Introduction: to services. Attention will also be paid to

Introduction: This essay on mental ill
health in children and young persons in Nottingham will focus on anxiety and
depression in children and young people. It will examine what is anxiety
and depression in children and young persons and what the Nottingham
city council and other multiagency are doing to look after those going through
this health issue and what can be done to provide for early detection and
prevention. This essay will look at the challenges face by victims of Anxiety
and depression within the community and access to services. Attention will also
be paid to the challenges service providers face in reaching out to this user


Mental health vary in terms of mental wellbeing to
long lasting mental disorders. This may bring about distress and may impact on
relationship and day to day living However there exists little statistics on
the prevalence and incidence of anxiety and depression among children and young
persons in Nottingham. The only accurate data is from the Office for National Statistics
(ONS) (2004).  According to (Green et al,
2004) research revealed that one in ten school-aged children in Great Britain
had a clinically recognisable mental health disorder. Among those surveyed 6%
had a conduct disorder, 4% had an emotional disorder (e.g. anxiety or
depression), the author argued that  Boys
were more likely than girls to have a mental health disorder and in particular,
were more likely to suffer from conduct or hyperkinetic disorders. Girls were
slightly more likely to have an emotional disorder than boys. The prevalence of
mental health disorders was higher in the 11-16 age group than the 5-10 year
old age group.

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According the office for National
statistics in (2011 to 2012) revealed that 1 in 8 children age 10 to 15
presented symptoms of mental ill health the data revealed in 2017 that the boy
child is 11% more likely to have mental ill health compared to the girl at 8%. According to child and adolescent mental health
services (CAMHS) Depression and anxiety has been on a higher side by 70% per
cent for the past 25 years running there has been an increase in the number of
children and young persons presented with psychiatric problems at A&E since
2009 to 2016 according to survey for parent zone. This they said is a difficult
moment for teachers and parents. The Government new funding for child and adolescent
mental health services (CAMHS) received less than 0.6 per cent of the total NHS

Report published by
to Joint health, Well-Being Strategy for Nottingham (2013-2018) revealed a
higher percentage of children, and young persons identified in Nottingham with
mental ill heath as compared to East Midland. Mental ill health among children
and young person’s accounts for the high mortality in Nottingham city. However, the Joint health and Well-Being Strategy
for Nottingham (2013-2018) maintained that there are geographical differences
across Nottingham concerning prevalence of deaths relating to mental ill
health. Inequalities, deprivation, mental health and prisoners. In an effort to
Improving the wider determinants of health and factors affecting health and
wellbeing and health inequalities. The Joint health and Well-Being Strategy for
Nottingham (2013-2018) adopted different strategies to tackle Anxiety and
depression in children and young persons in partnership with joined up solutions
with focus on early interventions and prevention of mental ill health in
children and young people in line with legislation, campaigns, media work and
harm minimisation. The Nottingham city Clinical commissioning
group offer support and services that help children and young people with
mental health issues get back on their feet from prevention to hospital
treatment these services is free at the point of delivery through the GP
PRACTICE they offer psychological support known as talking therapies. Working
with other multi-agency providing primary care on mental health for children
and young people such as (Wellness in mind), providing information,
advice and support for children and young people going through anxiety and depression.
The Nottingham city working with primary health and Wellbeing College (Nottinghamshire
healthcare NHS foundation trust) offer educational services focused on support
through self-management to get through depression and anxiety. The Nottingham
city in collaboration with (STEPS) offer a community base services that promotes
mental awareness and wellbeing within the black, Asian and minority ethnic communities
(BAME). (OPEN DOOR PROJECT) working with Nottingham city council offer
children and young people with depression and anxiety recovery social
activities example coping skills courses, discussion groups, cookery classes, walking,
Art, reading and relaxation .other services are ( YOUR voice, YOUR CHOICE)
they offer advocacy services for young people with mental ill health.

CLINICAL COMMISSIONING GROUP and personalised interventions, cessation.
However, given help and advices on healthy lifestyles as to make healthy
choices and reduce health issues The priorities of Nottingham city include community inclusion,
Public Health promotion with Health theme, Funding and safety, such as crime
and anti-social behaviour ASB, community theme, Environmental concerns as in
cleaner and safer environment working and unemployment ratio.

According to Joint Strategic Needs
Assessment (JSNA) in order to reduce the prevalence of Anxiety and depression
in Nottingham city some strategic goals have been implemented, such as
improvement of infant health, decrease in mortality and management of long term
illnesses mental health and wellbeing, reduction in drug and alcohol related
illnesses by (2020) In conclusion, resident should be made to feel as valued
members of the community with a sense of inclusion and be treated equally by
the local authority to promote health and well-being in Nottingham city
Creating equal opportunity of employment, good access to health care, reducing
crime rate, poverty and deprivation will make residents feel valued in their


Table 1: Estimated numbers of children aged 5-16 in Nottinghamshire
with ‘any mental health disorder’


Children aged 5-10

Children aged 11-16











































Newark and Sherwood






















Source: Child and
Maternal Health Observatory, population based on the 2011 Census

Note: ‘Any mental health disorder’
includes emotional, conduct, hyperkinetic and less common disorders.


This essay will
consider the economy of Nottingham city in relation to deprivation, who are the
most deprived in term of area, gender, age and race within the city of
Nottingham it will consider disability life expectancy with statistics. The prevalence of Anxiety and depression is higher
among those living in deprived areas In Nottingham with a higher percentage of
children living in poverty than the England average.  According to Nottingham city council and the
office of National statistics 2013, Aspley ward was ranked as the most deprived
ward in Nottingham, and is said to be affected by multiple deprivation. This includes
income and income deprivation, which is affecting Children, Child poverty in
Aspley ward ranks 59.3%compared to 39.2% in the city and21.8percentage

All these issues are linked to workless
unemployed families with low income who rely on means tested benefit these poor
conditions of living affect the general health and well-being of the
population. However, Peter
Townsend(1979) defined poverty as Families and groups in the population, who
lack the means to acquire the type of nourishment, partake in social -economic
activities and have the living conditions and recourses, which are customary,
or at least widely encouraged and approved, in the societies in which they

1 JEANNE et al. (1997), argued that low
income is a key factor in child poverty. Resulting in the inability of the
parent not having enough income to meet the basic need of their family and
children such as food, clothing and quality accommodation, the author argued
that because children depend on others, they enter or avoid poverty by their
family economic situation. Hence children cannot change family condition by
themselves until they are Adult. The relative income profound poverty influence
children functionalities on daily bases such as inadequate nutrition, more
moderate learning outcomes experienced and lower quality of schools. Due to
their physical environment, are exposed to depression and Anxiety.

A child from lower income family may be exposed to
the dangers of domestic violence and homelessness, dangerous streets and
sometimes have less access to friends and services. According to the
United Nations and sustainable development Goal 1(2000). Children from
low-income families tend to suffer a higher incidence of health issues through
life development compared to the children from an affluent background. It plans
to end poverty 2030 in all its form. It also plans to ensure social protection
for the poor and vulnerable.



easy will look at the social capital in Nottingham city in relation to

study will look at the issues around social exclusion, education and mortality
rate. Buck et al. (2015) defined health inequalities as any significant
disparities in health between individuals and different groups in society, and
these variations could exist in housing and employment, income lifestyle and
access to quality and safe healthcare and other services. People who live in a
bad neighbourhood with low income and deprivation may have lower life
expectancy and disability-free life expectancy. Health services should meet the
individual’s needs through the application of knowledge focusing on prevention
as well as remediate of problems and commitment to the improvement of the
overall quality of life in the population.

The purposes of establishing: the joint health and wellbeing strategy in
Nottingham city council  is to draw a
master plan to tackle and reduce health inequalities as well improve health
outcomes for Nottingham citizens. The program run by Nottingham city council
health and wellbeing board has a five years project (2010-2015) then it has
been extended from 2015-2020. The plan and strategic priorities it has
identified to achieve this goal through a partnership with leaders from the
council clinical commissioning groups, and acute hospital Trust as well as the
mental health and social care Trust and Nottingham city council. The health and
wellbeing board has the mandate to evaluate and understand the future health
and social care needs in line with the joint strategic Needs assessment.