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Identifying Local Needs Cambridge City South

Identifying Local Needs Cambridge City South Lorraine Hewitt, Cambridge City South Locality Manager Tony Davies, Head Teacher, St Matthews Primary School. Our aim in this presentation: To talk you through the process we went through so that:

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Identifying Local Needs Cambridge City South

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  1. Identifying Local Needs Cambridge City South Lorraine Hewitt, Cambridge City South Locality Manager Tony Davies, Head Teacher, St Matthews Primary School

  2. Our aim in this presentation: • To talk you through the process we went through so that: • we now feel we are in a better position to commission the right services • The voluntary sector have a clearer picture of the services we may want to commission from them to enable them to plan strategically

  3. Our Context • Where we are - Cambridge City South • 18,000 children and young people – and growing fast • 17 Primary Schools • 4 secondary schools • 5 Children’s Centres • 3 Nursery Schools - Alongside other nursery provision in the private and voluntary sector, plus school nursery classes • Worst funded education authority in the country

  4. Info from the Health Related Behaviour Survey • High levels of worry amongst the vast majority • Low self-esteem • High numbers of GP visits • Lack of adults to trust • Worries about sex • Caring responsibilities • Sleep problems • Bullying in school • Frightened by conflict at home • Overuse of social networking • Worry about school work

  5. JSNA Data (a VERY) brief summary • Most common diagnoses are conduct disorder and anxiety • Marked increase in self-harm against national trend • Additional Factors Relevant to Our Locality • High Levels of parental mental illness • Early intervention mostly focused on 15/16 year olds • Lack of capacity in CAMH • Increasing evidence that needs are most effectively met in the early years

  6. In our Locality… • Some voluntary sector mental health provision, chiefly for Secondary Schools – Centre 33 • Mental Health Support for Primary via school nursing team • Locality Team provides non-specialist support through Family Workers • Anecdotal Evidence • a lot of needs not being met, especially emerging mental health needs? • Difficulties accessing CAMH services – waiting lists, “inappropriate” referrals? • Gap in provision, particularly at Primary age level?

  7. The Questions We Asked…: Name of Family or Individual Child (optional) If ‘Multiple Needs’ or other describe the other needs – drop down menu Main support needed – drop down menu, including don’t know If other, describe the support needed Support in place? Yes/No If yes, from where? Any other comments

  8. School Survey • Response • 10 schools (7 Primary, 1 secondary, 1 sixth form college, 1 children’s centre and nursery school) • 213 CYP and families identified Average of 5% of the shared pupil population identified with MH problems across 10 schools. National prevalence of diagnosable mental health disorders amongst 5-15 yr olds is 10% - which suggests not all were identified or known about, or perceived as having a ‘mental health problem’.

  9. 42% Not sure of what kind of support is needed

  10. The problems where around 50% or over were identified as having support in place: • 45% of ‘multiple’ needs (out of 44 cases) • 43% of family or relationship issues (30 cases) • 50% of ‘other’ problems (26 cases - tended to be described as having two or several problems) • 76% of depression (21 cases) • 47% of anxiety (19 cases) • 75% of bullying (8 cases) • 57% of eating problems (7 cases) • 50% of identified self harm (only two cases identified)

  11. Sources of support

  12. Summary • 213 pupils identified • 46% have support in place • Most frequently mentioned support from; • family support, • CAMHs, • counselling/therapy, • multiple sources, • school support (staff team). • 115 with no or only partial support in place • 42% not sure what support needed

  13. What service providers & commissioners said • Gaps in support at ‘tier 2’ • Schools offer varied responses – some fund additional support • No local process for co-ordinating commissioning • Schools refer via health (Sch Nurses estimate 50% MH) • CAMHS = high thresholds & waiting • Issues with communication and information exchange between services, schools and CAMHS = hampers support

  14. School practitioners also said: • Confidence issues – how worried should I be? Is this a MH problem?

  15. Vol sector Organisations said… • difficulty in getting service info into schools, and not always considered • Can provide accessible, flexible services for ‘harder to reach’ • ‘spot purchasing’ – what about longer term planning and creation of a more stable market ‘offer’?

  16. What next?

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