TaMHS & Special Schools.
North Tyneside’s multi agency approach to the
development & delivery of training – to increase capacity
& improve pathways
Workshop Aims and Objectives
An overview of North Tyneside’s TaMHS Phase 3 pilot
across 6 special schools between 2010 – 2011
Delivery of CAMHS training using a partnership approach
between CAMHS PMHW Team & Education PSHE Team
TaMHS Workshop facilitators
Rhian Davies CAMHS PMHW
Tina Yarborough CAMHS PMHW
Elaine Robson LA PSHE Team Advisor
Gill Hedworth LA PSHE Team Advisor
TARGETED MENTAL HEALTH IN SCHOOLS (TaMHS)
North Tyneside Special School Phase 3 Pathfinder
•
Background & Context
•
Establishing an evidence base
•
North Tyneside special schools profile
•
Local TaMHS Training Programme
•
Northumbria University, Best Practice, Collaborative Study Days
•
Pathfinder Pilots within Special Schools
•
Securing improved outcomes and sustainability
Local TaMHS Training Programme
Over the period covering October 2010 to March 2011
the multi-disciplinary team delivered sessions covering
general mental health awareness, ASD, ADHD and
bereavement.
19 Special school training sessions – 443 attendees
11 ‘open access’ training sessions – 228 attendees
Northumbria University, Best Practice, Collaborative Study
Days
4 open access sessions covering ASD co-morbidity, ADHD
co-morbidity, Raising Aspirations and Learning Disability
Mental Health – 53 attendees
Design considerations for a local TaMHS training programme.
• New collaboration between CAMHS, PSHE & Special schools services - acknowledging
professional anxieties, cultural differences, identification of shared terminology
• The challenges - establishing relationships with Special Schools – knowledge and skill
pools/previous poor experiences of CAMHS
• Delivering to experts in learning
• Ensuring relevance to the range of school and pupil needs. (Pre group visits to heads,
request for relevant case studies)
• Importance of a practical application in class –PSHE message. (Tool kits)
• Emphasis on the quality of staffs current relationship with the pupils as a therapeutic
process, and skills and knowledge in emotional well being and mental health ( NAMING
IT)
National CAMHS Support Service
Everybody’s
Business
TaMHS – Targeted Mental Health training and education for Special
Schools in North Tyneside
Facilitated by CAMHS & LA PSHE Team 2010 – 2011
UNDERSTANDING MENTAL HEALTH
Programme Content
(Didactic teaching methods)
Policy and research context – messages of :
‘Everybody’s Business’/SEAL/Healthy schools
Prevalence rates national and regional
CAMHS structure -Tiered approach
TaMHS National Best Practice recommendations
Group exercises ( delivered in whole & small groups)
Aim –to offer a practical application of theoretical knowledge.
• Sharing current examples of good practice (peer learning)
eg snowball activity – a practical distancing technique
• Assessment tools –
• Everybody’s Business ‘continuum of definitions of mental health
(definitions, identification, triggers, current management)
• Individual live case studies application to Risk and Resilience
framework and CSIP case study /question format (side coaching )
PRACTICAL THERAPEUTIC TOOLS (PSHE resilience/emotional well
being methods)
Consideration of diverse needs of pupils /inclusion issues.
Rally Robin warm ups (ref: Spencer Kegan)
Positive petals (virtuous flower)
Draw and Write - body maps (ref: Health for Life –publisher Nelson
Thornes, Noreen Wetton)
Worry Stones
Secret friends
Snowball activities
Group Process Issues
Factors impacting on Engagement and Resistance –
Head teachers involvement in project board (dissemination of
information)
School cultures and values
perceptions of pupils mental health needs and CAMHS
Group dynamics – school hierarchies of interdisciplinary roles
Facilitation team- reflection/adaptation processes
Lessons learned
The Challenges…
Communication issues between project board and
facilitators.
Teaching ‘experts on learning’.
Assumptions from history – poor relationships
Fear of raising expectations
Time constraints
Working across “expert” and systems boundaries
Lessons learned
The successes…
Positive PR
Increased empowerment and support for schools
Increased awareness of CAMHS service and child mental
health
School staff more confident managing EWB of pupils
Collaborative knowledge/ practice /relationships
to drive agenda
Clearer pathways between services
New CAMHS/LD PMHW post
Outcomes from the TaMHS training
Comparing the baseline responses of
staff across the special schools/PRU with
the end of project evaluation
The rating scale used was 1 – 10
(ref: North Tyneside TaMHS Final
Evaluation Report)
Outcomes from the TaMHS training
4 of the following statements were used as a pre & post TaMHS training
baseline & outcome measure on a scale of 1 – 10 for all staff attending the
sessions
• The level of awareness (pre 5.5 – post 6.8 = 1.3 increase)
• Ability to apply techniques (pre 5.6 – post 6.9 = 1.3 increase)
• Confidence in supporting mental health needs (pre 5.5 – post 6.9 = 1.4
increase)
• Ability to access further support (pre 5.2 – post 7.4 = 2.2 increase)
• Responses have all increased as an outcome of our intensive programme
of TaMHS delivery that has been led and owned by Special Schools and
supported by a wide range of multi-agency, multi-disciplinary partner
professionals.
Outcomes from the TaMHS training
• Demonstrates increased awareness &
confidence as an outcome of the programme of
TaMHS delivery
• Cost effective – facilitators time, number of
attendees
• Future rolling programme evaluation outcomes
• Triangulation of data
• Better GCSE results & OFSTED report in 1
school compared to previous results
Future Plans
Special schools Heads agreed funding for CAMHS/LD
post
Sustainability model of CAMHS/LD post
Data collection – capturing CAMHS referrals
CAMHS performance metrics
What impact of TaMHS training on increased referrals,
consultations
Annual Special schools reports – measureable figures
North Tyneside CAMHS PMHW Team
Theresa Maddison Modern Matron Child Health
Amy Langford PMHW YOS & Alcohol & Substance Use, N2L service
Rhian Davies PMHW
Sandra Telford PMHW
Tina Yarborough PMHW
PMHW post ( adolescents ) – appointed June 2011
CAMHS/LD post – appointed October 2011
Albion Road Resource Centre
North Shields
Tyne & Wear
NE29 OHG
Tel: 0191 2196685
North Tyneside Education PSHE Team
Joyce McCarty Health & Wellbeing school improvement Officer
Elaine Robson Health & Wellbeing school improvement advisor
Gill Hedworth Health & Wellbeing school improvement advisor
The Langdale Centre
Langdale Gardens
Howdon
Wallsend
Tyne & wear
Tel: 0191 6438500