Young people in coastal areas

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Suhail Ahmed

Isolated, Ignored, and Unwell: The Hidden Struggles of Young People Living by the Seaside

Coastal Communities, Healthcare Inequality, mental health, , Youth Crisis

Suhail Ahmed

The postcard-perfect sandy beaches and nostalgic piers of England’s beautiful coastal towns hide a darker truth. Young people in these areas are having a mental health crisis at rates much higher than their peers in the inland areas, even though they look like they are having a great time on vacation. New research shows that teens and young adults living in poor coastal areas are three times more likely to have mental health problems that go undiagnosed than teens and young adults living in other areas. But why? A bad mix of being cut off from the rest of the world, economic decline, and systemic neglect has made a generation feel alone. Many have been waiting years for mental health help while their conditions get worse.

This article looks at the hidden problems that coastal teens face, the reasons for this difference, the human cost of waiting for care, and the urgent need for policy changes before another generation is lost to neglect.

The “Coastal Mental Health Gap”: A Crisis Hidden in Plain Sight

A young boy in a blue shirt rests his head on his arms outdoors, appearing sad and contemplative.
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The term “coastal mental health gap” was coined by researchers from the University of Essex due to their findings on towns like Blackpool, Weston-super-Mare, and Grimsby. These towns’ young inhabitants are more prone to depression, anxiety, and self-harming behavior compared to their peers who live further inland. What is most shocking is that the reverse seems to be true for older populations. People over 50 who live near the coast tend to report lower mental distress when compared to their inland counterparts. This suggests a generational divide in well-being.

Living in poverty and being remotely located are considered the two most significant contributors to this problem. Coastal towns in England exhibit some of the highest rates of childhood poverty. Seasonal jobs with poor pay dominate these areas, driving child poverty rates even higher. Adding to this problem is the lack of reliable public transportation systems, which makes accessing mental health services extremely difficult for people without cars.

“People tell us we won’t amount to anything,” said 21-year-old Ceilidh, a resident of Weston-super-Mare. She also commented on the town saying, “The beachfront is nice for tourists, but our homes are falling apart.”

Waiting Years for Help: The Collapse of CAMHS in Coastal Areas

A young boy shows distress while sitting alone in a hospital waiting room, head in hands, conveying emotions of anxiety and sadness.
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The current system fails to assist individuals who actively seek help. In the year 2023-24, out of the total 145,711 referrals made to the Child and Adolescent Mental Health Services (CAMHS), 78,577 children and adolescents were overserved and had to wait more than a year for treatment. This figure showed a troubling 52% increase compared to the previous year. A significant number of referrals were capped long before any meaningful assistance could be provided, resulting in even longer waits exceeding three years. 

The consequences of such delays are horrific: 

  • Twenty-five percent of young people on waiting lists face suicidal ideation.
  • Over four decades worth of children are in limbo waiting two years for some form of care.
  • Careport Inequity: Some Southend patients are seen in four days while other Sunderland patients wait for nearly 5 months on average.

Dr. Emily Murray, head of the Centre for Coastal Communities at Essex University, states: 

“Long waits aren’t just annoying; they’re bad for you.” As time progresses, the situation becomes progressively worse, education quality deteriorates, and trust in the systems declines.

“Left Behind” Towns: How Economic Decline Fuels Despair

Years of fishing, shipping, and manufacturing have led to unstable tourism jobs, which has demolished coastal towns. What changed? Work opportunities at these locations resulted in low payments, zero-hour contracts, and migration to cities, causing a mass exodus.

Important results:

  • On the coastline, nine of the thirteen areas in England with the lowest income reside.
  • London students have a 50% better chance of going to college in comparison to coastal students.
  • In Blackpool, the rate of self-harm or drug abuse related hospital visits is seven times more than Camden.

Archie, 19, from Southend quipped, “All the stores are closing.Bars and care homes are the only places to work.” and added “There’s no future here.”

The Silence of Stigma: Why Young People Don’t Seek Help

Stressed woman with hands on ears surrounded by pointing fingers, illustrating pressure.
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Social pressures make the situation worse. In small coastal communities, mental health challenges are often ignored as a person’s weakness instead of a health concern.

  • One in three referrals to CAMHS describing “unknown” as the reason suggests that families don’t want to explain the issues they are facing.
  • Self-harm rates are increasing within the younger male demographic, who are often reluctant to get support.

A practitioner in Barrow shared her thoughts like this:

“Children are advised to ‘harden up’ here. The only time they seek assistance is when they’re in acute distress.”

A Glimmer of Hope: Community-Led Solutions

Even though the system isn’t working as well as it could, grassroots efforts are making a difference: 

  • Weston-super-Mare’s “Child First” programs use art and nature to help kids feel better about themselves. 
  • Young people run theater groups in Grimsby, which lets them be creative and learn from older people. 

The average wait time for a service will be slashed to less than half if charities advocated for the Initiation of Early Support Hubs nationwide. 

“Photography saved my life, you could say. It made me want to leave my estate and look at life differently,” says Taylor, a teen from Weston.

A Call to Action: What Needs to Change?

Experts all agree that quick fixes won’t work. We need long-term plans:

  1. A 10-year plan for mental health in coastal areas.
  2. Everyone has to wait four weeks for CAMHS.
  3. Not just tourism, but also youth services.

As Professor Sheena Asthana says:

“We’re building up a public health time bomb without doing anything.”

Conclusion: No More Lost Generations

A mother offers support to her discouraged teenager son, portraying love and understanding.
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The coastlines of England are at a crossroads. Will they stay places that people don’t care about, or can they become examples of how to start over? The answer is to listen to young people not as numbers, but as the future of these communities. Ceilidh says:

“We’re not just things that need to be fixed. If anyone lets us, we can fix this place.

The tide won’t change until politicians do something. How many more will have to suffer before they do?

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