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Teachers not adequately trained to respond to mental health problems in children

Schools and teachers, who have not received adequate training, are buckling under the strain of providing mental health support for children. A group of education and health experts, writing in the Journal of the Royal Society of Medicine, say investment in schools and teachers is urgently required to support them to promote good mental health and respond to problems.

Rates of mental illness amongst children have increased by 50% in just three years with only a quarter of children with a mental disorder receiving support from mental health professionals. Data from the Office of National Statistics shows that teachers are the most common source of support for such children. Like overstretched professionals on the frontline of healthcare, disproportionate numbers of teachers also experience poor mental health themselves.

Teachers, together with GPs and social workers, constitute ‘tier 1’ of the Child and Adolescent Mental Health Service (CAMHS) and are considered able to offer general advice and treatment for less severe problems, as well as referring to more specialist services. In practice, say the authors, teachers end up providing crucial support for children across the spectrum of need, because it is difficult to access specialist services.

The study’s lead author and former teacher, Chloe Lowry, of the Institute of Education at University College London, said: “It is both astonishing and alarming that teachers are not adequately trained for these roles. Given the essential role schools and teachers play in supporting children’s long-term health and wellbeing, and responding when problems arise, funding support from the health sector to equip this forgotten health workforce could be transformational."

The government currently funds mental health awareness training for only one teacher per school. The authors point to government research that found just 40% of classroom teachers in England report feeling equipped to teach children in their class who have mental health needs, and only 32% know how to help pupils access specialist mental health support outside school.

Another of the authors, Dame Alison Peacock, CEO of the Chartered College of Teaching, said: “Despite this background of unprecedented need, inadequate training, and a workforce eager to learn, training in promoting children’s healthy development was omitted in the final stages of the recent teacher training reforms in England, in favour of a narrow focus on improving academic attainment.”

Regardless of socio-economic status, children with better social and emotional development achieve higher GCSE results, while those with mental health difficulties are more likely to perform poorly. Research has shown that the influence of individual teachers on pupils’ mental health is as significant as their influence on academic test scores.

The authors go on to offer recommendations including integrating comprehensive training in child development, health and wellbeing into teacher training courses, as well as being provided free of charge to all current teachers. They also recommend investment in schools to become hubs for children’s services, from social workers to social prescribing link workers.

Dame Alison added: “We offer these recommendations to create a healthier education system, turning vicious cycles of poor pupil and teacher wellbeing into virtuous circles that enhance children’s long-term physical health, mental health, educational and economic outcomes.”

Notes to editors

Teachers: The forgotten health workforce (DOI: 10.1177/01410768221085692) by Chloe Lowry, Rosie Leonard-Kane, Ben Gibbs, Lisa-Maria Muller, Alison Peacock and Anant Jani will be published by the Journal of the Royal Society of Medicine at 00:05 hrs (UK time) on Friday 11 March 2022.

The link for the full text of the paper when published will be:

For further information or a copy of the paper please contact:

Rosalind Dewar

Media Office, Royal Society of Medicine

DL: +44 (0) 1580 764713

M: +44 (0) 7785 182732


The Journal of the Royal Society of Medicine (JRSM) is a leading voice in the UK and internationally for medicine and healthcare. Published continuously since 1809, JRSM features scholarly comment and clinical research. JRSM is editorially independent from the Royal Society of Medicine, and its editor is Dr Kamran Abbasi.

JRSM is a journal of the Royal Society of Medicine and it is published by SAGE Publishing.

Sara Miller McCune founded SAGE Publishing in 1965 to support the dissemination of usable knowledge and educate a global community. SAGE is a leading international provider of innovative, high-quality content publishing more than 1000 journals and over 800 new books each year, spanning a wide range of subject areas. A growing selection of library products includes archives, data, case studies and video. SAGE remains majority owned by our founder and after her lifetime will become owned by a charitable trust that secures the company’s continued independence. Principal offices are located in Los Angeles, London, New Delhi, Singapore, Washington DC and Melbourne.

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