CYPMH conference 2016 Future in Mind Vision to Implementation Mental Health Services and Schools Link Pilot - where CYP specialist mental health services and schools are testing new ways of joint working to improve outcomes for children and young people with mental health and well being needs Michelle Place (NHS England), Jaime Smith (Anna Freud Centre), Sarah Brown (Camden CCG) and Lorna Ponambalum (Haverstock School)

1. www.england.nhs.uk
Mental Health
Services and
Schools Link
Pilot
Michelle Place CYP MH
Programme NHS England
March 2016

2. www.england.nhs.uk
• • Establishment of a named point of
contact within specialist children and
young people’s (CYP) mental health
services and a named lead within
each school
• Development of a joint training
programme for named school leads
and specialist CYP mental health
services

3. www.england.nhs.uk
Mental Health Services and Schools
Link Pilot
Pilot jointly funded and led by NHS England and Department for
Education (DfE): to test the named lead approach and to trial a joint training
programme for these lead roles
Aims:
To test how training and subsequent joint working can improve local
knowledge and identification of mental health issues and improve referrals to
services delivering children and young people’s mental health care by:
• Improving joint working between school settings and CYP mental health
services
• Developing and maintaining effective local referral routes
• Testing the concept of a lead contact in schools and CYP mental health
services
Working closely with:
• The Anna Freud Centre: training provider
• Ecorys: pilot evaluators

4. www.england.nhs.uk
• Expressions of Interest: Summer 2015, NHS England and DfE ask for
Clinical Commissioning Groups (CCGs) to join with local specialist CYP
mental health services and schools to test the named lead approach and a
joint training programme.
• 22 pilot sites across the country: 27 CCGs and 255 schools taking part
• CCGs coordinated: training, support testing of name lead approach
• Named lead: established in each school and local CYP mental health
service – differing models emerging
• Working together: CCG, CYP mental health services and schools
• developing joint working protocols,
• taking part in evaluation
• sustainability and spread
The Journey to Date

5. Single Point of Access Pilot
The Anna Freud Centre
The Anna Freud Centre
@AFCevents
5

6. Aims of programme
• Shared view of strengths and limitations of
capabilities and capacities of education and
mental health colleagues
• Improved knowledge of resources to support
mental health of children and young people
• More effective use of existing resources
• Improved joint working between education
and mental health colleagues
6

7. CASCADE Framework
7

8. Clarity on roles, remit, and responsibilities of all partners˟ involved in
supporting CYP mental health
Agreed point of contact and role in schools and CYP mental health services
Structures to support shared planning and collaborative working (e.g. single
point of access)
Common approach to outcome measures for young people
Ability to continue to learn and draw on best practice
Development of integrated working to promote rapid and better access to
support
Evidence based approach to intervention
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9. Camden: Mental Health Services
& Schools Link Pilot site
camden.gov.uk/openminded

10. Camden population
• Inner London borough
• 48,630 children and young people aged 0-19 (GLA 2014 population
estimate)
• 2,550 CYP aged 5-16 have some type of mental disorder (based on
national prevalence data)
• Local ‘preferred prevalence’ estimates indicate that Camden has 33%
higher rate compared to national averages, giving a preferred
prevalence of 13%, or 3,230 CYP with some type of mental disorder
in Camden

11. Camden health related behaviours
questionnaire (2015)
Primary Secondary
Prevalence rates within
Camden’s school
population
• 43% of boys had high self-esteem scores
• 37% of girls had high self-esteem scores
• 77% of boys and 83% of girls reported that they
worry about at least one problem 'quite a lot' or 'a
lot'
• 51% of Year 8 boys and 50% of Year 10 boys had high self-
esteem scores
• 41% of Year 8 girls and 38% of Year 10 girls had high self-
esteem scores
• 22% of Year 8 pupils and 23% of Year 10 pupils said that they
worry about their own mental health 'quite a lot' or 'a lot'
Resilience
• When things had gone wrong in the last six
months, 14% of pupils said they ‘often’ or ‘very
often’ got upset and felt bad about it for ages,
51% said they felt calm and carried on. 55% said
that they learnt from it for next time
• When asked ‘if at first you don’t succeed, would you?’ 75% of
pupils said they would have another go ‘usually’ or ‘whenever
possible’. 69% said they would keep on trying until you do. 46%
of pupils said they would ask for help
The role of friends and
family
• When asked where they would go to for support
if they were worried about someone the top
answer was ‘Mum and Dad’ followed by friend
and member or school staff
• 26% of pupils said if they were worried about
something, they would ‘keep it to myself’
• If pupils were worried about something 68% of pupils said they
would get advice, support or reassurance from parents/carers.
67% said from friends
• 44% of pupils said if they were worried about something, they
would ‘keep it to themselves’
Usefulness of lessons
about feeling, emotional
health and wellbeing
• 65% of boys and 73% of girls said that their
lessons on feelings, emotional health and well-
being were ‘quite’ or ‘very useful’; 8% said they
couldn’t remember any
• 45% of pupils said that their lessons about feelings, emotional
health & wellbeing were at least 'quite useful'

12. Aim to develop and extend a universal approach to mental health promotion,
emotional wellbeing and resilience which is largely delivered through
classrooms and group interventions and which interfaces with a continuum
of more targeted support.
Training attended by:
• CAMHS clinicians from Open Minded
• Staff from 6 primary and 6 secondary schools
• Education Psychology Service
• School Nurses
• Education Welfare
• Healthy Schools (Learning & Partnerships Service)
Camden mental health services &
schools link pilot training

13. • Launched in September 2011 as mainstreaming of learning from
TAMHS
• Jointly commissioned by Camden CCG and Camden Council CSF
• Provided by the Tavistock & Portman NHS FT as part of Open Minded
• Existing CAMHS in Schools programme offer:
− A named CAMHS practitioner for every maintained mainstream
school
− Primary: core (1 day/month); enhanced (2 days/month); super enhanced
(1 session/week); named link (termly visits & remote contact)
− Secondary: core (2 sessions/week); enhanced (7 sessions/week)
− Differentiated model of CAMHS outreach tailored to each school’s
needs
Open Minded:
CAMHS in schools programme

14. Thank you
michelle.place1@nhs.net
Jaime.Smith@annafreud.org
Sarah.Brown@camden.gov.uk
https://www.england.nhs.uk/mentalhealth/cyp/