Supporting Children's Emotional Resilience and Wellbeing in Cumbria

Children and Young People's Emotional Resilience and Mental Wellbeing Learning Events Lindsey Ormesher Emotional Wellbeing Officer

Aims of the day Share the learning from Cumbria HeadStart and what is available Update on the My Time Cumbria Service (part of the CAMHS Service) which is now available. Update on Early Help and other service developments. Sharing and consulting on the new Children and young people s whole system emotional and mental wellbeing support guide/pathway for professionals

Our Whole system Vision: All our children and young people can access the support they need to achieve emotional wellbeing and mental health Cumbria HeadStart Mission: Children and young people aged 10-16 living in Cumbria have the ability and confidence to ride life s inevitable ups and downs, now and in the future

Everyones Business Poor emotional and mental health in our CYP is common, widespread and often hidden Improvement comes from working together.

A Multi-agency System Approach led by the Emotional WB and MH Partnership Access to specialist services when needed Building capacity in the workforce Strengthening Early Help and preventative services Building resilience promoting environments CYP, parents and carers contributing through co-design and co-production

Where are we now? Culture change - clear and shared commitment to making improvements via the EW &MH partnership Integrated/joint commissioning for workforce development & new services Additional external funding opportunities Plans now being made to respond to concerns of schools.

Thrive The AFC- Tavistock Model for CAMHS

Thrive The AFC- Tavistock Model for CAMHS Coping signposting, self-management and one off contact Getting Help goals focussed evidence informed and outcomes focussed intervention Getting Risk Support risk management and crisis response Getting More Help Extensive treatment

Role of schools In Cumbria schools do an excellent job of supporting pupils emotional and mental wellbeing. CYP spend a significant proportion of their lives in school They are ideally placed to recognise early signs of problems and support families as well as the child/YP in school. Growth in non-cognitive education, SEL, resilience and character

Association for School and College Leaders February 2016 338 responses from Secondary School leaders who reported increases in: Anxiety and stress 90% Low mood/depression 84% Cyber bullying 81% Self-harm or suicidal ideation 79% http://www.ascl.org.uk/download.D91C5B0A- 72A6-4117-96A9B343E51FB296.html

The Journey There is still lots to do Circa one third of referrals to specialist CAMHS are not appropriate A clear multi-agency pathway for all CYP for emotional and mental wellbeing support Building wellbeing and resilience through prevention and early intervention The opportunity provided by HeadStart

Our Transformation Plan Future in Mind divided proposals for service improvement into; those where additional investment is required those where action is needed to do things differently. Cumbria s Local (CCG led) Transformation Plan assured 23rd Nov15 with recommendations. Translates to c. 1m additional investment into CCG p.a. 2015 -2020

TP Priorities 2016/17 Development of Community Eating Disorder Service CAMHS liaison in A & E and an improved response to young people in crisis Closer work and collaboration with schools and improved access to information and advice to schools from CAMHS A roll-out of CYP Improving Access to Psychological Therapies Programme

Cumbrias Transformation Plan http://www.cumbriaccg.nhs.uk/about-us/key- policies/strategy-documents.aspx

Other Developments 1 Primary Mental Health Early Intervention Service (My Time Cumbria) now commissioned and launched by the end of May 16 Integrated with specialist CAMHS providing single point of access 3 x Senior Practitioners plus 3 practitioners in each area Provided by Barnardos Northwest (+ Howgill in Copeland)

My Time Cumbria General Enquires telephone: 01539 742 626 Service Manager: Anne Patchett Email: anne.patchett@barnardos.or.uk Referrals via local CAMHS

Local CAMHS Details South Cumbria: in-Furness, LA13 9AJ; Tel: 01229 402696; camhssouth@nhs.net Fairfield Centre, Fairfield Lane, Barrow- West Cumbria: South William Street, Workington, CA14 2EW; Tel: 01900 705800; camhswest@nhs.net Ann Burrow Thomas Health Centre, East Cumbria: Cumwhinton Road, Carlisle, CA1 3SX; Tel: 01228 603017; camhseast@nhs.net Fairfield Centre, Carleton Clinic,

Other Developments 2 Self harm and suicide prevention training recommissioned. 1500 professionals and practitioners trained over 16/17 Bridgeway Service for child sexual assault (counselling provision post assessment) Child Bereavement Support Service Turning the Spotlight on family violence Targeted youth support work in schools (Early Help 11 19yrs)

Self Harm Guidance for Professionals http://staging.internet.ccc/lscb/ professionals/ssh.asp

Supporting Schools Bringing it all together at a local level Utilising the Early Help Assessment process Providing information via LSCB website Working with the new My Time Cumbria service to agree priorities in your clusters Recognising the potential of HeadStart Phase 3 for schools in Cumbria Visit www.cumbria.gov.uk Children s Services, Schools and learning pages

Cumbria HeadStart Phase 2 and Phase 3 Strategy and Implementation Plan Children and young people aged 10-16 living in Cumbria have the ability and confidence to ride life s inevitable ups and downs, now and in the future .

Target Population 10 to 16 years of age (transition) To help equip young people deal better with challenges and difficult circumstances and do well in school and life Four thematic areas A child s time and experiences at school Ability to access the community services they need Home life and relationships with family Interaction with digital technology 1. 2. 3. 4.

Target Population 10 to 16 years of age (transition) To help equip young people deal better with challenges and difficult circumstances and do well in school and life Four thematic areas A child s time and experiences at school Ability to access the community services they need Home life and relationships with family Interaction with digital technology 1. 2. 3. 4.

Developing Cumbrias Phase 2 Project Mixture of both rural and urban schools to enable us to learn from the complexities of different demographics Carlisle and Furness areas 4 x Secondary, 9 x Primary, 2 x PRU/HHT, 1 x Special School Approximately 3200 children and young people across the HeadStart areas Co-design, co-production and co-delivery Children, young people and families HeadStart Apprentices Evaluation

TEST AND LEARN! Multi-agency workforce training Emotional Resilience Art and Culture Emotional Resilience Sports and Leisure Transition Peer Mentoring Year 9 training peer to peer support Online Emotional Support Kooth.com Emotional Resilience Outreach worker Family Resilience and Transition Digital Wellbeing Mindfulness in Schools

HeadStart Phase 3 Where are we up to? Phase 3 Strategy and Implementation Plan submitted 26th February Funding decision mid June, embargoed until mid July Phase 2 test and learn ends 31st July Celebration Events www.cumbriaheadstart.org.uk

Cumbrias Story Detailed interventions Cumbria s Theory of Change Our Mission Interventions map Cumbria s model Our interventions have been selected to optimise impact and learning, with an evaluation focus on implementation science to identify the optimal conditions for high quality delivery and sustainability. They are designed to fit with the wider offer across CYP s school, family, community and digital lives. Several having both universal and targeted elements, offering continuity in meeting need, and alignment across out system. Data will drive quality improvement at system and individual levels. A Multi-agency Whole System Approach led by the Emotional WB and MH Partnership ensures that HeadStart is fully embedded in our whole system , at the vanguard of our prevention and early intervention work. Our programme focus on continuous learning draws on quality improvement methods already established in healthcare, and will foster collaborative work and inquiry across education, health, care and the third and community sectors. Cumbria s offer has grown from our phase 2 learning, and co-production with CYP and families. It takes account of changes in the wider system since 2014, including the increasing recognition of the moral imperative to improve CYP s mental health in an integrated way. It is based on the best available evidence of what works ; local intelligence; and growing local expertise and specialism in mindfulness, advocacy, online support, & self harm and suicide prevention. We will deliver a Cumbria wide, proportionate universal offer, whereby all 10-16 year olds can access HS resources, and those who are more in need can access more resources more often. We emphasise whole school community approaches, because children spend much time in school and it is a non-stigmatising setting. We will achieve system change so that emotional resilience becomes everyone s business. Our mission statement comes from our HS Partnership workshops, and our work with wider stakeholders and senior leaders. It has been tested and refined by children, young people (CYP) and families. Our vision is strength-based, emphasising the importance of positive relationships and environments, and building on CYP s capabilities & resources. 27

Phase 3 Interventions and Opportunities Targeted: Young people displaying early signs of emotional distress and/or behavioural difficulties Self Harm Young people on the cusp of care Enhanced pastoral support Family resilience transition programme Targeted mindfulness Advocacy support Online counselling Self-harm support for families Universal: All 10 16 year olds across Cumbria via a phased approach across schools and communities Whole school offer Family resilience Community capacity building HS campaign Mindfulness Online resources

It will work because.. We have listened, learnt and co-produced Phase 3 Its based on best available evidence of what works: to promote mental wellbeing/ER and prevent MH problems Clear place in the whole system and strategic fit Broad, committed and involved HeadStart Collaborative Buy in and commitment across all levels and sectors 3rd sector, schools, CYP, families, strategic partners The time is right in our improvement journey Multi agency commitment to delivery Based on a successful implementation model Being able to like bounce back from something that has happened that has affected you emotionally, and I don t have to rely on other people to help me fix it because I can do it myself Year 9 pupil

In Summary Wherever we sit and whatever our roles are we are all part of a much bigger whole system to support the emotional and mental wellbeing of children and young people in Cumbria and we all have a role to play. This approach is now driving service improvement and development and schools are a crucial element in impacting upon emotional and mental wellbeing outcomes