Emotional Health and Wellbeing
Services in Schools
Welcome
On behalf of Plymouth Schools part of this project,
PCC, NEW Devon CCG, The Zone, Xenzone,
Young Devon, Livewell Southwest
Strategic Overview
 Schools commissioned a study to look at the services available across
the secondary system
 Not a consistent offer for young people
 There were opportunities for schools to work together and pool
their budgets
 Young People have been telling us that Mental Health is a priority issue
for them
 Children and Young People Commissioning Strategy – cocommissioning with schools (2015)
 Future in Mind – Schools as key partners (2015)
 AFC-Tavistock Model for CAMHS called Thrive – moving away from
Tiers, staff with most experience to be available in community settings
Schools involvement
 Primary Schools are able to access support from the Excellence
Cluster
 Schools Forum have funded the project for 3 years, costing £1.2
million
 26 schools are part of the project, including all special schools and
ACE (Alternative Complementary Education) Services
 Schools have signed Memorandum of Understanding to a
commissioning partnership with the Local Authority and have
agreed to take part in strategic data collection and ensure
services delivered can work as effectively as possible in their
schools
 Each school has a mental health lead (FiM recommendation)
Opportunities ……
The new services you will hear about today provide a real
opportunity for us to improve the emotional health and wellbeing of
young people. We can….
 Build a positive mental health culture together
 Support workforce development
 Provide young people with early help and avoid crisis
 Ensure people with the most experience are based in our early
help provisions
 Work together as a system – communicating, being flexible with
our resources, adding and removing support in a planned way
 Provide opportunities for effective recovery pathways that stop
repeat presentations
The Voice Of Young People
 Young People have been involved in the creation and
development of these new services from start to finish and will
continue to be part of the quality assurance system that monitors
the experience young people have
 UK Youth Parliament – multimedia presentation
Whole School Approaches to
Improving Wellbeing and Mental
Health
Good and growing evidence base supporting whole school
approaches which comprises, prevention, identification; early
and complementary support, access to specialist support
Whole School Approaches to
Improving Wellbeing and Mental
Health
• Whole School Approaches provide opportunity for ‘actual prevention’ to be
embedded into the culture and fabric of the ‘DNA’ of a school
• From a Public Health perspective working in partnership with key stakeholders
to help create the conditions for improved wellbeing and mental health in
school settings is a key priority – evidence / research / intelligence
• Schools do a huge amount already – the trick is to bring it all together
coherently and identify key gaps; and then work with partners to address these
– this is absolutely not about schools being by themselves
• It is important that we create a system that is confident about taking the long
view and recognising that getting an effective whole school culture in place is
on-going and takes time
• Commissioned services in place and there is wider interest in what we are doing that
can help us
Emotional Health and
Wellbeing in Schools
‘Progeny’
A whole school approach to supporting emotional
health and wellbeing across school communities.
Developing capacity and competence to address
the presenting needs of our students.
Year One Implementation ...
Needs Assessment
 We will create and role out a standardised self assessment tool
for all schools to complete and support schools in completion.
 The completed tool will then be triangulated with other available
data to produce information relating to the presenting needs of
each school community.
 This will allow us to jointly develop with each school their
particular Delivery plan for the next 3 years.
 Delivery plans will be used to support Schools with, but not
exclusively; the accessing of external support where necessary,
staff training and the involvement of their wider communities
including parents, carers and the whole student body.
Year One Implementation ...
CPD and Relevant Practitioner Training
 We will deliver ‘Mental Health Awareness’ Training
across all school to at least 50 Practitioners looking to
ensure that the training is relevant and applicable taking
direction from the Needs Assessment creating a united
and competent workforce.
 We will complement this training by promoting
recommended on-line resources and tools targeted at
young people, practitioners and families.
Year One Implementation ....
Peer Mentoring and Targeted Support
 We will review peer mentoring and devise a
programme adaptable for all schools, launching a
training and delivery programme initially across 3
schools, for recruiting and training 15 students from
across these schools as peer mentors.
 We will make contact with existing pastoral support as
well as drawing from the needs assessment to identify
the first cohort of young people identified as vulnerable
who would benefit from targeted support.
Year One Implementation ...
Working Together; A Multi Agency Approach
 Available resources, Training and Support in
Relation to the Delivery Plans for each School.
Promotion of Services, Open Communication
and Collaboration.
 Online Communication Platform for Practitioner
Interaction with Resources, Training and Service
Information both available and accessible across
the city.
Year One Implementation ...
All School Conference
 In the spring of year one we will hold a conference
focussing on the ‘8 principles for promoting whole
school emotional health and wellbeing’. This will allow
schools to share their respective delivery models and
approaches for addressing mental health in their
settings, looking to identify future opportunities for
collaborative working, allowing innovation to be
developed and implemented across schools in the
subsequent years of the project.
Theraplay®
 Theraplay is a child and family therapy for
building and enhancing attachment, self-esteem,
trust in others, and joyful engagement.
 It is based on the natural patterns of playful,
healthy interaction between parent and child and
is personal, physical, and fun.
Theraplay
 Theraplay sessions create an active,
emotional connection between the
child and parent or caregiver, resulting
in a changed view of the self as worthy
and lovable and of relationships as
positive and rewarding.
Theraplay
 Theraplay interactions focus on four
essential qualities found in parent-child
relationships:
 Structure,
 Engagement,
 Nurture,
and
 Challenge.
Theraplay
 In treatment, the Theraplay therapist guides the
parent and child through playful, fun games,
developmentally challenging activities, and tender,
nurturing activities. The very act of engaging each
other in this way helps the parent regulate the
child’s behaviour and communicate love, joy, and
safety to the child. It helps the child feel secure,
cared for, connected and worthy.
 We call this “building relationships from the inside
out.”
About XenZone
 Based in Manchester
 Founded in 2001 to help break down the stigma attached to mental health
services
 Works across the country in 35+ different local authority areas – provides mainly
online service (Kooth), but also blended services (face-to-face AND online).
 Kooth is our flagship service - Online counselling and well-being support service
for young people
 Attracts ‘hard to reach’ and ‘under the radar’ YP
 Supports over 10,000 young people each year through its variety of support tools
 Provides gateway to f2f services
 Works best as fully integrated service
Online counselling &
well-being support
 Young people can sign up themselves – no referral needed
 Text based – live or asynchronous messaging
 Offers a range of therapeutic tools and activities
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Counsellors and Emotional Well-being practitioners available to ‘chat’
Therapeutic support offered through messaging service with staff
Moderated Forum boards for young people to support each other
Live forums around specific areas/themes
Magazine – where young people can write and read articles of specific interest
Self help tools – extensive library of resources to easily access and download
 Open 365 days a year: Out of Hours Service
 12-10pm weekdays, 6-10pm weekends
Step 1: Sign Up
Tell us some information about
yourself
Create your username and
password
Don’t use your real name!
Now you’re on Kooth!
Kooth multi-media
https://vimeo.com/180771766
Young Devon is a charity that has been working across Devon, Plymouth and
Torbay since 1949.
The service we are offering is:
• We have 3 counselling coordinators working across 19 schools (mainstream and
ACE) split into 3 hub areas
• Each coordinator will have a team of 4 counselling volunteers or students
• 20 floating hours per week across the city
• We will deliver 4008 counselling sessions a year
• With 117 group work sessions
• Each School will get a minimum of 5 sessions a week
We will be delivering Face 2 Face counselling and Mental Health support groups in
Schools but also able to deliver in the community if preferred.
Young Devon will offer a blended service which means young people can transfer
seamlessly between online and face to face support
• Giving Young People Choice
• Supporting schools in partnership
• Complimenting the work of The Zone and CAMHS offering a whole service
offer
• As a partnership we will put the Young People at the centre of our services
changing the culture of tiered services
To access counselling Young People can:
• Get Face-2-Face counselling by asking their Tutor, Head of House or any of the
school support team.
• Get free online support and counselling by going to www.kooth.com, signing up
online and accessing self help tools and moderated live chat.
• Call Young Devon free on 08082 810 155
CAMHS: Our role within the
EHWB pathway in schools
Sarah Goddard and Ruth Houghton
Plymouth Community CAMHS
Current issues:
Access to CAMHS
assessment
Waiting times for support
CAMHS Transformation:
 £1.25 billion over 5 years
 Future in Mind – 2015
 Plymouth CAMHS priorities:

EARLY INTERVENTION

CRISIS

EATING DISORDERS

CO- COMMISSIONED WHOLE SCHOOLS APPROACH FOR
SECONDARY AND SPECIAL SCHOOLS
CAMHS Community Model
North
East
South
West
CAMHS School
Liaison
CAMHS School
Liaison
CAMHS School
Liaison
CAMHS School
Liaison
CAMHS
Community Liaison
CAMHS
Community Liaison
CAMHS
Community Liaison
CAMHS
Community Liaison
CAMHS
CAMHS
CAMHS
CAMHS
Community Worker Community Worker Community Worker Community Worker
CAMHS Support
Worker
CAMHS Support
Worker
CAMHS Support
Worker
CAMHS Support
Worker
CAMHS School Liaison: City wide Special Provisions
Schools offer:
North
East
South
West
CAMHS worker for CAMHS worker for CAMHS worker for CAMHS worker for
school:
school:
school:
school:
Gemma Morshead
Peter Laniado
Megan Richards
Sam Adlam
Schools:
Schools:
Schools:
Schools:
Eggbuckland
Coombe Dean
PHSG
Stoke Dameral
Sir John Hunt
Plymstock
DHSG
MAP
Studio school
Plympton Academy
DHSB
All Saints
Tor Bridge
Hele’s
Lipson academy
UTC
ACE
St Boniface
Notre Dame
Special School: CAMHS Worker
Our Aims:
 To work collaboratively with an
identified mental health lead within the
school, and the other providers
working within the whole schools
approach
To create capacity for self
referral
 To facilitate a self-referral process within
the school setting by being available to
young people and their families for
consultation about a possible mental health
need.
Removing the lengthy referral
process
 To provide consultation and advice to education
staff in order to support the management of
children and young people in their community
setting or refer straight to the appropriate
clinical/treatment pathway within CAMHS.
How will we do this:
 Be in the school for half a day a week to:
link with the mental health lead
Offer consultation/advice/risk management
Drop in sessions for CYP and parents/carers.
What we will offer:
 Consultation within 7 working days.
 Assessment within 4-6 weeks.
 Timely targeted individual and group interventions in the
community.
 Training (as required based on identified need).
 Referral through joint assessment to specialist CAMHS.
What will be different???
 Opportunity for joint partnership working to
deliver an integrated EHWB service to CYP.
 Working as part of a system, not being seen as a
separate ‘inaccessible’ service.
 Working with ‘risk’ collaboratively.
 Early Intervention from highly skilled CAMHS
staff in the community.
 Supporting recovery pathway – step up/down
care in the community.
Workshop
 For each element of the Thrive Model,
Coping
 Getting Help
 Getting More Help
 Getting Risk Support

Please discuss in your groups:
 What could be your offer to help support an effective system of
support
 What are the challenges to this
* Please remember to write your (organisations) name against any
offers of joint working so we can follow up opportunities with you
Next Steps
 Ask that organisations continue conversations together
 Please ensure you left us your email address on the signing in
sheet
 We will send out presentation slides
 We will write up all workshop notes and circulate
 We will respond to questions and circulate
 We will use information from today in the steering group who
will be taking forward this work
 We will be considering sustainability past 2019 throughout the
project
Thank you for coming
Contacts for more information
(not referrals)
 Ask each school who their Mental Health Lead is
 Shelley Shaw – Commissioning Officer: [email protected]
 Jodie Frost – The Zone ‘ Progeny’: [email protected]
 Young Devon – for operational and service information;
 [email protected]
 Young Devon – for strategic and commissioning information;
 [email protected]
 Xenzone / Kooth: [email protected] or [email protected]
 Promotional multi-media: https://vimeo.com/180771766
 CAMHS: [email protected]