26 th April 2012

1. 26th April 2012

3. Introducing… • Sarah Brennan, Chief Executive, YoungMinds • Mick Atkinson, Head of Commissioning and Research, Place2Be • Lisa Williams, Consultant and member of the BOND Consortium • Elaine Willis, VCO lead associate, FPM

4. Today’s purpose • Introduce the BOND project, and the Tees Valley Pilot • who is involved • why • Making the case for children’s mental health • The local system – where you fit in • Feed back and discuss what we have heard so far • Consult on the suggested pilot programme • Plan next steps with you

5. BOND’s shared principles • Intervening early has been shown to reduce escalation to a crisis and achieve improved outcomes; • increased learning and educational attainment • Behaviour and school attendance • better physical health, • improved long term mental health • reduced health and social care costs. • Voluntary and community organisations have an important role to play in providing effective, high quality early intervention services as they are local, flexible, trusted, informal and friendly.

6. Why is it important…. • One in ten children and young people have a clinically recognised mental disorder. • Mental illness is the single largest cost to the NHS at £10.4 billion (10.8% of the NHS budget) - wider costs in England amount to £105.2 billion a year. • Half of lifetime cases of diagnosable mental illnesses begin by age 14 (¾ by mid 20’s). • Improved availability of early intervention services for C&YP could prevent 25–50% of adult mental illness. • Economic returns of early childhood intervention programmes exceed cost by an average ratio of 1:6.

7. Risk factors - mental health • Adverse childhood experiences - 12 times more at risk of attempting suicide, 10 times of injecting drug use,7 times of being an alcoholic, 4 times of being depressed or illicit drug use. • Violence and abuse - A history of child abuse increases the risk of lifetime prevalence of depression by 1.8- 2.7 times for women and 1.6- 2.6 times for men • Looked After Children - 8 times more likely to develop conduct disorder, 3 times an emotional disorder and 7 times a hyperkinetic disorder. Up-to 5 times more likely to attempt suicide. • Poor education - Leaving school <15 years old, 2.5 times more at risk. • Urban environment - Lack of social support increases the risk by 2 fold, lack of green spaces by 80% • Unemployment - Economically inactive -up to 5.5 times more at risk • Fuel poverty – 2.3 million vulnerable people live in fuel poverty in the UK, cold homes increase the risk of depression by 50% • Recently released prisoners - are 35 times more likely to commit suicide if they are female and 8 times if they are male, young offenders 18 times more likely.

8. POLICY CONTEXT for BOND • Mental Health Strategy • Health and Social Care Bill • Healthy Lives Healthy People • SEN and Disability Green Paper • Education Act 2011 • OFSTED 2012 framework for school inspection

9. WHAT WILL BOND DO? • Contribute to the development and increase of early intervention mental health services provided by VCSOs - high quality, offering choice, value for money and evidence based effective interventions • Develop and disseminate quality standards and accreditation • Gather and share examples of what works in practice e.g. road shows, learning from TAMHS. • Five pilots across the country to offer bespoke support and explore what will help, test approaches etc • Share the learning from the pilots nationally, via training and information exchanges • Develop practical tools and methods • Provide targeted support nationally to BME organisations and providers of services to the most vulnerable children and young people, including looked after children and those at risk of offending.

10. About the BOND Tees Valley Pilot

11. Pilot aims • Build on relationships and understanding between VCSOs and commissioners through a shared process of learning, support and challenge • Help you to develop service quality, value for money and evidence based early intervention mental health services for CYP&F • Bring national expertise and information • Learn from you and share with others • Identify and respond to capacity building needs

12. What the pilot will not do • Guarantee VCSOs that they will be commissioned more! • Guarantee successful bidding! • Provide funding for services • Tell commissioners which VCSOs are best! • Pass on information about each other which will impact on competition for funding

13. Why Tees Valley? • Cyp population of approximately 150,000 • Mixed economy in terms of current VCSO provision • High levels of deprivation/challenge • Clear potential and enthusiasm for CYPs mental health, and recognition of need for earlier intervention • Commissioners (NHS Tees and 5 local authorities) and others engaged in development of strategic plan – whole system change inc; increased earlier intervention and remodelling TEWV CAMHS • High level interest from schools and headteachers

14. BOND Tees Valley pilot participants VCSOs • Already delivering early intervention MH • In the business plan for future • Service is accessed by CYP with MH problems • Not for profit (various models including community Interest Companies) Commissioners • Local authorities • NHS • Schools - three cluster groups (Hartlepool, Middlesbrough, Redcar and Cleveland) • Also local NHS CAMHS provider (Tees, Esk and Wear Valley NHS Foundation Trust)

15. Who is involved in the pilot? Schools - 3 clusters/groups • East Middlesbrough Cluster (14 schools) • Hartlepool Group (7 schools – primaries still tbc) • Redcar and Cleveland Cluster (7 schools – primaries still tbc) Support from VCS Development Agencies • Middlesbrough Voluntary Development Agency • Catalyst (Stockton-on-Tees) • Hartlepool Voluntary Development Agency • Redcar & Cleveland Voluntary Development Agency • Evolution (Darlington) Local Authorities • Darlington Borough Council • Hartlepool Borough Council • Middlesbrough Borough Council • Redcar and Cleveland Borough Council • Stockton-on-Tees Borough Council Health • NHS Tees (formerly PCTs) which includes; • NHS Middlesbrough • NHS Stockton upon Tees • NHS Redcar and Cleveland • NHS Hartlepool • Tees Esk and Wear Valley NHS (Mental Health) Foundation Trust

16. VCSOs • MIND (Middlesbrough and Stockton) • MIND (Hartlepool) • MIND (Redcar & Cleveland) • MIND (Darlington) • The Junction (Redcar and Cleveland) • The LINK (Redcar) • The Alliance (Stockton-on-Tees) • Tees Valley Counselling Trust (Tees wide, based in Stockton-on-Tees) • Fairbridge (Tees wide, based in Princes Trust, Middlesbrough) • Families Talking (Middlesbrough) • Haven (Hartlepool) • The Cabin (Stockton) • Harbour (Tees – various boroughs) • Eastern Ravens (Stockton) • Westview (Hartlepool) • KidzKonnekt (Redcar and Cleveland) • Note; further organisation still to confirm: Forget-Me-Not (Tees wide),

17. Early Intervention ‘We need help and support early on – not when it’s too late. We want more trained workers we can talk to, who will look out for us and our needs and we want to be taught how to be emotionally healthy and look after ourselves’ Sarah, 14, from VIK, was abused from a young age and bullied at school. She was excluded from the classroom for her ‘disruptive’ behaviour, which made her feel unworthy, unwanted and bad when all she really wanted was ‘for someone to notice my distress and help me’