TaMHS & Special Schools.North Tyneside’s multi agency approach to the development & delivery of training – to increase capacity & improve pathways

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

TaMHS Workshop facilitators

Rhian Davies CAMHS PMHW Tina Yarborough CAMHS PMHWElaine Robson LA PSHE Team AdvisorGill Hedworth LA PSHE Team Advisor

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

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

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)

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

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

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 )

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

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

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

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

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)

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.

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

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

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

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