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The purpose of this paper is to describe the work of the Children and Young People's Programme of Time to Change, which is England's biggest campaign to end the stigma and discrimination that surrounds mental health.

The paper draws upon research into the nature and effects of mental health stigma and discrimination on young people and also outlines the strategy of the Time to Change campaign and its initial outcomes.

The paper includes testimonies from young people with lived experience of mental health problems about the stigma and discrimination they have faced. It also outlines the aims, objectives and stages of implementation of the Time to Change Children and Young People's Programme. The paper particularly focuses on the campaign work undertaken in secondary schools, the social leadership programme for young people with lived experience of mental health problems and the process of designing effective campaign messaging for social media.

Time to Change is England's biggest campaign to end the stigma and discrimination that surrounds mental health. This paper provides a unique insight into the process of developing and rolling out an anti-stigma campaign for young people.

Describes using drama to raise some of the main health issues facing young people, inform them about local services and give them an opportunity to explore their fears and anxieties about accessing services in a rural area. The drama was targeted at 14‐15‐year‐olds on two consecutive years. In the first year, the drama was performed by actors; and the second year, the script was re‐written and performed by college students. The effectiveness of each year’s production was evaluated. Both years’ productions were seen by about 800 young people. In both years the evaluation showed that the drama was successful in informing young people about local health services and addressed their main anxieties; but in the second year, many of the young people commented positively on the age of the cast and how they identified with both them and their portrayal of the issues. As a result, the drama has become a regular yearly event in the secondary schools in this rural area.

Young people with learning disabilities are at risk of developing mental health problems. The Foundation for People with Learning Disabilities conducted a one‐year inquiry into meeting their mental health needs. This paper explores ways of supporting emotional resilience and the response of services when young people with learning disabilities experience mental distress.

In this chapter, the authors argue that technology can be advantageous to children and young people’s mental health. The authors argue that social media platforms can foster social connection, social support and access to important information to support mental health. The authors also highlight the risks, particularly the research which links technology to mental ill-health. The authors argue that the digital curriculum in schools should develop young people’s knowledge of digital literacy, digital citizenship and digital resilience. Finally, the authors explore the potential role that technological applications (apps) can play in supporting children and young people’s mental health. The authors argue that although research is in its infancy, some studies have produced promising results.

This chapter aims to give an overview of key mental health policy and service provision, highlighting the need for specific attention to Black and minority ethnic children and young people. The focus is on mental health provision in the UK provided through the statutory sector and the voluntary and community sector, the issues raised are likely to have resonance across wider geographic locations. The themes examined include: the relevance of terminology regarding race and ethnicity and related impact on the planning and provision of services; the extent to which policy and commissioning of services give due focus and attention to the mental health of Black and minority ethnic children and young people; views young people themselves have contributed on the issue; and a case study illustrating work being undertaken to redress some of the imbalances encountered by young people in accessing appropriate support. The chapter argues that the supply chain to young people receiving support that is relevant and appropriate to their needs is a long and complex one. It is fundamental to take a holistic approach and consider how the components of this chain impact specifically on the mental health of children and young people from Black and minority ethnic communities.

Child and adolescent mental health services (CAMHS) – This term refers to all services that work with children and young people to address their behavioural and emotional wellbeing needs. The services may be provided by the National Health Service (NHS), local authority, school, private sector or charitable organisation and span early intervention support through to specialist treatment.

Care Quality Commission – The independent regulator of health and social care services in England.

Commissioning – The process by which health services are procured and should be based on an up-to-date assessment and understanding of needs of the target population.

Co-production – A process for planning and delivery of health and social care services that involves partnership working and power sharing between those responsible for the planning and provision of services, service users, their family members, carers and other citizens.

National Service Framework – Ten year programmes that, until the health and social care reforms started in 2010, defined standards of care in the NHS including measurable goals within set timeframes.

Population Needs Assessments – The collection and study of relevant data to understand and estimate current and future needs of a population in order to inform the planning of services that meet identified needs.

Voluntary and Community Sector – Also referred to as the Third Sector and encompassing a diverse range of organisations, services and groups that are seen as distinct from the public (also referred to as statutory) and private sectors.

Youth Information, Advice and Counselling Services (YIACS) – Most YIACS have charitable status and provide services to young people on a range of issues, a key feature associated with YIACS is the provision of holistic, young person centred support provided under one roof.

Whilst there is growing awareness of the case for children and young people's participation in health services and health service research, there is limited evidence on how this apparent commitment to children's right to participate translates into practice.

The chapter, co-authored with and young people, draws on examples from the authors' original research and lived experience to consider the impact of the COVID-19 pandemic on children and young people's participation in the United Kingdom (UK) National Health Service (NHS). There is evidence of children and young people in the UK becoming more reliant on parents and carers as conduits for engagement and as sources of information during the pandemic. Additionally, some children and young people with special educational needs and disability and other potentially vulnerable groups have engaged less with health services and have been excluded from participating by a move to digital platforms. Conversely online and phone involvement and consultations have led to higher inclusion for others. Adapting by necessity to COVID-19 has highlighted the potential for doing things differently and developing more participatory and inclusive practice in collaboration with children, in the UK and elsewhere. It is critical that children are involved in shaping the development of participation practice which challenges and reshapes institutional practices in health services and beyond.

This study aims to explore how young people in child and adolescent mental health services (CAMHS) in the UK, Ireland, The Netherlands and Croatia, experienced leaving CAMHS and identified a range of factors impeding optimal discharge or transition to adult mental health services (AMHS).

Interviews about discharge or transition planning, including what information was provided about their ongoing mental health needs, undertaken with 34 young people aged 17–24, all previous or current attendees of CAMHS. Some interviews included accounts by parents or carers. Data were thematically analysed.

A number of previously well-documented barriers to a well-delivered discharge or transition were noted. Two issues less frequently reported on were identified and further discussed; they are the provision of an adequately explained, timely and appropriately used diagnosis and post-CAMHS medication management. Overall, planning processes for discharging or transitioning young people from CAMHS are often sub-optimal. Practice with regard to how and when young people are given a diagnosis and arrangements for the continuation of prescribed medication appear to be areas requiring improvement.

Study participants came from a large cohort involving a wide range of different services and health systems in the first pan-European study exploring the CAMHS to adult service interface. Two novel and infrequently discussed issues in the literature about young people’s mental health transitions, diagnosis and medication management were identified in this cohort and worthy of further study.

This research paper aims to examine the mental health needs of young adults and to discuss how well these are met from the vantage‐point of the patients. Young adulthood is identified as an epidemiological risk for developing mental health problems and so the care provided during these developmental years is investigated to assess efficacy and experience.

After interviewing 35 young adults, it was found most people are aware of the genesis to their problems and have strong views about the level of support and types of treatments offered.

Like other writings, this research finds that many of the needs presented by young adults are unique to this transitional phase in life and administratively determined age structures on which current mental health care is configured do not adequately meet these needs.

The small sample size (35) and the geographical region covered means caution should be exercised in drawing any generalisations. Further research on outcomes after the mid‐20s by reflecting on service experience during the 18‐25 transformational years would be a useful area for exploration.

This paper makes some powerful recommendations on why service provision must meet service user needs and how the recent equality legislation may provide impetus to this. All of this needs to start with examining the age boundaries on which mental healthcare is designed.

This work complements the existing literature in this field by giving a voice to the subjects of this research.