Making the difference. in

Transcription

1 Making the difference in

2 Introduction Our purpose at YoungMinds is to champion the mental health needs of children and young people. This means the right help early on when mental health or emotional problems emerge. It also means the right environment to build emotional wellbeing and emotional resilience so that young people can cope and withstand the knocks that happen to all of us in life. For this reason, building emotional resilience is our priority objective Our vision and mission Giving practical help Influencing for change Working hand in hand I believe we have the opportunity to really push forward to raise and embed awareness about children and young people s mental health at the moment. More people appreciate that building emotional resilience in children and young people helps all aspects of their development and future life outcomes whether that is educational attainment, their physical development and health, or their relationships and their ability to cope with what life throws at them. Our Strategic Plan captures this opportunity by building our training and consultancy, Parents Helpline, high profile policy influencing programme and successful youth engagement work. Through BOND (Better Outcomes, New Delivery) I have repeatedly seen the power of external specialists facilitating shared learning, reflection and commissioning planning around children and young people s mental health and emotional resilience. Limited resources forces the need for new ways of working which can have very positive results. We are committed to continuing to support local areas and professionals develop their responses to youth mental health. We also plan to galvanise the energy of our existing and new Young Activists as they lead a new campaign, Reaching Out to Achieve Resilience, Charter for Change. We aim to have over 50,000 children, young people, parents and organisations joining and promoting the Charter, embedding young people s engagement in all aspects of service development and ensuring that everyone who is concerned about the welfare of children and young people recognises the importance of emotional resilience whether that is in school, nursery, youth clubs or healthcare. Finances

3 Our vision and mission WHAT we do WHO we support WHERE our impact is felt Our vision YoungMinds vision is of a society which is active in building the emotional resilience of children and young people, and which responds caringly and effectively when necessary so that we create emotionally strong, healthy, contributing and independent adults, families and communities. Our mission Improve the emotional resilience and mental health of children and young people throughout the UK by informing and actively engaging with children, young people, parents, policymakers and professionals. We inform, influence, train, give practical help and work hand in hand. HOW we deliver our mission Giving practical help Activities Parents Helpline YoungMinds website Training Briefings and publications Influencing for change Activities Young campaigners Policy and research Online and offline media Campaigns Working hand in hand Activities YoungMinds in Schools Youth engagement Consultancy and service development BOND We help children, young people, parents, carers, professionals, commissioners and voluntary sector. Our impact is felt locally, regionally and nationally in schools, homes, workplaces, services and government. Beneficiaries Parents and carers Children, young people, parents and professionals Professionals Voluntary and Community Sector Organisations (VCSO) Beneficiaries Professionals, SENCO s and headteachers CAMHS, politicians and policy makers Commissioners, clinicians, practitioners, and service providers The wider public Beneficiaries Teachers, pupils and parents Children and young people Professionals and services Commissioners, VCSO s and professionals Page Page Page

4 Giving practical help...to parents How we help 9,274 people contacted the helpline this year, that s 3 times as many as in webchats Parents turn to YoungMinds for help when they are worried about the behaviour or emotional problems of their children or teenagers. We help with telephone, online and printed information and practical advice highly valued by parents. Demand to our online help has continued to increase year on year. 167,220 people visited the Parents section of our website to access free information and support. Parents try their utmost to help their children, but many find the systems and services confusing or hard to access. 2,326 call backs Thank you for the great advice and support. You are the first people who are on my side. Parent of Abby (aged 13) 1 Anxiety 2 Disruptive behaviour 3 Depression 4 Self-harm 55.6% years 7.1% years Parents say that our helpline and clinical support helps them manage behaviour, is reassuring and advises them on getting the best help for their child. With many services under pressure, and the difficulties mounting for children and young people, YoungMinds Parents Helpline is needed more than ever. The number of calls regarding safeguarding or children at risk have been significant this year and is of particular concern. 5 Behaviour management All the best and thanks again for offering such an amazing service, Our online and telephone help gives parents and carers: YoungMinds provides a real lifeline and has helped me to think clearly 9.8% 27.5% at a time when lots of emotions 0 5 years 6 11 years were swimming around in my head. the ability to understand their child s behaviour tailored information about their specific concerns an in depth understanding and skills to effectively negotiate the help that is available practical and clinical steps to move forward. In March 2015 funding for the Parents Helpline from the Department for Education (DfE) ends. This unique national service is cost effective, practical and provides critical rapid response support for parents and families, so we are exploring a range of funding opportunities to secure its long term future

5 Giving practical help...to professionals Training to increase knowledge, understanding, skills and abilities On behalf of the paid and voluntary staff, I would say this was one of our most valuable trainings to date and I would have no hesitation in booking further relevant courses with YoungMinds. I would most definitely recommend YoungMinds as a training provider and would be happy to commission them to deliver training in the future. Training Co-ordinator, Eastern Childcare Partnership Health and Social Care Board We provide professionals with a range of effective tools and techniques through our training. We enable practitioners across all fields of children s services to increase their skills and understanding as well as develop their confidence in taking positive action to meet young people s emotional wellbeing and mental health needs. We achieve this by developing our training informed by the latest research, the experiences of professionals and young people with mental health problems as experts by experience. This year YoungMinds invested in a new post, the Training Development Co-ordinator, to support the review, improvement and development of our training offer and the range of professionals able to benefit from our services. The Training Business Plan was approved in March and will be implemented throughout 2013/14. Early indications are that delegates value the development and increased access to YoungMind s courses. Manager, Link Health and Social Care Board In total 1,096 participants have benefited from 46 courses The range of training courses delivered in the year include: Self-Harm Adolescent Mental Health Mental Health in Younger Children Introduction to Children s Mental Health Risk and Resilience Participation Autistic Spectrum Disorders Sexuality and Gender Dysphoria Parental Mental Illness and the Impact on Children Young Offenders and Mental Health Mental Health Needs of Young People from BME Communities. I would recommend this course as compulsory for social workers. This course would impact social work practices positively. Foster Carer on the Adolescent Mental Health course, January 2013 Very good balance between factual information and ideas/resources of how to address and support young people with mental health issues in school. Education Professional, March

6 Giving practical help...to professionals Consultancy Conference YoungMinds supported Somerset Child and Adolescent Mental Health Services (CAMHS) over two years to develop participation. The methods we used were a combination of consultation with children and young people, training for practitioners and consultancy support to the management team. You have encouraged staff to think about the barriers to service user participation but also to begin to think about solutions. This has provided insight and focus for the user involvement steering group that we have established as a result of your work with us. Your depth of knowledge about developing service user participation in CAMHS has been invaluable to us in developing our own strategy. As a result of your support work we have employed a service user participation worker, we have set up a steering group for this work, we have a strategy and action plan and some very enthusiastic staff! Sue Pearson, Team Manager, Somerset CAMHS We held a very successful conference in Westminster jointly with ACAMH (Association of Child and Adolescent Mental Health) entitled Young people in the Internet Wilderness: A Psychological Timebomb? The purpose of the conference was to advance the knowledge of CAMHS professionals about the potential benefits and risks around young people and the internet. Speakers included The Deputy Children s Commissioner and Childnet International. We are seeing an increase in interest and concern around this issue and its effects on children and young people s emotional wellbeing. YoungMinds plans to carry out an enquiry into this subject over the next two years to establish a firm knowledge base from which ideas and innovation can spring. Following the development of our new curriculum we were delighted to be invited to deliver a major programme of training and development for the children s workforce in Cumbria. The programme will commence in September

7 Giving practical help...online YoungMinds website Our website is a vital resource for information, help and advice for children and young people, parents, carers and professionals alike. The revised website was completed in July, since then we have seen a steady month by month increase in visitors Unique visitors 273,023 Visits 358,436 Page views 1,324,813 An increase of 141% unique visitors 147% visits 135% page views Unique visitors 658,652 Visits 864,198 Page views 3,116,454 Social media The purpose of our social media presence is to engage with and communicate with our various audiences and stakeholders, raise awareness of our work and acknowledge the amazing work of our fundraisers. Again the last year has seen an incredible increase in the number of people engaging with us online. An increase of 9,249 new followers April ,976 followers 16,225 followers An increase of 1,364 new likes April 2012 March 2013 March likes 2,294 likes What s up YoungMinds is currently working in partnership with the CAMHS Evidence Based Practice Unit (EBPU) on an exciting new online project funded by the DfE. What s up is designed to provide schools with a secure interactive web-portal and support platform (for pupils and staff) to give the most vulnerable young people with significant emotional or behavioural difficulties access to targeted mental health support. The project focuses on secondary pupils (11 16) and is currently being piloted with a number of schools and youth centres. Medfacts We are currently developing a website for young people funded by the Innovation Labs Project backed by Comic Relief, The Nominet Trust and The Paul Hamlyn Foundation. The purpose is to improve young peoples understanding of medications commonly prescribed for mental health problems. The website will provide comprehensive, trustworthy information about mental health medication including clinical information and answers to young peoples concerns.. To date we have conducted several focus groups with young people, online surveys and formed an expert reference group including Geraldine Strathdee (National Clinical Director for Mental Health), Professor Theo Rayner (Professor of Pharmacy Practice, Leeds University) and Dr Jane Roberts (Royal College of GPs Clinical Champion for Mental Health). We have brought together young people and professionals to talk about their views at the start of this exciting project. The website is currently planned to launch in February 2014 and aims to have 125,000 unique users in the first year

8 Influencing for change Youth engagement and young campaigners YoungMinds is a trailblazer in children and young people s engagement in developing mental health services and has been central in changing the culture in a huge number of mental health services to one that is more open, responsive and accessible. Over the past four years we have enabled young people to influence policy and practice at national, regional and local level using their expertise gained through their personal experience of mental health problems. Our youth engagement work includes: Young website moderators, bloggers and tweeters Online idea sharing, surveys and discussions with young people Focus groups and one-to-one interviews on specific issues or developments Co-production of resources and campaigns Supporting young people and their families in the media and speaking at conferences Young facilitators for workshops and training Development of curriculum content for training of professionals Youth advisory group development for services, commissioners and local authorities Supporting young people s involvement in research Work locally, regionally and nationally in partnership with other agencies. VIK (Very Important Kids) Project VIK our flagship youth engagement project ran from April 2009 to March During its life 5,385 young people changed how mental health services are run and how young people are viewed and treated in CAMHS. VIK trained 386 CAMH services up and down the country thus impacting the lives of at least 30,000 children and young people who access these services. Through VIK, hundreds, if not thousands more young people took their message on air, online and in print creating great momentum and appetite for change. Many CAMH services across the country have started their own participation and youth advisory groups. It is now accepted in research, training and policy that young people s input will improve their services and more importantly outcomes. YoungMinds youth engagement work has been pivotal in many areas. The Department of Health commissioned us to support both the participation of young people in the government s Children and Young People s Increased Access to Psychological Therapies (CYP IAPT) and also to support CAMHS to enable young people to influence their services design as well as their own treatment pathway. My CAMHS Through facilitating a number of workshops and a young people s steering group we are delighted that a website providing young people with information about talking therapies has progressed to near completion. YoungMinds has worked in partnership with young people with direct experience of CAMHS, Off the Record in Bristol and the EBPU to design and build this resource. Shared Decision Making in CAMHS This project in partnership with the EBPU aims to close the gap between current practice and the rhetoric of user participation. The purpose is to ensure young people become active participants in their treatment pathway by developing and promoting models of shared decision making between the clinician and young person. U Promise In partnership with the EBPU and Hertfordshire CAMHS, YoungMinds is developing training for children and young people s mental health professionals to use patient reported outcome measures (PROM s). Reaching Out to Achieve Resilience is the next phase of youth engagement and is going to be huge. It will be built on YoungMinds social media and online juggernaut. Headlines will be: 5,000 young people will construct a bold national charter to improve children and young people s mental health and wellbeing. 50,000 young people and organisations will sign up to support the national campaign and its demands for change. 1,500 young activists doing everything from delivering training to healthcare and childcare professionals, to running local task groups. 150 young people will serve on local NHS commissioning boards, where they can directly influence how local mental health services are run. 150 young media champions blogging, facebooking, tweeting, appearing in national press on air and in print, marshalling anyone and all to the cause

9 Influencing for change Policy and research Influencing the Government Policy Agenda Self-harm research YoungMinds continues to be centrally involved in developing government policy and guidelines through: The Ministerial Advisory Group on the Mental Health Strategy The Children and Young People s Health Outcomes Forum The Children and Young Peoples Improving Access to Psychological Therapies (IAPT) Reference Steering Group The Joint Commissioning Panel (JCP) The Children and Young People s Mental Health Coalition Consultation responses, advice and consultation with a range of think tanks including The Centre for Social Justice, IPPR and Centre Forum. In partnership with the Cello Group, YoungMinds carried out a survey of 2,500 young people, parents, teachers and GPs about their concerns and attitudes to self-harm. The purpose was to help parents, young people, teachers and GPs understand more about self-harm, raise awareness, confront stigma and challenge perceptions. The results of our survey and report Talking Self-Harm were launched at a high profile event hosted by Clare Perry MP in front of a 200 strong audience at the House of Commons and was a lead story on BBC1 Breakfast, BBC Radio 1 Newsbeat and Radio 5 Live. YoungMinds contributes to other campaigns, policy work and guidance and we are members of the NCB Policy Influencing Group, The Children s Charities Coalition for Internet Safety and The T2A Alliance. Freedom of Information on cuts When I see young people self-harming I feel concerned and also uncomfortable. I am worried that I will not be able to help much. YoungMinds has carried out a Freedom of Information request (FOI) for the past two years in an attempt to monitor the impact of financial cuts and efficiency savings on CAMHS. The FOI request was sent to every local authority, health trust and PCT and the returns analysed. We established that it is a very complex picture and often trusts and local authorities cannot identify what exactly the CAMHS budget is! However, it has been possible to confirm that two thirds of the local authorities that provided us with information had reduced their CAMHS budget, some very significantly i.e % since A GP Young Offenders We partnered with The Prison Reform Trust to produce a report Turning young lives around which examined how health and justice services can respond to children with mental health problems and learning difficulties who offend. It was launched in February 2013 and is currently being utilised by new NHS structures to improve services to young offenders under 18. I did an interview for BBC Breakfast, it was a massive step for me broadcasting that I self-harm and talking about why people do it to all of the UK. Viewers ed in saying how impressed they were with my honesty. One man stated that he had completely altered his view on self-harm and no longer saw it as attention seeking. I genuinely believe that I achieved something amazing with that. Grace, a young person working with YoungMinds Young Offenders and their mental health needs Developed in partnership with City University, Transition 2 Adulthood Alliance and Barrow Cadbury, we have carried out a research study on the links between mental health and offending with 60 professionals and young offenders. The report will be released in autumn As a result of this work we are developing a much needed training package for professionals working in this area

10 Working hand in hand...with schools YoungMinds in Schools (YMiS) YMiS set out to pilot an approach to improve emotional wellbeing and learning for children and to build capacity for schools to take a whole school approach to emotional wellbeing. We delivered training to staff in 17 schools in 4 geographical clusters. We knew how emotionally distressed the children were but didn t know how to help them. YoungMinds gave us the tools, skills and ideas on how to help. The Senior Leadership Team (SLT) in each school were offered training in attachment, neuroscience and learning and perspectives on behaviour and then supported to cascade this to their whole staff team (around 1,000 staff in total). 50 staff were also trained to use either Therapeutic Story Writing or Story Links to support children with behaviour, emotional or social difficulties. The evaluation of the project was very positive and participating schools would encourage others to take part in similar programmes. Reported outcomes from the pilot have included increased emotional literacy of the children, a calmer atmosphere in the classrooms encouraging better learning, as well as improved learning outcomes and avoidance of exclusion for children receiving specific interventions. A number of new training courses have been created as well as a framework and a free online toolkit to further support schools in this key area. One of the cluster areas has subsequently commissioned YoungMinds to extend the work to a further group of 10 schools, and we will be delivering Therapeutic Story Writing and mental health awareness training to 50 schools across Haringey in 2013/14. There has been a 200% increase in training provided to schools since the start of the programme and demand continues to grow

11 Working hand in hand...with local systems BOND (Better Outcomes through New Delivery) BOND is a consortium of eight organisations led by YoungMinds. The purpose is to build the capacity of the voluntary sector to deliver early intervention mental health services. To achieve this we are working with commissioners, children s services and schools as well as voluntary sector organisations. BOND has worked directly with... over 30 health and education commissioners 18 headteachers representing 88 schools voluntary and community organisations Across the 5 pilot areas of Tees Valley, Liverpool, Knowsley and Sefton, Cambridgeshire, Staffordshire and South West London BOND is developing the role of Voluntary and Community Sector Organisations (VCSO) in the delivery of early intervention mental health support for children and young people. The 8 BOND Consortium members have used their knowledge and expertise to create measurable change across the whole local system of mental health support for children and young people. This has been delivered through a mixture of workshops, bespoke learning groups, communities of learning and practice and one-to-one support. BOND has made a difference... Nationally Three new resources to support commissioners and the VCSO s in practical commissioning and collaboration. A Learning from Practice Review that examines the case for and examples of good commissioning. ACE-V changing the way that mental health providers can evidence their achievements and ability to deliver outcome based commissioned services. Locally The impact has been different in each area, relating closely to the needs identified by partners during the diagnostic phase of each pilot. A total of 275,000 new investment in the VCS in Tees Valley to deliver services in schools and continue the work of BOND that started in April new consortia models implemented in Liverpool, Middlesbrough and Sutton to create a route for commissioning a range of VCS services together with improving quality and availability of services. VCS involvement in developing service and tender specifications in Cambridgeshire with the opportunity to compete for a new 60k contract. As BOND enters its final year of DfE funding we have a very full 10 months activity planned. We will provide in-depth support to 3 further pilot sites and run master classes for voluntary organisations working with schools, providing youth counselling, and those meeting the needs of vulnerable or easy to ignore groups. In the autumn our evaluation, supervised by Manchester University, will be completed and plans for a mini-bond offer will be circulated. In response to interest from several local authorities, health trusts and Clinical Commissioning Groups (CCG s) for BOND type involvement and support, we will explore the option of offering a sustainable and cost-effective fee paying service to ensure the BOND learning is not lost. All the information that has been gained to date will remain on the YoungMinds website and be updated as resources allow. BOND has given schools a chance to consider the mental health needs of their pupils whilst building relationships with commissioners and providers. Headteacher, Rye Hills School 20 21

12 Finance Thank you Income Donations 540,172 16% Training and development 48,792 1% Membership and publications 80,351 2% Other 65,908 2% Total income 3,371, % Expenditure Training and development 13,731 1% Membership and publications 73,025 3% Parents Helpline 384,004 18% Youth engagement projects 787,995 35% Support for professionals and organisations 744,028 34% Policy, information and research 9,362 1% Marketing and fundraising 153,938 7% Governance 12,995 1% Total expenditure 2,179, % Balance of reserves at end of year 1,633,545 Restricted 808,496 Unrestricted 545,049 Designated 280,000 YoungMinds extends its heartfelt thanks to all our funders including the Government, trusts, foundations, corporate partners, individual donors and of course our army of enthusiastic fundraisers, without whom we would not be able to continue our vital work

13 PARENTS HELPLINE youngminds.org.uk Mon Fri 9.30am 4pm T F Parents Helpline YoungMinds Suite 11 Baden Place, Crosby Row, London SE1 1YW ymenquiries@youngminds.org.uk Registered charity number: Company limited by guarantee number: OSCR number: SC039700