Youth Mental Health Summit Presentations November 2012
1. WELCOME
Dedicated Youth Mental Health Services:
The Human & Economic Case
Sarah Amani
Youth Mental Health Network Lead
Twitter: #YMHN
Tuesday 6th November 2012
2. We need to challenge &
We need to connect &
support services to deliver
mobilize grassroots & strategic
better services for young
networks to commit to youth
people...
mental health…
Dr Rick Fraser
Sussex YMH Lead
Dr Katrina Lake
MH Programme Lead
3.
4. The National Picture – Just some of the Developments in YMH
Ireland– Get on Board
Birmingham - YouthSpace
Norfolk & Suffolk YMH Pilot
CYP Health Needs
Assessment Tool
Sussex YMH Pilot
Kent YMH Pilot
Plymouth –The Zone Surrey’s Mindful Service
5. Income Indiv
Events
Mortality All
Genes
Health care NHS
Family
Social care Local
Authority
Income
Housing
Employment Mental DfE
Education
Resilience Health
Criminal justice MoJ
Trauma
Benefits DWP
Physical Env
Employment Firms
Chance
Third sector CVOs
Each of these links is evidence-based
6.
7. What have young people told us about their needs?
Appropriate and Recognition of what they
accessible services want and need
To be valued Involvement
Not to be judged or Choice
stigmatised Simple care pathways
“No decision about me without me”
15. Time Item Speaker
09:30 Welcome & Registration
10:00 Youth Mental Health Network – What have we been Sarah Amani
up to?
10:25 My Journey Ali Moussa
10:45 Coffee
11:00 Surrey’s Mindful Service for 16-25 Year Olds Sharon Snape & Elaine Fynn
11:30 Kent Youth Mental Health First Aid Pilot Yasmin Ishaq
12:00 Buffet Lunch
16. Time Item Speaker
13:00 Norfolk & Suffolk Youth Mental Health Pilot Service for Dr Jonathan Wilson
14-25 year olds
13:30 A Local Perspective on Youth Graham Vagg – West Sussex
Youth Services
14:00 Sussex Youth Mental Health Pathfinder Dr Rick Fraser & Alex Jones
14:30 Coffee
15:00 What do young people want? Andy Rooney & Kevin Skinner
15:20 Right Here Project Mark Cull, Rose Allett & Rob
Tronce
15:40 Voice Collective Claire Powell
16:00 Closing & Next Steps Sarah Amani
17. Youth Mental Health
Summit
Surrey’s Mindful Service
#YMHN
Tuesday 6th November 2012
18. Surrey’s Mindful Service
A service for 16 -25 year olds
West Surrey – Sharon Snape
Telephone – 07771976770
Email – Sharon.snape@sabp.nhs.uk
East Surrey – Elaine Fynn
Telephone – 01737773089
Email – Elaine.fynn@sabp.nhs.uk
http://www.sabp.nhs.uk/services/young-persons
19. The Mindful Service for Surrey sits within the Specialist Services Portfolio of the
Children’s and Young Peoples Services for Surrey and Borders Partnership NHS
Foundation Trust.
Mindful was created to promote engagement of hard to reach, hard to
engage young people aged 16 -25 with emerging to moderate mental health
difficulties who were not accessing traditional mental health services for
various reasons.
The service is an outreach service based in Guildford and Redhill.
20. • To provide signposting, consultation, assessment, intervention,
training and liaison as appropriate for presenting concerns.
• Consultation and training is aimed at enhancing the confidence
and competence necessary to deliver an intervention provided by
others, involved in the mental health care of young people.
• To work alongside and target non statutory and voluntary services.
• To raise awareness and increase knowledge of mental health needs in young people.
• To provide training and workshops for staff and young people.
21. • To provide added value not already met by traditional statutory mental health
services.
• Not to duplicate services already being offered and provided.
• Providing a mental health service that is not provided elsewhere for a group of young
people who have a high level of need.
• Prevention of long term mental health needs of this group
• Partnership agency with a mental health focus for this age group.
• Increasing mental health knowledge of staff involved with young people in this age
range.
• Increasing access & patient choice for very vulnerable young people.
22. Target Needs
• Young people who are homeless.
• Young people who have drug and/or alcohol
difficulties
• Young people in the PEET category
• Young people leaving social care
24. Our Aims
• to prevent the potential of long-term mental health needs of this group.
• to work in partnership with other agencies to ensure the mental health needs for this
age group are addressed.
• to educate and advise those involved with young people about mental health issues.
• to increase acce.ss and client choice for vulnerable young people
25. • Community, out-reach based service which is informal, flexible, accessible and
non-stigmatising.
• Flexibility in venues and meeting times, including out of hours if required.
• Flexibility and ongoing attempts to engage if appointments are missed.
• Close collaboration with other services involved in the young persons care.
26. Challenges
• Two workers covering a large area
• Prioritising workload
• Expectations of non statutory services
• Partnership working
• The need for a flexible approach
• Engaging ‘hard to reach’ young people
27.
28. Youth Mental Health Summit
Kent Youth Mental Health Pilot
#YMHN
Tuesday 6th November 2012
29. Kent Youth Mental Health
Project
Yasmin Ishaq
Powerpoint by Roxie Parkins BSc (Hons) MBPsS,
Assistant Psychologist, Kent and Medway NHS and
Social Care Partnership Trust
30. AIMS, OBJECTIVES AND SCOPE
• 3 objectives to the project
1) To hear from young people in Kent and Medway what helps
and hinders their mental health
2) To build resources in the local communities to support young
peoples mental well being
3) Commissioning a youth mental health service
31. Youth Mental Health Declaration
• 1. Engage young people and their families
meaningfully in service development
• 2. Improve understanding of youth mental health
within communities
• 3. Ensure access to youth friendly services and
support
• 4. Embrace a youth-focused, strengths based ethos
of care
• 5. Focus on resilience, hope and recovery
32. KENT PROJECT PLAN
Investigate whether a youth mental health service model in
Kent would provide a more robust young person orientated
service.
Understand the social, psychological and environmental
stressors that impact on Kent’s young peoples emotional well
being.
Listen to the young people of Kent.
Support the education/awareness of providers who work
with young people in Kent.
33. Demographics
KYMHP Kent and Medway
• 58 participants • According to the 2011 Census, Kent‘s
• All aged 12-25, median age: 17 population is 1,727,665 (Office of
• Males and female equally National Statistics, 2012)
represented, transgender heavily • 221,700 young people aged 15-25 in
under-represented Kent (Kent County Council, 2012)
• 62% of participants stated their • Males and Females currently
ethic origin was ‘White’, 17% represent 51% and 49% of Kent’s
‘Black’, 17% were ‘Asian’ and 4% population respectively, currently no
stated that their ethnic origin as statistics on the transgender
‘other’ representation of Kent’s population
• 66% of participants stated their • Approximately 94% of people in Kent
main occupation was in education, are of ‘White’ ethic origin and 6%
5% were in employment (including class themselves as BME
apprenticeships) and 31% were
NEET • In September 2012, 8270 young
people in Kent were unemployed,
• 90% of participants lived in the
representing 6.84% of all 16-24 year
North of Kent, with an even split
olds in Kent (Kent County Council,
between the NE and NW.
2012)
34. Some Key Points from focus
groups
• Overwhelmingly, young people felt that they were not being listened to by mental
health professionals
They don’t wanna hurt our feelings, they just wanna walk around the bush…why don’t
you just tell me what’s wrong with me?!
• Young people are all too aware of the stigma attached to having a mental health
problem, and find that this comes from both the outside world and professionals
I was gonna say that is actually the problem in itself, like, making it bad to have a
problem… once I get to grips with the fact that if I do find out that I have a
problem, the point is that it’s fixable.
• When it comes to LGBTQ issues, many young people felt that medical professionals
such as GPs were not approachable and did not know enough about the subject to help
them, even letting their own prejudices affect their practice
You wanna speak to someone with complete confidentiality… maybe a psychologist
would be the best person to go to… get it off your chest, someone you can talk
to… not very accessible though, you have to pay money to tell someone that
you’re gay!
35. Key Points continued…
• Many young people feel forgotten about by society, mental health professionals,
education providers and other youth-orientated organisations
Mum had depression… I looked after my younger sibling… I’d come home to check
that Mum hadn’t killed herself and she’d say ‘Oh, I nearly slit my wrists in the
bath today.’ I stopped going to school as I was scared to leave her, school just
discarded me.
• Young people feel that support is not available to them
There’s nothing in your face kinda telling you we’re here to help you, it’s more like
‘when you’re sinking, then kinda wave, wave really hard and we’ll try to spot you
or try to find you’.
• When support is available, young people don’t always find it accessible
She just kept using all these technical terms, I didn’t know what she was there for,
I felt going there I came out more stressed, more depressed, more anxious.
36. 3 X YMHFA COURSES
• 3 courses run in East and West Kent and Medway
commissioned from KSL (Knowledge, Support, Learning CiC).
• Courses hosted by voluntary sector and educational
institutions.
• The courses ensured inclusion of non statutory providers.
• Attendees included – Rethink CDWs, Higher and Further
education staff, Shaw Trust(employment), KCA (drug and
alcohol services), YOS, community projects for BME young
people, Kent safeguarding police, Porchlight (housing and
homeless project), Charlton Athletic Community Trust, Princes
Trust, Platform 51(project for women).
37. HOW PARTICIPANTS WILL USE THEIR NEW
SKILLS AFTER YMHFA
“back up improve the
“Immediately to support provided to the
“To be more ready develop the children, young people
with young people” quality of
“Everyday and adults”
Shaw Trust standards of our
with the Disability coordinator
current service”
young people Platform 51
on my
project” “Will use it on a
Porchlight daily basis”
Sandwich
I will be more aware of what
Technology
symptoms to look for and be
School
able to react immediately”
Caribbean teacher/mentor
“To be more aware and
understand how to help, “It has given me a better
where to signpost understanding on how to
people that need help” help young people”
Charlton Athletic Charlton Athletic
Community Trust Community Trust
38. CONFIDENCE TO SUPPORT YP AFTER YMHFA
(evaluation by KSL)
Personal confidence of how to Knowledge and understanding of
support YP with a problem how best to support a YP
39. Royal College of GP YMH
Declaration 2011 - Principles
• Belief in young people and their potential
• Respect for all young people
• Protect young people’s right to participate in processes and decisions that affect
them
• Commitment to uncovering the strengths within young people, their families and
communities
• Respect for the right to recovery and social inclusion for all young people
• Value the importance of personal, social, educational and employment outcomes
• Provide accessible, youth-focused services and supports when and where young
people need them
• Respect for the rights of family and friends to participate and feel fully involved
40. What Next
• Report completion, conclusions and recommendations
• Shift towards greater Public mental health
(social/environmental determinants)
• An orientation towards recovery in local systems and in
services as well as in communities.
• Public health with a much stronger emphasis in primary care
and local authorities.
• Using the vehicle of Health and Wellbeing Boards to enable
commissioning of a service that encourages collaboration
between councils, NHS, vol sector, communities and the
public.
• Promoting the principle of co-production
41. cont
• Develop “asset based” approach (using the strength
assets of young people to design the service)
• Designing a service with wellbeing outcomes in mind
• Using established well being evidence in service
design
• MWIA (tool)
• Build community capacity in a more integrated and
coherent way that is responsive to local need.
• pilot YMH service (evidence based and evaluated)
42. Support should be offered up from the
start, it should be based upon a
relationship with individuals rather than
just as-and-when which may not work for
a lot of people as trust is needed for
disclosure.
43.
44. Youth Mental Health
Summit
Norfolk & Suffolk Youth Mental Health
Pilot
#YMHN
Tuesday 6th November 2012
45. Youth Mental Health Summit
• A few thoughts:
Existing Services
Youth Mental
Health
• Dilemma when a small, innovative solution is pitted against the
larger, more established solutions.
• Enthusiasm/energy vs pressure in the system, having the capacity
to respond, financial constraints, feeling overwhelmed.
46. • “I can really see the benefits of the
project and fully support the idea but if
I’m honest it’s hard to think about how
this type of work might help create a
better pathway for people in the future
when all I can consider at the moment is
how am I going to manage my work for
tomorrow and the day after that.”
47. What helped services?
• Acceptance that it’s not easy to be
innovative/creative/solution focussed when under stress.
• Importance of whole system thinking.
• Collaboration, communication and consistency.
• Support during service transitions/restructuring.
• Build sustainable coalitions across multiple stakeholders
with different interests and strengths working towards
shared goals
• Mirrors what young people/adults have stated that they
want from services.
48. Success
• We have a “go live” date for youth mental
health hub.
• Developing the mental health pages on the
Yourspace website.
• Working closely with Kate and the Free Your
Mind Campaign.
• Developing relationships with 3rd
sector/voluntary providers – “Young Crawley.”
• “Know your Goals” football project.
49. • Uncomfortable though it may be it’s
sometimes more useful in the long term to
learn from mistakes.
50. Rugby Analogy
• At the beginning of the project focussed too much
on expansive ideas
51. • Sometimes you need to move gradually forward in order to then
expand thinking/opportunities/possibilities as confidence grows.
• Much greater chance of sustainability if there’s balance between
creativity and thoughtful small steps.
52. Youth Mental Health
Summit
Sussex Youth Mental Health Pilot
#YMHN
Tuesday 6th November 2012
53. Sussex Youth Service Update
Youth Summit Nov 6th 2012
Rick Fraser & Alex Jones
Sussex Partnership NHS Foundation Trust
Kate Moore
Youth Parliament
54. Youth Services
What might this look like?
Collaborations
Collocation
Acceptable, accessible, age appropriate
Specialist staff
Improve transitions and reduce drop-out/loss
Better working with minority groups, offenders, NEETs,
immigrants, LAC
57. A Youth Mental Health Service
REFERRAL YOUTH SERVICE (15-25) DISCHARGE
Accessible
Acceptable/Appropriate
GP, CAMHS, self, family, Awareness
education, 3rd sector, (community) AMHS
CJS, SSD, D&A
Ability (staff) Primary Care
3rd sector
Brief EIP, M&A, PD, ED, DD, D
interventions/IAPT &A
Acute services
58. Youth Mental Health Evidence Base
EI for Psychosis EI for Depression
Early intervention services, cognitive Prevention of depression in at-risk
behavioural therapy and family adolescents. A randomized controlled
intervention in early psychosis: trial. Garber J. et al. JAMA.
systematic review. Bird V., Kuipers E. 2009;301(21):2215-2224EI for BPAD
et al. The British Journal of Psychiatry.
2010 197: 350-356
EI for BPD
EI for Bipolar Disorder EI for Adolescents with Borderline
First-episode mania: a neglected Personality Disorder using Cognitive
priority for early intervention. Conus Analytic Therapy: randomized
P., McGorry P. Aust N Z J Psychiatry. controlled trial. Chanen A., McGorry
2002 Apr;36(2):158-72. P. et al. The British Journal of
Psychiatry, 2008;193: 477-484.
59.
60.
61. Sussex Update
2010 – youth strategy group
2011 – project grant from South Coast SHA
2012
– Project manager appointed
• Scoping exercise
• Partnerships developed
• Model developed
• Evaluation – grant application (RF/KG)
• ‘Go Live’ – November
63. Model
Access and transition service
‘One stop shop’
Screening tool
Youth assessment tool
CAMHS, AMHS & EIS for health component
Connexions (Targeted Youth Support Service)
Other collaborators – YMCA, West Sussex CC, YP SMS,
Crawley College
68. Who is involved?
D/MYP's
Youth Councils
Youth Cabinets
Other projects
MP's
Other organisations
Mental health organisations
The list goes on...
69. Aims
Two main aims:
To help break down the taboos surrounding mental health.
We want to create a place for young people to ‘Free Their
Minds’
70. Its now all about promoting and
getting work done now!
We are really easy to contact if you want to get involved/contac t us for any other
reason;
Email:
Twitter: @FreeYourMindUK
Facebook:
73. Challenges
Fears
• Service ‘overwhelmed’
• Diverting already scarce resources
• Risk management
Raising awareness
Governance issues
Developing other ‘portals’
Maintaining momentum – Alex Jones back to UHS Dec 2012
Developing new service at time of financial austerity
74. In Summary
Clear need for better services for young people
Collaborative approach
Local approach
Involve young people
Get started somewhere
Evaluate
Maintain the momentum
93. Youth Mental Health
Summit
Right Here Project
#YMHN
Tuesday 6th November 2012
94. Right Here Brighton and Hove
• Who we are:
– Lily Blackmore – Campaigns Volunteer
– Rebecca Morley-Wilson – Campaigns
Volunteer
– Mark Cull – Project Manager
– Rose Allett – Campaigns Coordinator
– Rob Trounce – Digital Media Officer
95. Right Here initiative
• 5 year pilot
• Funded and managed by MHF and PHF
• National Programme
• Brighton &
Hove, Fermanagh, Sheffield, Newham
• Evaluated by the Tavistock Institute
96. Right Here Brighton & Hove
• Sussex Central YMCA and Mind in
Brighton & Hove
• Resilience building activities
• Campaigns and health promotion
• Peer-led research
• Fast track counselling
97. Our work with GPs –
1. GP research
• GP research – Young people‟s views and experiences of GP services in
relationship to emotional and mental health
• Ask yourself:
Do your clients (aged 16-25) understand what confidentiality means within your
service?
Do your clients have a choice of gender specific practitioners allocated to their
care?
Are young people who have been referred by a GP given enough information
about your service before their first appointment with you?
Is your service available at times which suit young people and their lifestyles?
Are young people equal participants in decisions made about their care within
your service?
How knowledgeable are you about other services within your area that can help
young people accessing your service?
In the context of your service and your relationships with your clients, how
empowered are the young people you support?
98. Our work with GPs –
2. Assessment visits
• Good practice guide
• GP practice visits
• Sample questions:
– How aware are your staff of young people‟s
issues?
– Are confidentiality policies clearly displayed and
explained?
– Is there information about young people‟s rights
available on the website or in the surgery?
100. Innovation labs
• Brainstorming and developing digital
products to benefit young people‟s
mental health and wellbeing
• Right Here‟s involvement:
– Doc Ready
– My Places
101. Doc Ready
• An application and/or website geared
towards preparing a young person to
visit their GP
• Currently in the design phase
• Will be developed over the next year
103. Case study - paired discussion
• If you were using Doc Ready, what
functions / features would be helpful to
you with preparing this young person
to go to their GP?
• Please write answers on the provided
Post-it notes
• Some of your feedback…
109. Questions or comments?
• Come and talk to us in the coffee break
if you have questions about Doc
Ready, Right Here creating a Where To
Go For website in your locality, Right
Here‟s work, or anything else!
• Thanks for listening and taking part.
110. Youth Mental Health
Summit
Voice Collective
#YMHN
Tuesday 6th November 2012
112. +
About Voice Collective
Mindin Camden‟s London-wide
project, supporting children & young people
who hear voices
Direct Services
Capacity Building
Independent Evaluation (CAMHS Evidence Based
Practice Unit)
Funded by BBC Children In Need, Comic Relief &
City Bridge Trust
Part of a larger „London Hearing Voices Project‟
113. +
So, what do we offer?
Responsive – Flexible - Connected
Peer support For workers
Voice Collective Group
Training &
Creative Arts Workshops
Awareness
Website
Young people
Online Forum
Schools
Support workshops for
Youth organisations
parents
Specialist mental health
1-2-1 support teams
For young people
For parents
119. +
Safety
“10 things I can do”
Grounding strategies
(“5 things I can see,
hear & touch”, a
grounding bag using
all of the senses)
Breathing and
relaxation
Creating safe spaces
Safe objects
120. +
Distraction
Distraction
Music (creating a playlist)
Xbox / Computers / Sudoku /
Puzzles
Football, physical activities
Anything that helps occupy the
mind
Concurrent verbalization (singing
or reading aloud)
Earplugs (in one or both ears)
Being around others
121. +
Expressing yourself
Shadow boxing
Worry box
Creative writing
(e.g. super heroes)
Drawing and
artwork
(e.g. voice
morphing)
Model making
122. +
Taking the power back
Saying „No‟ or „Not
Yet‟
Setting limits
Challenging the voices
Becoming an
interpreter
Treatingthe voices
with kindness
123. +
Finding a voice and peer support
http://www.youtube.com/watch?v=BB9_Zy0I3VU
124. +
Contact Us:
Claire Powell & Yan Weaver (Development Workers)
Rachel Waddingham (project manager)
Voice Collective, Mind in Camden
Crossfields Centre, 8 Fairhazel Gardens,
London, NW6 3SG
Tel: 020 7625 9042 | Email: info@voicecollective.co.uk
Web: www.voicecollective.co.uk
www.facebook.com/voicecollective
www.twitter.com/voicecollective
www.voicecollective.tumblr.com
125. Youth Mental Health
Summit
Dedicated Youth Mental Health
Services:
The Human & Economic Case
#YMHN
Tuesday 6th November 2012
126. Its Up to Us
Lets Improve Youth Mental Health
Editor's Notes
Mathers 1999 – Australian data BASELINE
It is hard to ask for helpSometimes they don’t realise that they need helpThey value knowing what different agencies have to offerThey don’t want to be judgedThey want to feel part of the solution not part of the problemThey want teachers and other adults to be able to recognise a problem and help them get helpThey want to be able to trust the people who are helping themThey want information in a language that they understandThey want to be involvedThey want services close to homeThey want services they don’t have to be ‘referred’ toFrom YoungMinds Better Outcomes New Delivery (BOND) http://www.youngminds.org.uk/training_services/bond_voluntary_sector
Less Speculation, More Fact.
Bite sizeAccessible on your termsInteractiveLive Commentary
Bite sizeAccessible on your termsInteractiveLive Commentary
Give examples of experiences that can affect each of the five senses
Can include:
A list of do’s and don’ts (in small groups or big group, depending on time)
Young people can, and do, find ways of opening up in schools. Think of ideas of challenging stigma in classrooms/schools, enabling young people to ‘open up’. This can include teachers being ready to hear it, as well as having info non stigmatising info around school and including mention of voices and visions when covering ‘bullying’ and other emotional health topics. This can be done in pairs first before main feedback.