1. Youth Mental Health Services Current Issues & Future Possibilities Amex May 4th 2016 Dr Rick Fraser Clinical Director ChYPS

2. What we know 1 in 4 young people between 15-24 will experience a mental disorder in any 12 month period 15 - 24 years old is the peak period for the onset of mental disorders (75%) Pathways for young people to access health resources are limited as use of standard GPs is under-represented in this age group Negative impact on longer term vocational pathways and economic participation (Birchwood, Singh & McGorry, 2013)

5. ‘The system is weakest where it should be strongest’ (McGorry 2007)

6. Current Health Service System for Young People

7. Confusing entry point

8. Confusing signposts

9. Exclusions

10. Lost in the system

11. Transition issues

12. The spectrum model of illness

13. Unclear care pathways

14. Late Intervention

15. We know what doesn’t work…

16. Models of Youth Service Orygen – Australia Headspace – Australia Youthspace – Birmingham Headstrong – Ireland Norfolk Youth Service Sussex

17. Youth Service - what might this look like? Collaboration & collocation Acceptable, accessible, age appropriate Specialist staff supervising/enabling generic staff Clear entry point, pathways and exit Low level interventions available as well as specialist as needed Improve transitions and reduce drop-out/loss Better working with minority groups, offenders, NEETs, immigrants, LAC, LGBT

18. Sussex Update 2010 – youth strategy group 2011 – project grant from South Coast SHA 2012 – 2014 – ‘proof of principal’ evaluation of Pathfinder Service in Crawley 2015 – project grant from South Coast SCN to roll out to Brighton & Hastings 2016 – successful CCG bid for youth service in Hastings 2016 - ‘How to set up a youth service’ manual

19. Current ‘Crawley Model’ Access and transition service ‘One stop shop’ Screening tools & risk assessment at initial presentation CAMHS, AMHS & EIS for mental health component Find it Out/YES (Targeted Youth Support Service) Other collaborators – YMCA, West Sussex CC, YP SMS, Crawley College, service users/carers Staff training/up-skilling/supervision EYE project

20. Future Directions

21. Future Short term – Build on current model – ensure sustainability – Collaborative – Making the most of resources – Evaluate – Sussex/Warwick Universities – Roll out to other venues in Sussex eg Coastal West Sussex & Eastbourne East Sussex

22. Future Longer term – Standalone youth services? – ‘Wrap around’ – Multiple agencies – Healthcare, social, educational, vocational, probation – Commissioned jointly

23. In Summary Clear need for better services for young people Collaborative approach No ‘one size fits all’ Agreement on local direction of travel Maintain the momentum! rick.fraser@sussexpartnership.nhs.uk

24. Thank You