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‘I just want to feel ordinary’ – Is the mental health system failing teens?

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the mental health system failing teens?<!-- --></h1></div><div data-component="byline-block" class="sc-18fde0d6-0 dlWCEZ"><!--$!--><!--/$--></div><figure><div data-component="image-block" class="sc-18fde0d6-0 ejjhCR"><div data-testid="hero-image" class="sc-a34861b-1 jxzoZC"><img src="/bbcx/grey-placeholder.png" class="sc-a34861b-0 cOpVbP hide-when-no-script"/><img sizes="(min-width: 1280px) 50vw, (min-width: 1008px) 66vw, 96vw" srcSet="https://ichef.bbci.co.uk/news/240/cpsprodpb/f041/live/9a23f100-91f0-11ef-b48d-558489c034c9.png.webp 240w,https://ichef.bbci.co.uk/news/320/cpsprodpb/f041/live/9a23f100-91f0-11ef-b48d-558489c034c9.png.webp 320w,https://ichef.bbci.co.uk/news/480/cpsprodpb/f041/live/9a23f100-91f0-11ef-b48d-558489c034c9.png.webp 480w,https://ichef.bbci.co.uk/news/640/cpsprodpb/f041/live/9a23f100-91f0-11ef-b48d-558489c034c9.png.webp 640w,https://ichef.bbci.co.uk/news/800/cpsprodpb/f041/live/9a23f100-91f0-11ef-b48d-558489c034c9.png.webp 800w,https://ichef.bbci.co.uk/news/1024/cpsprodpb/f041/live/9a23f100-91f0-11ef-b48d-558489c034c9.png.webp 1024w,https://ichef.bbci.co.uk/news/1536/cpsprodpb/f041/live/9a23f100-91f0-11ef-b48d-558489c034c9.png.webp 1536w" src="https://ichef.bbci.co.uk/news/480/cpsprodpb/f041/live/9a23f100-91f0-11ef-b48d-558489c034c9.png.webp" alt="BBC Mia looks into the camera with a neutral expression. She has curly dark coloured hair that just passes her shoulders. She is wearing a dark coloured top. In the background is living room furniture and photographs are propped on one side. " class="sc-a34861b-0 efFcac"/><span class="sc-a34861b-2 fxQYxK">BBC</span></div></div><div data-component="caption-block" class="sc-18fde0d6-0 bdPeAJ"><figcaption class="sc-8353772e-0 cvNhQw">Mia says she doesn&#x27;t want people to feel pity, she just wants to feel &quot;ordinary&quot;<!-- --></figcaption></div></figure><div data-component="text-block" class="sc-18fde0d6-0 dlWCEZ"><p class="sc-eb7bd5f6-0 fYAfXe">Mia spends much of her time staring out her bedroom window, the view dominated by a nearby housing block.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">With no lift, the only way the 14-year-old can leave her second-floor flat is by shuffling down the stairs on her bottom.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">It’s been years since Mia felt ordinary, a near lifelong sense that she didn’t fit in. It all got too much for her a few months ago when she made a suicide attempt that has left her with paraplegia, unable to move the lower part of her body - and she now needs a wheelchair.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">“I can&#x27;t change the past now,” Mia says, “it feels spiteful that I can only look at the future, and that I have no clue what is going to happen.”<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">The teenager’s story, indeed much of her life, will be familiar to the many families who have struggled to navigate the creaking mental health system, leaving them feeling their concerns have been downplayed or dismissed.<!-- --></p></div><div data-component="ad-slot" data-testid="ad-unit" class="sc-d2ebd0a7-0 iayHyW"><div data-testid="dotcom-mid_1" id="dotcom-mid_1" class="dotcom-ad"></div></div><div data-component="subheadline-block" class="sc-18fde0d6-0 eeiVGB"><h2 class="sc-518485e5-0 kRvAla">Struggle for diagnosis<!-- --></h2></div><div data-component="text-block" class="sc-18fde0d6-0 dlWCEZ"><p class="sc-eb7bd5f6-0 fYAfXe">BBC analysis of official NHS data suggests that more than half of young people who get psychiatric support finish their course of treatment with no improvement in their health.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">Meanwhile, the number of young people who report having poor mental health rose from one in nine to one in five between 2017 and 2023, according to a recent report by the charity Mind. It says that last year only a third of those were able to access treatment.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">Mia’s mother, Christina, first sought help for her daughter when she was five years old and had developed an exact ritual for each morning, getting dressed in a particular order and spending up to two hours in the bathroom.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">Within months, Mia was told she had obsessive-compulsive disorder (OCD). But they felt the diagnosis was wrong, and life didn’t get any easier.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">“When you’re a seven-year-old child and you can’t properly understand why you feel so different and so isolated, it’s obviously going to impact you growing up,” Mia recalls.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">“There’s never truly [been] anywhere that I feel I belong.”<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">Mia and her mother became convinced she was on the autism spectrum and Christina pushed for an assessment at the local children’s mental health service in Islington, north London.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">On two separate occasions, Mia didn’t score highly enough in initial screenings to trigger a formal assessment.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">Her mother believes the test was geared towards diagnosing boys, which the service provider says it has now improved in line with increased understanding nationally of how autism presents itself in girls.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">As Mia struggled on, finding it difficult to make friends, Christina approached her primary school’s special educational needs teacher, her local social work department and mental health services, desperate for support.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">“I was ignored and made to feel like a neurotic mum - nobody was listening,” Christina says.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">“I felt they didn&#x27;t understand her needs. I don&#x27;t think they knew how to support her.”<!-- --></p></div><figure><div data-component="image-block" class="sc-18fde0d6-0 jFCfG"><div data-testid="image" class="sc-a34861b-1 jxzoZC"><img src="/bbcx/grey-placeholder.png" class="sc-a34861b-0 cOpVbP hide-when-no-script"/><img sizes="(min-width: 1280px) 50vw, (min-width: 1008px) 66vw, 96vw" srcSet="https://ichef.bbci.co.uk/news/240/cpsprodpb/4169/live/d501b360-a295-11ef-b8c0-b996e628df5a.jpg.webp 240w,https://ichef.bbci.co.uk/news/320/cpsprodpb/4169/live/d501b360-a295-11ef-b8c0-b996e628df5a.jpg.webp 320w,https://ichef.bbci.co.uk/news/480/cpsprodpb/4169/live/d501b360-a295-11ef-b8c0-b996e628df5a.jpg.webp 480w,https://ichef.bbci.co.uk/news/640/cpsprodpb/4169/live/d501b360-a295-11ef-b8c0-b996e628df5a.jpg.webp 640w,https://ichef.bbci.co.uk/news/800/cpsprodpb/4169/live/d501b360-a295-11ef-b8c0-b996e628df5a.jpg.webp 800w,https://ichef.bbci.co.uk/news/1024/cpsprodpb/4169/live/d501b360-a295-11ef-b8c0-b996e628df5a.jpg.webp 1024w,https://ichef.bbci.co.uk/news/1536/cpsprodpb/4169/live/d501b360-a295-11ef-b8c0-b996e628df5a.jpg.webp 1536w" src="https://ichef.bbci.co.uk/news/480/cpsprodpb/4169/live/d501b360-a295-11ef-b8c0-b996e628df5a.jpg.webp" alt="Christina sits in a chair in a living room next to her daughter Mia who is seated in a wheelchair" class="sc-a34861b-0 efFcac"/></div></div><div data-component="caption-block" class="sc-18fde0d6-0 bdPeAJ"><figcaption class="sc-8353772e-0 cvNhQw">Mia&#x27;s mum Christina said she felt people weren&#x27;t listening when she tried to get help<!-- --></figcaption></div></figure><div data-component="ad-slot" data-testid="ad-unit" class="sc-d2ebd0a7-0 iayHyW"><div data-testid="dotcom-mid_2" id="dotcom-mid_2" class="dotcom-ad"></div></div><div data-component="text-block" class="sc-18fde0d6-0 dlWCEZ"><p class="sc-eb7bd5f6-0 fYAfXe">Towards the end of her first year in secondary school, Christina was contacted by a teacher who said the school believed Mia was autistic. This time an assessment was made, which diagnosed the condition. It helped with her education. Mia was given extra support during exams and with homework. But it didn’t lead to a huge shift in psychiatric help, says Christina.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">There was a stop-start nature to the help Mia received over the years. An occasional eight-week course of Cognitive Behavioural Therapy (CBT), then nothing for a few months, then some sessions with a different therapist.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">Christina says appointments would sometimes be cancelled as the therapist was ill, or changed jobs, leaving Mia feeling little progress was being made.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">Whittington Health said the care it provided to Mia was “in line with national guidance”.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">“Such care is inherently complex and we regret that her difficulties continued to escalate,&quot; it said.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">An NHS England spokesperson added: “Our thoughts are with Mia and her family. The NHS is determined to improve children’s mental health and autism services... because we know there are some people waiting too long for care.&quot;<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe"></p></div><div data-component="text-block" class="sc-18fde0d6-0 dlWCEZ"><p class="sc-eb7bd5f6-0 fYAfXe">The Care Quality Commission - which is responsible for inspecting NHS hospitals - says mental health services are struggling with recruitment, including the right mix of staff, “all of which are having an impact on capacity, and the availability and regularity of appointments”. <!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">It encouraged the NHS to “actively involve parents in their child’s care decisions” adding that “addressing their concerns promptly is critical to safety”.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">It&#x27;s a recommendation that Christina dearly wishes had been acted on much earlier.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">In the summer of 2023, when Mia’s health deteriorated further, she was prescribed a course of anti-depressants. She was told the medication could lead to her putting on weight, which infuriated Christina, as her daughter then developed an eating disorder. <!-- --></p></div><div data-component="ad-slot" data-testid="ad-unit" class="sc-d2ebd0a7-0 iayHyW"><div data-testid="dotcom-mid_3" id="dotcom-mid_3" class="dotcom-ad"></div></div><div data-component="subheadline-block" class="sc-18fde0d6-0 eeiVGB"><h2 class="sc-518485e5-0 kRvAla">Spinal injuries<!-- --></h2></div><div data-component="text-block" class="sc-18fde0d6-0 dlWCEZ"><p class="sc-eb7bd5f6-0 fYAfXe">Mia also started to make suicide attempts - on one occasion, her mother had to physically restrain her to keep her safe.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">In March, two days after her therapist cancelled an appointment, Mia tried to end her life, which left her with severe spinal injuries. <!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">“I felt I was falling behind with school, with friends. I felt like I was falling behind in the world, really, and sometimes it feels like it&#x27;s really hard to stay afloat.”<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">After her suicide attempt, Mia says for about a month she couldn&#x27;t move or sit up.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">“I was in constant pain. I was on medication, just to not cry. And then I had to relearn a lot - basic things like sitting up and eventually standing, even though it&#x27;s still very much assisted. And I had to relearn certain motor skills. And then I had to adjust to life in a wheelchair and managing being paraplegic and feeling like it&#x27;s never going to get any better,&quot; she says.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">Monthly data published by NHS England shows that mental health services often struggle to provide the right care to young people. Since April 2023, psychiatric services have assessed the impact of 94,802 treatments that have been offered to young people to see how their mental health has changed. They show that:<!-- --></p><ul class="sc-5c9c90b0-0 cnfHHs"><li class="sc-8d73edac-0 ezcCTE">44,035 (46%) showed improvements;<!-- --></li></ul><ul class="sc-5c9c90b0-0 cnfHHs"><li class="sc-8d73edac-0 ezcCTE">9,449 (10%) showed measurable deterioration;<!-- --></li></ul><ul class="sc-5c9c90b0-0 cnfHHs"><li class="sc-8d73edac-0 ezcCTE">41,318 (44%) showed no measurable change in health.<!-- --></li></ul><p class="sc-eb7bd5f6-0 fYAfXe">Added together, 54% of scores showed either no improvement or a deterioration.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">Responding to the BBC’s analysis of the data, NHS England said: “Not everyone can get better and stabilising symptoms gives opportunities to re-assess patient needs and look at new options. If you are struggling with your mental health do come forward for help.&quot;<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">Mia does a series of daily exercises to strengthen her muscles and maintain movement. A high-performing student, she desperately misses school. The mental health service is now giving her a range of different therapies, which she sees as coming “far too late&quot;.<!-- --></p></div><div data-component="subheadline-block" class="sc-18fde0d6-0 eeiVGB"><h2 class="sc-518485e5-0 kRvAla">&#x27;I&#x27;m going to be proud of myself&#x27;<!-- --></h2></div><figure><div data-component="image-block" class="sc-18fde0d6-0 jFCfG"><div data-testid="image" class="sc-a34861b-1 jxzoZC"><img src="/bbcx/grey-placeholder.png" class="sc-a34861b-0 cOpVbP hide-when-no-script"/><img sizes="(min-width: 1280px) 50vw, (min-width: 1008px) 66vw, 96vw" srcSet="https://ichef.bbci.co.uk/news/240/cpsprodpb/8cc2/live/1d7b0b10-a8fd-11ef-a4fe-a3e9a6c5d640.jpg.webp 240w,https://ichef.bbci.co.uk/news/320/cpsprodpb/8cc2/live/1d7b0b10-a8fd-11ef-a4fe-a3e9a6c5d640.jpg.webp 320w,https://ichef.bbci.co.uk/news/480/cpsprodpb/8cc2/live/1d7b0b10-a8fd-11ef-a4fe-a3e9a6c5d640.jpg.webp 480w,https://ichef.bbci.co.uk/news/640/cpsprodpb/8cc2/live/1d7b0b10-a8fd-11ef-a4fe-a3e9a6c5d640.jpg.webp 640w,https://ichef.bbci.co.uk/news/800/cpsprodpb/8cc2/live/1d7b0b10-a8fd-11ef-a4fe-a3e9a6c5d640.jpg.webp 800w,https://ichef.bbci.co.uk/news/1024/cpsprodpb/8cc2/live/1d7b0b10-a8fd-11ef-a4fe-a3e9a6c5d640.jpg.webp 1024w,https://ichef.bbci.co.uk/news/1536/cpsprodpb/8cc2/live/1d7b0b10-a8fd-11ef-a4fe-a3e9a6c5d640.jpg.webp 1536w" src="https://ichef.bbci.co.uk/news/480/cpsprodpb/8cc2/live/1d7b0b10-a8fd-11ef-a4fe-a3e9a6c5d640.jpg.webp" alt="Family handout Mia is sitting in her swimsuit on an inflatable pink beach float in the sea in the summer time." class="sc-a34861b-0 efFcac"/><span class="sc-a34861b-2 fxQYxK">Family handout</span></div></div><div data-component="caption-block" class="sc-18fde0d6-0 bdPeAJ"><figcaption class="sc-8353772e-0 cvNhQw">Mia says she hopes to be able to become proud of what she has overcome<!-- --></figcaption></div></figure><div data-component="text-block" class="sc-18fde0d6-0 dlWCEZ"><p class="sc-eb7bd5f6-0 fYAfXe">There is now another challenge, however. Mia’s block of flats has no lift, and a request to install a stairlift has been delayed for months as the housing association questions whether it would be a fire hazard. To attend therapy or hospital appointments, Mia has to shuffle down two flights of stairs on her bottom, while her mother carries her wheelchair.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">Southern Housing, which owns the block, told the BBC it does not have any adapted housing that meets Mia’s needs, and that their fire safety specialist is working alongside a lift surveyor and the occupational therapy team at Islington Council “to investigate whether this is possible”.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">Islington Council said: “Mia has a dedicated social worker and the council is working hard to make Mia’s current home more suitable. We have offered three alternative accessible properties, which unfortunately, have not met the family’s specific needs. We are committed to continuing the search.”<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">Mia’s neat and tidy bedroom has become her refuge. But in time, she hopes to have the confidence to face the outside world.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">“No matter how odd or strange you feel for feeling and thinking the thoughts you do, the most helpful thing you can do for yourself is to speak to someone else. If you never tell anyone, they&#x27;ll never be able to help,” she says.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">“One day, I&#x27;m going to be proud of myself.<!-- --></p><p class="sc-eb7bd5f6-0 fYAfXe">“That&#x27;s what I&#x27;m looking towards, a place where I can be proud at how much I&#x27;ve overcome.”<!-- --></p></div><div data-component="text-block" class="sc-18fde0d6-0 dlWCEZ"><p class="sc-eb7bd5f6-0 fYAfXe"><i id="bbc-action-line:-if-you-have-been-affected-by-issues-in-this-story,-find-out-what-support-is" class="sc-7dcfb11b-0 kKcaog">BBC Action Line: If you have been affected by issues in this story, find out what support is <!-- --></i><a target="_self" href="https://www.bbc.co.uk/programmes/articles/1NGvFrTqWChr03LrYlw2Hkk/information-and-support-mental-health-self-harm" class="sc-c9299ecf-0 bZUiKB"><i id="available-here" class="sc-7dcfb11b-0 kKcaog">available here<!-- --></i></a><i id="." class="sc-7dcfb11b-0 kKcaog">.<!-- --></i></p></div><div data-component="links-block" class="sc-18fde0d6-0 jVHuOl"><div class="sc-93223220-0 sc-46222299-0 ctbOlq hmFIuq"><div data-testid="links-grid" class="sc-93223220-0 sc-46222299-1 hVPZMe jMSIqG"><div data-testid="chester-card"><div data-testid="anchor-inner-wrapper"><a href="https://www.bbc.co.uk/news/articles/cly74lmgk8wo" data-testid="external-anchor" target="_self" class="sc-2e6baa30-0 gILusN"><div data-testid="chester-article" class="sc-417019fc-0 iZGTHs"><div class="sc-8ea7699c-1 hxRodh"><div class="sc-8ea7699c-0 hcpAqY"><h2 data-testid="card-headline" class="sc-8ea7699c-3 dhclWg">Young people most likely to have poor mental health<!-- --></h2></div></div></div></a></div></div></div></div></div><div data-component="tags" class="sc-18fde0d6-0 jVHuOl"><div class="sc-4b0aaa-0 dGavUm"><div data-testid="anchor-inner-wrapper"><a href="/news/topics/c4emwwwp5w1t" data-testid="internal-link" class="sc-3df0d64d-0 kMyFYO">Obsessive-compulsive disorder</a></div><div data-testid="anchor-inner-wrapper"><a href="/news/health" data-testid="internal-link" class="sc-3df0d64d-0 kMyFYO">Health</a></div><div data-testid="anchor-inner-wrapper"><a href="/news/topics/ceynerlpwjzt" data-testid="internal-link" class="sc-3df0d64d-0 kMyFYO">Disability</a></div><div data-testid="anchor-inner-wrapper"><a href="/news/topics/cwlw3xz045jt" data-testid="internal-link" class="sc-3df0d64d-0 kMyFYO">Autism</a></div><div data-testid="anchor-inner-wrapper"><a href="/news/topics/cwlw3xz04egt" data-testid="internal-link" class="sc-3df0d64d-0 kMyFYO">Mental health</a></div></div></div></article><aside data-testid="ohio-section-outer-3" data-analytics-group="true" data-analytics_group_name="Related" data-analytics_group_type="ohio-3" data-analytics_group_position="1" data-analytics_group_item_count="3" data-analytics_group_link="" class="sc-ba42a659-1 GdVOW"><div data-testid="ohio-section-3" class="sc-ba42a659-2 jqWjKw"><div class="sc-7a382a26-2 lhbHDZ"><div class="sc-7a382a26-1 vyVNI"><hr data-testid="ohio-line" class="sc-7a382a26-0 iphYZF"/></div><div data-testid="section-title-wrapper" class="sc-7a382a26-3 gOPBZn"><div><div class="sc-7a382a26-7 jlJwDB"><span data-testid="ohio-title" class="sc-7a382a26-4 gQxUVz">Related<!-- --></span></div></div></div></div><div data-testid="ohio-grid-3" class="sc-5c4cac2b-0 kcaRJj"><div data-testid="chester-card"><div data-testid="anchor-inner-wrapper"><a href="/news/articles/c04pkpvqd0eo" data-testid="internal-link" class="sc-2e6baa30-0 gILusN"><div data-testid="chester-article" class="sc-417019fc-0 iZGTHs"><div class="sc-8ea7699c-1 hxRodh"><div class="sc-8ea7699c-0 hcpAqY"><h2 data-testid="card-headline" class="sc-8ea7699c-3 dhclWg">Researchers using ultrasound to treat OCD symptoms<!-- --></h2></div></div><div class="sc-6fba5bd4-0 gwNQGk"><span data-testid="card-metadata-lastupdated" class="sc-6fba5bd4-1 efYorw">22 Oct 2024</span><div data-testid="card-metadata-separator" class="sc-6fba5bd4-3 kVHhvu"></div><span data-testid="card-metadata-tag" class="sc-6fba5bd4-2 bHkTZK">Devon</span></div></div></a></div></div><div data-testid="chester-card"><div data-testid="anchor-inner-wrapper"><a href="/news/articles/cevjw8mlz0mo" data-testid="internal-link" class="sc-2e6baa30-0 gILusN"><div data-testid="chester-article" class="sc-417019fc-0 iZGTHs"><div class="sc-8ea7699c-1 hxRodh"><div class="sc-8ea7699c-0 hcpAqY"><h2 data-testid="card-headline" class="sc-8ea7699c-3 dhclWg">&#x27;Nightmare&#x27; 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She has long blond hair and wears a white jumper. The baby wears a white babygrow. " class="sc-a34861b-0 efFcac"/></div></div></div><div data-testid="card-text-wrapper" class="sc-ae29827d-6 dzMUxv"><div class="sc-8ea7699c-1 gTeoVH"><div class="sc-8ea7699c-0 hcpAqY"><h2 data-testid="card-headline" class="sc-8ea7699c-3 gRBdkE">Failures over teenage mother&#x27;s care, inquest finds<!-- --></h2></div></div><p data-testid="card-description" class="sc-ae29827d-0 cNPpME">Jury finds failures and lack of professionalism after Morgan Betchley took her own life.</p><div class="sc-6fba5bd4-0 kZsXRf"><span data-testid="card-metadata-lastupdated" class="sc-6fba5bd4-1 bffMcX">4 hrs ago</span><div data-testid="card-metadata-separator" class="sc-6fba5bd4-3 eQhLId"></div><span data-testid="card-metadata-tag" class="sc-6fba5bd4-2 bHkTZK">Sussex</span></div></div></div></div></a></div></div><div data-testid="liverpool-card"><div data-testid="anchor-inner-wrapper"><a href="/news/articles/cje04ed01w5o" data-testid="internal-link" class="sc-2e6baa30-0 gILusN"><div class="sc-ae29827d-4 ypQFr"><div class="sc-ae29827d-1 hAmwyA"><div class="sc-6fba5bd4-0 bFzmvn"><span data-testid="card-metadata-lastupdated" class="sc-6fba5bd4-1 bCFJJn">4 hrs ago</span></div></div><div data-testid="liverpool-article" class="sc-ae29827d-3 khCtOO"><div data-testid="card-media-wrapper" class="sc-ae29827d-5 jVhDCQ"><div data-testid="card-media" class="sc-ae29827d-2 bgogNC"><div class="sc-a34861b-1 jxzoZC"><img src="/bbcx/grey-placeholder.png" class="sc-a34861b-0 cOpVbP hide-when-no-script"/><img sizes="(min-width: 1008px) 25vw, (min-width: 600px) 33vw, 50vw" srcSet="https://ichef.bbci.co.uk/news/240/cpsprodpb/cd30/live/9c9e50e0-a66a-11ef-82e0-ebb15a6d60f7.jpg.webp 240w,https://ichef.bbci.co.uk/news/320/cpsprodpb/cd30/live/9c9e50e0-a66a-11ef-82e0-ebb15a6d60f7.jpg.webp 320w,https://ichef.bbci.co.uk/news/480/cpsprodpb/cd30/live/9c9e50e0-a66a-11ef-82e0-ebb15a6d60f7.jpg.webp 480w,https://ichef.bbci.co.uk/news/640/cpsprodpb/cd30/live/9c9e50e0-a66a-11ef-82e0-ebb15a6d60f7.jpg.webp 640w,https://ichef.bbci.co.uk/news/800/cpsprodpb/cd30/live/9c9e50e0-a66a-11ef-82e0-ebb15a6d60f7.jpg.webp 800w,https://ichef.bbci.co.uk/news/1024/cpsprodpb/cd30/live/9c9e50e0-a66a-11ef-82e0-ebb15a6d60f7.jpg.webp 1024w,https://ichef.bbci.co.uk/news/1536/cpsprodpb/cd30/live/9c9e50e0-a66a-11ef-82e0-ebb15a6d60f7.jpg.webp 1536w" src="https://ichef.bbci.co.uk/news/480/cpsprodpb/cd30/live/9c9e50e0-a66a-11ef-82e0-ebb15a6d60f7.jpg.webp" alt="Four generations of women from one family sit on a sofa smiling at the camera" class="sc-a34861b-0 efFcac"/></div></div></div><div data-testid="card-text-wrapper" class="sc-ae29827d-6 dzMUxv"><div class="sc-8ea7699c-1 gTeoVH"><div class="sc-8ea7699c-0 hcpAqY"><h2 data-testid="card-headline" class="sc-8ea7699c-3 gRBdkE">Doctor treats four generations of same family<!-- --></h2></div></div><p data-testid="card-description" class="sc-ae29827d-0 cNPpME">The family have all received care from Professor Kypros Nicolaides at King&#x27;s College Hospital.</p><div class="sc-6fba5bd4-0 kZsXRf"><span data-testid="card-metadata-lastupdated" class="sc-6fba5bd4-1 bffMcX">4 hrs ago</span><div data-testid="card-metadata-separator" class="sc-6fba5bd4-3 eQhLId"></div><span data-testid="card-metadata-tag" class="sc-6fba5bd4-2 bHkTZK">England</span></div></div></div></div></a></div></div><div data-testid="liverpool-card"><div data-testid="anchor-inner-wrapper"><a href="/news/articles/ckgv8p0lgmyo" data-testid="internal-link" class="sc-2e6baa30-0 gILusN"><div class="sc-ae29827d-4 ypQFr"><div class="sc-ae29827d-1 hAmwyA"><div class="sc-6fba5bd4-0 bFzmvn"><span data-testid="card-metadata-lastupdated" class="sc-6fba5bd4-1 bCFJJn">10 hrs ago</span></div></div><div data-testid="liverpool-article" class="sc-ae29827d-3 khCtOO"><div data-testid="card-media-wrapper" class="sc-ae29827d-5 jVhDCQ"><div data-testid="card-media" class="sc-ae29827d-2 bgogNC"><div class="sc-a34861b-1 jxzoZC"><img src="/bbcx/grey-placeholder.png" class="sc-a34861b-0 cOpVbP hide-when-no-script"/><img sizes="(min-width: 1008px) 25vw, (min-width: 600px) 33vw, 50vw" srcSet="https://ichef.bbci.co.uk/news/240/cpsprodpb/99de/live/f093f720-a8c4-11ef-b8a6-4917edb5ec9d.jpg.webp 240w,https://ichef.bbci.co.uk/news/320/cpsprodpb/99de/live/f093f720-a8c4-11ef-b8a6-4917edb5ec9d.jpg.webp 320w,https://ichef.bbci.co.uk/news/480/cpsprodpb/99de/live/f093f720-a8c4-11ef-b8a6-4917edb5ec9d.jpg.webp 480w,https://ichef.bbci.co.uk/news/640/cpsprodpb/99de/live/f093f720-a8c4-11ef-b8a6-4917edb5ec9d.jpg.webp 640w,https://ichef.bbci.co.uk/news/800/cpsprodpb/99de/live/f093f720-a8c4-11ef-b8a6-4917edb5ec9d.jpg.webp 800w,https://ichef.bbci.co.uk/news/1024/cpsprodpb/99de/live/f093f720-a8c4-11ef-b8a6-4917edb5ec9d.jpg.webp 1024w,https://ichef.bbci.co.uk/news/1536/cpsprodpb/99de/live/f093f720-a8c4-11ef-b8a6-4917edb5ec9d.jpg.webp 1536w" src="https://ichef.bbci.co.uk/news/480/cpsprodpb/99de/live/f093f720-a8c4-11ef-b8a6-4917edb5ec9d.jpg.webp" alt="A baby in a sleepsuit with animals depicted lays on a bed with his smiling father looking up at the camera" class="sc-a34861b-0 efFcac"/></div></div></div><div data-testid="card-text-wrapper" class="sc-ae29827d-6 dzMUxv"><div class="sc-8ea7699c-1 gTeoVH"><div class="sc-8ea7699c-0 hcpAqY"><h2 data-testid="card-headline" class="sc-8ea7699c-3 gRBdkE">&#x27;I never thought I&#x27;d have kids due to my disability&#x27;<!-- --></h2></div></div><p data-testid="card-description" class="sc-ae29827d-0 cNPpME">Fitness coach James Sutliff worried his children would suffer because of his &quot;hidden disability&quot;.</p><div class="sc-6fba5bd4-0 kZsXRf"><span data-testid="card-metadata-lastupdated" class="sc-6fba5bd4-1 bffMcX">10 hrs ago</span><div data-testid="card-metadata-separator" class="sc-6fba5bd4-3 eQhLId"></div><span data-testid="card-metadata-tag" class="sc-6fba5bd4-2 bHkTZK">Leicester</span></div></div></div></div></a></div></div><div data-testid="liverpool-card"><div data-testid="anchor-inner-wrapper"><a href="/news/articles/c4gxy7m3z1po" data-testid="internal-link" class="sc-2e6baa30-0 gILusN"><div class="sc-ae29827d-4 ypQFr"><div class="sc-ae29827d-1 hAmwyA"><div class="sc-6fba5bd4-0 bFzmvn"><span data-testid="card-metadata-lastupdated" class="sc-6fba5bd4-1 bCFJJn">10 hrs ago</span></div></div><div data-testid="liverpool-article" class="sc-ae29827d-3 khCtOO"><div data-testid="card-media-wrapper" class="sc-ae29827d-5 jVhDCQ"><div data-testid="card-media" class="sc-ae29827d-2 bgogNC"><div class="sc-a34861b-1 jxzoZC"><img src="/bbcx/grey-placeholder.png" class="sc-a34861b-0 cOpVbP hide-when-no-script"/><img sizes="(min-width: 1008px) 25vw, (min-width: 600px) 33vw, 50vw" srcSet="https://ichef.bbci.co.uk/news/240/cpsprodpb/44c0/live/0347be90-a8c2-11ef-b8a6-4917edb5ec9d.jpg.webp 240w,https://ichef.bbci.co.uk/news/320/cpsprodpb/44c0/live/0347be90-a8c2-11ef-b8a6-4917edb5ec9d.jpg.webp 320w,https://ichef.bbci.co.uk/news/480/cpsprodpb/44c0/live/0347be90-a8c2-11ef-b8a6-4917edb5ec9d.jpg.webp 480w,https://ichef.bbci.co.uk/news/640/cpsprodpb/44c0/live/0347be90-a8c2-11ef-b8a6-4917edb5ec9d.jpg.webp 640w,https://ichef.bbci.co.uk/news/800/cpsprodpb/44c0/live/0347be90-a8c2-11ef-b8a6-4917edb5ec9d.jpg.webp 800w,https://ichef.bbci.co.uk/news/1024/cpsprodpb/44c0/live/0347be90-a8c2-11ef-b8a6-4917edb5ec9d.jpg.webp 1024w,https://ichef.bbci.co.uk/news/1536/cpsprodpb/44c0/live/0347be90-a8c2-11ef-b8a6-4917edb5ec9d.jpg.webp 1536w" src="https://ichef.bbci.co.uk/news/480/cpsprodpb/44c0/live/0347be90-a8c2-11ef-b8a6-4917edb5ec9d.jpg.webp" alt="Jason looks at the camera as he sits in a kitchen. Jason is wearing a blue, knitted zip up jumper with a dark blue t-shirt under it. He is wearing glasses with square frames. There&#x27;s a cabinet to his left with glasses on one side and books on the other side." class="sc-a34861b-0 efFcac"/></div></div></div><div data-testid="card-text-wrapper" class="sc-ae29827d-6 dzMUxv"><div class="sc-8ea7699c-1 gTeoVH"><div class="sc-8ea7699c-0 hcpAqY"><h2 data-testid="card-headline" class="sc-8ea7699c-3 gRBdkE">Volunteer&#x27;s work at prison in memory of his brother<!-- --></h2></div></div><p data-testid="card-description" class="sc-ae29827d-0 cNPpME">Jason Gleave says his brother took his own life after his mental health got worse while in prison.</p><div class="sc-6fba5bd4-0 kZsXRf"><span data-testid="card-metadata-lastupdated" class="sc-6fba5bd4-1 bffMcX">10 hrs ago</span><div data-testid="card-metadata-separator" class="sc-6fba5bd4-3 eQhLId"></div><span data-testid="card-metadata-tag" class="sc-6fba5bd4-2 bHkTZK">Jersey</span></div></div></div></div></a></div></div><div data-component="ad-slot" data-testid="ad-unit" class="sc-d2ebd0a7-0 iayHyW"><div data-testid="dotcom-mid_4" id="dotcom-mid_4" class="dotcom-ad"></div></div><div data-testid="liverpool-card"><div data-testid="anchor-inner-wrapper"><a href="/news/articles/c3e8y8l3q4po" data-testid="internal-link" class="sc-2e6baa30-0 gILusN"><div class="sc-ae29827d-4 ypQFr"><div class="sc-ae29827d-1 hAmwyA"><div class="sc-6fba5bd4-0 bFzmvn"><span data-testid="card-metadata-lastupdated" class="sc-6fba5bd4-1 bCFJJn">11 hrs ago</span></div></div><div data-testid="liverpool-article" class="sc-ae29827d-3 fKfpeF"><div data-testid="card-media-wrapper" class="sc-ae29827d-5 jVhDCQ"><div data-testid="card-media" class="sc-ae29827d-2 bgogNC"><div class="sc-a34861b-1 jxzoZC"><img src="/bbcx/grey-placeholder.png" class="sc-a34861b-0 cOpVbP hide-when-no-script"/><img sizes="(min-width: 1008px) 25vw, (min-width: 600px) 33vw, 50vw" srcSet="https://ichef.bbci.co.uk/news/240/cpsprodpb/6967/live/2df34a00-a800-11ef-b21e-5359bd56d02f.jpg.webp 240w,https://ichef.bbci.co.uk/news/320/cpsprodpb/6967/live/2df34a00-a800-11ef-b21e-5359bd56d02f.jpg.webp 320w,https://ichef.bbci.co.uk/news/480/cpsprodpb/6967/live/2df34a00-a800-11ef-b21e-5359bd56d02f.jpg.webp 480w,https://ichef.bbci.co.uk/news/640/cpsprodpb/6967/live/2df34a00-a800-11ef-b21e-5359bd56d02f.jpg.webp 640w,https://ichef.bbci.co.uk/news/800/cpsprodpb/6967/live/2df34a00-a800-11ef-b21e-5359bd56d02f.jpg.webp 800w,https://ichef.bbci.co.uk/news/1024/cpsprodpb/6967/live/2df34a00-a800-11ef-b21e-5359bd56d02f.jpg.webp 1024w,https://ichef.bbci.co.uk/news/1536/cpsprodpb/6967/live/2df34a00-a800-11ef-b21e-5359bd56d02f.jpg.webp 1536w" src="https://ichef.bbci.co.uk/news/480/cpsprodpb/6967/live/2df34a00-a800-11ef-b21e-5359bd56d02f.jpg.webp" alt="A black silhouette of the back of a woman looking out of a window through white net curtains." class="sc-a34861b-0 efFcac"/></div></div></div><div data-testid="card-text-wrapper" class="sc-ae29827d-6 dzMUxv"><div class="sc-8ea7699c-1 gTeoVH"><div class="sc-8ea7699c-0 hcpAqY"><h2 data-testid="card-headline" class="sc-8ea7699c-3 gRBdkE">Mother wants better support for bereaved children<!-- --></h2></div></div><p data-testid="card-description" class="sc-ae29827d-0 cNPpME">Anne-Marie says her own children struggled to receive help after the death of their father. </p><div class="sc-6fba5bd4-0 kZsXRf"><span data-testid="card-metadata-lastupdated" class="sc-6fba5bd4-1 bffMcX">11 hrs ago</span><div data-testid="card-metadata-separator" class="sc-6fba5bd4-3 eQhLId"></div><span data-testid="card-metadata-tag" class="sc-6fba5bd4-2 bHkTZK">Northamptonshire</span></div></div></div></div></a></div></div></div></div></div></aside><div class="zephr_meter_beta"></div><div class="zephr_story_beta"></div></main><hr data-testid="main-footer-divider" class="sc-be00b565-2 cxZZfa"/><footer data-testid="main-footer" class="sc-be00b565-0 hfihLu"><div class="sc-be00b565-3 bMDFAT"><div data-testid="anchor-inner-wrapper"><a href="/" 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It all got too much for her a few months ago when she made a suicide attempt that has left her with paraplegia, unable to move the lower part of her body - and she now needs a wheelchair.","blocks":[{"type":"fragment","model":{"text":"It’s been years since Mia felt ordinary, a near lifelong sense that she didn’t fit in. It all got too much for her a few months ago when she made a suicide attempt that has left her with paraplegia, unable to move the lower part of her body - and she now needs a wheelchair.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"“I can't change the past now,” Mia says, “it feels spiteful that I can only look at the future, and that I have no clue what is going to happen.”","blocks":[{"type":"fragment","model":{"text":"“I can't change the past now,” Mia says, “it feels spiteful that I can only look at the future, and that I have no clue what is going to happen.”","attributes":[]}}]}},{"type":"paragraph","model":{"text":"The teenager’s story, indeed much of her life, will be familiar to the many families who have struggled to navigate the creaking mental health system, leaving them feeling their concerns have been downplayed or dismissed.","blocks":[{"type":"fragment","model":{"text":"The teenager’s story, indeed much of her life, will be familiar to the many families who have struggled to navigate the creaking mental health system, leaving them feeling their concerns have been downplayed or dismissed.","attributes":[]}}]}}]}},{"type":"advertisement","model":{"adType":"horizontal"},"incrementedType":"mid_1"},{"type":"subheadline","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Struggle for diagnosis","blocks":[{"type":"fragment","model":{"text":"Struggle for diagnosis","attributes":[]}}]}}]}}],"level":2}},{"type":"text","model":{"suitableForAbridgement":false,"blocks":[{"type":"paragraph","model":{"text":"BBC analysis of official NHS data suggests that more than half of young people who get psychiatric support finish their course of treatment with no improvement in their health.","blocks":[{"type":"fragment","model":{"text":"BBC analysis of official NHS data suggests that more than half of young people who get psychiatric support finish their course of treatment with no improvement in their health.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"Meanwhile, the number of young people who report having poor mental health rose from one in nine to one in five between 2017 and 2023, according to a recent report by the charity Mind. It says that last year only a third of those were able to access treatment.","blocks":[{"type":"fragment","model":{"text":"Meanwhile, the number of young people who report having poor mental health rose from one in nine to one in five between 2017 and 2023, according to a recent report by the charity Mind. It says that last year only a third of those were able to access treatment.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"Mia’s mother, Christina, first sought help for her daughter when she was five years old and had developed an exact ritual for each morning, getting dressed in a particular order and spending up to two hours in the bathroom.","blocks":[{"type":"fragment","model":{"text":"Mia’s mother, Christina, first sought help for her daughter when she was five years old and had developed an exact ritual for each morning, getting dressed in a particular order and spending up to two hours in the bathroom.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"Within months, Mia was told she had obsessive-compulsive disorder (OCD). But they felt the diagnosis was wrong, and life didn’t get any easier.","blocks":[{"type":"fragment","model":{"text":"Within months, Mia was told she had obsessive-compulsive disorder (OCD). But they felt the diagnosis was wrong, and life didn’t get any easier.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"“When you’re a seven-year-old child and you can’t properly understand why you feel so different and so isolated, it’s obviously going to impact you growing up,” Mia recalls.","blocks":[{"type":"fragment","model":{"text":"“When you’re a seven-year-old child and you can’t properly understand why you feel so different and so isolated, it’s obviously going to impact you growing up,” Mia recalls.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"“There’s never truly [been] anywhere that I feel I belong.”","blocks":[{"type":"fragment","model":{"text":"“There’s never truly [been] anywhere that I feel I belong.”","attributes":[]}}]}},{"type":"paragraph","model":{"text":"Mia and her mother became convinced she was on the autism spectrum and Christina pushed for an assessment at the local children’s mental health service in Islington, north London.","blocks":[{"type":"fragment","model":{"text":"Mia and her mother became convinced she was on the autism spectrum and Christina pushed for an assessment at the local children’s mental health service in Islington, north London.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"On two separate occasions, Mia didn’t score highly enough in initial screenings to trigger a formal assessment.","blocks":[{"type":"fragment","model":{"text":"On two separate occasions, Mia didn’t score highly enough in initial screenings to trigger a formal assessment.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"Her mother believes the test was geared towards diagnosing boys, which the service provider says it has now improved in line with increased understanding nationally of how autism presents itself in girls.","blocks":[{"type":"fragment","model":{"text":"Her mother believes the test was geared towards diagnosing boys, which the service provider says it has now improved in line with increased understanding nationally of how autism presents itself in girls.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"As Mia struggled on, finding it difficult to make friends, Christina approached her primary school’s special educational needs teacher, her local social work department and mental health services, desperate for support.","blocks":[{"type":"fragment","model":{"text":"As Mia struggled on, finding it difficult to make friends, Christina approached her primary school’s special educational needs teacher, her local social work department and mental health services, desperate for support.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"“I was ignored and made to feel like a neurotic mum - nobody was listening,” Christina says.","blocks":[{"type":"fragment","model":{"text":"“I was ignored and made to feel like a neurotic mum - nobody was listening,” Christina says.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"“I felt they didn't understand her needs. I don't think they knew how to support her.”","blocks":[{"type":"fragment","model":{"text":"“I felt they didn't understand her needs. I don't think they knew how to support her.”","attributes":[]}}]}}]}},{"type":"image","model":{"blocks":[{"type":"caption","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Mia's mum Christina said she felt people weren't listening when she tried to get help","blocks":[{"type":"fragment","model":{"text":"Mia's mum Christina said she felt people weren't listening when she tried to get help","attributes":[]}}]}}]}}]}},{"type":"altText","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Christina sits in a chair in a living room next to her daughter Mia who is seated in a wheelchair","blocks":[{"type":"fragment","model":{"text":"Christina sits in a chair in a living room next to her daughter Mia who is seated in a wheelchair","attributes":[]}}]}}]}}]}},{"type":"rawImage","model":{"width":3984,"height":2241,"locator":"4169/live/d501b360-a295-11ef-b8c0-b996e628df5a.jpg","originCode":"cpsprodpb","copyrightHolder":"BBC","suitableForSyndication":true}}]}},{"type":"advertisement","model":{"adType":"horizontal"},"incrementedType":"mid_2"},{"type":"text","model":{"suitableForAbridgement":false,"blocks":[{"type":"paragraph","model":{"text":"Towards the end of her first year in secondary school, Christina was contacted by a teacher who said the school believed Mia was autistic. This time an assessment was made, which diagnosed the condition. It helped with her education. Mia was given extra support during exams and with homework. But it didn’t lead to a huge shift in psychiatric help, says Christina.","blocks":[{"type":"fragment","model":{"text":"Towards the end of her first year in secondary school, Christina was contacted by a teacher who said the school believed Mia was autistic. This time an assessment was made, which diagnosed the condition. It helped with her education. Mia was given extra support during exams and with homework. But it didn’t lead to a huge shift in psychiatric help, says Christina.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"There was a stop-start nature to the help Mia received over the years. An occasional eight-week course of Cognitive Behavioural Therapy (CBT), then nothing for a few months, then some sessions with a different therapist.","blocks":[{"type":"fragment","model":{"text":"There was a stop-start nature to the help Mia received over the years. An occasional eight-week course of Cognitive Behavioural Therapy (CBT), then nothing for a few months, then some sessions with a different therapist.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"Christina says appointments would sometimes be cancelled as the therapist was ill, or changed jobs, leaving Mia feeling little progress was being made.","blocks":[{"type":"fragment","model":{"text":"Christina says appointments would sometimes be cancelled as the therapist was ill, or changed jobs, leaving Mia feeling little progress was being made.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"Whittington Health said the care it provided to Mia was “in line with national guidance”.","blocks":[{"type":"fragment","model":{"text":"Whittington Health said the care it provided to Mia was “in line with national guidance”.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"“Such care is inherently complex and we regret that her difficulties continued to escalate,\" it said.","blocks":[{"type":"fragment","model":{"text":"“Such care is inherently complex and we regret that her difficulties continued to escalate,\" it said.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"An NHS England spokesperson added: “Our thoughts are with Mia and her family. The NHS is determined to improve children’s mental health and autism services... because we know there are some people waiting too long for care.\"","blocks":[{"type":"fragment","model":{"text":"An NHS England spokesperson added: “Our thoughts are with Mia and her family. The NHS is determined to improve children’s mental health and autism services... because we know there are some people waiting too long for care.\"","attributes":[]}}]}},{"type":"paragraph","model":{"text":"","blocks":[{"type":"fragment","model":{"text":"","attributes":[]}}]}}]}},{"type":"text","model":{"suitableForAbridgement":false,"blocks":[{"type":"paragraph","model":{"text":"The Care Quality Commission - which is responsible for inspecting NHS hospitals - says mental health services are struggling with recruitment, including the right mix of staff, “all of which are having an impact on capacity, and the availability and regularity of appointments”. ","blocks":[{"type":"fragment","model":{"text":"The Care Quality Commission - which is responsible for inspecting NHS hospitals - says mental health services are struggling with recruitment, including the right mix of staff, “all of which are having an impact on capacity, and the availability and regularity of appointments”. ","attributes":[]}}]}},{"type":"paragraph","model":{"text":"It encouraged the NHS to “actively involve parents in their child’s care decisions” adding that “addressing their concerns promptly is critical to safety”.","blocks":[{"type":"fragment","model":{"text":"It encouraged the NHS to “actively involve parents in their child’s care decisions” adding that “addressing their concerns promptly is critical to safety”.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"It's a recommendation that Christina dearly wishes had been acted on much earlier.","blocks":[{"type":"fragment","model":{"text":"It's a recommendation that Christina dearly wishes had been acted on much earlier.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"In the summer of 2023, when Mia’s health deteriorated further, she was prescribed a course of anti-depressants. She was told the medication could lead to her putting on weight, which infuriated Christina, as her daughter then developed an eating disorder. ","blocks":[{"type":"fragment","model":{"text":"In the summer of 2023, when Mia’s health deteriorated further, she was prescribed a course of anti-depressants. She was told the medication could lead to her putting on weight, which infuriated Christina, as her daughter then developed an eating disorder. ","attributes":[]}}]}}]}},{"type":"advertisement","model":{"adType":"horizontal"},"incrementedType":"mid_3"},{"type":"subheadline","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Spinal injuries","blocks":[{"type":"fragment","model":{"text":"Spinal injuries","attributes":[]}}]}}]}}],"level":2}},{"type":"text","model":{"suitableForAbridgement":false,"blocks":[{"type":"paragraph","model":{"text":"Mia also started to make suicide attempts - on one occasion, her mother had to physically restrain her to keep her safe.","blocks":[{"type":"fragment","model":{"text":"Mia also started to make suicide attempts - on one occasion, her mother had to physically restrain her to keep her safe.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"In March, two days after her therapist cancelled an appointment, Mia tried to end her life, which left her with severe spinal injuries. ","blocks":[{"type":"fragment","model":{"text":"In March, two days after her therapist cancelled an appointment, Mia tried to end her life, which left her with severe spinal injuries. ","attributes":[]}}]}},{"type":"paragraph","model":{"text":"“I felt I was falling behind with school, with friends. I felt like I was falling behind in the world, really, and sometimes it feels like it's really hard to stay afloat.”","blocks":[{"type":"fragment","model":{"text":"“I felt I was falling behind with school, with friends. I felt like I was falling behind in the world, really, and sometimes it feels like it's really hard to stay afloat.”","attributes":[]}}]}},{"type":"paragraph","model":{"text":"After her suicide attempt, Mia says for about a month she couldn't move or sit up.","blocks":[{"type":"fragment","model":{"text":"After her suicide attempt, Mia says for about a month she couldn't move or sit up.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"“I was in constant pain. I was on medication, just to not cry. And then I had to relearn a lot - basic things like sitting up and eventually standing, even though it's still very much assisted. And I had to relearn certain motor skills. And then I had to adjust to life in a wheelchair and managing being paraplegic and feeling like it's never going to get any better,\" she says.","blocks":[{"type":"fragment","model":{"text":"“I was in constant pain. I was on medication, just to not cry. And then I had to relearn a lot - basic things like sitting up and eventually standing, even though it's still very much assisted. And I had to relearn certain motor skills. And then I had to adjust to life in a wheelchair and managing being paraplegic and feeling like it's never going to get any better,\" she says.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"Monthly data published by NHS England shows that mental health services often struggle to provide the right care to young people. Since April 2023, psychiatric services have assessed the impact of 94,802 treatments that have been offered to young people to see how their mental health has changed. They show that:","blocks":[{"type":"fragment","model":{"text":"Monthly data published by NHS England shows that mental health services often struggle to provide the right care to young people. Since April 2023, psychiatric services have assessed the impact of 94,802 treatments that have been offered to young people to see how their mental health has changed. They show that:","attributes":[]}}]}},{"type":"unorderedList","model":{"blocks":[{"type":"listItem","model":{"blocks":[{"type":"paragraph","model":{"text":"44,035 (46%) showed improvements;","blocks":[{"type":"fragment","model":{"text":"44,035 (46%) showed improvements;","attributes":[]}}]}}]}}]}},{"type":"unorderedList","model":{"blocks":[{"type":"listItem","model":{"blocks":[{"type":"paragraph","model":{"text":"9,449 (10%) showed measurable deterioration;","blocks":[{"type":"fragment","model":{"text":"9,449 (10%) showed measurable deterioration;","attributes":[]}}]}}]}}]}},{"type":"unorderedList","model":{"blocks":[{"type":"listItem","model":{"blocks":[{"type":"paragraph","model":{"text":"41,318 (44%) showed no measurable change in health.","blocks":[{"type":"fragment","model":{"text":"41,318 (44%) showed no measurable change in health.","attributes":[]}}]}}]}}]}},{"type":"paragraph","model":{"text":"Added together, 54% of scores showed either no improvement or a deterioration.","blocks":[{"type":"fragment","model":{"text":"Added together, 54% of scores showed either no improvement or a deterioration.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"Responding to the BBC’s analysis of the data, NHS England said: “Not everyone can get better and stabilising symptoms gives opportunities to re-assess patient needs and look at new options. If you are struggling with your mental health do come forward for help.\"","blocks":[{"type":"fragment","model":{"text":"Responding to the BBC’s analysis of the data, NHS England said: “Not everyone can get better and stabilising symptoms gives opportunities to re-assess patient needs and look at new options. If you are struggling with your mental health do come forward for help.\"","attributes":[]}}]}},{"type":"paragraph","model":{"text":"Mia does a series of daily exercises to strengthen her muscles and maintain movement. A high-performing student, she desperately misses school. The mental health service is now giving her a range of different therapies, which she sees as coming “far too late\".","blocks":[{"type":"fragment","model":{"text":"Mia does a series of daily exercises to strengthen her muscles and maintain movement. A high-performing student, she desperately misses school. The mental health service is now giving her a range of different therapies, which she sees as coming “far too late\".","attributes":[]}}]}}]}},{"type":"subheadline","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"'I'm going to be proud of myself'","blocks":[{"type":"fragment","model":{"text":"'I'm going to be proud of myself'","attributes":[]}}]}}]}}],"level":2}},{"type":"image","model":{"blocks":[{"type":"caption","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Mia says she hopes to be able to become proud of what she has overcome","blocks":[{"type":"fragment","model":{"text":"Mia says she hopes to be able to become proud of what she has overcome","attributes":[]}}]}}]}}]}},{"type":"altText","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Mia is sitting in her swimsuit on an inflatable pink beach float in the sea in the summer time.","blocks":[{"type":"fragment","model":{"text":"Mia is sitting in her swimsuit on an inflatable pink beach float in the sea in the summer time.","attributes":[]}}]}}]}}]}},{"type":"rawImage","model":{"width":1200,"height":1023,"locator":"8cc2/live/1d7b0b10-a8fd-11ef-a4fe-a3e9a6c5d640.jpg","originCode":"cpsprodpb","copyrightHolder":"Family handout","suitableForSyndication":true}}]}},{"type":"text","model":{"suitableForAbridgement":false,"blocks":[{"type":"paragraph","model":{"text":"There is now another challenge, however. Mia’s block of flats has no lift, and a request to install a stairlift has been delayed for months as the housing association questions whether it would be a fire hazard. To attend therapy or hospital appointments, Mia has to shuffle down two flights of stairs on her bottom, while her mother carries her wheelchair.","blocks":[{"type":"fragment","model":{"text":"There is now another challenge, however. Mia’s block of flats has no lift, and a request to install a stairlift has been delayed for months as the housing association questions whether it would be a fire hazard. To attend therapy or hospital appointments, Mia has to shuffle down two flights of stairs on her bottom, while her mother carries her wheelchair.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"Southern Housing, which owns the block, told the BBC it does not have any adapted housing that meets Mia’s needs, and that their fire safety specialist is working alongside a lift surveyor and the occupational therapy team at Islington Council “to investigate whether this is possible”.","blocks":[{"type":"fragment","model":{"text":"Southern Housing, which owns the block, told the BBC it does not have any adapted housing that meets Mia’s needs, and that their fire safety specialist is working alongside a lift surveyor and the occupational therapy team at Islington Council “to investigate whether this is possible”.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"Islington Council said: “Mia has a dedicated social worker and the council is working hard to make Mia’s current home more suitable. We have offered three alternative accessible properties, which unfortunately, have not met the family’s specific needs. We are committed to continuing the search.”","blocks":[{"type":"fragment","model":{"text":"Islington Council said: “Mia has a dedicated social worker and the council is working hard to make Mia’s current home more suitable. We have offered three alternative accessible properties, which unfortunately, have not met the family’s specific needs. We are committed to continuing the search.”","attributes":[]}}]}},{"type":"paragraph","model":{"text":"Mia’s neat and tidy bedroom has become her refuge. But in time, she hopes to have the confidence to face the outside world.","blocks":[{"type":"fragment","model":{"text":"Mia’s neat and tidy bedroom has become her refuge. But in time, she hopes to have the confidence to face the outside world.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"“No matter how odd or strange you feel for feeling and thinking the thoughts you do, the most helpful thing you can do for yourself is to speak to someone else. If you never tell anyone, they'll never be able to help,” she says.","blocks":[{"type":"fragment","model":{"text":"“No matter how odd or strange you feel for feeling and thinking the thoughts you do, the most helpful thing you can do for yourself is to speak to someone else. If you never tell anyone, they'll never be able to help,” she says.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"“One day, I'm going to be proud of myself.","blocks":[{"type":"fragment","model":{"text":"“One day, I'm going to be proud of myself.","attributes":[]}}]}},{"type":"paragraph","model":{"text":"“That's what I'm looking towards, a place where I can be proud at how much I've overcome.”","blocks":[{"type":"fragment","model":{"text":"“That's what I'm looking towards, a place where I can be proud at how much I've overcome.”","attributes":[]}}]}}]}},{"type":"text","model":{"suitableForAbridgement":false,"blocks":[{"type":"paragraph","model":{"text":"BBC Action Line: If you have been affected by issues in this story, find out what support is available here.","blocks":[{"type":"fragment","model":{"text":"BBC Action Line: If you have been affected by issues in this story, find out what support is ","attributes":["italic"]}},{"type":"urlLink","model":{"text":"available here","blocks":[{"type":"fragment","model":{"text":"available here","attributes":["italic"]}}],"locator":"https://www.bbc.co.uk/programmes/articles/1NGvFrTqWChr03LrYlw2Hkk/information-and-support-mental-health-self-harm","isExternal":false}},{"type":"fragment","model":{"text":".","attributes":["italic"]}}]}}]}},{"type":"links","model":{"blocks":[{"type":"link","model":{"blocks":[{"type":"image","model":{"blocks":[{"type":"altText","model":{"blocks":[{"type":"text","model":{"blocks":[{"type":"paragraph","model":{"text":"Young woman with her back to the camera looking out over a misty Scottish loch - generic. 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