Schools Bill [HL] — House of Lords, 2022-07-12
Topic: Health
Claire Fox (Non-Affiliated, Unknown): My Lords, I am very sympathetic to Amendments 62 and 107. I have spoken several times about mental health and I want to oppose Amendments 63, 114 and 115 on mental health provision. One concern I have is about the focus on creating a duty on the Secretary of State for Education to give financial assistance to set up consultations and reporting mechanisms on mental health and well-being. I do not think it is the job of the Education Minister to have this role, and this focus could well incentivise schools to focus too much on mental health. It is inappropriate for schools to prioritise mental health issues, and it muddles the responsibility of schools and the NHS and CAMHS. I would like to see more done for young people by the NHS, and I am trying to separate those things out My main point remains, as I have argued before, that if adults in schools continue to focus on mental health, there is a danger that young people will see the undoubted challenges of growing up—whether they are the agonies, anxieties and confusions of being a child going through puberty and what have you or the stresses and strains of facing exams and being educated—through the prism of mental health. We should be reassuring young people about the challenges and that they are perfectly all right. I worry that we are in danger of pathologising them I worry about a fait accompli situation. That point was emphasised by a recent report. Since we last discussed this issue, a shocking revelation has emerged, based on an Answer to a Question tabled in this House by the noble Marquess, Lord Lothian, which revealed that children under 18 are being prescribed record levels of anti-depressant drugs, a 57% increase over the last four years, and noted that among five to 12 year-olds the prescription of anti-depressant drugs has gone up 40%. That situation could refute everything that I have said—it could mean that there was an exponential growth of mental health problems among the young—but psychiatric experts and psychologists have responded to it by saying the figures are staggering and dangerous. Professor Sami Timimi calls them a generation pathologised by adults steering the young towards medical diagnosis that is not appropriate, and says that itself then leads to treatment that is often pharmacological This medicalisation can of course have a catastrophic impact on the young. Another expert, Professor Spada, talks about the dangers of that, saying that adult neuroses about the young will lead them on to taking drugs that are highly addictive and will create a dependency. I think there is a real warning here that we should not just say "There is a growth in mental health problems" and let it run its course. I also think that the young themselves can then develop dependency not just on drugs but on the therapeutic labels that we have given them and been socialising them into during their school years The amendment uses an odd phrase, which has just been referred to, which is to explore how children’s mental health is "affected by … their schooling", which I thought sounded rather accusatory or even a bit conspiratorial. That is especially ironic when we have ample evidence that it was the lack of schooling in the lockdown, combined with fear-based messaging over the last couple of years, that seems to have done a huge amount of psychological damage. I urge the Committee not to put this into law. If anything, I would like to have a more open discussion about the real problem of mental health and what it emanates from Finally, I am glad to see that Ofsted has been removed from the equation—it was in earlier amendments—but I still dread that the Secretary of State is being told to publish a report on the actions taken by schools to improve mental health. That will inevitably distract from the core purpose, which is indeed about the minds of young people but it should be about improving their minds educationally, not playing amateur psychology or psychiatry in the classroom.