Children and Young P eople’s mental health: the role of schools and governors 16 May 2017, Hackney Learning Trust • Bernadette Carelse – Educational Psychology Services • Sophie McElroy – Home Tuition Services • Derrie LaCumbre – Off Centre
Children and Young P eople’s mental health: the role of schools and governors • What is mental health for Children and Young People (CYP) • What can we do: • A whole school approach • Toolkit and ideas - Cases studies from ‘toolkit guidance’ • Local support - Derrie • Off-Centre (DL) • Camhs alliance (DL) • Panel (all)
What is mental health? Mental health is not simply the absence of illness.. It’s about emotional wellbeing. Individual Family Mental/emotional wellbeing is: Child mental health and • A broader indicator of social, emotional wellbeing and physical wellness. Learning Community • Environment About happiness, life satisfaction and positive functioning.
Mental health: A national perspective • The average age for the onset of anxiety disorder and depression is 11 years old. • 10% of 5-16 year olds suffer from a clinically significant mental health illness. • The number of girls admitted to hospital for self-harming has quadrupled. • Incidents of young people self-poisoning has risen by 40% • It is estimated that 25-35% of young people who need help for mental health difficulties actually receive it.
What is mental health? Governors’ role The role of governors is to provide strategic leadership and accountability. Governors need to ask: • How can we be sure that mental health/wellbeing is good in this school? • What can the head teacher or staff tell/ show me to convince me of this?
What is mental health? TRUE or FALSE? • Mental health problems only affect specific groups of children and young people. • All mental health issues are clinical in nature. • Staff prefer not to manage the emotional needs of the students and rely on pastoral teams and specialist staff. • Mental health difficulties in childhood lead to those in adulthood. • People with mental health problems never recover.
Mental health: a whole school approach matters Mental/emotional health and wellbeing are on a continuum and not static. So, it’s not just about focusing on diagnosable problems and how to address these externally. A whole school approach matters. Pupils’ health and wellbeing impacts on attainment and school performance: Better wellbeing = better attainment
Hackney Educational Psychology Services Educational psychologists are specialists in psychology, child Specialist services development and learning. They work with school staff to support pupils with Special Group interventions Educational Needs and Disability (SEND), including Social, Emotional and Mental Health (SEMH) difficulties. Classrooms Hackney EPS provides: School systems • Whole-school projects for identifying, supporting and monitoring wellbeing and mental health. • Staff training: building up skills to support mental health and wellbeing through classroom strategies. • Group and class interventions for wellbeing, reducing exam- stress, improving attention and behaviour regulation. • Individual pupil work – not just cognitive assessments!
The Role of Education Key recomendations: Senior leaders must embed well-being throughout their provision and culture OFSTED inspectors should give prominence to well-being in inspections A balance should be achieved between promoting academic attainment and well-being School staff should be trained to recognise the warning signs of mental ill-health in students Strong partnerships between mental-health providers and schools should be developed Schools should include education on social media as part of PHSE curriculum, and be shared with parents https://www.publications.parliament.uk/pa/cm201617/cmselect/cmhealth/849/849.pdf
A toolkit for schools – measuring and monitoring Why measure? 1.Taking a snapshot 2.Identification 3.Evaluation
A range of tools
So what next? A graduated response… • Universal offer/school policy and practice • School based interventions • Referral to agencies
Hackney Young People’s Counselling and Advice and Information Service Supporting young people’s mental health & wellbeing since 1975 Off Centre, Units 1 – 3, 68-82 Digby Road, London E9 6HX | 020 8986 4016 | info@offcentre.org.uk | www.offcentre.org.uk | Reg. charity no. 288275 | Ltd. Co. 01764019
OFF CENTRE is a voluntary service for young people experiencing mental health difficulties. We are members of the CAMHS Alliance, a partnership of statutory and voluntary services, offering a comprehensive route to mental health support for young people. OFF CENTRE CAMHS FIRST SPECIALIST DISABILITY Voluntary STEPS CAMHS service Specialist Early CYP with offering service for Intervention significant therapeutic & CYP with Service emotional, psychosocial CYP with disabilities & behavioural support for emotional, emotional, & mental any YP behavioural behavioural or Health experiencing or mental relationship issues mental health health issues difficulties issues 0-18 0-18 0-18 11-25 Off Centre, Units 1 – 3, 68-82 Digby Road, London E9 6HX | 020 8986 4016 | info@offcentre.org.uk | www.offcentre.org.uk | Reg. charity no. 288275 | Ltd. Co. 01764019
Off Centre Services Counselling /Psychotherapy Creative Therapies – Art Psychotherapy & Drama Therapy Advice & Information - Homelessness, Employment & Benefits Peer Mentoring Programme Saturday Drop In 11.30-1.30pm Satellite projects & workshops in schools and colleges LGBTQ+ project ( Service for Lesbian, Gay, Bisexual, Trans, Queer ) Training to other professionals Off Centre, Units 1 – 3, 68-82 Digby Road, London E9 6HX | 020 8986 4016 | info@offcentre.org.uk | www.offcentre.org.uk | Reg. charity no. 288275 | Ltd. Co. 01764019
Presenting Issues Our clients present with a wide range of emotional and practical concerns which are often inter-related: Mental Health Abuse/Neglect Criminal Justice Anxiety Physical Abuse Gang Culture Depression Sexual Abuse Criminal Justice Self Harm Sexual Exploitation Bullying/cyber bullying Suicidal Ideation Conduct Disorder Victims of Crime Psychosis Domestic Violence Bi Polar Disorder Parental Substance Misuse Social PTSD Parental Mental Health Debt OCD Employment Personality Disorders Cultural Housing Body Dysmorphia Forced Marriage School/college/University Eating Disorders Care Leavers Honour Based Violence Learning Disabilities Refugees, Asylum seekers Relationships or migrants Health Family Breakdown Cultural Issues Substance Misuse Bereavement Pregnancy Relationships Termination Sexual Identity Sexual Health Young Carer Off Centre, Units 1 – 3, 68-82 Digby Road, London E9 6HX | 020 8986 4016 | info@offcentre.org.uk | www.offcentre.org.uk | Reg. charity no. 288275 | Ltd. Co. 01764019
Identifying emerging mental health difficulties in children & young people Off Centre, Units 1 – 3, 68-82 Digby Road, London E9 6HX | 020 8986 4016 | info@offcentre.org.uk | www.offcentre.org.uk | Reg. charity no. 288275 | Ltd. Co. 01764019
Warning Signs Mood changes Intense feelings Behaviour changes Difficulty concentrating Unexplained weight changes Physical symptoms Physical harm Substance abuse Off Centre, Units 1 – 3, 68-82 Digby Road, London E9 6HX | 020 8986 4016 | info@offcentre.org.uk | www.offcentre.org.uk | Reg. charity no. 288275 | Ltd. Co. 01764019
Triggers having a long-term physical illness having a parent who has had mental health problems, problems with alcohol or has been in trouble with the law experiencing the death of someone close to them having parents who separate or divorce having been severely bullied or physically or sexually abused including cyberbullying living in poverty or being homeless experiencing discrimination, perhaps because of their race, sexuality or religion acting as a carer for a relative, taking on adult responsibilities having long-standing educational difficulties. Off Centre, Units 1 – 3, 68-82 Digby Road, London E9 6HX | 020 8986 4016 | info@offcentre.org.uk | www.offcentre.org.uk | Reg. charity no. 288275 | Ltd. Co. 01764019
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