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School Wellbeing in

Catherine Johnson – Children’s Public Health Lead Alex Hutchings – School Pastoral Manager Welcome to Stockport… Total population – 287,000 Under 18s population – 61,900

85 primary schools 14 high schools 6 special schools 3 PRUs 10 independent schools 9 independent special schools

14% of population live in nationally ranked 20% most deprived areas.

Approximately 250 Stockport LAC 58% 16 YO get 5 good GCSE passes – and 400 OOA LAC living here. this falls to less than 10% for children in the most deprived areas. Key issues for Stockport:

Rising number of CAMHS referrals – just over 1000 during 2010/11, to over 2000 in 2014/15 – now around 3000 referrals per year

Disparity between health and attainment levels from most affluent to most deprived areas of the borough

Increasing numbers of OOA LAC

Anxiety and school avoidance becoming a major issue In our schools…

Concerns around staff wellbeing, pupil wellbeing and parent / carer wellbeing

Some confusion over which agencies can help with what / how to refer / who to refer to…

A need for a coordinated approach to improving wellbeing for all Before the School Link Programme, we:

▪ Received funding from our CCG / CAMHS partnership to develop work on early intervention in schools. ▪ Used funding to pay for our EP team to roll out Living Life to the Full training in schools. ▪ Ran a pilot Taekwondo project on improving wellbeing for targeted groups of children. ▪ Funded training for primary schools on using the Nurture Group’s Emotional Wellbeing Toolkit. ▪ Developed and launched a whole school wellbeing strategy + related documents. The Anna Freud Mental Health Link Programme May – June 2018

21 7 2 special schools primary schools took high schools took 2 pupil referral part in the link part in the link units programme pilot programme pilot 2 independent (a quarter of the (half of the high schools and primary schools in schools in the 1 independent the borough) borough) special school participated The Anna Freud Mental Health Link Programme

Healthy Young Minds (CAMHS) Health School services – based Therapy, mental Drugs & health Alcohol services

School Voluntary Age Plus sector team

School Nursing Benefits of the Programme

▪ Greater awareness of the issues of CYP in the borough ▪ Greater understanding of key mental health difficulties and greater understanding of challenges around treatment ▪ For schools, greater awareness of the roles of different agencies in Stockport ▪ For services, greater awareness of the issues teachers are experiencing ▪ For all, increased knowledge around outcome measures and evidence-based interventions ▪ For all, increased knowledge of available training in the borough and on MindEd ▪ From a commissioning perspective, useful knowledge of where people are at, rather than where we think they might be…. The Anna Freud CASCADE Framework

Clarity on roles, remit and Agreed point of contact Structures to support responsibilities of partners* and role in schools and shared planning and involved in supporting CYP CYP mental health collaborative working mental health services Development of Common approach to bility to continue to A integrated working to outcome measures for learn and draw on best promote rapid and young people practice better access to support

Evidence based approach to intervention The Anna Freud CASCADE Framework

Major Challenge

Good Gold Elements Standard of Practice

Widespread Good Practice The Anna Freud CASCADE Framework

Major Challenge ▪ Agreed point of contact Good ▪ Common Gold Elements approach to Standard of Practice outcome measures ▪ Clarity on roles & remits ▪ Evidence etc. Widespread based ▪ Structures to support Good approach to planning Practice intervention ▪ Ability to learn ▪ Development of integrated working So, what are we doing about it?

• Both cohorts moved their rating from Clarity on roles, remit good elements of practice to widespread good practice from the 1st and responsibilities of to the 2nd workshop – we hope that partners involved in those who took part will share their knowledge with colleagues. supporting CYP mental • We are working with high schools to health provide supervision and support, which is raising their knowledge of services. • Our work on the i-Thrive framework and on our wellbeing strategy is contributing to increased knowledge and clarity. The Anna Freud CASCADE Framework

• Both cohorts rated Stockport as Agreed point of having good elements of contact and role in practice in this area. • We are working with our schools schools and CYP to develop named wellbeing leads in high schools and mental health wellbeing teams in primary services schools. • Our high schools have a named Structures to support link worker from Healthy Young Minds. shared planning and • Our CAMHS Partnership has a collaborative working mental health in schools sub- group to lead on this work area. The Anna Freud CASCADE Framework

• Both cohorts rated Stockport as Common approach having good elements of practice in this area. to outcome • A group of our primary schools are working together with School measures for young Improvement, Public Health and the Behaviour Support Service to people develop a shared system for measuring emotional wellbeing and readiness to learn. This is being piloted during the current academic year, with plans to expand it for next year if the pilot proves successful. The Anna Freud CASCADE Framework

Ability to continue to learn • Both cohorts changed their and draw on best practice rating from the first to the second workshop - from Development of integrated having good elements of working to promote rapid practice to having widespread and better access to good practice. support • We have continued to promote the MindEd website, Evidence based approach offer training and promote to intervention GM opportunities around training and ways of working. PSHE Network, Governor HYMS, Primary & Secondary Training Jigsaw & schools meeting Staff wellbeing events together regularly Checkpoint School School networks Link and Workers training 73 schools Stockport attended the Projects launch of our wellbeing i-Thrive Wellbeing strategy Framework Strategy & Self Assessment Wellbeing Measurement Pilot We are planning a ‘1 year on’ event to map progress

Improving Emotional Wellbeing a strategy for Education Settings in Stockport

Emotional wellbeing – the challenge of implementing positive change in a school setting

ALEX HUTCHINGS – PASTORAL MANAGER Schools link programme

 Anna Freud Centre pilot scheme  Networking opportunities - good to meet other teaching/support staff and agencies  What works well?  Clear pastoral structure  Checkpoint meetings  Linked school HYMs worker  Team Around the School (TAS)  Links with School Age Plus workers  School nurse support  Mosaic What has changed in school?

 Proposal for Counselling options to support students with wellbeing

 “Positive Mental Health & Wellbeing Policy for Students” – now ratified and live

 Mental Health & Wellbeing Lead appointed

 Lead members of staff (including SLT) with responsibility to promote mental health of students

 Possibility of a staff wellbeing committee

 Link with CPSHE Co-ordinator to look at promoting mental health wellbeing in CPSHE/assemblies

 “We all have mental health” Anna Freud resources – went down well Beacon ‘Stamp Out Stigma’ (SOS) Group -

 Young people age 13-25 who meet to challenge misconceptions and stigma around mental health

 Aim – to improve awareness and understanding of mental health and wellbeing, and consider support strategies for young people

 Presentation to school council from Beacon team – now have pupils who attend these meetings and feedback to school/peers

 ‘Time for Answers’ – Thurs 16th May 2019 – public forum ‘Question Time’ panel with Mayor of Greater

 Contact for further info – Beacon Counselling, tel 0161 285 1827 Useful resources  www.annafreud.org ‘Schools in Mind’ network – useful resources  www.inourhands.com / www.pookyknightsmith.com  Local counselling options (Stockport area) – e.g. Beacon Counselling / Beechwood / Central Youth etc  National services – www.mind.org.uk, www.place2be.org.uk, www.youngminds.org.uk, www.cwmt.org.uk  DfE guidance - https://www.gov.uk/government/publications/prom oting-children-and-young-peoples-emotional- health-and-wellbeing Future aims?

 Continue working towards AcSEED accredition – recognising schools providing high quality emotional support for young people www.acseed.org

 Roll out of positive mental health programme for staff as well as pupils

 In set/training for staff

 School Counsellor

 Workshops for parents re mental health

 Promote through CPSHE – embrace initiatives such as anti-bullying week/mental health awareness week etc