Mental Health Conference 2018

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1 Mental Health Conference 2018 Children and young people s mental health Landing prevention - smoothing demand Prof Dame Sue Bailey, Chair, Children & Young People s Mental Health Coalition Conflicts of interest /loyalty: Senior Clinical Advisor to Health Education England For Mental Health External Advisor to Minister of Health and Social Care - Review of CAMHS Wales

2 The Children and Young People s Mental Health Coalition We work with over 190 organisations to campaign and influence policy, with and on behalf of children and young people in relation to their mental health and wellbeing. Proud to be hosted by Centre for Mental Health

3 Supported by:

4 Our Steering Group Members are:

5 What We Do Strong unified voice telling Government national & local - when things aren t working Give a voice to smaller as well as larger organisations Act as a critical friend - work with Government Don t represent any particular organisation, approach or professional body Collate views from wide range of stakeholders including young people cover the whole system Connect up people via and beyond our network Solution focused - evidence based and values based Working in England, we are keen to make links across the UK and internationally

6 Our Priorities Whole System Approach - prevention specialist provision CYP MH system for all children and young people, aged 0 to 25 Role of Educational Settings in Supporting Mental Health Any educational setting pre-school to university Inequalities Variation in provision, Vulnerable groups e.g. CYP with LD and Mental Health Problems

7 Mental Health

8 Politics From the Positive Changes Series by Sefton Youth Voice and photographer Colin McPherson 2017

9 What we need Good Policy for Health (Sen 2010) is required Policy across all areas needs to be aligned to promote health Example: 3 key principles for improving CYP MH in schools an colleges School performance performance measures that are toxic

10 Policy and Politics We need an approach that includes and addresses the needs of 0-25 year olds. This should prioritise: Prevention of MH problems among infants, children, young people and families is essential if we are ever to reduce demand. This includes a universal, as well as a targeted approach for those living with and in the most challenging circumstances. Prevention should also be at the heart of providing mental health interventions to those in need by ensuring prompt and easy to access help and good quality step down care

11 Policy and Politics A re-balancing of current and future investment in favour of early intervention. We need bolder approaches to moving funding towards accessible, high quality, person-centred, early intervention in local community, including education settings. It means integrating NHS staff in other settings, as well as commissioning the VCS to deliver services. It also includes more joint commissioning with schools and local authorities.

12 Policy and Politics Everyone having the qualities, skills and confidence to recognise and address the mental health needs of infants, children and young people - We need an overarching workforce plan that includes not just NHS staff roles, but anyone who works directly with ICYPF. It must also recognise and include parents/carers and peer support. Workforce shortages could be eased by employing a more diverse range of therapeutically trained staff in NHS-funded services. We have an underused workforce of counsellors, creative and play therapists. Diversifying the workforce needs to be underpinned by a nationally agreed competency framework to allow better understanding of how different roles, training and qualification routes work together in the best interests on ICYPF.

13 What s on the table Continued implementation of FYFFV (especially as it impacts on vulnerable groups) Implementation of the CYP mental health green paper When will we have findings from the new prevalence study so we can support intelligent modelling of future CYPMHC systems across sector provision Helping to shape the ten year plan When will we see the adult social care consultation and what relevance will it be to CYPMH At transitions And where families are living with and in adversity

14

15 Rights Based Approach What the coalition and CYP want Justice for Children and Families FAIRNESS A fair distribution of resources and burdens within communities so that every child and family gets the best possible chance to develop their potential PROTECTION Resources for families, neighbourhoods, schools and other agencies to help them protect and encourage their children alongside the means to intervene when these layers of protection fail AUTONOMY Encouraging children s voice and participation making it a level commensurate with their maturity This aligns with VALUES BASED PRACTICE Choosing Wisely UK and shared decision making

16 Mental Health Adverse Childhood Experiences 1 in 3 diagnosed mental health conditions in adulthood are known to directly relate to adverse childhood experiences

17 Addressing Adversity YoungMinds ADDRESSING ADVERSITY - Prioritising adversity and trauma-informed care for children and young people in England YoungMinds, HEE (2018) Ed. Dr Marc Bush, Fw: Sarah Brennan OBE

18 ADDRESSING ADVERSITY - Prioritising adversity and trauma-informed care for children and young people in England YoungMinds, HEE (2018) Ed. Dr Marc Bush, Fw: Sarah Brennan OBE

19 ADDRESSING ADVERSITY - Prioritising adversity and trauma-informed care for children and young people in England YoungMinds, HEE (2018) Ed. Dr Marc Bush, Fw: Sarah Brennan OBE

20 ADDRESSING ADVERSITY - Prioritising adversity and trauma-informed care for children and young people in England YoungMinds, HEE (2018) Ed. Dr Marc Bush, Fw: Sarah Brennan OBE

21 ADDRESSING ADVERSITY - Prioritising adversity and trauma-informed care for children and young people in England YoungMinds, HEE (2018) Ed. Dr Marc Bush, Fw: Sarah Brennan OBE

22 ADDRESSING ADVERSITY - Prioritising adversity and trauma-informed care for children and young people in England YoungMinds, HEE (2018) Ed. Dr Marc Bush, Fw: Sarah Brennan OBE

23 ADDRESSING ADVERSITY - Prioritising adversity and trauma-informed care for children and young people in England YoungMinds, HEE (2018) Ed. Dr Marc Bush, Fw: Sarah Brennan OBE

24 Media From the Positive Changes Series, by Sefton Youth Voice and photographer Colin McPherson, 2017

25 Role Model From Positive Changes Series, by New Beginnings LGBTQ+ group and photographer Colin McPherson 2017

26 Time to end the MIND-BODY dualism Social Determinants of Child Health (Donkin 2018) Health inequalities cannot be attributed simply to genetic makeup, bad unhealthy behaviour, or difficulties in access to medical care. SOLUTION Giving every child the best possible start in life. Why? inequalities are evident at early stages, inequalities accumulate Common causes of mortality and poor health & associated social determinants Birth weight Cancer Obesity Mental Health Oral Health

27 Forward Thinking: Social Identity Approach to Health Care The New Psychology of Health Unlocking the Social Cure (Haslam et all, 2018)

28 What should ICYP expect of us (they don't want or expect the world) Network positivity Collective wisdom of groups The journey we need to take Engagement (commitment and attachment) o Dialogue o Listening o Co-construction o Across all networks This will always involve compromise, not one part of the system has THE answer. In order to do this we need to feel the fear and do it anyway

29 The Journey to Security of Mind The future of society lies with how we empower and support young people to be the adults of 2035 equipped mental health and wellbeing From Positive Changes Series, by New Beginnings LGBTQ+ group and photographer Colin McPherson 2017

30 References Photos by Sefton Youth Voice and photographer Colin McPherson, ,000 Children: a model for local commissioners, Centre for Mental Health (2017) Addressing Adversity - Young Minds and HEE, Ed. Marc Bush (2018) Chapter 3, The Social Determinants of Health, Donkin A. Cambridge Medicine (2018) The New Psychology of Health, Unlocking the Social Cure Haslam et al (2018) MindEd e-learning Programmes - and

31 Thank you for listening Courtesy of For further information: Contact:

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