An impending crisis for young minds

Young people's mental health must be a priority

With the coronavirus pandemic adding fresh weight to already struggling mental health services for young people, we must urgently realise the cost of overlooking young minds. A worsening mental health crisis among younger generations will exacerbate the economic burdens to come, and could have impacts which reverberate long into the future. 

"Mental health services for children fail to meet soaring demand: The ongoing crisis is evidence of systematic discrimination against children."

These are words that I wrote almost exactly three years ago. Now I sit here reflecting on our current coronavirus crisis and what it means for our young people. Before we think about the impact of this crisis on the mental health of young people, let me set the scene pre-Covid-19.

Back in 2017, our editorial in the BMJ lamented the miserable progress on supporting our children and young people (CYP) with mental health problems in the UK over the preceding two decades, since the publication of a seminal report ‘Every Child Matters’. For example, although 75% of mental health problems start in childhood and adolescence, historically only 6% of our mental health budget has been allocated to CYP.

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My problem with all this talking and categorizing is that it is a simple fact that blacks are targeted by our criminal justice system and receive harsher penalties for the same crimes. And racism is also a fact in the health care system. Now few consider the California health care system to be populated by racist gynecologists but the simple truth is that when these doctors were required to use set algorithms rather than their feelings in health decisions, maternity deaths in that state dropped by more than 50% in women of color.
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