 Thank you. I call on Claire Hawking minister. Ten minutes please. Thank you very much. We all have mental health. This is a simple truth, but one that hasn't shaped the services supporting our health and wellbeing. For generations, mental health has been misunderstood and stigmatised. It hasn't been treated as importantly or as comprehensively as physical health. I know that there is a consensus across this chamber that this needs to change. This Government is absolutely committed to bringing change to people's lives. We made Scotland the first nation in the world to introduce a waiting times target for CAMHS and the first in the UK to have a target for psychological therapies. In 2017, we declared our ambition with a 10-year mental health strategy. Now we are raising the bar further. We have an unprecedented opportunity to build a world-class mental health system that works for everyone. Today I will set out how we will do this. We have already committed £1.25 billion of additional investment through our programme for government. Through a comprehensive package, we will take action to reform children and young people's mental health services, improve specialist services for all who need them, take a 21st century approach to adult mental health, respect, protect and fulfil rights and make suicide prevention everybody's business. I will start with the services that support our children and young people. Although they are seeing more people than ever, waiting times for specialist services are unacceptable. There are gaps in the community support available for children and young people with less acute issues and there is put out of our help available at times of crisis. We have not shied away from open and honest discussions about those challenges. Indeed, we commissioned an audit of rejected referrals. When that report was published in June, we accepted all of its recommendations. It is why we established a joint task force with COSLA under the chair of Dr Dame Denise Coyer to look at children and young people's mental health. Dame Denise published her initial recommendations in September. I am pleased that today the task force has published its delivery plan. It is an ambitious programme of work that will inform what the whole of the public sector and beyond can do to realise our shared ambitions. To support that work, today, I announce that we will invest £4 million in additional CAMHS staff across Scotland. That will be distributed through NHS Education in Scotland. Those staff will be instrumental in supporting the new services announced in the programme for government, as well as reducing pressure in the existing system. It is right that we are taking immediate action to support the workforce, as it is the heart of our efforts for better mental health in Scotland. I want to give my thanks to the essential work and inspiring commitment of those working with children, young people and adults with mental health issues. The programme for government makes clear our commitment to rapid significant change. Mental health is at its heart. I want to ensure that we progress this work quickly and effectively. For that reason, I am pleased to publish a delivery plan that sets out how we will use the resources and commitment in the programme for government to reform and improve mental health services in Scotland. That delivery plan presents a comprehensive reform of support for children and young people. We will substantially expand the range of perinatal support available to women. From next year, we will provide the educational tools to meet workforce needs, recruit and train primary care psychological therapists and roll out effective models of supporting perinatal and infant health. We will ensure that early intervention to support children and young people is embedded in our schools. We will invest more than £60 million in additional school counselling services across all of Scotland and create around 350 counsellors in school education. We will have additional 250 school nurses in place by 2022. We will enhance support and professional learning materials for teachers on good mental health. By the end of 2019-20 academic year, every local authority will be offered training for teachers in mental health first aid. In further and higher education, we will provide more than 80 additional counsellors over the next four years through an investment of around £20 million. We will improve services for community and mental wellbeing for five to 24-year-olds and their families. We want them to have direct and immediate access to counselling sessions, self-care advice and family and peer-to-peer support. During 2019, we will expand the successful distress brief intervention programme to include people under the age of 18. We will make mental health and suicide prevention training mandatory for all NHS staff who receive mandatory physical health training. I will now turn to waiting times. In recent years, performance has varied across Scotland. Some NHS boards have regularly met or been close to meeting the 18-week waiting times standards. Others have struggled to deliver over a sustained period. The Scottish Government is already investing £54 million over four years to improve access to mental health services, but we are not yet seeing the improvement that we need, so we are going to intensify our actions. All NHS boards will have in place plans to drive rapid improvement by spring next year. NHS Healthcare Improvement Scotland will work with all NHS boards to support those plans, and that will ensure that people get the right help at the right time without being subjected to unnecessarily long weeks. That work will be overseen by a new mental health delivery board, which I will chair. It will ensure that progress is tracked regularly and that any obstacles are quickly addressed. This group will drive the actions that are set out in the programme for government delivery plan. I will report on progress to Parliament in the autumn. It is equally vital that adult mental health services are considered in a coherent and complementary way. We will need to put in place a much broader range of services to ensure that our approach is preventative and provides the right treatment at the right time. Our broader healthcare services, community services and wider society need to help people across Scotland to maximise good mental health. We all need to promote what good mental health means in the same way that we promote what it means to be physically healthy. We will drive that change through investments in changing primary care, our work on distressed brief interventions, better access to mental health professionals and our commitment to seeing the delivery of the access waiting times standards. Alongside that work, we will help people across Scotland to benefit from digital services such as NHS inform, breathing space and online cognitive behaviour therapy. The programme for government delivery plan sets out clear actions and timescales for doing that. We are also working to protect and realise our commitments to our rights-braced approach. There are currently two major reviews under way on reform of the Adults Within Capacity Act and a review of how the Mental Health Act meets the needs of those with learning disability and autism. We will continue to support stakeholders who are working to ensure that people can fully enjoy their rights, free from stigma and discrimination. In August, we published Scotland's Suicide Prevention Action Plan, Every Life Matters, setting out our vision of a Scotland where suicide is preventable, where help and support is available to anyone contemplating suicide, as well as to those who have lost a loved one. As the plan makes clear, I want to build in our good work by reducing the suicide rate by a further 20 per cent by 2022. Collaborative leadership must be at the heart of our approach, which is why we established a national suicide prevention leadership group under the chair of former Deputy Chief Constable Rose Fitzpatrick. The group will set out its plans to make this happen shortly, and its work will be backed by £3 million in funding over the course of this Parliament. We need bold, dynamic thinking to ensure that our mental health and wellbeing is supported as well as our physical health. I am determined to accelerate the pace of change. I have mentioned the word reform several times during this speech, and that is what we will see. Achieving this will be dependent on delivering change across the whole system. We will work in partnership with local government and others. We must all recognise the role that we have to play and the importance of getting this right together. We must do this in a way that ensures that the rights of individuals are always placed at the centre of decision making. It is not just what we do, but how we do it. This is essential to making lives better, to fostering recovery and hope, and to bringing the real and decisive change that Scotland wants to see. I have 20 minutes to allow questions on her statement, so can I ask those members who wish to ask a question to press their request-to-speak buttons down? I call Annie Wells, please. Thank you, Deputy Presiding Officer, and thank you to the minister for foresight of her statement. I welcome the report. There is no one across the chamber who does not want to see mental health be given the commitment that it needs. However, there are still questions that need to be asked. At the moment, almost a third of children are not being seen from mental health treatment within 18 weeks, which is completely unacceptable. The task force has recommended a reduction to 12 weeks, which is still extremely long time to wait, and yet there is no mention of that in the minister's statement. Can the minister tell us if the Scottish Government intends to just wait in times to 12 weeks, and will the minister make a personal commitment to solving the CAMHS crisis by this time next year? Despite a whole section dedicated to workforce priorities in the draft budget, there was absolutely no mention of the commitment to recruit 800 additional mental health workers, bearing in mind that only three community-linked workers were recruited between January and September of this year, despite the Scottish Government's commitment to recruit 250 by the end of this session. Can the minister tell me what progress has been made? I thank Annie Wells for her question. I am grateful for her support in improving mental health care across our country. This morning, the Children and Young People's mental health task force launched their delivery plan as she alluded to. The group co-chaired by Dame Dr Denise Coyer and a member of the youth commission and chaired by her and a member of the youth commission was commissioned by the Scottish Government in partnership with COSLA and reported to both of us. In addition, this morning, I announced an additional £4 million for CAMHS services to increase staffing levels, which are already at a record high. Those additional staff will help to increase capacity in the system and help to drive forward some of the changes that we need to increase early intervention and to promote mental health and wellbeing, and that in turn will help us to reduce demand for specialist services, allowing specialist services to see and treat children and young people who require more specialist treatment more quickly. Getting children and young people the appropriate help and support that they need when they need it is a Scottish Government priority. You asked about the 800 additional workers, and I am quite happy to give Annie Wells an update on where we are there. Integrated authorities have devolved responsibility for health and social care for their areas. Therefore, it is vital that they plan and take into account local needs and collaboration with the relevant partners to ensure that it is the best use of this additional resource. That is why the Scottish Government is currently working with integrated authorities on this commitment and how they are reaching decisions on the allocation of the additional workers to the key settings that are set out in the mental health strategy action 15 in consultation with their partners. As part of our discussions with the chief officers, we are also working on putting in place a reporting framework that will capture information on workforce allocation, the location of the workforce and details of the trajectory towards the 800 total by 2021-22. Part of the delivery board that I will be chairing will be overseeing some of that work. You do not need to make complaints off-stage. I am handling this matter. Ms Lennon, you asked your question, and you are asking about a slightly longer answer at the beginning, but afterwards I expect short questions and succinct answers, front-benchers. Monica Lennon, please. I thank the minister for her statement. Scottish Labour welcomes additional investment in mental health services and a commitment to raise the bar further. We share the same ambition for Scotland to have world-class mental health services. When the Scottish Youth Parliament published its 2016 report, Mental Health, our generation's epidemic, it was a chilling moment. I am proud that fighting for access for school-based counselling has been a labour priority in recent years. I am grateful that the Government is now committed to delivering that. It is not just in children and young people services that we need to see real change. I pay tribute today to campaigners like Darlene Murray and Karen McEwen, who have lost loved ones to suicide. Because of people like them, who have kept pressure on people like me on this Parliament, we are seeing real action being taken, but we have to keep listening to people like them and we have to go further still, because Darlene Murray is saying that it is not just taste-side where there are problems, it is all over Scotland. That is why she is calling for an inquiry nationally. Karen McEwen has said that she does not want sympathy, she wants action and she still wants answers. We will look at Dame Coye herself. No, I am afraid that I need a question. You have gone over your minute. In conclusion then, Dame Coye has also reinforced that there is still a lack of good data, so we need to fill those data gaps to complete our understanding. Does the minister agree and, while she addresses those concerns, is a full review of services something that she has taken forward through some of the announcements that she has made today? I thank Monica Lennon for her question. Again, I welcome the cross-party support for improving mental health services. I think that that should be done out with a party politic arena. As I alluded to in my statement, or as I mentioned in my statement, the suicide prevention leadership group will shortly be publishing their delivery plan. There have been on that leadership group people personally affected by bereavement by suicide. There has been a lot of input from people who have been affected by suicide. I know that Rose Fitzpatrick has met many families who are unfortunately affected by that. We will be working towards, as I said in my statement, reducing the rates of suicide by a further 20 per cent. I also agree with what Monica Lennon is saying that, certainly, data is an issue that we have come up against. Certainly, Dame Denise has identified that as an issue there, and that is one of the workstreams that she will be looking at development better data. It is also something that we will be looking at right across mental health services, and again, the mental health group that I will be chairing. I am sure that that is an issue that will come up there. I now have something about 14 minutes and 11 questions. Let us get through this in an orderly fashion. You set the bar, Ms Ewing and Annabelle Ewing. I thank the minister for her statement and say that I very much welcome the £4 million announcement to which we will fund much needed additional CAM staff across Scotland, but I have been contacted on a number of occasions by worried parents of young people not getting the timely CAM's autism assessment that they need to flourish at school. Can the minister clarify therefore what will now change in Fife as a result of her announcement today? As outlined in the task force delivery plan published this morning, we will take forward a specific workstream covering neurodevelopmental services. Young people with neurodevelopmental conditions such as autism and ADHD may require specific support with a neurodevelopmental focus. They may also benefit from specialist clinical CAMs. Additionally, I understand that NHS Fife has recently undertaken an ASD service redesign for their child diagnostic pathway, and this new ASD pathway will ease the waiting times in NHS Fife. Miles Briggs, followed by Fulton MacGregor. The latest data shows that 26 young people in Lothian were waiting over a year to be seen by mental health professionals, totally unacceptable. This is Scotland's young people, our future minister. Is the Scottish Government committed to a 12-week target for young people getting CAM services or not? I agree with Mr Briggs that waiting over a year is not acceptable, and that is why this morning I announced a £4 million additional funding for CAMs to look at freeing up capacity so that we can be addressing some of those longer waits, but also looking at developing the services that we need, the early intervention services that we need, which will prevent and help people, prevent them from developing a more severe illness, but also help people at an earlier stage. Fulton MacGregor, followed by Mary Fee. We know that there is a link to an exercise, leisure and relaxation techniques in mental health. How is the Government working with leisure and fitness providers, such as leisure trusts, particularly in disadvantaged communities, where access to such facilities may be more limited, to provide opportunities for everyone, including young people, to access those services as part of a comprehensive package to meet mental health needs? We need to consider barriers to participating in sport and physical activity, which are often complex and varied. We need to help people to overcome those issues and to enjoy the clear benefits that sport and physical activity can have on their physical and mental health. Adopting a person-centred approach and delivering them consistently across the sport and physical activity community, we can create services and activities that make the needs of communities and target groups. In partnership with Sport Scotland, the Robertson Trust and Spirit 2012, we have already invested £1 million to community-based sport and physical activity projects in Scotland in a new changing life through sport and physical activity fund managed by Spirit 2012, aimed at changing lives and creating a more inclusive and healthier nation. Mary Fee, all about Alison Jordan. Can I ask the minister what specific support the Scottish Government will provide or have been recommended to provide by the task force to provide assistance to a family where a person with poor mental health has taken their own life? I am a bit confused. Is it the children and young people's task force or the suicide prevention task force? The suicide prevention leadership group is a about to deliver their delivery plan. One of the actions in that was providing support—a consistent support—for people who have been bereaved by suicide. That is an issue that has been raised with me personally. I am sure that it has been raised with many people in the chamber, families finding themselves really feeling cast adrift at a time of absolute crisis and unbelievable difficulties in their life. That is one of the actions that they will be looking at is providing consistent support for families and people who have lost a loved one, so not just confining it. Is the minister confident that the pledge to create 80 to 90 new additional councillors in further and higher education over the next four years sufficient to tackle what NUS Scotland describes as a mental health crisis in our universities? At the moment, we are carrying out a scoping exercise looking at where we currently have councillors within higher and further education so that we can better plan where we can provide those services so that they meet the needs of young people in higher and further education. The minister knows that she enjoys the support of the benches in the delivery of her work here. I am very keen and happy to see the investment in creating 350 new councillors in Scotland schools, but I am told that there are 700,000 pupils in Scottish schools and 43 per cent of them may require mental health support at any one time. That is 2,000 students or pupils per councillor. Can the minister signal to the chamber today that this is just the start of a package of investment in councillors? Does she share my view that we should see something in the order of quadrupling the number of councillors so that we can serve every child in Scotland? Thank you, Mr Cole-Hamilton. I am always happy to receive support for mental health from the Liberal Democrat benches. School councillors are not the only resource that will be available to children and young people. We are rolling out to train the trainers in mental health training and mental health first aid to each local authority by the end of academic year 2019-2020 so that teachers feel more equipped to assist children. The task force has recommended that we look at community wellbeing centres. I was at one this morning at the junction, which Mr Cole-Hamilton may well be aware of, a fantastic resource where children and young people can drop in and receive counselling without an appointment and can receive peer support. School councillors are part of a package, a layering of support, including the additional school nurses, who will have a focus on both physical and mental health wellbeing. What we envisage is that there will be fewer referrals to CAMHS because people will have alternatives. Children who require specialist services will have much more rapid access to the services that they need. I hope that reassures them. David Torrance, well by Brian Whittle. Can the minister outline what the Scottish Government is doing to reduce sickness absent from work on the grounds of poor mental health and how increased funding of £27 million in the draft budget will help with improving employees' mental health so that they can remain at work? We all know that work is good for mental health. We want to ensure that we support employers to assist people to stay in work and to support any of their employees who are experiencing poor mental health. The Scottish Government funds NHS Health Scotland to provide a range of programmes to improve mental health in the workplace, including Scottish mental health first aid training. We are committed to continuing support for this work. In our engagement paper on suicide prevention, which we published on 8 March 2018, we outlined a draft action on the development of a new mental health and suicide prevention training programme. The Scottish Government provides £1 million per year for CME's work to end mental health stigma and discrimination, and a new programme, CME in Work, has been developed to support employers to create mentally healthy workplaces. Brian Whittle, followed by James Dornan. In previous mental health statements, I have raised the point that the solutions put forward by the Scottish Government deal with those already in crisis. The Mental Health Foundation highlighted the importance of nutrition. Sam H focused on the physical activities to good mental health, as Fulton MacGregor alluded to. I ask the minister how she intends to address preventing people falling into poor mental health in the first place, perhaps starting with her healthcare professionals and teachers, given that they are so crucial to the delivery of the plan. The reason that people fall into mental ill health is quite complex. I agree that early intervention is needed and that carrying out physical activity, as I answered to Mr MacGregor and his answer, can be very good for relieving mental distress and stress. I encourage people to keep them physically active as that helps their mental health. As I said in my answer to Mr MacGregor, we have invested in physical activity and in supporting people to access physical activity in sport, which is really important. However, one of the main drivers of mental illness and mental health in this country is poverty. The party that Mr Whittle belongs to actively supports austerity, benefit sanctions and universal credit roll-out, which is promoting renter ears, homelessness and driving people to food banks. Perhaps Mr Whittle might like to think about that before he tries to tell this Government about how they should treat people with mental illness. More people than ever before are spending a large amount of time on computers and personal devices, which we know that, in some cases, can have a detrimental impact on an individual's mental health. I outline what the Scottish Government is doing to determine the scale of the issue and what plans, if any, are being made to lessen the impact. I didn't see that in the statement, but Minister. Thank you very much. It's important to point out that technology has the potential to be used in a hugely positive way. It can connect and empower people, particularly young people. The same can be said of specific uses for technology, particularly social media. In today's world, technology can also be crucial in helping young people to find the right help and support for any issues that they may be facing and to talk about how they are feeling. It can be especially powerful in the case of mental health, where many people find it easier to describe how they feel online rather than in person. However, what is important is promoting the healthy use of technology and particularly the healthy use of social media. However, we are aware of the links between unhealthy social media use and lower mental health wellbeing in children and young people. We recently commissioned a study into the reported worsening mental wellbeing of young people, specifically teenage girls, and the reasons for that. The results of that study, which will be published shortly, will include analysis of the role of technology and social media. On the welcome £4 million cash commitment to CAMHS, how will she find the doctors and deploy them to the areas that are most in need? Tayside CAMHS service had three full-time consultant vacancies out of seven this summer, with money to pay them but could not find the doctors. Now, only 41 per cent of children in Tayside are seen within 18 weeks. That is the worst statistic in Scotland. How will she make sure that doctors will go to Tayside to turn around this scandalous statistic? We are anticipating that the workforce that will be funded by the additional £4 million will be mainly psychology, nursing and allied health professionals, with a very small admin support. Emma Harper, please. I welcome the minister's statement today. I note that the implementation date for 2022 for school nurses, when the minister will be able to give us some information about the mental health counsellors in schools across Dumfries and Galloway in the south-west of Scotland. When can we expect to see the mental health counsellors in schools? We are working to strengthen child and adolescent mental health in schools and higher education. We know that prevention and early intervention make a big difference in reducing the risk of developing mental health problems. To develop the commitment for mental health counsellors in schools, we have developed a suite of aims and principles and are taking forward discussions with key partners to ensure that the commitment is met in full by September 2020. Additionally, the Scottish Funding Council and Scottish Government are considering a financial allocation from the funding committed in the programme for government to both sectors as part of the academic year 2019-20 funding allocations and to enable a first tranche of counsellors to be in place by the start of the term, commencing September 2019. I thank all of you. We reached all questions. There will be a brief pause before we move on to the next statement.