1. Changing the odds in favour of young people Keith Coulston Head of Mental Health & Wellbeing

2. Young people 12 – 25 across Devon including young people in Care, Care leavers, Young Carers, Complex & Additional needs A range of services : supported lodgings, housing, YES centres, youth inclusion & volunteering Workforce development – training in Person Centred Planning & Young People’s Mental Health (+ core inc safeguarding)

3. Mental Health & Wellbeing Counselling & Psychotherapy Service RnB (complex needs) Plan B (complex needs, wrap around including accommodation)

4. Community-based Counselling & Psychotherapy Funding – DCC, NHS, grants from trusts Early Intervention, Prevention, Rurality Young people with range of needs Range of therapeutic interventions 7 market towns & city of Exeter Rurality issue

5. The South & West Devon Model (mainly funded by Devon NHS) A range of staff qualified to meet different levels of need Psychotherapy Diploma Level Counselling Pre-Dip / Certificate Level Counselling Located in Young Devon YES Centres, 6 schools & other community based venues

6. Volunteer Counsellors (approx 4 per team – I year minimum commitment) In training (2 nd year) or qualified at Diploma level Counselling Co-ordinators (7 part time) Diploma Qualified & experience of working with young people Psychotherapists (4 self employed) Clinical Psychologist, Art Therapist, Group Analyst & Psychotherapist, Psychodynamic Psychotherapist

7. Clinical Governance BACP organisational membership UKCP / BCP /BACP Individual membership Clinical supervision PsychotherapistsChild Psychotherapist Counselling Co-ordinatorsPsychotherapist Volunteer CounsellorsCounselling Co-ordinator

8. Referral Pathways Self referral Guided referral Level 1 / 2 Counselling Level 3 Psychotherapy Level 3 / 4 CAMHS / CMHT YES centres Schools Carers/parents Schools Social Services G.P surgeries CAMHS & AMH

9. Integrated Service Model UNIVERSAL SERVICES TIERS 1/2 CAMHS EARLY RESPONSE TIERS 2/3 CAMHS FURTHER RESPONSE TIERS 3/4 AMH YOUNG DEVON COUNSELLING & PSYCHOTHERAPY SERVICE TIER 2 TIER 3

10. Outcome Monitoring ( South & West Devon Service) 01.01.02 – 31.12.09 Over 14,000 sessions delivered Over 1,500 young people in receipt of service 2011 330 young people seen 2450 sessions delivered Other data systematically collected: gender, ethnicity, home area, response time, referral route, presenting problems, HoNOSCA

11. Ten Most Prevalent Presenting Issues Anxiety / Stress Relationship with parents / carers Low Self Esteem Depression Split family / separation Communication difficulties Relationships with Peers Emotional Abuse School/employment attendance difficulties Dysfunctional family

12. HoNOSCA Initial HoNOSCA Score (sample size 949) 00 – 1957 % 20 – 2937 % 30 + 6 % [Scores 20 – 29 indicate a serious mental health problem; 30 + very serious]

13. Total number with both initial and completed HoNOSCA scores = 609 (100%) Numbers with an increase in score = 2% Numbers with same score = 17% Numbers with reduced score of between 1 and 9 points = 54% Numbers with reduced score of 10 points or more = 26%

14. Strengths evidence basedvalue for money easy accessnon-stigmatising supporting learning & ewb in schools QA & Clinical Governance Weaknesses Resources – operational development, CPD, research, marketing Value for money Cost - number of sessions divided by funding Outcome scores, systematic feedback from young people & schools, case studies

15. RnB project The Rebuild and Become project is a development of a DCC funded project (cut in 2010) which helped vulnerable young people who put themselves at risk Spot purchase – special schools and mainstream schools (primary & secondary) Filling a gap between children’s services and mental health Young people reluctant to engage with or trust anyone and have few inner resources to alter their behaviour

16. What does RnB do? Identifies and strengthens young people’s resilience and understand their rights Assists young people to work with others Coaches young people to meet their potential and want to make a change. Supports young people to experience positive relationships Enthuses young people to contribute to society

17. Delivery methods range of bespoke one to one therapeutic mentoring programmes group work mediation for children, young people and families in Devon activities

18. Staff: Play therapist, creative therapist, counsellor, psychotherapist Clinical supervision Evidence : Devon Youth Achievement Award 2008. Devon County Council audit highest score Commendations from other professionals SDQ

19. Conclusion Challenges Changes in Childrens’ Services & NHS Level playing field Opportunities Partnership / relationship building Filling a gap

20. Advice Commissioners - creativity Providers - evidence