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Young people in England's coastal towns three times more likely to have a mental health condition

Young people in England's coastal towns three times more likely to have a mental health condition

The Guardiana day ago
Young people living in the most deprived stretches of England's coastline are three times more likely to be living with an undiagnosed mental health condition than their peers inland, according to new research.
This 'coastal mental health gap' means that young people in these towns, which include areas of Tendring on the east coast and Blackpool and Liverpool to the west, are suffering disproportionately, often alone and with no help, said the researchers who conducted the study.
Over the next year, the Against the Tide project from the Guardian's Seascape team will be reporting on the lives of young people in coastal communities across England and Wales.
Young people in many of England's coastal towns are disproportionately likely to face poverty, poor housing, lower educational attainment and employment opportunities than their peers in equivalent inland areas. In the most deprived coastal towns they can be left to struggle with crumbling and stripped back public services and transport systems that limit their life choices.
For the next 12 months, accompanied by documentary photographer Polly Braden, we will travel up and down the country to port towns, seaside resorts and former fishing villages to ask 16- to 25-year-olds to tell us about their lives and how they feel about the places they live.
By putting their voices at the front and centre of our reporting, we want to examine what kind of changes they need to build the futures they want for themselves.
'We don't yet know why these young people are being left out but one reason might be that they are not demanding the help in the way the older generation is, or if they are, they are not having their voices heard,' said Emily Murray, director of Essex University's centre for coastal communities. The study found that the opposite is true for older people living in the same communities, who were a third less likely to have undiagnosed mental health problems than people the same age living inland in similar areas of deprivation.
The Essex researchers, led by Claire Wicks, studied data from 28,000 adults across the UK to see how different generations experience life in Britain. They looked at the responses from adults living in coastal communities and inland in England between 2018 and 2023 who scored highly against a widely accepted measure of mental distress but where they had not had a diagnosis. Deprivation was determined using the official indices from the Ministry of Housing, Communities and Local Government.
Four years ago, a report by England's chief medical officer, Chris Whitty, found that diagnosed mental health problems were disproportionately higher among young people in coastal areas.
Separate work by the University of Essex and University College London (UCL), also seen by the Guardian, found a range of factors at play. These included higher levels of poverty but also lower rates of progression to higher education and higher crime levels in the places they live.
The primary explanation for the disproportionate levels of mental health is the economic and social challenges that people face who live in these communities, said Murray. Household incomes and private renting are key factors.
'Young people on the coast are more likely to be living in areas where incomes are lower and more families are renting from private landlords,' she said. 'On top of that they often live in areas that are geographically isolated, making it harder to reach places where there are more economic and healthcare opportunities.'
Ceilidh Bardsley, 21, who lives in Weston-super-Mare, described living in a town where it feels as if tourists are given priority. 'A lot of emphasis is put into the main seafront for things to look nice' she said. 'But then you look around the estates, and there are potholes everywhere, shop fronts are falling down and there's mould in many of the houses.'
Twenty-year-old Levi, who has lived in Southend all his life, said that it was an 'amazing' place. 'But growing up, seeing how many places have closed down, it feels like Southend is getting worse, not better. I couldn't imagine wanting to bring up children here.'
Separately, the UCL researchers went round the country talking to dozens of policymakers and local practitioners about what could drive change in coastal areas. Many said that what was needed was to champion young people's voices and focus on what local people need and want.
'I think letting people make decisions is massive, is so important in our town,' said one practitioner in Barrow, in the north-west. 'Don't bring consultants in to tell our communities what they need. Come and talk to us.'
Others talked about the need for long-term, sustainable public-sector funding to run youth services and community projects, and to train and retain staff, as well as for money to be targeted specifically towards young people in coastal places.
Prof Sheena Asthana, co-director of the Centre for Coastal Communities at the University of Plymouth, said: 'The Essex research confirms our own analysis that signals of poor mental health among young people, such as hospital admissions for self-harm, are disproportionately higher on the coast.
'The very high rates of undiagnosed mental health in deprived coastal areas suggest that the government might want to explore whether long waiting times for children and young people's mental health services are to blame.'
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‘They're holding me up and helping me get through': why campus welfare is there whenever you need it
‘They're holding me up and helping me get through': why campus welfare is there whenever you need it

The Guardian

timean hour ago

  • The Guardian

‘They're holding me up and helping me get through': why campus welfare is there whenever you need it

University can be a fun and exciting experience, but it can also be challenging in different ways. When Becca Tenney began her occupational therapy degree at the University of Salford in 2024, she wasn't sure she'd make it through the year. A history of hospital admissions for an eating disorder and depression had left her apprehensive. 'Things had got really bad,' she says. 'But I approached Salford, and they were amazing from the get-go. They put me in touch with my head of year, I've got extra time and extensions in place if I need them and if I'm having a bad day my lecturers check in on me.' Now, at the end of her first year at Salford, she is feeling optimistic. She loves her course and has made lots of friends in her cohort. 'It's like I've got a whole team behind me. They're holding me up and helping me get through.' Looking after the wellbeing of students has never been more important. Today, student welfare is no longer treated as an add-on, it is baked into the university experience. From managing mental health to coping with disability, flatmate fallouts or financial pressures, dedicated support is increasingly accessible and visible. 'Universities take the welfare of students very seriously,' says Nick Hillman, director of the Higher Education Policy Institute. There is growing demand for these services among young people and the sector is adapting. 'It is no longer a taboo subject,' he says. Manuel Souto-Otero, a professor at the University of Bristol's school of education, says: 'This is not an easy time to be a student.' Pressures are stacking up – part-time jobs, the cost-of-living crisis, long commutes and caring responsibilities. 'There are a lot of demands on young people in higher education.' Support often starts before freshers even set foot on campus. Prospective students can flag existing needs on their Ucas application or disclose them ahead of enrolment. Once on campus, personal tutors are often the first port of call. University websites typically offer plenty of guidance, and campuses are dotted with posters and social media campaigns signposting students towards help. At Northumbria University, a 24/7 team is in place to triage and respond to wellbeing queries. 'We've got a physical help desk, students can raise concerns via the portal or just pick up the phone,' says Vashti Hutton, director of student life and wellbeing. The University of Derby has a similar setup. 'Whether students are after a quick chat or in-depth support, we direct students to the help they need,' says Sarah Richardson, head of student services. These include drop-ins, workshops, apps, digital tools and one-to-one appointments. 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The message from professionals is clear: don't wait for a crisis. Support services can get busy, and reaching out early can make all the difference. John Rimington Wilson, 18, has Duchenne muscular dystrophy and was anxious about starting his graphic design degree at Sheffield Hallam last year. But early conversations with staff were reassuring. 'Before I started, I met with my lecturer, and they talked me through everything,' he says. 'They made me feel really comfortable. The university is clued-up and I feel like I'm in good hands.' You can contact the mental health charity Mind by calling 0300 123 3393 or visiting For more guidance on the right course for you, check out the Guardian university league tables for 2025. The Guardian league tables for 2026 will be out on 13 September in print and online

Behind closed doors: what I saw as a nurse on a psychiatric ward
Behind closed doors: what I saw as a nurse on a psychiatric ward

Times

time2 hours ago

  • Times

Behind closed doors: what I saw as a nurse on a psychiatric ward

'My God, I hope I never get mentally ill,' says a doctor in Fragile Minds, an account of life on psychiatric wards in Britain. You can only agree with her. The book — by Bella Jackson, a trainee mental health nurse so shocked by what she witnessed that she left the profession — reads like a cross between One Flew Over the Cuckoo's Nest and Nineteen Eighty-Four. But as she says when we meet, 'This is now.' A rape victim is slapped with a diagnosis of personality disorder (PD) and called 'attention-seeking'. Her request to be assessed by a female is refused as she's 'manipulative'. A man dares to tell the consultant his medication is causing chest pain. He's threatened with 'seclusion''. He pleads, in tears, but is made to feel like nothing, bullied into meekly submitting. As he was as a child, you imagine. 'It's re-traumatising,' Jackson says. Jackson — now 41, a therapist in private practice and mental health mentor, in London — had worked in social care and in prisons for five years when she began training as a psychiatric nurse on NHS acute mental health wards and centres in the south of England 'within the last ten years', she says, vague to preserve confidentiality. She was stunned by the 'dissociation' of staff. She wanted to believe the doctors knew best, but instinctively felt something was 'very wrong'. Her university tutor agreed there was 'bad practice', but not enough for anyone to do anything. 'There are pockets of good care,' he told her, 'but there is a lot of this.' She thought: 'Can't we complain?' She's taken aside, told not to ask so many questions. 'I want people to see what's happening behind these closed doors,' she says now, so they can 'protect themselves and their loved ones, if they are involved in mental health services'. So they know what questions to ask. Too often, 'We assume the answers we are being given are the correct ones.' She says: 'You need to be curious. When it comes to mental health, the expert on us is us.' This affects us all. It's alarmingly easy for anyone to be locked away. 'There wasn't consistency — of diagnosis, of sectioning,' Jackson says. 'It was so bizarre to see this incredibly important decision-making be so haphazard.' She witnesses a middle-class student brought into A&E. A spiteful-sounding nurse judges her 'bipolar' and calls a psychiatrist who declares, 'She's totally psychotic.' Jackson says: 'Hasn't she just smoked a load of spice?' A clinician can argue that drug-taking has 'activated' an underlying illness. People aren't believed. The shrink says: 'She thinks she's a famous singer.' Jackson looks up the girl on her phone — she's a folk singer. Only her family turning up, refusing antipsychotics — and the lack of an available bed — avoid her being admitted to an acute psychiatric ward. • Read more expert advice on healthy living, fitness and wellbeing Once someone's in the system, labelled with, for example, schizophrenia, PD (often 'weaponised') or delusional disorder, anything they say can be paranoia. Racism features, a lot. An African woman insists she's been sectioned because her kids want her house. Crazy. But it turns out she's sane enough to get a diplomat from her country of origin to order her release. Another inpatient, in his fifties, characterised as sharp, witty — 'I understand you, I just don't agree with you,' he tells a patronising nurse — appears to have autism. His family's request for an assessment is refused as it's 'too late'. Jackson is told 'they don't want the stigma of mental illness''. She saw little understanding of neurodiversity, and cites research that finds misdiagnosis is common. Yet, if a doctor says, ''Oh no, it's not that,' how often do we push back?' Why couldn't his family get him out? 'The legalities around sectioning would mean that it was very difficult.' On a section, you're deemed unsafe to be outside. 'You'd have to go through a tribunal. Some people did really fight to get their family members out, but a lot of people didn't.' ('How do I argue with a doctor who says my relative is unwell?') Characters are composites to protect identities, but it all happened, 'all these things were said to me,' Jackson says. She carried around a tatty notebook, 'just writing everything down, because I could not believe what was happening'. Patients' treatment by staff is frequently callous. 'Some people have good experiences,' Jackson stresses — but Fragile Minds focuses on the worst. The mentally unwell are often traumatised, yet there's no attempt to understand the context for their behaviour. When people go into services, 'they really are hopeful for compassion. It's devastating when they don't get it,' she says. 'It makes me so angry. It can really destroy us.' Most are 'boxed into a diagnosis' and medicated, often oversedated. Jackson and another decent nurse question a young man being given four daily doses of lorazepam — a benzodiazepine — as he can barely stand. They're ignored until he nearly drowns shaving — collapsing unconscious face-down in his sink. 'These medications do help a lot of people,' Jackson says. But many have severe side-effects, and also they're used 'punitively'. She saw medication used 'as a restraint on wards, to calm people down, to shut them up, put them to sleep. It's used by force, it's used through coercion — very different to someone choosing, and saying, 'This helps me.'' • Our new health crisis — we're diagnosing too much, too early One nurse says: 'I'm all about a good injection.' 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You can't then be all chatty and empathic with that patient. It's upsetting to dig deeper. Numbing yourself is 'survival mode'. So, 'You almost become this jailor.' Plus, psychiatry is hierarchical. 'There's a cruelty that comes from unchecked power. It was easy to forget that it was a person in front of you.' Ideally — 'and these things are being fought for, in the wings' — there'd be more access to psychological therapy, family therapy, arts therapy and peer-to-peer support. We need to help people to find meaning in their lives, acquire skills, agency and self-esteem, she says. 'These are all parts of us that we need to rebuild once we break down, and we can't do that stuck in a ward where there's a TV screwed to the floor and some non-throwable furniture and there's nothing else to do other than take your drugs and sit still.' And yet, she stresses, it's complex. 'The need to think about what someone's been through, and emotional connection, empathy, is so important in recovery.' But crucially, 'There's all sorts of risk with mental illness and mental distress,' so as a psychiatrist you're assessing risk: 'Is this person going to harm themselves? Harm others?' • Six-day waits and security guards: the mental health crisis crippling A&E A key question. A recent NHS survey found one in five people in Britain have a mental health condition and in 16 to 24-year-olds it's 25.8 per cent. But for all those who think, this could be my child — there are those thinking, 'What about the likes of 'the Nottingham killer'?' This paranoid schizophrenic patient, repeatedly sectioned and with a record of 'extremely serious' violence, was allowed to stop his medication and go free (despite warnings from his family). He murdered three people. We've all seen their faces. Their grieving families. Many patients Jackson encounters exhibit disturbing, frightening behaviour. Some are misunderstood rather than psychotic, she believes — and some are dangerous and violent. Not everyone can recover, surely? 'I agree with that,' she says. So when does giving the benefit of the doubt put others at risk? Jackson stresses she's not denying that some people are very disturbed and need monitoring. 'And we can wonder about what happened to them.' Distinguishing between the dangerous and the harmless, 'figuring out what the dangers are and the risks', she believes, requires 'exploration and curiosity and needing to look at the context and seeing everyone as individuals'. Not, as she saw, 'a blanket approach'. She says: 'The 'how do we get it right' question is something I can't answer.' Having left the profession shortly after qualifying, she still feels some shame that she was 'too crushed' to stay within it. But she remains 'honoured' to help people with their mental health. ('I am not a 'silent therapist',' she promises, on her website, 'and will bring warm, gentle inquisitive exploration to our sessions.') Meanwhile, what Jackson is certain of is this: 'The system we have now is not making it safer for people. It's not reducing the number of suicides or violent crimes. What we're doing now isn't working.'Fragile Minds: Stories from an NHS Mental Health Ward by Bella Jackson (Doubleday £20) is out now

You're now more likely to have mould than a 50-inch TV at home – five cheap ways to get rid of it NOW
You're now more likely to have mould than a 50-inch TV at home – five cheap ways to get rid of it NOW

The Sun

time3 hours ago

  • The Sun

You're now more likely to have mould than a 50-inch TV at home – five cheap ways to get rid of it NOW

YOUR home is more likely to have issues with mould, condensation or damp than to have a large screen TV. Six million homes have problems with mould, while an estimated five million homes have TVs with screens larger than 50 inches, according to new analysis of the Centre for Ageing Better. 1 Mould can wreak havoc on your home and health including worsening asthma, eczema and allergies, and in the most severe cases, death. The charity's report, which looked at owned homes in England, said poor housing quality hits older people the hardest, with 31% of those over 55 living in unsafe, non-decent homes. This is defined as one with a hazard or immediate threat to a person's health, not in a reasonable state of repair, without modern facilities or not effectively insulated or heated. There's a postcode lottery of housing quality across the country, with older homeowners in the East Midlands twice as likely (21%) to live in a non-decent home than those in London (10%). The highest number of non-decent homes owned by someone aged 55 and over is in the North West (212,000), followed by the South West (195,000), the South East (184,000), the East Midlands (176,000) and Yorkshire and the Humber (162,000). Meanwhile, older homeowners in the poorest 20% of the income distribution are twice as likely to live in a non-decent home as those in the richest 20%. Dr Carole Easton OBE, chief executive at the Centre for Ageing Better, said: 'Too many people are living in homes that have mould, or are damp and cold, putting their health and wellbeing at risk. 'This risk is intensified for older residents who are more vulnerable to the health consequences of living in damp, cold, and hazardous homes which can worsen conditions like asthma, heart conditions, and falls in the home, and lead to life-changing or life-threatening repercussions." How the quality of homes varies across the UK BELOW is the percentage of owned homes with a household head aged 55 and over that are non-decent. North East - 12% North West - 18% Yorkshire and the Humber - 18% West Midlands - 14% East Midlands - 21% London - 10% East of England - 12% South West - 18% South East - 12% How to get rid of condensation Condensation occurs when warm air hits a cooler surface and creates moisture. Left alone, it can create mould and mildew. To tackle mould, you want to prevent condensation from occurring in the first place. Keep your home well-ventilated We may be in the middle of summer, but you'll likely still be having a warm shower from time to time. To avoid steam clinging to your bathroom walls, make sure you open any windows and turn on any extractor fans. Keep the bathroom door closed after you've showered as well, to stop any excess steam escaping into the rest of the house. You can use the trickle vents on windows or keep a quarter light open for background ventilation. Trickle vents are small vents that can be added to the top of windows and allow a constant stream of air in and out. Dry clothes outside Hanging your wet laundry inside can create condensation as the moisture from them escapes into the air. Instead, hang your clothes up outside, even if there's a slight chance of rain. Alternatively, you can use a closed room with the window open. Try using tech If you've done everything you can to avoid excess moisture escaping into the air, try using tech such as a dehumidifier to get rid of it. They remove excess water from the air, helping to combat condensation and prevent mould growth. You don't have to spend a fortune on them either, with Dunelm selling a one litre option for just £25. You can buy moisture absorbing tabs too, and they cost as little as £6.99 for a two-pack from Screwfix. They work by absorbing any excess moisture, neutralising bad smells and can last for months. How to get rid of mould Use household items If it's too late, and any condensation has had a chance to flourish and turn into mould, you can start removing it for nothing. Experts say a few drops of washing up liquid mixed with warm water can work on smaller areas of mould on hard surfaces like walls or floors. Simply use a sponge, cloth, or brush to work the soapy solution in small circular motions over the mould. If you're trying to remove particularly stubborn mould, try a 1:1 solution of white vinegar and warm water and pour it into a spray bottle to target the affected area. If you've got a bit more in your budget, you can try a mould or mildew remover spray from your nearest supermarket or retailer. You can get it as cheap as £1.24 at Asda or £1.49 from Wilko, at the time of writing. Call in the professionals You can usually treat smaller patches of mould yourself, but if the problem has gotten out of hand, you might need to call someone in. Checkatrade says it costs £25-£35 per hour or £200-£400 per room to call someone in for mould removal. Meanwhile, if you want a specialist to come and take a look to inspect for any mould, that will cost you around £50-£300. How can I remove mould if it's already there? THERE are several easy and low-cost ways to remove mould from your home. Bleach is usually all you need if you neither own nor want to buy specialised cleaning sprays and paints. If using bleach, mix four parts of water with one part of bleach. You'll also need a stiff brush, a bucket of water with cloth, and another cloth for drying. Apply your solution to the affected areas, including a few inches around the visible mould to kill any mould not yet visible. Scrub it firmly with a strong brush. Wait as long as possible or until the mould disappears from sight and rinse the treated areas thoroughly. Pat dry the area and allow it to completely dry before moving any furniture or placing items in front of it.

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