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JOINING THE DOTS. Connecting schools, voluntary and community sector and commissioning for better outcomes in emotional health and wellbeing. BETTER OUTCOMES, NEW DELIVERY: BOND.
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JOINING THE DOTS Connecting schools, voluntary and community sector and commissioning for better outcomes in emotional health and wellbeing
BETTER OUTCOMES, NEW DELIVERY: BOND The BOND Consortium is led by YoungMinds and has been funded by Department for Education to build the capacity of the Voluntary and Community Sector (VCS) in providing early intervention mental health support for children.
FAMILY SCHOOL CHILD COMMISSIONING VCS NEED FUNDING
Levels of competition in CYP mental health provider market Numerous providers + commissioners Large + small organisations More VCS Less clinical governance Smaller contracts Frequent tendering Increasing levels of competition Some variety of providers More frequent tendering + increasing competition (usually LAs, NHS) Infrequent competition amongst larger MH provider trusts Limited contestability Tier 4: Inpatient Care Tier 3: Clinical/ medical care (diagnosis/ medication) Tier 3/2 interface: Primary MH services LAC, YOS, other targeted CAMHS Tier 2/1 interface: ‘Generic’ School + community based e.g. counselling + IAG services Related services e.g. drop-in, youth support, family support
WHAT IS THIS ROADSHOW ABOUT? • Using a collaborative methodology in order to: • Highlight • Promote and share • Demonstrate • Facilitate • Gather feedback
CHILDREN AND FAMILIES TELL US THEY WANT: • Appropriate and accessible services • To be valued • Not to be judged or stigmatised • Recognition of what they want and need • Involvement • Choice “No decision about me without me”
INCREASED RISK OF MENTAL HEALTH PROBLEMS • Adverse childhood experiences • Violence and abuse • Looked After Children • Poor education • Environment • Unemployment • Poverty • Parental mental illness, substance misuse, criminality
BENEFIT OF INVESTING EARLY • Early recognition = early intervention • Prevent conduct disorders • Promote positive mental health • Build resilience • Support parenting capacity • Address risk taking behaviours • Avoid/avert crisis
Intervening early has been shown to have critical importance in children and young people’s emotional wellbeing and mental health
CURRENT POLICY CONTEXT • Mental Health Strategy • Health and Social Care Bill • Healthy Lives Healthy People • SEN and Disability Green Paper • Education Act 2011 • OFSTED 2012 framework for school inspection
All current policy emphasises: • Role of VCS • Early intervention • Patient/consumer involvement
PARTNERS IN PROVISION – CO-PRODUCTION • Schools • Voluntary and Community Sectors • Statutory Services • Children’s Centres • Youth centred services • NHS – Primary Care, Health Visitors, FNP • NHS – Specialist Care • Local Commissioners
THE ROLE OF THE VCS • Meeting the challenge of intervening early • Flexible services which are responsive to need • More easily accessible than statutory services • Less stigmatising and more acceptable to families
WHAT PART DOES THE VCS PLAY ALREADY? • Evidence based parenting and family support programmes • Partners in multi agency work • Providing support and therapy across the age range • Providing ongoing support and advice • Delivering training packages • Specific commissions and wellbeing programmes
WHAT ROLE DID VCS HAVE IN TAMHS? • Commissioning • Focusing • Supporting whole-school approaches • Building partnership approaches • Delivering • Training • Consulting • Educating
THE ROADSHOWS • Building best evidence and practice exemplars of engaging VCS • How does local commissioning work • How you use your funding • Wanting to know what you ‘don’t know’ • How you link with other schools • Invite your participation in future workshops to strengthen VCS
TODAY • Learning from practice • Case studies • Local schools and services • What you want to know about commissioning • Link your knowledge and questions to the next stage of the BOND work • Resources you need