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

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