An independent review released last Friday has revealed a significant increase in mental distress among the population, particularly in young people. The review, chaired by Professor Peter Fonagy, counters claims by former health secretary Wes Streeting, who initially suggested that conditions such as ADHD and autism were being overdiagnosed. Streeting later acknowledged his error.
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Right-wing politicians and commentators have linked the rising demand for mental health support to the medicalization of normal emotions. However, the review emphasizes that the increase in psychological distress is real and reflects broader social changes. It also identifies a pressing need for enhanced mental health services, which are currently inadequate.
Despite the notion of “parity of esteem” gaining traction 15 years ago—which aimed to ensure that mental health treatment is on par with physical health—the reality remains that mental health services are struggling with lengthy wait times that are not fully captured in official statistics.
The report suggests stronger regulatory measures for ADHD and autism assessments, which are often provided by private entities lacking standardization. Such regulation is crucial, given the backlog of patients seeking services.
The findings highlight a complex situation where access to services should be determined by need rather than diagnostics. While the report advocates for accountability within the Department of Health and Social Care and a long-term mental health strategy, it falls short of demanding an increase in mental health budgets or specific waiting list targets.
In response, Yvette Cooper, the current health secretary, has yet to make strong declarations regarding mental health for young people. There is a clear urgency for her to address these issues as the call for reform grows.