Integrated Wellness Initiative for Children in Ayrshire & Arran

1. Creating a wellness service for children and young people in Ayrshire and Arran: Cluster Modelling in schools and communities – Kilwinning Tommy Stevenson – Senior Manager CAMHS and CEDS Kerry Allison – Improvement Advisor Linzie Sloan – Depute Head Teacher Kilwinning Academy

2. Whole System Model of Mental Health Support • Developing a fully integrated approach aligning specialist CAMHS teams • Developing initiatives in partnership with schools and other parts of the community • Influencing, managing and changing the demand • Head Teachers and local primary care professionals will be critical partners in the wellness model

3. Background • Unprecedented increase in the mental and emotional health needs of children and young people • Evidence across Scotland has identified in both primary and secondary schools a reported increase in stress, anxiety, depression, low mood and self harm • Need to develop integrated sustainable models of support • Huge financial pressures across the public sector • Solutions can only be done in partnership with a wide variety of stakeholders • Changing landscape built on integration and strategic alignment

4. Strategic Drivers • Curriculum for Excellence - nurture learning through health and wellbeing • The Children and Young People (Scotland ) Act 2014 - GIRFEC • Scottish Mental Health Strategy - preventative and early intervention approaches • North Ayrshire Health and Social Care Draft Strategic Plan 2015-2018

5. Governance • Report directly to the Children’s Strategic Implementation Board (CSIB) North Ayrshire jointly chaired by Education and Health and Social Care Partnership Children’s Services • Additional reporting to Integrated Joint Board (IJB) and NHS Ayrshire and Arran • Reporting to the Pan-Ayrshire Mental Health Change Programme Board

6. Sustainability • Local, adaptable service redesign and development • Lessons learned to spread to other localities in North Ayrshire • No exit strategy for this work • Reshaping priorities within the partnership – evidenced if potential investment should it arise in the future

7. How the work has been progressed Measuring as we go Using the Model for Improvement Driver Diagram Strategic Direction

8. Access & Pathways – work stream 1 • Mapped out existing wellbeing services in the Kilwinning locality - poster produced for GP’s to have on their walls • Piloting GP’s using SCI Gateway to refer to Named Person Service for most appropriate wellbeing service

9. Data Sharing – Work stream 2

10. Wellbeing Issues facing Kilwinning Academy • Low level anxiety • Significant social anxiety • Low mood / variable mood / Substance misuse • Internet addiction • Depression • Self-harm • Suicidal ideation

11. The associated impact on young people within a classroom setting is:- • Reduced levels of attainment and achievement • Challenging behaviours • Relationship issues • High levels of stress • Shame / Guilt and reduced participation • The need for immediate professional assessment / intervention

12. Kilwinning Wellness Model • Improved communication with CAMHS and School • Named CAMHS clinicians identified for schools • Data sharing • Regular meetings with a variety of agencies • Common goals • Identifying services that schools could suggest before referring to CAMHS • Testing new referral process with GP’s referring through SCI Gateway to Named Person Service