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 2024.


School counselling services (July 2023 to March 2024)

Children and young people accessing the service

In total across all returns, 17,621 children and young people were recorded as having accessed counselling services between July 2023 to March 2024.

There were more girls (61%) than boys (36%) recorded as accessing counselling provisions. 3% 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

1,397

1,662

2,344

3,057

3,206

2,777

1,858

1,002

Number of school counsellors

Authorities reported 576 school counsellors in post during this period. It is important to note that this figure relates to counsellor numbers rather than FTE. Between July 2023 and March 2024, authorities reported a total of 6,687 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 8,636 children and young people have improved outcomes in this reporting period as a result of receiving counselling.

Referrals

The majority of recorded referrals came from school staff.

Referral

Total recorded across LA reports

Self-referral

2,077

School Staff

14,296

Social Services

295

GP

83

School Nurse

36

Health Professional

94

Other

554

Local authorities were also asked about onward referrals which were split between CAMHS, Child Protection and other services.

Onward referrals

Total recorded across LA report

CAMHS

522

Child Protection

306

Other Service

471

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

Exam stress

1,720

Trauma

2,296

Bereavement

2,025

Gender identity

589

Substance use

405

Self-harm

2,337

Depression

3,514

Anxiety

8,797

Emotional/behavioural difficulties

4,303

Body Image

1,445

Local authorities were invited to offer further categories based on their own locality needs. A total of 81 other reasons 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 reasons reported by local authorities, for which children and young people sought the support of counselling services.

Additional presenting reasons

Total

Family

2,786

Relationships

2,764

Self-esteem

2,419

Anger

1,437

Bullying

966

Peer relationships

853

Stress

820

Family relationships

778

Low mood

771

Suicidal ideation

507

Self-worth

433

Eating disorder

377

Stress at home

377

Other

328

Interpersonal/relationship

305

Self confidence

243

Behaviour

240

Emotional regulation

239

Loss

215

Neurodiversity

199

Parental separation

197

Social issues

180

Loneliness

169

Sexual orientation/sexuality

166

Isolation/loneliness

165

Sleep issues

161

Work/academic

160

School issues

149

Family difficulties

142

Family addiction issues

141

Poverty

121

Relationships with peers/teachers

118

Self identity

116

Health

109

Cognitive learning

107

Suicidal

101

Academic issues

83

Confidence

68

Abuse

57

Parental issues

56

Worry

50

Negative coping strategies

42

Welfare issues

40

Self regulation

38

Transition/loss

35

Illness

34

Unwanted sexual experiences

29

Sexuality issues

26

Attendance/avoidance

24

Carer

24

Relationship with food

21

Sexual abuse

18

Risk taking behaviour

16

Social media bullying

16

Coping strategies

15

OCD

15

Domestic abuse

13

School stress

12

Emotional abuse

11

Attachment

10

Chronic illness

10

Incongruence and understanding of self

9

Relationships (bf/gf)

7

Disability

6

Neglect

6

Health issues

5

Racist abuse

4

Financial concerns

3

Medical

3

Race

3

Witnessed violence/aggression

3

Cyber safety

2

Intrusive thoughts

2

Sensory issues

2

Addiction

1

Grooming

1

Living/welfare

1

Personality problems

1

Physical abuse

1

Trichotillomania

1

Young carer pressure

1

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