1. Creating a wellness service for children and young people in Ayrshire and Arran: Cluster Modelling in schools and communities – Kilwinning
Tommy Stevenson – Senior Manager CAMHS and CEDS
Kerry Allison – Improvement Advisor
Linzie Sloan – Depute Head Teacher Kilwinning Academy

2. Whole System Model of Mental Health Support
Developing a fully integrated approach aligning specialist CAMHS teams
Developing initiatives in partnership with schools and other parts of the community
Influencing, managing and changing the demand
Head Teachers and local primary care professionals will be critical partners in the wellness model

3. Background
Unprecedented increase in the mental and emotional health needs of children and young people
Evidence across Scotland has identified in both primary and secondary schools a reported increase in stress, anxiety, depression, low mood and self harm
Need to develop integrated sustainable models of support
Huge financial pressures across the public sector
Solutions can only be done in partnership with a wide variety of stakeholders
Changing landscape built on integration and strategic alignment

4. Strategic Drivers
Curriculum for Excellence - nurture learning through health and wellbeing
The Children and Young People (Scotland ) Act GIRFEC
Scottish Mental Health Strategy - preventative and early intervention approaches
North Ayrshire Health and Social Care Draft Strategic Plan

5. Governance
Report directly to the Children’s Strategic Implementation Board (CSIB) North Ayrshire jointly chaired by Education and Health and Social Care Partnership Children’s Services
Additional reporting to Integrated Joint Board (IJB) and NHS Ayrshire and Arran
Reporting to the Pan-Ayrshire Mental Health Change Programme Board

6. Sustainability Local, adaptable service redesign and development
Lessons learned to spread to other localities in North Ayrshire
No exit strategy for this work
Reshaping priorities within the partnership – evidenced if potential investment should it arise in the future

7. How the work has been progressed
Using the Model for Improvement
Measuring as we go
Driver Diagram
Strategic Direction

8. Access & Pathways – work stream 1
Mapped out existing wellbeing services in the Kilwinning locality - poster produced for GP’s to have on their walls
Piloting GP’s using SCI Gateway to refer to Named Person Service for most appropriate wellbeing service

9. Data Sharing – Work stream 2

10. Wellbeing Issues facing Kilwinning Academy
Low level anxiety
Significant social anxiety
Low mood / variable mood / Substance misuse
Internet addiction
Depression
Self-harm
Suicidal ideation

11. The associated impact on young people within a classroom setting is:-
Reduced levels of attainment and achievement
Challenging behaviours
Relationship issues
High levels of stress
Shame / Guilt and reduced participation
The need for immediate professional assessment / intervention

12. Kilwinning Wellness Model
Improved communication with CAMHS and School
Named CAMHS clinicians identified for schools
Data sharing
Regular meetings with a variety of agencies
Common goals
Identifying services that schools could suggest before referring to CAMHS
Testing new referral process with GP’s referring through SCI Gateway to Named Person Service