Agenda Item 2 - CAMHS Annex A

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Annex A
Report on Outcomes of LDG 2013-14 funding for Emotional Health and Wellbeing.
As at 22 1 14
Summary
This summary is based on the monitoring returns received by mid January 2014. 27 LDGs received funding in 2013-14 (2 choosing not to apply for it). Most LDGs had been operating services for 4
months since September; some had run them for longer. An outcome matrix was developed to capture improved outcomes with a focus on improving emotional health of children and young people and
the impact of this on relationships and educational outcomes. Providers were asked to measure outcomes by using an established standardised measuring tool (from a shortlist of recommended
measures) before and after completion of the intervention. 20 LDGs made some type of return, this are broken down as follows:
 13 LDGs made the return on the template requested
 1 provided data in a different format which nonetheless demonstrates improved outcomes
 6 LDGs made a return, but with no outcome data included.
Types of Activities: A range of activities have been delivered with this funding which has included 1:1 counselling for pupils, group work for pupils, 1:1 mentoring, 1:1 support for parents, group support
for parents and training and workshops for front line staff. 21 of the LDGs have directly commissioned providers to deliver services, the remainder have used the funding as a combination of direct delivery
and commissioned support. Across the 20 LDGs who made a return this funding and activity has supported:
Children and Young People – 1037 individual young people received direct interventions including 1:1 counselling, group work or whole family work. A further 1914 in one LDG participated in an
AntiBullying programme. This breaks down as 0.4% 0 – 4yr old, 97% 5 – 11yr olds, 2% 12 – 15yr olds and 0.1% 16 – 19yr olds. Males account for 51% and females 49%.
Parents - 493 parents received direct support as either 1:1support, parenting groups or as part of whole family support. This has directly impacted on 573 children and young people (included in 1037
figure above).
Professionals - 352 professionals received additional training to support the emotional health and wellbeing of pupils within schools. A proportion of this training has developed skills of school staff to
work with pupils 1:1 and other training has supported school staff to take a whole school approach to improving emotional health. This impacted on an additional 3066 pupils in 4 LDGs (2282 of these from
1 LDG benefitting from emotional first aid training for staff).
Outcomes The funding has impacted on the emotional health of children and young people as follows. This is based on data reported on the returns from 14 LDGs when numbers have been confirmed
and before and after outcome measurement was completed. More children and young people than reported below as showing positive change will be benefitting – outcomes are only reported when
intervention finishes.
Outcome
1.
2.
3.
4.
5.
Improved social relationships and wellbeing
Reduction of behavioural issues and bullying behaviour within school among CYP supported, including avoidance of risks such as exclusion as reported by school staff
Reduction or cessation or self-harming behaviours such as drugs, alcohol, cutting etc among CYP supported where applicable
Increased interaction with peers & adults among CYP supported as reported by schools staff (eg remains in lessons, participation in extra-curricular activities)
Expected/actual attainment level for CYP supported raised
Total pupils in 14 LDGs
with this need helped to
date
591
2386
32
2306
251
No.and % pupils to date reported to be
showing positive change
356 (60%)
2174 (91%)
20 (62%)
2070 (90%)
75 (30%)
Of the total 493 parents in 20 LDGs who received interventions, 353 in the 14 LDGs had interventions addressing increased confidence and skills in understanding and responding to children’s emotional
wellbeing needs and of these 208 showed positive change.
Of the total 352 professionals and volunteers who received training in the 20 LDGs, 281 in the 14 LDGs addressed the issue of increased confidence and skills in understanding & responding to children’s
emotional wellbeing needs and 156 showed positive change.
Characteristics of the Children and young people supported: Specifically, 558 children in poverty were supported, 35 on a child in need plan, 17 on a child protection plan and 219 children in care.
Complexity of Cases and presenting issues: The case studies confirm the complexity of the cases the schools are supporting. Examples have been provided of children’s emotional health being
impacted by parental separation, family breakdown and loss and bereavement. Specifically, 274 children had a disability or statement of SEN, 111 cases were from families with historic Domestic Abuse,
158 cases where there was an identified adult mental health problem, 109 cases where the parent/carer had a disability and 26 cases where there was a parent with substance misuse issue. The two
highest presenting issues were poor self-esteem at (825) and poor behaviour (800) followed by poor social interaction with peers and adults (486). Where we requested additional information about
presenting needs, in particular, family separation and bereavement were identified as specific issues impacting on pupil’s emotional health.
Analysis and Conclusion The activity is varied, returns are incomplete and at this 6 months point not all outcome measurement has been completed or reported. This reflects the lack of equity and
consistency across the County – strong LDGs with active leadership, involvement and coordination have capacity and do report and deliver effectively; less strong LDGs do not. The level, intensity and
focus of activities delivered across the County varies greatly and this is reflected in the large variation between numbers supported for the same sum of money. That 60% pupils show some improvement
in outcomes 1 and 3 seems a reasonable level of improvement at this stage for the 13 LDGs concerned. 90% showing some improvement in outcomes 2 and 4 largely from the antibullying programme in
1 LDG raises some questions about the measurement and level of improvement. 30% improvement in outcome 5 reflects that this is a 6 months report and attainment may be measured annually and is
impacted by a large number of factors not just emotional wellbeing. Hence at this stage it is not possible or appropriate to come to an overall conclusion about the impact or cost effectiveness of the usage
Annex A
of the £400,000 resource in 2013-14. For the 13 LDGs (not including the one with the antibullying programme) reporting outcomes, the schools involved believe there does seem to have been reasonable
impact to date.
Activities and Outcomes for individual quadrants
WEST ESSEX OUTCOMES
LDG
Summary of proposal
Uttlesford
North
Relate have been commissioned to deliver 1:1 Work with children experiencing
emotional difficulties, exploring emotions through play therapy, stories and
counselling skills.
Target number CYP
to
Benefit and age
21 Children
21 Adults
Outputs at 6
months
9 children supported
6males
3 females
14 parents
Outcomes
At 6 months
8 parents report increased confidence and skills in understanding
and responding to children's emotional wellbeing needs
Amount
£9,200
8 children had improvement in behaviour and reduction in bullying
behaviour within school including avoidance of risks such as
exclusion
8 children had increased interaction with peers & adults
8 children had improved social relationships and wellbeing
Uttlesford
South
Kids Inspire have been commissioned to deliver 1:1 Counselling and group work for for
primary age children, 1:1 support for parents and parent group work and staff training.
26+ Children 52+
Adults
20-100 Staff
No report to date
Harlow
HEC has commissioned Young Concern Trust to deliver 1:1 counselling and has used the
remainder of the funds for the existing HEC team to deliver a range of parenting
programmes and workshops (eg Triple P and Messy workshops) for parents, 1:1 for parents
and group work for children.
270 Children 109 Adults
170 pupils supported
93 males
67 females
90 parents
£9,200
40 Parents report increased confidence and skills in
understanding and responding to children's emotional
wellbeing needs.
£32,800
42 Professionals and volunteers report increased confidence
and skills in understanding & responding to children's
emotional wellbeing needs
55 pupils showed Improvement in behaviour and reduction in
bullying behaviour within school including avoidance of risks
such as exclusion
2 pupils reported reduction or cessation of self harming
behaviours such as drugs, alcohol, cutting etc
61 pupils had Increased interaction with peers & adults
Epping
Forest
Rural
The LDG has commissioned Relate to provide 1:1 counselling for children and 1:1
counselling for parents as part of whole family work
20 (4-11) +
40
Adults (parents)
29 children
supported
12 males
17 females
40 parents
95 pupils had Improved social relationships and wellbeing
27 Parents report increased confidence and skills in
understanding and responding to children's emotional
wellbeing needs
£9,200
27 Improvement in behaviour and reduction in bullying
behaviour within school including avoidance of risks such as
exclusion
27 pupils had increased interaction with peers & adults
Epping
Forest
South
The Hopscotch Project will deliver 1:1 counselling and therapy groups for children and 1:1
counselling sessions for the parents of the children receiving support.
48 Children
7 Adults
23 children
supported
3 males 20 females
15 parents
27 Improved social relationships and wellbeing
14 pupils had Improved social relationships and wellbeing
£18,400
Annex A
SOUTH EAST ESSEX OUTCOMES
LDG
Summary of proposal
Castle Point
Canvey Island
The LDG have commissioned Play Planet to deliver The Anti-Bullying Programme
(The Friendship Programme) to the remainder of the schools in the LDG. Play Planet
will also deliver Anger management/self-esteem programme for a targeted group of
pupils.
Target number CYP
to
Benefit and age
1500
Outputs at 6
months
1914 children
supported
918 males
996 females
79 staff
Outcomes
At 6 months
72 Professionals and volunteers report increased confidence
and skills in understanding & responding to children's
emotional wellbeing needs
Amount
£15,200
1858 children had improvement in behaviour and reduction in
bullying behaviour within school including avoidance of risks
such as exclusion
1829 children had increased interaction with peers & adults
Castle Point
Benfleet
The BATIC counsellors will increase counselling provision and deliver additional 1:1
counselling for children and 1:1 counselling for parents of the children receiving
support.
36 Children 18 Adults
3 Staff
No return to date
Rochford &
Rayleigh
The Rochford and Rayleigh LDG counsellors will deliver 1:1 Counselling and
parenting groups for the parents of children receiving support.
75 Children
Adults
42 children
supported
75
33 males
9 females
75 adults
£15,200
35 Parents report increased confidence and skills in
understanding and responding to children's emotional
wellbeing needs
11 Professionals and volunteers report increased confidence
and skills in understanding & responding to children's
emotional wellbeing needs
31 children has improvement in behaviour and reduction in
bullying behaviour within school including avoidance of risks
such as exclusion
8children had a reduction or cessation of self harming
behaviours such as drugs, alcohol, cutting etc
15 children had Increased interaction with peers & adults
40 children had Improved social relationships and wellbeing
£15,200
Annex A
SOUTH WEST ESSEX OUTCOMES
LDG
Basildon BEST
BEST will deliver :
2 Families Managing Anger courses for targeted families, and themed parenting
workshops
Target number CYP
to
Benefit and age
220 Children
120 Adults
40 Staff
Outputs at 6
months
43 children
supported
30 males
13 females
Outcomes
At 6 months
Amount
7 children had an improvement in behaviour and reduction in
bullying behaviour within school including avoidance of risks
such as exclusion
£32,480 (This is
two LDGs that
have merged into
one hence the
larger amount)
8 Increased interaction with peers & adults
A pilot of Home/School Liaison Programmes for Schools
50 parents
Staff training:
CPD – using small group interventions to manage behaviour, supporting pupils with
attachment issues, supporting grief and loss, listening skills and mental health issues
for children.
77 staff impacting on
250 children
31 children reported they felt heard/valued /treated with
respect
9 parents report increased confidence and skills in
understanding and responding to children’s emotional
wellbeing needs
Supporting midday staff to improve the lunchtime experience for vulnerable children.
Pastoral Support Network Meetings
Holiday activities/bursaries – supporting children with poor emotional health to
continue activities during the holiday periods.
Basildon
Billericay
Professional Counselling for School Staff Supporting Vulnerable Pupils
1:1 Counselling
Provided by Working 4 Children in school or in the home
130 CYP
25 Staff and
professional
20 Adults
170 children
supported
Parents Groups
Provided by Working 4 Children in school or in the home, linked to children’s needs
identified in section above
98 males
72 females
72 parents
Staff Training
Strategies given to individual staff to support pupils’ needs
26 staff
Counselling and mentoring service using Working4Children and Extended Services
Team.
£16,240
95 Improvement in behaviour and reduction in bullying
behaviour within school including avoidance of risks such as
exclusion
69 children had Increased interaction with peers & adults
Other
Contact with other professionals which included social workers, mental health staff.
Research findings for information.
Brentwood
26 Professionals and volunteers report increased confidence
and skills in understanding & responding to children's
emotional wellbeing needs
95 children had improved social relationships and wellbeing
100 CYP
Adults
Increasing access to services for children experiencing emotional difficulties and their
parents through:
50
65 children
supported
8 pupils had reduction or cessation of self harming
behaviours such as drugs, alcohol, cutting etc
33males
32 females
21 children had Improved social relationships and wellbeing
£16,251
11 parents
1:1 Counselling for pupils aged 5-11
1:1 mentoring for pupils with behavioural and emotional difficulties
Wickford
1:1 parenting support
1:1 Counselling
1.5 x CAMHS workers to support staff, parents and pupils within Wickford schools who
are experiencing relationship breakdowns, trauma, bereavement. Also, to assist in
transition between key stages and schools, especially when families move from school
to school within Wickford (turbulence).
1:1 Mentoring
1 x CAMHS worker to mentor and supervise 2 nurture group workers in Paddington
House – 1 afternoon per fortnight.
Parenting Groups
1.5 x Support for families experiencing relationship breakdown to receive 1:1 sessions.
Staff Training
120 Children
150 Adults
120 Staff
130 children
supported
71 males
58 females
68 parents
130 staff impacting
on 500 children
Outcomes not reported
£16,240
Annex A
Training with CAMHS workers (1.5) at CLC and within Wickford schools for Class
Teachers, Learning Mentors, Office Staff for Emotional Resilience/Well-Being
training/support.
Annex A
MID ESSEX OUTCOMES
LDG
Braintree
North East
Braintree
South
West
Summary of proposal
To commission Sycamore Counselling to deliver 1:1 counselling
To extend the counselling/mentoring capacity for schools in the LDG who already have
counsellors/mentors working within their schools.
Target number CYP
to
Benefit and age
30 young people aged
11 – 16yrs
24 children and young
people aged 5 – 16yr
olds
Outputs at 6
months
20 children
supported
5 males
15 females
96 children
supported
Outcomes
At 6 months
Amount
No outcomes reported
£14,533
No outcomes reported
£14,533
No outcomes reported
£10,400
No outcomes reported
£10,400
5 Professionals and volunteers report increased confidence
and skills in understanding & responding to children's
emotional wellbeing needs
£10,400
52 males
44 females
28 parents
13 staff
Braintree
Witham
Chelmsford
North
Chelmsford
West
Chelmsford
South
Woodham
Ferrers
No application
To commission Sycamore Counselling to deliver 1:1 counselling.
To commission Sycamore Counselling to deliver play therapy
To commission Lesley Kempster WBM trainer to train 4 more LSAs and to provide ongoing
support and supervision for the group
25 children aged 4 –
11yrs
14 children
supported
15 children aged 5 –
11yrs
10 males
4 females
12 children
supported
16 pupils aged 5 – 11yrs
To provide release time for the experienced WBMentors to work with children 1:1
8 males
4 females
8 staff impacting on
34 children
16 males
18 females
5 children had Improvement in behaviour and reduction in
bullying behaviour within school including avoidance of risks
such as exclusion
15 children had increased interaction with peers & adults
20 children had improved social relationships and wellbeing
Chelmsford
South Gt
Baddow
To commission Sam Harris to deliver 1:1 counselling and group work
Chelmsford
South
Moulsham
Maldon
Blackwater
To commission Sam Harris to deliver 1:1 counselling and group work
34 children and young
people aged 3 – 18yrs
£5,200
No return to date
£5,200
To commission ECC Ed Psych to deliver staff training to wellbeing mentors on considering
the impact of Domestic Abuse.
To commission Emotional First Aid to deliver emotional first aid training for front line staff
and to run parent support groups for parents who show signs of emotional distress
8 members of staff
84 children and young
people aged 4 – 18yrs
(60 pupils in group work)
12 members of staff
12 parents attend
workshops
Maldon
Dengie
No return to date
No application
6 parents
13 staff impacting on
2282 children
No outcomes reported
£5,200
Annex A
NORTH EAST ESSEX OUTCOMES
LDG
Colchester
EN
Summary of proposal
To commission Colchester Mind to deliver 1:1 counselling and whole family support as
appropriate.
Target number CYP
to
Benefit and age
33 children/young
people aged 5 – 16yrs
Approx 10 families
Outputs at 6
months
97 children
supported
56 males
41 females
2 parents
Outcomes
At 6 months
43 children had improvement in behaviour and reduction in
bullying behaviour within school including avoidance of risks
such as exclusion
Amount
£15,067
6 children had reduction or cessation of self harming
behaviours such as drugs, alcohol, cutting etc
9 children had increased
interaction with peers &
adults
38 children had improved social relationships and wellbeing
Colchester
ES
To commission Amanda Mason and Pam Harris to deliver 1:1 therapeutic support for
children and families
35 children/young
people aged 5 – 16yrs
Colchester
West
To commission Colchester MIND to deliver1:1 counselling, group work and whole family
support as appropriate
Tendring N
Manningtree
To commission Solutions 4 change to collaborate with pastoral support managers to
deliver 1:1 mentoring, Group Mentoring Sessions, Bereavement group, training for
pastoral support managers and LSAs to build capacity.
Tendring N
Harwich
To commission Relate to deliver 1:1 counselling and extend to family support where
required.
Tendring Mid
Tendring
South
To commission Relate and YES to deliver 1:1 counselling and extend to family support
where required. Relate to deliver to primary age support to children and families, and YES
to deliver to secondary age pupils. Along with 1:1 work, YES will offer a drop in session
for staff and young people at each of the 2 secondary schools
To commission Colchester Mind to deliver 1:1 counselling, music and play therapy, small
group work and 1:1 sessions for parents
No return to date
£15,067
35+ parents/carers
55 children/young
people aged 5 – 16yrs
No return to date
£15,067
45 parents
50+ children and young
people aged 4 – 16yrs.
No return to date
£6,560
9 members of staff.
20 – 25 children and
young people aged 5 –
18yrs
9 children supported
4 males
5 females
20 – 40 parents/carers
where appropriate
39 children aged 5 –
11yrs
15 parents
48 secondary aged 1116yrs
25 males
25 females
78 adults at primary age
assuming 2 parents per
child. .
35 children and young
people aged 7 – 13yrs
30 parents
5 parents/carers
33 males
25 females
50 children
supported
58 children
supported
No outcomes reported
£9,840
13 children had improvement in behaviour and reduction in
bullying behaviour within school including avoidance of risks
such as exclusion
£16,400
11 parents report increased confidence and skills in
understanding and responding to children's emotional
wellbeing needs
32 children had improvement in behaviour and reduction in
bullying behaviour within school including avoidance of risks
such as exclusion
3 children had reduction or cessation of self harming
behaviours such as drugs, alcohol, cutting etc
5 children had increased interaction with peers & adults
12 children had improved social relationships and wellbeing
£16,400
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