Place2Be. Mental health in schools. - ADHD Foundation · • 1 in 10 children has a diagnosable...
Transcript of Place2Be. Mental health in schools. - ADHD Foundation · • 1 in 10 children has a diagnosable...
Place2Be.
Mental health in schools.
Paula Nagel | Principal Educational Psychologist.
Who is Place2Be?
• A leading UK children’s mental health charity with 24 years’
experience of working with schools and local communities.
• Present in 286 primary and secondary schools, providing
“whole-school” mental health services reaching 129,000
children and young people.
• Last year, 232 schools participated in our in-depth ‘Mental
Health Champions’ training and consultation programmes
• Annually, over 1000 child counsellors take up one of our
accredited qualifications from entry level to Postgraduate
Diploma and Masters.
The need.
• 1 in 10 children has a diagnosable mental health problem –
equivalent to 3 in every classroom.
• 50% of adult mental illness starts before the age of 14.
• On average, children and young people go 10 years between
first becoming unwell and first getting any help. (source: Centre for
Mental Health)
• 93% of school leaders are unable to access specialist mental
health support for pupils when they need it. (source: NAHT)
• Only 56% of primary schools offer counselling services,
compared to 84% of secondary schools. (source: DfE)
Green paper.
Creating mentally healthy schools
• Designated senior lead for mental
health in schools.
• Mental health support teams.
• Health and wellbeing education.
• Build on good practice and what’s
already in place.
Adam’s story.
• 8 year old boy.
• Referred for 1-1 counselling in school due to concerns about
disruptive behaviour.
• Previous counselling through GP referral ended due to ‘unsafe
behaviour’ and access issues.
• Disruptive - behaviour worsening. Described as ‘spaced out’,
‘impulsive’, ‘attention seeking’.
• Recent family bereavement.
• Teacher on long term sick.
• Parent struggling to cope with Adam at home.
• Heading for exclusion.
A ‘whole school’ approach
Self-referral service – ‘Place2Talk’.
• Pupils can book their own short
appointments during lunch or
break times.
• Over 40,000 (c. 1 in 3) booked an
appointment last year.
• Issues included friendships,
relationships, sadness, anger and
school-related concerns.
• 43% of safeguarding concerns are
raised in these sessions.
Adam’s story.
• Adam already known
to school project
manager through
intermittent use of
Place2Talk.
• School project
manager aware of
Adam through
embedded provision
for all children.
Adults around the child.
Parents and carers:
• 12,783 ‘parent partnership’
advice and support
sessions.
• For both parents of children
in counselling and other
parents in school.
• 5,447 parent counselling
sessions.
Teachers and school staff:
• School staff have access to
professional expertise on-site.
• Consultation sessions.
• Learning and development
opportunities.
Adam’s story.
• Adam’s mum connected with
school project manager
through parent partnership.
• Agreed to a referral to parent
counsellor.
• Asked for support to re-
engage and re-refer to
paediatric services.
Over 5,600 pupils
received one-to-one
weekly therapeutic
support in the last year.
Impulsivity and attention
problems are among
the most regularly
reported presenting
issues.
Targeted one-to-one support.
Characteristics of children and young people in one-to-one counselling
Source: Place2Be one-to-one counselling database 2016-17 Place2Be N= 5126
Children’s goals for counselling.
• 22% want to improve their relationships with their friends and
peers.
• 22% want to learn how to manage their anger and frustration.
• 18% want to be happier – to smile more, be less sad and be
more energetic and excited.
• 16% want to have fewer worries or fears.
• 15% want to gain confidence and improve their self-esteem.
Adam’s story.
• 1-1 counselling ‘chaotic’, ‘unsafe’,
‘inappropriate’?
• Consultation with Place2be EP.
• Differentiated and personalised
approach to 1-1 sessions.
• Sessions accessible, boundaried,
structured and safe.
Helping schools work with CAMHS.
CAMHS
Place2Be in school Place2Be in school
Step
Up
Step
Down
CYP who no longer reach the
threshold after completing CAMHS
treatment are referred back to the
support of Place2Be
Ongoing contact,
monitoring and
case discussion
between the
CAMHS link
person, Place2Be
and the school
Early
screening to
facilitate
referral
Referrals of CYP
into CAMHS are
facilitated by the
nominated link
person from
Place2Be,
CAMHS and the
school
• Nominated link person at Place2Be, CAMHS
and school
• Training / knowledge sharing between Head
Teachers and link personnel on thresholds,
referral criteria, documentation and the “Step
up–Step down” process
Adam’s story.
• Mum supported to access
CAMHS, and prepare for
appointments.
• Staff offered Place2Think
support to consider mental
health needs.
A whole school approach to
mental health. Adam’s story
• Accessed personalised counselling support – Adam was able to build
a relationship with his counsellor, feel heard and explore some of the
emotions underpinning his behaviour.
• Self referral drop in support continued as and when needed.
• Consultation support for staff to reframe and understand his behaviour
through a mental health lens, explore strategies, and manage their
own wellbeing.
• Parent counselling and support to prepare for referral appointments.
• CAMHS support coordinated with school based support, which led to
a diagnosis of ADHD and Tourettes.
• Progress monitored and measured through multiagency support.
Mental health in schools.
“There comes a point where we need to stop
just pulling people out of the river.
We need to go upstream and find out why
they’re falling in.”
Desmond Tutu