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Changing the odds in favour of young people Keith Coulston Head of Mental Health & Wellbeing

Changing the odds in favour of young people Keith Coulston Head of Mental Health & Wellbeing. Young people 12 – 25 across Devon including young people in Care, Care leavers, Young Carers, Complex & Additional needs

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Changing the odds in favour of young people Keith Coulston Head of Mental Health & Wellbeing

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  1. Changing the odds in favour of young people Keith Coulston Head of Mental Health & Wellbeing

  2. Young people 12 – 25 across Devon including young people in Care, Care leavers, Young Carers, Complex & Additional needs • A range of services : supported lodgings, housing, YES centres, youth inclusion & volunteering • Workforce development – training in Person Centred Planning & Young People’s Mental Health (+ core inc safeguarding)

  3. Mental Health & Wellbeing • Counselling & Psychotherapy Service • RnB (complex needs) • Plan B (complex needs, wrap around including accommodation)

  4. Community-based Counselling & Psychotherapy • Funding – DCC, NHS, grants from trusts • Early Intervention, Prevention, Rurality • Young people with range of needs • Range of therapeutic interventions • 7 market towns & city of Exeter • Rurality issue

  5. The South & West Devon Model(mainly funded by Devon NHS) A range of staff qualified to meet different levels of need • Psychotherapy • Diploma Level Counselling • Pre-Dip / Certificate Level Counselling Located in Young Devon YES Centres, 6 schools & other community based venues

  6. Volunteer Counsellors (approx 4 per team – I year minimum commitment) In training (2nd year) or qualified at Diploma level • Counselling Co-ordinators (7 part time) Diploma Qualified & experience of working with young people • Psychotherapists(4 self employed) Clinical Psychologist, Art Therapist, Group Analyst & Psychotherapist, Psychodynamic Psychotherapist

  7. Clinical Governance • BACP organisational membership • UKCP / BCP /BACP Individual membership • Clinical supervision Psychotherapists Child Psychotherapist Counselling Co-ordinators Psychotherapist Volunteer Counsellors Counselling Co-ordinator

  8. Referral Pathways Self referral Guided referral YES centres Schools Carers/parents Level 1 / 2 Counselling Schools Social Services G.P surgeries CAMHS & AMH Level 3 Psychotherapy Level 3 / 4 CAMHS / CMHT

  9. Integrated Service Model UNIVERSAL SERVICES TIERS 1/2 CAMHS EARLY RESPONSE TIERS 2/3 CAMHS FURTHER RESPONSE TIERS 3/4 AMH YOUNG DEVON COUNSELLING & PSYCHOTHERAPY SERVICE TIER 2 TIER 3

  10. Outcome Monitoring(South & West Devon Service) 01.01.02 – 31.12.09 • Over 14,000 sessions delivered • Over 1,500 young people in receipt of service 2011 • 330 young people seen • 2450 sessions delivered Other data systematically collected: gender, ethnicity, home area, response time, referral route, presenting problems, HoNOSCA

  11. Ten Most Prevalent Presenting Issues • Anxiety / Stress • Relationship with parents / carers • Low Self Esteem • Depression • Split family / separation • Communication difficulties • Relationships with Peers • Emotional Abuse • School/employment attendance difficulties • Dysfunctional family

  12. HoNOSCA Initial HoNOSCA Score (sample size 949) 00 – 19 57 % 20 – 29 37 % 30 + 6 % [Scores 20 – 29 indicate a serious mental health problem; 30 + very serious]

  13. Total number with both initial and completed HoNOSCA scores = 609 (100%) • Numbers with an increase in score = 2% • Numbers with same score = 17% • Numbers with reduced score of between 1 and 9 points = 54% • Numbers with reduced score of 10 points or more = 26%

  14. Strengths evidence based value for money easy access non-stigmatising supporting learning & ewb in schools QA & Clinical Governance Weaknesses Resources – operational development, CPD, research, marketing Value for money Cost - number of sessions divided by funding Outcome scores, systematic feedback from young people & schools, case studies

  15. RnB project • The Rebuild and Become project is a development of a DCC funded project (cut in 2010) which helped vulnerable young people who put themselves at risk • Spot purchase – special schools and mainstream schools (primary & secondary) • Filling a gap between children’s services and mental health • Young people reluctant to engage with or trust anyone and have few inner resources to alter their behaviour

  16. What does RnB do? • Identifies and strengthens young people’s resilience and understand their rights • Assists young people to work with others • Coaches young people to meet their potential and want to make a change. • Supports young people to experience positive relationships • Enthuses young people to contribute to society

  17. Delivery methods • range of bespoke one to one therapeutic mentoring programmes • group work • mediation for children, young people and families in Devon • activities

  18. Staff: Play therapist, creative therapist, counsellor, psychotherapist • Clinical supervision • Evidence : Devon Youth Achievement Award 2008. Devon County Council audit highest score Commendations from other professionals SDQ

  19. Conclusion Challenges • Changes in Childrens’ Services & NHS • Level playing field Opportunities • Partnership / relationship building • Filling a gap

  20. Advice Commissioners - creativity Providers - evidence

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