Children and young people’s mental health programme 1 Our programme matrix team • Our programme team is made up of people •Responsible for programme from different teams and organisations. management •Responsible for driving the •Developing the strategies system change • We have been successful because we work •Drafting the bids •Champion the programme as matrix teams across teams and •Programme Coordinating of internally and externally SWL Central organisational boundaries communication, engagement Programme Team and finance • We have invested time and effort in System leaders Clinical lead, Programme •Ensuring the Programme has Director, Programme lead, a SWL consistent approach understanding our different organisational CEOs, CCG Chair, former Project Manager, Finance cultures and languages CEO, SRO lead, Communication & • We have agreed on a common strategy for Engagement, Business support officer delivering the whole school approach and pooled CCG funding together with new government funding to deliver the programme Place based teams Schools • We have based our programme on the CAMHS Commissioners, Cluster leads, head CCG communications and teachers mental health Children and young people voice which has engagement teams, Social leads, Mental health helped us come together and focus on care, Education, CAMS support teams, SENCO, Providers, VSO, Public safeguarding teams in finding the solutions to the issues that Health schools •Responsible for delivering of matter to our children and young people the whole school approach •Participating in the cluster •Responsible for borough meetings and sharing best based delivery and ensuring practice that the programme fits into the borough strategies •Coordination of the clusters We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 2 Who are our system leaders for the programme? Dr Andrew Murray, Chair, NHS Merton CCG Ged Curran, Chief Executive, London Borough of Merton John Goulston, former Chief Executive, Croydon Health Services NHS Trust David Bradley, Chief Executive, South London and Maudsley NHS Foundation Trust Children and Young Peoples Mental Health and Wellbeing: Reducing self-harm in children and young people in South West London We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 3 Rising incidence of self-harm in adolescents… National GP Data SWL A+E Admissions 500 450 400 350 300 250 200 150 100 50 0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 4 Project approach Input from children and young people to inform strategy System ambition to reduce prevalence of self harm by 20% in three years across South West London (as measured by Workshop two: • agree SW London attendance at hospital strategy to reduce emergency departments) levels of self-harm in our CYP and • agree how to take forward (leadership, resources and funding) We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 5 Multi-agency participants in workshops to identify the root cause and agree the strategy… Workshop 1 on 28th February 2018, 50 SWL multi-agency participants completed a fish bone analysis in groups. Our Prime Root Cause: “There is not consistent early and effective support for emotional wellbeing in our children and young people” We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 6 Strategy generation Support for Workshop 2: 34 ideas parents then grouped by theme to Tested with Survey of enable easier comparison 1,252 children and young Access to Early years people, their parents and services support carers and teachers Lack of consistent wellbeing support & early intervention Support in Support for Scoring by CAMHS education CYP settings Commissioners using standard criteria Digital Offer We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 7 Early engagement with children and young people Root causes of self-harm and poor emotional wellbeing and testing potential solutions: • In the summer of 2018 we engaged children and young people and parents and carers, as well as teachers and schools. • We accessed children and young people primarily through voluntary sector organisations and schools in each of borough. We ran 8 meetings and we spoke to 42 young people, and had over 1200 responses to our online survey. • The engagement not only increased understanding of where self-harming behaviours originated, but also: • Widened the scope of the programme – towards broader focus on resilience and mental wellbeing rather than just tackling the immediate issue of self-harm • Prioritised interventions that children and young people, parents and carers felt would be helpful for them – commissioning of online, self-refer counselling was one of these We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 8 Whole School Approach… supporting children and young people, their parents and carers and teachers • SWL Schools’ Policy • Support for Teachers Ethos and environment • School culture promoting staff wellbeing • PHSE • System-wide Training Staff Curriculum, • Directory of Services • Mental Health First Aid development & teaching and • Online Peer Support support learning Whole School • Mental health support teams Targeted (trailblazer) • Engagement with CYP and Parents Approach support and • Online counselling support Student voice appropriate referral • 1:1 and Group Interventions • Non-medical Support Working with Underpinned Monitoring • Research Partner parents and by expanded impact • Parenting classes • School Data Collection carers single point of access We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 9 Whole School Approach – pilot clusters in place in all of our boroughs • Cluster group identified for each borough • 1 lead school, 1-3 other secondary schools, 3-5 primary schools. Some include a special school • Croydon cluster includes one private school • Student population of 8000 per cluster. Cluster leads are: • St. Mary’s Catholic High School, Croydon • Tolworth Girls School, Kingston • Ursuline High School, Merton • Christ School, Richmond • Greenshaw High School, Sutton • Southfields Academy, Wandsworth We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 10 Current Trailblazers - 2018/19 Sutton Merton Wandsworth Greenshaw High Ursuline High RC Secondary Southfields Academy Secondary Green Wrythe Primary Sacred Heart Catholic Primary Albemarle Primary Riversdale Primary Muschamp Primary St John Fisher RC Primary Southmead Primary Tweeddale Primary St Thomas of Canterbury Overton Grange Ronald Ross Primary St Peters and St Paul’s Catholic Primary Avenue Primary Academy Our Lady Queen of Heaven Catholic Primary St Teresa’s Catholic Primary Carew Academy Secondary St Joseph’s Primary Cheam High School Holy Trinity Primary Sutton Tuition and Reintegration Service St Mary's Primary West Hill Primary School Wallington Primary Gorringe Park Primary Burntwood Secondary School Culvers House Primary The Sherwood Primary St Cecilia's Seconday St Philomena's Links Primary Allfarthing Primary Stanley Park High Beatrix Potter Primary Hollymount Primary Glenthorne High Earlsfield Primary Raynes Park Secondary Robin Hood Junior Swaffield Primary Melrose Nonsuch High School for girls Linden Lodge All Saints Carshalton Primary Smart Centre Sheringdale Primary Bandon Hill - Meadow Field /Oakfield Wimbledon College Secondary We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 11 Current Wave 1 – 2019/20 Trailblazers Richmond Croydon Kingston Hampton Hill Junior Applegarth Academy Secondary Burlington Infants Orleans Park Secondary Chestnut Park Primary Coombe Boys Secondary The Russell Primary Elmwood Infants Malden Manor Primary Christ’s Secondary Gilbert Scott Primary Christchurch Primary Darell Primary and Nursery Kensington Avenue Primary Grand Avenue Primary East Sheen Primary Meridian High Hollyfield Secondary Greycourt Secondary Norbury Manor Primary King Althelstan Primary Lowther Primary St Mary's Catholic High Lovelace Primary Sheen Mount Primary St Mary's Infants Tolworth Girls Secondary Richmond Park Academy The Crescent Primary Tiffin Girls Secondary Meadlands Primary The Minster Junior Dysart School Strathmore The Quest Academy Ellingham Primary Holy Trinity Primary West Thornton Primary Hampton High Winterbourne Junior Girls The Royal Russell Independent School We believe in an inclusive and innovative approach to care. www.swlondon.nhs.uk 12 Wave 2 - 2019 Trailblazers Wandsworth Merton Sutton Croydon Chesterton Primary Perseid School Foresters Primary All Saints Primary Harris Academy Battersea Cricket Green School Sherwood Park Harris Academy Purley Harris Academy South Norwood Falconbrook Primary Hatfield School Sherwood Park Hill Griffin Primary West Wimbledon School Eagle House Secondary Kingsley Primary Link Primary Holy Ghost Primary Stanford St Andrews Secondary Link Secondary Honeywell Infants Harris Academy Primary Chestnut Park Primary Glenthorne High Secondary Honeywell Juniors Winterbourne Boys Academy Wandle Valley Hornsby House Primary Woodside Academy Brandon Hill Primary St John Bosco College Secondary St Joseph’s College Secondary FE Brooksways School Christ Church Primary Broadmead Primary Stanley Park High Secondary Finton House Primary Whitehorse Manor Junior St Georges CofE Primary South Thames College - Merton Rockmount Primary Belleville