One in five children in England now has a probable mental disorder — and the links between poor mental health and vulnerability to exploitation, abuse and harm are well established. Here is what every adult needs to know.
Children's mental health in England has deteriorated sharply over the past decade. NHS England's 2023 survey found that one in five children aged 8–16 had a probable mental disorder — up from one in nine in 2017.[1] Among young people aged 17–19, the rate rises to one in four.
These figures are not simply a result of better recognition. Research from the Anna Freud Centre and University College London confirms a genuine deterioration in the mental wellbeing of young people, accelerated by the Covid pandemic, the cost-of-living crisis, and the sustained impact of social media on self-perception and sleep.[2]
Mental health and safeguarding are deeply intertwined — but the direction of influence runs both ways. Children who experience abuse, neglect or exploitation are significantly more likely to develop mental health difficulties. Equally, children whose mental health is poor are more vulnerable to exploitation and harm — particularly county lines recruitment, online grooming, and peer pressure into criminal activity.
Working Together to Safeguard Children 2023 explicitly recognises mental health as a safeguarding issue, noting that emotional and psychological abuse can cause significant harm and that unmet mental health needs frequently underpin the vulnerability that exploiters target.[4]
KCSIE 2024 places a specific duty on schools to be alert to the mental health needs of pupils and to have clear referral pathways to CAMHS and other support services, treating mental health concerns with the same seriousness as other safeguarding disclosures.[5]
Under KCSIE 2024, schools must have a clear, written approach to mental health which includes:
The DfE's Mental Health Support Teams (MHSTs) are now present in approximately 35% of schools and colleges in England (as of 2024/25). Schools not yet covered should contact their local NHS Integrated Care Board for the timeline for their area.
The most protective factor for a young person's mental health is a secure, trusting relationship with at least one reliable adult. You do not need to be a therapist to help — you need to be present, consistent, and willing to listen without immediately trying to fix.
Citations
[1] NHS England (2023). Mental Health of Children and Young People in England 2023. NHS Digital.
[2] Anna Freud Centre (2023). Mental Health in Schools and Colleges. Anna Freud National Centre for Children and Families.
[3] NHS England (2024). Children and Young People's Mental Health Services Waiting Times. NHS England Statistics.
[4] HM Government (2023). Working Together to Safeguard Children. Department for Education.
[5] DfE (2024). Keeping Children Safe in Education 2024. Department for Education.