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CYP Emotional Wellbeing and Mental Health

Spring Update Newsletter

Welcome to the first newsletter of 2020.
The relaunch of a newsletter has been discussed for some time, but in light of the Covid-19 outbreak there's no better time than now to keep in touch with positive messages, information and updates about services, and I'm sure you'll agree theres a wealth of information being circulated.

Thank you to each and every one of you who has been working differently in this difficult and unprecendented time to offer services and support to children, young people and families.

COVID-19 Information
Mental health guidelines for coping with coronavirus


Please take a look at the new government guidance that has been published to help people cope with staying at home during the coronavirus pandemic:

Guidance on supporting children and young people’s mental health and wellbeing
Guidance for the public on the mental health and wellbeing aspects of coronavirus

PHE has also updated its Every Mind Matters platform with specific advice on maintaining good mental wellbeing during the current situation. In addition, you may find the following information useful: World Health Organisation guidance on mental health and psychological resilience during the COVID-19 pandemic and wellbeing information from Mind

A list of all the local Mental Health Services can be found by accessing the council or CCG pages
STAY WELL, STAY SAFE - THE NHS IS OPEN FOR BUSINESS
 
Current data and reports from both mental and physical health services suggests that there has been around 70% reduction in Paediatric A&E attendances during the lockdown and similar significant drop in children being seen in General Practice.
An important message is that NHS services are still available to access by contacting the GP by phone, online, or using NHS 111 or 999 in an emergency.
Please take a look at the local page for accessing primary care during the Coronavirus pandemic.
https://www.tamesideandglossopccg.org/local services/coronavirus_accessing primary_care 

You can also find a factsheet here with the most common household accidents which can be shared widely.
 It’s important we take extra care to stay safe.
The Local Transformation Plan refresh has been approved by the Strategic Commissioning Board in April.  The LTP is the overarching document around investment in children and young peoples mental health services, and must be refreshed every year.
The LTP can be found here on the Tameside and Glossop CCG Website.

Our local priorities are in line with our corporate plan and the national THRIVE framework. This framework provides a set of principles for creating coherent and resource-efficient communities of mental health support for children, young people and families.This requires partnership working with stakeholders across education, health, social care and the community and voluntary sector, as well as working with children, young people and their parents. 

Working together in neighbourhoods to make it easier to get help
  • Create a single place to get help through the Integrated Early Help Access Point
  • Mental Health in Education – develop services in line with the Green Paper, bringing together GM and local initiatives including Team Around the School
  • Establish an Integrated Perinatal & Parent Infant MH Service
  • Integrate CYP crisis care pathway to ensure joined up working across GM services, Healthy Young Minds and the Integrated Care Foundation Trust.
 Increasing access
  • Expand capacity and geographical spread of early access services through pooling Public Health and CCG emotional wellbeing resources and using these to co-produce and commission a new children and young people’s emotional wellbeing offer through either Innovative Partnership Commissioning or Competitive Dialogue, dependent on market views. 
  • Reduce waiting times for Autism assessment and build more pre and post diagnostic support
  • Eliminate a gap in provision through resourcing Healthy Young Minds to cover 16 and 17 year olds.
Listening and shaping services with young people
  • The new children and young people’s emotional wellbeing offer will be co-produced with young people with emotional wellbeing needs and their families
  • Engage 16 to 25 year olds to shape services to ensure the best offer across young people and adult services
Focus on families as the best resource
  • Build more parent/carer support including training, joint sessions and peer to peer opportunities
  • Establish an evidence based course for parents with anxiety, called Raising Confident Kids
  • Focus CCG parent carer respite investment to focus on two elements – support to families on the neurodevelopmental pathway and pilot a parent carer support budget for families with children in the Transforming Care group. 
Increase support for those most vulnerable to improve outcomes
  • Establish psychological resources within the new Family Intervention Service
  • Integrate existing services to create a Looked After Children Health and Wellbeing Team
  • Review therapy service provision for looked after children with complex needs with a view to ensure proactive approach to identifying and meeting needs early to improve outcomes, and from this the ascertain the commissioning requirements
  • Increase early support to families where a child has a learning disability or autism and mental health needs in line with Transforming Care and SEND.

THRIVE Update
The THRIVE Partnership meets on a monthy basis and the membership is representative of a multi agency approach to working with children and young people, including a young person from the younth council.
The Partnership has agreed four main focus areas:
  1. Mental Health in Education
  2. Access to mental health advice and support
  3. Workforce development
  4. Ensuring the needs of CYP in vulnerable groups are met

Network News  - the new schools newsletter is here!

Working in partnership with the Anna Freud Programme for improving mental health in education, we will be holding a series of workshops to understand the needs of the schools networks and what can be in place to support schools meet the expectations in the green paper.  The workshops will run in the Spring Term and will form the beginnings of a Schools Mental Health Network.
However, during June and July we will be holding a couple of workshops with the Anna Freud Centre for Childrens Research to explore issues surrounding schools and mental health affected by covid and listening to ideas of what may help in the recovery period.  Please keep an eye out for more information in the next couple of weeks.

The Single Point of Entry for emotional wellbeing and mental health referrals within the Early Help Access Point with a multi agency approach to triage, is being established and tested, and is looking to be live from 1st July 2020.

A GM THRIVE Workforce survey has been circulated and responses have been encouraged so that a training offer can be developed locally.
Getting Advice
  • Kooth - The online counselling, peer support and resource platform for 11-18s is now live in Tameside and Glossop.  Click www.kooth.com to explore the site.
    • There are professional Kooth introduction sessions on 1st and 9th June, and Live Forums throughout June for young people to discuss specific topics. 
  • Kooth's Live Forum topics for June 2020.
    The live forums are monitored and moderated by a qualified counsellor, and young people may find the discussions useful on a variety of topics.  To find out more sign up with a Kooth account and join the discussion.
    www.kooth.com
    The live forum will happen from 7:30-9:00pm on these dates:
    Monday 1st June – Unique Hobbies
    Wednesday 10th June – VOC: Myth Busting: “Respect”
    Friday 19th June – Coping with Anxiety and Panic Attacks
    Wednesday 24th June – LGBTQIA+: Celebrating Differences
Getting Help
  •  The Autism pathway has seen some developments around the consultation offer for parents / carers whilst on the pathway and there is ongoing work to streamline the pathway into a clinic model, with additional capacity to meet the demand in line with the local transformation plan.
  • Healthy Young Minds held a parent carer feedback session in March, which gathered useful insight into user perceptions of the pathway. HYM are able to implement some of the suggestions such as improved communication and consultation offer, and there will be future opportunities for parents and carers to come together for support and to give feedback.
Getting More Help / Getting Risk Support

CASE STUDY
Partnership working: Education/Family/Healthy Young Minds/ Rapid Response Outreach Team


CONTEXT
The Mental Health Lead/ Designated Safeguarding Lead was alerted by a family that their child had been shown self harm marks by a friend, Young Person (YP)  ‘X ‘ , also in year 7.
This YP had only joined the school three weeks earlier, from another school in another region of the UK. The family had moved for parent to access new employment.
Further information was sensitively gathered by key staff and that YP and parent were supported and reassured that they had helped with safety and enabling safeguarding and support to be put in place, although this was a difficult thing for them to share.
At this point the Mental Health Lead spoke directly with the YP and information was shared that this YP had been self harming over a lengthy period of time and shared they had suicidal thoughts almost each day.

ACTIONS
A discussion took place between the Mental Health Lead and YP ‘X’ and a plan was agreed to ask Mother to come up to school to meet with MHL and YP ‘X’ .  MHL called Healthy Young Minds Duty Team for a consultation and to share the information and concerns.
Duty Mental Health Practitioner spoke over the phone to both MHL, YP ‘X’ and her Mother.
A risk assessment was carried out by HYM Duty over the phone at that time and Safety advice was given to Mother as there were concerns about today and subsequent safety at home.
The HYM Duty Mental Health Practitioner felt that there were concerns about the level of risk, as information shared was concerning about the YP X being able to keep self safe that day, so shared that she would be contacting the ‘Rapid Response Outreach Team ‘and putting a referral in asking them to visit the family at home.
Following this, the family went back home and all safety advice followed by the Mother and close supervision. Safety plan agreed.
Later that morning the ‘ RRT’ attended at the home address and supported the YP ‘X’ and family .
Following their visit, the Team contacted the school Mental Health Lead (MHL) to update.
The Team spent a lengthy time at the home and the YP ‘X ‘ was able to access 1:1 support and intervention from the team.

OUTCOMES
Support for YP ‘X’ and the family continued over the next three days and communication updates to school MHL was excellent. They also provided resources and signposted the family to links in the community for activities, as the family were new to the local area.

This was an example of outstanding multi agency partnership working and engagement from the YP ‘X’ and family to minimise risk in both the immediate and longer term support secured for the YP. Healthy Young Minds agreed to continue with intervention.

The YP ‘X’ and family shared that their experience of this effective, prompt and sensitive set of actions had supported their child and the family through this very difficult time. The ‘YP’ returned to school and shared that she felt supported and was learning to manage strong emotions in a safer way.
School continue to monitor, respond if needed and continue the partnership working with Healthy Young Minds for this young person.
 
Last year we had two young people who had attended The Talk Shop take part in some filming for the BBC.
The episode is now available on BBC Iplayer. There will be a podcast that features them both as well

Mental health apps to support children and young people 

A team across NHSX, NHS Digital, NHS England and NHS Improvement are working to identify a number of digital tools to support children and young people who are experiencing increased mental health needs as a result of COVID-19.

The first supplier to complete the process with the team and show how they meet the requirements identified in respect of the children and young people user group is Healios, for its ThinkNinja app.

Available through the NHS Apps library, Healios is making its ThinkNinja app available to download free of charge to all 10 -18 year olds for the next four months.

The role of the team is not to recommend one tool over another approved tool - ThinkNinja will be joining over 20 existing apps already approved on the Apps library for users to choose from.

We will work with Healios to evaluate the impact of the offer at the end of the four month period. More information about this work is available through this NHSX blog.


 
Training and Useful Information

The MENTAL HEALTH pages have been updated - please take a look and share amongst your networks

The SEND LOCAL OFFER pages are being refreshed - if you think something is missing, have any updates or comments please contact philippa.robinson5@nhs.net 

The EARLY HELP website has been lauched with a wealth of information around neighbourhood support and accessing help and support when you need it
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Edition 2.1; May 2020

For any comments, amendments or additions for future content please contact us on:

Our mailing address is:
philippa.robinson5@nhs.net

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