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

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

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’

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 Abbey Park Academy Great Western Academy Lydiard Park Academy Warneford Tregoze Primary Peatmoor Oakhurst Tadpole Red Oaks Orchid Vale Haydon Wick Abbey Meads 5982 pupils Cluster 2 Kingsdown School Nova Hreod S windon Academy St Lukes M oredon Rodbourne Cheney S windon Academy Sevenfields Beechcroft Infants Ruskin Junior Ferndale Even S windon Gorse Hill Grange Junior 6852 pupils Cluster 3 Lawn M anor Academy Dorcan Academy Commonweal S windon College New College Robert Le Kyng East Wichel Drove Primary M ountford M anor Lainesmead Oaktree Goddard Park Eldene Liden 8266 pupils T

• tal of 41

schools

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

The Swindon Vision

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

• 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

• Establishment of the Anna Freud ‘Thrive

Model’

• Anna Freud THRIVE model

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

Survey Feedback with Children & Young People/Parents & Carer’s

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

Throughout the planning and delivery stage, co-production with children, young people and families is essential.

Co-production 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

Main issues that impact on young people’s mental health

3 0 4 2 1 3 1 7 3 1 6 2 1 4 2 1 3 3 1 1 6 1 1 6 1 0 2 9 0 5 0 1 0 0 1 5 0 2 0 0 2 5 0 3 0 0 3 5 0 Bullying School or exam pressures Hom e or fam ily life Social m edia Pressure from friends Drugs or Alcohol Disability Relationships Anti social behaviour or crim e I dentity or sexuality

Support currently received

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

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

2 3 6 1 4 6 8 1 5 5 3 1 3 2 5 0 1 0 0 1 5 0 2 0 0 2 5 0 I n m y hom e I n the m ain building of your school / college, place

• f education

I n a building on the grounds of your school / college, place of education ( not m ain building) I n a com m unity / youth building ( e.g. cafe or youth centre) Drop in centre Som ew here else ( please tell us w here?) 2 1 4 2 0 7 1 1 4 2 5

5 0 1 0 0 1 5 0 2 0 0 2 5 0

Fam ily support One to one support Group w ork Online support ( such as Kooth)

Time of Support

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

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