When you’ve spent your younger years growing up in care, things don’t just ‘bounce back’ once you turn 18. The route into adulthood is stacked against you: the support disappears, the mental scars stay, and accessing help feels like hitting brick walls. That’s why the new COLLAGE study, launched by the University of Birmingham and partners, is not just research, it’s a potential game-changer.
What is the COLLAGEStudy About?
The COLLAGE (Care-experienced yOung peopLe’s mentaL heAlth help-seekinG bEhaviours) project is an NIHR-funded, 18-month national deep dive into how care-experienced young people (aged 13–25), especially those who are LGBTQ+, neurodivergent, racially minoritized, or disabled, seek mental health support. And here’s the difference: they’re not just subjects, they’re co-creators, shaping how the study runs and how findings get used.
The goal? Build a full-on, inclusive picture of the hurdles these young people face and what actually helps them. There’ll be surveys, interviews, global evidence reviews, digital tool design, and free public events to share findings. It’s not about talking at these young people. It’s about working with them.

Why The COLLAGE Study Matters — Straight Up
- Care leavers struggle with mental health at epidemic levels. Between 50–80% meet the criteria for diagnosable conditions, and many fall into a gap between child and adult services.
- Barriers aren’t just personal, they’re systemic. Instability, trust issues, long waitlists, and disjointed services make getting help feel impossible.
- Lost in the system. When young people exit care, they often drop off the radar, and services vanish. That’s when PTSD, anxiety, depression, and self-medication often take hold.
The COLLAGE study is powerful because it’s flipping the script. Instead of asking “What’s wrong with them?”, it’s asking “What do they actually need?”