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Emotional Well-Being and Mental Health Services for children and Young People Julie Hackett. A whole system approach. In an average class of 30 15-year-old pupils: three could have a mental disorder ten are likely to have witnessed their parents separate
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Emotional Well-Being and Mental Health Services for children and Young People Julie Hackett
A whole system approach In an average class of 30 15-year-old pupils: • three could have a mental disorder • ten are likely to have witnessed their parents separate • one could have experienced the death of a parent • seven are likely to have been bullied • six may be self-harming
Solar • A service not about thresholds or tiers but about timely access to appropriate support in line with children and young people’s needs. • We now have a truly integrated service with staff from Birmingham and Solihull Mental Health Foundation Trust, Barnardo’s and Autism West Midlands working alongside each other.
Solar • Solar - specialist community mental health service rated “good” by the CQC (Jan 2018), • Solar - primary mental health service rated as “Good with aspects of outstanding” by Barnardo’s Corporate Audit and Inspection Unit (Feb 2018) • The Ofsted/CQC SEND inspection (Oct 2017) noted that “Good progress is being made so that children and young people are able to access a more timely and flexible service that meets their needs.” • WMQRS – “Reviewers were impressed with the level of integration across the services. The culture in the teams was such that the health and voluntary sectors worked together as one service. Teams appeared to be fully integrated, with everyone aiming for a single service vision. Although the services provided by Solar were delivered by different organisations, the feedback from service users and their families and carers was that the pathway was seamless between the various services. July 18
Developments 2017/18 • Developed a crisis team and crisis line (8am – 8pm 7 days a week.) • Accepting self referrals from parent/carers and young people • Introduced outcome measures across the service. https://www.bsmhft.nhs.uk/our-services/solar-youth-services/
Transition CQUIN • On-going work to prepare young people for transition and to support them as they transition into other services – both adult mental health and primary care.
Youth Mental Health First Aid • 392 people trained in Youth Mental Health First Aid (includes school nurses, school staff, Engage)
Transforming children and young people’s mental health provision Green Paper – three key elements
Designated Senior Lead for Mental Health to oversee the approach to mental health and wellbeing in schools and colleges. • Mental Health Support Teams, supervised by NHS CYP mental health staff, to provide specific extra capacity for early intervention and on-going help. (mild and moderate needs) • Trial a four week waiting time for access to specialist NHS children and young
Transformation Priorities • Support children young people in raising awareness about mental health • Continue to work with schools and colleges to encourage the development of whole school approaches to supporting their pupil’s emotional wellbeing and mental health. • To put Solihull forward to pilot school mental health support teams.
Continue to take a whole system approach to balance demand and capacity, at the same time ensuring that we continue to increase access to mental health and wellbeing services. • Explore how we can offer 24 hour access to crisis support • Continue to focus on ensuring vulnerable CYP are supported to access emotional wellbeing and mental health services.
Continue to embed the CYPIAPT principles of evidence based therapy, routine outcome measures and participation into the Solar service. • Reduce waiting times for mental health services and autism spectrum disorder assessment and diagnosis service. • Develop more workshops for parents, co-delivered by parents and young people who are experts by experience.
Explore how we can develop the local offer for 18 to 25 year olds who need emotional wellbeing and mental health support including care leavers, young people with special educational needs and disabilities, young people who have been subjected to childhood sexual exploitation or other forms of exploitation and other young people who have had adverse childhood experiences.
Work collaboratively with NHS England specialised commissioners to implement new models of care for Tier 4 inpatient provision across the West Midlands. • We will work with partners to agree the model for children and young people’s emotional wellbeing and mental health services from April 2020 and beyond for Birmingham and Solihull.
