29 June 2026
RCSLT Scotland has published a new report highlighting the critical role of speech and language therapists (SLTs) within adult mental health services and is calling for urgent action to address significant gaps in provision across Scotland.
The report ‘Talking recovery: The impact of speech and language therapy in mental health services’ has been developed by members of the Adult SLT Mental Health Network (Scotland). The report outlines the high prevalence of speech, language, communication and swallowing needs among adults experiencing mental ill health and the risks associated with unmet need.
Using clinical evidence, policy analysis and real-life case studies from across Scotland, the report highlights the role of speech and language therapists in supporting people to access care, engage in therapy, participate in decision-making, and manage risks around eating, drinking and swallowing. It also highlights the impact of communication difficulties on mental health outcomes, including reduced engagement with treatment, increased social isolation and barriers to accessing support.
The report identifies significant variation in access to SLT support across Scotland, with many health boards lacking dedicated provision within adult mental health services, particularly in community settings.
The report recommends:
- establishing equitable speech and language therapy provision across Scotland
- embedding SLTs within multidisciplinary mental health teams
- developing clear referral pathways and service models
- strengthening workforce capacity and specialist training
- improving understanding of communication needs across the wider workforce
- ensuring communication needs are recognised within mental health assessment and care planning.
Glenn Carter, Head of RCSLT Scotland, said: “Communication is a crucial component of mental health that often gets overlooked. If people cannot understand information, express themselves or participate meaningfully in conversations about their care, they are at significant risk of poorer outcomes and increased inequality.
“Speech and language therapists play a vital role in supporting good mental health across the lifespan. SLTs help people participate in education and employment, access talking therapy, communicate distress, build relationships, make decisions about their care, and manage serious risks associated with eating, drinking and swallowing difficulties.
“This report highlights the geographical variability in access to SLTs in mental health, which reflects wider gaps in funding for all speech and language therapy services across Scotland. Too many people are unable to access the support they need because of where they live.
“Embedding speech and language therapists within adult mental health teams will help create more accessible, person-centred and effective services. It will also support wider Scottish Government ambitions around early intervention, reducing inequalities and improving mental health outcomes.”
