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Introduction: This essay on mental ill
health in children and young persons in Nottingham will focus on Anxiety and
depression in children and young person’s 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 group. 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 are the ones 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 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 budget.

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.  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 community.


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 easy 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.

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