Download - TaMHS & Special Schools
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TaMHS & Special Schools.North Tyneside’s multi agency approach to the development & delivery of training – to increase capacity & improve pathways
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Workshop Aims and Objectives
An overview of North Tyneside’s TaMHS Phase 3 pilot across 6 special schools between 2010 – 2011
Delivery of CAMHS training using a partnership approach between CAMHS PMHW Team & Education PSHE Team
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TaMHS Workshop facilitators
Rhian Davies CAMHS PMHW Tina Yarborough CAMHS PMHWElaine Robson LA PSHE Team AdvisorGill Hedworth LA PSHE Team Advisor
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TARGETED MENTAL HEALTH IN SCHOOLS (TaMHS)North Tyneside Special School Phase 3 Pathfinder
• Background & Context
• Establishing an evidence base
• North Tyneside special schools profile
• Local TaMHS Training Programme
• Northumbria University, Best Practice, Collaborative Study Days
• Pathfinder Pilots within Special Schools
• Securing improved outcomes and sustainability
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Local TaMHS Training ProgrammeOver the period covering October 2010 to March 2011 the multi-disciplinary team delivered sessions covering
general mental health awareness, ASD, ADHD and bereavement.
19 Special school training sessions – 443 attendees11 ‘open access’ training sessions – 228 attendees
Northumbria University, Best Practice, Collaborative Study Days
4 open access sessions covering ASD co-morbidity, ADHD co-morbidity, Raising Aspirations and Learning Disability
Mental Health – 53 attendees
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Design considerations for a local TaMHS training programme.
• New collaboration between CAMHS, PSHE & Special schools services - acknowledging professional anxieties, cultural differences, identification of shared terminology
• The challenges - establishing relationships with Special Schools – knowledge and skill pools/previous poor experiences of CAMHS
• Delivering to experts in learning
• Ensuring relevance to the range of school and pupil needs. (Pre group visits to heads, request for relevant case studies)
• Importance of a practical application in class –PSHE message. (Tool kits)
• Emphasis on the quality of staffs current relationship with the pupils as a therapeutic process, and skills and knowledge in emotional well being and mental health ( NAMING IT)
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Everybody’s Business
TaMHS – Targeted Mental Health training and education for Special Schools in North Tyneside
Facilitated by CAMHS & LA PSHE Team 2010 – 2011
UNDERSTANDING MENTAL HEALTH
National CAMHS Support Service
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Programme Content(Didactic teaching methods)
Policy and research context – messages of :
‘Everybody’s Business’/SEAL/Healthy schools
Prevalence rates national and regional
CAMHS structure -Tiered approach
TaMHS National Best Practice recommendations
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Group exercises ( delivered in whole & small groups)
Aim –to offer a practical application of theoretical knowledge.
• Sharing current examples of good practice (peer learning) eg snowball activity – a practical distancing technique
• Assessment tools – • Everybody’s Business ‘continuum of definitions of mental health (definitions, identification, triggers, current management)
• Individual live case studies application to Risk and Resilience framework and CSIP case study /question format (side coaching )
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PRACTICAL THERAPEUTIC TOOLS (PSHE resilience/emotional well being methods)
Consideration of diverse needs of pupils /inclusion issues.
Rally Robin warm ups (ref: Spencer Kegan) Positive petals (virtuous flower)Draw and Write - body maps (ref: Health for Life –publisher Nelson Thornes, Noreen Wetton)Worry StonesSecret friendsSnowball activities
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Group Process Issues
Factors impacting on Engagement and Resistance –
Head teachers involvement in project board (dissemination of information)
School cultures and values
perceptions of pupils mental health needs and CAMHS
Group dynamics – school hierarchies of interdisciplinary roles
Facilitation team- reflection/adaptation processes
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Lessons learnedThe Challenges…
Communication issues between project board and facilitators.
Teaching ‘experts on learning’.
Assumptions from history – poor relationships
Fear of raising expectationsTime constraints
Working across “expert” and systems boundaries
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Lessons learnedThe successes…
Positive PR
Increased empowerment and support for schools
Increased awareness of CAMHS service and child mental health
School staff more confident managing EWB of pupils
Collaborative knowledge/ practice /relationshipsto drive agenda
Clearer pathways between services
New CAMHS/LD PMHW post
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Outcomes from the TaMHS training
Comparing the baseline responses of staff across the special schools/PRU with the end of project evaluation
The rating scale used was 1 – 10
(ref: North Tyneside TaMHS Final Evaluation Report)
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Outcomes from the TaMHS training
4 of the following statements were used as a pre & post TaMHS training baseline & outcome measure on a scale of 1 – 10 for all staff attending the sessions
• The level of awareness (pre 5.5 – post 6.8 = 1.3 increase)• Ability to apply techniques (pre 5.6 – post 6.9 = 1.3 increase)• Confidence in supporting mental health needs (pre 5.5 – post 6.9 = 1.4
increase) • Ability to access further support (pre 5.2 – post 7.4 = 2.2 increase)• Responses have all increased as an outcome of our intensive programme
of TaMHS delivery that has been led and owned by Special Schools and supported by a wide range of multi-agency, multi-disciplinary partner professionals.
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Outcomes from the TaMHS training
• Demonstrates increased awareness & confidence as an outcome of the programme of TaMHS delivery• Cost effective – facilitators time, number of attendees• Future rolling programme evaluation outcomes• Triangulation of data• Better GCSE results & OFSTED report in 1 school compared to previous results
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Future Plans
Special schools Heads agreed funding for CAMHS/LD post
Sustainability model of CAMHS/LD post
Data collection – capturing CAMHS referralsCAMHS performance metrics
What impact of TaMHS training on increased referrals, consultations
Annual Special schools reports – measureable figures
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North Tyneside CAMHS PMHW Team
Theresa Maddison Modern Matron Child HealthAmy Langford PMHW YOS & Alcohol & Substance Use, N2L serviceRhian Davies PMHW Sandra Telford PMHWTina Yarborough PMHWPMHW post ( adolescents ) – appointed June 2011CAMHS/LD post – appointed October 2011
Albion Road Resource CentreNorth ShieldsTyne & WearNE29 OHGTel: 0191 2196685
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North Tyneside Education PSHE Team
Joyce McCarty Health & Wellbeing school improvement OfficerElaine Robson Health & Wellbeing school improvement advisorGill Hedworth Health & Wellbeing school improvement advisor
The Langdale CentreLangdale Gardens HowdonWallsendTyne & wearTel: 0191 6438500
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