Children’s Mental Health and Public Health Services Primary School Heads Meeting Update and planning for 2017/18 Wednesday 12th July 2017 Gill Brooks (CCG Commissioner), Kerry Clarke (Public Health Commissioner & Tracey Williams (Assistant PEP)

AIM: To update and provide information on: Mental Health Services for children and young people across the city –changes and developments Including update on Schools Wellbeing Update and next steps from Public Health Schools Programme

Mental Health Services for children and young people across the city

Key changes across the system Single point of access (Community Wellbeing Service) Improved access and waiting times Schools Wellbeing Service Lead Practitioner from Specialist CAMHS as a school resource Single point of access for CYP MH referrals (Community Wellbeing Service) Schools Wellbeing Service – Primary Mental Health Workers Specialist CAMHS (Tier 3 CAMHS) part of single point of access triage Improved access and waiting times Urgent (assess in 4 hours, treat in 24 hours) Priority (assess in 5 days, treat in 2 weeks) Routine (assess in 2 weeks, treat in 8 weeks)* Lead Practitioner from Specialist CAMHS as a school resource (consultative, advice, guidance and information and assist schools and Schools Wellbeing Service to get pupils to right place) Additional support for vulnerable groups (LAC, Youth Justice) Specialist CAMHS (Tier 3 CAMHS) part of single point of access triage Additional support for vulnerable groups (LAC, Youth Justice)

Whole School Approach to EMHWB in Primary Schools The WSA will involve: Roll out plans: Identify 1 clusters to trial EHWB Framework offer (Sept – Dec) Roll out to next clusters (Jan – March) Roll out to final clusters (April – June)

IAMWHOLE (Oct 2017) Aimed at Culture Change and Curriculum Development: 2016 #IAMWHOLE social media mental health anti-stigma campaign aimed at 13-25 year olds 2017 focus on Primary Schools – story telling aimed at 8/9 year olds Aimed at Culture Change and Curriculum Development: 2016 #IAMWHOLE social media mental health anti-stigma campaign aimed at 13-25 year olds 2017 focus on Primary Schools – story telling aimed at 8/9 year olds School pack (the story, video, learning tools, lesson plan and resources) Grown-ups pack (teachers and parents/ carers) Opportunity for some Primary Schools to have author readings w/c 2 Oct 2017 Pilot lesson plan (w/c 2 Oct 2017) Launch across all Primary Schools (Nov 2017) Lesson output – how to communicate key messages to younger children Celebration of lesson output and sharing of best practice (Spring term)

Schools Wellbeing offer to schools Named link Primary Mental Health Worker Menu of options Availability for advice and guidance to schools on EHWB Links with lead from Wellbeing Specialist Services Named link Primary Mental Health Worker Availability for advice and guidance to schools on emotional, mental health and wellbeing Team Around the School approach to agreeing and prioritising work in liaison with other BHISS colleagues Menu of options e.g. staff training, reflective practice, drop ins, group work, parent/carer training negotiated with school priorities Links with lead from Wellbeing Specialist Services Team Around the School approach to agreeing and prioritising work in liaison with other BHISS colleagues Links with Public Health

CWF Contribution: Learning Mentor Training 14 fully funded workshops on early ID of MH problems in CYP September 2017: launch new training schedule The story massage training has had an enormous impact even though it has only been a week since the training! I have successfully used it to calm down a child in crisis, to end a reconciliation process between two children who had been furious with each other and to teach gentle touch to a child who is regularly aggressive. Additionally, two other members of  staff have already adopted story massage after I shared the resources with them. ’ Dr. Charlotte Rustin, Learning Mentor, Queen's Park Primary School “In the last week I have spoken to several children who have been affected by a bereavement. I used the book about Celeste  and Michael Rosen 's Sad book and the children loved the story. One of the children has found it particularly difficult, she is adopted, and is full of worries!  She now has the worry monster taken home to use. ” 14 fully funded workshops on early ID of MH problems in CYP Staff from 30 infant/primary schools, 2 special schools and 3 Secondary Schools attended Using art / storytelling / puppets / emotion coaching / story massage / building resilience etc. with supporting webinars September 2017: launch new training schedule ‘The story massage training has had an enormous impact even though it has only been a week since the training! I have successfully used it to calm down a child in crisis, to end a reconciliation process between two children who had been furious with each other and to teach gentle touch to a child who is regularly aggressive. Additionally, two other members of  staff have already adopted story massage after I shared the resources with them. ’ Dr. Charlotte Rustin, Learning Mentor, Queen's Park Primary School EHWB books club sent free books every term Worry monsters and healthy happy colouring books sent to 29 schools “In the last week I have spoken to several children who have been affected by a bereavement. I used the book about Celeste  and Michael Rosen 's Sad book and the children loved the story. One of the children has found it particularly difficult, she is adopted, and is full of worries!  She now has the worry monster taken home to use. ”

PH Schools projects 2016/17 Healthy Eating Workshops / Family Cookery Demos Change for Life Clubs Asthma Project Sugar/teeth workshop Sustrans Project – Bike It Ben and Lucy Healthy Choice Award Online Safety AITC Zip Zap after school club Sun Safety 5 Ways to Smile

Develop further links with school nursing and PH Review and develop the training offer with the CWF Cluster support across health issues, eg sleep EMHWB framework Communication with GPs (sick notes) NEXT STEPS Second year asthma project

Final Thoughts Cluster meetings Questions Comments The most common mental health difficulties are: conduct disorders; anxiety; and depression. Research indicates that the number of children and young people with mental health difficulties is increasing, particularly in terms of eating disorders, self harm and ADHD

Contact details Gill Brooks, CYP mental health commissioner in Brighton and Hove CCG (gill.brooks1@nhs.net) Kerry Clarke, Public Health Commissioner (kerry.clarke@brighton-hove.gov.uk) Tracey Williams, Assistant Principal Educational Psychologist (tracey.williams@brighton-hove.gov.uk) Louisa Scanlon, Health Improvement Specialist (louisa.scanlon@brighton-hove.gov.uk) Mohammed Bham, Principal Educational Psychologist /Head of BHISS (mohammed.bham@brighton-hove.gov.uk)