Increased political profile and a new care framework offer a chance to improve children's mental health services. Louise Hunt examines the prospects and looks at the innovative work of local projects.

Aged 17, Nicola was in crisis. She was self-harming, hearing voices and thought about taking her own life.

While she had been referred for weekly counselling sessions through her local child and adolescent mental health service (CAMHS), this wasn't enough for someone with a diagnosis of post-traumatic stress disorder, recurring depressive disorder and a borderline personality disorder.

"I went to A&E so many times through taking overdoses, but they just told me to carry on with the counselling and sent me away," she says.

Eventually, she was admitted to an inpatient psychiatric unit but it was a long way from home. "They treated me horribly, so to get out I convinced them really quickly I was okay, when I wasn't," recalls Nicola, who is convinced earlier support could have prevented her from being sectioned. "I started having problems with my mental health when I was about six or seven, it didn't need to get to crisis point, but the NHS wasn't listening."

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