English: I'd just like to concur, obviously, with what my colleague Suzy Davies has said today, but also with what the Chair, Lynne Neagle, has said today. I think that you lead our committee extremely well, and your passion is abundantly clear and infectious, and you've done an awful lot, so thank you very much, from the bottom of my heart, and I'm sure from many people across Wales, for all that you've done. The 'Mind over matter' report was published back in April 2018, providing an ambitious and exciting template for the reform of child and adolescent mental health services in Wales. It reflected the views of the majority of stakeholders, and outlined plans to end years of repeated restructures. I'm going to focus today on crisis care. Amongst the latest findings was that support for 24/7 services was not always available across Wales, and there was an over-reliance on A&E departments and police to respond to young people in serious distress. Today, two years on, concerns still remain about a lack of consistent, 24/7 access to crisis support across Wales. Young patients and their families feel let down because they're unable to access help at the time that it's most needed, and crisis services are often too adult focused, as many services are that will be mentioned today. Further to this point about crisis services being too adult focused, the report called on the Welsh Government to look at how mental health professionals can support the police when responding to calls, and how crisis teams can provide training to front-line staff. Children and young people in distress can find their condition worsened by being in an adult setting, such as an emergency department, and being handled in an insensitive manner by staff. Urgent action is needed to improve training for those front-line services, so that they deliver a more compassionate response to young people in distress. We also need to ensure that there are designated under-18 hospital beds for use by young people in crisis. The committee welcomes positive reports from the collaboration between police and mental health services to help support young people in crisis. However, the committee expressed its disappointment that information provided by the Welsh Government about steps being taken to improve crisis and out-of-hours care is, sadly, lacking. Last year, the committee said the situation was not acceptable, and still the Welsh Government cannot provide an accurate picture of how 24/7 crisis and out-of-hours services look across Wales. It's not good enough. We need to see action taken to provide a plan, including timescales and deadlines, for crisis and out-of-hours care for young people in Wales. The report points out that looked-after and adopted children have a much higher prevalence of mental health issues, often as a result of neglect or trauma. Many have lived in families where they've been exposed to mental illness, substance misuse, violence, abuse or neglect. The 'Mind over matter' report highlighted other potentially vulnerable groups who may also need specific emotional and mental health support. These included young carers, young offenders, homeless young people, black and ethnic minority children, young people, care leavers and those with substance misuse problems. Greater priority needs to be given to the emotional and mental health needs of looked-after children and young people to ensure they receive the support they need at an early stage, and prevent problems from worsening or deepening in further years ahead. People reported that children entering care are not systematically assessed or reviewed regularly. It is essential that care plans should address a child's or young person's emotional well-being needs. I also would really like to know how this Government is working to provide mental health services online these days, because I think that's a real way of getting to young people, and for them to be able to access services more quickly. Two years ago, the Children, Young People and Education Committee's report said that those experiencing mental health problems needed urgent help, and highlighted deficiencies in crisis and out-of-hours support. It is vital, Minister, that these weaknesses highlighted in the report are addressed, and that we really deliver for young people because they deserve it. Thank you.
Welsh: Hoffwn gytuno, wrth gwrs, â'r hyn y mae fy nghyd-Aelod, Suzy Davies, wedi'i ddweud heddiw, ond hefyd â'r hyn y mae'r Cadeirydd, Lynne Neagle, wedi'i ddweud heddiw. Rwy'n credu eich bod yn arwain ein pwyllgor yn eithriadol o dda, ac mae eich angerdd yn gwbl glir a heintus, ac rydych wedi gwneud llawer iawn, felly diolch yn fawr iawn, o waelod calon, ac rwy'n siŵr y bydd llawer o bobl ledled Cymru'n cytuno, am y cyfan rydych wedi'i wneud. Cyhoeddwyd yr adroddiad 'Cadernid Meddwl' yn ôl ym mis Ebrill 2018, gan ddarparu templed uchelgeisiol a chyffrous ar gyfer diwygio gwasanaethau iechyd meddwl plant a'r glasoed yng Nghymru. Roedd yn adlewyrchu barn y rhan fwyaf o randdeiliaid, ac yn amlinellu cynlluniau i ddod â blynyddoedd o ailstrwythuro mynych i ben. Rwy'n mynd i ganolbwyntio heddiw ar ofal mewn argyfwng. Ymhlith y canfyddiadau diweddaraf gwelwyd nad oedd cefnogaeth i wasanaethau 24/7 bob amser ar gael ledled Cymru, a bod gorddibyniaeth ar adrannau damweiniau ac achosion brys a'r heddlu i ymateb i bobl ifanc mewn trallod difrifol. Heddiw, ddwy flynedd yn ddiweddarach, mae pryderon yn dal i fodoli ynghylch diffyg mynediad cyson, 24/7 at gymorth mewn argyfwng ledled Cymru. Mae cleifion ifanc a'u teuluoedd yn siomedig nad ydynt yn gallu cael cymorth ar yr adeg y mae ei angen fwyaf, ac mae gwasanaethau argyfwng yn aml yn canolbwyntio gormod ar oedolion, fel llawer o wasanaethau a grybwyllir heddiw. Ar y pwynt fod gwasanaethau argyfwng yn canolbwyntio gormod ar oedolion, galwodd yr adroddiad ar Lywodraeth Cymru i edrych ar sut y gall gweithwyr iechyd meddwl proffesiynol gefnogi'r heddlu wrth ymateb i alwadau, a sut y gall timau argyfwng ddarparu hyfforddiant i staff rheng flaen. Gall plant a phobl ifanc mewn trallod deimlo bod eu cyflwr yn cael ei waethygu drwy fod mewn lleoliad oedolion, megis adran achosion brys, a chael eu trin mewn modd ansensitif gan staff. Mae angen gweithredu ar frys i wella hyfforddiant ar gyfer y gwasanaethau rheng flaen hynny, fel eu bod yn darparu ymateb mwy tosturiol i bobl ifanc mewn trallod. Mae angen inni sicrhau hefyd fod gwelyau ysbyty dynodedig i rai dan 18 ar gael i'w defnyddio gan bobl ifanc mewn argyfwng. Mae'r pwyllgor yn croesawu adroddiadau cadarnhaol o'r cydweithio rhwng yr heddlu a gwasanaethau iechyd meddwl i helpu i gefnogi pobl ifanc mewn argyfwng. Fodd bynnag, mynegodd y pwyllgor ei siom ynghylch y prinder gwybodaeth gan Lywodraeth Cymru am y camau sy'n cael eu cymryd i wella gofal mewn argyfwng a gofal y tu allan i oriau. Y llynedd, dywedodd y pwyllgor nad oedd y sefyllfa'n dderbyniol, ac mae Llywodraeth Cymru yn dal i fethu rhoi darlun cywir o sut olwg sydd ar wasanaethau argyfwng 24/7 a gwasanaethau y tu allan i oriau arferol ledled Cymru. Nid yw'n ddigon da. Mae angen inni weld camau'n cael eu cymryd i ddarparu cynllun, gan gynnwys amserlenni a therfynau amser, ar gyfer gofal mewn argyfwng a gofal y tu allan i oriau i bobl ifanc yng Nghymru. Mae'r adroddiad yn nodi bod llawer mwy o achosion o broblemau iechyd meddwl i'w gweld ymhlith plant sy'n derbyn gofal a phlant wedi'u mabwysiadu, yn aml o ganlyniad i esgeulustod neu drawma. Mae llawer wedi byw mewn teuluoedd lle maent wedi dod i gysylltiad â salwch meddwl, camddefnyddio sylweddau, trais, camdriniaeth neu esgeulustod. Tynnodd yr adroddiad 'Cadernid Meddwl' sylw at grwpiau eraill a allai fod yn agored i niwed ac a allai fod angen cymorth emosiynol a chymorth iechyd meddwl penodol hefyd. Roedd y rhain yn cynnwys gofalwyr ifanc, troseddwyr ifanc, pobl ifanc ddigartref, plant du a lleiafrifoedd ethnig, pobl ifanc, rhai sy'n gadael gofal a rhai sydd â phroblemau camddefnyddio sylweddau. Mae angen rhoi mwy o flaenoriaeth i anghenion emosiynol ac iechyd meddwl plant a phobl ifanc sy'n derbyn gofal er mwyn sicrhau eu bod yn cael y cymorth sydd ei angen arnynt yn gynnar, ac i atal problemau rhag gwaethygu neu ddyfnhau mewn blynyddoedd i ddod. Dywedodd pobl nad yw plant sy'n cael eu rhoi mewn gofal yn cael eu hasesu na'u hadolygu'n systematig yn rheolaidd. Mae'n hanfodol fod cynlluniau gofal yn mynd i'r afael ag anghenion lles emosiynol plentyn neu berson ifanc. Hoffwn wybod hefyd sut y mae'r Llywodraeth hon yn gweithio i ddarparu gwasanaethau iechyd meddwl ar-lein y dyddiau hyn, oherwydd credaf fod honno'n ffordd go iawn o gyrraedd pobl ifanc, ac iddynt allu cael gafael ar wasanaethau'n gyflymach. Ddwy flynedd yn ôl, dywedodd adroddiad y Pwyllgor Plant, Pobl Ifanc ac Addysg fod angen cymorth brys ar y rhai sy'n profi problemau iechyd meddwl, a thynnodd sylw at ddiffygion gyda chymorth mewn argyfwng a chymorth y tu allan i oriau. Mae'n hanfodol, Weinidog, fod y gwendidau hyn a amlygir yn yr adroddiad yn cael sylw, a'n bod yn cyflawni go iawn dros bobl ifanc gan eu bod yn haeddu hynny. Diolch.