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WELCOME
Dedicated Youth Mental Health Services:
     The Human & Economic Case

Sarah Amani
Youth Mental Health Network Lead
Twitter: #YMHN


Tuesday 6th November 2012
We need to challenge &
   We need to connect &
                                              support services to deliver
mobilize grassroots & strategic
                                               better services for young
networks to commit to youth
                                                       people...
       mental health…




                                    Dr Rick Fraser
                                  Sussex YMH Lead




               Dr Katrina Lake
             MH Programme Lead
The National Picture – Just some of the Developments in YMH




  Ireland– Get on Board


                 Birmingham - YouthSpace
                                                    Norfolk & Suffolk YMH Pilot



                                                           CYP Health Needs
                                                           Assessment Tool
                                                        Sussex YMH Pilot
                                       Kent YMH Pilot
           Plymouth –The Zone                           Surrey’s Mindful Service
Income             Indiv
Events
                                        Mortality          All
Genes
                                        Health care        NHS
Family
                                        Social care        Local
                                                           Authority
Income
                                        Housing
Employment            Mental                               DfE
                                        Education
Resilience            Health
                                        Criminal justice   MoJ
Trauma
                                        Benefits           DWP
Physical Env
                                        Employment         Firms
Chance
                                        Third sector       CVOs


Each of these links is evidence-based
What have young people told us about their needs?


 Appropriate and          Recognition of what they
  accessible services       want and need
 To be valued             Involvement
 Not to be judged or      Choice
   stigmatised             Simple care pathways

          “No decision about me without me”
Economic Evaluation
Of Services for 14-25 Year
          Olds
Joint Commissioning Pack for Mental Health
www.youthmatter.jux.com
Youth Mental Health Monthly Newsletter
‘My Journey’
Youth Mental Health App
Time    Item                                                                Speaker


09:30   Welcome & Registration


10:00   Youth Mental Health Network – What have we been                 Sarah Amani
        up to?
10:25   My Journey                                                       Ali Moussa


10:45   Coffee

11:00   Surrey’s Mindful Service for 16-25 Year Olds      Sharon Snape & Elaine Fynn


11:30   Kent Youth Mental Health First Aid Pilot                       Yasmin Ishaq


12:00   Buffet Lunch
Time    Item                                                                          Speaker


13:00   Norfolk & Suffolk Youth Mental Health Pilot Service for            Dr Jonathan Wilson
        14-25 year olds
13:30   A Local Perspective on Youth                               Graham Vagg – West Sussex
                                                                              Youth Services
14:00   Sussex Youth Mental Health Pathfinder                       Dr Rick Fraser & Alex Jones


14:30   Coffee

15:00   What do young people want?                                Andy Rooney & Kevin Skinner


15:20   Right Here Project                                         Mark Cull, Rose Allett & Rob
                                                                                         Tronce
15:40   Voice Collective                                                          Claire Powell


16:00   Closing & Next Steps                                                      Sarah Amani
Youth Mental Health
      Summit
Surrey’s Mindful Service
              #YMHN

     Tuesday 6th November 2012
Surrey’s Mindful Service
                     A service for 16 -25 year olds

West Surrey – Sharon Snape
Telephone – 07771976770
Email – Sharon.snape@sabp.nhs.uk


East Surrey – Elaine Fynn
Telephone – 01737773089
Email – Elaine.fynn@sabp.nhs.uk
http://www.sabp.nhs.uk/services/young-persons
The Mindful Service for Surrey sits within the Specialist Services Portfolio of the
Children’s and Young Peoples Services for Surrey and Borders Partnership NHS
Foundation Trust.

Mindful was created to promote engagement of hard to reach, hard to
engage young people aged 16 -25 with emerging to moderate mental health
difficulties who were not accessing traditional mental health services for
various reasons.

The service is an outreach service based in Guildford and Redhill.
•   To provide signposting, consultation, assessment, intervention,
    training and liaison as appropriate for presenting concerns.

•   Consultation and training is aimed at enhancing the confidence
    and competence necessary to deliver an intervention provided by
    others, involved in the mental health care of young people.

•   To work alongside and target non statutory and voluntary services.
•   To raise awareness and increase knowledge of mental health needs in young people.
•   To provide training and workshops for staff and young people.
• To provide added value not already met by traditional statutory mental health
  services.
• Not to duplicate services already being offered and provided.
• Providing a mental health service that is not provided elsewhere for a group of young
 people who have a high level of need.
• Prevention of long term mental health needs of this group
• Partnership agency with a mental health focus for this age group.
• Increasing mental health knowledge of staff involved with young people in this age
 range.
• Increasing access & patient choice for very vulnerable young people.
Target Needs
•   Young people who are homeless.

•   Young people who have drug and/or alcohol
    difficulties

•   Young people in the PEET category

•   Young people leaving social care
Target Services
Our Aims


•   to prevent the potential of long-term mental health needs of this group.
•   to work in partnership with other agencies to ensure the mental health needs for this
    age group are addressed.
•   to educate and advise those involved with young people about mental health issues.
•   to increase acce.ss and client choice for vulnerable young people
• Community, out-reach based service which is informal, flexible, accessible and
  non-stigmatising.

• Flexibility in venues and meeting times, including out of hours if required.

• Flexibility and ongoing attempts to engage if appointments are missed.

• Close collaboration with other services involved in the young persons care.
Challenges
• Two workers covering a large area

• Prioritising workload

• Expectations of non statutory services

• Partnership working

• The need for a flexible approach

• Engaging ‘hard to reach’ young people
Youth Mental Health Summit
  Kent Youth Mental Health Pilot

                   #YMHN


          Tuesday 6th November 2012
Kent Youth Mental Health
         Project
       Yasmin Ishaq



            Powerpoint by Roxie Parkins BSc (Hons) MBPsS,
            Assistant Psychologist, Kent and Medway NHS and
            Social Care Partnership Trust
AIMS, OBJECTIVES AND SCOPE
• 3 objectives to the project

1) To hear from young people in Kent and Medway what helps
   and hinders their mental health

2) To build resources in the local communities to support young
   peoples mental well being

3) Commissioning a youth mental health service
Youth Mental Health Declaration

• 1. Engage young people and their families
  meaningfully in service development
• 2. Improve understanding of youth mental health
  within communities
• 3. Ensure access to youth friendly services and
  support
• 4. Embrace a youth-focused, strengths based ethos
  of care
• 5. Focus on resilience, hope and recovery
KENT PROJECT PLAN
 Investigate whether a youth mental health service model in
  Kent would provide a more robust young person orientated
  service.
 Understand the social, psychological and environmental
  stressors that impact on Kent’s young peoples emotional well
  being.
 Listen to the young people of Kent.
 Support the education/awareness of providers who work
  with young people in Kent.
Demographics
              KYMHP                            Kent and Medway
•   58 participants                      •   According to the 2011 Census, Kent‘s
•   All aged 12-25, median age: 17           population is 1,727,665 (Office of
•   Males and female equally                 National Statistics, 2012)
    represented, transgender heavily     •   221,700 young people aged 15-25 in
    under-represented                        Kent (Kent County Council, 2012)
•   62% of participants stated their     •   Males and Females currently
    ethic origin was ‘White’, 17%            represent 51% and 49% of Kent’s
    ‘Black’, 17% were ‘Asian’ and 4%         population respectively, currently no
    stated that their ethnic origin as       statistics on the transgender
    ‘other’                                  representation of Kent’s population
•   66% of participants stated their     •   Approximately 94% of people in Kent
    main occupation was in education,        are of ‘White’ ethic origin and 6%
    5% were in employment (including         class themselves as BME
    apprenticeships) and 31% were
    NEET                                 •   In September 2012, 8270 young
                                             people in Kent were unemployed,
•   90% of participants lived in the
                                             representing 6.84% of all 16-24 year
    North of Kent, with an even split
                                             olds in Kent (Kent County Council,
    between the NE and NW.
                                             2012)
Some Key Points from focus
                 groups
•     Overwhelmingly, young people felt that they were not being listened to by mental
      health professionals

They don’t wanna hurt our feelings, they just wanna walk around the bush…why don’t
                       you just tell me what’s wrong with me?!

•     Young people are all too aware of the stigma attached to having a mental health
      problem, and find that this comes from both the outside world and professionals

    I was gonna say that is actually the problem in itself, like, making it bad to have a
        problem… once I get to grips with the fact that if I do find out that I have a
                            problem, the point is that it’s fixable.

•     When it comes to LGBTQ issues, many young people felt that medical professionals
      such as GPs were not approachable and did not know enough about the subject to help
      them, even letting their own prejudices affect their practice

     You wanna speak to someone with complete confidentiality… maybe a psychologist
       would be the best person to go to… get it off your chest, someone you can talk
         to… not very accessible though, you have to pay money to tell someone that
                                         you’re gay!
Key Points continued…
•     Many young people feel forgotten about by society, mental health professionals,
      education providers and other youth-orientated organisations

    Mum had depression… I looked after my younger sibling… I’d come home to check
      that Mum hadn’t killed herself and she’d say ‘Oh, I nearly slit my wrists in the
      bath today.’ I stopped going to school as I was scared to leave her, school just
                                       discarded me.

•     Young people feel that support is not available to them

    There’s nothing in your face kinda telling you we’re here to help you, it’s more like
      ‘when you’re sinking, then kinda wave, wave really hard and we’ll try to spot you
                                      or try to find you’.

•     When support is available, young people don’t always find it accessible

She just kept using all these technical terms, I didn’t know what she was there for,
     I felt going there I came out more stressed, more depressed, more anxious.
3 X YMHFA COURSES
• 3 courses run in East and West Kent and Medway
  commissioned from KSL (Knowledge, Support, Learning CiC).
• Courses hosted by voluntary sector and educational
  institutions.
• The courses ensured inclusion of non statutory providers.
• Attendees included – Rethink CDWs, Higher and Further
  education staff, Shaw Trust(employment), KCA (drug and
  alcohol services), YOS, community projects for BME young
  people, Kent safeguarding police, Porchlight (housing and
  homeless project), Charlton Athletic Community Trust, Princes
  Trust, Platform 51(project for women).
HOW PARTICIPANTS WILL USE THEIR NEW
            SKILLS AFTER YMHFA

                                                                           “back up improve the
                                               “Immediately to           support provided to the
                   “To be more ready             develop the              children, young people
                   with young people”             quality of
  “Everyday                                                                     and adults”
                       Shaw Trust              standards of our
   with the                                                               Disability coordinator
                                               current service”
young people                                     Platform 51
    on my
   project”                “Will use it on a
 Porchlight                    daily basis”
                                Sandwich
                                                 I will be more aware of what
                               Technology
                                                 symptoms to look for and be
                                 School
                                                  able to react immediately”
                                                  Caribbean teacher/mentor
     “To be more aware and
     understand how to help,                                          “It has given me a better
        where to signpost                                             understanding on how to
      people that need help”                                            help young people”
        Charlton Athletic                                                Charlton Athletic
        Community Trust                                                  Community Trust
CONFIDENCE TO SUPPORT YP AFTER YMHFA
          (evaluation by KSL)
Personal confidence of how to   Knowledge and understanding of
 support YP with a problem         how best to support a YP
Royal College of GP YMH
        Declaration 2011 - Principles
•   Belief in young people and their potential
•   Respect for all young people
•   Protect young people’s right to participate in processes and decisions that affect
    them
•   Commitment to uncovering the strengths within young people, their families and
    communities
•   Respect for the right to recovery and social inclusion for all young people
•   Value the importance of personal, social, educational and employment outcomes
•   Provide accessible, youth-focused services and supports when and where young
    people need them
•   Respect for the rights of family and friends to participate and feel fully involved
What Next
• Report completion, conclusions and recommendations
• Shift towards greater Public mental health
  (social/environmental determinants)
• An orientation towards recovery in local systems and in
  services as well as in communities.
• Public health with a much stronger emphasis in primary care
  and local authorities.
• Using the vehicle of Health and Wellbeing Boards to enable
  commissioning of a service that encourages collaboration
  between councils, NHS, vol sector, communities and the
  public.
• Promoting the principle of co-production
cont
• Develop “asset based” approach (using the strength
  assets of young people to design the service)
• Designing a service with wellbeing outcomes in mind
• Using established well being evidence in service
  design
• MWIA (tool)
• Build community capacity in a more integrated and
  coherent way that is responsive to local need.
• pilot YMH service (evidence based and evaluated)
Support should be offered up from the
      start, it should be based upon a
 relationship with individuals rather than
just as-and-when which may not work for
   a lot of people as trust is needed for
                  disclosure.
Youth Mental Health
           Summit
Norfolk & Suffolk Youth Mental Health
                 Pilot
                    #YMHN

           Tuesday 6th November 2012
Youth Mental Health Summit
• A few thoughts:
     Existing Services
                                            Youth Mental
                                            Health




• Dilemma when a small, innovative solution is pitted against the
  larger, more established solutions.
• Enthusiasm/energy vs pressure in the system, having the capacity
  to respond, financial constraints, feeling overwhelmed.
• “I can really see the benefits of the
  project and fully support the idea but if
  I’m honest it’s hard to think about how
  this type of work might help create a
  better pathway for people in the future
  when all I can consider at the moment is
  how am I going to manage my work for
  tomorrow and the day after that.”
What helped services?
• Acceptance that it’s not easy to be
    innovative/creative/solution focussed when under stress.
•   Importance of whole system thinking.
•   Collaboration, communication and consistency.
•   Support during service transitions/restructuring.
•   Build sustainable coalitions across multiple stakeholders
    with different interests and strengths working towards
    shared goals


• Mirrors what young people/adults have stated that they
    want from services.
Success
• We have a “go live” date for youth mental
    health hub.
•   Developing the mental health pages on the
    Yourspace website.
•   Working closely with Kate and the Free Your
    Mind Campaign.
•   Developing relationships with 3rd
    sector/voluntary providers – “Young Crawley.”
•   “Know your Goals” football project.
• Uncomfortable though it may be it’s
  sometimes more useful in the long term to
  learn from mistakes.
Rugby Analogy




• At the beginning of the project focussed too much
  on expansive ideas
• Sometimes you need to move gradually forward in order to then
  expand thinking/opportunities/possibilities as confidence grows.
• Much greater chance of sustainability if there’s balance between
  creativity and thoughtful small steps.
Youth Mental Health
         Summit
Sussex Youth Mental Health Pilot
                  #YMHN

         Tuesday 6th November 2012
Sussex Youth Service Update
   Youth Summit Nov 6th 2012

            Rick Fraser & Alex Jones
    Sussex Partnership NHS Foundation Trust
                  Kate Moore
               Youth Parliament
Youth Services


What might this look like?
Collaborations
Collocation
Acceptable, accessible, age appropriate
Specialist staff
Improve transitions and reduce drop-out/loss
Better working with minority groups, offenders, NEETs,
  immigrants, LAC
Current Health Service System for
         Young People


     Primary      Secondary     Tertiary
New Horizons
A Youth Mental Health Service


  REFERRAL                   YOUTH SERVICE (15-25)     DISCHARGE


                             Accessible
                             Acceptable/Appropriate
  GP, CAMHS, self, family,   Awareness
  education, 3rd sector,     (community)               AMHS
  CJS, SSD, D&A
                             Ability (staff)           Primary Care
                                                       3rd sector
  Brief                      EIP, M&A, PD, ED, DD, D
  interventions/IAPT         &A




                                Acute services
Youth Mental Health Evidence Base

EI for Psychosis                                EI for Depression
    Early intervention services, cognitive          Prevention of depression in at-risk
    behavioural therapy and family                  adolescents. A randomized controlled
    intervention in early psychosis:                trial. Garber J. et al. JAMA.
    systematic review. Bird V., Kuipers E.          2009;301(21):2215-2224EI for BPAD
    et al. The British Journal of Psychiatry.
    2010 197: 350-356
                                                EI for BPD
EI for Bipolar Disorder                             EI for Adolescents with Borderline
    First-episode mania: a neglected                Personality Disorder using Cognitive
    priority for early intervention. Conus          Analytic Therapy: randomized
    P., McGorry P. Aust N Z J Psychiatry.           controlled trial. Chanen A., McGorry
    2002 Apr;36(2):158-72.                          P. et al. The British Journal of
                                                    Psychiatry, 2008;193: 477-484.
Sussex Update


2010 – youth strategy group
2011 – project grant from South Coast SHA
2012
   – Project manager appointed
   • Scoping exercise
   • Partnerships developed
   • Model developed
   • Evaluation – grant application (RF/KG)
   • ‘Go Live’ – November
Project Manager’s update
Model


Access and transition service
‘One stop shop’
Screening tool
Youth assessment tool
CAMHS, AMHS & EIS for health component
Connexions (Targeted Youth Support Service)
Other collaborators – YMCA, West Sussex CC, YP SMS,
  Crawley College
Training


Training package developed
Evaluation
Goals – hybrid clinicians working confidently across age range
Up-skilling by proximity
Promotion

Website – ‘yourspace’
Raising awareness
Primary Care & beyond
Youth platform
Next


Crawley Town FC
MHFA
Other sites
Larger study
Who is involved?


D/MYP's
Youth Councils
Youth Cabinets
Other projects
MP's
Other organisations
Mental health organisations
The list goes on...
Aims


Two main aims:
To help break down the taboos surrounding mental health.
We want to create a place for young people to ‘Free Their
   Minds’
Its now all about promoting and
getting work done now!


We are really easy to contact if you want to get involved/contac t us for any other
   reason;

Email:
Twitter: @FreeYourMindUK
Facebook:
IYMHA 2nd Conference 2013
Brighton 23-26 Sept 2013
Challenges


Fears
    • Service ‘overwhelmed’
    • Diverting already scarce resources
    • Risk management
Raising awareness
Governance issues
Developing other ‘portals’
Maintaining momentum – Alex Jones back to UHS Dec 2012
Developing new service at time of financial austerity
In Summary


Clear need for better services for young people
Collaborative approach
Local approach
Involve young people
Get started somewhere
Evaluate
Maintain the momentum
Thank You
Youth Mental Health Summit
 Knowledge Support Learning (KSL)

                   #YMHN
          Tuesday 6th November 2012
Presentation




                           © Knowledge Support Learning CIC 2010
October 2012     19 Brunswick House, New Goulston Street , London, E1 7PR
               Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net   77
About KSL…
 Social enterprise well-connected with UK
Health, Social Care and Wellbeing services

     Knowledge
     Creative events
     management and
     young people’s                           Support
     celebrations                             Specialist project
                                              management to
                                              help welfare                                Learning
                                              services achieve                            Courses and
                                              their goals                                 workshops to help
                                                                                          people provide
                                                                                          support to adults
                                                                                          and young people




October 2012                       © Knowledge Support Learning CIC 2012
                         19 Brunswick House, New Goulston Street , London, E1 7PR                             78
                       Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
KSL as Intermediary

         Festival                                                                           Charities &
        Organisers                                                                      Commercial Sponsors




 Mental Health                                                                              Mental Health
 & Wellbeing                                                                                & Wellbeing
  Information                                                                                Research



                                             Festival-Goers
                                             Mental Health
                                              & Wellbeing

October 2012                     © Knowledge Support Learning CIC 2012
                       19 Brunswick House, New Goulston Street , London, E1 7PR                             79
                     Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
KSL Heads-Up Tent
•   A mental health hotspot that pops up at mainstream arts and music festivals

•   Through conducting a short and structured survey with young people, aged 12-25, we aim to find out

    which mental health support and services this age group needs and wants

•   In July 2012 with the CSR support of Live Nation UK, KSL took the Heads-Up Tent to Wireless

    Festival, Hyde Park, London

•   As an illustration of the event and our engagement approach with young people:

    http://www.youtube.com/watch?v=8qUqC_Ao0Hk B2B

    http://www.youtube.com/watch?v=ZXs5_DBF8WIB2C




    October 2012                        © Knowledge Support Learning CIC 2012
                              19 Brunswick House, New Goulston Street , London, E1 7PR               80
                            Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
Our Supporters



   UK organic fruit                      Charity that sponsored                            Festival host organiser
producer that supplied                     a Heads-Up Card                                  that provided the tent
  us with unique fruit                                                                           and passes
         juices




          London fruiterer that provided                                Training provider and
           us with a variety of fresh and                                  Heads-Up Tent
                     tasty fruit                                        contributor and Card
                                                                               sponsor
October 2012                        © Knowledge Support Learning CIC 2012
                          19 Brunswick House, New Goulston Street , London, E1 7PR                              81
                        Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
Heads-Up Cards
                  600 young people visited the tent and they were each given a pack of cards




   Packs provided information about our project, our sponsors and common mental health issues




                  The cards gave young people web links with QR codes for more information

October 2012                          © Knowledge Support Learning CIC 2012
                            19 Brunswick House, New Goulston Street , London, E1 7PR            82
                          Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
Survey Results

 377 surveys were fully completed

 The majority of our visitors came from London and the South East

 77% of our visitors were White British, 23% were Black, Asian or Mixed

 Most of our participants were students/pupils or in full-time employment

 The following data is based on the 377 completed surveys

 Our goal is to make youth mental health support services attractive




October 2012                  © Knowledge Support Learning CIC 2012
                    19 Brunswick House, New Goulston Street , London, E1 7PR         83
                  Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
Survey Results

                                                                           Age Group
                                                        13-15      16-18       19-25     over 25   under 12
                                                                                    0%
                                                                                        5%
                                                                              11%

                                                                                             31%



                                                                         53%




There were more female participants                 81% of participants were under the age of 25
  October 2012                   © Knowledge Support Learning CIC 2012
                       19 Brunswick House, New Goulston Street , London, E1 7PR                               84
                     Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
Survey Results

      Employment status of survey participants
                                                                      Student/pupil full-time
                             2%
                                 1%
                     11%                                              Employed full-time

               4%
                                                                      Any other

                                                      49%             Employed part-time


                                                                      Unwaged/not seeking work
               33%
                                                                      Registered unemployed/job
                                                                      seeker



October 2012                    © Knowledge Support Learning CIC 2012
                      19 Brunswick House, New Goulston Street , London, E1 7PR                    85
                    Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
Survey Results
                      Mental health problems experienced directly
                         and indirectly by survey participants

 250



 200
                             211
                                              202                                                205
               185                                                             196
 150
                                                               155
         139                                                                                                    150
 100


                       73
  50                                     67
                                                         31               29               26               9
   0
          Stress     Depression     Drugs & alcohol      Suicide        Self-harm     Eating disorders   Psychosis

                                                      Self     Others
October 2012                            © Knowledge Support Learning CIC 2012
                              19 Brunswick House, New Goulston Street , London, E1 7PR                                86
                            Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
Survey Results
                  Where the service should be located by age group

 80                       75
                                                                                                   13-15 prefer walk-in centre location
                                                    67
 70               65
                                                                                                   16-19 prefer college location
 60
                                                                                                   19-25 prefer education location
 50

                                             38
 40                                                                          35                         35                                             36
                                                                      33

 30                                                                                                                  26
                                                                                                                               20
 20                                                                                               14
                                      13                                                                                                        12
           10
                                                               7
 10                                                                                         5                 4                          3

  0
      School/college/university   Walk-in young people's   Primary care centre/GP     Youth club/community   Hospital clinic        Adult community mental
             counseling              support centre               surgery                     centre                                health team or child and
                                                                                                                                    adolescent mental health
                                                                                                                                             service


                                                                       13-15        16-19       19-25

October 2012                                       © Knowledge Support Learning CIC 2012
                                         19 Brunswick House, New Goulston Street , London, E1 7PR                                                              87
                                       Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
Survey Results

 350
           Who to ask when mental health help is needed

 300
               314

 250

                                                                                           General results show that
 200                      236                                                            people prefer to find help from
                                                                                           their friends and relatives
 150
                                          157

 100                                                  114

  50
                                                                     67
                                                                                                                        0
                                                                                 41            37          35
   0
        Friend or    Parent or      Family GP    Partner or  Specialist    Telephone     Teacher or   Another GP   Support
        colleague      carer                      spouse    professional   advice line    lecturer                 worker

October 2012                                 © Knowledge Support Learning CIC 2012
                                   19 Brunswick House, New Goulston Street , London, E1 7PR                                  88
                                 Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
Survey Results
                                        How services could work best                                                                                 300



                                                                                                                                                     250
                                                                                                                                    258
               The most popular                                                                                                                      200

             feature by far was “no
                                                                                                                                                     150
             appointment needed”                                                                                     159
                                                                                                    151
                                                                                     136
                                                                                                                                                     100

                                                                      94
                                                       68                                                                                            50
                                      60
      29              34
                                                                                                                                                     0
  On the record   Internet café    Using self-      Meet/join       Can make        Open at    Open evenings     Talking 1:1 in    Walk-in/no
conversations for     area        assessment     informal groups appointments in weekends/bank until about 9pm      private       appointment
a young person's                     forms                           advance        holidays                                        needed
primary care NHS
      notes


      October 2012                                 © Knowledge Support Learning CIC 2012
                                         19 Brunswick House, New Goulston Street , London, E1 7PR                                               89
                                       Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
Survey Results

                             What Other Centre Services Needed by age group
                        90
90
                                                                                  78
80                                                                                                         70
                  67
70                                               62

60                                                     51
                                                                            47
50                                                                                                    44         13-15

40
                                                                                                                 16-18
30
20          13                             13                         11                                         19-25
                                                                                                 5
10
0
                 90                             51                         78                        70

     Advice on drug and alcohol      Sexual health advice and   GP and/or other primary        Education and
                use                        information                health care            employment advice




October 2012                                  © Knowledge Support Learning CIC 2012
                                                                                                                  90
                                    19 Brunswick House, New Goulston Street , London, E1 7PR
                                  Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
Survey Summary

    Our results indicate that most young people would like to see their mental health services located

     in education settings or at a walk-in support centre

    Most young people prefer to seek help from family and friends about mental health issues

    If young people wish to access a service most by far would like to turn up without an

     appointment, including evenings and weekends where they can engage privately on a 1:1 basis

    An „under one roof‟ service where mental health services are co-located with others, including

     GP, is important to young people

    60% of our sample aged 13 to 25 would like to attend a short mental health awareness course if

     they had the opportunity



    October 2012                      © Knowledge Support Learning CIC 2012
                             19 Brunswick House, New Goulston Street , London, E1 7PR            91
                          Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
Thank you




October 2012               © Knowledge Support Learning CIC 2012
                 19 Brunswick House, New Goulston Street , London, E1 7PR         92
               Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
Youth Mental Health
      Summit
  Right Here Project
             #YMHN

    Tuesday 6th November 2012
Right Here Brighton and Hove
• Who we are:
  – Lily Blackmore – Campaigns Volunteer
  – Rebecca Morley-Wilson – Campaigns
    Volunteer
  – Mark Cull – Project Manager
  – Rose Allett – Campaigns Coordinator
  – Rob Trounce – Digital Media Officer
Right Here initiative
• 5 year pilot
• Funded and managed by MHF and PHF
• National Programme
• Brighton &
  Hove, Fermanagh, Sheffield, Newham
• Evaluated by the Tavistock Institute
Right Here Brighton & Hove
• Sussex Central YMCA and Mind in
  Brighton & Hove
• Resilience building activities
• Campaigns and health promotion
• Peer-led research
• Fast track counselling
Our work with GPs –
                   1. GP research
•   GP research – Young people‟s views and experiences of GP services in
    relationship to emotional and mental health

•   Ask yourself:
 Do your clients (aged 16-25) understand what confidentiality means within your
  service?
 Do your clients have a choice of gender specific practitioners allocated to their
  care?
 Are young people who have been referred by a GP given enough information
  about your service before their first appointment with you?
 Is your service available at times which suit young people and their lifestyles?
 Are young people equal participants in decisions made about their care within
  your service?
 How knowledgeable are you about other services within your area that can help
  young people accessing your service?
 In the context of your service and your relationships with your clients, how
  empowered are the young people you support?
Our work with GPs –
          2. Assessment visits
• Good practice guide
• GP practice visits
• Sample questions:
  – How aware are your staff of young people‟s
    issues?
  – Are confidentiality policies clearly displayed and
    explained?
  – Is there information about young people‟s rights
    available on the website or in the surgery?
Our work with GPs – 3. How Can I
Innovation labs
• Brainstorming and developing digital
  products to benefit young people‟s
  mental health and wellbeing
• Right Here‟s involvement:
  – Doc Ready
  – My Places
Doc Ready
• An application and/or website geared
  towards preparing a young person to
  visit their GP
• Currently in the design phase
• Will be developed over the next year
Doc Ready case study
• Scenario
Case study - paired discussion
• If you were using Doc Ready, what
  functions / features would be helpful to
  you with preparing this young person
  to go to their GP?
• Please write answers on the provided
  Post-it notes
• Some of your feedback…
WTGF and My Places
Screenshots of the website (3 or 4)
 (particularly mental health pages)
Questions or comments?
• Come and talk to us in the coffee break
  if you have questions about Doc
  Ready, Right Here creating a Where To
  Go For website in your locality, Right
  Here‟s work, or anything else!
• Thanks for listening and taking part.
Youth Mental Health
      Summit
   Voice Collective
             #YMHN

    Tuesday 6th November 2012
+
Voice
Collective
www.voicecollective.co.uk




        Supporting Children & Young
           People Who Hear Voices:
                            Claire Powell – Mind in Camden
+
    About Voice Collective

     Mindin Camden‟s London-wide
     project, supporting children & young people
     who hear voices
        Direct Services
        Capacity Building
        Independent Evaluation (CAMHS Evidence Based
         Practice Unit)

     Funded  by BBC Children In Need, Comic Relief &
     City Bridge Trust

     Part   of a larger „London Hearing Voices Project‟
+
    So, what do we offer?

     Responsive – Flexible - Connected
     Peer   support                  For workers
        Voice Collective Group
                                 Training &
     

       Creative Arts Workshops
                                  Awareness
       Website
                                   Young people
       Online Forum
                                   Schools
       Support workshops for
                                   Youth organisations
        parents
                                   Specialist mental health
     1-2-1 support                 teams
        For young people
        For parents
+
    A Multisensory Experience
+
    The Impact
+
    What does Voice Collective do?
+
    4 aspects to coping




       Calm/Safety    Block




        Express      Empower
+
    Safety First




             Do-In Massage
+
    Safety

     “10   things I can do”
     Grounding   strategies
     (“5 things I can see,
     hear & touch”, a
     grounding bag using
     all of the senses)
     Breathing   and
     relaxation
     Creating   safe spaces
     Safe   objects
+
    Distraction

                     Distraction
                         Music (creating a playlist)
                         Xbox / Computers / Sudoku /
                          Puzzles
                         Football, physical activities
                         Anything that helps occupy the
                          mind
                     Concurrent verbalization (singing
                      or reading aloud)
                     Earplugs (in one or both ears)
                     Being around others
+
    Expressing yourself

     Shadow   boxing
     Worry box
     Creative writing
       (e.g. super heroes)
     Drawing and
      artwork
      (e.g. voice
      morphing)
     Model making
+
    Taking the power back

                     Saying    „No‟ or „Not
                     Yet‟
                     Setting   limits
                     Challenging    the voices
                     Becoming  an
                     interpreter
                     Treatingthe voices
                     with kindness
+
    Finding a voice and peer support




         http://www.youtube.com/watch?v=BB9_Zy0I3VU
+
    Contact Us:

      Claire Powell & Yan Weaver (Development Workers)
             Rachel Waddingham (project manager)

               Voice Collective, Mind in Camden
            Crossfields Centre, 8 Fairhazel Gardens,
                       London, NW6 3SG

     Tel: 020 7625 9042 | Email: info@voicecollective.co.uk

                Web: www.voicecollective.co.uk

              www.facebook.com/voicecollective
               www.twitter.com/voicecollective
               www.voicecollective.tumblr.com
Youth Mental Health
       Summit

Dedicated Youth Mental Health
           Services:
 The Human & Economic Case
                 #YMHN

        Tuesday 6th November 2012
Its Up to Us
Lets Improve Youth Mental Health

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Youth Mental Health Summit Presentations November 2012

  • 1. WELCOME Dedicated Youth Mental Health Services: The Human & Economic Case Sarah Amani Youth Mental Health Network Lead Twitter: #YMHN Tuesday 6th November 2012
  • 2. We need to challenge & We need to connect & support services to deliver mobilize grassroots & strategic better services for young networks to commit to youth people... mental health… Dr Rick Fraser Sussex YMH Lead Dr Katrina Lake MH Programme Lead
  • 3.
  • 4. The National Picture – Just some of the Developments in YMH Ireland– Get on Board Birmingham - YouthSpace Norfolk & Suffolk YMH Pilot CYP Health Needs Assessment Tool Sussex YMH Pilot Kent YMH Pilot Plymouth –The Zone Surrey’s Mindful Service
  • 5. Income Indiv Events Mortality All Genes Health care NHS Family Social care Local Authority Income Housing Employment Mental DfE Education Resilience Health Criminal justice MoJ Trauma Benefits DWP Physical Env Employment Firms Chance Third sector CVOs Each of these links is evidence-based
  • 6.
  • 7. What have young people told us about their needs?  Appropriate and  Recognition of what they accessible services want and need  To be valued  Involvement  Not to be judged or  Choice stigmatised  Simple care pathways “No decision about me without me”
  • 8. Economic Evaluation Of Services for 14-25 Year Olds
  • 9. Joint Commissioning Pack for Mental Health
  • 11.
  • 12. Youth Mental Health Monthly Newsletter
  • 13.
  • 15. Time Item Speaker 09:30 Welcome & Registration 10:00 Youth Mental Health Network – What have we been Sarah Amani up to? 10:25 My Journey Ali Moussa 10:45 Coffee 11:00 Surrey’s Mindful Service for 16-25 Year Olds Sharon Snape & Elaine Fynn 11:30 Kent Youth Mental Health First Aid Pilot Yasmin Ishaq 12:00 Buffet Lunch
  • 16. Time Item Speaker 13:00 Norfolk & Suffolk Youth Mental Health Pilot Service for Dr Jonathan Wilson 14-25 year olds 13:30 A Local Perspective on Youth Graham Vagg – West Sussex Youth Services 14:00 Sussex Youth Mental Health Pathfinder Dr Rick Fraser & Alex Jones 14:30 Coffee 15:00 What do young people want? Andy Rooney & Kevin Skinner 15:20 Right Here Project Mark Cull, Rose Allett & Rob Tronce 15:40 Voice Collective Claire Powell 16:00 Closing & Next Steps Sarah Amani
  • 17. Youth Mental Health Summit Surrey’s Mindful Service #YMHN Tuesday 6th November 2012
  • 18. Surrey’s Mindful Service A service for 16 -25 year olds West Surrey – Sharon Snape Telephone – 07771976770 Email – Sharon.snape@sabp.nhs.uk East Surrey – Elaine Fynn Telephone – 01737773089 Email – Elaine.fynn@sabp.nhs.uk http://www.sabp.nhs.uk/services/young-persons
  • 19. The Mindful Service for Surrey sits within the Specialist Services Portfolio of the Children’s and Young Peoples Services for Surrey and Borders Partnership NHS Foundation Trust. Mindful was created to promote engagement of hard to reach, hard to engage young people aged 16 -25 with emerging to moderate mental health difficulties who were not accessing traditional mental health services for various reasons. The service is an outreach service based in Guildford and Redhill.
  • 20. To provide signposting, consultation, assessment, intervention, training and liaison as appropriate for presenting concerns. • Consultation and training is aimed at enhancing the confidence and competence necessary to deliver an intervention provided by others, involved in the mental health care of young people. • To work alongside and target non statutory and voluntary services. • To raise awareness and increase knowledge of mental health needs in young people. • To provide training and workshops for staff and young people.
  • 21. • To provide added value not already met by traditional statutory mental health services. • Not to duplicate services already being offered and provided. • Providing a mental health service that is not provided elsewhere for a group of young people who have a high level of need. • Prevention of long term mental health needs of this group • Partnership agency with a mental health focus for this age group. • Increasing mental health knowledge of staff involved with young people in this age range. • Increasing access & patient choice for very vulnerable young people.
  • 22. Target Needs • Young people who are homeless. • Young people who have drug and/or alcohol difficulties • Young people in the PEET category • Young people leaving social care
  • 24. Our Aims • to prevent the potential of long-term mental health needs of this group. • to work in partnership with other agencies to ensure the mental health needs for this age group are addressed. • to educate and advise those involved with young people about mental health issues. • to increase acce.ss and client choice for vulnerable young people
  • 25. • Community, out-reach based service which is informal, flexible, accessible and non-stigmatising. • Flexibility in venues and meeting times, including out of hours if required. • Flexibility and ongoing attempts to engage if appointments are missed. • Close collaboration with other services involved in the young persons care.
  • 26. Challenges • Two workers covering a large area • Prioritising workload • Expectations of non statutory services • Partnership working • The need for a flexible approach • Engaging ‘hard to reach’ young people
  • 27.
  • 28. Youth Mental Health Summit Kent Youth Mental Health Pilot #YMHN Tuesday 6th November 2012
  • 29. Kent Youth Mental Health Project Yasmin Ishaq Powerpoint by Roxie Parkins BSc (Hons) MBPsS, Assistant Psychologist, Kent and Medway NHS and Social Care Partnership Trust
  • 30. AIMS, OBJECTIVES AND SCOPE • 3 objectives to the project 1) To hear from young people in Kent and Medway what helps and hinders their mental health 2) To build resources in the local communities to support young peoples mental well being 3) Commissioning a youth mental health service
  • 31. Youth Mental Health Declaration • 1. Engage young people and their families meaningfully in service development • 2. Improve understanding of youth mental health within communities • 3. Ensure access to youth friendly services and support • 4. Embrace a youth-focused, strengths based ethos of care • 5. Focus on resilience, hope and recovery
  • 32. KENT PROJECT PLAN  Investigate whether a youth mental health service model in Kent would provide a more robust young person orientated service.  Understand the social, psychological and environmental stressors that impact on Kent’s young peoples emotional well being.  Listen to the young people of Kent.  Support the education/awareness of providers who work with young people in Kent.
  • 33. Demographics KYMHP Kent and Medway • 58 participants • According to the 2011 Census, Kent‘s • All aged 12-25, median age: 17 population is 1,727,665 (Office of • Males and female equally National Statistics, 2012) represented, transgender heavily • 221,700 young people aged 15-25 in under-represented Kent (Kent County Council, 2012) • 62% of participants stated their • Males and Females currently ethic origin was ‘White’, 17% represent 51% and 49% of Kent’s ‘Black’, 17% were ‘Asian’ and 4% population respectively, currently no stated that their ethnic origin as statistics on the transgender ‘other’ representation of Kent’s population • 66% of participants stated their • Approximately 94% of people in Kent main occupation was in education, are of ‘White’ ethic origin and 6% 5% were in employment (including class themselves as BME apprenticeships) and 31% were NEET • In September 2012, 8270 young people in Kent were unemployed, • 90% of participants lived in the representing 6.84% of all 16-24 year North of Kent, with an even split olds in Kent (Kent County Council, between the NE and NW. 2012)
  • 34. Some Key Points from focus groups • Overwhelmingly, young people felt that they were not being listened to by mental health professionals They don’t wanna hurt our feelings, they just wanna walk around the bush…why don’t you just tell me what’s wrong with me?! • Young people are all too aware of the stigma attached to having a mental health problem, and find that this comes from both the outside world and professionals I was gonna say that is actually the problem in itself, like, making it bad to have a problem… once I get to grips with the fact that if I do find out that I have a problem, the point is that it’s fixable. • When it comes to LGBTQ issues, many young people felt that medical professionals such as GPs were not approachable and did not know enough about the subject to help them, even letting their own prejudices affect their practice You wanna speak to someone with complete confidentiality… maybe a psychologist would be the best person to go to… get it off your chest, someone you can talk to… not very accessible though, you have to pay money to tell someone that you’re gay!
  • 35. Key Points continued… • Many young people feel forgotten about by society, mental health professionals, education providers and other youth-orientated organisations Mum had depression… I looked after my younger sibling… I’d come home to check that Mum hadn’t killed herself and she’d say ‘Oh, I nearly slit my wrists in the bath today.’ I stopped going to school as I was scared to leave her, school just discarded me. • Young people feel that support is not available to them There’s nothing in your face kinda telling you we’re here to help you, it’s more like ‘when you’re sinking, then kinda wave, wave really hard and we’ll try to spot you or try to find you’. • When support is available, young people don’t always find it accessible She just kept using all these technical terms, I didn’t know what she was there for, I felt going there I came out more stressed, more depressed, more anxious.
  • 36. 3 X YMHFA COURSES • 3 courses run in East and West Kent and Medway commissioned from KSL (Knowledge, Support, Learning CiC). • Courses hosted by voluntary sector and educational institutions. • The courses ensured inclusion of non statutory providers. • Attendees included – Rethink CDWs, Higher and Further education staff, Shaw Trust(employment), KCA (drug and alcohol services), YOS, community projects for BME young people, Kent safeguarding police, Porchlight (housing and homeless project), Charlton Athletic Community Trust, Princes Trust, Platform 51(project for women).
  • 37. HOW PARTICIPANTS WILL USE THEIR NEW SKILLS AFTER YMHFA “back up improve the “Immediately to support provided to the “To be more ready develop the children, young people with young people” quality of “Everyday and adults” Shaw Trust standards of our with the Disability coordinator current service” young people Platform 51 on my project” “Will use it on a Porchlight daily basis” Sandwich I will be more aware of what Technology symptoms to look for and be School able to react immediately” Caribbean teacher/mentor “To be more aware and understand how to help, “It has given me a better where to signpost understanding on how to people that need help” help young people” Charlton Athletic Charlton Athletic Community Trust Community Trust
  • 38. CONFIDENCE TO SUPPORT YP AFTER YMHFA (evaluation by KSL) Personal confidence of how to Knowledge and understanding of support YP with a problem how best to support a YP
  • 39. Royal College of GP YMH Declaration 2011 - Principles • Belief in young people and their potential • Respect for all young people • Protect young people’s right to participate in processes and decisions that affect them • Commitment to uncovering the strengths within young people, their families and communities • Respect for the right to recovery and social inclusion for all young people • Value the importance of personal, social, educational and employment outcomes • Provide accessible, youth-focused services and supports when and where young people need them • Respect for the rights of family and friends to participate and feel fully involved
  • 40. What Next • Report completion, conclusions and recommendations • Shift towards greater Public mental health (social/environmental determinants) • An orientation towards recovery in local systems and in services as well as in communities. • Public health with a much stronger emphasis in primary care and local authorities. • Using the vehicle of Health and Wellbeing Boards to enable commissioning of a service that encourages collaboration between councils, NHS, vol sector, communities and the public. • Promoting the principle of co-production
  • 41. cont • Develop “asset based” approach (using the strength assets of young people to design the service) • Designing a service with wellbeing outcomes in mind • Using established well being evidence in service design • MWIA (tool) • Build community capacity in a more integrated and coherent way that is responsive to local need. • pilot YMH service (evidence based and evaluated)
  • 42. Support should be offered up from the start, it should be based upon a relationship with individuals rather than just as-and-when which may not work for a lot of people as trust is needed for disclosure.
  • 43.
  • 44. Youth Mental Health Summit Norfolk & Suffolk Youth Mental Health Pilot #YMHN Tuesday 6th November 2012
  • 45. Youth Mental Health Summit • A few thoughts: Existing Services Youth Mental Health • Dilemma when a small, innovative solution is pitted against the larger, more established solutions. • Enthusiasm/energy vs pressure in the system, having the capacity to respond, financial constraints, feeling overwhelmed.
  • 46. • “I can really see the benefits of the project and fully support the idea but if I’m honest it’s hard to think about how this type of work might help create a better pathway for people in the future when all I can consider at the moment is how am I going to manage my work for tomorrow and the day after that.”
  • 47. What helped services? • Acceptance that it’s not easy to be innovative/creative/solution focussed when under stress. • Importance of whole system thinking. • Collaboration, communication and consistency. • Support during service transitions/restructuring. • Build sustainable coalitions across multiple stakeholders with different interests and strengths working towards shared goals • Mirrors what young people/adults have stated that they want from services.
  • 48. Success • We have a “go live” date for youth mental health hub. • Developing the mental health pages on the Yourspace website. • Working closely with Kate and the Free Your Mind Campaign. • Developing relationships with 3rd sector/voluntary providers – “Young Crawley.” • “Know your Goals” football project.
  • 49. • Uncomfortable though it may be it’s sometimes more useful in the long term to learn from mistakes.
  • 50. Rugby Analogy • At the beginning of the project focussed too much on expansive ideas
  • 51. • Sometimes you need to move gradually forward in order to then expand thinking/opportunities/possibilities as confidence grows. • Much greater chance of sustainability if there’s balance between creativity and thoughtful small steps.
  • 52. Youth Mental Health Summit Sussex Youth Mental Health Pilot #YMHN Tuesday 6th November 2012
  • 53. Sussex Youth Service Update Youth Summit Nov 6th 2012 Rick Fraser & Alex Jones Sussex Partnership NHS Foundation Trust Kate Moore Youth Parliament
  • 54. Youth Services What might this look like? Collaborations Collocation Acceptable, accessible, age appropriate Specialist staff Improve transitions and reduce drop-out/loss Better working with minority groups, offenders, NEETs, immigrants, LAC
  • 55. Current Health Service System for Young People Primary Secondary Tertiary
  • 57. A Youth Mental Health Service REFERRAL YOUTH SERVICE (15-25) DISCHARGE Accessible Acceptable/Appropriate GP, CAMHS, self, family, Awareness education, 3rd sector, (community) AMHS CJS, SSD, D&A Ability (staff) Primary Care 3rd sector Brief EIP, M&A, PD, ED, DD, D interventions/IAPT &A Acute services
  • 58. Youth Mental Health Evidence Base EI for Psychosis EI for Depression Early intervention services, cognitive Prevention of depression in at-risk behavioural therapy and family adolescents. A randomized controlled intervention in early psychosis: trial. Garber J. et al. JAMA. systematic review. Bird V., Kuipers E. 2009;301(21):2215-2224EI for BPAD et al. The British Journal of Psychiatry. 2010 197: 350-356 EI for BPD EI for Bipolar Disorder EI for Adolescents with Borderline First-episode mania: a neglected Personality Disorder using Cognitive priority for early intervention. Conus Analytic Therapy: randomized P., McGorry P. Aust N Z J Psychiatry. controlled trial. Chanen A., McGorry 2002 Apr;36(2):158-72. P. et al. The British Journal of Psychiatry, 2008;193: 477-484.
  • 59.
  • 60.
  • 61. Sussex Update 2010 – youth strategy group 2011 – project grant from South Coast SHA 2012 – Project manager appointed • Scoping exercise • Partnerships developed • Model developed • Evaluation – grant application (RF/KG) • ‘Go Live’ – November
  • 63. Model Access and transition service ‘One stop shop’ Screening tool Youth assessment tool CAMHS, AMHS & EIS for health component Connexions (Targeted Youth Support Service) Other collaborators – YMCA, West Sussex CC, YP SMS, Crawley College
  • 64. Training Training package developed Evaluation Goals – hybrid clinicians working confidently across age range Up-skilling by proximity
  • 65. Promotion Website – ‘yourspace’ Raising awareness Primary Care & beyond Youth platform
  • 66. Next Crawley Town FC MHFA Other sites Larger study
  • 67.
  • 68. Who is involved? D/MYP's Youth Councils Youth Cabinets Other projects MP's Other organisations Mental health organisations The list goes on...
  • 69. Aims Two main aims: To help break down the taboos surrounding mental health. We want to create a place for young people to ‘Free Their Minds’
  • 70. Its now all about promoting and getting work done now! We are really easy to contact if you want to get involved/contac t us for any other reason; Email: Twitter: @FreeYourMindUK Facebook:
  • 73. Challenges Fears • Service ‘overwhelmed’ • Diverting already scarce resources • Risk management Raising awareness Governance issues Developing other ‘portals’ Maintaining momentum – Alex Jones back to UHS Dec 2012 Developing new service at time of financial austerity
  • 74. In Summary Clear need for better services for young people Collaborative approach Local approach Involve young people Get started somewhere Evaluate Maintain the momentum
  • 76. Youth Mental Health Summit Knowledge Support Learning (KSL) #YMHN Tuesday 6th November 2012
  • 77. Presentation © Knowledge Support Learning CIC 2010 October 2012 19 Brunswick House, New Goulston Street , London, E1 7PR Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net 77
  • 78. About KSL… Social enterprise well-connected with UK Health, Social Care and Wellbeing services Knowledge Creative events management and young people’s Support celebrations Specialist project management to help welfare Learning services achieve Courses and their goals workshops to help people provide support to adults and young people October 2012 © Knowledge Support Learning CIC 2012 19 Brunswick House, New Goulston Street , London, E1 7PR 78 Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
  • 79. KSL as Intermediary Festival Charities & Organisers Commercial Sponsors Mental Health Mental Health & Wellbeing & Wellbeing Information Research Festival-Goers Mental Health & Wellbeing October 2012 © Knowledge Support Learning CIC 2012 19 Brunswick House, New Goulston Street , London, E1 7PR 79 Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
  • 80. KSL Heads-Up Tent • A mental health hotspot that pops up at mainstream arts and music festivals • Through conducting a short and structured survey with young people, aged 12-25, we aim to find out which mental health support and services this age group needs and wants • In July 2012 with the CSR support of Live Nation UK, KSL took the Heads-Up Tent to Wireless Festival, Hyde Park, London • As an illustration of the event and our engagement approach with young people: http://www.youtube.com/watch?v=8qUqC_Ao0Hk B2B http://www.youtube.com/watch?v=ZXs5_DBF8WIB2C October 2012 © Knowledge Support Learning CIC 2012 19 Brunswick House, New Goulston Street , London, E1 7PR 80 Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
  • 81. Our Supporters UK organic fruit Charity that sponsored Festival host organiser producer that supplied a Heads-Up Card that provided the tent us with unique fruit and passes juices London fruiterer that provided Training provider and us with a variety of fresh and Heads-Up Tent tasty fruit contributor and Card sponsor October 2012 © Knowledge Support Learning CIC 2012 19 Brunswick House, New Goulston Street , London, E1 7PR 81 Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
  • 82. Heads-Up Cards  600 young people visited the tent and they were each given a pack of cards  Packs provided information about our project, our sponsors and common mental health issues  The cards gave young people web links with QR codes for more information October 2012 © Knowledge Support Learning CIC 2012 19 Brunswick House, New Goulston Street , London, E1 7PR 82 Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
  • 83. Survey Results  377 surveys were fully completed  The majority of our visitors came from London and the South East  77% of our visitors were White British, 23% were Black, Asian or Mixed  Most of our participants were students/pupils or in full-time employment  The following data is based on the 377 completed surveys  Our goal is to make youth mental health support services attractive October 2012 © Knowledge Support Learning CIC 2012 19 Brunswick House, New Goulston Street , London, E1 7PR 83 Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
  • 84. Survey Results Age Group 13-15 16-18 19-25 over 25 under 12 0% 5% 11% 31% 53% There were more female participants 81% of participants were under the age of 25 October 2012 © Knowledge Support Learning CIC 2012 19 Brunswick House, New Goulston Street , London, E1 7PR 84 Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
  • 85. Survey Results Employment status of survey participants Student/pupil full-time 2% 1% 11% Employed full-time 4% Any other 49% Employed part-time Unwaged/not seeking work 33% Registered unemployed/job seeker October 2012 © Knowledge Support Learning CIC 2012 19 Brunswick House, New Goulston Street , London, E1 7PR 85 Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
  • 86. Survey Results Mental health problems experienced directly and indirectly by survey participants 250 200 211 202 205 185 196 150 155 139 150 100 73 50 67 31 29 26 9 0 Stress Depression Drugs & alcohol Suicide Self-harm Eating disorders Psychosis Self Others October 2012 © Knowledge Support Learning CIC 2012 19 Brunswick House, New Goulston Street , London, E1 7PR 86 Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
  • 87. Survey Results Where the service should be located by age group 80 75  13-15 prefer walk-in centre location 67 70 65  16-19 prefer college location 60  19-25 prefer education location 50 38 40 35 35 36 33 30 26 20 20 14 13 12 10 7 10 5 4 3 0 School/college/university Walk-in young people's Primary care centre/GP Youth club/community Hospital clinic Adult community mental counseling support centre surgery centre health team or child and adolescent mental health service 13-15 16-19 19-25 October 2012 © Knowledge Support Learning CIC 2012 19 Brunswick House, New Goulston Street , London, E1 7PR 87 Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
  • 88. Survey Results 350 Who to ask when mental health help is needed 300 314 250 General results show that 200 236 people prefer to find help from their friends and relatives 150 157 100 114 50 67 0 41 37 35 0 Friend or Parent or Family GP Partner or Specialist Telephone Teacher or Another GP Support colleague carer spouse professional advice line lecturer worker October 2012 © Knowledge Support Learning CIC 2012 19 Brunswick House, New Goulston Street , London, E1 7PR 88 Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
  • 89. Survey Results How services could work best 300 250 258 The most popular 200 feature by far was “no 150 appointment needed” 159 151 136 100 94 68 50 60 29 34 0 On the record Internet café Using self- Meet/join Can make Open at Open evenings Talking 1:1 in Walk-in/no conversations for area assessment informal groups appointments in weekends/bank until about 9pm private appointment a young person's forms advance holidays needed primary care NHS notes October 2012 © Knowledge Support Learning CIC 2012 19 Brunswick House, New Goulston Street , London, E1 7PR 89 Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
  • 90. Survey Results What Other Centre Services Needed by age group 90 90 78 80 70 67 70 62 60 51 47 50 44 13-15 40 16-18 30 20 13 13 11 19-25 5 10 0 90 51 78 70 Advice on drug and alcohol Sexual health advice and GP and/or other primary Education and use information health care employment advice October 2012 © Knowledge Support Learning CIC 2012 90 19 Brunswick House, New Goulston Street , London, E1 7PR Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
  • 91. Survey Summary  Our results indicate that most young people would like to see their mental health services located in education settings or at a walk-in support centre  Most young people prefer to seek help from family and friends about mental health issues  If young people wish to access a service most by far would like to turn up without an appointment, including evenings and weekends where they can engage privately on a 1:1 basis  An „under one roof‟ service where mental health services are co-located with others, including GP, is important to young people  60% of our sample aged 13 to 25 would like to attend a short mental health awareness course if they had the opportunity October 2012 © Knowledge Support Learning CIC 2012 19 Brunswick House, New Goulston Street , London, E1 7PR 91 Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
  • 92. Thank you October 2012 © Knowledge Support Learning CIC 2012 19 Brunswick House, New Goulston Street , London, E1 7PR 92 Tel: +44 (020) 3051 7717 E-Mail: info@ksl.uk.net Web: ksl.uk.net
  • 93. Youth Mental Health Summit Right Here Project #YMHN Tuesday 6th November 2012
  • 94. Right Here Brighton and Hove • Who we are: – Lily Blackmore – Campaigns Volunteer – Rebecca Morley-Wilson – Campaigns Volunteer – Mark Cull – Project Manager – Rose Allett – Campaigns Coordinator – Rob Trounce – Digital Media Officer
  • 95. Right Here initiative • 5 year pilot • Funded and managed by MHF and PHF • National Programme • Brighton & Hove, Fermanagh, Sheffield, Newham • Evaluated by the Tavistock Institute
  • 96. Right Here Brighton & Hove • Sussex Central YMCA and Mind in Brighton & Hove • Resilience building activities • Campaigns and health promotion • Peer-led research • Fast track counselling
  • 97. Our work with GPs – 1. GP research • GP research – Young people‟s views and experiences of GP services in relationship to emotional and mental health • Ask yourself:  Do your clients (aged 16-25) understand what confidentiality means within your service?  Do your clients have a choice of gender specific practitioners allocated to their care?  Are young people who have been referred by a GP given enough information about your service before their first appointment with you?  Is your service available at times which suit young people and their lifestyles?  Are young people equal participants in decisions made about their care within your service?  How knowledgeable are you about other services within your area that can help young people accessing your service?  In the context of your service and your relationships with your clients, how empowered are the young people you support?
  • 98. Our work with GPs – 2. Assessment visits • Good practice guide • GP practice visits • Sample questions: – How aware are your staff of young people‟s issues? – Are confidentiality policies clearly displayed and explained? – Is there information about young people‟s rights available on the website or in the surgery?
  • 99. Our work with GPs – 3. How Can I
  • 100. Innovation labs • Brainstorming and developing digital products to benefit young people‟s mental health and wellbeing • Right Here‟s involvement: – Doc Ready – My Places
  • 101. Doc Ready • An application and/or website geared towards preparing a young person to visit their GP • Currently in the design phase • Will be developed over the next year
  • 102. Doc Ready case study • Scenario
  • 103. Case study - paired discussion • If you were using Doc Ready, what functions / features would be helpful to you with preparing this young person to go to their GP? • Please write answers on the provided Post-it notes • Some of your feedback…
  • 104. WTGF and My Places
  • 105. Screenshots of the website (3 or 4) (particularly mental health pages)
  • 106.
  • 107.
  • 108.
  • 109. Questions or comments? • Come and talk to us in the coffee break if you have questions about Doc Ready, Right Here creating a Where To Go For website in your locality, Right Here‟s work, or anything else! • Thanks for listening and taking part.
  • 110. Youth Mental Health Summit Voice Collective #YMHN Tuesday 6th November 2012
  • 111. + Voice Collective www.voicecollective.co.uk Supporting Children & Young People Who Hear Voices: Claire Powell – Mind in Camden
  • 112. + About Voice Collective  Mindin Camden‟s London-wide project, supporting children & young people who hear voices  Direct Services  Capacity Building  Independent Evaluation (CAMHS Evidence Based Practice Unit)  Funded by BBC Children In Need, Comic Relief & City Bridge Trust  Part of a larger „London Hearing Voices Project‟
  • 113. + So, what do we offer?  Responsive – Flexible - Connected  Peer support  For workers Voice Collective Group  Training &   Creative Arts Workshops Awareness  Website  Young people  Online Forum  Schools  Support workshops for  Youth organisations parents  Specialist mental health  1-2-1 support teams  For young people  For parents
  • 114. + A Multisensory Experience
  • 115. + The Impact
  • 116. + What does Voice Collective do?
  • 117. + 4 aspects to coping Calm/Safety Block Express Empower
  • 118. + Safety First Do-In Massage
  • 119. + Safety  “10 things I can do”  Grounding strategies (“5 things I can see, hear & touch”, a grounding bag using all of the senses)  Breathing and relaxation  Creating safe spaces  Safe objects
  • 120. + Distraction  Distraction  Music (creating a playlist)  Xbox / Computers / Sudoku / Puzzles  Football, physical activities  Anything that helps occupy the mind  Concurrent verbalization (singing or reading aloud)  Earplugs (in one or both ears)  Being around others
  • 121. + Expressing yourself  Shadow boxing  Worry box  Creative writing (e.g. super heroes)  Drawing and artwork (e.g. voice morphing)  Model making
  • 122. + Taking the power back  Saying „No‟ or „Not Yet‟  Setting limits  Challenging the voices  Becoming an interpreter  Treatingthe voices with kindness
  • 123. + Finding a voice and peer support http://www.youtube.com/watch?v=BB9_Zy0I3VU
  • 124. + Contact Us: Claire Powell & Yan Weaver (Development Workers) Rachel Waddingham (project manager) Voice Collective, Mind in Camden Crossfields Centre, 8 Fairhazel Gardens, London, NW6 3SG Tel: 020 7625 9042 | Email: info@voicecollective.co.uk Web: www.voicecollective.co.uk www.facebook.com/voicecollective www.twitter.com/voicecollective www.voicecollective.tumblr.com
  • 125. Youth Mental Health Summit Dedicated Youth Mental Health Services: The Human & Economic Case #YMHN Tuesday 6th November 2012
  • 126. Its Up to Us Lets Improve Youth Mental Health

Editor's Notes

  1. Mathers 1999 – Australian data BASELINE
  2. It is hard to ask for helpSometimes they don’t realise that they need helpThey value knowing what different agencies have to offerThey don’t want to be judgedThey want to feel part of the solution not part of the problemThey want teachers and other adults to be able to recognise a problem and help them get helpThey want to be able to trust the people who are helping themThey want information in a language that they understandThey want to be involvedThey want services close to homeThey want services they don’t have to be ‘referred’ toFrom YoungMinds Better Outcomes New Delivery (BOND) http://www.youngminds.org.uk/training_services/bond_voluntary_sector
  3. Less Speculation, More Fact.
  4. Bite sizeAccessible on your termsInteractiveLive Commentary
  5. Bite sizeAccessible on your termsInteractiveLive Commentary
  6. Give examples of experiences that can affect each of the five senses
  7. Can include:
  8. A list of do’s and don’ts (in small groups or big group, depending on time)
  9. Young people can, and do, find ways of opening up in schools. Think of ideas of challenging stigma in classrooms/schools, enabling young people to ‘open up’. This can include teachers being ready to hear it, as well as having info non stigmatising info around school and including mention of voices and visions when covering ‘bullying’ and other emotional health topics. This can be done in pairs first before main feedback.