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Developing wellHelping families to thrive

Health and Wellbeing Board Conference workshop

9th July 2015

Sally OrrSasha MonkMaria NastriJen Beer/Shelley Taylor

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Children’s Centres in Hertfordshire

Making Hertfordshire an even better place to live and work

Maximising opportunities for all children and young people

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Early Years Strategy• Achieving the best start for all Hertfordshire children by reducing

inequalities in health, attainment and wellbeing• Ensuring that young children from diverse backgrounds develop well and

are ready for school• Meet the needs of all children in a social inclusion approach• Supporting parents to have good self-esteem and parenting skills, and high

aspirations for their children• Enabling families to live healthily and have good mental health and

wellbeing• Identifying and responding to families with higher needs earlier and offering

appropriate and timely targeted support• Ensuring sustainable universal and targeted early intervention services

which prevent problems escalating and reduce the demand for more specialist services

• Developing local networks of co-produced family focussed early years services built around identified community needs

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Children’s centre programme• 82 Sure Start Children’s Centres by 2012• Increasing child population:

2006 – 64,000

2014 – 78,000 under 5 year olds• Fully commissioned programme:

Schools, NHS Trust, District Council, Leisure, Private• Minimalist model:

Services delivered through 300 community venues;

small admin hubs• Political support for the programme• High quality

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end Aug 12 end Aug 13 end Oct 13 end Mar 14 end Jun 14 end Dec 1556.0

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Ofsted - % Children's centres good and outstanding - most recent inspection

ENGLAND

Hertfordshire

statistical neighbours (old)

statistical neighbours (new)

NOTE: The Childrens' Centre inspection programme started in 2011, so not all Centres have been inspected

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Strategy for recommissioningReduce demand on higher cost services through effective, multi-agency, early help, family focussed services from conception to 5 years• Develop HWBB Early Years Strategy• Retain all 82 centres to build on successful, locality

based community model• Reduce budget by 13%; group Centres for efficiency • Provide further integration with health services –

health visiting, midwifery, FNP, health promotion, GPs, CCGs

• Contribute to the Families First (early help) strategy

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Helping families to thrive

• Howe Dell Children’s Centre

Part of the Hatfield Group

Lead agency: Birchwood Nursery School

Sasha Monks

Penny Briggs

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Supporting vulnerable adolescents

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Supporting vulnerable adolescents & their families – our ethos

• Empowering young people• Holistic approach to need• Developing resilience within families• Continuum of provision• A distinctive adolescent-centred approach is

required• Adolescents are not simply young adults or old

children. Risks and pathways are different.• This developmental stage holds distinctive

strengths and opportunities

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The needs of vulnerable adolescents

• Often a time of increased risk-taking, emotional highs and lows, and sensitivity to peer influence, all underpinned by interacting social and neurobiological changes

• Adapted to harms experienced in earlier childhood

• Unmet needs (emotional / physical) that they seek to meet via risky routes

• Adolescent choices are part of the problem and part of the solution

• Misinterpreted as rational informed adult ‘lifestyle choices’

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Range of provision available

Youth Offer Early HelpYouth Connexions Targeted workMentoring Brief TherapyCounselling in Schools ServiceTargeted Youth SupportA-DASHThriving Families

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Some quotes• Adolescents are not monsters. They are just people trying to learn

how to make it among the adults in the world, who are probably not so sure themselves. Virginia Satir

• The toddler must say no in order to find out who she is.The adolescent says no to assert who she is not.- Louise J. Kaplan

• I think that is a universal adolescent feeling,trying to find your place.The adolescent who is perfectly adjusted to his environment,I've yet to meet.- Roger Bannister

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Mental Health in Children and Young People

• 1 in 10 children aged five to sixteen have a clinically significant mental health problem, with prevalence increasing with age.

• More than half of all adults with mental health problems were diagnosed in childhood. Less than half were treated appropriately at the time

• A child’s emotional health and wellbeing influences their cognitive development and learning as well as their physical and social health and their mental wellbeing in adulthood

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Hertfordshire intelligence

• About 23,000 0-19 year olds in Hertfordshire will have a diagnosable mental health problem.

• While Hertfordshire is a good place to live and enjoys higher than average levels of wellbeing, more than 14% of the county’s children under 16 are living in poverty: a known risk factor for mental ill health

• 24% of school children in Hertfordshire are from a minority ethnic group. Children from some BME communities face greater risk of poor mental health as adults.

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Hertfordshire IntelligenceHealth Related Behaviour Questionnaire:

What our young people worry aboutHertfordshire pupils are more likely to worry about money problems, death, exams and tests, and the way they look

25% of primary school pupils, and 38% of secondary school pupils said they worried about the way they look (This is higher than in other areas)

Young people in year 8 and 10 identify exams and tests as the main thing that they worry about (55%)

Education31% of pupils said that their school taught them to deal with their feelings positively

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Hertfordshire IntelligenceHealth Related Behaviour Questionnaire:

Bullying43% of primary school pupils and 41% of secondary school pupils said they’d been bullied at school at some pointAround 1 in 4 pupils sometimes feel afraid of going to school because they may be bullied.

Self Harm60% of secondary school pupils know someone that has self-harmed

How do young people cope with worries?The most common response to this question was ‘listen to music’, followed closely by ‘think carefully about the problem by themselves’ and then ‘talk to a friend or sibling’, ‘talk to an adult’, or ‘don’t tell anyone’.

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Promoting Emotional WellbeingWhat works • Whole systems approach to promoting resilience • Challenge stigma/ raise awareness around mental ill health • Peer education and support • Training and support for professionals• Five Ways to Wellbeing

A snapshot of what’s already happening in Herts• Training e.g. MindEd, CAMHS Referral, My Teen Brain, Self-Harm• Pastoral leads groups – enabling coordination/ sharing best practice• In planning: Girls Physical Activity & Emotional Wellbeing project • Do Something Different pilot: text programme to reduce anxiety• How to Thrive – Resilience e.g. Penn Resilience programme• CAMHS review (includes focus on prevention and early intervention)

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Discussion points

• What are the key things we need to do under the broad theme ‘Developing Well’ of the Health and Wellbeing strategy?

Attachment Mindfulness

Mental health and wellbeing Resilience

Risky behaviours Be active

Strong social networks Home learning

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Discussion points

• What challenges could stop us from achieving our objectives and how can we tackle them together?

Information sharing Partnerships

Whole family working Silos

Demography Evidencing impact

Resources Thresholds and criteria

Community involvement