Exploring Community based approaches to good mental health for young people - Tina Favier, Coastal Care - Community Works

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Exploring Community based approaches to good mental health for young people - Tina Favier, Coastal Care - Community Works
Exploring Community based
approaches to good mental health
        for young people
                              Tina Favier, Coastal Care
Exploring Community based approaches to good mental health for young people - Tina Favier, Coastal Care - Community Works
It’s all about doing it locally through Local Community Networks

                                   Rural North Chichester –
                                   36,907 (40,238)

                                   Chair: Dr Emma Woodcock
                                                                                                           Chanctonbury – 46,684, (49,727)
                                   LCN Dev Mngr: Brendan Foat
                                                                                                           Chair: tbc
                                                                                                           LCN Dev Mngr: Anne Corkhill

                                                Rural North Chichester
                                                    North Downs                                                                          Adur – 64,315 (63,247)
   Central & South Chichester –
   85,034 (88,939)                                                                                                                       Chair: Dr Mark Halloran
                                                                                                                                         LCN Dev Mngr: Leila Powell
   Chair: tbc                                                                                               Chanctonbury
   LCN Mngr: Debra Flynn
                                  Central & South
                                                                                              North Cissbury
                                    Chichester                         Regis                                                        North Cissbury – 72,384 (73,177)
                                                                                                                          Adur
                                                                                                                                    Chair: Dr David Stokes
                                                                                                                                    LCN Dev Mngr: Lizzie Izzard
                                                                                     REAL               South
                                                                                     Care              Cissbury
                                            Regis LCN – 96,796 (103,757)                                             South Cissbury Frailty Hub–
                                                                               REAL Care LCN– 61,804
                                                                                                                     46,367 (48,233)
                                            Clinical Lead: Dr James            (68,904)
                                            Bramell                                                                  Chair: Dr Bruce Allan
                                            LCN Dev Mngr: Michaela             Chair: Dr Mark Lee
                                                                                                                     LCN Dev Mngr: Lizzie Izzard
                                            Hawkes                             LCN Dev Mngr: Debra Flynn

An LCN is best described as a network of health, council, voluntary sector leaders, working with local communities to create a shared
ambition and more integrated approach to organising and improving the health and wellbeing of their whole local population.
Exploring Community based approaches to good mental health for young people - Tina Favier, Coastal Care - Community Works
Developing our Prevention approach
                         Our vision is one of prevention as a strengths based approach that builds upon what people and communities
                         already have (assets) to promote wellbeing, resilience and better self care. Working in person and community
                         centred ways, developing strong relationships and networks that value the role of people and communities to
                               support health and wellbeing. Working closely with and supporting the local voluntary sector and
                                                                          communities.

                                                   Promoting wellbeing and resilience with children, young people and families. Providing more targeted
                                                   and early intervention, working with education and primary care, for those experiencing issues and in
                             Start Well
A Life-Course approach

                                                  need of help. Supporting parents and care givers to promote and build their skills to build wellbeing and
                                                                                  resilience in children and young people.

                                                  Promoting wellbeing and resilience across our working age population, providing more targeted action
                                                     and early intervention for those experiencing early ill-health to support self-care, and promoting
                              Live Well          community and policy interventions to promote good health and wellbeing through more active and well
                                                  communities. Supporting recovery and wellbeing with clearer pathways that enable people to navigate
                                                                                   support and community based activity

                                                      Promoting wellbeing and resilience with older people to support healthy and active ageing and
                                                  independence. Providing more targeted action and early intervention for those experiencing loneliness
                              Age Well           and or early ill health to ensure the better management of self care and supporting carers and families as
                                                                                         critical assets in peoples lives.

                     This work needs to be shaped by good data and delivered in locally meaningful ways,
                     with communities, in our Local Community Networks, where relationships and trust are
                     being formed.
                     Each LCN has expressed different and similar ambitions around prevention, which have
                     been used to shape this work. Different elements of prevention will be delivered
                     through each LCN and learning will be shared between them all
                                                                                                                                                              3
Exploring Community based approaches to good mental health for young people - Tina Favier, Coastal Care - Community Works
Joint Strategic Needs Assessment of Self Harm, May 2017

Emergency hospital admissions for self-harm was significantly higher in West Sussex than England.

The rate of emergency hospital admissions for self-harm has significantly exceeded the West Sussex rate in Adur
and Worthing

Nearly 40% of emergency admissions for self-harm were for young people aged 10-24

Local data suggests – significant increase among 10-14, compared to 2014/15

Women account for a greater proportion (approx. 65%) of self-harm admissions in West Sussex.

46.2% of all admissions for self-harm were multiple admissions

A small number of patients (3%) were admitted to hospital for self-harm five times or more in West Sussex.

The majority of patients were discharged to their usual place of residence following admission for self-harm
Emergency admissions rates of self-harm are greater in the most deprived areas in West Sussex
Exploring Community based approaches to good mental health for young people - Tina Favier, Coastal Care - Community Works
Emergency hospital admissions (First FCEs) for self-harm in 2014/15: directly age standardised rate
(per 100,000 population

2014/5 1,810
admissions for                 0   25   50   75   100   125   150   175   200   225   250   275   300   325   350   375   400   425
self-harm in
                       Adur
WS (all ages)
                       Arun

                  Chichester

                    Crawley

                   Horsham

                  Mid Sussex

                   Worthing

                 West Sussex
Exploring Community based approaches to good mental health for young people - Tina Favier, Coastal Care - Community Works
Exploring Community based approaches to good mental health for young people - Tina Favier, Coastal Care - Community Works
Exploring Community based approaches to good mental health for young people - Tina Favier, Coastal Care - Community Works
Peer project for young people and parents
designed and delivered in one High School -
#OneGoodFriend.                                                 • Self-Harm
                                                               • The Adolescent Brain
Adur and Worthing Councils, CGL, MIND, SPFT, IPEH and
WSCC.                                                          • Supporting young people to cope with life (Personal Resilience)
16 young people in Year 7 and their parents.                   • Eating Disorders
Parental skill-building-knowledge and skills to understand and • Mental Health and Young People
improve communication with YP
                                                               • Talking with Young People about Mental health
                                                               • The final programme did not include this subject as BEAT also offer free
                                                                 sessions to parents.
Exploring Community based approaches to good mental health for young people - Tina Favier, Coastal Care - Community Works
Exploring Community based approaches to good mental health for young people - Tina Favier, Coastal Care - Community Works
Priorities for 2018/19

• Eating Disorders
• Early Intervention and Prevention
  and targeted services & support
• Crisis Care and Urgent Help
• Health and Justice Pathway
• CYP IAPT 6. Workforce Development
• Most Vulnerable Children and Young
  People
• Neurodevelopmental Pathway
• Transition
Commissioned CYP Mental Health and Emotional Wellbeing Services by WSCC and NHS
                                                            BEAT
                                                                                           Brighton & Hove
                                                        Eating disorder                          MIND
                                                      support for Parents
                                                                                                 Advocacy                              XenZone
                                                                                                (age 11-18)                             Kooth
               LGBT Support                                                                                                              Online
               (Allsorts West                                                                                                          Consultancy
                   Sussex)                                                    Sussex CYP &                      Coastal West           (age 11-18)
                Group and 1:1                                                Families Eating                    Sussex MIND
                   support                                                                                     Youth MH Service
                 (age 11-19)                                                    Disorders
                                                    A&E Liaison                   SPfT                          Support & Advice
                                                                              Eating disorder                     (age 16-25)                    YMCA Dialogue
                                                   Service WSHfT
                                                                                  support
                                               •     High risk                  (age 10-18)                                                      •     Canine Assisted
 Domestic Abuse                                •     Immediate                                                                                         Therapy
    Recovery                                                                                                                YES                  •     Face to Face
    Together                                                                                                       (Youth Emotional                    Counselling
 My Sister’s House                                                                                                     Support)                        (age 11-18)
                                                    CMHL                                                               WSCC
 Group interventions                         (Community MH
                                                 Liaison)
    with families
     (age 7-14)                                     SPfT                               YP                        Emotional support /
                                                                                                                     well-being
                                                                                                                    (age 11-18)
                                                Assessment                                                                                               Winston’s
                                             (A&E & inpatients)                                                                                            Wish
                                                                                                           Early
               ATS                                                                                                                                      Bereavement
                                                                                                       Intervention                                      (age 5-11)
          (Assessment &                                                     CAMHS
        Treatment Services)                                                                          Psychosis Service
                                                                             SPfT                          SPfT
         Sexually harmful                                               consultation                 First time psychosis
            behaviour                                                     support                          (age 13+)                    Free Your Mind
                                                                                                                                         Collaborative
                                                                                                                                              (IPEH)
                            Sexual Abuse                             LAAC CAMHS                                Time to Change
                                                                                                                 West Sussex              Reduce stigma
                             Counselling                                 SPfT
                             Lifecentre                                                                         Health and well-
                                                                                                                 being board
                        Play and pre-trial                            Children in foster
                             therapy                                  care, adopted etc                          Reduce stigma
                            (age 3-18)

                                                                                                                                                           Draft 1 01/1/2/17
                                                                                                                                                           BF
Review underway of the model for YP
  and mental health in West Sussex
Our
pledges
Thank you
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