Children’s Mental Health | NCASC 2014 Children and Young People’s Mental Health and Well-being A Local Perspective Alison O’Sullivan Director of Children’s Services, Kirklees Vice President, ADCS

Facts and Figures… With thanks to NHS England for following slides

Impact of mental disorder: Most lifetime mental disorder arises early adulthood Age of onset of lifetime mental illness – predates subsequent illness by several decades Source: Kim-Cohen et al, 2003; Kessler et al, 2005; Kessler et al, 2007

Mental health problems are the greatest health problem faced by children and young people

% With anxiety or diagnosable depression not in contact with mental health services Source: Ford et al. (2005) Child & Adol Ment Health, 10:2-9 Dean et al., (2004) DoH; McCrone et al., (2008) King’s Fund 80% 70% 60% 50% 40% 30% 20% Adults with depression 5-15 year olds Percentage unknown to any service 35%76%

Number of under 20 young people per 11Pspecialist in child mental health Source PEDRINI ET AL., (2012) ; LEVAY ET AL., (2004); WHO MENTAL HEALTH ATLAS (2005) NUMBER OF UNDER 20 YEAR OLDS SWITZERLAND 0 FINLAND 30,000 5,300 FRANCE UK 6,000 7,500 30,000 20,000 10,000 5,000 15,000 25,000 No of under 20 year olds per CAMHS medical specialist With permission P Fonagy

Biggest Barriers Commissioning fragmentation – ‘shared’ responsibility Professional preciousness – commissioners and providers Low status – low priority – stigma Disinvestment – overall funding level Inconsistent use of best practice Child perspective and voice not heard Children’s Mental Health | NCASC 2014 Only 6% of current spending on mental health goes to services aimed at children and young people Kennedy, 2010

Potential Case Studies Children’s Mental Health | NCASC 2014

Solutions – what? National leadership across the system Policy and some National design Standards and clear measurement of outcomes Coherent collaborative commissioning Voice of the child Children’s Mental Health | NCASC 2014

Solutions – how? Make visible and own poor starting point Really cut through silos Face the ‘demons’ Recognise it’s a journey Create and apply leadership Evidence-based practice has substantial clinical & cost benefits Little & Edovald, 2012; Suhrcke, Puillas & Selai, 2008 Children’s Mental Health | NCASC 2014