Overview of Schools Mental Health Leads and CYP Mental Health Services Training

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Overview of Schools Mental Health
Leads and CYP Mental Health
Services Training
The Anna Freud Centre
Miranda Wolpert
The Anna Freud Centre
@AFCevents
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Schools and CYP Mental health services Partnership Training Consortium
Chair- Dr. Miranda Wolpert
(Director of the Evidence Based Practise Unit )
Trainer leads
Prof. Tamsin Ford
Professor of Child and Adolescent Psychiatry
Dr Laverne Antrobus
Consultant Child and Educational Psychologist
Dr Garry Squires
Senior lecturer in Educational Psychology and
registered Educational Psychologist
Dr. Crispin Day
Head of Centre for Parent and Child Support
Prof Neil Humphrey
Professor of Psychology of Education
Dr Mina Fazel
Research Fellow and consultant in Child and
Adolescent Psychiatry
Neil Dawson and Brenda McHugh
AFC Co Directors of Mental Health in Schools, Consultant
Psychotherapists and Co Founders of The Family School London
Prof Panos Vostanis
Professor of Child Psychiatry and Consultant,
University of Leicester
Dr Melanie Jones
Clinical Psychologist / Consultant in Training &
Research
Gill Allen
Clinical Lead for SEaDS
Dr Jyoti Pooni
Clinical psychologist- team co-ordinator
Allied experts
Kate Martin
Director of Common Room
Kate Dalzell/Matt Barnard
CORC Regional Team Managers
Yvonne Anderson
Director of Cernis
Helen Cameron/Jane Brett-Jones
Health and Wellbeing Manager
Barbara Rayment
Director Youth Access
Chris Owen
UCL Partners
Dr Pooky Knightsmith
Director of In Our Hands
Rumaana Rahman
Improvement Advisor-Mental health and
Resilience
Quality assurance Panel
Chair: Dr Rachael Norman (Head Teacher Secondary Trinity, Lewisham)
Lucy Frame (Head, ARK All Saints Academy)
Smita Bora (Principal Westminster Academy)
Stephen Taylor (Head, The Family School)
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Aims of programme
• Shared view of strengths and limitations of
capabilities and capacities of all target groups
• More knowledge of resources to support
mental health of target groups
• More effective use of existing resources
• Improved joint working between target groups
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Programme overview
• Phase 1: Forming Schools and CYP Mental
Health Partnerships –specific focus on Depression
• Phase 2: Embedding Partnerships and
building sustainability – specific focus on Anxiety
• Phase 3: Supporting ongoing learning and
development of best practice and ensuring ongoing sustainability
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CASCADE Framework
• Clarity on roles, remit, and responsibilities of all partners* involved in supporting
CYP mental health
• Agreed point of contact and role in schools and CYP mental health services
• Structures to support shared planning and collaborative working
• Common approach to outcome measures for young people
• Ability to continue to learn and draw on best practice
• Development of integrated working to promote rapid and better access to support
• Evidence based approach to intervention
*The CASCADE framework is about supporting partners involved in supporting Children and Young People’s
(CYP) mental health. For the Schools Mental Health Leads and CAMHS training, partners are defined as CYP
mental health services (NHS statutory CAMHS, voluntary sector providers, independent providers, school
counsellors, school nurses, educational psychologists) and Educational services (schools, pupil referral units and
special schools, and 6th form colleges). Other partners may exist, but for the sake of this training, the above
partners are the focus.
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People working in child mental health
Primary School Presentations
Secondary School Presentations
The worried child
The aggressive/difficult child
Self harm and risky behaviour
Eating Problems
Counselling in schools
Counselling in the community
Introduction to Children and Young Peoples improving access to psychological
therapies
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Workshop 2
• Review of CASCADE
• Whole school approaches and how can MH
professionals support – MAHRS
• Agree plan to continue to share learning and
disseminate best practice
• Agree action on MH professionals /School
partnership work going forward
• Anxiety
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The Youth Wellbeing Initiative
Supporting mental health and wellbeing in schools
The Youth Wellbeing Initiative
An Overview
• The Youth Wellbeing Initiative is a project developed at the Anna
Freud Centre (www.annafreud.org), funded by the Department for
Education (www.gov.uk/government/organisations/departmentfor-education) to build links between education and support
services by developing a skilled workforce and helping young
people to manage their own mental health. Please email [email protected] to get more information about the next event.
• Youth Wellbeing Directory
(www.youthwellbeingdirectory.com) provides an authoritative
source of mental health information for schools. The directory
already has 300 organisations registered and is collaborating with
NHS Choices (www.nhs.uk).
The Youth Wellbeing Initiative
The Aims
1. Expanding and refining a comprehensive directory of all
mental health services to provide an authoritative
source of mental health information for schools
2. Building effective links between education and
providers of targeted mental health support including
VCSE and NHS CAMHS and agreeing common methods
of evaluation of impact
3. Developing skilled educational workforce able to
support young people identify and access sources of
support and self management tools
4. Supporting young people to manage their own mental
health and promoting resilience
The Youth Wellbeing Initiative
The Objectives
1. The Youth Wellbeing Directory (YWD) includes up-to-date coverage of
mental health and wellbeing services across England (80% coverage)
allowing young people and families to judge services against clear
standards and make informed choices (80% find helpful)
2. Communities of practice have led to agreed integrated policies and
procedures and evaluation frameworks across schools, VCSE and NHS
CAMHS in at least 5 regions
3. School leadership team and pastoral staff in all participating schools
have improved knowledge and ability to commission, access and assess
mental health support (60% improvement on tests of knowledge and skills
respectively)
4. Pupils in participating schools understand how to seek further
information, advice and guidance to support informed decision making and
effective self-management and show increased rates of resilience and
wellbeing (survey data change from baseline to follow up increase of 30%).
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The Youth Wellbeing Initiative
Where we are now
The Youth Wellbeing Directory has recently launched a more accessible and young friendly
resource. The new website is a more practical and user-friendly site for young people,
commissioners and referrers alike to search for local services and resources.
The Youth Wellbeing Directory has over 300 registered services (national and local) which aim to
support the emotional wellbeing and mental health of young people. Mapping work has
particularly targeted young people’s service in close proximity to Youth Wellbeing schools.
The Youth Wellbeing Initiative is working in collaboration with NHS Choices to promote the Youth
Wellbeing Directory as a leading directory of NHS Mental Health Services
We has delivered training in 12/19 schools across the UK. We estimate reaching approximately 250
teachers and 500 students directly through the training. The training Has focused on:
• Session for students/ students and families to raise awareness of mental health issues, and how
to seek and signpost support;
• Session for staff on how to support young people around mental health, including signposting;
• Session for school leadership team on school based support for student mental health;
• Local Exchange Sessions brining bring local school(s) together with local funders and providers
of children and adolescent mental health and wellbeing services
• Feedback from post survey questionnaires:
“chance to air concerns/very keen to learn in future there could be more help for
students within school with MH issues”
“thank you for raising the profile of mental health”
What do we mean by data linkage?
• Consider a young person, Jonny, age 15
Sees 3rd sector counselling
service based in school
In school
Absences, behavioural
incidents and attainment
(e.g. SIMS)
Contacts and outcomes
(e.g. CODE)
Data
linkage
Referred to NHS
Contacts
(e.g. RiO)
CAMHS
Outcomes
(e.g. COMMIT)
Sees GP, given medication
Contacts and medication
(e.g. EMIS)
= a record system/database
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What do we mean by data linkage?
In scope of this project
Out of scope of this project
For a large group of service users,
the ability to see,
in a single data set,
all interventions provided by different
services, and also
the final outcome after all of those
interventions
– “Data linkage for whole system
monitoring and research”
For individual service users,
the ability to deliver a coordinated
service
e.g. a counselling service sharing
information about an individual young
person with CAMHS to coordinate that
young person’s period of contact with
services
Advising on different approaches to
data linkage
Data are linked for different
purposes
Advising on IT systems for primary
data capture or changes to those IT
systems to facilitate data linkage
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Note: Person-level data linkage
Person-level data
Aggregate data
Person_ID
School_ID
Height (cm)
School_ID
Average height (cm)
1
1
165
1
152
2
1
139
2
151
3
1
152
4
2
157
5
2
141
6
2
155
With person-level data, data relating to particular individuals can be distinguished, which is not the case with aggregate data
This project is concerned with exploring the linkage of person-level data
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Note: Some person-level data from local
record systems are collated nationally
Sees 3rd sector counselling
service based in school
In school
NPD
Absences, behavioural
incidents and attainment
(e.g. SIMS)
Contacts and outcomes
(e.g. CODE)
Referred to NHS CAMHS
MHSDS
Sees GP, given medication
CORC
Contacts
(e.g. RiO)
Outcomes
(e.g.
COMMIT)
Contacts and medication
CPRD
(e.g. EMIS)
= a national
database
= data flows
= future data flows
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Note: Some person-level data from local
record systems are collated nationally
Sees 3rd sector counselling
service based in school
In school
NPD
Absences, behavioural
incidents and attainment
(e.g. SIMS)
Contacts and outcomes
(e.g. CODE)
Referred to NHS CAMHS
MHSDS
Sees GP, given medication
CORC
Contacts
(e.g. RiO)
Outcomes
(e.g.
COMMIT)
Contacts and medication
CPRD
(e.g. EMIS)
= a national
database
= data flows
= future data flows
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Note: Examples of national databases of
person-level data
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• Feasibility of data linkage sub-project
Considering impact of mental health support on
educational outcomes, by linking mental health and
education data
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Feasibility of data linkage sub-project
• CPRU funded study to explore feasibility of data linkage
to answer key questions for child mental health
• Possible research questions:
– What is the association between access to specialist services
and educational outcomes?
– Do certain demographic or contextual factors predict access to
specialist services?
– Do areas with more school/LA interventions have different
patterns of CAMHS utilisation than areas with less school/LA
interventions?
• We appreciate these are very complicated questions,
and can’t be easily answered by routine data, but this is
the first stage of a longer project to be able to explore
these data to answer these questions
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