1. Compass REACH Ashley Greaves
Young People’s Nurse

2. How it started… Compass REACH – launched in September 2012
Hailed as an ‘innovative new’ service:
Combining substance misuse and sexual health interventions
Single provider across North Yorkshire
Result – a Nurse led service across the county
Prior to 2012 young people’s drug services in North Yorkshire were commissioned district by district – often ‘tagged on’ to existing adult drug services. This resulted in different providers running different contracts in Selby, Skipton, Northallerton, Scarborough… So you had different service delivery models, different KPIs, different staffing models, different opening hours, different waiting times. In other words if could be a ‘postcode lottery’.
In 2012 commissioners decided to commission a stand alone young people’s drug service – with a single provider - right across the county. Thus increasing consistency and providing equity across the population of North Yorkshire. Within this they recognised that young people who were taking risks around substance misuse were likely to be taking risks in other areas of their lives….such as sexual health. And so they combined the substance misuse service with sexual health interventions.

3. Healthy Child Service
From 1st April 2015 Compass REACH became part of the wider ‘Healthy Child Service’.
With this new contract came two significant changes:
Age range – 9 –19 years of age (25 with LDs)
PLUS, emotional wellbeing and mental health
Continued to deliver substance misuse sexual health interventions
So we ticked along nicely for about three years and then commissioners decide to recommission the whole of the (what was then) school nursing service across North Yorkshire. They rebadged this as the Healthy Child Service and the targeted element that Compass REACH were already deliver came under this umbrella. So Harrogate District Foundation Trust won the universal (or ‘core’) element of the HCS and Compass won the targeted element of the HCS – this brought with it two significant changes to the contract we were working to:
Our age range lowered to age 9 to capture those children who were transitioning form primary school to secondary school as with it this can be a anxiety provoking time.
Emotional wellbeing and mental health at a ‘targeted’ early help level was added into the contract.
Luckily being a nurse-led model to start with we already had a number of mental health nurses employed on the team and of course, we already delivered a holistic package of care to the young people we worked with on substance misuse issues so were perfectly placed to pick up this additional work on a formal basis.

4. Staffing Model
Service Manager Nurse Team Leader Clinical Administrator 6.5fte Young People’s Nurses 1.5fte Young People’s Practitioners Additional support from a psychologist and GPwSI in sexual health

5. Where are staff based?
Co-located in ‘HUBs’ with our colleagues from the Healthy Child Service and the Prevention Service :
Hambleton and Richmondshire (Northallerton)
Selby
Craven (Skipton)
Scarborough
Whitby
Ryedale (Pickering)
Harrogate

6. Geographical Coverage

7. Local Needs? Growing Up in North Yorkshire 2018 report:
Only 37% of Year 6 students had a high measure of resilience
In Year 8 and 10 children, 1 in 5 have been offered cannabis
25% of Year 8 and 10 had at least 1 alcohol drink in the last week before the survey
66% of Year 8 and 10 students worry about something ‘a lot’ or ‘all of the time’

8. National picture
18th Oct 2018 “One in three young people have mental health troubles, survey finds” 29th Aug 2018 “Fifth of 14-year-old girls in UK 'have self-harmed’ Annual Report. “Three in four children with a diagnosable mental health condition do not get access to the support they need.”

9. “Pre-planned, evidence-based, structured, psychosocial interventions”

10. Substance Misuse & Alcohol
Comprehensive Assessment based on original Models of Care four domains Agree a collaborative SMART care plan Evidence-based interventions; CBT, MI, BSFT
1. Drug and alcohol use
2. Health (physical and psychological)
3. Social functioning (housing, employment)
4. Criminal involvement e.g. offending

11. Emotional Wellbeing & Mental Health
Compass REACH provide ‘early help and prevention’ support to children and young people who are experiencing mild/moderate emotional wellbeing issues that are impacting on their ability to function in their daily life.
The service delivers evidence-based interventions on a one-to-one basis to prevent problems from escalating.

12. Emotional Wellbeing & Mental Health
Low Mood
Anxiety
OCD
Social
Phobias
Unhealthy Eating Patterns
Self-harm

13. Sexual Health Compass REACH provide:
Sexual health & ‘healthy relationship’ advice
Condom distribution
Pregnancy testing
Emergency Hormonal Contraception – Levonelle.
Chlamydia testing
The service can refer young people to the Specialist Clinical Outreach Team if they need to access specialist sexual health services.

14. Hepatitis Testing & Vaccinations
Dry blood spot screening for Hepatitis B & C Our nurses work under a Patient Group Direction (PGD) to deliver Hepatitis A & B vaccinations.

15. Referrals
Compass REACH operate an open referral system that is available & accessible to all.
Our professionals ‘screening tool and referral form’ covers the following areas:
Substance misuse
Emotional wellbeing and mental health
Sexual health
Call us to discuss:

16. School Mental Health & Wellbeing Project
An overview of
Compass BUZZ
School Mental Health & Wellbeing Project

17. Background The Future in Mind report, published in 2015,
sets out the national ambition for children and
young people’s mental health services for 2020.
Funding
Compass BUZZ is jointly commissioned by the five clinical commissioning groups (CCGs) that cover North Yorkshire:
Hambleton, Richmondshire & Whitby CCG
Harrogate & Rural District CCG
Scarborough & Ryedale CCG
Vale of York CCG
Airedale, Wharfedale & Craven CCG
Explain that the 5 CCG’s (Health) across North Yorkshire placed their transformation money together from Future in Mind to fund the School Mental Health and Wellbeing Project. Compass bid for this and Won. We immediately changed the name with the input from Young People to Compass BUZZ with the mission to create a BUZZ about Mental Health and Wellbeing.

18. Project Aims
To support schools to develop a ‘whole-school approach’ to pupil emotional wellbeing and to improve the resilience of children and young people.
To provide wraparound support to school staff to ensure they feel empowered to tackle stigma and effectively respond to children & young people’s emotional and mental health needs.
To prevent problems escalating through to specialist services and enable children & young people to lead happy and healthy lives.
3 Aims
Whole school Approach
Upskilling and supporting staff
Preventing problems from escalating (link back to Future in Mind)

19. Training
Highly skilled and committed Wellbeing Workers will deliver a free rolling programme of tiered training to local schools and other key professionals, promoting a range of early help and prevention strategies.
The first service we offer is Free Training to all schools within North Yorkshire.

20. Training
Level 1: Prevention & Promotion Level 2: Early Identification of need Level 3: Early Help and Intervention
Level 1:
Compass BUZZ offers prevention and promotion training which aims to impart information, advice and knowledge to the whole school workforce:
Mental health and stigma
Risk and resilience
Promoting wellbeing
Promoting a whole school approach to mental health
Target audience: All Staff coming into contact with CYP within schools.
Level 2:
Our early identification of need training provides:
A deeper understanding of feelings and emotions
Knowledge of common mental health disorders
Tips for dealing with mental health concerns
Information on our BUZZ US service
Target audience: Pastoral staff, heads of year, SENCo and teaching support staff
Level 3:
Information on how to make a basic assessment
Knowledge of therapeutic skills
Awareness of evidence-based approaches
Advice on how schools/college’s can help support their pupils
Knowledge of other North Yorkshire services
Target audience: Pastoral staff, heads of year, SENCo and teaching support staff.

21. One-To-One and Group Work Interventions
Wellbeing workers co-deliver one-to-one and group work interventions using a mix of evidenced-based interventions. Wellbeing workers work alongside school staff tailoring interventions to the age, developmental and emotional literacy needs of children/young person. Schools can request support by contacting:
The 2nd service we provide is:
You can also mention that this can be through consultation or through co-facilitation
Give information on what we offer support for

22. Presents ‘A New Way To Talk’ BUZZ US 07520 631168

23. BUZZ US is open Monday-Thursday and Friday (BUZZ US does not operate during Bank Holidays)
Thankyou