Skip to main navigation Skip to main content
Home

Search

  • Forum
  • Join
  • News & opinion
  • About us
    • About the partnership
    • About wellbeing
    • Media centre
      • News
      • Our priorities for a new Government
      • Spokespeople
    • Partnership members

    About us

    Our vision is for every child and young person to thrive in their learning environment.

    More
    • About the partnership
    • About wellbeing
    • Media centre
    • Partnership members
    Featured

    About wellbeing

  • Partner with us
    • Join the Partnership
    • Schools forum
    • Support our work
    • We're recruiting for our new Chair

    Partner with us

    Get involved today, and help us improve the wellbeing of all children in education.

    More
    • Join the Partnership
    • Schools forum
    • Support our work
    • We're recruiting for our new Chair
    Featured

    Join the Partnership

  • Resources
    • Key resources
    • Tools for teachers and school staff
    • Whole school framework resources
    • All resources

    Resources

    Our latest resources and guides to effective mental health and wellbeing in schools.

    More
    • Key resources
    • Tools for teachers and school staff
    • Whole school framework resources
    • All resources
    Featured

    Mental health and wellbeing in primary schools: Preparing for recovery

  • Whole School
    • What is a whole school approach?
    • Why have a whole school approach?
    • Our whole school framework
    • Wellbeing award for schools

    Whole School

    Our approach to mental health and wellbeing in schools is built on a framework developed by Professor Katherine Weare in 2015.

    More
    • What is a whole school approach?
    • Why have a whole school approach?
    • Our whole school framework
    • Wellbeing award for schools
    Featured

    What is a whole school approach?

School counselling can help young people manage mental health issues despite costs

Image
A young man look intently at his laptop

Published

21 Jan 2021

Tags

News

The research, which was conducted between 2016 and 2018 across 18 London schools and surveyed 329 children aged between 13 and 16 years olds at six-week intervals, found school-based humanistic counselling led to significant reductions in pupils’ psychological distress over the long-term, compared to pupils who only received pastoral care. However, it was also revealed that this type of counselling comes at a cost, totalling between £300 and £400 per pupil.

With one in eight 5 to 19 year olds in the UK estimated to meet the criteria for a mental health disorder***, the research provides critical evidence for schools considering expansion of their mental health services.

The study found that pupils who were offered counselling services experienced significantly improved self-esteem, as well as large increases in their achievement of personal goals. The paper also calls for urgent evaluation of other mental health interventions for adolescents, such as Cognitive Behavioural Therapy (CBT) and classroom modules on emotional literacy.

The project lays important groundwork for further studies and explorations into the improvement of mental health provision for school children in the UK and costs, particularly with the ongoing impact that Covid-19 is having on young people’s mental health issues across the country.

Lead author of the paper, Mick Cooper, Professor of Counselling Psychology at the University of Roehampton, said: “Adolescence is a period of rapid change for young people and makes them particularly vulnerable to mental health problems, so studies like ours, which is the first large scale project of its type ever to be conducted in the UK, are vital to assess how mental health services can be improved in schools.

“Our analysis found that school-based humanistic counselling works and makes a difference to the well-being of pupils, albeit at a cost. However, it also highlighted the importance to continue to study the provision of mental health support in schools and how other services, such as CBT, can be employed to tackle these issues. There is pressing need for a diverse and comprehensive mental health provision and care for young people in schools across the UK, but it is essential that this is properly assessed to establish what works and what should be widely implemented to improve the mental well-being of young generations.”

Jo Holmes, Children, Young People and Families Lead at the British Association for Counselling and Psychotherapy (BACP) said: “Professionally delivered school counselling services are not cheap, and neither should they be. School counsellors are highly trained, experienced and skilled practitioners, often working with complex need and trauma linked to psychological distress. School counselling has the potential to take some of the short and long-term pressure off statutory provision, and can support young people as they transition to and from more specialist mental health services.

“Counselling provides a safe space where young people can truly explore what is worrying them, setting their own goals, tailored to meet their individual needs, and helping them to ‘off-load’ and function better in their daily lives. It delves deeply into complex thoughts, feelings and emotions and is not a short-term sticking plaster.”

The ‘Effectiveness and Cost-effectiveness Trial of Humanistic Counselling in Schools (ETHOS)’ study was carried out in collaboration with the London School of Economics (LSE), Manchester University, the University of Sheffield and the University of Kent, as well as the British Association for Counselling and Psychotherapy (BACP), the Metanoia Institute, and the National Children’s Bureau (NCB). The work was supported by the Economic and Social Research Council [grant reference ES/M011933/1]; with additional funding to support the team from the University of Roehampton, the BACP, and the Metanoia Institute.

Further information on the study is available on https://www.roehampton.ac.uk/research-centres/centre-for-research-in-social-and-psychological-transformation/ethos/

*The Lancet Child & Adolescent Health http://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(20)30363-1/fulltext (and available to download here)

** School-based humanistic counselling consists of one-on-one sessions with a counsellor employed by a school, and is based on a child-centred approach, with children talking about their issues and developing solutions with the aid of the counsellor, rather than therapist-led approaches, such as CBT.

*** https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-of-children-and-young-people-in-england/2017/2017

Most Recent

  • Children’s Mental Health Week: what do you know about yourself?

  • Collation of YNCB/FLARE for Schools Wellbeing Partnership

  • Five key emotional wellbeing points to consider when choosing a school for your child

  • Young people with experience of mental health ‘crisis’ in Northern Ireland urge Stormont to adopt blueprint for services

  • Schools and colleges given support on mental health and wellbeing

  • My personal experiences of mental health

Back to top
Home

Sign up to our newsletter

  • About us
    • About the partnership
    • About wellbeing
    • Media centre
    • Partnership members
  • Partner with us
    • Join the Partnership
    • Schools forum
    • Support our work
    • We're recruiting for our new Chair
  • Resources
    • Key resources
    • Tools for teachers and school staff
    • Whole school framework resources
    • All resources
  • Whole School
    • What is a whole school approach?
    • Why have a whole school approach?
    • Our whole school framework
    • Wellbeing award for schools

Meet the NCB family

  • NCB Home

  • CDC Home

  • CBN Home

  • ABA Home

  • SWP Home

  • Research In Practice

  • LEAP

  • Special Educational Consortium

  • linkedin
  • facebook
  • twitter
  • youtube
  • Accessibility
  • Privacy statement
  • Terms and conditions
  • Cookie Policy
  • Suppliers area
  • Contact us

Registered with Fundraising Regulator

© National Children's Bureau 2025. Registered charity No. 258825. Registered in England and Wales No. 952717.

Registered office: National Children’s Bureau, 23 Mentmore Terrace, Hackney, London E8 3PN. A Company Limited by Guarantee.

Site by Effusion