children’s wellbeing stakeholder event 9.30am - 12.30pm 7th october 2014 the kindle centre

Children’s Wellbeing Stakeholder Event

9.30am - 12.30pm 7th October 2014

The Kindle Centre

A film produced by

Herefordshire Looked After Children

It’s Our Turn Presented by

Gemma Gilboys, Sophie Barnett and Jake Eggerton

Introduction and HOusekeeping slide for Jo

Introduction and Housekeeping

Jo Davidson:Director of

Children’s Wellbeing

The five priorities are:• Children with disabilities- improve outcomes for children

with a disability• Think family - develop a ‘think family’ approach and

culture across the partnership to target resources and support vulnerable families

• Youth offending - reduce the number of young people offending for the first time

• Mental health - improve the emotional and mental health and wellbeing of children, young people and their parents and carers

• Early years - improve outcomes for our youngest children (aged 0-5 years)

Children’s & Young People’s Plan

Interactive session:

Service Mapping

Coffee Break

and

Continuing Service

Mapping

Children with Disabilities

Strategy

Chris Baird:Assistant Director

Education & Commissioning

Delivering the strategic approach for

children and young people

with disabilities or

special educational needs

Children & Young People with Disabilities or Special Educational Needs

Services Transformation Programme:

Our vision for children and young people with

disabilities and/or special education needs is the same

as for all of Herefordshire’s children and young people

– that they are healthy, safe and achieve well; and

that they go on to lead happy and fulfilled lives with

choice and control.

CWD & SEN Services Transformation ProgrammeKey Deliverables

Strategic Needs

Analysis

Integrated Pathway

Local Offer

Education, Health &

Care Plans

Specialist childcare

Personal-isation

Short breaks

Children & young people

with disabilities and SEN and their

families/carers


Children & young people with

disabilities and SEN and their

families/carers

Strategic Needs AnalysisBuild-on the 2010 CWD review & 2014 Children’s Integrated Needs

Analysis to further understand the:

• needs & demands of CWD or SEN

• impact of local services on outcomes

• alternative evidence based models

Strategic Needs Analysis

Integrated Pathway

Local Offer

Education Health & Care Plans


Personalisation

Short Breaks



families/carers

Integrated PathwayChildren and families experience an integrated multiagency pathway to access the support that they need.

The pathway will cover different stages of life, including transition to

adulthood.



Integrated Pathway

Local Offer



Personalisation

Short Breaks


Integrated Pathway

Local Offer



Personalisation

Short Breaks



families/carers

The Local OfferEasy to understand information, advice

and guidance about the support available to families in Herefordshire,

and how it can be accessed

https://www.herefordshire.gov.uk/education-and-learning/local-offer





Integrated Pathway

Local Offer



Personalisation

Short Breaks



families/carers

Education, Health & Care Plans

Frontline services work effectively together with children and families to agree a coordinated plan and package of support that will meet their needs




families/carers


Specialist Childcare

Ensure Herefordshire’s childcare sufficiency strategy adequately

addresses the needs and demand for specialist CWD or SEN childcare places


Integrated Pathway

Local Offer



Personalisation

Short Breaks



families/carers

Personalisation

Delivery of a personal budgets allocation, management and review

system that will enable families to have more choice and control of the services

they access



Integrated Pathway

Local Offer



Personalisation

Short Breaks



families/carers

Short BreaksReview Phase 1 and complete Phase 2 of the short-breaks re-commissioning

process.

Discussion: We need YOUR help to develop the local provider market


Strategic Needs

AnalysisIntegrated Pathway

Local Offer

Education Health &

Care Plans


Personalisation

Short Breaks



families/carers

Short Breaks: Local Challenges• Changing culture from relying on high-

cost and institutionalised services• Promoting self-reliance, independence

and choice • Support to access inclusive universal and

mainstream activities• Evolving the wider provider market to

support children with disabilities and challenging behaviours


Strategic Needs


Local Offer

Education Health &

Care Plans


Personalisation

Short Breaks



families/carers

Short Breaks: Addressing unmet need• Consider the pen-picture provided, what

types of break could help?• What universal or specialist activity

breaks have been successful in places like Herefordshire?

• What adult or community services could be developed to work with children?

• What would encourage existing or new providers into the short breaks market?


Strategic Needs


Local Offer

Education Health &

Care Plans


Personalisation

Short Breaks

Mental Health Needs Assessment2014

217th October 2014 ‘Putting the patient at the heart of everything we do’

Why?

The aim of this piece of work is to provide a robust evidence base to enable re-procurement of HCCG commissioned mental health services. • Ensure that HCCG commissioned services fit seamlessly within

a future mental health and wellbeing strategy;• Integrate with other services and other system resources,

including the voluntary and community sectors.• Contribute to the achievement of outcomes, for the individual

and for Herefordshire, in terms of good mental health.

7th October 2014

‘Putting the patient at the heart of everything we do’ 22

Methodology

Listening – to young people– to carers and parents– to practitioners– to organisations

Analysing information

Reviewing evidence base and good practice

7th October 2014

‘Putting the patient at the heart of everything we do’ 23

230 young people

Children and Young People

• There are 40,000 children and young people in Herefordshire.

• Estimates suggest that 8,620 children and young people will experience poor mental health between the ages of 0-19 years old.

7th October 2014 ‘Putting the patient at the heart of everything we do’ 24

Areas of interest

Tier

1Services provided by practitioners working in universal services (such as GPs, health visitors, teachers and youth workers), who are not necessarily mental health specialists. They offer general advice and treatment for less severe problems, promote mental health, aid early identification of problems and refer to more specialist services.

Tier

2Services provided by specialists working in community and primary care settings in a uni-disciplinary way (such as primary mental health workers psychologists and paediatric clinics). They offer consultation to families and other practitioners, outreach to identify severe/complex needs, and assessments and training to practitioners at Tier 1 to support service delivery.

Tier

3Services usually provided by a multi-disciplinary team of service working in a community mental health clinic, child psychiatry outpatient service of community setting. They offer a specialised service for those with more severe, complex and persistent disorders.

Tier

4Services for children and young people with the most serious problems. These included day units, highly specialised outpatient teams and inpatient unit, which usually service more than one area.


1. Tiered Model of Services 2. Vulnerable groups

3. Prevalence:

• 0-4 years old

• 5-10 years old

• 11-16 years old

• 17-19 years old

Early Findings

• Identification of mental health in children and young people is significantly below estimates.

• Young children require more identification, especially boys aged 5 -10 years.

Prevention and Early Intervention• There is limited support available for children, young

people and their parents / carers.• There is limited preventative work to reduce anxiety.• Young people want to be able to self-refer to

services.7th October 2014 ‘Putting the patient at the heart of

everything we do’ 26

Early Findings

Support and Treatment• Referrals to CAMHS have increased since 2012 by

19.6%• Need more support for young people that self-harm.• Need acute hospital liaison services for children with

serious and chronic physical illnesses.• Young people want online facilities


Workshop Question

If we could change 3 things for children and young people experiencing poor mental health, what would they be?

Think about….

• Prevention• Early Intervention• Support & treatment• Vulnerable groups


On your tables:

Round-Up:

Question & Answer Session

Jo Davidson

Thank you for coming

Please remember to

complete a feedback form

before you go

Next Stakeholder Event:

January 2015:

Early Years and Children’s Centres

Please join our network!

If you want to be able to engage with:Community groups,

voluntary organisations, businesses or individuals

then please join our facebook page:

https://www.facebook.com/#!/pages/Herefordshire-Childrens-Wellbeing-Network/529977913758423?fref=ts



children’s wellbeing stakeholder event 9.30am - 12.30pm 7th october 2014 the kindle centre

Documents