Table of Contents A Improving CYP’s emotional and mental health A.1 National context A.2 Local context A.3 Commissioning EHWB support 3 5 8 B Estimating prevalence of emotional and mental ill-health B.1 Local profile of CYP B.2 Local intelligence 10 11 C Promoting and protecting good mental health C.1 Universal services C.2 Targeted services/early help C.3 Mental health training C.4 Schools co-commissioning C.5 B&NES Early Help Services app 16 18 20 21 22 D Specialist mental health provision D.1 D.2 Eating disorders D.3 Acute hospital mental health liaison D.4 Health-based places of safety D.5 Inpatient specialist psychiatric care D.6 Early intervention in psychosis D.7 Crisis concordat D.8 Community CAMHS re-procurement D.9 STP MH Delivery Plan 23 26 27 28 30 30 31 32 33 E Vulnerable CYP at particular risk of mental ill health E.1 Looked after children E.2 Victims of sexual abuse or exploitation E.3 CYP in contact with the justice system E.4 CYP transitioning to adult mental health services 35 35 37 38 F Engaging with stakeholders, including CYP F.1 CYP F.2 General practice F.3 Schools and colleges 40 42 42 G Review of 15/16 and 16/17 CAMHS Transformation plans 43 H 17/18 CAMHS Transformation plan and action plan 48 I Conclusion 51 Appendices 1-4 52 Improving children and young people’s emotional and mental health
To continue the priorities and progress of previous CAMHS Transformation Plans, after discussions at the EHWB strategic group, a CAMHS TP work plan was created for 17/18: CYP EHWB strategic priorities and work plan 2017-18 The EHWB strategic encourages the following commissioning principles: Multi-agency working, Early Intervention, Evidence-based practice, Addressing inequalities, Children and Young People’s participation, Clear service Expectations and Outcomes Priority / Action EHWB group Lead Organisation Deadline Theme: Promoting resilience, prevention and early intervention Sustain provision of school and college based counsellors MF Relate, OTR, Schools Forum Dec 2017 Promotion of web-based support and on-line counselling MF Kooth March 2018 Increase MH awareness in school and college pupils: DPH awards and PHSE JA LA March 2018 Develop Resilience Hubs at maintained secondary schools (named CAMHS practitioner) JP/MF OHFT Sept 2017 Provide CBT based schools courses to Year 5 pupils (FRIENDS) CH/MF Virgin July 2017 Improve self-harm advice and guidance (HarmLess) CL/JP OHFT Oct 2017 Research how better to support boys and young men CL March 2018 Theme: Improving access to effective support Developing and monitoring specialist community eating disorder service JP/MF OHFT March 2018 Improve infant mental health support (<5y/o) JP/MF OHFT and Virgin March 2018 Promote CAMHS self-referral to CYP and their families JP/MF OHFT March 2018 Improve access to perinatal mental health support – work with maternity and MH commissioners across the LMS/STP on funding bid and perinatal MH strategy MF George O’Neil, Wilt and Swindon AWP Improve parenting support for CYP with particularly challenging behaviour SC/AMc March 2018
low birth weight, birth complications physical and intellectual disability poor health in infancy insecure attachment in infant/child low intelligence difficult temperament chronic illness poor social skills low self-esteem alienation impulsivity alcohol misuse in childhood large family size antisocial role models (in childhood) family violence and disharmony marital discord in parents poor supervision and monitoring of low parental involvement in child’s activities neglect in childhood long-term parental unemployment criminality in parent parental substance misuse parental mental disorder harsh or inconsistent discipline style social isolation experiencing rejection lack of warmth and affection inadequate behaviour management deviant peer group school failure divorce and family break up death of family member physical illness unemployment, homelessness incarceration poverty/ economic insecurity job insecurity unsatisfactory workplace relationships workplace accident/ injury caring for someone with an illness/ disability living in nursing home or aged care hostel war or natural disasters isolation neighbourhood violence and crime population density and housing conditions lack of support service including transport, shopping, recreational facilities Reproduced from: Commonwealth Department of Health and Aged Care 2000, Promotion, Prevention and intervention for mental health-a Monograph, Mental Health and Special Programs branch, Commonwealth Department of Health and Aged Care, Canberra. Quoted in Making it Happen (DH 2001).