RAAS Conference Aspiration and Achievement

Social Emotional and Mental Health as a special

education need

Nick Millward Strategic Lead for SEMH Nick.millward@cornwall.gov.uk 01872 326367

What is SEMH?

SEMH is an overarching term for people who demonstrate difficulties with emotional regulation and/or social interaction and/or are experiencing mental health

problems.

We all have SEMH?

We all have good or bad days. Depending on our internal resilience and support systems a bad day may impact

on our mental wellbeing.

Social Emotional and Mental Health as a special education need

What is SEMH?

Social Emotional and Mental Health as a special education need

loved

safe accepted supported

understood

valued

free

in control

cared about

how important they are to you both in your workplace and at

home?

The importance of good SEMH and brain development

Social Emotional and Mental Health as a special education need

Adverse Childhood Events

• Lived with a parent or guardian who got divorced or separated; • Lived with a parent or guardian who died; • Lived with a parent or guardian who served time in jail or prison; • Lived with anyone who was mentally ill or suicidal, or severely depressed

for more than a couple of weeks; • Lived with anyone who had a problem with alcohol or drugs; • Witnessed a parent, guardian, or other adult in the household behaving

violently toward another (e.g., slapping, hitting, kicking, punching, or beating each other up);

• Was ever the victim of violence or witnessed any violence in his or her neighborhood; and

• Experienced economic hardship “somewhat often” or “very often” (i.e., the family found it hard to cover costs of food and housing).

Can you name some ACEs ?

The importance of good SEMH

Social Emotional and Mental Health as a special education need

‘Social and emotional wellbeing creates the

foundations for healthy behaviours and educational

attainment.’ NICE, 2013

‘Good mental health allows children and young people to

develop the resilience to cope with whatever life

throws at them and grow into well-rounded, healthy adults.’

Mental Health Foundation

When does SEMH become a Special educational need ?

SEMH can become a Special Educational Need for a small proportion of children and young people.

Some educational, medical, emotional or social

factors can have a significant and sustained impact on social, psychological and or emotional

wellbeing / resilience. This can in turn have an ongoing negative impact on accessing education.

It is vital that the correct educational and clinical assessment / support is put in place, by the right

people in the right location at the right time

Graduated response

Social Emotional and Mental Health as a special education need

If left with out the right treatment or support

SEMH is not one need

Social Emotional and Mental Health as a special education need

Social wellbeing Is the ability to form, hold

positive and age appropriate relationships with others. Additionally good social

wellbeing enables a person to function co-operatively, in such

a way so as not to cause distress and or harm to themselves or others

Emotional wellbeing Enables an individual to function in society and meet the demands of everyday life. With appropriate emotional responses

Psychological wellbeing The ability to be self-reliant,

problem solve, manage emotions, see aspects from other people’s perspective, be able to give and

receive constructive criticism and be attentive.

RAAS Conference Aspiration and Achievement

Data

What is the extent of need

Social Emotional and Mental Health as a special education needs

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

2015 2016 2017

% o

f stu

dent

s id

entif

ied

as S

EMH

Acedemic year

Percentage of Primary schools SEN students identified as SEMH

National

Cornwall

What do you see ?

Social Emotional and Mental Health as a special education needs

16

17

18

19

20

21

22

2015 2016 2017

% o

f stu

dent

s ide

ntifi

ed a

s SEM

H

Acedemic year

Percentage of Secondary school SEN students identified as SEMH

National

Cornwall

What do you see ?

Social Emotional and Mental Health as a special education needs

0

10

20

30

40

50

60

a b c d e f g h i j k l m n o p q r s t u v w x y x aa ab ac ad ae

Num

ber o

f you

ng p

eopl

e id

entid

e as

hav

eing

SEM

H

Secondary schools

Numbers of young people identified as have SEMH as their primary SEN within all the Cornish secondary schools

2016 SEMH

2017 SEMH

What do you see ?

Reflection and discussion

What is your setting or organisation doing to support SEMH and how much does your staff know about the development of

SEMH and A SEN ?

Social Emotional and Mental Health as a special education need

How can schools support children with SEMH ?

Social Emotional and Mental Health as a special education need

• Share information • Increase understanding and training around attachment • Co-produce a triggers curve / arousal curve • Keep calm – tone of voice! • Clear and predicable routines • Greet the child by name and show interest • Actively listen and model empathy • Have low sensory environments • Visual prompts • Have access to a trusted adult • Activity teach coping skills (visual choices, deep breathing etc..) • Work closely with the family to have a joint strategy

Remember in fight or flight logic is not always prevalent

National programs for improving Mental Health of children

Future in Mind – some key workforce development • Carter Review of Initial Teacher Training (ITT) reported in January 2017. It recommended

commissioning a sector body to produce a framework of core content for ITT which would include child and adolescent development

• Foundation Programme curriculum for doctors (covering the first two years of postgraduate training for doctors qualifying in the UK) will give increased prominence to mental health

• The social work reform programme is placing a much stronger focus on the skills and competencies needed by child and family social workers. This includes identifying child development, physical and mental health and education needs

• The Think Ahead initiative will provide a new cadre of top graduates training to specialise in adult mental health social work, including work with young adults.

Social Emotional and Mental Health as a special education need

National programs for improving Mental Health of children

Youth Mental Health first Aid (MHFA) • This three year Programme launched in Easter 2017 and is fully funded by

the Department of Health

• Every secondary school in England is entitled to one free place on a Youth MHFA One Day course through the Youth MHFA in Schools programme.

• One Day courses to train Youth MHFA Champions - someone with the skills

to spot the signs of mental health issues in young people and guide them to a place of support.

• Contact – schools@mhfaengland.org

Social Emotional and Mental Health as a special education need

Child Adolescent Mental Health Service (CAMHS) and the Kernow Clinical commissioning group

Cornwall Council is working very closely with colleagues in various health teams.

• CAMHS support and therapies

• Tier four in patient development and integration

Social Emotional and Mental Health as a special education need

Cornwall workforce development to support SEMH

• Headstart and Trauma Informed Schools (TIS)

• Emotional literacy support assistant training (ELSA)

• Emotional first aid (EFA)

• 5 to thrive

• National Nurturing school program • Social, Emotional and Mental health (SEMH) lead – advice and training

Social Emotional and Mental Health as a special education need

Within Cornwall to support SEMH more widely

Social Emotional and Mental Health as a special education needs

There is a lot of support from education, health and social care teams across Cornwall. Some of the main teams that you could seek support from are:

• Early support • Locality teams • Headstart community and school based teams • Early inclusion team • Educational Welfare Service • Healthy schools team • SEN support services • ASC team / ASC parenting support • Council commissioned YPC services e.g. Kooth • CAMHS • School nurse / health visitors • Youth offending service • Speech and language service

Additionally - there are a number of non for profit /

charitable services running

Within Cornwall to support SEMH more widely

Social Emotional and Mental Health as a special education needs

Take 3 Overall Aim Take 3 is an evidence based course for parents of young people aged 10 to 18. Originally developed to support parents of at-risk or vulnerable young people with challenging behavior https://www.supportincornwall.org.uk/kb5/cornwall/directory/service.page?id=fT0IKYibvBk 07837 311505 Equus Solutions Provide a successful and innovative approach to improving mental health in adults, children and young people. Qualified, experienced therapists use interactive experiences with horses to enable emotional and social growth. http://www.equussolutions.co.uk/r was causing problems for parents and/or the school

Social Emotional and Mental Health as a special education needs

What do you think ?

Where do you feel that there are gaps in Cornwall’s understanding and provision ?

Social Emotional and Mental Health as a special education needs

In summary

• A commitment to meet SEMH needs requires a consistent and strategic approach which can only be achieved through a whole school / organisation plan

• To have a shared understanding around the language or vocabulary

• On going work force development around SEMH and child development

• A clear parent / carer engagement plan

• To have a comprehensive sharing and referral process for children causing the greatest concern

http://www.annafreud.org/media/4612/mwb-toolki-final-draft-4.pdf Public Health England and the Anna Freud National Centre for Children and Families collaborated to fund and develop this free toolkit.

Social Emotional and Mental Health as a special education needs

Nick Millward Strategic Lead for SEMH Nick.Millward@cornwall.gov.uk 01872 326367