4‘Time To Change’Supporting a Heart, Head and Hands approach to Healthy School Enhancement.Good morning,I’m delighted to have been invited to the Launch of the SE Time To Change programme and would like to recommend this programme to you by illustrating how it will support my role at Kent Community Health Trust, taking a Heart, Head and Hands approach to our Healthy School Enhancement model. Let me explain.Liz McAvanChildren and Young People Wellbeing ManagerHealth and Wellbeing DirectorateKent Community Health NHS Trust
5KCHT Transformation Programme Core ValuesCaring with CompassionListening Responding andEmpoweringLeading Through PartnershipsLearning Sharing and InnovatingStriving For ExcellenceStrategic Vision“To be the provider of choice bydelivering excellent care andimproving the health of ourcommunities”Kent Community Health Trust provides clinical and health and wellbeing services across the large and diverse population of Kent and to assure quality, we monitor performance and service developments by what we call our ‘Values In To Action’ framework. This is a matrix of the heart of the organisation- KCHT core values against the head - our strategic vision, and then implemented through the hands motif; which represents service specific business objectives. So, as a provider of choice, commissioned by Kent PH to deliver a Kent Healthy School Enhancement model, Id like to use this same framework to illustrate the value of working in an integrated partnership with Time To Change on the important business of improving outcomes for children and young people.Business Objectives:To improve outcomes for childrenby strengthening integrated partnerships.
6Caring with Compassion Prevention Pays: Our Children Deserve Better,“My generation unquestioninglyexpected our future to be better thanour parents and grandparents. Butour children and grandchildren face afar more challenging outlook. Weneed a renewed focus on children”“This report questions whether we havegot the balance right in our society andshould act as a wake-up call. The evidenceis crystal clear and the opportunity is hugeinvesting in children is a certain way ofimproving the economic health of our nation,as well as our children’s well-being.”(Professor Dame Sally C Davies,Chief Medical Officer;Oct 2013)‘Time to Change’ will help schoolsengage with strategic objectives ofKent’s Healthy School Enhancement;Developing healthy behavioursSupporting raised achievement.Helping to reduce inequalitiesPromoting social inclusion.Caring with Compassion;The Healthy School model is a strategic, evidenced based approach to health improvement by the provision of a universal health offer within a caring, supportive environment. The NHSP was very effective at engaging schools in making improvements across key areas of PSHE, Healthy Eating, Physical Activity and Emotional Health and Wellbeing to ensure every day experiences would be conducive to health.However, as the Chief Medical Officer’s recent report confirms there is much more to do to ‘care with compassion’, when the evidence shows that outcomes for children and young people in this county continue to compare unfavourably with those other European nations.As you can see by these two quote, the report pulls no punches in its call to action and there are specific recommendation for young people’s mental health, in particular that PHE should work with the PSHE Association to strengthen the evidence on strategies to build young people’s resilience.This is why Kent retains a Healthy School Enhancement model, designed to encourage schools to continue to support the local HWB priorities in a way which is meaningful to school priorities, and it seems to me that ‘Time To Change’ is a perfect example of what we men by ‘meaningful’; challenging discrimination is central to school policy and duty of care whilst the Time To Change training and curriculum resources can enhance mental health awareness as part of the whole school provision for PSHE Education- an need highlighted in the last Ofsted report. So whilst undertaking this very relevant work, schools will be contributing to MH strategy by creating the conditions which will encourage young people with mental health problems to seek help early, and a supprotive environment to aid recovery following an episode of mental ill health.
7Listening Responding and Empowering Curriculum planning & work withoutside agenciesPolicy developmentAssessing recording & reporting(HSEM)Teaching & learningPartnership with Parents/carers & local communitiesWHOLE SCHOOL APPROACHStaff CPD, health and welfareneedsLeadership, management & managing changeGiving pupils a voiceNow, all schools which engage with Kent HSEM have already achieved HSS and so will have a school culture and environment which is responsive to the expressed needs of the members of that school community.Pupil Voice is an integral feature of a healthy school, as is the collaborations across all school stakeholders; parents/carers, local managers, staff leaders and governors to identify school level priorities and be empowered to develop a planned programme of school improvement activity across different aspects of the organisation to address these.In Kent schools we have a range of peer led initiatives; school council, peer mentors, mediators, health champions and a very strong Kent and Medway Youth Mental Health forum, who I know will be up for the Time To Change challenge, which will provides new platform for Pupil Voice activities through its scheme of peer advocacy and social marketing.Provision of pupil support servicesSchool culture & environment
8Leading Through Partnerships ‘Mind The Gap’;KCC Inequalities PlanMarmot’ life course approach to PHOutcomes Framework:Healthy Weight Yr R, Yr 6U 18 ConceptionsSmoking prevalence 15 yearsHarmful effects of alcohol misuseTargeted focus on young people who have complex or multiple needs‘Time to Change’ will enhance localhealthy school partnerships promoting‘No Health Without Mental Health’;Schools, young people, parent/carersHealth ProvidersAlternative Curriculum ProvidersYouth and Community GroupsLA and Borough Council ServicesVoluntary Sector AgenciesBusiness and commercial sectorLocal forums and action groupsSo, inclusive partnership working needs to be a hall mark of a Healthy School and also for the Children and Young People Wellbeing team leading the healthy school programme.Traditionally, my service partnerships are with those agencies in KCC and 12 Borough and District Councils, which have joint responsibilities to deliver on CYP priorities identified in the county inequalities action plan.Whilst KCHT is not commissioned to deliver young people’s mental health services, I prescribe to the principles of No Health Without Mental Health, and am confident that working with the Time To Change board will definitely enhance our local health and education partnership arrangements.Already the Time To Change small grants scheme has inspired numerous initiatives from voluntary and community sector agencies, which I have not previously known about or worked with, and I anticipate this hive of activity across the county will provide a wealth of new resources and sources of support for participating schools to call on when implementing their own action plan.
9Learning Sharing and Innovating ‘Time to Change’ complements thekey principles of Kent’s Healthy SchoolEnhancement model ;Data ledFounded on national guidance,Evidence based practicePromotes local initiativesBuilds capacityIncreases the knowledge bankThe value of such rich collaboration in the range of approaches, expertise and specialist functions, which partners can bring to the complex task of promoting holistic mental health needs of young people. However, it is important to me that all such local innovations will be founded on evidence based practices, and it is also reassuring to know that whilst participating agencies, including my own, will be enjoying the opportunities to learn share and innovate, the evaluation role of the TTC project team will make sure that all subsequent data and public health intelligence generated will be properly collated, analysed and reported to help build our knowledge bank of what works for YP’ mental health.
10Striving For Excellence For the CYP Wellbeing Service;130+ schools for age range10% yr olds, inc 7% post 16 ‘feel sad or depressed most days’ (NFER)For schools;Behaviour and SafetyAttendanceAchievementSpiritual, moral, social and cultural development of the pupilsExtent to which the education provided meets the needs of the range of pupilsSafeguarding‘Time to Change’ can be embedded to Kent Healthy School Enhancement model, For schools to evidence to Ofsted how they plans to ‘narrow the gap’.Finally, how does working with TTC help us to bring about excellent outcomes- you will note my organisation values use the term striving for excellence, which is indicative of the size and complexity of this challenge.So what does that look like in Kent?Yes, we do live up to our reputation as the Garden of England, yet we have significant pockets of deprivation, which is a known risk to MH. We have some of the highest performing schools in the country and some with higher than average levels of Additional and SEN, both situations bringing different stressors for MH. And, as young people everywhere, Kent youth live their lives outside of schools, where the wall paper of mass media messages, celebrity culture, high commercialised youth marketing and social networking, which creates for some a toxic mix of influences to confuse emotional health and wellbeing, feelings of self work and healthy relationships.Little wonder that in Kent’s YP survey of 2007, 10% of respondents reported feeling sad or depressed most days, a tendency which increased with the 16+ group. Also, given the prevalence of conduct and emotional disorders identified in Kent MH need assessment, it seems likely that the theory of 3 people in each secondary school class being at risk, is one which could apply to Kent. Wth over 130 secondary Kent schools serving the 14-18yr olds target group, that is a challenging level of need and I am, therefore, very appreciative of the additional support from Time To Change to help build capacity of my service team in their strivings!Likewise, it is my experience that Kent teachers understand well the increasing societal pressures on their pupils at a time when good behaviour, attendance, achievement is at a premium. So, I am sure Kent schools will be welcoming TTC with open arms to help them put schemes in place which will help promote mental health of their pupils, and, in turn, hit the related criteria within the Ofsted Inspection framework.As the 3 TTC evaluation schools have already been identified for Kent, we have had opportunity to work with the TTC project team to identify how the programme’s requirements can be captured, tracked and measured through the Kent Healthy School Enhancement plan, which will ease the process for schools, whilst also providing robust evidence for the partnerships to show how we all use our heart, heads and hands to narrow the gap.Congratulations to the TTC team for their impressive achievements to date. I know the SE is able to benefit from the work which has been trialled in the Midlands, which provides ample ways for individuals, organisations and agencies to get on board, and my last slide is a little tribute to your canny choice of date to get the SE programme off the launch pad….
14Beverley Roberts Specialist Community Practitioner NHS Trust SB14
15Children and Young Peoples Mental Health Why is this important1 in 5 children and young people suffer from anxiety2-3 in 100 young people (11-18) will have a diagnosis of depression1 in 15 young people carry out self harm75% of young offenders have a mental health issue (ONS 2012)
16Why `Time to Change`In 2011We contacted Time to Change – they sent us some leaflets for our community bus eventIn 2012They sent us badges , leaflets and a DVD for our community bus eventIn 2013They attended our local high school with a `pop up village` to support our event! – Raising awareness of mental health for children and young people
17Impact on the SchoolSchools welcomed multi agency staff into the school to raise awareness of mental healthIt was an opportunity to let young people know that the school nurse was available to see them on a regular basis and offered a confidential `drop in` serviceYoung people were made aware of other services available within the local community – Youth service, Cruse bereavement support , Targeted youth support , Samaritans.Time to Change - resources
18THE DIFFERENCE THIS HAS MADE Young people were made aware of local servicesYoung people were given information on positive mental health – how to keep healthyWhere to go if you need to talkIts ok to talk about mental health concernsWho / where /when help is availableResources available from `Time to Change`
19Time to Change resources Offering support to young peopleEarly identification of problemsTier One interventionsAppropriate referralSchool Nurse supportSafeguarding guidelines
20Time to Change resources The Stand up Kid DVDImpact on young peopleImpact on multi agency professionals`Train the trainer` training`POP UP` VillageImpact on the School – now have permanent display board around mental healthAssemblies
21Strategies for support Appropriate referralNon judgemental approachYoung person understands the limits of confidentialityIdentifying the young persons own support networkListeningOffering alternative strategiesSee the young person not the mental health issueLooking after yourself
22The impact on support for Young People “Too often we underestimate thepower of touch, smile, a kind worda listening ear, or the smallest actof caring, all of which have thePotential to turn a life around...”Leo Buscaglia
26The ChallengeLast October ‘Time to Change’ launched its first ever competition in schools to get students talking about mental health. Students were asked to design a campaign that challenges people’s attitudes and behaviour towards people with mental health problems. Over 50 schools in the West Midlands area signed up to take part in the competition.
27How Students from the Nuneaton Academy got involved Students and Teachers in the Academy took part with campaigns using;Creative writingShort filmArtBaking (Including a message on biscuits about time to change and how to make a pledge)Power pointsStalls at parents eveningPosters around the schoolInformation on school websiteArticle in school news letter
28My experience being involved in the campaign Lead Staff member for the Academy promoting the campaignSupporting the Wellbeing Student Leader group with their ideas to promote thisCreated a Form Time Programme for a period of 6 weeks that explored mental wellbeing and lead up to the competitionProviding materials and making links resources available to whole schoolFinding any opportunity to get the message spread throughout the academy and communityCreating an online page for students and staff that explore mental health, 5 a day to improved mental wellbeing and links to Time to Change Website
29How its impacted on my work Staff, students and parents becoming increasingly more open talking about mental health issuesStudents with a mental health illness are talking more openly about their experiences.Staff and students understand the importance of my role supporting students with their wellbeing.Everybody talking a more active role in breaking the taboo surrounding mental health illnessThis time last year we asked 108 students at random what they understood in relation to wellbeing only 8 students could provide some kind of response. This year we are in the process of collating feedback from the same number of students. Already from 70 responses I have 47 qualitative responses that discuss how we take care of our body and mind, as well as attitudes towards others
30Why wanted to explore this To generate greater awareness about mental wellbeing and to allow staff, students and local community to be more informed of how mental illness does not discriminate anyone and impacts on all areas of life.To help staff, students and the community to be able to talk openly about mental health in positive manner which would allow those with an illness to be able to access support they may need without feeling judged.With a high level of students in our school experiencing mental health illness to help normalise their experiences
31What we achieved and unexpected benefits/successes Young carers have come forward in relation to supporting parent/s with a mental illnessStudents, staff and parents talking more openly about mental health issues.Student and parent feedback given to Head Teacher to say how effectively the issues of mental health have been addressed.Sharing Time to Change message at a student voice network meetingNational/Local newsWhat we achieved and unexpected benefits/successesPositive language associated with mental health with students, parents and teachers.A year on and the assemblies we delivered had a lasting impression with staff and students.From this we have developed a strong student leader well-being group. New challenges are being accepted by students.223 pledges
32Hopes and vision for the Time to Change Campaign Train future wellbeing leadersBe innovativeTime to Change message in schools nationally