IMPACT REPORT 2012 INTRODUCTION Our Annual Impact Report is vitally important to YoungMinds as we are openly reviewing with you how we have done in the last year against our mission to improve the emotional health and wellbeing of children and young people in the UK. “Following a call to YoungMinds Parents’ Helpline I received a call back from a professional which was The insight and guidance offered helped me to respond appropriately to my daughter’s attempted suicide just one week later. That one hour was the most singularly important part of this intense experience.” – Mum of a 15 year old Measuring impact is of course very complex as so many organisations and factors influence children’s lives, so in this report you will find measurement of outputs against targets, quotes and commentary to give you the best picture we can of the range of our work and activity in the last year alongside the quality, demand and difference it has made. We are now studying how we can measure the wider impact of our work and will incorporate our new model of measurement into our next Strategic Plan 2012–15. In contrast to many charities, last year was one of growth and development and we introduced different delivery models with great success. We now have a full and busy programme of internships, a full range of online services and social media communication and large and very successful capacity building projects with schools and the voluntary sector nationally (BOND). Staff have risen to the challenges of the last year with characteristic enthusiasm, hard work and commitment, supported by our active Trustees and funders, well illustrated by the contents of this report. – Sarah Brennan, Chief Executive YOUNG PEOPLE’S VOICES YOUNGMINDS pioneering work with young people is spearheaded by the award winning VIK (Very Important Kids) project funded by The Big Lottery. Over the last three years we estimate that 127,000 children and young people have felt the impact of our groundbreaking work. OUR PURPOSE •S kill up and support young people to directly influence mental health policy, commissioning and service delivery. •C hampion the participation of young people at local, regional and national levels in education, training, service development and policy. •E nsure that young people’s voices are at the heart of YoungMinds policy and campaigns. OUR IMPACT Young people have delivered training to 334 Child and Adolescent Mental Health Services (CAMHS) and addressed issues such as location of services, accessibility, waiting times and suitability of waiting areas resulting in improved design, delivery and evaluation of services. YoungMinds is at the cutting edge of participation work with young people. When young people talk about their experiences, and explain first hand their needs, it is hard to not be moved. Young people’s voices are the most powerful tool in changing attitudes and behaviour. Young people report they have increased self confidence, skills, self esteem and improved peer support networks. 42 young people delivered peer-to-peer work in schools. 35 young people are members of health committees that set standards for CAMHS, for instance, The Royal College of Psychiatrists have redeveloped their curriculum for trainee psychiatrists. YoungMinds Participation team enables young people to be central in the shaping and designing of the Department of Health’s new Children and Young People’s ‘Improving Access to Psychological Therapies’ (IAPT), a national CAMHS transformation programme. 85 young people have presented their unique perspectives at conferences informing and influencing professionals on subjects ranging from self-harm to young people’s participation. Development of shared decision making materials for children and young people to ensure engagement and understanding through the ‘Closing The Gap’ project. Our ‘State of Mind’ Young Londoners Manifesto generated a movement of young people across London, connecting them to decision makers to develop joint solutions and caused NHS London to fund an online interactive map to help young people access support for their mental health needs. Work with commissioners and policy makers has shaped commissioning practice and mental health services in over 10 locations. Increased volume and weight of mental health coverage in the media, almost once a day over the last year. THE FUTURE YoungMinds is immensely proud to be the national expert in the field of young people’s participation for mental health but there remains a meaningful agenda to be tackled if we are to secure children and young people’s emotional wellbeing and good mental health for the future. We have a strong foundation and we will continue to develop and grow, capitalising on relationships and opportunities already created. We look forward to sharing our exciting plans with you in the coming year. “For the past three years, VIK has given me and my family support, it’s given young people a voice and it’s given professionals and the media an insight into what mental illness is really like.” – Gemma, 22 PARENTS’ HELPLINE YOUNGMINDS PARENTS’ HELPLINE provides practical advice, “I have spoken to many parents and carers who are desperate to talk to someone about their concerns. YoungMinds Parents’ Helpline is a unique and hugely valuable service which parents all over the UK can access without having to do more than make a phone call or send an email.” A quarter of our callers are non-white, less than a third are in full-time employment and nearly half are single parents. The very vulnerable children and young people we are called about are often victims of abuse and rape, neglect, violence/physical assault and bullying. We are seen as a trusted, all-embracing, non-judgemental service, and as such we hear from the hardest to reach groups. – Carole Easton, Chair, YoungMinds Board of Trustees support and guidance helping parents who are concerned and often distressed about a child’s emotional wellbeing. This year saw major developments in the delivery of our services for parents. With support from the Department for Education, we have expanded the telephone helpline to incorporate a range of online practical help, support and information, with web chat, email assistance, a parents’ forum and improved downloadable information and new leaflets. This year we helped 7486 people through our Helpline, web chat and email services, that’s 18% more than last year. These essential services offer worried parents, who are often unable to talk to anyone else, a lifeline at times of crisis. 30% of callers also received further free advice from our professional advisers. Top 5 issues of concerN #1 D isruptive, aggressive or antisocial behaviour #2 Anxiety #3 B ehaviour management #4 Depression #5 Self-harm The guidance and advice given by the Parents’ Helpline often negates the need for our callers to use a government service. But where they still need to pursue further help, they tell us they feel better informed and more confident accessing those services to achieve better outcomes. Volunteers are the backbone of the Helpline. Over 30 committed and passionate people have successfully completed our 55 hour comprehensive training programme, many going on to get paid employment – a couple of them with us! “I really enjoyed working on the Helpline. It’s given me valuable work experience and skills.” – Meera, a volunteer “After getting nowhere with my GP, I felt hopeless. I called the Helpline and they gave me the confidence and guidance to go back to my GP and get the help my son needed.” – Parent of a 10 year old boy YOUNGMINDS IN SCHOOLS is improving outcomes for children and young people with behavioural, emotional and social difficulties through the provision of online learning resources for educational professionals. The project stands out from other school training programmes by taking a whole school approach to improving emotional wellbeing and mental health. In other words, it works with parents, teachers, headteachers and support staff alongside all pupils, not just those children identified as having behavioural, emotional and social difficulties. YoungMinds in Schools is a two year project working collaboratively with four clusters of schools and the services that link to them, in Tottenham, Southwark, Burgess Hill and Weston Super Mare, funded by The Department for Education. The training we deliver is unique: it supports children’s emotional wellbeing within the context of the curriculum. Training course topics cover Attachment Theory, Neuroscience and Learning, Psychological Perspectives on Behaviour, Therapeutic Storywriting and Story Links. Professionals that attended YoungMinds in Schools training evaluated it as very useful (80%) or useful (20%). “I’ve seen changes; teachers have approached me about children in the group, saying ‘I’ve really noticed the difference in this child, her behaviour is improving, she seems calmer, she seems happier.’” – Niamh Gorman, SENCO, Bruce Grove primary school “YoungMinds programme has been absolutely brilliant. Most important was the training offered to the staff. I learnt things I didn’t know in terms of student behaviour and emotional wellbeing and have been able to cascade this to other staff. The training for me has been invaluable.” – J uliet Coley, Deputy Headteacher at Gladesmore Community School In November 2011 YoungMinds in Schools launched a comprehensive range of online resources which can be downloaded from our website. They include books and research as well as practical strategies to support emotional wellbeing in the classroom and four wonderful films: ‘Whole School Emotional Wellbeing’, ‘Involving Parents in Pupils’ Learning’, ‘Therapeutic Storywriting’ and ‘Mindfulness in Schools’. Moving On Looked After Children are a priority to YoungMinds because of their high levels of mental health problems (60%). This year we have been able to develop and deliver training tailored to their needs for professionals and foster carers with support from Comic Relief. Participants have explored the experiences of Looked After Children and how these can affect mental health, ways to reduce risk when a child comes into care and build resilience. Facilitated reflective practice sessions enable participants to explore ‘live’ issues in practice and discover new perspectives. Foster carers have told us they find it very helpful to explore the reasons behind some children’s behaviour and this has changed how they would work with them in the future. A free toolkit of training resources can be found at the YoungMinds website. Exploring stigma LOOKED AF TER CHILDREN “If I told someone I heard voices or saw things, I thought they’d lock me up or I’d end up in a straight‑jacket like a prisoner.” – A young person in care ‘ Stop treating us like aliens and treat us like everyone else’ –A Looked After Young Person YoungMinds conducted a research project into the mental health stigma faced by Looked After Children funded by The Network for Social Change. A group of 50 young people took part in a variety of creative workshops exploring experiences of mental health stigma at school, in placements and with mental health services. Participants came from foster care, residential child care placements, secure settings and also those leaving care. Young people told us: • They want schools to understand their experiences but not to single them out as different. •M ental health services often don’t meet their needs and that there is stigma attached to these services. • They talk about their worries and feelings to people they have good relationships with, often foster carers, residential workers and participation/children’s rights workers. Conclusions • T here needs to be more widespread understanding of what it means to be a Looked After Young Person. YoungMinds training packages now incorporate these seldom heard voices. •D iscussions in school around equality and diversity should include conversations about where young people live. •P articipants repeatedly stated that the only representation of children in care that others know is the TV character Tracy Beaker and that they are tired of telling peers that they ‘are not like Tracy Beaker’. •N ormalising the idea of care, including foster and residential care, will help alleviate some of the stigma attached to children growing up away from home and improve their overall wellbeing and mental health. YOUNGMINDS IN THE MEDIA APRIL 2011 MAY 2011 JUNE 2011 JULY 2011 AUGUST 2011 September 2011 YoungMinds has been ‘Kerrang!’s charity partner for the last 4 years. They support YoungMinds’ work through regularly featuring our top tips for mental health and wellbeing in their magazine. YoungMinds raised concerns on BBC Wales about the number of young people committing acts of self-harm following reports of an increase in the number of children being hospitalised due to self‑harm in Wales. We warned in the Daily Mirror about the dangers to the mental health and wellbeing of two year old girls being forced to participate in beauty pageants. A mother of a VIK member spoke to Woman magazine about how her daughter had struggled with depression and had found help and support through YoungMinds. Following the tragic shootings in Norway The Times featured our advice on how to help children cope with seeing horrific events in the news. The work of our Parents’ Helpline was profiled in The Sun and Candis Magazine. YoungMinds spoke to the Sunday Express about the Prime Minister’s launch of the happiness index. The Guardian and The Daily Telegraph reported that our Parents’ Helpline had received a record number of calls due to exam stress. The work of YoungMinds Parents’ Helpline in supporting over 6,000 parents a year was featured in the Times Educational Supplement as we urged parents to seek help at an early stage for their child. The Voice featured our concerns about how cuts to CAMHS could impact on children and young people from minority backgrounds. We raised our concerns in The Daily Telegraph that exam pressures placed on young people will lead to an increase in mental illness as they struggle to cope. Our regional campaigning highlighted the effects of cuts by Birmingham City Council to CAMHS in the Birmingham Post. In the Plymouth Herald we highlighted some of the shocking waiting times for children and young people in Devon. October 2011 November 2011 December 2011 January 2012 February 2012 March 2012 We launched the London Manifesto ‘State of Mind’ on World Mental Health Day at City Hall, encouraging young people to lobby politicians and service providers to make young people’s mental health and emotional wellbeing a priority. BBC London covered the launch interviewing two young people from the VIK project. Sky News and The Guardian reported our concerns about the prevalence of self-harm amongst young people. YoungMinds warned in The Independent that 100,000 children a year would be hospitalised due to self-harm in 2020 if current trends continued. We revealed in The Sun that the number of children and young people hospitalised due to self-harm increased by 68% in the last ten years. The Observer profiled our work on revealing the extent of cuts to CAMHS. Our analysis revealed over 50% of CAMHS had reduced their budgets in the year 2010/2011. Some local authorities reported cuts of up to 30%. The Sunday Telegraph featured the work of our Parents’ Helpline in providing support and advice to adults concerned about the mental health or emotional wellbeing of a child or young person. We spoke in the Daily Mirror about the effects of eating disorders on young people and offered advice to parents in getting appropriate support. Together with ChildLine, SelfHarm.co.uk and YouthNet we led a campaign focused on SelfHarm Awareness Day 2012. The campaign drew the backing of N-Dubz and X-Factor star Tulisa and featured in The Sun, Daily Express and The Independent on Sunday. The Sunday Times reported our concerns about children accessing pornography via their mobile phones. We commented on the Daily Mirror’s story about children as young as 3 being treated for anorexia. The BBC covered our support for the Department of Health’s announcement that an additional £22 million would be given towards the Children’s Improving Access To Therapy (IAPT) programme. Megan, a young person on our VIK panel, spoke to Yasmin Alibhai-Brown on BBC Radio 4 about the impact of divorce on her mental health. The programme featured a 15 minute interview with Megan talking about her experience growing up. PATIENT VOICE As part of a children’s charities alliance, led by NCB, YoungMinds is playing an active role in working with the Government on the roll out of the new NHS structures and is campaigning for children and young people’s voices to be heard in the new landscape. A YoungMinds survey revealed that 80% of local government health scrutiny chairs did not know how children and young people could be involved in Health and Wellbeing Boards or HealthWatch. The Government will now review the role children and young people’s participation plays once HealthWatch has got underway. ANNUAL DEBATE CAMPAIGNS & POLICY “Without YoungMinds support I don’t think we would have come as far as we have, as quickly as we have. I would like to thank them for their drive and support.” –P aul Burstow, Minister of State for Health, speaking at The House of Commons debate on mental health. BBC Home Editor Mark Easton chaired our Annual Debate that looked at whether ‘Our target driven school system was damaging children’s wellbeing’. Panellists included schools campaigner Fiona Millar, Matthew Taylor from the RSA, Adele Eastman from the Centre for Social Justice, Ian Morris from Wellington College and Karen Robinson from the National Association of Teachers. CLOSING THE GAP We are partners with the CAMHS Evidence Practice Unit in this ‘action learning’ research project which has now recruited its five CAMH services. The aim of the project, started in Jan 2011, is to support CAMHS clinicians in the participation of children and young people in all aspects of their treatment. ONLINE CHILD PROTECTION INQUIRY YoungMinds has warned of the dangers of children and young people having unchecked access to pornography. We gave evidence to the Independent Parliamentary Inquiry into Online Child Protection and have continued to lobby with others for internet service providers to show greater responsibility. CUTS As part of our continued campaign to protect CAMHS, YoungMinds wrote to every council leader and chief executive with a copy of our briefing on cuts. We received many supportive responses, which form the basis of an alliance against further cuts. CHILDREN AND YOUNG PEOPLE’S MENTAL HEALTH COALITION As part of our continued involvement in the Children and Young People’s Mental Health Coalition we led a policy task group looking at improving mental health training for Health Visitors. Some of our recommendations are now featured in the Department of Health’s (DH) guidance for training Health Visitors. We also co-hosted a thematic day with the DH and The Afiya Trust which looked at the implementation of the Mental Health Strategy and its role in improving mental health provision for children and young people. SELF-HARM YoungMinds is working in partnership with the Cello Group on a groundbreaking research project as part of their CSR ‘Talking Taboos’ programme. This will capture the views of parents, teachers and healthcare professionals on self-harm and lead to the production of a range of resources for these groups. CRIMINAL JUSTICE We have been commissioned by The Barrow Cadbury Trust to lead a research project with City University and The Centre for Mental Health on the links between mental health and offending. We look forward to publishing our findings in the coming year. LOOKING FORWARD The Children and Young People’s Health Outcomes Forum will publish their report showing clear aims and aspirations for improving the mental health of children and young people. Release of the Mental Health Strategy Implementation Framework by the DH. YoungMinds welcomed the Mental Health Strategy’s commitment to children and young people’s mental health through early intervention, robust support mechanisms and identifying key stress points such as when transitions occur. We now need to see these commitments turned into a reality so that children and young people get the right support as soon as they need it and that mental health promotion is a vital ingredient in every community. Early intervention is vital in preventing young people’s mental health problems becoming more serious and entrenched in adulthood, that’s why we need to act now. BOND is an ambitious, voluntary sector capacity building project that will ensure children, young people and families receive quality assured early intervention mental health support services in schools and other settings, funded by The Department for Education. BOND will: • Test new approaches to joint working, providing intensive support, through workshops, one to one coaching, action learning sets, for voluntary and community sector organisations (VCSO), commissioners and schools in five pilot areas. • Develop and disseminate quality standards and accreditation for voluntary sector delivery of mental health services. • Support the increase in the range of early intervention mental health services offered by voluntary sector providers. • Support schools and commissioners in their procurement of mental health services to ensure: high quality, an increase in choices for young people, value for money and evidence based effective services. • Be a vital resource for schools, local authorities and the NHS to support local determination of priorities, a strengthened voice for service users and the increased role of the VCS. “We are very excited to be a part of the BOND programme and working with schools… We are pleased to be part of this pilot which we believe will lead the way in developing new and effective ways of working to improve children and young people’s emotional wellbeing and mental health.” – Gill Rollings, Director of Children, Family and Learning at Middlesbrough Council YoungMinds leads this exciting programme on behalf of a consortium of national leaders and experts. BOND’s members include: Youth Access and Place2Be, specialists in VCS delivery of children and young people’s mental health services in the community and schools. The Mental Health Foundation and EBPU (Evidence Based Practice Unit) provide unrivalled expertise in research about effective mental health services, quality standards and accreditation. FPM brings a strong track record of capacity building across youth VCS organisations. Specialist CAMHS commissioning expert Lisa Williams and online CAMHS support provider: Cernis. The partnership is advised by The Afiya Trust which brings expertise, networks and knowledge of BME communities. ACHIEVEMENTS TO DATE In March 2012 we held Best Practice Exchanges in nine areas of England. These brought together commissioners, schools and voluntary sector organisations with an interest in the mental wellbeing of children and young people. Of the 500 people who participated 92% said they would like further involvement with BOND. 98% of commissioners said they were more likely as a result to commission VCSOs to deliver early intervention mental health services for children and young people. THANK YOU YoungMinds extends it heartfelt thanks to all our funders and supporters without whom we would not be able to continue our vital work. Our gratitude goes to the Government, trusts, foundations, corporate partners including Capital Generation Partners, Rakuten’s Play.com and The Bank of America, individual donors and of course our army of enthusiastic fundraisers. “Through YoungMinds I was given the to speak up at the House of Lords and be the voice for myself and the many other young people in the mental health system. As a young person who suffers from mental health problems, I found being able to get involved in a cause so close to home has really helped towards my own wellbeing and rehabilitation. Most importantly I’ve been able to meet other young people I can relate to and share experiences with, and FINANCE Expenditure Categories Sources of Income £ % 145,497 Donations 7 1,796,668 Projects & Services 84 74,304 Training & Development 3 77,613 Membership & Publications 4 40,497 Other 2 2,134,579 Total Income % £ 2 38,600 Training & Consultancy 4 79,894 Membership & Publications 23 437,304 Parents Information Service 35 655,350 Participation Projects 28 Support for Professionals and Organisations 528,665 2 37,450 Policy, Information & Research 5 85,423 Marketing & Fundraising 1 13,532 Governance 1,876,218 Total Expenditure Balance at end of Year: Reserves of £441,450 Extract from Annual Report because it has given me the chance to make new friendships and meet some of the most inspirational young people across the nation.” – Monique, 21 wearebwa.co.uk YOUNGMINDS IS THE UK’S LEADING CHARITY COMMITTED TO IMPROVING THE EMOTIONAL WELLBEING AND MENTAL HEALTH OF CHILDREN AND YOUNG PEOPLE T: 020 7089 5050 E: ymenquiries@youngminds.org.uk A: Suite 11, Baden Place, Crosby Row, London, SE1 1YW W: www.youngminds.org.uk Registered Charity No: 1016968 Company limited by guarantee No: 2780643. 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