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St Helens Future in MindReport from the Child Health and Wellbeing
Summit10th March 2016
Welcome and Introductions
120 people attended the summit, including parents, young people and representatives from
various stakeholder groups
from across education,
health, children’s services,
commissioners and the
voluntary sector to discuss
improvements to the
system of support.
Cllr Jeanie Bell, Cabinet
Member for Public Health &
Wellbeing, opened the day
and encouraged everyone
to fully participate in
developing and improving the support available for young people.
Hear Our Voices The summit started with input from Jen a young person and
her mother Judith. Jen who has accessed services for mental
health issues spoke about the need for tailored support,
delivered locally and in venues which are young people
friendly. Jen talked about the importance of schools in
creating safe and caring environments and the need to
support families where children have mental health issues.
The Summit also heard from Harry, a young student with
Attention Deficit Hyperactivity Disorder (ADHD) and Elisha
who accessed support through the Tuition Service of their
experiences of what worked for them including understanding
their condition, listening and caring professionals, negotiating
shared strategies between school and home etc.
Finally the Summit heard from Mia who shared a poem she had written about how Child and
Adolescent Mental Health services (CAMHs) can help if you have a problem, and the need
for children and young people to be kind to each other.
Current Context
Professor Stephen Cox, Clinical Chief Executive St Helens Clinical Commissioning Group &
Liz Gaulton – Director of Public Health St Helens Council presented the current
developments across the mental health and wellbeing system and on going challenges,
using an experience of one of his patients. Steve presented the changes made following
feedback from the Child Health Summit in October 2014, which included the establishment
of a Single Point of Access for Mental Health Support, 100% of crisis or urgent responses
seen within 12 or 24 hours, waiting times for routine CAMHs specialist service now reduced
to 12 weeks with plans to reduce further and an Early Help Service jointly commissioned
from Barnardo’s in July 2015. He outlined that further improvements were underway for
16/17 examples of which include improving the assessment journey and support for children
with ADHD/Autism, a new community based Eating Disorder Service, and improvements in
perinatal mental health.
Liz outlined the improving picture for children’s health including childhood obesity, smoking
and teenage pregnancy rates but in terms of some of the wellbeing indictors the picture is
less positive including rates of hospital admissions due to mental health, rates of self harm
both at A&E and admissions to hospital, numbers of children subject to child protection
plans, adult alcohol harm and rates of domestic abuse with significant numbers of incidents
observed by children.
Listening to feedback from the previous Child Health Summit, investment had increased,
pathways and access to services had been re-looked at with an integrated approach to
commissioning children’s health in St Helens. Whilst there were some fantastic examples of
innovative services and programmes to improving outcomes to sustain improvements in
health, we need to tackle the cause of the causes such as child poverty, impact of adverse
childhood experiences and focus on building resilience and empowerment rather than fixing
and protecting children and young people. To tackle this, developments in 16/17 include a
Tackling Stigma Campaign, piloting a whole school approach to mental health and wellbeing
with Rainford High Technology College, producing a Mental Health Training Prospectus,
developing an Attachment Pathway, providing Books on Prescription for young people and
enhanced online access and support through the BOSS website.
2020 Vision for Children and Young People’s Mental Health and Wellbeing
The summit used an appreciative enquiry model to imagine a new better system, using the
following process:
Discovery
The Peer Ambassadors from Rainford High Technology College asked delegates to start the appreciative approach to the day by reflecting on what they valued, what difference they have made and high point experience. Delegates were also asked what was working well:
Nature/culture towards mental health was slowly changing with more awareness - means people are more willing to ask for help and help each other
Increased investment i.e. Sunflower Sensory Programme, Time for Me Postnatal Group, Barnardo’s, Mind Matters etc.
Quicker response from clinical services once you get accepted into themOne point of
access welcomed
Networking is good within St Helens between voluntary and statutory services
Parental involvement
Pastoral system in schools
Recognising early difficulties with under 5s
Good liaison with some agencies
Services are better at identifying mental health issues
Dreaming – What could it be?
i-THRIVE – Re-thinking approaches to the mental health system
Dr Anna Moore (MBChB, MRCPsych), Implementation & Innovation Fellow at the Evidence
Based Practice Unit, Anna Freud Centre, was invited to give a presentation on a new model
for mental health services being developed, which aims to address some of the problems of
the current model which relies on a tiered model of services.
The i-THRIVE model aims to:
o Have a whole system approach focusing on needs and preferences
o Build on & draw from community resources and individual’s resources to create a
diverse range of options for care
o Identify resource-homogenous groups of young people with common needs and
preferences, rather than an escalator approach with increasing severity
o Focus on early intervention & building resilience in young people & families
o Shared decision making and preference sensitive care are core principles, ensuring
young people are actively involved in determining the best approach
A copy of the i-THRIVE presentation can be found in Appendix One.
Input offered
Description of the THRIVE Groups
Delegates were asked to consider the input on i-THRIVE and they felt that the model made
sense, moved away from tiers, was child centred and considered how to help young people
cope with early information/advice and support. Delegates also described a number of
‘thrive’ features which were already present in the current system. A summary of the
responses are contained in Appendix Two.
Following a Question and Answer session with Anna, the Summit was asked to vote on
whether Thrive is a model which St Helens should start in explore. Whilst it was
acknowledged that there were real challenges and we would need to create an environment
capable of support services to work differently, this received a very positive response from
delegates.
Design: What should it be in St Helens?
Delegates were asked to imagine the children’s mental health and wellbeing system in St
Helens in 2020 and key themes include:
o Importance of leadership, at all levels, including from children and young people in
following through on a commitment to make a difference.
o Co-production – system developments will be based on involvement of young people
and parents.
o Young people will feel more resilient, greater self-esteem, connected and have a
range of coping strategies available to them and positive promotion of mental
wellbeing
o People will be more aware and there will be no stigma attached to mental health
o The system of support will work together – a one stop shop where the Single point of
access (SPA) will be an integrated, co-ordinated multi agency front door to support.
o We will innovatively use technology to extend support, promote self-care and self-
help with one website, one telephone number, apps and podcasts.
o Young people will not need to wait for
appropriate support.
o Services will be delivered where young
people want them, in venues which are
young person friendly, and schools
providing all year round community
services for education and health and
wellbeing.
o The workforce, particularly school and universal services, will feel confident,
competent and supported to support young people.
Improving the Mental Health and Wellbeing of St Helens Children and Young People: Themed Discussions
Delegates had the opportunity to attend a session to discuss particular themes and to
propose priorities for further development/improvement. The following is a summary of the
key themes from the discussions:
Theme Priority ThemesPrevention, early intervention and tackling stigma
o Promote education, awareness and self-care o Getting it right in the early years through improved
attachment o Role of schools
Improving access to quality services
o One stop shop - integrated services, joined up support based on what young person wants and telling their story once
o Promote wellbeing through access to holistic provision/activities etc.
o Shared decision making o Waiting lists o Brief interventions
Care for the most vulnerable
o Tailored responses to vulnerable groups ie Looked after children, young offenders, LGBT young people, Autism/ADHD
o Hidden harm - support for children where parenting is compromised i.e. substance misusing parents
o No door is the wrong door o Role of CAMHS to provide consultancy particularly
in schools Developing the workforce
o Build awareness o Training programme o Ongoing support
Close
Geoffrey Appleton, Chair of St Helens Clinical Commissioning Group, thanked delegates,
presenters and young people for attending, for their passion evident during the event and
commitment to continuing to make difference to children’s mental health and wellbeing.
Next Steps
A report from the summit will be
circulated to participants and the ideas
and suggestions will be incorporated into
the 2016/17 Children and Young
People’s Mental Health and Wellbeing
Plan. The outputs will be presented to
the Children and Young People’s Mental
Health and Wellbeing Partnership.
Conversations will continue using the
#STHPositiveMinds42020 so that we
can continue to encourage discussion
and debate with young people, schools,
parents and other professionals.
Delegates were asked to continue to
engage and a list has been compiled of
those who wish to be involved further in
focus groups, workshops, task groups or
to receive further information.
Watch the Summit Video: https://www.youtube.com/watch?v=bhr7loNBxOg&feature=youtu.be
Appendices
Appendix One: i-THRIVE presentation
CHS - I Thrive presentation.pptx
Appendix Two: summary responses from delegates to i-THRIVE
Response to Thrive input.docx
Appendix Three: Child Health Summit Evaluation Summary
An evaluation of the event was conducted by 49.5% of attendees.
50% of those that completed evaluation had attended the summit as it was relevant to their current role with 12% seeking improvements in services.
The majority of those completing evaluation found the event useful with relevant material that was delivered well at an appropriate venue, only 4% of attendees felt that the summit left them without questions answered and only 3% unaware of where to get further information.
The involvement of young people was the most popular reported strength of the event followed by networking. Only 49% of those that responded reported any part of the summit to be least useful of which it was felt by some that the presentations/speeches were too long.
Various key messages were highlighted with the most common being the need for a single point of access / i-THRIVE model.
70% of those that had responded requested further involvement.
We would like to know why you attended today
o To hear service user opinion: 4%o Concerns over increase in young people accessing services: 2%o Relevant to post: 50%o To become more aware of health & wellbeing in St Helens: 2%o Seeking improvements: 12%o Standing in for invitee: 2%o Networking: 6%o To become more involved: 6%o To find out what services are available/needed: 10%o To have an impact on service improvements: 6%
About the Summit
Strongly Agree
Agree Neither Agree nor Disagree
Disagree Strongly Disagree
I found the event useful
55% 43% 2%
Content was easy to understand
45% 49% 6%
I understand more than I did beforehand
47% 43% 10%
The material was relevant
55% 41% 4%
Presenters delivered well
59% 37% 4%
Venue was appropriate
68% 28% 4%
The event was of the right length
53% 45% 2%
The event answered many of my questions
33% 41% 22% 4%
I know where to go to get further information
39% 47% 11% 3%
What are the strengths of the day?
o Interaction: 1%o DPH presentation: 1%o Prof Cox presentation: 1%o i-THRIVE model presentation and
discussion: 7%o Networking: 30%o Involvement of young people: 34%
o Sharing of opinions: 4%o Workshops: 14%o Icebreaker: 1%o Information available: 6%o Positive focus: 1%
Which parts were least useful?
o Speeches too long: 19%o Too much information: 11%o No critical analysis of model: 4%o Complicated model to present: 8%o I-THRIVE input: 11%o Newspaper activities: 19%
o Rushed workshops: 11%o Audio: 4%o No police representation: 4%o Lack of hand-outs: 4%o Rushed i-THRIVE presentation: 4%
What are the key messages that you took from the event?
o Effective communication is key: 8%
o Need to work on prevention and resilience: 4%
o Local help is available for children and young people’s mental health problems: 6%
o Collaborative and integrated working is essential: 8%
o Need comprehensive resource directory: 4%
o Still lots to achieve in relation to integration: 10%
o All services working towards the same goal: 10%
o Need to embrace new technology: 2%
o Early intervention is needed: 2%o Need to overcome stigma: 4%o There are many people working
together: 2%o Need more emphasis in schools in
relation to what is working well: 2%
o Children’s voice is important: 6%o Single point of access/i-THRIVE
model needed: 14%o Need to keep parents and children
informed: 4%o Services need to improve: 4%o Need to simplify systems/change
approach: 4%o Need more investment in children:
4%o Importance of addressing mental ill
health: 2%
Do you have any further questions that you need answers to?
o Update on progress towards using model and measuring success: 15%
o Voice given to third sector at future events: 7%
o How to ensure effective, efficient multi-agency working and information exchange: 7%
o Is St Helens planning to adopt this model and how will it be implemented?: 7%
o How will it be led and who will be accountable: 15%
o Continuation of working groups: 7%
o Better understanding of current system at future briefings: 7%
o Will there be feedback/regular updates?: 7%
o Transparency needed – difficult to find way through systems/services: 7%
o How to deliver services to most vulnerable/hard to reach groups: 7%
o How can I help?: 7%o Where to get help for under 5s?:
7%
Any other comments
o Caterers should indicate dietary options: 3%
o Excellent day: 6%o There is wider responsibility
involving other agencies to improve child health: 3%
o Good event: 16%o Keep the momentum: 3%o Good venue & cookies: 3%o Thank you: 23%o Enjoyed young people’s activity:
3%o Would have been good to have
further involvement from schools: 3%
o Inspiring: 3%o Include more young people for
insights: 3%
o Little focus on children with disability/SEN: 3%
o I-THRIVE – too much information: 3%
o Could I be invited to Health and Wellbeing Board: 3%
o Well organised: 3%o Good emphasis on early
intervention: 3%o Smaller groups – quality
discussion: 3%o Dedicate one website to St Helens
– update & maintain electronic resource: 3%
o Should this not have been prior to commissioning services in 2015: 3%
Further involvement: 37 responses