New Review Calls for Earlier Mental Health and Neurodiversity Support in Schools

The report titled “Independent review into mental health conditions, ADHD and autism”, highlights growing levels of mental distress among children and young people and warns that current systems are struggling to keep up with demand. It found that rates of anxiety, depression, self-harm and eating disorders have risen significantly, particularly among younger people. The review notes that referrals for ADHD and autism assessments have increased dramatically in recent years, leading to long waiting lists. By the end of 2025, more than 560,000 people were waiting for ADHD assessments and over 254,000 had open autism referrals.  

For schools, one of the report’s most important messages is that support should not depend solely on a formal diagnosis. The review recommends moving away from a “diagnosis-dependent” system towards a “needs-led plus diagnosis” approach, ensuring children receive appropriate support before, during and after assessment. The report also recognises the growing number of pupils with multiple, overlapping needs and highlights the importance of understanding the whole child rather than focusing on a single condition. It stresses that participation in education, relationships and community life should be part of the key measures of success.

Among its recommendations are stronger early intervention, better collaboration between health, education and care services, improved access to evidence-based support, and increased investment in community and youth services. The review also calls for a national public information campaign and a new cross-government mental health strategy.

The findings are likely to be of particular interest to school leaders, SEND professionals and pastoral teams as they consider how best to support rising levels of need while promoting inclusion, wellbeing and participation for all pupils.