children’s wellbeing stakeholder event 9.30am - 12.30pm 7th october 2014 the kindle centre
TRANSCRIPT
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
CWD & SEN Services Transformation ProgrammeKey Deliverables
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
Specialist childcare
Personalisation
Short Breaks
Children & young people with
disabilities and SEN and their
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.
CWD & SEN Services Transformation ProgrammeKey Deliverables
Strategic Needs Analysis
Integrated Pathway
Local Offer
Education Health & Care Plans
Specialist childcare
Personalisation
Short Breaks
Strategic Needs Analysis
Integrated Pathway
Local Offer
Education Health & Care Plans
Specialist childcare
Personalisation
Short Breaks
Children & young people with
disabilities and SEN and their
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
CWD & SEN Services Transformation ProgrammeKey Deliverables
Strategic Needs Analysis
Integrated Pathway
Local Offer
Education Health & Care Plans
Specialist childcare
Personalisation
Short Breaks
Children & young people with
disabilities and SEN and their
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
CWD & SEN Services Transformation ProgrammeKey Deliverables
Children & young people with
disabilities and SEN and their
families/carers
CWD & SEN Services Transformation ProgrammeKey Deliverables
Specialist Childcare
Ensure Herefordshire’s childcare sufficiency strategy adequately
addresses the needs and demand for specialist CWD or SEN childcare places
Strategic Needs Analysis
Integrated Pathway
Local Offer
Education Health & Care Plans
Specialist childcare
Personalisation
Short Breaks
Children & young people with
disabilities and SEN and their
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
CWD & SEN Services Transformation ProgrammeKey Deliverables
Strategic Needs Analysis
Integrated Pathway
Local Offer
Education Health & Care Plans
Specialist childcare
Personalisation
Short Breaks
Children & young people with
disabilities and SEN and their
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
CWD & SEN Services Transformation ProgrammeKey Deliverables
Strategic Needs
AnalysisIntegrated Pathway
Local Offer
Education Health &
Care Plans
Specialist childcare
Personalisation
Short Breaks
Children & young people with
disabilities and SEN and their
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
CWD & SEN Services Transformation ProgrammeKey Deliverables
Strategic Needs
AnalysisIntegrated Pathway
Local Offer
Education Health &
Care Plans
Specialist childcare
Personalisation
Short Breaks
Children & young people with
disabilities and SEN and their
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?
CWD & SEN Services Transformation ProgrammeKey Deliverables
Strategic Needs
AnalysisIntegrated Pathway
Local Offer
Education Health &
Care Plans
Specialist childcare
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.
7th October 2014 ‘Putting the patient at the heart of everything we do’ 25
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
7th October 2014 ‘Putting the patient at the heart of everything we do’ 27
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
7th October 2014 ‘Putting the patient at the heart of everything we do’ 28
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
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