Children and young people mental health services: school counselling and community support
Analysis of information provided by local councils on school counselling services and community mental health support in their area from July 2023 to March 2025.
School counselling services (April 2024 to March 2025)
Children and young people accessing the service
In total across all returns, 24,130 children and young people were recorded as having accessed counselling services between April 2024 and March 2025.
There were more girls (64%) than boys (35%) recorded as accessing counselling provisions. 1% of young people who accessed counselling services did not identify as male/female or preferred not to specify their gender. This remains much the same split as with previous years.
For those local authorities who provided a breakdown of pupils by year group, the two year groups with the highest total number of service users were S2 and S3.
|
Year group |
P6 |
P7 |
S1 |
S2 |
S3 |
S4 |
S5 |
S6 |
|---|---|---|---|---|---|---|---|---|
|
No of pupils |
1,790 |
2,674 |
3,260 |
4,255 |
4,217 |
3,506 |
2,220 |
1,317 |
Number of school counsellors
Authorities reported 496 school counsellors in post during this period. It is important to note that this figure relates to counsellor numbers rather than FTE. Between April 2024 and March 2025, authorities reported a total of 7,152 hours of counselling being provided per week across the country.
A couple of authorities highlighted they are working at capacity throughout the year and that the service is in high demand.
Outcomes
The overall picture on improving children and young people’s outcomes is positive. The returns from local authorities recognise that there are a number of pupils who are currently continuing to access counselling, and have not yet completed an evaluation. However, recognising this, it is clear that 11,470 children and young people have improved outcomes as a result of receiving counselling.
Referrals
The majority of recorded referrals came from school staff.
|
Referral |
Total |
|---|---|
|
School staff |
20,198 |
|
Self-referral |
2,519 |
|
Other |
723 |
|
GP |
63 |
|
School nurse |
50 |
|
Health professional |
49 |
|
Social services |
48 |
Local authorities were also asked about onward referrals which were split between CAMHS, child protection and other services.
|
Onward referrals |
Total |
|---|---|
|
Other service |
646 |
|
CAMHS |
573 |
|
Child protection |
501 |
The onward referrals to other services reflected the different services which are available in local authority areas, for example third sector organisations. Children and young people could also be referred on to other health services, for example GPs.
Reasons presented by children and young people
There was wide variation across local authorities on the reasons reported by children and young people accessing counselling services. Officials provided authorities with ten suggested categories of reasons why children and young people may present. The following table shows the total number of children and young people who presented with those reasons.
|
Presenting reasons |
Total |
|---|---|
|
Anxiety |
11,014 |
|
Emotional / behavioural difficulties |
5,529 |
|
Depression |
3,880 |
|
Self-harm |
2,716 |
|
Trauma |
2,648 |
|
Exam stress |
2,485 |
|
Bereavement |
3,362 |
|
Body image |
1,308 |
|
Gender identity |
500 |
|
Substance use |
442 |
Local authorities were invited to offer further categories based on their own locality needs. A total of 87 other issues were reported, including family issues, relationships, self-esteem, anger, bullying and identity. A full list is included below. This again confirms that young people are dealing with a wide range of concerns within their lives, and continues to demonstrate the need for young people to be able to access support quickly and effectively for their mental health and wellbeing.
The following is a combined list of further issues reported by local authorities, for which children and young people sought the support of counselling services.
|
Additional presenting reasons |
Total |
|---|---|
|
Family |
4,465 |
|
Self-esteem |
3,436 |
|
Anger |
2,000 |
|
Low mood |
1,252 |
|
Relationships (family and friends) |
1,217 |
|
Bullying |
1,115 |
|
Suicidal ideation |
1,035 |
|
Stress |
808 |
|
Interpersonal / relationship |
608 |
|
Self Confidence |
551 |
|
Family breakdown / difficult relationships |
525 |
|
Relationships |
522 |
|
Self-worth |
515 |
|
Eating disorder |
503 |
|
Negative coping strategies |
397 |
|
Work / academic |
389 |
|
Loneliness |
384 |
|
Peer relationships |
364 |
|
Relationships with others |
352 |
|
Behaviour |
343 |
|
Isolation |
340 |
|
Self-identity |
321 |
|
School issues |
293 |
|
Sleep issues |
270 |
|
Social issues |
215 |
|
Neurodiversity |
195 |
|
Parental separation |
166 |
|
Coping strategies |
141 |
|
Health |
136 |
|
Sexual orientation / sexuality |
108 |
|
Worry |
95 |
|
Depression |
91 |
|
Bereavement |
89 |
|
Relationships (bf/gf) |
88 |
|
Academic issues |
78 |
|
Parental issues |
77 |
|
Self-harm |
70 |
|
Sexuality issues |
69 |
|
Suicidal |
67 |
|
Carer |
66 |
|
Emotional regulation |
58 |
|
Abuse |
50 |
|
Cognitive learning |
48 |
|
Medical |
48 |
|
Overwhelmed |
41 |
|
Social media bullying |
41 |
|
Mood management |
37 |
|
ADHD |
30 |
|
Sexual abuse |
30 |
|
Attachment |
28 |
|
Incongruence and understanding of self |
25 |
|
Communication |
25 |
|
Resilience |
22 |
|
Distress |
22 |
|
Illness |
21 |
|
Transition / loss |
19 |
|
OCD |
19 |
|
Living / welfare |
17 |
|
Boundaries |
17 |
|
Concentration |
16 |
|
Low motivation |
15 |
|
Low resilience |
15 |
|
Physical problems |
13 |
|
Witnessed violence / aggression |
12 |
|
Chronic illness |
10 |
|
Cyber security |
9 |
|
Tics |
8 |
|
Conflict |
7 |
|
Health issues |
5 |
|
Phobias |
4 |
|
Disability |
4 |
|
Assault |
3 |
|
Panic attacks |
3 |
|
Poverty |
3 |
|
Supporting a friend |
2 |
|
Suicidal acted upon |
2 |
|
Young carer pressure |
2 |
|
Abortion |
1 |
|
Alopecia |
1 |
|
Diabetes |
1 |
|
Extreme pain |
1 |
|
Moving away |
1 |
|
Neglect |
1 |
|
Offending |
1 |
|
Personality problems |
1 |
|
Racist abuse |
1 |
|
Victim of crime |
1 |