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The Scottish Government is responsible for setting the overall policy direction of mental health services, and for working with and funding NHS Health Boards and local authorities to ensure they plan and deliver appropriate local services. The design and management of these services is for local NHS Boards and local authorities to decide, and each will have their own arrangements in place.

CAMHS is a specialist mental health service and is not the correct service for children seeking a diagnosis for a neurodevelopmental condition, unless they have a co-existing mental health condition. For many young people, it is more likely that a neurodevelopmental pathway will ensure that the right help and support is provided. This approach is intended to ensure that young people who need support for their mental health from CAMHS are able to receive it in a timely manner, and also that specialist neurodevelopmental support is available whenever needed

The Scottish Government fully recognises the need for improved access to detoxification services. This is an issue we are keen to see addressed through our strategy. Improving access to effective detoxification services is essential to ensure people can access help to reduce or stop drinking safely, avoiding acute withdrawal.

We are seeing more residential rehabilitation providers being able to offer in-house detox to prepare people for rehabilitation.

We are working with providers and other partners to discuss a wider set of residential harm reduction support – this includes stabilisation, crisis care, detox and long-term care for issues such as alcohol-related brain damage.

Our forthcoming National Specification for alcohol services will emphasise the requirement to provide a full range of services, including detox.

The Scottish Government is constantly working to ensure that local services fully assess local needs to identify unmet need. Some hospitals run alcohol care teams already but there is a need for wider coverage .

This approach has been shown to improve outcomes for people and so we are encouraging local areas to establish teams like these wherever appropriate.

The publication of the UK Clinical Guidelines for Alcohol Treatment later this year will provide local areas with clear guidance to ensure appropriate pathways and treatment services are available for those who need support.

The guidance is expected to be published before summer recess.

The Scottish Government is committed to tackling digital exclusion. We recognise that some groups, including older people and low-income households, often face additional barriers to digital participation and we are addressing those through a range of initiatives.

The Connecting Scotland programme, delivered in partnership with the Scottish Council for Voluntary Organisations, has provided over 61,000 internet-enabled devices, connectivity, and digital skills support to those in need, including targeted support for older people and low-income households.

Building on this, since August 2023 Connecting Scotland has funded 39 local digital inclusion projects. This includes device-lending libraries, social housing initiatives, and place-based schemes. The most recent data shows that the majority of these projects have supported older people and low-income households to gain digital access and develop digital skills and confidence.

The £2 million Digital Inclusion Programme has supported 20 projects, focusing on digital inclusion in mental health and housing. Delivered in partnership with the Scottish Council for Voluntary Organisations, the Programme has benefited over 3,500 people, helping them to access services and support online, develop essential digital skills, and improve their wellbeing. It has also supported over 600 staff and volunteers, and trained over 300 digital champions.

In addition, the Scottish Government continues to deliver the £3.2 million Digital Lifelines Programme, which has supported over 5,000 people at risk of drug-related death to access digital devices, skills and affordable connectivity, and has trained over 500 people as digital inclusion champions.

The Scottish Government’s work to tackle digital exclusion is underpinned by programmes that are delivering resilient digital connectivity infrastructure. Our £600+ million Reaching 100% (R100) programme is connecting homes and businesses across Scotland and throughout 2025 we will continue to award Project Gigabit in Scotland contracts, building on R100’s transformational impact. Overall, more than one million faster broadband connections have been delivered in Scotland in the last ten years, deploying over £1 billion of publicly driven investment.

We will continue working to make services as accessible and inclusive as possible, so that no-one is left behind. However, we also recognise that engaging with digital services is a choice and non-digital options for accessing public services will remain available for those whose needs are best served in this way.

We expect NHS Boards to follow the National Child and Adolescent Mental Health Services (CAMHS) specification, which includes a clear expectation that children and young people whose referral is not accepted for CAMHS are sensitively and appropriately signposted to a more suitable service.

Some of these services are likely to be community based and we continue to invest £15 million per annum in funding to these supports, which will continue through the local government finance settlement from 2025-26. Local authorities report that nearly 83,000 children, young people and their family members accessed community-based mental health support between July 2023 and March 2024. Alongside this, we are ensuring access to counselling services in all secondary schools, and continue to support local authorities with £16million a year.

Appropriate redirection and alternative support will vary across NHS Boards depending on the services available locally, and the needs of the child or young person involved. While we have made significant progress in improving mental health and wellbeing services for children and young people since 2018, we continue to work closely with Boards to understand the reasons for non-accepted referrals and to ensure that the criteria in the CAMHS specification are being met.

Additionally, Public Health Scotland has started publishing data from the CAMHS and Psychological Therapies National Dataset (CAPTND), including referrals to CAMHS by sex, age and SIMD as well as reasons for referral not being accepted. Health Boards are also working with PHS and Directors of eHealth to enable the collection and publication of additional information this year.

CAPTND is still under development, and any inferences or conclusions drawn from this data should be treated with caution. Work is ongoing between NHS Boards, Public Health Scotland, and the Scottish Government to improve the consistency and completeness of the information.

The Public Health Scotland CAMHS statistics capture children and young people who meet the CAMHS criteria. Children and Young People and their families who have requested support for their neurodevelopmental needs but do not meet the CAMHS criteria are not reported in these statistics.

However, the statistics do capture those children and young people who are on the waiting list and have mental health concerns comorbid with neurodevelopmental issues.

Data relating to the number of children waiting for a neurodevelopmental diagnosis is not currently nationally reported or published. However Health Boards should hold their own data on who is waiting for a neurodevelopmental diagnosis.

It is also important to recognise that not all children seeking a diagnosis will meet diagnostic criteria but may still have support needs. That is why our National Neurodevelopmental Specification makes clear that support should be put in place to meet the child or young person’s requirements when they need it and should not be dependent on a formal diagnosis.

We acknowledge that work is needed to improve the quality of data that we have on neurodevelopmental support and services, including a better understanding of current levels of need and the level of support children and young people currently receive.

We are working with Health Boards and local authorities to improve our understanding of what data is available, and how this could be used to support improvements for children and families.

In August, we published our action plan on relationships and behaviour in schools, jointly with COSLA. This includes a specific action on empowering staff through provision of relevant professional learning to support relationships and behaviour approaches and practice and to respond to emerging trends in behaviour.

Education Scotland offers a wide range of professional learning to support the prevention of distressed and distressing behaviour. This includes professional learning on relationships, emotional regulation, de-escalation, expectations and consequences, restorative approaches and trauma.

As set out in the Relationships and Behaviour in Schools Action Plan 2024-27 Progress Report, published in March 2025, Education Scotland has delivered in-person professional learning to probation teachers on Being Restorative and on Expectations and Consequences.

Local authorities have responsibly for the delivery of education, which includes ensuring all employees receive adequate training.

This question relates to operational matters that are the responsibility of the Scottish Court and Tribunals Service (SCTS) corporate body. The question has been passed to the Chief Executive of the SCTS who reply in writing within 20 days.

There will always be referrals to CAMHS that are not accepted as CAMHS only provide the right support for a small proportion of children and young people. Children who require neurodevelopmental support are not reported in these statistics unless they have co-morbid mental health issues, but may be included within total referral figures, leading to lower accepted referral rates in some Boards.

Public Health Scotland has started publishing data from the CAMHS and Psychological Therapies National Dataset (CAPTND), including referrals to CAMHS by sex, age and SIMD as well as reasons for referral not being accepted.

However, CAPTND is still under development, and any inferences or conclusions drawn from this data should be treated with caution. Work is ongoing between NHS Boards, Public Health Scotland, and the Scottish Government to improve the consistency and completeness of the information.