of organisations including the LA, Sirona Care and Health, Oxford Health NHS Foundation Trust and smaller voluntary organisations. Some of the proposals for driving improvement within the Transformation Plan will be cost-neutral, requiring a different way of helping C&YP within existing resources. However, the Government has committed additional monies to local areas based on the standard CCG allocation formula. For B&NES this is £333,463 per year. £95,191 has already been received by the CCG and this must be spent on improving the C&YP Eating Disorders Service. Pending approval of the Transformation Plan, the CCG will receive another £238,272 for 15/16 and thereafter £333,462 per year. The proposed distribution for 15/16 funding is as follows: 1 Eating Disorder (includes training) 95,191 2 Therapeutic support for social care (6 months) 32,500 3 development of digital resources incl TP publishing, incl map of medicine 10,000 4 workforce capacity building (Theraplay,Thrive, Attachment Aware etc) 55,000 5 college resilience hubs (includes staff training) 5,000 6 school resilience hubs (includes staff training) 41,000 7 online counselling 16,000 8 school counsellors attending school Hubs 10,500 9 nuture outreach service in primary schools 40,000 10 commissioning capacity (7 months) 6,021 11 CYP/parent/carer consultation/coproduction/ 5,000 12 stakeholder event -launch of resources and of 16/17 plans 2,250 13 support for parents of 'non-engaging' children (scoping) 5,000 14 independent evaluation and consideration of 'single point of access' 10,000 333,462 Funding (once agreed) to implement the plan will be monitored via the national Transformation Plan tracker spreadsheet. Governance The EHWB Strategy Group acts as a sub-group for the Children’s Trust Board and are required to produce 6 monthly reports to the Children’s Trust Board, LSCB and Health and Wellbeing Board as well as an annual review of performance.
Z. (1996) Treating children well: a guide to using the evidence base in commissioning and managing services for the mental health of children and young people. London. Mental Health Foundation Appendix 2 Table 1: Protective factors potentially influencing the development of mental health problems and mental disorders in individuals (particularly children) Individual factors Family factors School context Life events and situations Community and cultural factors Easy Temperament adequate nutrition attachment to family above average intelligence school achievement problem solving skills internal locus of control social competence social skills good coping style optimism moral beliefs values positive cognitions physical activity supportive caring parent family harmony secure and stable family family size more than two between siblings responsibility within the family (for or adult) supportive relationship with other adult (for a or adult) strong family norms and morality sense of belonging positive school climate pro-social peer group required responsibility and helpfulness opportunities for some success and recognition of achievement school norms against violence involvement with significant other person (partner/mentor) availability of opportunities at critical turning points or major life transitions economic security good physical health sense of connectedness attachment to and networks within the community participation in church or other community group strong cultural identity and ethnic pride access to support services community/cultural norms against violence Table 2: Risk factors potentially influencing the development of mental health problems and mental disorders in individuals (particularly children) NB: the following tables list influences on the development of mental health problems not the causes. Individual Family/social School Life events and Community and
Factors factors context situations cultural factors Prenatal brain damage Prematurity injury low birth weight, 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 having a teenage mother having a single parent absence of father in childhood family size antisocial role models (in childhood) family violence and disharmony marital discord in parents poor supervision and monitoring of child 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 social isolation experiencing rejection lack of warmth and affection Bullying peer rejection poor attachment to school inadequate behaviour management deviant peer group school failure physical, sexual and emotional abuse school transitions divorce and family 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 socio-economic disadvantage social or cultural discrimination 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 early 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).