The MindEd Trust
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Presentation from Steve Mallen, Chair - the MindEd Trust, at the Suicide Prevention Stakeholder Workshop on 14th May 2019.
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The MindEd Trust
- 1. The MindEd Trust A Profile Steve Mallen, Chair – The MindEd Trust May 2019
- 3. Tragedy
- 4. Media “Successive governments have let Britain’s children down by failing to take seriously the scourge of teenage mental illness. The cost of this failure is incalculable……..If politicians of all parties heed Mr Mallen’s plea to take this seriously at last, thousands will be spared his grief.” The Times (Lead–“Youth Betrayed”), February 20th 2015
- 5. The Problem
- 6. The Problem • One in four people will experience psychological difficulties at some point in their lives (Mental Health Foundation) • Mental illness is THE most prevalent illness in the world by D.A.L.Y. (Disability Life Years Affected) at 23%. Cancer and heart disease are equal second at 16% each (World Health Organisation) • In the UK, mental illness costs c.£105bn pa, about 4.5% of GDP (Chief Medical Officer) • Approximately 70 million working days are lost pa to mental illness - it is the leading cause of absence (Chief Medical Officer) • 10% of people under 16 have a clinically diagnosable mental problem (Children’s Society) • There were 330,616 antidepressant prescriptions for children in 2017/18, with a 24% rise in three years to children <12 (BBC FOI Request) • 75% of all mental Illness pre-dates higher education in origin (NHS England)
- 7. The Problem • At any point in time, 16% of the English adult population exhibit diagnosable mental illness criteria (NHS Information Centre) • In the ten years to 2017, there were 6,225 suicides recorded in people aged <24 with around 80%+ related to mental illness (ONS) • Of all suicides in the ten years to 2017 in people aged <24, 82% were male and 18% (ONS) • Around 10% of all UK schoolchildren have a diagnosable mental health disorder, 70% of which are not treated at the appropriate time (Archives of General Psychiatry) • At any one time, there are approximately 150,000 children in contact with mental health services in England (Education Policy Institute) • In 2017/18, 55,000+ children were refused CAMHS access despite GP referral - they were “not sick enough” (Education Policy Institute)
- 8. The Problem Per capita spending on Child & Adolescent Mental Health Services (2015) Source: Royal College of Psychiatry
- 9. The Problem Source: Health & Social Care Information Centre (HSCIC) A&E Admissions for Self-Harm per 100,000 population by Gender & Age in England (2014/15)
- 10. The Problem 0 500 1000 1500 2000 2500 3000 Hospital Admissions for Self-Harm in People Aged under 18 (England) Source: NHS Digital
- 11. The Problem 0 200 400 600 800 1000 1200 1400 1600 1800 2000 2005/6 2006/7 2007/8 2008/9 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 Hospital Admissions for Self Harm in Children Aged under 12 (England) Source: NHS Digital
- 12. The Issues
- 13. The Issues • Only 0.7% of the NHS budget is allocated to adolescent mental health and only 10% of the mental budget (London School of Economics) • In 2016/17, less than 3% of the MRC budget (£22 million) was spent on mental health research (MindEd Trust FOI Request, DoH 2016) • Each suicide costs society around £1.6 million in direct costs, equating to £10 billion+ pa (Department of Health) • Every £1 invested in first-episode CBT saves £100 in long term health costs (Mental Health Taskforce 2016) • First episode Schizophrenia & Depression produces a public cost of around £60,000 pa (Mental Health Taskforce 2016 ) • “The average cost of an evidence-based education and parenting prevention & early intervention programme is around £1,270 per child” (Mental Health Taskforce 2016)
- 14. Prevention & Early Intervention
- 15. Prevention & Early Intervention Key observations (what does the evidence tell us ?) • Prevention is better than cure (on moral, social, political and economic grounds)……..Why don’t we give the NHS less to do ? • Mental illness is a disease like any other which, for the most part, is entirely preventable and treatable • The role of schools is crucial…….to the health service and the economy Education, awareness and prevention programmes must be: – Based on a “whole community” approach – Embedded in the DNA of an organisation and community – Sustainable, repeatable and cost effective – Owned by the organisation and not imposed – Multifaceted, embracing multiple methods – Cohort and community sensitive – Based on a cultural of continuous learning, programme evolution and CPD – Evidence-based and measurable – Surrounded by deep and diverse care & treatment pathways
- 16. Prevention & Early Intervention Key Issues • “The medicalisation of childhood” • Appropriately structured and delivered to mitigate reification • Family & stakeholder engagement is critical • Consent & information exchange • In-school triage and management resources are critical • Prevention = Increase in incidence ! • Information dissemination and managing expectations • The interface between school/family and community/public health • Providing parents & families with training and resources • Government imposed programmes are unlikely to be helpful • Ofsted • NHS Trusts are critical in every locality
- 25. The Third Sector Registered Charity: 1163922
- 26. Community
- 27. Community
- 28. System
- 29. System
- 30. Thank You