A Whole System Approach to EW & MH For CYP In Cumbria

1. A Whole System Approach to EW & MH For CYP In Cumbria

2. Context and Background • Joint improvement work led by CCG and Children’s Services • A key priority in Cumbria’s JSNA • Outcomes of SCR’s • National policy emphasis

3. The Whole System Model The simple vision that all children and young people can access the right help and support at the right time to ensure they sustain good emotional wellbeing, whilst all services have a clear understanding of their role and work in partnership

5. Ensuring emotional wellbeing and resilience for children and young people in Cumbria Vision:- All children and young people can access the right help and support at the right time to ensure they sustain good emotional wellbeing. Principles:- The child, young person and their family are partners in emotional wellbeing and mental health support The emotional wellbeing of children and young people is everybody’s responsibility The voice of the child, young person and their family will always be heard Services will be local whenever possible, and where appropriate there will be choice Families will be included except where this is not in the best interests of the child or young person Expertise and good practice will be shared Partners will work together to provide co-ordinated support Support will be evidence based, have clear objectives and measurable outcomes Partners will provide peer support, review and constructive challenge Information will be shared between partners unless it is not in the best interest of the child or young person to do so Transitions between services will be planned with support in place throughout Risks will be understood and shared by partners Outcomes for children and young people will be equitable across the county Additional needs of individuals or specific groups of children and young people will be recognised and met Development of the model The model described below has been developed by a multi-agency group with representatives from Education, Social care, Health services, the voluntary sector and Public Health. In addition the voluntary sector led an engagement exercise in order that the views of Children and Young People were included. A wider stakeholder event was held to ensure that the draft model was shared widely across the partnership. Purpose of this document This document describes the way in which services provided or commissioned by public sector organisations will work in partnership with children and young people, alongside their families and communities, to ensure that the emotional needs of children and young people are understood at all stages., So that, when necessary, services have a clear understanding of their role in meeting the emotional wellbeing and mental health needs of children and young people.

13. WSM Implementation 2014-2015 • Joint CCG and LA Sponsored Project • Test Understanding of the model • Launch it • Engage the districts • Develop the workforce strategy/tools • Create a network of trainers and champions

14. WSM Implementation 2014-2015 • Integrating the relevant work streams • Developing integrated pathways • Involve children, young people, parents and carers • Manage communications • Building sustainability (workforce and tools)

15. WSM Related Work Streams • Fulfilling Lives: Headstart • Early Help and Family CAF • Learning from the Health Gain Projects • New School Age nursing model/HCP • Improved Access to Psych Therapies for CYP • Stabilisation of Tier 3 CAMHS • Commissioning of Tier 2 services • Children and Families Bill 2014

16. HG Project Evaluation • HENRY • Family Weight (Cool4life) • ER Targeted New-borns • Early Years Involvement and Wellbeing • YM Training Programme • Self-harm & Suicide workshops • CLA Nutrition/Oral Health • CLA Nurture Kits • Think Good/Feel Good • Vulnerable Learners Event • All Star Outdoors • Alcohol awareness(CADAS) • Open Door targeted support • Self harm counselling(SAFA) • Up in smoke/smoking in pregnancy • CWD Access to Sport • ER Peer Ed • S Lakes Federation W School Approach • Autism Assessment • Peer Education YP with LD • Early Help in Primary School

17. Health Gain Projects -Developing district 6 x‘ emotional resilience’ networks in the Third Sector

18. Headstart Cumbria • 12 areas at Stage Two • 10 to 14yr age range • Initial Project funding of £500k • Additional funds approved CJCB • ‘Blended’ preventative approach • Emphasis on partnership and involvement • Testing and innovation • 5 areas at Stage 3 • BLF and Young Minds want large scale change Anne Sheppard Senior Commissioning Officer Children’s Services 01228 221233 anne.j.sheppard@cumbria.gov.uk

19. Key Messages: Young Minds/BLF • The biggest ever investment in a programme explicitly targeting resilience • Lots of previous programmes have had some impact • No previous programme has significantly levelled inequalities and achieved sustainable systemic change – will ours?

20. To meet this challenge you will need to: • Be brave – do something truly different • Think big – think whole system • Commit more than money – build a shared understanding of purpose across the system And to do that you will need: • A clear, shared understanding of the concept of resilience • Understanding of the evidence base – what works • Agreement on ways to apply the concept within your partnership Rising to the challenge

21. Headstart Next Steps • Stage 2 Bid Submitted – 30th April • Decision before end of June • Schools development phase • Wider stakeholder involvement – 5th June • Commissioning activities/services • Rock and roll on September 1st • Support, test, learn and evaluate • Design ‘full project’ • Submit Stage 3 Bid 23rd June 2015

22. Summary and Questions • Whistle stop tour of lots of activity and how we are working to join it all up • We now need your input and comments • Can you see benefits and challenges? • Which other networks need to be involved?

23. Contact Details Please send comments and questions on the whole system model to Anne: Anne.sheppard@cumbria.gov.uk Q & A