
My family life
My life overall
Proportion of children aged 9-17 unhappy with…
Boys Girls Self-identified gender
Biggest gender differences:
• Mental health (girls 2x more likely than boys to be unhappy)
• Family life (girls 1.5x more likely than boys to be unhappy)
• Life overall (girls 1.5x more likely than boys to be unhappy)
1 in 4 girls and more
than half of children self-
identifying their gender
unhappy with mental
health
1 in 11 girls and 1 in 3
children self-
identifying their
gender unhappy with
life overall
Boys are most unhappy about:
1. Choice of things to do in their local
area (1 in 6)
2. Life at school or college (1 in 8)
3. Mental health (1 in 8)
4. Access to somewhere outside to
have fun (1 in 11)
5. Physical health (1 in 11)
Girls are most unhappy about:
1. Mental health (1 in 4)
2. Choice of things to do in their local
area (1 in 5)
3. Life at school or college (1 in 6)
4. Physical health (1 in 8)
5. Progress in education (1 in 11)
• Girls are generally less happy than boys
• Children who self-identified their gender are even less happy
Variation by age and gender (9-17 year olds)
4%
6%
9%
5%
11%
14%
Age 9-11 Age 12-15 Age 16-17
% unhappy with life overall
Boys Girls
7%
13%
22%
10%
29%
40%
Age 9-11 Age 12-15 Age 16-17
% unhappy with their mental health
Boys Girls
11%
14%
16%
8%
19%
22%
Age 9-11 Age 12-15 Age 16-17
% unhappy with life at school or college
Boys Girls
11%
16%
27%
10%
20%
34%
Age 9-11 Age 12-15 Age 16-17
% unhappy with choice of things to do in local area
Boys Girls
• At age 9-11, little difference in rates of
unhappiness
• Gender gap opens up around age 12
• Girls aged 16-17 have very high rates of
unhappiness:
• 2 in 5 unhappy with their mental
health
• More than 1 in 5 unhappy with life at
school or college
• 1 in 7 unhappy with life overall
• The gender gap in unhappiness emerges around start of secondary school, and widens as children during teenage years
Variation by ethnicity (9-17 year olds)
5%
14%
21%
15%
10%
18%
13%
7%
7%
4%
9%
4%
9%
18%
16%
10%
21%
11%
6%
6%
3%
8%
My personal safety
My access to somewhere outside to have fun
The choice of things to do in my local area
Life at school or college
My progress in education
My mental health
My physical health
My family's health
My family life
My family's ability to buy things we need
My life overall
Proportion of children aged 9-17 unhappy with…
White BAME
Biggest differences:
• Access to somewhere outside to have fun (BAME children 56% more likely to be unhappy)
• Family’s ability to buy things they need (BAME children 40% more likely to be unhappy)
BAME children are most unhappy about:
1. Choice of things to do in their local area (1
in 5)
2. Mental health (nearly 1 in 5)
3. Life at school or college (1 in 7)
4. Access to somewhere outside to have fun
(1 in 7)
5. Physical health (1 in 8)
White children are most unhappy about:
1. Mental health (1 in 5)
2. Choice of things to do in their local area
(nearly 1 in 5)
3. Life at school or college (1 in 7)
4. Physical health (1 in 9)
5. Progress in education (1 in 10)
• Ethnic minority children are slightly more likely to say they are unhappy with most things – except their mental health
Variation by local deprivation (9-17 year olds)
Biggest differences:
• Family’s ability to buy things they need (Poorest
2x more likely to be unhappy)
• Access to somewhere outside to have fun and
choice of things to do in local area (Poorest
roughly 50% more likely to be unhappy)
Smaller differences for:
• Unhappiness with mental health
• Unhappiness with family life
• Unhappiness with experiences online
• Unhappiness with family’s health
• Children in the most deprived areas (as measured by SOA IDACI rates) are generally less happy – but the differences compared to children in
the least deprived areas are fairly modest
5%
4%
4%
8%
15%
13%
8%
19%
10%
5%
6%
2%
7%
6%
5%
5%
13%
22%
17%
10%
21%
13%
6%
6%
4%
10%
My friendships
My experiences online
My personal safety
My access to somewhere outside to have fun
The choice of things to do in my local area
Life at school or college
My progress in education
My mental health
My physical health
My family's health
My family life
My family's ability to buy things we need
My life overall
Proportion of children aged 9-17 unhappy with…
Most deprived 10% of SOAs
Least deprived 10% of SOAs
• Vulnerable groups more likely to be unhappy in general – especially with family life
• Most groups 2x more likely to be unhappy with family life or personal safety, compared to overall rate
• CIN and young carers 25% more likely to be unhappy with mental health
• Young carers 3x more likely to be unhappy with their family’s health
• 1 in 4 children receiving MH support are unhappy with their life overall
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
My family life My family's health My personal safety My friendships My experiences
online
Life at school or
college
My progress in
education
My mental health My life overall
Proportion of children aged 9-17 unhappy with…
All children SEND CIN LAC Young carers Receiving mental health support Receiving support from YOT
Variation by vulnerable groups (9-17 year olds)
76
Variation by school characteristics (9-17 year olds)
• Children in schools rated ‘Inadequate’ slightly more likely to be unhappy with life at school and with their progress in education (but this
difference is small)
• Little variation by school attainment (as measured by Progress 8)
15%
10%
15%
9%
16%
10%
18%
12%
19%
12%
18%
12%
Life at school or college My progress in education
Proportion of children aged 9-17 unhappy with:
Rated 'Outstanding' Rated 'Good' Rated 'Requires Improvement'
Rated 'Inadequate' Bottom quintile Progress 8 Top quintile Progress 8
2. What do children say is most
important for their future?
78
Variation by age (9-17 year olds)
Top future priorities for 9-11 year
olds:
1. Good job (63%)
2. Good education (63%)
3. Enough money (59%)
4. Good friends (55%)
5. Good mental health (43%)
Top future priorities for 16-17 year
olds:
1. Good job (70%)
2. Good mental health (63%)
3. Good friends (61%)
4. Enough money (59%)
5. Good physical health (38%)
• As children get older, they become more likely to say that good mental and physical health, a good job, good
friendships and fairness will be important for their future
• They become less likely to say that a good education or good family relationships will be important for their future
63%
39%
19%
30%
55%
43%
26%
63%
73%
35%
20%
28%
57%
55%
33%
51%
70%
34%
23%
27%
61%
63%
38%
36%
A good job or career A nice home to live in Everyone being
treated fairly
Getting on well with
my current family
Good friends Good mental health Good physical health Having a good
education
Proportion of children aged 9-17 who say the following is important for their future:
Age 9-11 Age 12-15 Age 16-17
Variation by gender (9-17 year olds)
71%
19%
58%
15%
30%
48%
34%
55%
69%
25%
60%
25%
29%
57%
28%
50%
57%
25%
61%
29%
18%
56%
30%
38%
A good job or career A healthy
environment and
planet
Enough money to buy
the things I need
Everyone being
treated fairly
Getting on well with
my current family
Good mental health Good physical health Having a good
education
Proportion of children aged 9-17 who say the following is important for their future:
Boys Girls Self-identified gender
• Girls (and children who self-identified their gender) are more likely than boys to say that the environment, fairness
and good mental health are important for their future
Top future priorities for boys:
1. Good job (71%)
2. Good friends (60%)
3. Enough money (58%)
4. Good education (55%)
5. Good mental health (48%)
Top future priorities for girls:
1. Good job (69%)
2. Enough money (60%)
3. Good mental health (57%)
4. Good friends (55%)
5. Good education (50%)
Variation by ethnicity (9-17 year olds)
• BAME children are slightly more likely to say education and a job are important for their future; slightly less
likely to say mental health or good friends are important
Top future priorities for BAME
children:
1. Good job (74%)
2. Good education (60%)
3. Enough money (57%)
4. Good friends (52%)
5. Good mental health (49%)
Top future priorities for White
children:
1. Good job (68%)
2. Enough money (60%)
3. Good friends (59%)
4. Good mental health (54%)
5. Good education (49%)
74%
20%
34%
57%
22%
31%
52%
49%
60%
11%
68%
23%
37%
60%
20%
28%
59%
54%
49%
13%
A good job or career
A healthy environment and planet
A nice home to live in
Enough money to buy the things I need
Everyone being treated fairly
Getting on well with my current family
Good friends
Good mental health
Having a good education
Living in a nice area with things to do
Proportion of children aged 9-17 who say the following is important for their future:
White BAME
Variation by local deprivation (9-17 year olds)
68%
27%
34%
59%
22%
28%
61%
55%
34%
49%
25%
72%
17%
38%
60%
19%
30%
53%
50%
29%
57%
28%
A good job or career
A healthy environment and planet
A nice home to live in
Enough money to buy the things I need
Everyone being treated fairly
Getting on well with my current family
Good friends
Good mental health
Good physical health
Having a good education
Starting my own family
Proportion of children aged 9-17 who say the following is important for their future:
Most deprived 10% of SOAs
Least deprived 10% of SOAs
• Children in the most deprived SOAs more likely than children in least deprived SOAs to say a good education and a good are their main
future priorities
• Less likely to say the environment, good mental health, good physical health or good friends will be important
Top future priorities for children in
poorest 10% of areas:
1. Good job (72%)
2. Enough money (60%)
3. Good education (57%)
4. Good friends (53%)
5. Good mental health (50%)
Top future priorities for children in
richest 10% of areas:
1. Good job (68%)
2. Good friends (61%)
3. Enough money (59%)
4. Good mental health (55%)
5. Good education (49%)
0%
10%
20%
30%
40%
50%
60%
70%
A good job or career Having a good education A healthy environment
and planet
Everyone being treated
fairly
A nice home to live in Good mental health Good physical health
All children SEND CIN LAC Young carers Receiving mental health support Receiving support from YOT
Variation by vulnerable groups (9-17 year olds)
• Vulnerable groups generally more likely to say education and a nice home are important for their future; less likely to say
the environment, mental health and physical health are important
(with exception of children receiving mental health support)
83
Variation by school characteristics (9-17 year olds)
• Children in schools with better Ofsted ratings or higher rates of attainment are more likely to say the environment and fairness are important
for their future – probably reflecting the fact that such schools are likely to be in more affluent areas
• They are also very slightly less likely to say that having a good job or enough money is important
24%
22%
70%
59%
22%
20%
70%
60%
20% 19%
72%
61%
15% 16%
74%
63%
17% 18%
75%
62%
25% 25%
73%
58%
A healthy environment and planet Everyone being treated fairly A good job or career Enough money to buy the things I need
Outstanding Good
Requires improvement Inadequate
Bottom quintile Progress 8 Top quintile Progress 8
3. What do children most worry
about for the future?
85
Variation by age (9-17 year olds)
22%
33%
35%
40%
27%
26%
19%
17%
38%
40%
39%
31%
37%
23%
12%
44% 44% 45%
35%
46%
25%
Having a good education A good job or career A healthy environment
and planet
Enough money to buy the
things I need
Everyone being treated
fairly
Good mental health Good physical health
Proportion of children aged 9-17 worried about the following in future:
Age 9-11 Age 12-15 Age 16-17
• As children get older, they are more likely to worry about the future.
• They are particularly more likely to worry about whether they will have a financial security and good wellbeing, plus
fairness and the environment, but less likely to worry about whether they will have a good education
Top future worries for 9-11 year
olds:
1. Enough money (40%)
2. Environment (35%)
3. Good job (33%)
4. Fairness (27%)
5. Good mental health (26%)
Top future priorities for 16-17 year
olds:
1. Good mental health (46%)
2. Enough money (45%)
3. Environment (44%)
4. Good job (44%)
5. Fairness (35%)
Variation by gender (9-17 year olds)
18%
35%
37% 36%
27%
13%
23%
28%
14%
18%
20%
17%
40%
42%
45%
34%
15%
27%
40%
8%
16%
17%
19%
39%
36%
46%
33%
25%
30%
52%
7%
13%
15%
Having a good
education
A good job or
career
A healthy
environment
and planet
Enough money
to buy the
things I need
Everyone being
treated fairly
Getting on well
with my current
family
Good friends Good mental
health
I'm not worried
about anything
Living in a nice
area with things
to do
Starting my own
family
Proportion of children aged 9-17 worried about the following in future:
Boys Girls Self-identified gender
• Girls (and children who self-identified their gender) are more likely than boys to worry about the future
• They are particularly more likely to worry about fairness, the environment, having good mental health and having enough money
Top future worries for boys:
1. Environment (37%)
2. Enough money (36%)
3. Good job (35%)
4. Good mental health (28%)
5. Fairness (27%)
Top future worries for girls:
1. Enough money (45%)
2. Environment (42%)
3. Good mental health (40%)
4. Good job (40%)
5. Fairness (34%)
Variation by ethnicity (9-17 year olds)
19%
36%
38%
22%
17%
36%
34%
32%
17%
38%
40%
25%
13%
42%
30%
36%
Having a good education
A good job or career
A healthy environment and planet
A nice home to live in
Being part of a good local community
Enough money to buy the things I need
Everyone being treated fairly
Good mental health
Proportion of children aged 9-17 worried about the following in future:
White BAME
• BAME children are slightly more likely to worry about fairness, whether they will have a good education, and
what kind of local community they will have
• White children slightly more likely to worry about having mental health, having enough money, and the
environment
Top future worries for BAME
children:
1. Environment (38%)
2. Good job (36%)
3. Enough money (36%)
4. Fairness (34%)
5. Good mental health (32%)
Top future priorities for White
children:
1. Enough money (42%)
2. Environment (40%)
3. Good job (38%)
4. Good mental health (36%)
5. Fairness (30%)
Variation by local deprivation (9-17 year olds)
14%
38%
45%
12%
41%
34%
12%
24%
36%
22%
15%
21%
37%
34%
16%
39%
29%
16%
27%
35%
23%
19%
Having a good education
A good job or career
A healthy environment and planet
Being part of a good local community
Enough money to buy the things I need
Everyone being treated fairly
Getting on well with my current family
Good friends
Good mental health
Good physical health
Living in a nice area with things to do
Proportion of children aged 9-17 worried about the following in future:
Most deprived 10% of SOAs
Least deprived 10% of SOAs
• Children in the most affluent areas are more likely to worry about the environment and fairness in future
• They are less likely to worry about whether they will have a good education or be part of a good local community in future
Top future worries for children in
poorest 10% of areas:
1. Enough money (39%)
2. Good job (37%)
3. Good mental health (35%)
4. Environment (34%)
5. Fairness (29%)
Top future worries for children in
richest 10% of areas:
1. Environment (45%)
2. Enough money (41%)
3. Good job (38%)
4. Good mental health (36%)
5. Fairness (34%)
0%
10%
20%
30%
40%
50%
60%
70%
Having a good
education
A healthy
environment
and planet
A nice home to
live in
Being part of a
good local
community
Enough money
to buy the things
I need
Everyone being
treated fairly
Getting on well
with my current
family
Good friends Good mental
health
Living in a nice
area with things
to do
Starting my own
family
All children SEND CIN LAC Young carers Receiving mental health support Receiving support from YOT
Variation by vulnerable groups (9-17 year olds)
• Vulnerable groups are more generally more likely to worry about the future – especially things like whether they will have a
good education, a nice home and good relationships.
• They are generally less likely to be worried about the environment and fairness in future.
90
Variation by school characteristics (9-17 year olds)
16%
42%
34%
19%
38%
30%
20%
36%
29%
21%
36%
29%
20%
36%
28%
14%
47%
38%
Having a good education A healthy environment and planet Everyone being treated fairly
Proportion of children aged 9-17 worried about the following in future:
Outstanding Good Requires improvement Inadequate Bottom quintile Progress 8 Top quintile Progress 8
• Children in schools rated as Outstanding or with the highest attainment are more likely to worry about the environment and fairness in future,
and less likely to worry about whether they will have a good education
• This may reflect the fact that such schools are more likely to be located in more affluent areas
4. Do children think they will have
a better life than their parents?
92
Variation by age (9-17 year olds)
9%
53%
8%
52%
11%
52%
Unlikely will have a better life than parents Likely will have a better life than parents
Age 9-11 Age 12-15 Age 16-17
• Little variation by age – the oldest children are slightly less optimistic but the difference is very small.
Variation by gender (9-17 year olds)
9%
54%
8%
51%
20%
47%
Unlikely will have better life than parents Likely will have better life than parents
Boys Girls Self-identified gender
• Not much difference between boys and girls, but children who self-identified their gender are less optimistic
Variation by ethnicity (9-17 year olds)
6%
66%
6%
74%
8%
60%
9%
62%
7%
66%
10%
47%
Unlikely will have better life than parents Likely will have better life than parents
Asian Black Mixed
Other BAME White
• BAME children are more likely than White children to think that they will probably have a better life than their
parents – including three quarters of black children
Variation by local deprivation (9-17 year olds)
9%
46%
8%
60%
Unlikely will have better life than parents Likely will have better life than parents
Least deprived 10% of SOAs
Most deprived 10% of SOAs
• Children in the most deprived areas are more likely than children in least deprived areas to think that they will
probably have a better life than their parents
9%
52%
11%
52%
12%
56%
12%
65%
13%
57%
15%
47%
14%
58%
Unlikely will have better life than parents Likely will have better life than parents
All children SEND CIN LAC Young carers Receiving mental health support Receiving support from YOT
Variation by vulnerable groups (9-17 year olds)
• Unclear relationship with vulnerability status. Many vulnerable groups are slightly more likely to think that they will have
better life, but also slightly more likely to think that they won’t
• However children receiving mental health support are clearly less optimistic about the future
97
Questions can be submitted via the slido app using code
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Q&A
Slido #78803
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Closing remarks
Liz McKeown
Director, Public Policy Analysis
Office for National Statistics
Slido #78803
@ONSfocus #ChildMentalHealth

Public Policy Analysis Forum - Mental Health and Wellbeing in Children Webinar 13 October 2021

  • 1.
    Public Policy AnalysisForum Mental Health and Wellbeing in Children Slido #78803 @ONSfocus #ChildMentalHealth 13 October 2021
  • 2.
    Public Policy AnalysisForum Chair – Liz McKeown Director, Public Policy Analysis Office for National Statistics 13 October 2021 Slido #78803 @ONSfocus #ChildMentalHealth
  • 3.
    Agenda 10:00 – 10:05Welcome and introduction – Liz McKeown 10:05 – 10:25 Overview of ONS analysis and High level review of NHS Digital report findings – Tim Vizard 10:25 – 10:45 Covid impact on health of children and young people – Professor Tamsin Ford 10:45 – 10:55 Q&A 10:55 – 11:15 Findings from The Big Ask consultation – Emma Nelson and Donna Phillips, Children's Commissioner Office 11:15 – 11:25 Q&A 11:25 – 11:30 Closing remarks @ONSfocus Slido #78803
  • 4.
    Questions can besubmitted via the slido app using code #78803. You can also access slido via the link in the chat box. Slido #78803 @ONSfocus #ChildMentalHealth
  • 5.
    Overview of ONSanalysis and high-level review of NHS Digital report findings Tim Vizard Office for National Statistics Slido #78803 @ONSfocus #ChildMentalHealth
  • 6.
    Measures of wellbeingbefore the pandemic • Prior to the pandemic, the ONS Children’s Wellbeing framework provides insights into different domains of a child’s wellbeing • Domains include personal wellbeing, relationships, health (including mental health), what we do, where we live, personal finance and education / skills. • These are based on different sources, including The Children’s Society Household panel survey and Understanding Society survey Measures of Children’s happiness with different aspects of life (Understanding Society) in UK 2009-10 to 2018-19 Source: Good Childhood Report (analysis of Understanding Society data) The Children’s Society. 6.6 6.8 7 7.2 7.4 7.6 7.8 8 8.2 8.4 8.6 8.8 9 9.2 2009-10 2018-19 mean happiness score (0-10) Date Life as a whole Family Friends School Schoolwork Appearance 10 to 15 year old (2009-10 to 2018-19), United Kingdom.
  • 7.
    Between 1999 to2017 there was a small but significant increase in mental disorders in children • Mental Health of Children and Young People Survey (England) has been running since 1999 • Looks at rates of mental disorders: • Emotional, Behavioural, Hyperactivity, and other less common disorders • Rates increased from: • one in 10 children (9.7%) in 1999 • one in 9 children (11.2%) in 2017 9.7 10.1 11.2 11.8 12.2 13.1 7.5 7.9 9.3 0 2 4 6 8 10 12 14 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 Per cent All Boys Girls Year Any mental disorder in 5 to 15 year olds, 1999 to 2017 5 to 15 year olds identified with a mental disorder, England. Source: Mental Health of Children and Young People in England (2017). NHS Digital.
  • 8.
    In 2017, mentaldisorders were higher in older age groups one in eighteen 5.5 one in ten 9.5 one in seven 14.4 one in six 16.9 2 to 4 year olds 5 to 10 year olds 11 to 16 year olds 17 to 19 year olds Per cent 2 to 19 year olds identified with any mental disorder, England. Source: Mental Health of Children and Young People in England (2017). NHS Digital.
  • 9.
    In 2017, Differencesbetween boys and girls were found in different age groups 6.8 12.2 14.3 10.3 4.2 6.6 14.4 23.9 2 to 4 year olds 5 to 10 year olds 11 to 16 year olds 17 to 19 year olds Per cent Boys Girls 2 to 19 year olds identified with any mental disorder, England. Source: Mental Health of Children and Young People in England (2017). NHS Digital.
  • 10.
  • 11.
    Between 2017 and2020, rates of probable mental disorders have increased in England According to the Mental Health of Children and Young People: • In 2017, one in nine (10.8%) children aged 5 to 16 had a probable mental disorder • In 2020, one in six (16.0%) children aged 5 to 16 had a probable mental disorder Source: Mental Health of Children and Young People in England (2020). NHS Digital.
  • 12.
    In July 2020,children had concerns around the impact of COVID-19 • Parents of children aged 5 to 16 years were asked about their child’s anxieties about COVID-19 in July 2020. • Over one third of children had a parent who felt their child was worried about their friends and family catching COVID-19 (36.7%) and about missing school/work (37.7%). Pandemic anxieties parent thought child had about COVID-19 (England, July 2020) Source: Mental Health of Children and Young People in England (2020). NHS Digital. Base: Parents of children aged 5 to 16 years old in England.
  • 13.
    In July 2020,two in five children felt that lockdown had made their life worse Source: Mental Health of Children and Young People in England (2020). NHS Digital. 39.2 37.3 48.4 48.2 54.1 59.0 11 to 16 year olds 17 to 22 year olds Per cent Unlikely to have a disorder Possible disorder Probable disorder • Children and young people with a probable mental disorder were more likely to say that lockdown had made their life worse (54.1% of 11 to 16 year olds, and 59.0% of 17 to 22 year olds), than those unlikely to have a mental disorder (39.2% and 37.3% respectively) Base: 11 to 22 year olds, England.
  • 14.
    One in tenchildren and young people reported always or often feeling lonely (10.1%) Source: Mental Health of Children and Young People in England (2020). NHS Digital. 3.4 4.0 3.7 11.7 21.4 16.6 18.3 36.3 29.4 Boys Girls All Per cent Unlikely to have a disorder Possible disorder Probable disorder Base: 11 to 22 year olds, England.
  • 15.
    In 2020, 18%of children had “low wellbeing” (based on a multi-item life satisfaction scale) • In 2020, 18% of children scored below the mid-point of a multi- item measure of wellbeing. • This reflects a larger proportion scoring below the midpoint than in previous years. • In 2021, almost 12% scored below the midpoint and, as such, would be considered to have low wellbeing. Source: Good Childhood Report (2018 to 2021) The Children’s Society. 11 12 18 12 0 2 4 6 8 10 12 14 16 18 20 2018 2019 2020 2021 Per cent 10 to 17 year olds (2018 to 2021), United Kingdom. Percentage of children (10-17 years old) with “low wellbeing”
  • 16.
    Disruption to education •March to July 2020: Schools across the UK were largely closed to in-person attendance. Vulnerable children and those of key workers could continue to choose to attend in person. • September to December 2020: Schools across the UK reopened for general in-person attendance. • January to early March 2021: Schools were again largely closed to in-person attendance. As before, specific groups could continue to attend in-person. Source: ONS analysis of data from Department for Education (England), Welsh Government, Scottish Government and Northern Ireland Government. Percentage attendance in state-funded schools, 2020 to 2021
  • 17.
    Children continued toexperience disruption to their education when schools reopened in 2021 • When schools in England began opening to all pupils from 8 March 2021, attendance rates were generally higher than in the autumn 2020 term. • However, after the May half- term, attendance began to decline. Source: Coronavirus and Schools, House of Commons Library (September 2021)
  • 18.
    Home-schooling • Analysis fromthe Opinions and Lifestyle Survey looked at parents experiences of home-schooling during: • April to May 2020 • January to February 2021 • In early 2021, 63% of home-schooling parents said home-schooling was negatively affecting their children’s wellbeing (43% in April 2020) • 50% of home-schooling parents said home-schooling was negatively affecting their own wellbeing in early 2021 (up from 28% in April 2020) Percentage of home-schooling parents who agreed with the statement on home-schooling, Great Britain Source: Coronavirus and the Social Impacts on Great Britain (19 February 2021). ONS 75 73 71 72 43 63 36 53 28 50 49 45 25 37 Adults with a dependent child or children in their household, Great Britain
  • 19.
    Parents expressed worriesaround children returning to school in September 2021 • In September 2021, around 1 in 2 (48%) parents said they were very or somewhat worried about the children or young people in their household going back to school or college after the summer holidays. • The main reasons among those who reported that they were worried: • about the child catching coronavirus (COVID-19) (58%) • worried about the child spreading the coronavirus (COVID-19) (31%) • worried about the impact on their child’s mental health and well-being because of the changes in schools and colleges (30%). Source: Coronavirus and the Social Impacts on Great Britain (10 September 2021). ONS Main worries express by from parents who said they were worried about their child going back to school Base: Of those who were very worried, somewhat worried, neither worried or unworried, somewhat unworried or don't know (excluding Prefer Not to Say (16%) and None of the above (14%) 1 2 5 6 10 15 25 30 31 58 0 10 20 30 40 50 60 70 Availability of transport to school or college Don’t know Other, please specify My child is or has been shielding or has an underlying… Member of the household is or has been shielding or… Sending them back before the vaccine rollout has… How prepared their school or college will be for… The impact on their mental health and wellbeing due… Child spreading the coronavirus (COVID-19) Child catching the coronavirus (COVID-19) Per cent
  • 20.
    Wider evidence base(with links) • Mental Health of Children and Young People in England (NHS Digital) • Children’s Wellbeing framework (ONS) • Schools Infection Survey (ONS) • Good Childhood Report (The Children’s Society) • State of the nation 2020: children and young people’s wellbeing (DfE) • Co-Space Study (Oxford University and partners) • Children’s Commissioner for Wales, Scotland, Northern Ireland & England • Coronavirus and Me Survey: Children’s Commissioner for Wales • #Scot Youth and COVID: Children and Young People’s Commissioner Scotland and A Place in Childhood • A New and Better Normal: The Experiences and Impacts of COVID-19 on Children and Young People:Northern Ireland Commissioner for Children and Young People • The Big Ask Survey: Children’s Commissioner for England
  • 21.
    Covid impact onhealth of children and young people Tamsin Ford ONS Policy Analysis Forum 13 Oct 2021 tjf52@medschl.cam.ac.uk @Tamsin.J.Ford
  • 22.
    https://www.depressd.ca/covid-19-mental-health • 67,635 abstractsand titles screened • 403 trials registrations • Eligible studies (on CYP) Review 1: 99 (7) Review 2: 42 Review 3: 83 (0) • Review 1 – changes in mental health (2/3 pre to post cf within pandemic) • Review 2 – factors associated with changes • Review 3 intervention studies Data gap for under 16s and high signal:noise
  • 23.
  • 25.
  • 26.
  • 27.
    National child mentalhealth surveys Year 1999 2000 2001 2002 2003 2004 2005 2006 2007 2017 2018 2016 2020 2021 1999 Base- line S D Q FU 2004 Base- line S D Q S D Q FU 2017 Base- line S D Q S D Q Recent follow up surveys were conducted by:
  • 28.
    Rates of probabledisorder in 6 to 16 year olds • In 2021, one in six (17.4%) children aged 6 to 16 had a probable mental disorder • In 2020, one in six (16.6%) children aged 6 to 16 had a probable mental disorder • In 2017, one in nine (11.6%) children aged 6 to 16 had a probable mental disorder
  • 29.
    Pattern of prevalencefrom 2017 – 2020 12.4 10.9 7.0 13.4 16.8 16.3 8.7 27.3 18.6 16.2 10.3 24.8 Boys Girls Boys Girls 6 to 16 year olds 17 to 19 year olds 2017 2020 2021 % Source: NHS Digital, 6 to 19 year olds, England.
  • 30.
    5.1 8.4 29.6 60.5 8.4 17.8 41.0 76.4 Boys Girls BoysGirls 11 to 16 year olds 17 to 19 year olds % 2017 2021 % of CYP with a possible eating problem between 2017 and 2021 11-16 year olds 17-19 year olds Source: NHS Digital, 11 to 19 year olds, England.
  • 31.
    13.5 5.8 19.6 7.5 20.1 9.7 White Ethnic minority % 20172020 2021 Source: NHS Digital, 6 to 16 year olds, England. Rates of probable disorder by ethnicity
  • 32.
    There were ethnicdifferences in how the pandemic affected households with children since August 50.6 42.1 23.3 25.4 43.8 6.5 6.3 18.6 10.9 8.6 White British White Other Black / Black British Asian / Asian British Mixed / Other % Parent worked from home more often Fallen behind with bills, rent or mortgage
  • 33.
    Rates in thosewith and without SEND rose between 2017 and 2021
  • 34.
    39.2 52.5 39.0 32.3 21.8 15.2 6 to 16year olds 17 to 23 year olds Deteriorated Stable Improved % Source: NHS Digital. 6 to 23 year olds, England. Four in ten children and over half of young people experienced a deterioration in their mental health between 2017 and 2021
  • 35.
    “Persistence” of MHCs1999 & 2004 over 3 years
  • 36.
    CLoCk study ofLong COVID in Children and Young People aged 11-17 years old Professor Sir Terence Stephenson (UCL) Professor Roz Shafron(UCL) Dr Liz Whittaker (Imperial) https://pubmed.ncbi.nlm.nih.gov/34446502/ On behalf of the CLoCk Consortium Funded by NIHR/UKRI: In PrePrint
  • 37.
    Why did wedo this study and what did we ask? • Since the start of the pandemic, 260 children & young people (CYP) have been admitted to intensive care of whom all but 22 had a pre-existing health problem. • BUT between 1st September 2020 and 31st March 2021: 234,803 CYP aged between 11 and 17 years tested positive for SARS-CoV-2 in England and 1,245,288 CYP tested negative. • PHE has a database with the name, postal address, sex and DoB of every person PCR tested in England • A matched cohort study following COVID positive CYP aged 11-17 years compared with age, sex and geographically matched COVID negative CYP (all non- hospitalised) • Families will be contacted 3, 6, 12 and 24 months after the CYP’s COVID test, with those CYP consenting completing an online physical and mental health assessment.
  • 38.
    38 Initial symptoms attime of test? https://www.researchsquare.com/article/rs-798316/v1 About 36% of young people who tested positive were symptomatic at the time of testing compared to only 8% of those who tested negative. Most common symptoms among test positives: • Headache (26%) • Unusual tiredness (23%) • Sore throat (22%) • Loss of smell/taste (21%) Most common symptoms among test negatives: • Sore throat (5%) • Headache (5%) • Persistent cough (4%) • Fever (4%)
  • 39.
    39 Physical symptoms at‘3 months’ (15 weeks post-test)? Most common symptoms among test positives: • Unusual tiredness (39%) • Unusual shortness of breath (23%) • Headache (23%) • Loss of smell/taste (14%) • Dizziness (14%) Most common symptoms among test negatives: • Unusual tiredness (24%) • Other (16%) • Headache (14%) • Unusual shortness of breath (10%) • (Loss of smell/taste 1.4%)
  • 40.
    Latent Class Analysisof symptom clustering at > 3 months (15 weeks post-test)? Figure 2 (a) Latent classes of symptoms at 3 months in SARS-CoV-2 test positive CYP; (b) Latent classes of symptoms at 3 months in SARS-CoV-2 test negative CYP. (a) Positives (b) Negatives • For both test-positive and test- negative CYP, those with multiple symptoms were more likely to be: • female, older, poorer baseline physical and mental health • at 3-months, more likely to have problems with mobility, self- care, usual activities and pain/discomfort • Also higher SDQ total difficulties & CFS scores, and lower SWEMBS scores https://www.researchsquare.com/article/rs-798316/v1
  • 41.
    The OxWell Schoolsurvey 2020 & 2021 https://www.psych.ox.ac.uk/researc h/schoolmentalhealth/summary- report • 27,910 CYP aged 9-18 years old from 180 schools in 4 counties in England in May / July 2021 • “Would you take a Covid-19 vaccine if offered?” • 50% eager / willing; 37% not bothered / don’t know; 13% unwilling or anti-vaccination • Vaccine hesitancy was commoner among younger age groups, less anxiety / depression or probable covid-19 infection & the more deprived and marginalised https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(21)00424-7/fulltext
  • 42.
    References • Collishaw, S.(2015). Annual Research Review: Secular trends in child and adolescent mental health. Journal of Child Psychology and Psychiatry, 56(3), 370-393. doi:10.1111/jcpp.12372 • Sellers, R., Warne, N., Pickles, A., Maughan, B., Thapar, A. & Collishaw, C. (2019). Cross-cohort change in adolescent outcomes for children with mental health problems. Journal of Child Psychology and Psychiatry, 60 (7), 813-821. doi:10.1111/jcpp.13029 • Patel, V., Saxena, S., Lund, C., et al. (2018). The Lancet Commission on global mental health and sustainable development. Lancet, 392:, 1553-1598 • Pitchforth, J. M., Viner, R. M., & Hargreaves, D. S. (2016). Trends in mental health and wellbeing among children and young people in the UK: a repeated cross-sectional study, 2000-14. Lancet, 388, 93-93. • Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual Research Review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, 56(3), 345-365. doi:10.1111/jcpp.12381 • Sadler K., Vizard T., Ford T., Goodman A., Goodman R. & McManus, S. (2018). The Mental Health of Children and Young People in England 2017: Trends and characteristics. Health and Social Care Information Centre; London. •McManus, S., Gunnell, D., Cooper, C., Bebbington, B.E., Howard, L.M., Brugha, T., Jenkins, R., Hassiotis, A., Weich, S. & Appleby, L. (2019). Prevalence of non-suicidal self-harm and service contact in England, 2000–14: repeated cross-sectional surveys of the general population. Lancet Psychiatry 6, 573-581. • Widnall et al https://sphr.nihr.ac.uk/wp-content/uploads/2020/08/Young-Peoples-Mental-Health-during-the-COVID-19-Pandemic- Report.pdf • Vizard et al. 2020. Mental health of children and young people in England 2020 https://files.digital.nhs.uk/CB/C41981/mhcyp_2020_rep.pdf • Til Wykes, Andy Bell, Sarah Carr, Tina Coldham, Simon Gilbody, Matthew Hotopf, Sonia Johnson, Thomas Kabir, Vanessa Pinfold, Angela Sweeney, Peter B. Jones & Cathy Creswell (2021) Shared goals for mental health research: what, why and when for the 2020s, Journal of Mental Health, DOI: 10.1080/09638237.2021.1898552 • Says who? https://www.thelancet.com/action/showPdf?pii=S2215-0366%2820%2930237-6
  • 43.
    Questions can besubmitted via the slido app using code #78803. You can also access slido via the link in the chat box. Q&A Slido #78803 @ONSfocus #ChildMentalHealth
  • 44.
    Findings from TheBig Ask survey: Analytical briefing Donna Phillips, Head of Data Science & Emma Nelson, Head of Data Collection 44
  • 45.
  • 46.
    Background • Children’s Commissionerfor England has: • statutory role to promote rights and interests of children • duty to consult with children to gather their views on issues that matter to them • In April, Commissioner launched 6-week national consultation with children – The Big Ask – to gather at scale children’s views on their lives, future aspirations and future concerns and worries • The Big Ask aimed to: • provide ‘state of the nation’ assessment of the views of children • help inform Commissioner’s priorities and longer-term strategy • help ensure that children’s needs and interests could be placed at the forefront of national recovery from pandemic 46 Dame Rachel de Souza DBE, Children’s Commissioner for England
  • 47.
    Overall methodology Overall approach: •Large-scale national online survey • Focus groups with range of vulnerable and harder-to-reach groups • Programme of visits by Commissioner to specific settings Main survey questions: 1. How happy are children with their life at the moment? 2. What do children say is most important for them to have a good life when they grow up? 3. What are children most worried about not having when they grow up? 4. Do children think they are likely to have a better life than their parents when they grow up? 5. What do children say is holding them back from having a better life or achieving what they want? (free text) 47
  • 48.
    Sample sizes • Over550,000 responses • Equivalent to nearly 6% of 4-17 population in England • Largest ever survey of children anywhere in the world (to our knowledge) • Unprecedented scale of response from vulnerable groups (e.g. 3,800 children in care; 6k young carers) • More responses from older children and girls, but data has been reweighted using ONS population figures • Data can be disaggregated by: • Age, gender, ethnicity • Local area (SOA, LA, parliamentary constituency) • Local area characteristics (e.g. deprivation) • School characteristics • Vulnerable groups 48
  • 49.
  • 50.
    Top headlines (1) 1.Despite the pandemic, the overwhelming majority of children are happy: 9 in 10 (aged 6-8) and 7 in 10 (aged 9-17) are happy with their life overall. But a significant minority are unhappy:  1 in 5 6-8 year olds, and 2 in 5 9-17 year olds, are unhappy with at least one aspect of their life  Girls and older children more likely to be unhappy. Clear issue around girls aged 16-17: 2 in 5 unhappy with their mental health  6-8s most likely to be unhappy about the places where they can have fun, how much they can play, and their education  9-17s most likely be unhappy about mental health; whether they have fun things to do outside; and life at school or college  This is true across different genders, age groups, ethnicities, as well as across levels of disadvantage and vulnerability  But vulnerable groups are more likely to be unhappy with family and home circumstances 2. What most children want in future are simply the basics – economic security, wellbeing and good relationships.  Most common aspirations: a good job, having enough money, good mental health, good relationships with friends and family, and a good education  These aspirations are fairly universal, but:  Older children less likely to say a good education is important, and more likely to prioritise mental and physical health  White children and those from more affluent areas slightly more likely to say that mental health or environment are important, and slightly less likely to say that a good job or education is important to them 50
  • 51.
    Top headlines (2) 3.Many children (aged 9-17) still worry about not having ‘the basics’ in future, and also about the wider world  Health of the planet is the 2nd most common future worry (after money)  Top 5 future worries: having enough money, having a good job, and having good mental health, the environment and fairness in society  These worries are fairly universal, but:  Teenagers less likely to worry about having a good education; more likely to worry about having good mental and physical health, having a good job, and the wider world  White children slightly more likely to worry about environment and having good mental health than BAME children; slightly less likely to worry about having a good education  Children from more affluent areas more likely to worry about environment, and less likely to worry about ‘the basics’ (e.g. getting a good education) 4. Just over of children aged 9-17 think they are likely to have a better life than their parents; 1 in 11 think the opposite  Children who are unhappy with life at the moment are less optimistic about this – 1 in 4 think the opposite  BAME children and children from deprived areas are slightly more optimistic 51
  • 52.
    1. How happyare children with their life at the moment? 52
  • 53.
    Overall rates ofhappiness • Most children are happy with their lives, especially younger children. But a significant minority are unhappy about something. • Children are more likely to be unhappy with their mental health, their lack of access to leisure and play, life at school, and their physical health. • Children are comparatively less likely to say they are unhappy about life at home, their friendships, their safety and their experiences online. 6-8 year olds: 9-17 year olds:
  • 54.
    2. What dochildren say is most important for their future? 54
  • 55.
    Overall future priorities •Most children economic want economic security (good jobs, enough money, good education), wellbeing (mentally or physical) and good relationships as their top future priorities. • Some children also concerned with wider world, e.g. environment (22% of 9-17s) and fairness in society (20% of 9-17s) 33% 37% 39% 42% 49% 56% 56% 64% 74% Living in a nice area with things to do Starting my own family Having a good education Enough money to buy the things I need A nice home to live in A good job or career Getting on well with my current family Being healthy and active Good friends Children aged 6-8: 5% 13% 20% 22% 26% 29% 31% 37% 52% 52% 57% 59% 69% Being part of a good local community Living in a nice area with things to do Everyone being treated fairly A healthy environment and planet Starting my own family Getting on well with my current family Good physical health A nice home to live in Having a good education Good mental health Good friends Enough money to buy the things I need A good job or career Children aged 9-17:
  • 56.
    3. What dochildren most worry about for the future? 56
  • 57.
    Overall future worries(9-17 year olds) • Children’s main future worries are similar to their main future priorities, but also take into account the wider world • Along with money, jobs and their own mental health, lots of children are worried about the environment (2 in 5) and fairness in society (3 in 10) 11% 14% 14% 17% 18% 18% 22% 24% 25% 31% 35% 37% 39% 41% I'm not worried about anything Being part of a good local community Getting on well with my current family Living in a nice area with things to do Having a good education Starting my own family Good physical health A nice home to live in Good friends Everyone being treated fairly Good mental health A good job or career A healthy environment and planet Enough money to buy the things I need Proportion of children aged 9-17 who are most worried about having the following in future…
  • 58.
    4. Do childrenthink they will have a better life than their parents? 58
  • 59.
    Overall rates • Justover half of children aged 9-17 think that they will probably have a better life than their parents, while 1 in 11 children think that probably will not do so 9% 39% 52% Unlikely will have a better life than parents Neither likely/unlikely Likely will have a better life than parents
  • 60.
    5. What didwe learn about the young people’s mental health? 60
  • 61.
    Qualitative analysis -Overview • Children were asked: What do you think stops young people in England achieving what they want to achieve when they grow up? • We received around 260,000 responses to this question • 8 main topics were identified across the responses. Examples of topics and how they were categorised: • Full methodology available here. 61 Topic Example index word/phrase Number of responses categorised under topic Education and school School, Education, Homework, Teach, GCSE, Grade, Study, Skills, College, A-Levels, Academic, Educated, Uniform, Maths, Pupil 79,995 (31%) Politics and society Government, Racism, Prejudice, Background, Society, Discrimination, Capitalism, Stereotype, Equal, Gender, Skin, Colour, Black, Homeless, Racist, White, Minister 31,849 (12%) Feeling and being well Mental, Depression, Anxiety, Worry, Stress, Suicide, Pressure, Depressed, Wellbeing, Physical health, Disability, Illness, Healthy, Disabilities, Junk food 48,790 (19%) Social Influences Motivation, Confidence, Laziness, Fear, Believe, Failure, Doubt, Procrastination, Dream, Attitude, Esteem, Determination, Motivate, High expectation, Work ethic, Negative thought 42,474 (16%)
  • 62.
    Distribution of childrenwho mentioned mental health Characteristic Percentage of children whose response referenced mental health and emotional wellbeing Age 6-8 1% 9-11 12% 12-15 26% 16-17 29% Gender Male 13% Female 22% Self-identified gender 31% Ethnicity Asian 19% Black 17% Mixed 19% Other 18% White 19% Ethnicity not given 13% Happiness with current mental health Happy with mental health 14% Neither happy nor unhappy with mental health 23% Unhappy with mental health 37% 62 • By age, children aged 16-17 were the most likely to mention mental health in their response (29%). • By gender, children who chose to self identify their gender were the most likely to mention mental health (31%) compared to only 13% of boys. • Children who said that they were unhappy with their mental health were more likely to mention mental health. However, 14% of children who were happy with their mental health mentioned it as a potential barrier suggesting that awareness of mental health isn’t limited to children’s personal experience.
  • 63.
    Causes of poormental health – social media • Social media can provide refuge and a source of understanding and inclusion. As one child said: ‘Social media has helped me more than my own family. I wouldn’t be in a happy relationship without social media. I wouldn’t have half of my friends without social media’ - Non-binary, 17. • However, children also talked about how social media damaged their mental health: • ‘Social expectations and limitations stop children from exploring due to their need to fit in with society and follow a trend, leading to many children looks at social media influencers and strive to be like them instead of the best version of themselves. Therefore, this limits their mind, and bashes their mental health.’ - Boy, 15 • ‘Social media which leads to mental health problems. Social media has made everyone so aware of themselves, so stuck in their own head that they’ve lost touch with reality. It seems that so have I.’ - Girl, 13 • ‘I also think people judge themselves using social media too much and it can take over their lives so they become paralysed by the idea that they need to be perfect when in reality no-one is perfect!’ - Girl, 16 • ‘Young people nowadays are constantly battling with pressure from all sides of life, such as body image, academic pressure, social pressure and even economic pressure. This prevents us having an equal platform to speak from, or to progress in life with a healthy and relaxed mentality.’ - Girl, 14 63
  • 64.
    Causes of poormental health - school • Children talked about how important their education was, and many felt their mental health and wellbeing affected their chances of success: • ‘I think we all know education is important for jobs and careers but for many people, being unmotivated, low-self esteem and other problems get in the way of our learning and education.’ - Girl, 13 • In particular, children talked about the link between exams and mental health due to a perceived ‘single point of failure’ where a grade on an exam can have a significant impact on the rest of a young person’s life. • ‘We have a lot of pressure and exams […] I have to do well or I’ll be a mess and I feel like we think that exams if you fail it’s the end of your life and you won’t get to do what you want to do in the future.’ - Girl, 15 • ‘The stress of GCSE exams, those exams make students fail and boom their entire life is down the drain.’ - Boy, 16 • The pandemic also impacted children’s education and they talked about the knock-on effect this had on their mental health • ‘Having been learning online for most of last year and half of this year, there is lots of pressure on us for next year, when we do our GCSE exams in year 11. This deteriorates our mental health and causes lots of stress, especially because there is little communication on what will happen to us next year. It’s like were being left in the dark.’ - Girl, 15 64
  • 65.
    5. Conclusions andnext steps 65
  • 66.
    Conclusions • Unique andunprecedented survey • Scale of response is important in and of itself, regardless of findings • Most children in England are happy with their lives, but there are some areas of concern: • Older children and girls more likely to be unhappy, especially teenage girls • Clear majority of children are happy with their family lives, but less so for vulnerable groups • Remarkable consistency across age, gender, ethnicity, vulnerability, in top issues children are unhappy with • Most children’s main future aspirations are simple: economic security, good relationships, and being well • Many children prioritise the wider world – environment and fairness – but disadvantaged and vulnerable are less likely to do so • Children’s future worries revolve, for most, around environment as well as career and financial prospects • But vulnerable groups more likely to worry about education and home; less likely to worry about environment • Children are more likely than not to think that they will probably do better than their parents • Ethnic minority and deprived children are more likely to be optimistic about this 66
  • 67.
    Next steps • TheBig Answer report which summarises the findings has been published: link • The quantitative data with breakdowns by demographic characteristics and vulnerability is available here: link • The qualitative and quantitative findings on mental health are available here: link • Full quantitative and qualitative technical reports will be published soon • Analysis here is only tip of iceberg – lots of other work possible, e.g.: • Multivariate analysis • Focussing on specific groups or issues • More localised analysis and bespoke outputs • Combining qualitative and quantitative data • Exploring feasibility of securely sharing raw dataset with researchers and analysts (e.g. via ONS) 67
  • 68.
  • 69.
  • 70.
    1. How happyare children with their life at the moment? 70
  • 71.
    Variation by age(9-17 year olds) 0% 5% 10% 15% 20% 25% 30% 35% My personal safety My access to somewhere outside to have fun The choice of things to do in my local area Life at school or college My progress in education My mental health My physical health My family's health My family life My life overall Proportion of children aged 9-17 unhappy with… Age 9-11 Age 12-15 Age 16-17 Biggest age differences: • Physical health (16-17s nearly 4x more likely than 9-11s to be unhappy) • Mental health (16-17s 3.5x likely more likely than 9-11s to be unhappy) • Choice of things to do in local area (16-17s 3x more likely than 9-11s to be unhappy) 1 in 3 16-17s unhappy with mental health 1 in 3 16-17s unhappy with choice of things to do in local area 1 in 8 16-17s unhappy with life overall 9-11 year olds are most unhappy about: 1. Choice of things to do in their local area (1 in 9) 2. Life at school or college (1 in 10) 3. Mental health (1 in 11) 4. Access to somewhere outside to have fun (1 in 15) 5. Progress in education (1 in 20) 16-17 year olds are most unhappy about: 1. Mental health (1 in 3) 2. Choice of things to do in their local area (1 in 9) 3. Life at school or college (1 in 5) 4. Physical health (1 in 5) 5. Access to somewhere outside to have fun (1 in 6) • Older children significantly less happy than younger children – especially in terms of mental and physical health, their local area, and their education
  • 72.
    Variation by gender(9-17 year olds) 0% 10% 20% 30% 40% 50% 60% My friendships My experiences online My personal safety Life at school or college My progress in education My mental health My physical health My family life My life overall Proportion of children aged 9-17 unhappy with… Boys Girls Self-identified gender Biggest gender differences: • Mental health (girls 2x more likely than boys to be unhappy) • Family life (girls 1.5x more likely than boys to be unhappy) • Life overall (girls 1.5x more likely than boys to be unhappy) 1 in 4 girls and more than half of children self- identifying their gender unhappy with mental health 1 in 11 girls and 1 in 3 children self- identifying their gender unhappy with life overall Boys are most unhappy about: 1. Choice of things to do in their local area (1 in 6) 2. Life at school or college (1 in 8) 3. Mental health (1 in 8) 4. Access to somewhere outside to have fun (1 in 11) 5. Physical health (1 in 11) Girls are most unhappy about: 1. Mental health (1 in 4) 2. Choice of things to do in their local area (1 in 5) 3. Life at school or college (1 in 6) 4. Physical health (1 in 8) 5. Progress in education (1 in 11) • Girls are generally less happy than boys • Children who self-identified their gender are even less happy
  • 73.
    Variation by ageand gender (9-17 year olds) 4% 6% 9% 5% 11% 14% Age 9-11 Age 12-15 Age 16-17 % unhappy with life overall Boys Girls 7% 13% 22% 10% 29% 40% Age 9-11 Age 12-15 Age 16-17 % unhappy with their mental health Boys Girls 11% 14% 16% 8% 19% 22% Age 9-11 Age 12-15 Age 16-17 % unhappy with life at school or college Boys Girls 11% 16% 27% 10% 20% 34% Age 9-11 Age 12-15 Age 16-17 % unhappy with choice of things to do in local area Boys Girls • At age 9-11, little difference in rates of unhappiness • Gender gap opens up around age 12 • Girls aged 16-17 have very high rates of unhappiness: • 2 in 5 unhappy with their mental health • More than 1 in 5 unhappy with life at school or college • 1 in 7 unhappy with life overall • The gender gap in unhappiness emerges around start of secondary school, and widens as children during teenage years
  • 74.
    Variation by ethnicity(9-17 year olds) 5% 14% 21% 15% 10% 18% 13% 7% 7% 4% 9% 4% 9% 18% 16% 10% 21% 11% 6% 6% 3% 8% My personal safety My access to somewhere outside to have fun The choice of things to do in my local area Life at school or college My progress in education My mental health My physical health My family's health My family life My family's ability to buy things we need My life overall Proportion of children aged 9-17 unhappy with… White BAME Biggest differences: • Access to somewhere outside to have fun (BAME children 56% more likely to be unhappy) • Family’s ability to buy things they need (BAME children 40% more likely to be unhappy) BAME children are most unhappy about: 1. Choice of things to do in their local area (1 in 5) 2. Mental health (nearly 1 in 5) 3. Life at school or college (1 in 7) 4. Access to somewhere outside to have fun (1 in 7) 5. Physical health (1 in 8) White children are most unhappy about: 1. Mental health (1 in 5) 2. Choice of things to do in their local area (nearly 1 in 5) 3. Life at school or college (1 in 7) 4. Physical health (1 in 9) 5. Progress in education (1 in 10) • Ethnic minority children are slightly more likely to say they are unhappy with most things – except their mental health
  • 75.
    Variation by localdeprivation (9-17 year olds) Biggest differences: • Family’s ability to buy things they need (Poorest 2x more likely to be unhappy) • Access to somewhere outside to have fun and choice of things to do in local area (Poorest roughly 50% more likely to be unhappy) Smaller differences for: • Unhappiness with mental health • Unhappiness with family life • Unhappiness with experiences online • Unhappiness with family’s health • Children in the most deprived areas (as measured by SOA IDACI rates) are generally less happy – but the differences compared to children in the least deprived areas are fairly modest 5% 4% 4% 8% 15% 13% 8% 19% 10% 5% 6% 2% 7% 6% 5% 5% 13% 22% 17% 10% 21% 13% 6% 6% 4% 10% My friendships My experiences online My personal safety My access to somewhere outside to have fun The choice of things to do in my local area Life at school or college My progress in education My mental health My physical health My family's health My family life My family's ability to buy things we need My life overall Proportion of children aged 9-17 unhappy with… Most deprived 10% of SOAs Least deprived 10% of SOAs
  • 76.
    • Vulnerable groupsmore likely to be unhappy in general – especially with family life • Most groups 2x more likely to be unhappy with family life or personal safety, compared to overall rate • CIN and young carers 25% more likely to be unhappy with mental health • Young carers 3x more likely to be unhappy with their family’s health • 1 in 4 children receiving MH support are unhappy with their life overall 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% My family life My family's health My personal safety My friendships My experiences online Life at school or college My progress in education My mental health My life overall Proportion of children aged 9-17 unhappy with… All children SEND CIN LAC Young carers Receiving mental health support Receiving support from YOT Variation by vulnerable groups (9-17 year olds) 76
  • 77.
    Variation by schoolcharacteristics (9-17 year olds) • Children in schools rated ‘Inadequate’ slightly more likely to be unhappy with life at school and with their progress in education (but this difference is small) • Little variation by school attainment (as measured by Progress 8) 15% 10% 15% 9% 16% 10% 18% 12% 19% 12% 18% 12% Life at school or college My progress in education Proportion of children aged 9-17 unhappy with: Rated 'Outstanding' Rated 'Good' Rated 'Requires Improvement' Rated 'Inadequate' Bottom quintile Progress 8 Top quintile Progress 8
  • 78.
    2. What dochildren say is most important for their future? 78
  • 79.
    Variation by age(9-17 year olds) Top future priorities for 9-11 year olds: 1. Good job (63%) 2. Good education (63%) 3. Enough money (59%) 4. Good friends (55%) 5. Good mental health (43%) Top future priorities for 16-17 year olds: 1. Good job (70%) 2. Good mental health (63%) 3. Good friends (61%) 4. Enough money (59%) 5. Good physical health (38%) • As children get older, they become more likely to say that good mental and physical health, a good job, good friendships and fairness will be important for their future • They become less likely to say that a good education or good family relationships will be important for their future 63% 39% 19% 30% 55% 43% 26% 63% 73% 35% 20% 28% 57% 55% 33% 51% 70% 34% 23% 27% 61% 63% 38% 36% A good job or career A nice home to live in Everyone being treated fairly Getting on well with my current family Good friends Good mental health Good physical health Having a good education Proportion of children aged 9-17 who say the following is important for their future: Age 9-11 Age 12-15 Age 16-17
  • 80.
    Variation by gender(9-17 year olds) 71% 19% 58% 15% 30% 48% 34% 55% 69% 25% 60% 25% 29% 57% 28% 50% 57% 25% 61% 29% 18% 56% 30% 38% A good job or career A healthy environment and planet Enough money to buy the things I need Everyone being treated fairly Getting on well with my current family Good mental health Good physical health Having a good education Proportion of children aged 9-17 who say the following is important for their future: Boys Girls Self-identified gender • Girls (and children who self-identified their gender) are more likely than boys to say that the environment, fairness and good mental health are important for their future Top future priorities for boys: 1. Good job (71%) 2. Good friends (60%) 3. Enough money (58%) 4. Good education (55%) 5. Good mental health (48%) Top future priorities for girls: 1. Good job (69%) 2. Enough money (60%) 3. Good mental health (57%) 4. Good friends (55%) 5. Good education (50%)
  • 81.
    Variation by ethnicity(9-17 year olds) • BAME children are slightly more likely to say education and a job are important for their future; slightly less likely to say mental health or good friends are important Top future priorities for BAME children: 1. Good job (74%) 2. Good education (60%) 3. Enough money (57%) 4. Good friends (52%) 5. Good mental health (49%) Top future priorities for White children: 1. Good job (68%) 2. Enough money (60%) 3. Good friends (59%) 4. Good mental health (54%) 5. Good education (49%) 74% 20% 34% 57% 22% 31% 52% 49% 60% 11% 68% 23% 37% 60% 20% 28% 59% 54% 49% 13% A good job or career A healthy environment and planet A nice home to live in Enough money to buy the things I need Everyone being treated fairly Getting on well with my current family Good friends Good mental health Having a good education Living in a nice area with things to do Proportion of children aged 9-17 who say the following is important for their future: White BAME
  • 82.
    Variation by localdeprivation (9-17 year olds) 68% 27% 34% 59% 22% 28% 61% 55% 34% 49% 25% 72% 17% 38% 60% 19% 30% 53% 50% 29% 57% 28% A good job or career A healthy environment and planet A nice home to live in Enough money to buy the things I need Everyone being treated fairly Getting on well with my current family Good friends Good mental health Good physical health Having a good education Starting my own family Proportion of children aged 9-17 who say the following is important for their future: Most deprived 10% of SOAs Least deprived 10% of SOAs • Children in the most deprived SOAs more likely than children in least deprived SOAs to say a good education and a good are their main future priorities • Less likely to say the environment, good mental health, good physical health or good friends will be important Top future priorities for children in poorest 10% of areas: 1. Good job (72%) 2. Enough money (60%) 3. Good education (57%) 4. Good friends (53%) 5. Good mental health (50%) Top future priorities for children in richest 10% of areas: 1. Good job (68%) 2. Good friends (61%) 3. Enough money (59%) 4. Good mental health (55%) 5. Good education (49%)
  • 83.
    0% 10% 20% 30% 40% 50% 60% 70% A good jobor career Having a good education A healthy environment and planet Everyone being treated fairly A nice home to live in Good mental health Good physical health All children SEND CIN LAC Young carers Receiving mental health support Receiving support from YOT Variation by vulnerable groups (9-17 year olds) • Vulnerable groups generally more likely to say education and a nice home are important for their future; less likely to say the environment, mental health and physical health are important (with exception of children receiving mental health support) 83
  • 84.
    Variation by schoolcharacteristics (9-17 year olds) • Children in schools with better Ofsted ratings or higher rates of attainment are more likely to say the environment and fairness are important for their future – probably reflecting the fact that such schools are likely to be in more affluent areas • They are also very slightly less likely to say that having a good job or enough money is important 24% 22% 70% 59% 22% 20% 70% 60% 20% 19% 72% 61% 15% 16% 74% 63% 17% 18% 75% 62% 25% 25% 73% 58% A healthy environment and planet Everyone being treated fairly A good job or career Enough money to buy the things I need Outstanding Good Requires improvement Inadequate Bottom quintile Progress 8 Top quintile Progress 8
  • 85.
    3. What dochildren most worry about for the future? 85
  • 86.
    Variation by age(9-17 year olds) 22% 33% 35% 40% 27% 26% 19% 17% 38% 40% 39% 31% 37% 23% 12% 44% 44% 45% 35% 46% 25% Having a good education A good job or career A healthy environment and planet Enough money to buy the things I need Everyone being treated fairly Good mental health Good physical health Proportion of children aged 9-17 worried about the following in future: Age 9-11 Age 12-15 Age 16-17 • As children get older, they are more likely to worry about the future. • They are particularly more likely to worry about whether they will have a financial security and good wellbeing, plus fairness and the environment, but less likely to worry about whether they will have a good education Top future worries for 9-11 year olds: 1. Enough money (40%) 2. Environment (35%) 3. Good job (33%) 4. Fairness (27%) 5. Good mental health (26%) Top future priorities for 16-17 year olds: 1. Good mental health (46%) 2. Enough money (45%) 3. Environment (44%) 4. Good job (44%) 5. Fairness (35%)
  • 87.
    Variation by gender(9-17 year olds) 18% 35% 37% 36% 27% 13% 23% 28% 14% 18% 20% 17% 40% 42% 45% 34% 15% 27% 40% 8% 16% 17% 19% 39% 36% 46% 33% 25% 30% 52% 7% 13% 15% Having a good education A good job or career A healthy environment and planet Enough money to buy the things I need Everyone being treated fairly Getting on well with my current family Good friends Good mental health I'm not worried about anything Living in a nice area with things to do Starting my own family Proportion of children aged 9-17 worried about the following in future: Boys Girls Self-identified gender • Girls (and children who self-identified their gender) are more likely than boys to worry about the future • They are particularly more likely to worry about fairness, the environment, having good mental health and having enough money Top future worries for boys: 1. Environment (37%) 2. Enough money (36%) 3. Good job (35%) 4. Good mental health (28%) 5. Fairness (27%) Top future worries for girls: 1. Enough money (45%) 2. Environment (42%) 3. Good mental health (40%) 4. Good job (40%) 5. Fairness (34%)
  • 88.
    Variation by ethnicity(9-17 year olds) 19% 36% 38% 22% 17% 36% 34% 32% 17% 38% 40% 25% 13% 42% 30% 36% Having a good education A good job or career A healthy environment and planet A nice home to live in Being part of a good local community Enough money to buy the things I need Everyone being treated fairly Good mental health Proportion of children aged 9-17 worried about the following in future: White BAME • BAME children are slightly more likely to worry about fairness, whether they will have a good education, and what kind of local community they will have • White children slightly more likely to worry about having mental health, having enough money, and the environment Top future worries for BAME children: 1. Environment (38%) 2. Good job (36%) 3. Enough money (36%) 4. Fairness (34%) 5. Good mental health (32%) Top future priorities for White children: 1. Enough money (42%) 2. Environment (40%) 3. Good job (38%) 4. Good mental health (36%) 5. Fairness (30%)
  • 89.
    Variation by localdeprivation (9-17 year olds) 14% 38% 45% 12% 41% 34% 12% 24% 36% 22% 15% 21% 37% 34% 16% 39% 29% 16% 27% 35% 23% 19% Having a good education A good job or career A healthy environment and planet Being part of a good local community Enough money to buy the things I need Everyone being treated fairly Getting on well with my current family Good friends Good mental health Good physical health Living in a nice area with things to do Proportion of children aged 9-17 worried about the following in future: Most deprived 10% of SOAs Least deprived 10% of SOAs • Children in the most affluent areas are more likely to worry about the environment and fairness in future • They are less likely to worry about whether they will have a good education or be part of a good local community in future Top future worries for children in poorest 10% of areas: 1. Enough money (39%) 2. Good job (37%) 3. Good mental health (35%) 4. Environment (34%) 5. Fairness (29%) Top future worries for children in richest 10% of areas: 1. Environment (45%) 2. Enough money (41%) 3. Good job (38%) 4. Good mental health (36%) 5. Fairness (34%)
  • 90.
    0% 10% 20% 30% 40% 50% 60% 70% Having a good education Ahealthy environment and planet A nice home to live in Being part of a good local community Enough money to buy the things I need Everyone being treated fairly Getting on well with my current family Good friends Good mental health Living in a nice area with things to do Starting my own family All children SEND CIN LAC Young carers Receiving mental health support Receiving support from YOT Variation by vulnerable groups (9-17 year olds) • Vulnerable groups are more generally more likely to worry about the future – especially things like whether they will have a good education, a nice home and good relationships. • They are generally less likely to be worried about the environment and fairness in future. 90
  • 91.
    Variation by schoolcharacteristics (9-17 year olds) 16% 42% 34% 19% 38% 30% 20% 36% 29% 21% 36% 29% 20% 36% 28% 14% 47% 38% Having a good education A healthy environment and planet Everyone being treated fairly Proportion of children aged 9-17 worried about the following in future: Outstanding Good Requires improvement Inadequate Bottom quintile Progress 8 Top quintile Progress 8 • Children in schools rated as Outstanding or with the highest attainment are more likely to worry about the environment and fairness in future, and less likely to worry about whether they will have a good education • This may reflect the fact that such schools are more likely to be located in more affluent areas
  • 92.
    4. Do childrenthink they will have a better life than their parents? 92
  • 93.
    Variation by age(9-17 year olds) 9% 53% 8% 52% 11% 52% Unlikely will have a better life than parents Likely will have a better life than parents Age 9-11 Age 12-15 Age 16-17 • Little variation by age – the oldest children are slightly less optimistic but the difference is very small.
  • 94.
    Variation by gender(9-17 year olds) 9% 54% 8% 51% 20% 47% Unlikely will have better life than parents Likely will have better life than parents Boys Girls Self-identified gender • Not much difference between boys and girls, but children who self-identified their gender are less optimistic
  • 95.
    Variation by ethnicity(9-17 year olds) 6% 66% 6% 74% 8% 60% 9% 62% 7% 66% 10% 47% Unlikely will have better life than parents Likely will have better life than parents Asian Black Mixed Other BAME White • BAME children are more likely than White children to think that they will probably have a better life than their parents – including three quarters of black children
  • 96.
    Variation by localdeprivation (9-17 year olds) 9% 46% 8% 60% Unlikely will have better life than parents Likely will have better life than parents Least deprived 10% of SOAs Most deprived 10% of SOAs • Children in the most deprived areas are more likely than children in least deprived areas to think that they will probably have a better life than their parents
  • 97.
    9% 52% 11% 52% 12% 56% 12% 65% 13% 57% 15% 47% 14% 58% Unlikely will havebetter life than parents Likely will have better life than parents All children SEND CIN LAC Young carers Receiving mental health support Receiving support from YOT Variation by vulnerable groups (9-17 year olds) • Unclear relationship with vulnerability status. Many vulnerable groups are slightly more likely to think that they will have better life, but also slightly more likely to think that they won’t • However children receiving mental health support are clearly less optimistic about the future 97
  • 98.
    Questions can besubmitted via the slido app using code #78803. You can also access slido via the link in the chat box. Q&A Slido #78803 @ONSfocus #ChildMentalHealth
  • 99.
    Closing remarks Liz McKeown Director,Public Policy Analysis Office for National Statistics Slido #78803 @ONSfocus #ChildMentalHealth

Editor's Notes

  • #20  In the most recent data published by DfE (end of September): 2.5% of pupils were out of school for Covid-related reasons on the 30th September. To put this in context this is below the levels of absence seen at the end of July, however it is also not possible to see yet whether absences will follow a similar pattern to earlier in the year.