1. Wirral CAMHS Primary Mental Health Team Update
Kate Burnett – PMHW
Moya Sanders – PMHW
Vicki Dunham – Team Manager
17th and 18th April 2018

2. The Prevalence of Mental Health Problems in CYP
50% mental illness start before age 14, 75% before age 24
Academic performance more strongly correlated with mental wellbeing than IQ

3. Future in Mind, 2015
Investment into children’s mental health services over
5 years (2015 – 2020)
Investment to transform services, not to do
more of the same
Mental health is everyone’s business.
Early intervention and prevention and building resilience (rather than treatment) provides best outcomes
Working together
Easy access to CAMHS.
‘Don’t pass me on’ – working with the person who is working with the child. Skilling the workforce.
Investment into children’s mental health services over next 5 years
Investment to transform services, not to do more of the same
Mental health is everyone’s business.
Early intervention and prevention and building resilience (rather than treatment) provide the best outcomes for children and young people.
Working together to prevent children and young people developing serious mental health difficulties, therefore enabling children and young people who do develop serious mental health difficulties easy access to CAMHS.
‘Don’t pass me on’ – working with the person who is working with the child. Skilling the workforce.

4. Primary Mental Health Team Objectives 2016 - 2018
Identify a named PMHW for each school
Roll out a training programme for schools
Provide resources and signposting information
Provide consultations – CAMHS Advice Line ( )
Self referrals into CAMHS
Peer education programme in secondary schools
Roll out ‘Next Step Cards’ licenses and training
Develop links with social care and under 5s workforce
Develop a parent PMHW offer
Work with CCG and public health to improve pathways

5. Advice Line – Activity
In the last year (April – March 2017/18) the line has provided consultation to 1545 callers. Demand for the line has grown steadily month by month since it launched, with the only noticeable reductions in demand during school holidays, see Figure 1.
Figure 1: Calls to CAMHS Advice Line 2017/2018
(* NB please note March data was incomplete at the time of writing)

6. Advice Line – Who phones?
The main themes of the qualitative feedback given were:
Feeling understood and listened to.
Receiving good quality advice.
Feeling reassured.
Signposting.
When it was first launched GPs and parents were the most frequent callers, then in December 2016 education staff began to use it significantly more. This trend continued until March 2017 when consultations received from parents/grandparents more than doubled the amount of calls received by any other staff group, and this trend has continued

7. Training 70% of all schools have now attended 1 or more training days
New training dates will be released in July for 2018/19. It will look something like this:

8. Next Step Training
A communication tool for engaging children and young people
Commissioners bought 300 Next Step Licences for the Wirral Children’s Workforce – 2 per secondary school and 1 per primary school
Positive feedback from attendees (1 day training)

9. Peer Education Project
We train 2 6th form students in Mental Health First Aid (2 day course)
6th Form students prepare and deliver a ‘Mental Health First Aid’ lesson for each Year 9 PSHE class (with our help)
Has your secondary school participated?
Student 3: “We are from an all-boys school, where there is a stigma attached for lads to talk about mental health. Mental health isn’t something that gets spoken about as lots of lads keep their feelings in, we think the Peer Education Project could help us to change that”.
Student 1: “One of the most important things I’ve learned from the project is how to respond to those who need help. Not having to solve someone’s issues, that’s something that’s quite important, and I didn’t realise. I thought I had to be able to solve everyone’s problems but I don’t. I just need to be there for them.”
Student 2: “You learn to pick up signs, someone in my family got depression and I was able to help them. “
Teacher: “I am really impressed with the whole process and resources we have been provided with. The peer educators have gained so much from it. Parents were also very complimentary and said their lads had been talking to them for once!”

10. Accelerator schools
We have held ½ termly meetings with a small number of accelerator schools over the last year
‘We believe mental health mental health is everyone’s business, is vitally important and there is a growing unmet need. We (health and education) will work in partnership to improve mental health outcomes for children and young people on the Wirral. We will do this by increasing our own skills and confidence and helping other schools do the same.’ (mission statement)

11. What Impact has the Project had so Far?
Reduced hospital admissions for self harm / attempted suicide (40%)
Better relationships between health and education
Improved confidence in talking about mental health
Reduced stigma
Advice line extended to 10pm and weekends

12. Wirral CAMHS Structure

13. CAMHS Referral Criteria
Moderate / severe mental health problems
Moderate / severe anxiety and depression
Eating disorder
Psychosis
Conduct disorder with moderate to severe mental health problems
Emerging emotionally unstable personality disorder
ADHD / ASC with other moderate to severe mental health problems
Attachment disorder
Self harm with suicidal ideation / emotional disregulation

14. Thank-You
Any questions?