1 Mental Health ServicesWay Forward 2018 – 2021 Mental Health Services Children and Young People Procurement
2 CCG Community Forum
3 Children and Young People Consulted121 children and young people participated in focus groups at: Middlethorpe Primary Academy East Ravendale Primary School Havelock Academy Oasis Academy Immingham NSPCC Youth Action Group CAMHS Patient Participation Group YMCA Commissioner focus groups held with: 16 – 19 years Accommodation Services 11 – 16 years Youth Work Projects 16 children and young people completed the survey for service users 102 people completed the survey for young people parents and carers in the community Up to 50 LAC/Vulnerable children and young people from the borough attended an Easter fun day with a theme of mental health and emotional wellbeing and a view to gather CYP views on CAMHS, mental health etc.
4 Others Consulted 104 completed the online survey for professionals (teachers, other school staff, GPs, Community health staff; Acute staff; CAMHS staff; Youth Offending Team; Children’s Social Care; Family Support/Troubled families; Youth Service; Voluntary and community sector and Housing) Steve Kay - Director Prevention and Early Intervention Bill Geer - Commissioner Drugs and Alcohol Services Diane O’Keefe - FAST, Service Manager Claire Parfrement - Participation Officer Jenny King - Cluster Coordinator (Teenage Pregnancy) Donna Benefer, Karen Tees, Liz Cullum, Rachel Grayson - Family Hub Advisors Alfie Hallett, - Young People Support Services Paul Caswell - Youth Service Stephen Pintus - Director of Public Health Matt Clayton - Youth Offending Service Carolyn Beck – Health Promotion Programme Coordinator – Lifestyle Services Joanne Hewson - Deputy Chief Executive Paul Cordy - Director Children's Social Care Nathaniel Heath - Behaviour Collaborative Claire Thompson – Communications and Marketing Clare Ward - SEN Services Manager Debbie Haines - Learning & Development Team Manager Suzanne Bradbury – Principal Educational Psychologist Sue Sheriden - NEL Local Children’s Safeguarding Board Megan Dennison - Group Manager Children’s Social Care Bob Ross - Head of Children’s Health Provision Wendy Shelbourn - Head of Integrated Family Support Service Pip Harrison - Advanced Practitioner CSSU Jim Hudson/John Manton - Contracts Manager - YMCA Annie Darby – Adult and Children’s Safeguarding - NAViGO Caroline Lee - PNMHS (Perinatal Mental Health) - NAViGO Amanda Simpson, Mike Reeve - Eating Disorders - NAViGO Jane Fell - NLAG Lead LAC Nurse - Northern Lincolnshire and Goole NHS Foundation Trust Sarah Wise - Consultant Midwife, Teenage Pregnancy and Sexual Health/Supervisor of Midwives - Northern Lincolnshire and Goole NHS Foundation Trust Vans Braddock – Mead – Practice Lead - Foundations Scott Jacques - REP - Wells Springs Alternative Education Sue Proudlove - NSPCC Stef Fox – Chair of Sexual Harmful Behaviour Panel - NSPCC Judith Kilvington - Barnardos Tracey Urquhart, Consultant Lead Psychologist/ Service Manager - CAMHS Ashley Wyatt - CAMHS Lead Mark Fenty – MD/Sean Nelson - Admin & Finance Director - GHoPA Paul Glazebrook - Partnership Co-ordinator – North East Lincolnshire Healthwatch Maggie Atkinson - Assigned Lead/Director - IMPOWER Sharon Ainslie, Sexual Health Facilitator for Yorkshire, Humber and North East – Public Health England John Noton – Practice Manager Forum – Dr Hopper & Partners Debbie Woodward - Empower Linda Dellow - Chief Officer – Centre4 Bright Minds Group Marie Fitzgerald - Chair North East Lincolnshire - Parent Participation Forum The Participants of the Attachment Workshop Angie Dyson - Service Lead/Michelle Thompson - Assistant Director -Clinical Commissioning Group Dawn Trigg, Macmillan Specialist Nurse - Macmillan Hospice
5 Suggestions / ideas put forward Children & Young People Support should be provided at home, visits and school Promote mental health awareness within schools on the curriculum Increase knowledge and training for school staff Reduce mental health stigma Build resilience in children and young people Signposting for other services if CAMHS isn’t appropriate Increase amount of self-help material available Stress, exams, bullying and pressure to achieve grades are all negative factors ‘Passport’ to be used for transition so children and young people only have to tell their story once Develop a website to meet the needs of children and young people Family therapy sessions needed Others Improved access and more support provided for low and medium level of emotional and wellbeing issues Early intervention and prevention Thresholds are difficult to understand for referrals Increased multi-agency working and range of services available Clearer children and young people mental health pathways Clear and consistent advice being given out by health care professionals Improve transition to adult mental health services Increase knowledge around what CAMHS does Increase support for parents Signposting from ‘rejection’ letters to other relevant services
6 Mental Health everyone’s businessWhat you told us Mental Health everyone’s business Move away from present Tiered model of care Move to a new model of care focusing on the following Focus on more prevention Integrate more in services making mental health for young people everyone's business Single point of access Developing reliance for the young person and wider communities Fit around the needs and outcomes of the child or young person. Everyone gets a local offer of support support more person centred - Children, young people and their families will be active decision makers in choosing the right approach for them.
7 Directory of Services Develop the WorkforceThings we have developed as part of Future in Minds Directory of Services Local offer for children’s mental health being mapped out into a directory Covers a range of services from universal to specialist Currently in final stages of sign off between local authority and CCG School Nurses have been upskilled to use Cognitive Behavioural Therapy principles Provide support to children and young people on a wide range of mental health concerns Develop the Workforce Commissioned to deliver a variety of training & support Enable children’s workforce to support children and young people Support at a lower level for early identification of mental health concerns
8 Children & Young People Mental Health UpdateFeelings First Formerly known as Access Partnership Re-branded and extended service Now available for 4 – 25 year olds Offering face-to-face counselling and play therapy Free online counselling service Using a digital approach Available for 11 – 25 year olds 365 days a year School Nursing Text Service Facilitated through school nurses 11 – 16 year olds Digital communications Text about a range of topics: bullying, self-harm, mental health, relationships
9 Next Steps Procurement timeline – Go out to tender September 2017- 2 Panels as part of the selection process People’s Panel Formal Panel Award tender – December 2017 3 months Mobilise period New contract commences April 2018
10 Multi-million pound contract sees New Mental Health Service for young people in the Humberside areaYoung people with severe or complex mental disorders will benefit from new inpatient facilities in the region, following their involvement in a major NHS England procurement process. A 10 year contract with Humber NHS Foundation Trust will see the development of a new mental health service for young people in Hull, the East Riding of Yorkshire, North and North East Lincolnshire as part of an on-going national review of specialist Children and Adolescent Mental Health Services. The vital new facilities will consist of general adolescent beds with co-located psychiatric intensive care beds (11 additional beds in total) to care for young people aged between 13 and 18 living with severe or complex mental disorders including depression, psychoses, eating disorders and severe anxiety disorders. The service will be able to look after young people who are in an acutely disturbed phase of a serious mental illness. Plans propose the new unit is sited near the centre of Hull and it will work alongside the existing Community Child and Adolescence Mental Health Services (CAMHS) to enhance the offer of support to young people and their families who are experiencing difficulties with their mental health. The new unit will form a critical part of a system of support for young people across Humberside. Over the last two years the local CAMHS community teams have transformed their pathways for young people and the new service will support this by offering intensive support when it is needed, reducing the length of admissions by keeping the young person close to the people and resources that will support their recovery.