Reviewing Mental Health Services and Support for Children and Young People in Northern Ireland: A Rights-Based Approach

Abstract

ABSTRACT Objective: In Northern Ireland, it is widely agreed that mental health service provision for children and young people is inadequate and that there is a need for much greater prioritisation and strategic planning in this area. Successive Governments have made commitments to improve services, and although progress has been made, considerable reform is still required. Using a child rights framework, this paper provides an overview of children and young people's direct experiences of accessing mental health services or support. Methods: An online survey was used to gather respondents experience of six statutory and non-statutory health services. Respondents were asked to rate services against nine rights-based service quality statements. A likert agreement rating scale was used to gather quantitative data and qualitative information was captured using open-ended questions. Excel and NVivo were used to analyse the data. Results: Overall, 607 children and young people aged 11–21 years old shared their experiences of mental health services. The survey results show that young people are reaching out to a wide range of services to access support. However, there was considerable variation in young people’s satisfaction levels with different services. Conclusions: This paper brings a child rights focus to the research that exists on the child and adolescent mental health system by assessing it against a range of rights-based statements. This study found that although many services are improving, more is required to ensure that Northern Ireland has a rights compliant system.