Delivering improvements in children and young people’s psychological wellbeing- Sunderland Community CAMHS

What we know: Increased prevalence of mental ill health in children and young people Between 15% and 20% of children/young people have mental health difficulties Approximately less than 20% of the above are seen by specialist mental health services

What we know: Audit Commission Review of CAMHS in England and Wales demonstrates that CAMHS professionals spend 1% of their time supporting Primary Care (Tier 1)

Other Specialist Providers Other Specialist Providers Tier 4 Tier 2 Community CAMHS (0 – 18) Children’s Centre Clusters Tier 3 Child & Family Dept. Children’s Team, Therapies EBD Team Psychology Tier 1 Universal Services Where do we fit?

Operational Manager Deputy Manager WashingtonWestEastTargeted WashingtonNorthCentral South and East Coalfields Consultant Child Psychiatrist Senior Cognitive Behavioural Therapist Senior Systemic Practitioner

Skill mix Primary Mental Health Specialists Specialist Teachers Child Psychiatrist Clinical Psychologist Early Years Specialists Counsellors Senior Therapists Admin

CCAMHS aims Bridging the gap between Tiers Increasing accessibility Early identification/ intervention/prevention Ensuring needs are met by the most appropriate service Mental health promotion

Criteria Less severe mental health problems Short term input Early identification/ intervention

What we do Support at individual, family and system level Assessment and short term intervention Group work Consultation (inc. telephone consultation) Teaching/training Advice and liaison

Referral Pathway Before CAF was implemented, a single point of referral was set up, by CCAMHS and Educational Psychology, joined by all support services, to be accessed by schools Most appropriate service allocated case quickly Helps to avoid duplication Allows onward referral and joint working between services

EYMHS Based in Children’s Centres Direct therapeutic work with referred families Group work (Social Baby, Motherhood in Mind, Triple P, Incredible Years) Training and consultation

EYMHS Training The EYMHS have developed a three-session, Early Years mental health training programme, with a focus on attachment Offered to every Early Years worker in Sunderland

CCAMHS Training Training menu offered to all Tier 1 professionals Links to the SEN training plan which are firmly established so accessible Deliver SCAMHP as a baseline training Additional disorder-based training offered

Healthy Schools Programme Theme 4 relates to our knowledge and expertise Opportunity to work with education and public health partners Training opportunities Moderation allows the chance to see and be seen and to see how a particular school works

TaMHS Wave 1 Pathfinder (there are 3 in the North East) Opportunities to try out evidence-based practice in a new way Continuous feedback Monitoring both at local and national level Sustainability

TaMHS Designated lead for mental health in school Extra training (CBT; disorder-based training, CAMHS awareness) Opportunities for networking and cluster meetings Supported by a web forum, hosted by the Children’s Trust website in Sunderland

TaMHS Peer mentoring School-based counselling Development of therapeutic spaces Training – SCAMHP, FRIENDS, CBT Whole class dinosaur programme Parenting groups

Challenges Time Engagement Understanding Stigma Scale

Outcomes Development of Community CAMHS will enable us to: Access children with mental health needs who would not normally be reached Help others to identify children’s mental health difficulties earlier

Outcomes Lead to more appropriate referrals Facilitate multi-agency intervention to meet need and promote the mental health of children and young people in Sunderland

Overall Outcome Enable us to deliver improvements in children and young people’s psychological wellbeing

References Together We Stand, Health Advisory Service, 1995 National Service Framework, (Standard 9) 2004 Effective Joint Working Between CAMHS and Schools, Bridgett Pettitt Mental Health Foundation Research Brief,DFES Publications 2003 Children in Mind (CAMHS), Audit Commission 1999 Bright Futures:Promoting Children and Young Peoples Mental Health, Mental Health Foundation 1999 Murray, Cooper and Stein. Postnatal depression and infant development 1991

Contacts Sunderland Community CAMHS