Abstract

This literature review examines the experiences of children and young people (aged 7–17) with mild to moderate mental health needs who face prolonged waits—often exceeding 50 weeks—for support in the UK. Drawing on quantitative, qualitative, and mixed-method studies, it highlights the emotional and psychological consequences of delayed care, including heightened low mood, anxiety, and self-harm. Quantitative studies demonstrate significant correlations between longer waits and the escalation of symptom severity. Structural inequalities linked to ethnicity, socio-economic status, and self-advocacy further shape these experiences. While some young people attempt coping strategies during the wait, these are often improvised, fragile, and unsustainable, frequently leading to resignation or disengagement. Emerging models, such as school-based Mental Health Support Teams (MHSTs), show potential, though research capturing young people’s own perspectives remains limited.

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