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Improving the health and well being of young people at

……. School

What do young people tell us they need?

• Support for coping with bullying %• Contraceptive and sexual health advice %• Support with relationships %• Help in coping with problems at school %• Help with abuse %• Help with diet and fitness %• Help to stop smoking, taking drugs and alcohol %• Someone to talk to %

What are the benefits of addressing the health needs of our students?

• Better attendance and attainment • Young people are better able to learn when free from

concerns about their health and relationships• Enhances the school’s wider pastoral care and support• Contributes to the school’s legal duty to provide for the

well-being of its pupils• Opportunity to identify child protection concerns• Helps to meet the ‘Every Child Matters’ outcomes,

especially ‘Be Healthy’ and ‘Stay Safe’• Frees up teachers to teach

‘Improving life chances…’

What can schools do to address young people’s health needs?

• Engage with the Healthy Schools Programme• Engage in the PSHE CPD programme, to support the

provision of excellent PSHE Education• Work closely with the School Nurse• Consult with young people to establish their needs• Ensure swift and easy referral to local health provision • Offer on-site health and well being ‘drop-ins’ with

multi-agency teams

What are the benefits of a school-based drop-in?• Schools are not required to set up their own on-site

services but must, as a minimum, ensure that their pupils have easy access to local confidential health advice services. However…

• On-site provision locates advice at the point of need • It ensures young people can easily access services they

may not be able (or want) to access in their local communities, especially in rural areas

• It allows closer links to be developed between one-to-one advice and the content of the PSHEE curriculum

What are the benefits of a school-based drop-in?• Some young people don’t use GP services for fear

confidentiality will be breached• Less clinical services are attractive to young men• Young people say that they value the opportunity to talk

to a professional not associated directly with the school• Promotes young people’s safety, while encouraging

them to make healthy and responsible choices for themselves

• Promotes good communication – with parents and carers as well as other trusted adults

Does it work in other schools?

• Research into sexual health services in 18 Bristol schools led by UWE#1 found:– High attendance at on-site services– Effective at reaching vulnerable young people with

lower levels of educational attainment– 51% of young people using the service would not

have used another service

Does it work in other schools?

“The drop-in clinic makes pupils feel safer”

“They have earned our trust by listening and being really nice, they don’t judge you and they help you find solutions to your problems”

“The whole school is about helping people”

Feedback from students at a Wiltshire school

Support from government policy• DCSF and Ofsted advocate school-based health services

as part of a school’s duty to promote pupil well-being

• Government made a commitment in the Children’s Plan to support schools to deliver on-site health services

• ‘Drop-in’ provision supports the swift and easy access to specialist services expectation of an Extended School

• Pupil guarantee in the 21st Century Schools white paper: “Every pupil will go to a school that promotes their health and wellbeing, where they have the chance to express their views and where they and their families are welcomed and valued.”

Support from government policy

“I fully support the many secondary schools which are seeing the value of providing their students with on-site health and advice services.

“They can help tackle key public health concerns, such as teenage pregnancy, sexually transmitted infections, smoking, binge drinking and obesity and also improve the attendance and attainment by quickly addressing concerns that may have a negative impact on learning”

Minister for Children and Young People, Beverly Hughes

15 6416

12

11

48

52

467

13

54

110alcohol

wt + exercise

bullying

drugs

relationships

Connexions

emotional health

sexual health

healthy eating

physical health

other

The support young people seek

Reasons for visits to a

Bristol school drop-in during its

first year

Sexual Health provision embedded in a wider range of services

• Feedback from schools across the country running on-site health & well being centres shows a strong demand for sexual health advice in particular

• The vast majority also offer general well being advice including smoking cessation, drug and alcohol problems, obesity, eating disorders and depression

• Young people prefer this as it minimises the stigma associated with accessing sexual health issues

Sexual Health provision embedded in a wider range of services

• Young people aged under 16 are the group least likely to access contraception and sexual health advice, both before their first sexual experience and when they do become sexually active

• A quarter of young people are not aware they can access services without their parents being informed

• 40.2 % of schools in the South West, provide on site sexual health services#2

Prevalence of onsite sexual health services in the South West

The challenge of teenage pregnancy

• Wiltshire is at risk of failing to meet its under 18 conception target

• In 2007, 1 in 32 young women (under 18) became pregnant. To achieve our target we need to reduce this to 1 in 62 by 2010

• In 2008, 50% of under 18 conceptions in Wiltshire led to abortions. Among under-19 abortions in 2007, 8.1% were repeat abortions

• Eleven (9%) of Wiltshire’s wards are ‘hotspots’ with rates among the highest 20% in England

•Eleven (9%) of Wiltshire’s wards are teenage conception ‘hotspots’ with rates among the highest 20% in England (2004-2006 ONS data)

•Whilst it is important to target geographic areas that are teenage pregnancy hotspots only 25% of teenage conceptions (between October 2007 and September 2009) were in hotspot areas

•In 2007 1 in 32 females aged 15-17 conceived in Wiltshire (based on ONS conception figures)

Wiltshire Young Parents say…

“We don’t regret having our children and we love them dearly BUT !! we •Have no money, •Have no social life, •Lose body shape, •Lost our youth, •Are tired, •Are depressed,•And have low self esteem.”

Wiltshire Young Parents say…

“If we had done it the right way round, we would have a better education. We are still trying to catch up. While we see are friends that have left having their Children later getting great Jobs and earning good wages, so when they have their children they will be better off financially and not have to struggle so much.”

Exploding myths

• Evidence shows that improved access to contraception leads to fewer unwanted conceptions #3

• The vast majority of parents are supportive• Professionals always encourage young people to talk to

their parents or a trusted adult• Strict protocols are used when issuing contraception• Young people can and do choose to delay first sex as a

result of talking it through with a trusted adult

What do we need?This will depend on the model we use for our ‘drop-in’ but the

following are the minimum requirements:

• Commitment from Head Teacher, senior management team• Involvement of young people in planning and developing the

service• Co-ordinator/personnel to staff the drop-in, with appropriate

skills and a clear grasp of confidentiality and safeguarding issues

• A suitable space in school, permanent space preferred, close to a toilet

• Equipment – secure filing cabinet, comfortable furniture

How do we get started?

• Liaise with local Extended Services Co-ordinator• Secure leadership and support from SLT• Consult with young people and parents/carers• Establish a multi-agency steering group, bringing together school

staff and outside agencies• Establish a suitable location to hold the ‘drop-in’• Agree protocols with any external agencies involved, particularly

around safeguarding• Publicise the service positively to young people• Plan channels of communication with the school community, to

promote awareness and a positive image of the service

How will we know if the service works?

• Number of young people using the service and type of consultation

• Client satisfaction questionnaires and evaluations • Consult with young people through the School Council• Feedback in steering group meeting once a term• Contribution to longer term health gains – including

reduction in teenage conceptions and sexually transmitted infections