Drug use to tackle mental health conditions in Tayside and Fife has rocketed by nearly two-thirds, it has been revealed.
NHS Tayside has increased its use of anti-depressants by more than 73% since 2007/8, while treatments for psychosis and related disorders have risen by 42%.
Pharmacies under the health board handed out nearly twice as much dementia medication, an extra 95%, and there was also an increase in the number of doses used to treat ADHD of nearly 175%.
NHS Fife recorded a slower rise in every treatment type except anti-depressants, where there was an increase of more than 90%. However, it experienced an overall rise of nearly 65%.
Only hypnotics doses decreased, with a drop of nearly 11% for Tayside and just over 2% for Fife. NHS Tayside, which paid out nearly £9.5 million for mental health drugs last year, an increase of more than 37% on 2016/17, insisted drug therapy can be important to recovery.
A spokeswoman said: “Increased levels of identification and diagnosis of mental health conditions, including dementia, means that more patients are accessing important treatments that can improve quality of life.”
Three Scottish NHS boards are spending less on child mental health services than last year despite failing to meet waiting times, the BBC has learned.
The 18-week waiting time standard was met by six of Scotland’s 14 NHS boards in the last quarter.
One of the health boards that cut funding – Grampian – met the target in just a third of cases and had an average wait of 21 weeks.
Tayside and Lothian also reduced the amount spent on child mental health.
Freedom of information
NHS Lothian, which cut funding by the largest amount (£390,000), saw just 57% of child referrals within the 18-week target during the last quarter.
NHS Grampian and NHS Tayside both cut spending by £80,000. Tayside could not provide waiting time figures for the last quarter due to data management changes.
The spending figures come from freedom of information requests made by Dr Richard Simpson, the former MSP and Labour public health spokesman, who is honorary professor of health sciences at the University of Stirling.
He received responses from Scotland’s 11 mainland health boards – three cut spending, one reported no change, another three increased spending by less than inflation and four put up funding by substantially more than last year.
Despite large percentage rises in spending on CAMHS (child and adolescent mental health services) in Ayrshire and Arran (10.57%), Lanarkshire (9.76%), Highland (8.96%) and Forth Valley (7.42%), the overall spending for the 11 mainland NHS boards rose by less than inflation.
The Scottish government has set a standard to deliver a maximum wait of 18 weeks from referral to treatment. It wants to deliver this in at least 90% of cases.
The average waits have been rising during 2017 and the percentage seen within the 18-week target has dropped from 82.5% at the end of last year to 73.3% in the three months to September.
Grampian was the worst performer (33.1%), whereas Glasgow and Clyde saw almost all patients within the target time (97.8%).
Gordon from Bathgate in West Lothian said he was assessed three times for CAMHS between the ages of 16 and 18 but was told they could not help him.
He said he was suffering from insomnia, anxiety and hallucinations but was told his problems related to his autism.
Gordon said: “In order to manage the burden on their waiting lists people are just getting shoved to one side and told to find another service for help. It is dangerous.”
When Gordon became 18 he was able to access adult mental health services and has now been proscribed anti-psychotic drugs.
“All I wanted was help and now I have got that my life has improved quite a lot,” he said.
Dr Simpson told the BBC he was “shocked” that boards were cutting funding when waiting times targets were not being met.
He said: “The NHS in Scotland is centrally managed and there is no excuse for the government not asking for the figures and then in the annual review of the health boards saying to them ‘this is unacceptable’.
“It is disgraceful that this is allowed to occur.”
Dr Simpson said the government should be imposing themselves on the health boards and “if necessary, ring-fencing the money”.
Kenny Graham, head of education at Falkland House residential school and a spokesman for the Scottish Children’s Services Coalition (SCSC), said he found the funding cuts “very disappointing”.
“The spending levels are low anyway but to discover a number of health boards are reducing spending despite not meeting agreed targets is worrying,” he said.
Mr Graham said that for children suffering with symptoms such as anxiety, depression, behavioural issues or ADHD any wait would be difficult but waiting times beyond 18 weeks can be “really challenging”.
An NHS Grampian spokeswoman said they were currently recruiting for additional clinical staff.
In the meantime, she said NHS Grampian was focused on seeing the children “requiring urgent and emergency appointments”.
She said the service “regrets that our waiting time continues to fall short” and they are reviewing all options to improve matters.