Mental Health Innovation for Children in Swindon Esther Schmidt- - PowerPoint PPT Presentation

Mental Health Innovation for Children in Swindon Esther Schmidt- Children’s Commissioning Lead Swindon CCG Amy Smith- Children and Young People’s Programme Manager Swindon CCG

“Climbing a mountain is hard, just like achieving our dreams, but we shouldn’t let things stand in our way and in the end it is worth it” Advice from Falcon Class, Uplands School.

Green Paper Trailblazer Bid Background In July 2018, the Trailblazer Bid was released following the Government’s Green Paper Consultation on ‘Transforming children and young people’s mental health provision: a green paper ’ Three core Green Paper proposals: 1. To incentivise and support all schools and colleges to identify and train a Designated Senior Lead for mental health. 2. To fund new Mental Health Support Teams, which will be supervised by children and young people’s mental health staff. 3. To pilot a four week waiting time for access to specialist NHS children and young people’s mental health services. Our Mission: To Optimise the Health and Wellbeing of the People of Swindon and Shrivenham

Mental Health Support Teams (MHSTs) Overview • First wave operational by December 2019- rollout to a fifth of the country by end of 2022/23. • £215m funding 2018-21 to rollout MHSTs and 4WW Pilots. • Swindon successful in securing £2.3m to implement three MHSTs. Mental Health Support Teams will: • Deliver evidence-based interventions in or close to schools and colleges for those with mild to moderate mental health issues, e.g. mild anxiety. • Help children and young people with more severe needs to access the right support. • Work with and within schools and colleges, providing a link to specialist NHS services. • Build on and increase support already in place, not replace it. Our Mission: To Optimise the Health and Wellbeing of the People of Swindon and Shrivenham

School Cluster Areas Cluster 1 Cluster 2 Cluster 3 Abbey Park Academy Kingsdown School Lawn M anor Academy Great Western Nova Hreod Dorcan Academy Academy S windon Academy Commonweal Lydiard Park Academy St Lukes S windon College Warneford M oredon New College Tregoze Primary Rodbourne Cheney Robert Le Kyng Peatmoor S windon Academy East Wichel Oakhurst Sevenfields Drove Primary Tadpole Beechcroft Infants M ountford M anor Red Oaks Ruskin Junior Lainesmead Orchid Vale Ferndale Oaktree Haydon Wick Even S windon Goddard Park Abbey Meads Gorse Hill Eldene Grange Junior Liden T otal of 41 5982 pupils 6852 pupils 8266 pupils schools Our Mission: To Optimise the Health and Wellbeing of the People of Swindon and Shrivenham

The Swindon Vision • Voluntary Sector Led - Barnardo's is the lead provider • ‘Step up - Step Down’ model – ‘graduated response’ • ‘No wrong Front Door Model’ - accepting self referrals and linking closely with Early Help Hubs • Children and Young People seen outside of school lessons – can be seen before and after school and on weekends • Outreach model - seen in schools or off- site, holiday provision • Follow-up of all non-attendance via phone call, apps and text within 24 hours • Anna Freud THRIVE model • Establishment of the Anna Freud ‘Thrive Model’ Our Mission: To Optimise the Health and Wellbeing of the People of Swindon and Shrivenham

Our Mission: To Optimise the Health and Wellbeing of the People of Swindon and Shrivenham

Survey Feedback with Children & Young People/Parents & Carer’s Co-production Throughout the planning and delivery stage, co-production with children, young people and families is essential. Consultation/Survey in collaboration with STEP & Swindon SEND Families Voice • 100 parents/carers • 436 children/young people • 93 children disabled • 16 ethnicities represented • 62 primary, special, secondary schools and colleges and Educated Other Than at School Our Mission: To Optimise the Health and Wellbeing of the People of Swindon and Shrivenham

Main issues that impact on young people’s mental health I dentity or sexuality 9 0 Anti social behaviour or crim e 1 0 2 Relationships 1 1 6 Disability 1 1 6 Drugs or Alcohol 1 3 3 Pressure from friends 1 4 2 Social m edia 1 6 2 Hom e or fam ily life 1 7 3 School or exam pressures 2 1 3 Bullying 3 0 4 0 5 0 1 0 0 1 5 0 2 0 0 2 5 0 3 0 0 3 5 0

Support currently received Zom os 1 Social W orker 1 Rainbow s Group 1 Lift Psychology 1 Butterflies Children's Centre 1 Pastoral Care 2 GoZone 2 Dr / GP 2 College 2 T Zone 4 School Counsellor 6 STEP 1 4 Counselling 2 2 CAMHS 2 4 TaMHS 2 5 Teacher 2 7 Fam ily and friends 6 1 0 1 0 2 0 3 0 4 0 5 0 6 0 7 0

What was helpful with accessing services • Non-judgemental staff • Staff listening to young people • Trust built with staff • Confidentiality explored with staff • A safe environment to speak • Opportunity for young people to understand feelings and express self • Tools to resolve situations • Good relationships, experienced and accessible staff (for example, a mentor, pastoral care) and a whole school approach

What was unhelpful • Staff inability to build and establish good relationships with children/young people • Quick staff turnover • Long waiting lists • Inconsistent and infrequent support • No change after intervention • Lack of understanding, awareness, knowledge, skills and expertise amongst school staff • Communication

Place of Support and Type of Support Som ew here else ( please 3 2 tell us w here?) Online support ( such as 2 5 Kooth) Drop in centre 3 1 I n a com m unity / youth Group w ork 1 1 4 building ( e.g. cafe or youth 5 5 centre) I n a building on the grounds of your school / 8 1 college, place of education One to one support 2 0 7 ( not m ain building) I n the m ain building of your school / college, place 1 4 6 of education Fam ily support 2 1 4 I n m y hom e 2 3 6 0 5 0 1 0 0 1 5 0 2 0 0 2 5 0 0 5 0 1 0 0 1 5 0 2 0 0 2 5 0

Time of Support During school / college holidays 5 4 Before school / college ( 8 :0 0 am - 9 :0 0 am ) 7 8 I n the evening 7 9 W eekends 1 0 1 After School / College ( 3 :0 0 pm - 5 :0 0 pm ) 1 1 7 During school / college ( 1 0 :0 0 am - 3 :0 0 pm ) 1 8 9 0 2 0 4 0 6 0 8 0 1 0 0 1 2 0 1 4 0 1 6 0 1 8 0 2 0 0

Recommendations • MHSTs raising mental health awareness • MHSTs providing training • MHSTs build and maintain trusting relationships with young people • MHSTs use outcome measures that inform and improve service delivery • STEP works with young people to develop an information pack on mental health (where to get help, who can I talk to and confidentiality) • STEP consults with young people accessing MHSTs to evaluate the service- evolving through co-production • Children/young people and parents/carers have quicker access to the right support and services • Improved communication between school and parents/carers on mental health

Next Steps • Single Point of Access re-design- No Wrong Front Door • Alignment to Early Help Hub • Tell it once- Triage- Assessment Desired Outcome: • Right Service Right Time, • No duplication • Reduction of waiting times • Earlier Intervention stopping escalation of complexity, including inpatient stays