Health
Locked up for Autism: Thousands detained under mental health law
“He didn’t break the law. He just needed help. Now he’s locked in a hospital hundreds of miles away.” — Alun, father of a detained 19-year-old
IN SECURE hospitals across England and Wales, more than 2,000 people with autism or learning disabilities remain locked away under mental health laws — despite never committing a crime.
Many are detained under the Mental Health Act 1983, often after being taken by police during a mental health crisis. The vast majority have no mental illness diagnosis. Some are teenagers. A few have been there for decades.
“It’s a human rights scandal,” said Dan Scorer of Mencap. “They’re being institutionalised because society hasn’t built the support they need.”
Autism is not a mental illness. It is widely recognised that for most autistic people, care in an inpatient unit is rarely helpful – in fact, it can be deeply damaging.
The average length of stay is around 4.6 years.
The overwhelming majority (92%) of autistic people and people with a learning disability who are detained in hospitals are put there using the Mental Health Act of 1983.
A NEED FOR URGENT REFORM
For years, the National Autistic Society and tens of thousands of campaigners have called for changes to mental health law.
Reform has been promised, and a bill is making its way through Parliament. However, the government will not commit to funding the reforms the legislation will enact. Even then, campaigners say the law change will not end the scandal of detention.
In April, Denise Cavanagh from Hook, a founder of the Stolen Lives campaign, told BBC Wales that she believed people would still be detained via other laws, including the Mental Capacity Act.
She added: “People with learning disabilities often end up in hospitals because there’s a breakdown in housing and community care, and it’s the only place they can go.
“So, if that community care isn’t there, there is nowhere for them to go and they’ll still be detained.”
And even though health is devolved to Wales, the Welsh Government is relying on a Westminster bill to improve how people with learning disabilities and autism are supported during a crisis.
“THEY CAME WITH HANDCUFFS”
Michelle, from Wiltshire, recounts the day her autistic daughter was detained after a meltdown in a supermarket.
“She was 23. She was overwhelmed. She panicked. That’s all. But the police came and took her away. That was three years ago. She hasn’t been home since.”
Michelle’s story is one of many. Some families describe wards where patients are sedated, isolated, and cut off from loved ones.
Bethany – whose surname cannot be published – was locked in a hospital room in Northampton as a teenager. Her only access to the outside world was through a tiny hatch in the door.
Her father, Jeremy, said he could only see his daughter through a plastic screen or through the six-inch hatch.
“It was cruel. It was torture for my daughter,” he said.
“It broke her human rights, her right to family life, her right to freedom from degrading treatment.”
Even now, several years on from Jeremy’s interview on Radio Four regarding Bethany’s treatment, little has changed. In fact, the data shows a worrying trend towards increased detention of those with mental illness or specific learning difficulties.
NO WAY OUT
Official NHS data reveals the extent of the crisis:
Over 52,000 people were detained under the Mental Health Act in April 2024 — the highest figure in five years.
Over 2,000 of those are autistic or have a learning disability.
As of May 2025, 2,025 autistic people and people with a learning disability are in mental health hospitals in England. Of these, 1,455 (72%) are autistic.
There are 240 under-18s in inpatient units who are autistic or have a learning disability. Of these, 230 (96%) are autistic.
The number of autistic people without a learning disability detained in mental health hospitals has increased by 141% since 2015.
This is the most up-to-date record of how many autistic people and people with a learning disability are currently in mental health hospitals in England.
Despite some progress moving people with a learning disability out of hospitals and into the community, the number of autistic people detained has increased. In 2015, autistic people made up 38% of the total number in hospitals, now it is 72%.
Around 60% of learning disability or autism inpatients have no mental illness diagnosis.
Detained patients are often placed in “out-of-area” units, sometimes hundreds of miles from home.
Toni Dymond, an autistic woman, was detained for over 20 years in psychiatric care without a criminal charge.
“She was isolated, broken,” said her brother in a statement. “It wasn’t treatment. It was abandonment.”
34,685 people were detained by police under Section 136 of the Mental Health Act in 2022–23.
Over 60% were transported in police vehicles, not ambulances.
Autistic woman and author of the memoir Unbroken, Alexis Quinn, spent three years “locked inside” various mental health hospitals, including Assessment and Treatment Units (ATU).
She says: “I was detained under the Mental Health Act and remained so for most of my stay. The Mental Health Act is a piece of legislation which provides a legal framework to detain people when they are mentally ill and require treatment to get better. The interesting thing about a treatment order for an autistic person is that autism is not a mental health condition.
“Whilst mental illnesses, such as depression and anxiety, can be treated, for autistic people, this has to be done in a way that reflects their needs and understands autism.
“When I was detained under the Mental Health Act, I felt like this was because of behaviour relating to my autism, not because I was mentally ill; the whole process lacked any understanding of the difference between autism and mental illness.”
CHANGE PROMISED, BUT NO MONEY ON THE TABLE
The Mental Health Bill, which is currently going through Parliament, will stop people with a learning disability and autistic people from being detained for treatment. However, the government have said that this change to the law will not be enforced until there is sufficient community support. That means the law will not come into effect until there are enough resources to support its operation. There is no commitment to provide that funding.
The Challenging Behaviour Foundation, a national charity, wants a clear plan, co-produced with people with lived experience, families, and those working within the different parts of the system, setting out what steps will be taken to develop this support and accompanied by the resources to make it happen.
The National Autistic Society says: “We are calling on the government to urgently publish a comprehensive and fully-costed plan for how it intends to build this support.”
So far, that call has been met with silence.
Health
‘Children spending more time in digital worlds than the real one’
CHILDREN are spending more time in digital worlds than the real one, the Senedd has heard, with excessive screen use shaping behaviour and health in ways society cannot ignore.
Labour’s John Griffiths expressed concerns about the impact of smartphones and online gaming on young people amid an “epidemic of screen use” in Wales.
Mr Griffiths titled the debate “Locked in, Bruh!” – “the state of playing a video game while oblivious to anything else” – on the suggestion of Tom, a teenager from Newport.
He raised research from the Centre for Social Justice, a thinktank, which estimates that up to 814,000 UK children aged three to five are already engaging with social media.
The Newport East Senedd Member told the chamber two-thirds of primary school pupils in Wales have their own smartphone by the age of 11.
Mr Griffiths said boys spend two hours more a day on online gaming while girls spend more time on social media and “reel scrolling” which has been linked to damaging self-esteem.
He told Senedd Members: “Boys are becoming more short-tempered and violent when exposed to violent video games and there is, rightly, much concern that children in more deprived families are particularly vulnerable.”
Mr Griffiths, who was first elected in 1999 and will stand down in 2026, said children aged five to 16 spend at least six hours a day looking at a screen. He added that for children, aged 11 to 14, that figure rises to nine hours a day.
He pointed to research showing more than 70% of young people in the UK do not undertake an hour of physical activity a day yet have at least six hours to spend looking at a screen.
He said: “Children are sat inside with a screen at the end of their nose and are not spending time outside enjoying their local communities or playing and interacting with friends.”
Mr Griffiths warned of increasing levels of obesity and rising numbers of young people reporting vision problems, with one in three children globally now short-sighted.
He told the Senedd: “As for the mental health and wider social impacts, anxiety and depression are increasingly linked to excessive screen use as is sleep disruption – with social media interfering with rest and emotional development.”
He raised a New Zealand study of more than 6,000 children that found a correlation between excessive screen time and below-average performance in literacy and numeracy. He warned children have increasingly shortened attention spans and an inability to concentrate.
Mr Griffiths shared the case of his constituent, Danielle, who said her son becomes more aggressive and snappier after a significant time gaming. Lucy, another constituent, explained how her children find the endless reels on social media addictive.
“Once they start scrolling, it’s hard to break that cycle,” the Senedd Member said. “And when she and her husband take the devices away, it often results in tantrums and tears.”
Mr Griffiths raised the example of countries such as Australia, France and Italy which have introduced strict age checks and bans on social media for under 16s.
He acknowledged such a policy would need to come from the UK Government because powers over internet services are not devolved. But he said Wales has the authority to introduce measures through education policy on, for example, smartphones in schools.
The Tories’ Sam Rowlands warned algorithms are having a “sickening” effect on teenagers who are eight times more likely to act on self-harm urges when exposed to such content. “TikTok users with eating disorders receive over 4,000% more toxic content,” he warned.
Responding to Wednesday’s (December 17) debate, Jane Hutt recognised how so-called doom scrolling can have a detrimental impact on young people.
Wales’ social justice secretary said: “We are living through profound change. Childhood today is shaped by technology in ways that were unimaginable a generation ago… For many young people, screens, smartphones and online gaming are part of everyday life.”

Health
New research centre launched to tackle historic gender health gap in Wales
A NEW £3m research centre has been launched to tackle long-standing health inequalities faced by women in Wales.
The Women’s Health Research Centre – the first of its kind in Wales – aims to close the historic gender health gap by strengthening investment in women’s health research and improving representation in clinical trials.
The centre was launched to mark the first anniversary of the Women’s Health Plan for Wales, with First Minister Eluned Morgan and Minister for Mental Health and Wellbeing Sarah Murphy visiting staff, researchers and community partners involved in the project.
Led by Women’s Health Research Wales, the centre brings together researchers, NHS organisations, industry, policymakers and communities to develop more effective treatments and ensure health services meet women’s needs throughout their lives.
Its work will cover prevention, early-onset conditions, rare diseases and care for under-served communities.
Projects currently in development include research into symptom-reporting tools to improve the management of conditions such as diabetes, heart failure and chronic obstructive pulmonary disease – areas where the specific impact on women has historically been under-researched.
Researchers are also examining the potential health effects of chemicals used in menstrual products, how best to support young people to stay active during periods, and improved care pathways for people with polycystic ovary syndrome to reduce the risk of developing diabetes and heart disease later in life.
Other projects focus on fertility, including a decision-making tool for women with kidney disease who are considering having children.
One study is working directly with women undergoing fertility treatment to understand why the process can lead to mental health conditions such as post-traumatic stress disorder, with the aim of producing guidance to support trauma-informed fertility care.
First Minister Eluned Morgan said: “I am passionate about improving women’s healthcare. To do that, we must invest in research to gather the evidence we need.
“I am delighted to see how the Welsh Government’s £3m investment, through Health and Care Research Wales, is supporting research based on the experiences of women. This will result in better care and better health outcomes for women.
“This innovative new research centre is a key part of the Women’s Health Plan and will help us better understand women’s experiences. It will lead to more effective treatments and ensure our health service delivers improved outcomes for women in Wales.”
Sarah Murphy, Minister for Mental Health and Wellbeing, said the early progress had been encouraging.
“I’m thrilled the investment we’ve made in this research centre is already delivering projects in such important and under-researched areas of women’s health,” she said.
“The pioneering work I’ve heard about today – including the impact of infertility on women’s mental health – is exactly what we want the Women’s Health Plan to influence and deliver.
“All of this has been achieved in the first 12 months, and I look forward to seeing what can be delivered over the next year.”
Debbie Shaffer, founder and director of Fair Treatment for the Women of Wales and chair of the Women’s Health Wales Coalition, said partnership working would be key to success.
“Research into health issues experienced by women throughout the life course is vital,” she said.
“By working co-productively, in partnership with women and communities, we have a real opportunity to reduce health inequalities and improve treatment options and support.
“We look forward to helping create more opportunities for people with lived experience – whose voices may not have been heard before – to get involved.”
The Women’s Health Plan for Wales was published in December 2024 and sets out a 10-year approach to improving health outcomes for women, ensuring they are listened to and their health needs properly understood.
Health
Welsh Government intervenes as Gwent health board’s finances ‘deteriorate rapidly’
THE WELSH Government has escalated intervention at Aneurin Bevan University Health Board to one step short of special measures, amid concerns about an £18m deficit and A&E failures.
Jeremy Miles, Wales’ health secretary, announced the Gwent health board will move to level four for finance and emergency care on the government’s five-point scale.
In an update on escalation at each NHS organisation in Wales, Mr Miles warned the health board’s financial position has “deteriorated rapidly” over the past year.
“It is forecasting an £18.3m deficit by the end of March. This is not acceptable,” he said, announcing he will revoke approval of the health board’s three-year plan.
Mr Miles said the health board had been at level three due to concerns about emergency care at the Grange hospital in Cwmbran but will move to level four.
He told the Senedd: “The health board has failed to deliver the required improvements… This will result in direct intervention by the Welsh Government… to improve the timeliness and quality of urgent and emergency care for people living in the Gwent region.”
Mr Miles announced Betsi Cadwaladr Health Board, in north Wales, would remain at level five or special measures. He pointed to interventions including a review of planned care, cancer and emergency services as well as an investigation into management of waiting times data.
But he raised “considerable” progress on governance and leadership at Hywel Dda Health Board following the appointment of a new chair and chief executive.
He announced Hywel Dda will be de-escalated to routine, level-one arrangements for governance and leadership. However, the west-Wales health board remains at level three for planned care and cancer as well as level four for finance and A&E performance.
He told Senedd members he was appointing a “senior turnaround director” to provide support to Cardiff and Vale Health Board, which was placed into level four in July.
Mr Miles said the escalation levels of Cwm Taf Morgannwg, Swansea Bay and Powys health boards, as well as other NHS bodies such as the ambulance services trust, will not change. All seven health boards in Wales remain in some form of escalated status.
In today’s (December 16) statement, Mr Miles said long waits are falling as he pointed to a 43% reduction in lost ambulance hours since the last six-monthly update in July.
But James Evans, the Conservatives’ shadow health secretary, questioned whether intervention is delivering meaningful improvements for patients and staff.

Pointing out that Betsi Cadwaladr Health Board has been “trapped” in special measures for most of the past decade, he told the Senedd: “It is deeply concerning that, once again, we see multiple health boards at levels four and five.”
Mr Evans urged ministers to publish performance metrics, risk assessments and evidence used to assign escalation levels to enable decisions to be properly scrutinised.
He warned focusing on local financial mismanagement of health boards risks ignoring wider, systemic challenges driven by the Welsh Government’s policy and funding decisions.
Plaid Cymru’s Mabon ap Gwynfor agreed with his Tory counterpart about “deeper and more systemic” failures becoming a “constant feature” of the government’s record.

“Measures that should be exceptional, temporary and used only as a last resort have instead become routine,” he said. “It is the people of Wales who are paying the price for that failure.”
The Plaid health spokesperson said Betsi Cadwaladr Health Board has come to “embody the Welsh Government’s failure to embed lasting performance improvement”.
Mr ap Gwynfor told the Senedd: “This situation suggests one of two things: either the special measures system itself is not working or there’s no ceiling to Labour’s mismanagement.”
Mr Miles emphasised that escalation is about supporting health boards, not punishing them. The health secretary also pointed to challenges in other parts of the UK, with 12 of the 14 health boards in Scotland also in escalation.

Speaking ahead of the Senedd debate, South Wales East MS Natasha Asghar said: “This serious intervention is a damning indictment of Labour’s track record when it comes to the health service here in Wales and it is my constituents who are paying the price.
The Conservative MS continued: “Our dedicated NHS staff go above and beyond day in, day out, often under unimaginable pressure, but they are being let down by the chaos and mismanagement from the Labour Welsh Government.
“The problems within our health service have been known for quite some time, yet it appears Labour politicians in the Senedd are either reluctant or totally incapable of doing anything to fix the system.
“The Welsh Government must now finally declare a health emergency and focus all efforts on improving outcomes for patients, driving down shamefully high waiting lists, and turning our health service around.”
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