The Scotsman

Children in care need mental health services on hand

● Report makes recommenda­tions in wake of deaths of 42 youngsters

- By KEVAN CHRISTIE Health Correspond­ent kevan.christie@jpimedia.co.uk

More needs to be done to ensure mental health services are available to children in care, a new report into deaths among looked-after youngsters has found.

A total of 42 children who were in care died between 2012 and 2018, according to the Care Inspectora­te, with 14 cases involving youngsters whose “risk-taking behaviours culminated­in an untimely death ”. Nine of them were boys. These deaths were “typically as a culminatio­n of life-threatenin­g behaviours, including substance misuse, self-harm and attempted suicides” involving those aged between 13 and 17.

A further 19 youngsters aged between 18 and 26 who were receiving continuing care or ongoing support died between 2015 and 2018, bringing the total number of deaths among care-experience­d children and young people to 61. As well as the 14 deaths linked to “risk-taking behaviours”, 16 children – nine boys and seven girls – died after suffering from terminal illnesses or lifeshorte­ning conditions.

The Care Inspectora­te stressed limited research into the deaths of children and young people in care meant it was “difficult to establish whether a child looked after by the state is more likely to die prematurel­y than a child in the general population”.

But a key message in the report was that “more needs to be done to ensure mental and emotional health services are available for vulnerable and looked-after children and young people”.

It stated: “A consistent feature of this group of lookedafte­r young people was longstandi­ng needs in terms of mental well-being.

“From an early age, these young people were selfharmin­g and frequently identified as experienci­ng suicidal thoughts or making actual suicide attempts. They were referred to child and adolescent mental health services, but rarely diagnosed with a recognisab­le mental illness.

“The chaotic nature of their lives and those of their families proved incompatib­le with keeping appointmen­ts or receiving therapeuti­c help on a planned basis.”

It added: “A further complicati­ng factor was that many of these young people were misusing alcohol and drugs.

“This could be understood to be a means of self-medicating to dull their pain and manage the impact of post-traumatic stress.”

Care Inspectora­te chief executive Peter Macleod said: “The death of a care-experience­d child or young person is always traumatic for families, friends, carers and staff.”

 ??  ?? 0 A total of 14 youngsters suffered ‘an untimely death’
0 A total of 14 youngsters suffered ‘an untimely death’

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