Seventy-one admissions of young people to adult wards in 2024-25

A new report revealed 71 admissions of children and young people under 18 years old, to non-specialist hospital wards (primarily adult wards) in Scotland during 2024-25, for treatment of mental illness. While this is a higher number of admissions than 2023-24 (67 admissions), it involved fewer individuals (57 vs 59). 

The number of admissions and the number of children and young people admitted, has been declining since 2015-16. However, the 2024-25 admission rate of 7.0 per 100,000, remains similar to the 2023-24 rate of 6.7, indicating a continuous reliance on adult wards for the mental health care of children and young people.

The admissions into non-specialist hospital wards are primarily driven by gaps in specialist mental health services. This includes a shortage of specialist beds and a lack of provision for children and young people with complex needs such as learning disabilities, forensic and intensive psychiatric care and treatment.
While half of the admissions to non-specialist wards lasted less than a week, the other half extended beyond a week. Concerningly, 13% (7 admissions) lasted longer than five weeks. 

Access to specialist advocacy remains limited. Although 69% of children and young people had access to some form of advocacy, less than 13% had access to a service that specialises in the needs and rights of children and young people.

On a positive note, data collection has improved. The Commission received further information in 76% of cases, up from 57% the previous year. This provides a clearer picture for the Commission to better monitor these challenging situations.

Suzanne McGuinness, executive director (social work), Mental Welfare Commission said:

“The continued admission of children and young people with mental health difficulties to adult wards is a sign that Scotland’s specialist mental health infrastructure does not meet the needs of the most vulnerable children and young people. 
“While we value the work underway to develop services and recognise the time needed to build them, this year marks the 20th anniversary of the implementation of the Mental Health Act, which gave health boards statutory duties to provide appropriate accommodation and services for children and young people. It is crucial that the services are child-centred, holistic, and reflect the factors that impact mental health. We are still some way from this being a reality for all. 
“We need specialised and age-appropriate facilities in place, to ensure every child and young person receives the right care, in the right place.”