English: Nearly four years ago we were talking about these problems, and still a lot of action has not been taken, Deputy Minister. I find it staggering looking at the latest figures, which show that less than two thirds of young people are receiving their assessments within 28 days and, on average, over the last six months, 48.5 per cent - less than one in two - were seen within this time period. In my own region in South Wales East, we see waiting times for specialist CAMHS is in a bad way, with over 14 per cent of young people waiting over four weeks for that first appointment. It is clear now that this isn't good enough and that our current services cannot deal with the pressure it's facing. We're now nearly three years since the joint thematic review in 2019, and more than two years after the fifth Senedd's Health, Social Care and Sport Committee's report into section 135 and 136 detentions. The committee at this time noted that improving crisis care services, particularly out-of-hours services, is a key to both reducing the overall use of section 136 and ensuring those discharged from section 136 following assessment go on to achieve adequate care and support in their community. As waiting times get longer, more and more children and young people are needing crisis support, with 30 under-18s being detained under the Mental Health Act. Simply detaining children and young people won't provide the specialist support they need, so it's crucial that a 24-hour crisis service is made available so that they are treated in a safe and appropriate environment, something which, of course, is a debate on its own. It is clear to me and others on these benches that proposed mental health crisis centres must be set up so that we can ensure people who have mental health issues have a safe place to be assessed and treated, simultaneously lowering the number of people who are detained and transferred. Sadly, we also see this with autism waiting times. There are an estimated 30,000 or more autistic people in Wales, and although everyone has heard of autism, too few people understand what it's actually like to be autistic and how hard life can be if autistic people don't receive that right support. Thousands of children are waiting many months or even years for assessment. A recent study found that 28 per cent of autistic pupils in Wales felt their teachers understood autism, and new Office for National Statistics data suggests that just 29 per cent of autistic people are in any form of work. Without support, many autistic people develop mental health problems, sometimes to the point of crisis. The time for talking is over. The longer we wait to tackle the true root and causes of the mental health crisis and its treatment, the worse the situation will get. We need clear action and regular updates in this Senedd, outlining just how this Government plan to tackle the crisis and if their methods are working.
Welsh: Bron i bedair blynedd yn ôl roeddem yn sôn am y problemau hyn, ac nid oes llawer o weithredu wedi bod o hyd, Ddirprwy Weinidog. Rwy'n ei chael yn syfrdanol edrych ar y ffigurau diweddaraf, sy'n dangos bod llai na dwy ran o dair o bobl ifanc yn cael eu hasesiadau o fewn 28 diwrnod ac ar gyfartaledd, dros y chwe mis diwethaf, gwelwyd 48.5 y cant - llai nag un o bob dau - o fewn yr amser hwn. Yn fy rhanbarth i yn Nwyrain De Cymru, gwelwn fod amseroedd aros am CAMHS arbenigol yn wael, gyda thros 14 y cant o bobl ifanc yn aros dros bedair wythnos am apwyntiad cyntaf. Mae'n amlwg yn awr nad yw hyn yn ddigon da ac na all ein gwasanaethau presennol ymdopi â'r pwysau y maent yn ei wynebu. Mae bron i dair blynedd bellach ers y cyd-adolygiad thematig yn 2019, a dros ddwy flynedd ers adroddiad Pwyllgor Iechyd, Gofal Cymdeithasol a Chwaraeon y pumed Senedd ar y defnydd o osod dan gadwad o dan adran 135 a 136. Nododd y pwyllgor ar y pryd fod gwella gwasanaethau gofal argyfwng, yn enwedig gwasanaethau y tu allan i oriau, yn allweddol i leihau'r defnydd cyffredinol o adran 136 a sicrhau bod y rhai a ryddheir o adran 136 ar ôl asesiad yn mynd ymlaen i gael gofal a chymorth digonol yn eu cymuned. Wrth i amseroedd aros ymestyn, mae angen cymorth argyfwng ar fwy a mwy o blant a phobl ifanc, gyda 30 o blant dan 18 oed dan gadwad o dan y Ddeddf Iechyd Meddwl. Ni fydd gosod plant a phobl ifanc dan gadwad yn darparu'r cymorth arbenigol sydd ei angen arnynt, felly mae'n hanfodol fod gwasanaeth argyfwng 24 awr ar gael er mwyn iddynt gael eu trin mewn amgylchedd diogel a phriodol, rhywbeth sydd, wrth gwrs, yn destun dadl ar ei ben ei hun. Mae'n amlwg i mi ac i eraill ar y meinciau hyn fod yn rhaid sefydlu canolfannau argyfwng iechyd meddwl er mwyn inni allu sicrhau bod gan bobl sydd â phroblemau iechyd meddwl le diogel i gael eu hasesu a'u trin, gan leihau nifer y bobl dan gadwad ac a drosglwyddir. Yn anffodus, gwelwn hyn hefyd gydag amseroedd aros ar gyfer awtistiaeth. Amcangyfrifir bod 30,000 neu fwy o bobl awtistig yng Nghymru, ac er bod pawb wedi clywed am awtistiaeth, nid oes digon o bobl yn deall sut beth yw bod yn awtistig a pha mor galed y gall bywyd fod os nad yw pobl awtistig yn cael y cymorth cywir. Mae miloedd o blant yn aros am fisoedd lawer neu flynyddoedd hyd yn oed i gael eu hasesu. Canfu astudiaeth ddiweddar mai 28 y cant o ddisgyblion awtistig yng Nghymru a deimlai fod eu hathrawon yn deall awtistiaeth, ac mae data newydd y Swyddfa Ystadegau Gwladol yn awgrymu mai dim ond 29 y cant o bobl awtistig sydd mewn unrhyw fath o waith. Heb gymorth, mae llawer o bobl awtistig yn datblygu problemau iechyd meddwl, sydd weithiau'n troi'n argyfwng. Mae'r amser i siarad ar ben. Po hwyaf yr arhoswn i fynd i'r afael â gwir wraidd ac achosion yr argyfwng iechyd meddwl a'i driniaeth, y gwaethaf y bydd y sefyllfa'n mynd. Mae arnom angen gweithredu clir a diweddariadau rheolaidd yn y Senedd hon, yn amlinellu sut y mae'r Llywodraeth hon yn bwriadu mynd i'r afael â'r argyfwng ac i weld a yw ei dulliau'n gweithio.