Nearly a third of young survivors of the Manchester Arena bombing have received no professional support, according to a report released on the sixth anniversary of the attack.
Three-quarters (75%) of children and young people affected by the 2017 terror outrage were psychologically injured by what happened to them, the report states.
But 29% have never received any professional support in the six years since, and four in 10 of these say it was never offered to them.
The Bee The Difference report, launched on Monday, is a research project designed by and for young survivors of the arena attack in collaboration with UK disaster response charity the National Emergencies Trust and researchers at Lancaster University.
More than 200 young survivors took part in the research for the report, all of whom were under 18 at the time of the attack, and some of whom were physically injured in the bombing.
The report reveals that while 93% of young survivors felt they needed support in the aftermath of the attack, 70% received no professional help within the first month and 31% received no professional help within the first year.
While some of the professional help offered by teachers, counsellors and GPs was invaluable to survivors, some of it inadvertently introduced more trauma, research showed.
And some young people felt their experiences were not validated by adults in positions of care, and that their feelings and opinions were dismissed on account of their age.
The report makes a number of proposals for individuals and institutions to improve support for young survivors of terror.
The UK Government is expected to finalise the draft of a “Survivor’s Charter” in the next few weeks that would guarantee key rights for survivors of terror attacks and is expected to include a guaranteed timeline for mental health support.
Dr Cath Hill, lead researcher at Lancaster University, said: “The findings show that the simple act of validating young people’s views can make a huge difference to their wellbeing, and is something all adults in positions of care could be more mindful of should the worst happen again.”
“Six years after the attack almost one in four (22%) young Manchester survivors continue to receive psychological support today, according to the findings.”
Charity royal patron the Prince of Wales said: “This report makes clear that young people who have experienced the trauma of terrorism have needs unique to their age. These are minds that need the space to have their voices heard and feelings acknowledged.
“We must listen to their stories now, in order to learn for the future. I look forward to seeing the change that it creates.”