In a survey of more than 8,000 National Education Union (NEU) members - teachers, support staff and school leaders across England and Wales - seven in eight said their resources were insufficient.
The State of Education Survey found one in three had no behaviour support team at all, while two in five had no counsellor or occupational health specialist.
A quarter had no educational psychologist, child and adolescent mental health services (CAMHS) support or speech and language therapist.
Amid growing waiting lists, more than half added they were not confident that a referral for SEND assessment, diagnosis or specialist support would lead to a pupil getting the help they need. A quarter said they were “very unconfident”.
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