[PPT] - the role of schools and governors 16 May 2017, Hackney Learning PowerPoint Presentation

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Children and Young People’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

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Children and Young People’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)

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What is mental health?

Mental health is not simply the absence of illness.. It’s about emotional wellbeing. Mental/emotional wellbeing is:

A broader indicator of social, emotional

and physical wellness.

About happiness, life satisfaction and

positive functioning.

Individual Family Community Learning Environment Child mental health and wellbeing

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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.

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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?

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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.

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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

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Hackney Educational Psychology Services

Educational psychologists are specialists in psychology, child development and learning. They work with school staff to support pupils with Special Educational Needs and Disability (SEND), including Social, Emotional and Mental Health (SEMH) difficulties. Hackney EPS provides:

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!

Specialist services Group interventions Classrooms School systems

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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

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A toolkit for schools – measuring and monitoring Why measure?

1.Taking a snapshot 2.Identification 3.Evaluation

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A range of tools

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So what next?

A graduated response…

Universal offer/school policy and practice
School based interventions
Referral to agencies

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Hackney Young People’s Counselling and Advice and Information Service Supporting young people’s mental health & wellbeing since 1975

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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.

FIRST STEPS Early Intervention Service CYP with emotional, behavioural

r

relationship difficulties 0-18 SPECIALIST CAMHS CYP with significant emotional, behavioural & mental Health issues 0-18 CAMHS DISABILITY Specialist service for CYP with disabilities & emotional, behavioural

r mental

health issues 0-18 OFF CENTRE Voluntary service

ffering

therapeutic & psychosocial support for any YP experiencing mental health issues 11-25

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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

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Presenting Issues

Our clients present with a wide range of emotional and practical concerns which are often inter-related:

Abuse/Neglect Physical Abuse Sexual Abuse Sexual Exploitation Conduct Disorder Domestic Violence Parental Substance Misuse Parental Mental Health Mental Health Anxiety Depression Self Harm Suicidal Ideation Psychosis Bi Polar Disorder PTSD OCD Personality Disorders Body Dysmorphia Eating Disorders Learning Disabilities Relationships Family Breakdown Bereavement Relationships Sexual Identity Young Carer Social Debt Employment Housing School/college/University Care Leavers Criminal Justice Gang Culture Criminal Justice Bullying/cyber bullying Victims of Crime Cultural Forced Marriage Honour Based Violence Refugees, Asylum seekers

r migrants

Cultural Issues Health Substance Misuse Pregnancy Termination Sexual Health

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Identifying emerging mental health difficulties in children & young people

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Warning Signs



Mood changes



Intense feelings



Behaviour changes



Difficulty concentrating



Unexplained weight changes



Physical symptoms



Physical harm



Substance abuse

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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.

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Symptoms of mental ill health



Changes in school performance, falling grades



Increasing inability to cope with daily problems and activities, feeling overwhelmed



Excessive complaints of physical problems – look out for those developing frequent headaches and/or stomach aches



Defying authority, skipping school, stealing, or damaging property



Long-lasting negative mood, lasting several weeks



Mood swings (high and low) that are impacting on relationships at home or school



Frequent outbursts of anger – frequent fighting, threats to hurt others or themselves



Abuse of drugs and/or alcohol



Physical Harm – be alert for signs of self-harm like cuts or burns



Withdrawing from friends and activities



Confused thinking, difficulty focusing or sitting still



Excessive fear, worry, or anxiety



Intense fear of gaining weight



Dramatic changes in eating or sleeping habits (sudden loss of appetite, frequent vomiting, use of laxatives, unusual weight gain, binge eating)



Delusions or hallucinations (seeing or hearing things that are not really there)



Thoughts of suicide



Denial of obvious problems

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Younger Children

 Changes in school performance  Poor grades despite strong efforts  Excessive worry or anxiety  Hyperactivity  Persistent nightmares  Persistent disobedience and/or aggressive

behaviour

 Frequent temper tantrums

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Referrals

Young People aged 11-25 years old and must

live, study or work in Hackney

Self or professional referrals accepted
Call us, email or send us a letter to make a

referral N.B. Referrals must be made with the young persons knowledge and agreement

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Support for Teaching staff

Managing mental health issues with students can be upsetting and challenging. Don’t forget that staff will also need support to manage their concerns effectively.

 Off Centre can provide supervision and support

groups to schools offering:

A safe confidential space to discuss challenging situations
Support & learning from colleagues who have

experienced similar issues

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Contact Details

Off Centre Units 1-3, 68-82 Digby Road London E9 6HX

 Tel: 020 8986 4016  info@offcentre.org.uk  www.offcentre.org.uk  Twitter @ OffCentreUK  Facebook.com/offcentreuk