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Prevention at scale

Prevention at scale: guidance for commissioners

The evidence and economic case for preventative mental health support in schools.

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Supporting more children, earlier

Demand for specialist mental health support continues to rise, and many children wait too long for help. A preventative, whole-school approach gives every child the tools to understand and manage their emotions before needs escalate, reducing pressure on specialist services. The guides on this page set out the evidence and economic case for prevention, and how to deliver it at scale across your area.

Why prevention, why now

1.05 million children had an active CAMHS referral in 2024/25 and 35% of referred children are still waiting for treatment. The 10 Year Health Plan commits to a shift from sickness to prevention. If not now, then when!

  • From our schools
    We have also seen a reduction in referrals to external mental health services. While children continue to receive specialist support where needed, many pupils who previously might have required a referral are now able to use the tools from myHappymind to manage anxiety, regulate emotions, and cope with daily challenges. This early, whole school prevention has made a noticeable difference to the pressures on families and staff.
    Headteacher Tadley Community Primary School
  • From our schools
    As Deputy Headteacher, it has been wonderful to see how myHappymind helps our children understand their feelings and learn ways to look after their own mental health...These preventative skills are supporting them not just in school, but in everyday life, helping them to grow into happy, resilient individuals.
    Mrs. Hill Deputy Headteacher, Hopwood Community Primary School
  • From our schools
    The biggest impact has been preventative.
    Leah Davies Deputy Headteacher, Elton Primary School
  • From our schools
    We have indeed seen a reduction in the number of referrals to external mental health support services.
    Headteacher St. Winefride’s Catholic Primary School

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