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Think Good, Feel Good Project. TaMHS The Shropshire Model Supporting emotional health and well being in schools Jo Robins Locum Consultant in Public Health Kay Smallbone Programme Lead 5-19 Renee Lee Project Support Officer Shropshire council. The facts….
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Think Good, Feel Good Project TaMHS The Shropshire Model Supporting emotional health and well being in schools Jo Robins Locum Consultant in Public Health Kay Smallbone Programme Lead 5-19 Renee Lee Project Support Officer Shropshire council
The facts… • In 2004, 22.8% of the total burden of disease in the UK was attributed to mental disorder, compared with 16.2% for cardio vascular disease and 15.9% for cancer • Mental illness is the single largest cost to the National Health Service (NHS), being £10.4 billion, that’s 10.8% of the NHS budget • The wider costs amount to £105 billion a year Royal College of Psychiatrists, ‘No health without public mental health’, October 2010 and February 2011
Local Context Health and Well-Being Strategy - Outcome 3: • Better Emotional and mental health and wellbeing for all • Priority – (i) Improve the emotional wellbeing and mental health of children and young people, by focussing on prevention and early support. • Priority – (ii) Making Shropshire a dementia friendly county to enable earlier diagnosis and improved outlook for people with dementia • Priority (i) listed above is to be delivered by the Children’s Trust and reported through to the Health and Well-Being Board. • In Shropshire, it is estimated that between 26% and 32% of the population have a mental health condition with the main illnesses being depression and anxiety, alcohol related mental health problems, and personality disorders. In addition to this, over 4000 people in Shropshire are known to suffer from dementia. The ageing nature of our population means that this number is increasing, and problems with diagnosis mean that this figure is already likely to be much higher.
What are the risk factors? Factors that increase the probability of a child developing an emotional health problem
If a child has one risk factor their chance of developing an emotional health problem is 1-2% • Three risk factors is 8% • Four or more, increases to 20%
The benefits of school engagement “… warm, caring and supportive relationships in school are a crucial factor: not only in maintaining good mental health; but to achieve high levels of performance; greater enjoyment of school; more motivation; better learning; higher attainments; improved attendance levels…” (Weare and Gray, 2002)
The Shropshire Model Health and Well Being Board Safeguarding Board Shropshire Children’s Trust CAMHS Commissioners CCG Public Health TaMHS Steering Group Children and Young People (3052 pupils) Project Manager School leads Families & Community Statutory partners Project Team Wider Team Whole school TaMHS Administrator Lifelines practitioners Voluntary Sector partners CAMHS Stakeholders Group
Key Deliverables of TaMHS underpinned by Outcomes • Increase in staff confidence and skills in working with children and young people experiencing emotional and mental health problems • Increase in staff knowledge and awareness of children’s emotional and mental health needs • Programme has reached all schools • Results from the pilot showed promising results around attendance and attainment improvement in pupil attitudes, anxiety, and feelings
Classic nurture groups ‘The school's own nurture group provides pupils with excellent opportunities to work and play in a calm, relaxing atmosphere’
Outdoor nurture groups Outdoor Nurture Group “using the outdoor environment to stimulate pupils' interests, especially those of boys, is having a positive impact on motivating pupils to learn and raising achievement”
Relaxation garden Relaxation garden “The excellent attention paid to children's welfare and to their personal, social and emotional development very successfully builds their confidence and self-esteem. Children are enthusiastic learners”
Year 7 boys self esteem group Positiverelationships exist between staff and the students and behaviour is managed well
Moving Forward – Think Good Feel Good Self harm identified as a problem in 2013 Self harm pathway developed in consultation with parents & young people Risk assessment policy developed for schools Information for children, young people, parents and practitioners Targeted intervention programme (10 weeks) Signature Strengths Train the trainer pilot in 3 secondary schools PHSE curriculum resource developed Extending the offer to under 5’s and over 16’s