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Bi-Borough Children and young people’s Emotional Wellbeing and Mental Health

Bi-Borough Children and young people’s Emotional Wellbeing and Mental Health. An update for the bi-borough chairs’ forum Jonathan Daly and Simon BRAUNER-CAVE 06.03.19. Structure of the presentation:

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Bi-Borough Children and young people’s Emotional Wellbeing and Mental Health

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  1. Bi-Borough Children and young people’s Emotional Wellbeing and Mental Health An update for the bi-borough chairs’ forum Jonathan Daly and Simon BRAUNER-CAVE 06.03.19

  2. Structure of the presentation: 1. The mental health of London’s children and young people2. The NHS Long Term Plan – A key development3. West London Trailblazer4. Some additional support/provision for schools 5. Link Governor for Emotional Wellbeing and Mental Health6. Children and young people’s perspectives on what they want in schools to support their mental health

  3. 1. The mental health of London’s children and young people

  4. The mental health of London’s children and young people

  5. 2. The NHS Long Term Plan – A key development

  6. The NHS Long Term Plan Published in January 2019

  7. Overview Commitments Headlines Commitment that meeting people’s mental health needs is treated as importantly as meeting their physical health needs (parity of esteem) Ringfenced local investment fund worth £2.3bn a year by 2023/24 Comprehensive offer for CYP which will reach across CYP and Adult services up to the age of 25 and aims to identify and treat mental ill health at the earliest possible point Significantly more CYP will access timely and appropriate mental health care 0-25 services and improved transitions More money for CYPMH Testing and rolling out new waiting time standards Mental Health Support Teams in schools and FE colleges to support early intervention 345,000 more CYP to access services by 2023/24 Children and Young People’s Transformation Programme crossing physical and mental health 24/7 access to crisis services Additional funding to meet eating disorder access and waiting time standards

  8. 3. West London Trailblazer

  9. Transforming Children and Young People’s Mental Health West London Trailblazer

  10. Context December 2017 government Green Paper: • To fund new Mental Health Support Teams, which will be supervised by NHS children and young people’s mental health staff. • To incentivise and support all schools and colleges to identify and train a Designated Senior Lead for mental health. • To pilot a four week waiting time for access to specialist NHS children and young people’s mental health services.

  11. Mental Health Support Teams NHSE Guidance: • 2 teams • 8.0 FTE staff (16 total) • 20 educational settings (40 total) • 8,000 CYP population (16,000 total) • 500 CYP aged 5 - 18 (1000 total)

  12. WEST LONDON MENTAL HEALTH SUPPORT TEAMS Staff Training, Pupil Resilience Programmes,  Assemblies, Workshops 2 Wellbeing Facilitators Low intensity 1:1/1:2 and group support for parents Link work between families and educational settings 1 Family Support Worker Group and 1:1 clinical intervention for CYP with mild - moderate MH needs (low mood, anxiety, EBD) 9 Education Mental Health Practitioners (EMHPs) 1:1 clinical interventions for CYP with moderate MH needs, plus 1:2/1:3 interventions with their families 3 Therapists / Psychologists 1:1 clinical interventions for CYP with moderate MH needs 1 Clinical Team Manager

  13. Educational settings • All (non-fee paying)schools in RBKC and 14 schoolsin WCC  (College Park, Edward Wilson, Hallfield, Paddington Academy, Queen Elizabeth II Jubilee, Queen's Park, St James & St John's CofE, St Luke's CofE, St peter's CofE, St Stephen's CofE, St mary's of the Angels Catholic, St Marylebone CofE Bridge, Westminster Academy, Willberforce) • Range of educational settings (CYP aged 5-18) • Selection Criteria: • Capacity to host (DSLMH, space, support MHSTs, trainee EMHPs)

  14. Timeline • Mar: Friday 8th March is the deadline to submit a application • Mar: Selection of educational settings • Mar: Induction of EMHPs and EMHP Service delivery begins • May: Therapist and Psychologist service delivery begins • Oct: Wellbeing Facilitator and Family Support Worker service delivery begins • Dec: MHSTs fully operational • Funding until end of March 2021

  15. Contact: Skye.blythwhitelock@hfmind.org.uk 078 5224 2875

  16. 4. Some additional support/provision for schools

  17. Kooth: Kooth is a free, anonymous, and confidential online counselling and emotional well-being support service, providing young people (age 11-25) with a safe and secure means of accessing support from a professional team of qualified counsellors. Kooth also provides 24/7 access to useful and practical articles, self-help documents and moderated forums where children and young people can discuss important issues relevant to them. www.kooth.com Please make contact with Denise Brown by emailing dbrown@xenzone.com or call 07983556071 to organise the roll out in your school.

  18. Upcoming training: Youth Mental Health First Aid Free training available to all schools (Bi-Borough) – Multiple dates available The training equips staff working with children and young people (aged 8-18) with the knowledge, skills and confidence to identify and assist CYP experiencing mental health issues on a first aid basis. It trains the adults in a young person’s life to have the skills and confidence to step in, offer first aid, and guide them towards the support they need. As a result, CYP are better able to get the support they require at the earliest opportunity. https://www.eventbrite.co.uk/e/thrive-ldn-youth-mental-health-first-aid-2-day-training-tickets-56496532650 • Free training on Suicide Awareness and Prevention • Delivered by Papyrus (Westminster only currently). For staff from both primary and secondary schools (1 place in total per school) Identifying and Talking about Suicide training (3hrs) – For members of a wellbeing team or pastoral support Participants on this training will learn what suicide ‘invitations’ look like, how to respond to them and how to work with that person to keep them suicide-safe – including, where necessary, which supports or organisations to signpost onto. 1st May ASIST (Applied Suicide Intervention Skills Training) – For Senior leadership teams or Designated safeguarding leads ASIST trains participants to reduce the immediate risk of a suicide and increase the support for a person at risk. The workshop helps participants recognise what a person at risk may need from others in order to keep safe and get help. 2-day training (4th and 5th July) • Please RSVP to London@papyrus-uk.org and state who will be attending and their role

  19. 5. Link Governor for Emotional Wellbeing and Mental Health

  20. A discussion: We expect there soon to be a national requirement for schools to have a Link Governor for Emotional Wellbeing and Mental Health. Do you already have someone on your governing body focusing on emotional wellbeing and mental health? What do you think about this as a proposal?

  21. 6. Children and young people’s perspectives on what they want in schools to support their mental health

  22. Views of CYP HLP/NHS England commissioned Young Minds to work with children and young people to gain their perspectives on what they want in schools to support their mental health

  23. CYP Views • Amplified and Healthy London Partnership Insights Report • 1. Every pupil knows who is responsible for and can help with mental health issues • Make sure we know who to go to in school if we are struggling and need someone to talk to-share this information in lots of ways, like assemblies and on posters • 2. Every adult in the school offers a good first response if I say or show I am struggling with my mental health • We want the staff who have contact with us daily to notice if we are struggling and know how to help us find the right person and place to get support from if we need it. • 3. Bullying is dealt with effectively • If we have experienced bullying, we want to get emotional support quickly and easily from school- and we want bullies as well as victims to get support and assistance from school. • 4. Empower us to understand and take a role in caring for our mental health • We want useful information which is co-designed and delivered by people like us about how we can take care of our mental health and how to get help if we need it. We want this in lots of different ways like lessons as well as information resources we can use on our own.

  24. Children and Young People’s Views • 5. Extra support for pupils that are struggling • If a pupil is struggling, we want someone such as the forum tutor to check in every day and see how they are. This can make a huge difference when you are going through a hard time. And we want personalized plans to help us come back to school if we’ve had to take time off because of our mental health. • 6. Emotional and practical support during busy, stressful times • Exam time is a really stressful time for us. We want information and advice on how to cope with the pressure we feel and quick and easy access to support if we feel it’s getting too much. • 7. A place to go to on hard days • We want a quiet space designed to promote wellbeing that we can go to when we are having a hard time and feel overwhelmed. We can use it clear our heads and calm down if we need to, as well as build ourselves up to carry on for the day • 8. Signposting to support in our area and beyond • We are in school so much that’s it’s one of the best ways for us to find out about what other things can support us outside of school. We want school to provide information about local mental health services as well as other wellbeing activities we could use locally or online.

  25. Children and Young People’s Views • 9. Pupil involvement in making the school more mentally healthy • We know what things impact our mental health and what could help school promote our positive mental health, so we want to be involved in designing the policies, projects and activities that are about our mental health. • 10. Recognising us as individuals • We want to be recognised for all the things we do and are interested in, not just our academic achievement as that can make us feel pressured. We want school to help us take part in things we enjoy outside of lessons that help us work out who we are and feel good about ourselves. • https://www.healthylondon.org/wp-content/uploads/2018/11/Amplified-and-HLP-School-Insights-Report-2018.pdf

  26. For more information or if you have any questions, please get in touch: Jonathan Daly Children’s Commissioner Bi-Borough Jonathan.daly@rbkc.gov.uk Simon Brauner-Cave Children’s Commissioner Central London CCG Simon.brauner-cave@nhs.net

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