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Almost half of primary school teachers are seeing pupils with eating disorders “at least occasionally”, rising to four in five at secondary level, according to a survey by the UK’s largest education union.
The findings emerged in a poll of 10,000 teachers in English state schools about pupils’ mental health, which also revealed “overwhelming” exam anxiety in secondaries and dwindling numbers of counsellors to support students.
Asked whether they had observed children showing signs of an eating disorder in the past year, 45% of primary teachers and 78% of secondary teachers said they had seen it at least occasionally.
Of those, 4% at primary level said they saw evidence of eating disorders “regularly”, compared with 14% of secondary teachers and 20% in special schools and pupil referral units.
The National Education Union (NEU) poll also revealed that two-thirds (68%) of secondary school teachers who responded are regularly encountering absenteeism linked to students’ mental ill-health.
Three-quarters (76%) are regularly seeing their students experiencing social difficulties, while the number of teachers complaining that their school does not have a counsellor has risen from 29% to 40% in just three years.
The rise in mental health problems among children and young people is well documented. A study published in the Lancet last year reported a 65% increase in annual hospital admissions between 2012-3 and 2021-2 for children and young people aged 5-18 with mental health concerns. Increases were “particularly steep” for eating disorders, rising from 478 to 2,938 over the same period – an increase of 515%.
Consultant paediatrician Dr Lee Hudson said eating disorders had become more common but the term covers a wide spectrum of conditions, not just anorexia.
He said young children can suffer from early anorexia or avoidant/restrictive food intake disorder (Arfid), characterised by limiting food type or quantity. “Eating disorders have become more common. We know it’s going up, but we don’t know why,” he said.
Almost half of teachers (48%) who responded to the poll said they regularly witnessed chronic anxiety among pupils, while almost a third (31%) saw students living with social isolation.
Daniel Kebede, the NEU general secretary, said: “Schools are unable to keep pace with the obvious acceleration in the levels of mental health support needed by young people.
“Demand clearly outstrips the available resources. In many cases, this rules out early and timely intervention for students.
“Teachers are crying out for nurses, mental health leads, and quicker access to child and adolescent mental health service support in schools. The majority tell us they have none of these. The rest tell us they do, but it isn’t enough.”
