CRC/C/FIN/CO/4 is, however, concerned at the lack of medical personnel permanently based in schools, including staff to provide children with psychological counselling. The Committee is also concerned that pregnant women with substance abuse problems have difficulties accessing medical treatment and that the State party does not provide sufficient attention to the development of children born to mothers abusing substances. 43. The Committee recommends that the State party establish permanent presence of medical personnel in schools, including psychologists in order to provide children with psychological counselling. The Committee also recommends that the State party ensures that pregnant women with substance abuse problems receive timely and quality medical assistance and treatment and that children born to such mothers are provided with assistance and support. Mental health 44. The Committee is concerned at the high rate of depression and the number of suicides, as well as two school shootings in recent years, and at the insufficient mental health services for children. The Committee is also concerned that the prescription of psychostimulants to children diagnosed with Attention Deficit Hyperactivity Disorder and Attention Deficit Disorder has not decreased. 45. The Committee recommends that the State party: (a) Strengthen mental health services for children and guarantee access to examinations and treatment needed, as well as intensify suicide prevention measures; (b) Monitor the prescription of psychostimulants to children and take initiatives to provide children diagnosed with Attention Deficit Hyperactivity Disorder and Attention Deficit Disorder, as well as their parents and teachers, with access to a wider range of psychological, educational and social measures and treatments; and (c) Consider undertaking the collection and analysis of data disaggregated according to substance and age with a view to monitoring the potential abuse of psychostimulant drugs by children. Breastfeeding 46. The Committee welcomes the adoption of the Finnish National Programme of Action for Breastfeeding Promotion in 2009 and its monitoring by the Follow-up Group for Breastfeeding Promotion. However, it remains concerned that the rates of breastfeeding in the State party, although higher, remain low. It is also concerned that currently the majority of breastfeeding information is available only online and mothers have no access to breastfeeding information through other means and there is a lack of awareness and education on the importance of breastfeeding. 47. The Committee recommends that the State party strengthen its efforts to promote breastfeeding by providing access to materials, educating and raising awareness of the public on the importance of breastfeeding and risks of artificial feeding. Adolescent health 48. The Committee welcomes the Action Plan for the Promotion of Sexual and Reproductive Health 2007–2011, as well as the creation of a Department of Child and Adolescent Health within the National Public Health Institute, in 2007. It is, however, concerned at the high level of alcohol and tobacco abuse among adolescents. 10