www.england.nhs.uk

Mental Health

Services and

Schools Link

Pilot

Michelle Place CYP MH Programme NHS England

March 2016

www.england.nhs.uk

•

• Establishment of a named point of

contact within specialist children and

young people’s (CYP) mental health

services and a named lead within

each school

• Development of a joint training

programme for named school leads

and specialist CYP mental health

services

www.england.nhs.uk

Mental Health Services and Schools

Link Pilot Pilot jointly funded and led by NHS England and Department for

Education (DfE): to test the named lead approach and to trial a joint training

programme for these lead roles

Aims:

To test how training and subsequent joint working can improve local

knowledge and identification of mental health issues and improve referrals to

services delivering children and young people’s mental health care by:

• Improving joint working between school settings and CYP mental health

services

• Developing and maintaining effective local referral routes

• Testing the concept of a lead contact in schools and CYP mental health

services

Working closely with:

• The Anna Freud Centre: training provider

• Ecorys: pilot evaluators

www.england.nhs.uk

• Expressions of Interest: Summer 2015, NHS England and DfE ask for

Clinical Commissioning Groups (CCGs) to join with local specialist CYP

mental health services and schools to test the named lead approach and a

joint training programme.

• 22 pilot sites across the country: 27 CCGs and 255 schools taking part

• CCGs coordinated: training, support testing of name lead approach

• Named lead: established in each school and local CYP mental health

service – differing models emerging

• Working together: CCG, CYP mental health services and schools

• developing joint working protocols,

• taking part in evaluation

• sustainability and spread

•

The Journey to Date

Single Point of Access Pilot

The Anna Freud Centre

The Anna Freud Centre

@AFCevents

5

Aims of programme

• Shared view of strengths and limitations of capabilities and capacities of education and mental health colleagues

• Improved knowledge of resources to support mental health of children and young people

• More effective use of existing resources

• Improved joint working between education and mental health colleagues

6

CASCADE Framework

7

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 (e.g. single

point of access)

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

8

Camden: Mental Health Services

& Schools Link Pilot site

camden.gov.uk/openminded

Camden population

• Inner London borough

• 48,630 children and young people aged 0-19 (GLA 2014 population

estimate)

• 2,550 CYP aged 5-16 have some type of mental disorder (based on

national prevalence data)

• Local ‘preferred prevalence’ estimates indicate that Camden has 33%

higher rate compared to national averages, giving a preferred

prevalence of 13%, or 3,230 CYP with some type of mental disorder

in Camden

Camden health related behaviours

questionnaire (2015)

Primary Secondary

Prevalence rates within

Camden’s school

population

• 43% of boys had high self-esteem scores

• 37% of girls had high self-esteem scores

• 77% of boys and 83% of girls reported that they

worry about at least one problem 'quite a lot' or 'a

lot'

• 51% of Year 8 boys and 50% of Year 10 boys had high self-

esteem scores

• 41% of Year 8 girls and 38% of Year 10 girls had high self-

esteem scores

• 22% of Year 8 pupils and 23% of Year 10 pupils said that they

worry about their own mental health 'quite a lot' or 'a lot'

Resilience

• When things had gone wrong in the last six

months, 14% of pupils said they ‘often’ or ‘very

often’ got upset and felt bad about it for ages,

51% said they felt calm and carried on. 55% said

that they learnt from it for next time

• When asked ‘if at first you don’t succeed, would you?’ 75% of

pupils said they would have another go ‘usually’ or ‘whenever

possible’. 69% said they would keep on trying until you do. 46%

of pupils said they would ask for help

The role of friends and

family

• When asked where they would go to for support

if they were worried about someone the top

answer was ‘Mum and Dad’ followed by friend

and member or school staff

• 26% of pupils said if they were worried about

something, they would ‘keep it to myself’

• If pupils were worried about something 68% of pupils said they

would get advice, support or reassurance from parents/carers.

67% said from friends

• 44% of pupils said if they were worried about something, they

would ‘keep it to themselves’

Usefulness of lessons

about feeling, emotional

health and wellbeing

• 65% of boys and 73% of girls said that their

lessons on feelings, emotional health and well-

being were ‘quite’ or ‘very useful’; 8% said they

couldn’t remember any

• 45% of pupils said that their lessons about feelings, emotional

health & wellbeing were at least 'quite useful'

Aim to develop and extend a universal approach to mental health promotion,

emotional wellbeing and resilience which is largely delivered through

classrooms and group interventions and which interfaces with a continuum

of more targeted support.

Training attended by:

• CAMHS clinicians from Open Minded

• Staff from 6 primary and 6 secondary schools

• Education Psychology Service

• School Nurses

• Education Welfare

• Healthy Schools (Learning & Partnerships Service)

Camden mental health services &

schools link pilot training

• Launched in September 2011 as mainstreaming of learning from

TAMHS

• Jointly commissioned by Camden CCG and Camden Council CSF

• Provided by the Tavistock & Portman NHS FT as part of Open Minded

• Existing CAMHS in Schools programme offer:

− A named CAMHS practitioner for every maintained mainstream

school

− Primary: core (1 day/month); enhanced (2 days/month); super enhanced

(1 session/week); named link (termly visits & remote contact)

− Secondary: core (2 sessions/week); enhanced (7 sessions/week)

− Differentiated model of CAMHS outreach tailored to each school’s

needs

Open Minded:

CAMHS in schools programme

Thank you

michelle.place1@nhs.net

Jaime.Smith@annafreud.org

Sarah.Brown@camden.gov.uk

https://www.england.nhs.uk/mentalhealth/cyp/