Place2Be in the Inner City A school based mental health service Association for Research in Infant and Child Development Dr Stephen Adams-Langley, Place2Be 9 th November 2012

About Place2Be Who we are National award-winning charity Established in 1994 Improving children’s mental health and wellbeing What we do School Based Counselling Advice and Support for school / community based professionals Training and Capacity Building Where we work 20 areas across UK 58,000 children in schools Additional 20,000 children reached through training

Where to find Place2Be Scotland Edinburgh 2,400 children East Lothian 1,300 children Glasgow 630 children Wales Cardiff 2,000 children North East Northumberland 2,900 children County Durham 2,800 children Leeds 2,800 children North West & Midlands East Lancashire 1,700 children Greater Manchester 2,200 children Nottingham 2,500 children South East Harlow 2,000 children Medway 3,300 children London Brent 6,000 children Croydon 3,500 children Ealing 4,300 children Enfield 5,000 children Greenwich 2,500 children Shoreditch 2,500 children Southwark 2,500 children Wandsworth 3,500 children

Why Place2Be is needed Over 1 million children in the UK have a mental health problem Nearly half of young people with mental health problems drop out of full time education by age 15 Over 90% of young offenders had a mental health problem in childhood 1 in 6 adults have a mental health problem The World Health Organisation predicts that depression will be the 2nd largest killer of all parents by 2020

Place2Be - Area-Wide Solution Flexible, tailored and cost-effective menu for schools Peer Mentoring Training Empowering and enabling young people Place2Be Foundation Course Training for the local community Bespoke training programme School cluster groups 18 months Safeguarding Support Advice and guidance for schools Themed seminars School staff and other professional groups A Place for Counsellors Support for 1 day per week Parent and Early Years Work Dedicated therapeutic support for parents and carers Place2Be school-based service days per week The Place2Be Hub Advice and support services School-based services Training and capacity building Key Place2Think for school staff Advice and support Training courses for schools and communities MDS, LMs, TAs

School Based Services Place2Be School-Based Model Dedicated team of on-site counsellors providing services to the whole school community Parent and Early Years Work Specialist counselling service for parents and carers based in Schools and Children’s Centres A Place for Counsellors 1-day model for small primary schools (200 pupils or less)

Advice and Support Services Place2Think Specialist consultation and advice for schools Themed Seminars Series of open access seminars for Head teachers and school staff Safeguarding support Advice for school-based professionals

Training and Capacity Building Introductory and Accredited Training 1 day workshops CPD sessions 2-6 day courses (OCNLR Accredited) Professional Qualifications Progression route to becoming a Children’s Counsellor Foundation Course (OCNLR Accredited) Place2Be’s Diploma and Masters programmes (UEL / BACP Accredited)

Contribute to success in schools Emotional resilience in the school community In 10/11, over 2,800 children accessed individual therapeutic interventions and 1,050 children received group counselling support in Place2Be schools In 10/11, 21,755 children (36% of the school roll) accessed the self-referral service in Place2Be schools

Contribute to success in schools A happy child has the headspace to learn 64% of children of children referred were underachieving in Reading; after Place2Be intervention, 81% of these improved by at least two National Curriculum sub levels (National sample study, The Place2Be, 2011) 47% of referred children had significant difficulties affecting their learning in the classroom; of these, 60% had a reduced interference on their classroom learning after intervention (The Place2Be 2010/11 SDQ statistics; Teacher report)

Outcomes and Impact Percentage of children who showed improvement post-intervention 2005/ /10

Outcomes and Impact 2009/10 One-to-One Service Improvements in child’s wellbeing reported by - 74% of parents - 71% of children - 65% of teachers Learning and Attainment 95% of children improved in one or more subjects Supporting the whole school 95% of Head teachers say we have ‘improved their school environment.’ Supporting Parents and carers 96% of parents reported increases in their wellbeing, confidence and social functioning

Contributing to Public Policy Education Improving attainment, behaviour, discipline, aspiration Enabling high quality teaching and leadership Public Health Tackling health inequalities by improving access to services Delivering better health outcomes by intervening early Mental Health Reducing stigma and discrimination Providing positive care/support experiences, leading to recovery

Cost Efficiency and Savings Business Impact Analysis Evaluate the cost-effectiveness of our work Determine our unit costs Assess the social return on investment Cost-effectiveness of Place2Be Place2Be costs 41% less than most comparable statutory support service Cost-savings to society £1 invested in Place2Be yields £6 cost saving to society Each exclusion costs society £64,000 Adult Mental Health problems cost UK economy £105 billion per year

Place2Be Room Sole use by Place2Be Rationale – Boundaries Securities Consistency Status with children and school professional Reparative space for children experiencing unreliable, chaotic parents/carers Sole use based on unsatisfactory experience Schools need to learn about the complementary possibilities of therapy and benefits to child, parent and teacher

Reaching the Hard to Reach Parents can have legitimate reasons for avoidance Newly arrived in the UK Fearful of authority or professional intrusion “Family business” is not to be shared or revealed Issues of substance misuse, criminality, domestic abuse, mental health problems Literacy issues and “shame” Family “secrets” Anxiety about their child being monitored or removed

The Therapist in the Rain High thresholds in statutory clinics No follow up policy Quiet tenacity Loss of professional comfort Inner-city stats - 4 missed appointments until engagement on the 5 th Non-blaming approach Use of text as a reminder Sensitivity to descriptions and language used about clinical interventions

Reaching the Hard to Reach Parents Must have written consent for clinical work Assessment data, Goodman SDQ’s Base line targets pre and post intervention parent/child/teacher Imperative to measure clinical impact and effectiveness Clinically effective to engage the parents and the teacher Place2Be as a flexible systemic model

Awards and recognition: highlights The Mental Health Awards Department of Health Voluntary Sector Award Winner of The Guardian Charity Award 2000 Highly Commended by Mental Health Europe - the European Regional Council of the World Federation for Mental Health Liveable City Awards 2005 Winner ‘Access to goods and services for disadvantaged communities’ Beacon Fellowship In 2004 our Chief Executive, Benita Refson, was short-listed for a Beacon Prize in the category of Leadership (awarded to Bob Geldof). Benita was shortlisted again in 2005 and In 2010 Benita received the Beacon Judges’ Special Prize for Philanthropic Achievements Charity Awards 2006 – Highly Commended ‘Research, Advice and Support’ Children and Young People’s Services Awards finalist for the Wellbeing Award OBE for Benita Refson In 2007 Benita was awarded OBE as founder of Place2Be for ‘Services to Children and Families’ Independent on Sunday Happy List 2008 Benita Refson features in the top 100 on the Independent's Happy List of people who make Britain a better and a happier place to live. Category of Excellence: Mental Wellbeing The Charity Awards 2010 Highly Commended ‘Education and Training’ Public Health Wales 2011 – Winner ‘National Good Practice Award’ Also that year, the three Cardiff primary schools to receive Healthy School Awards in the Mental Health and Emotional Wellbeing category all invest in Place2Be service. The Private Equity Foundation Awards 2012 Winner ‘Charity of the Year’

Contact Stephen Adams-Langley Place2Be Angel Gate 326 City Road London, EC1V 2PT