Conference Programme - People and Mental Health in a Changing World - CAWT
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Conference Programme
People and Mental Health in a
Changing World
A Cross Border Conference
15th Annual Mental Health Conference
Saturday 27th October 2018
Ulster University, Institute of Nursing & Health Research, School of Nursing, Magee
Campus, Northland Road, Derry-Londonderry, BT487JL
A project supported by the European Union’s INTERREG VA Programme, managed by the
Special EU Programmes Body
Contents Welcome Letter 1 Mental Health Foundation Statistics 3 General Information 4 Conference Programme 5 Keynote Presenters 6 CAWT’s EU INTERREG VA Innovation 11 Recovery Project Overview CAWT’s EU INTERREG VA MACE Project 13 Overview Adverse Childhood Experience (ACEs) 15 Institute of Mental Health Sciences (IMHS) 16 Research Presentation Awards 2018 Exhibition 17 Mental Health Awareness Poster Competition 18 Notes 19
Welcome Letter
Welcome to the fifteenth annual Mental Health Conference to be held at the Magee
campus. In line with the World Health Organizations International ‘World Health Day’ 2018
we hope to embrace the theme of ‘Young People and Mental Health in a Changing
world.’ This conference is in collaboration with the Co-operation and Working Together
(CAWT) cross border health and social care partnership. The CAWT Partnership
comprises the Western and Southern Health and Social Care Trusts, the NI Health and
Social Care Board/Public Health Agency and the Health Service Executive (HSE) in the
Republic of Ireland. The focus of the conference is on raising awareness of mental health
issues among young people and on mobilising efforts in support of young people and
mental health in a changing world.
In Northern Ireland more than 20% of young people are suffering significant mental health
problems by the time they reach 18 (DHSSPS, 2010; Khan, 2016). Across the border in
the Republic, Child and Adult Mental Health Services are struggling to cope with high
levels of demands for services for young people. Living with mental health conditions can
profoundly affect millions of lives, limiting the capability of these individuals to make it
through the day, to sustain relationships, and to maintain work. Imagine growing up in our
world today. Constantly battling the effects of human rights violations, wars and violence
often taking place in the home, school and business. Many young people are spending
most of their day on the internet – experiencing cyber crimes, cyber bullying, and playing
violent video games. Suicide and substance abuse numbers have been steadily rising,
LGBTQ youth are feeling alone and persecuted for being true to themselves and young
adults are at the age when serious mental illnesses can occur and yet they are taught little
to nothing about mental illness and wellbeing. It is vital that we give young people access
to the support they need to grow up happy, healthy and resilient.
Our aspirations within this conference are to look at the wealth of experience and
knowledge gained through the exchange of information with our colleagues from both
sides of the border across a wide network of disciplines working within our schools and
1
communities, business and commerce. Both statutory and voluntary services actively
endorse holistic health and well-being and we wish to give them the platform to share their
experiences. We hope you find this conference enjoyable and become inspired from ideas
within the presentations which you can use to develop your knowledge and skills in
pushing the boundaries of recovery in mental health. We trust that this conference will
generate within us all an excitement to create positive mental health and well-being. We
want you to return home with encouragement, enthusiasm and energy.
Conference organisers would acknowledge the funding support secured by CAWT from the
EU’s INTERREG VA Programme which is managed by the Special EU Programmes Body.
We would also like to thank you for your support for this event.
With our best wishes
____________________
____________________ ____________________
Marie O’Neill
Edel O’Doherty Dr Kevin Moore
2
Mental Health Foundation Statistics
Young People and Mental Health in a changing world
Adolescence and the early years of adulthood are a time of life when many changes occur, for
example changing schools, leaving home, and starting university or a new job. For many, these
are exciting times. They can also be times of stress and apprehension. However, in some
cases, if not recognized and managed, these feelings can lead to mental illness. The expanding
use of online technologies, while undoubtedly bringing many benefits, can also bring additional
pressures, as connectivity to virtual networks at any time of the day and night grows. Many
adolescents are also living in areas affected by humanitarian emergencies such as conflicts,
natural disasters and epidemics. Young people living in situations such as these are particularly
vulnerable to mental distress and illness.
Half of all mental illness begins by the age of 14
Half of all mental illness begins by the age of 14, but most cases go undetected and untreated.
In terms of the burden of the disease among adolescents, depression is the third leading cause.
Suicide is the second leading cause of death among 15-29 year olds. Harmful use of alcohol
and illicit drugs among adolescents is a major issue in many countries and can lead to risky
behaviours such as unsafe sex or dangerous driving. Eating disorders are also of concern.
Growing recognition of the importance of building mental resilience
Fortunately, there is a growing recognition of the importance of helping young people build
mental resilience, from the earliest ages, in order to cope with the challenges of today’s world.
Evidence is growing that promoting and protecting adolescent health brings benefits not just to
adolescents’ health, both in the short and the long-term, but also to economies and society, with
healthy young adults able to make greater contributions to the workforce, their families and
communities and society as a whole.
Prevention begins with better understanding
Much can be done to help build mental resilience from an early age to help prevent mental
distress and illness among adolescents and young adults, and to manage and recover from
mental illness. Prevention begins with being aware of and understanding the early warning
signs and symptoms of mental illness. Parents and teachers can help build life skills of children
and adolescents to help them cope with everyday challenges at home and at school.
Psychosocial support can be provided in schools and other community settings and of course
training for health workers to enable them to detect and manage mental health disorders can be
put in place, improved or expanded.
Investment by governments and the involvement of the social, health and education sectors in
comprehensive, integrated, evidence-based programmes for the mental health of young people
is essential. This investment should be linked to programmes to raise awareness among
adolescents and young adults of ways to look after their mental health and to help peers,
parents and teachers know how to support their friends, children and students. This is the focus
for this year’s World Mental Health Day.
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General Information
Conference enquiries
Please ask staff at the registration desk if you have any specific requirements regarding access,
lost property, dietary requirements, particularly relating to any allergies etc.
Badges
Participants should wear their badges at all times and will not be admitted to the conference
sessions without the appropriate badge.
Programme
Please refer to the programme for details of the times and locations of all conference sessions.
Staff will be on hand to direct you as necessary.
Exhibitions
There are multiple exhibitions running alongside the main conference event. A children’s
primary and secondary school Art exhibition is on display in the foyer. The conference
organisers which to express their sincere thanks to all exhibitors at this conference. We would
urge all delegates to show their support for all external exhibitors throughout the entire
conference.
The Exhibition will be open from 09.00 to 17.00.
Electronic Devices
Out of courtesy to others, delegates are requested to switch off or set to silent all electronic
devices during conference sessions.
Feedback
Please take a few minutes to evaluate the conference and give us your thoughts and
suggestions. Evaluation forms can be found in your conference pack.
Thank you in advance for your feedback.
4
Conference Programme
Young People and Mental Health in a Changing World
A Cross Border Conference
15th Annual Mental Health Conference, Saturday 27th October 2018
08.00 Registration & Coffee
09.00 Opening Address
Mark H Durkan, MLA Foyle and Spokesperson for Health SDLP
09.25 Adolescent Substance Use & Mental Health
Dr Bobby Smyth, Consultant Child & Adolescent Psychiatrist at Adolescent Addictions
Service HSE and Clinical Senior Lecturer in Addictions (Public Health & Primary Care)
Trinity College Dublin.
10.05 Anxiety, School Refusal, Depression and Self-Harm in Adolescence
Bronagh Starrs, BA Dip Psychotherapy MIAHIP, Founder & Director of Blackfort
Adolescent Gestalt Institute
11.05 Tea & Coffee Conference Exhibition and Poster Viewing
11.35 Tackling Adversity in Childhood
Kieran Downey, Director of Women & Children’s Services & Executive Director of Social
Work and Deputy Chief Executive, Western Health & Social Care Trust
11.55 Education for Resilience: A cross border approach to supporting people to take
control over their Mental Health and Wellbeing
Edel O’Doherty, Deputy Chief Officer, CAWT & EU INTERREG VA Innovation Recovery
Project Link
12.15 Platform Session 1: Emotional health and wellbeing in teens related to gender
identity
Billie Hughes, Childrens’ Services Manager & Lead Nurse, CAMHS Belfast and South
Eastern Health and Social Care Trusts
13.00 Lunch & Poster Viewing & Exhibitions
14.00 Young People and Emotional Well-being
Noella McConnellogue, ZEST
14.45 Platform Session 2: No Wrong Door
Sharon Ferguson, Peer Support Facilitator and colleagues from Community Healthcare
Organisation (CHO1), Progressing Mental Health Services, Genio Service Reform Fund
15.30 Refreshments & Exhibition viewing
15.45 Understanding Suicide Prevention: the unifying human rights quest of our times
Fergus Cumiskey, CEO Contact NI
16.45 Conference Close
5
Keynote Presenters
Adolescent Substance Use & Mental Health
Dr Bobby Smyth, MRCPsych PhD, Trinity College Dublin
He is a Consultant Child & Adolescent Psychiatrist, who has acted
as clinical lead across three adolescent addiction services in Dublin
since 2003. He is a Clinical Senior Lecturer in Trinity College
Dublin. He has been involved in research for 20 years and has
published over 70 scientific papers. His PhD examined strategies
to reduce the harms arising from substance use by youth. He is co-
author of the book Adolescents and Substance Use: The handbook
for professionals working with young people.
Anxiety, School Refusal, Depression and Self-Harm in Adolescence
Bronagh Starrs, Founder & Director of Blackfort Adolescent
Gestalt Institute is Programme Director for the MSc
Adolescent Psychotherapy in Dublin Counselling & Therapy
Centre, in partnership with the University of Northampton, UK.
She maintains a private practice in Omagh, Northern Ireland, as a
psychotherapist, clinical supervisor, writer, presenter and trainer,
specialising in working with adolescents. In addition to her work as
a parenting consultant with many families, schools and agencies,
she is also an experienced therapist working with children, adults
and groups. Bronagh is a renowned adolescent development
specialist and has considerable experience teaching and
presenting throughout Ireland and internationally on the
developmental implication of trauma on the adolescent journey.
Her approach to therapeutic intervention with adolescents is both
innovative and deeply relational. She has authored numerous
articles and chapters on the subject, and has contributed to the
collected volume: Relational Child: Relational Brain (Routledge,
Taylor & Francis Group/Gestalt Press).
Bronagh’s new book Adolescent Psychotherapy: A Radical
Relational Approach (Routledge) will be published in November
2018.
6
Tackling Adversity in Childhood
Kieran Downey, Director of Women and Children’s Services,
Western Health and Social Trust (WHSCT)
Kieran has worked in the health service for 30 years. He initially
trained as a teacher and subsequently qualified as a social worker.
Kieran has worked in a variety of senior management posts before
being appointed as Assistant Director of Children’s Mental Health
and Disability Services with the Western Trust in April 2007. He
was appointed Director of Women and Children’s Services and
Executive Director of Social Work in September 2012.
The Women and Children’s Directorate brings together a
comprehensive range of acute and community services with an
annual budget of £80 million. As well as all of the statutory Family
and Child Care, Children’s Services, Kieran also has responsibility
for Public Health, Maternity, Pediatric and Adult Safeguarding
Services across the Trust.
Kieran was instrumental in securing the first Charter Mark Award
for Day Care services in Northern Ireland and was on the Expert
Working Committee for the Bamford Review Group. He has most
recently led on the development of the Western Trust Infant Mental
Health Strategy (2011) which was the first strategic plan for infant
mental health in Northern Ireland.
Education for Resilience: A cross border approach to supporting
people to take control over their Mental Health and Wellbeing
Edel O’Doherty, Deputy Chief Officer, CAWT
Edel has worked in the area of planning, development and
implementation of cross border collaboration in health and social
care for over 13 years. She has a wide range of interests and
expertise including tackling health inequalities, mental health,
improvement, primary care and community development.
Edel is the executive lead on behalf of the CAWT Partnership on
the EU INTERREG VA Innovation Recovery and mPower (PCOP)
Projects. She is also supporting the CAWT Interoperability Group
which seeks to align cross border transfer of patient information
with the EU Interoperability Framework. Edel holds an MA in
Marketing Management, a Post Grad Diploma in Health Promotion,
Diploma in Workplace Health and Prince2 Practitioner Diploma.
7Emotional health and wellbeing in teens related to gender identity
Billie Hughes, Childrens’ Services Manager & Lead Nurse,
CAMHS Belfast and South Eastern Health and Social Care
Trusts
Billie Hughes is Lead nurse and Service manager for CAMHS in
Belfast and South Eastern Trust areas. She also has lead
responsibility for the regional CAMHS inpatient service, the Gender
Identity service and the Family Trauma Centre. She has a keen
interest in the health and wellbeing of children and families being
prioritised and therefore has led on many service developments.
She states that: “it is with great pride that I can state our CAMHS
inpatient service is the first service in Northern Ireland to have a
trauma informed model of care and a collective leadership
framework.”
She also provides direct clinical care across the HSC Trusts. To
inform and develop her practice she took part in the sensory
attachment integration training and the ‘Just Right State
Programme.’ She also supported this training across CAMHs to
increase the range of interventions that can provided with regard to
relational and developmental trauma. She had been using the ‘Just
Right State Programme’ locally for a year.
No Wrong Door
Sharon Ferguson, Peer Support Facilitator
Sharon is a Peer Support Facilitator with a specialism in
community development. Sharon has worked as a member of the
service reform team for over a year. Sharon is a trained counsellor
with many years’ experience in the community and voluntary
sector.
8Young People and Emotional Well-being
Noella McConnellogue, Director of Clinical Services, Zest
Healing the Hurt (a Counselling Organisation specialising in
self-harm and suicide).
Noella has 25 years’ experience working in the therapeutic field.
Since 2000 she been employed by Zest and specialises in
working with young people and adults who self-harm or have
attempted suicide, together with providing support for individuals
and families affected by the impact of self-harm and suicide
throughout the Western and Northern HSC Trust areas. Noella
represented the Voluntary and Community Sector as Co-Chair of
the Western Suicide Strategy Implementation Group.
Noella was employed by the Bloody Sunday Trust to develop,
manage and deliver counselling/support services during the
Bloody Sunday Inquiry. In addition, she worked for 5 years in
Dublin as a psychotherapist in a residential setting, working with
adults of early childhood trauma. Prior to working in the
therapeutic field, Noella has 20 years’ experience in youth work
alongside her experience of working in local government. Noella
graduated from University of Ulster, Magee with BSc (Hons) in
Psychology, Dip in Social and Behavioural Science. Noella
continued her studies and training to obtain a P/Grad. CBT.
Advanced. Dip in Integrative Humanistic Counselling, Dip.
Professional Counselling; Diploma in CBT and Cert. Childhood
Trauma. She also lectured on the UU Advanced Diploma in
Integrative Counselling at the NWRC. Noella is an EMDR
Practitioner, Clinical Supervisor and holds membership of the
following Professional Bodies: MBACP; BPS; IPS; UKCP; EMDR
UK & IRELAND
9Understanding Suicide Prevention: the unifying human rights quest
of our times
Fergus Cumiskey, CEO Contact NI
Fergus Cumiskey, CEO Contact NI, pioneered Lifeline, the unique
Assembly funded regional crisis suicide prevention helpline (2006-
18). Fergus sets out his stall for lessons learned from 12 years of
the North’s suicide prevention Protect Life Strategy.
Almost 1 million Lifeline calls, from more than 50,000 people in
crisis, witness to more than 200 family bereavements by suicide in
just over a decade, this speaker has clear messages on what
works and what helps people in crisis.
Fergus challenges the toxic corrosive legacy conflict and austerity
causing impossible gaps in trust between the public and those who
govern. Best investigative journalism and commissions of inquiry
all too often expose historical scapegoats, revealing few culture
change lessons learned, dusty reports piled high. Fergus argues
how, in his experience, good people don’t set out to do harm, yet
are naturally intimidated into silence when employers ‘lawyer up’,
scapegoat spotlight at the ready.
Fergus makes the case for courage, compassion and candour in
public life. He will emphasise how stamina fails the best experts in
the absence of solidarity and understanding. Isolation, defensive
denial, chronic delay result in zero lessons learned: common
threads linking all preventable death inquiries. Nowhere more
apparent than when suicide visits family, school or workplace
communities.
Fergus ranks NI regional suicide rates as disastrous. He links
international evidence to his conviction that every suicide is
preventable until the last moment of life.
10CAWT’s EU INTERREG VA Innovation Recovery
Project Overview
The Innovation Recovery (iRecovery) Project seeks to revolutionise mental health services by
empowering people with lived experience of mental illness to pioneer education on self-management
and ‘Recovery’. The project has adopted a social/educational approach to build upon other
clinical/therapeutic interventions to support people to regain control over their lives and self-manage
mental health conditions. The Recovery ethos combines the expert knowledge of patients, with the
clinical skills of mental health practitioners. Working together these groups co-produce and co-deliver a
diverse range of educational courses in response to the needs of other service users and people with
mental health problems.
Funding
The Project has been awarded grant funding up to €7,614,750.66 from the EU’s INTERREG VA
programme. This includes 15% match funding from both Departments of Health in NI and RoI.
Project Partners
The project partners are comprised of
representatives from the field of Health and
Social Care in both Northern Ireland and the
Republic of Ireland. The Innovation
Recovery project board members are senior
managers from each of the partner
organisations as well as representatives of
people who have had lived experience of
mental illness.
Delivery Sites
The project has established 3 ‘hub-and-spoke’
delivery sites between the Republic of Ireland and
Northern Ireland within the following areas:
11Project Outputs:
Project Contact
CAWT Deputy Chief Officer: Edel O’Doherty
Email edel.odoherty@westhealth.n-i.nhs.uk
Tel 028 71 272100
www.cawt.com/irecovery
@CAWTCrossBorder
@CAWTCrossBorder
12CAWT’s EU INTERREG VA Multiple Adverse Childhood
Experiences (MACE)
Project Overview
The MACE project aims to transform the lives of vulnerable families who are at risk from
multiple adversities in their lives, through identification, early intervention and the provision of
nurturing support within their communities.
Funding
The Project has been awarded grant funding up to €5,010,240.11 from the EU’s INTERREG VA
programme. This includes 15% match funding from both Departments of Health in NI and RoI.
The project will run until 2021.
Project Partners
The project partners are comprised of
representatives from the field of Health and
Social Care in both Northern Ireland and the
Republic of Ireland. The MACE project
board members are senior managers from
each of the partner organisations who are
committed to better outcomes for families
through cross border cooperation.
Delivery Sites
The project will have 7 full time staff working across the delivery sites between the Republic of
Ireland and Northern Ireland within the following areas:
1. Derry, Letterkenny & Inishowen
2. Strabane & West Donegal
1
3. Fermanagh, Sligo & Leitrim
4. Armagh, Cavan & Monaghan
5. Newry & Louth
2
3
4
5
13Project Outputs:
1. Development of an Adversity Matrix
This will be a new cross border area framework for the identification and assessment of
families at risk from multiple adverse childhood experiences.
2. Development of a Strengths Stratification tool
This will be a cross border area framework to identify the appropriate targeted intervention to
support families that have been identified via the Adversity Matrix
3. Develop and support five Cross Border Community Networks of Excellence
These networks will utilise existing Local Planning Groups, Family Support Hubs and the
Children and Young Person Strategic Partnership in NI and Prevention Partnership Family
Support, Child Family Support Networks and the Children Young Person’s Service
Committees in ROI. They will advise the project board in relation to current and future
needs, the types of interventions required to meet local need, training and capacity building
required to ensure the sustainability of practice beyond the life of the project. These
networks will share best practice, knowledge and learning to enhance cross border
cooperation during and after the project.
4. Deliver Interventions
The project will deliver 3125 interventions for families with children in age categories 0-3
years and 11-13 years. These will encompass interventions classified as Universal,
Targeted or Specialist and will be delivered on an individual and/or group basis.
5. EHealth Technologies
The project will develop a platform which will support the networks to identify need, target
appropriate support and monitor outcomes. The technologies will be used as a resource by
staff and communities during the life of the project and beyond.
Project Contact
MACE Project Manager: Sean McGrory
Email: sean.mcgrory@tusla.ie
Tel: 00353 8764 72191
www.cawt.com/mace
@CAWTCrossBorder
@CAWTCrossBorder
14Adverse Childhood Experience (ACE)
An increasing body of research identifies the long-term harms that can result from chronic
stress during childhood. Such stress arises when children are routinely exposed to issues such
as those illustrated below and other stress factors in their homes. Collectively, such childhood
stressors are called ACE (Adverse Childhood Experiences).
The Ten Indicators of ACE
Source: Centres for
Disease Control and
Prevention, Credit:
Robert Wood Johnston
Foundation (2018)
Research shows that exposure to ACE is associated with poorer outcomes for children
including in educational attainment, employment, involvement in crime, family breakdown and a
range of health and wellbeing measures.
The Harmful Behaviours and Diseases Linked to ACE
Source: Centres for
Disease Control and
Prevention, Credit:
Robert Wood Johnston
Foundation (2018)
Globally, the relationship between ACE and the development of health harming behaviours and
chronic disease in adulthood was first explored in the USA by Felitti et al. (1998). Based on this
research, organisations including the World Health Organisation (WHO) have strongly promoted
research into ACEs internationally and have developed standard ACE tools to support
measurement of the prevalence and impact of ACEs on population health. A national ACE
study undertaken in England found that almost half of the general population reported at least
one ACE and over 8% reported four or more (Bellis et al. 2014). In Northern Ireland, Queen’s
University Belfast and University of Ulster (Spratt, 2011 and Devaney et al, 2012 & 2014) have
also been involved in many studies of children, young people and families who have
experienced multiple adversities.
15Institute of Mental Health Sciences (IMHS)
Research Presentation Award 2018
Ulster University’s Institute of Mental Health Sciences (IMHS) is a
multidisciplinary institute that provides a holistic biopsychosocial approach
to mental health research.
The Inaugural IMHS Research
Presentation Award will be bestowed upon
the most inspiring and professional
speaker, elected by three independent
attendees.
An engraved glass trophy will be
presented by Professor Chérie Armour,
Director of the Institute of Mental Health
Sciences and Associate Dean (Research &
Impact), Faculty of Life & Health Sciences.
16Exhibition
We are delighted that our audience includes delegates from a wide range of specialities and
sectors including people with lived experience of mental health difficulties, carers, emergency
services personnel, statutory health and social care services, community and voluntary sector
representatives and the private sector. The Conference also provides an opportunity for the EU
INTERREG VA Innovation Recovery project team to showcase the great work which has
recently commenced under the auspices of the CAWT cross border health and social care
partnership.
The conference organisers which to express their sincere thanks to all exhibitors at this
conference. We would urge all delegates to show their support for all external exhibitors
throughout the entire conference.
Networking Opportunities
This annual mental health conference and exhibition is your opportunity to meet with many
voluntary organisations who work with young people with mental health issues. Our exhibition
forms the networking hub of the conference, giving you the space you need to exchange ideas
and discuss the content from the day with delegates.
As well as academic research and expert opinion, the conference includes first-hand testimony
from service users themselves, providing unique insights from those already benefiting from
mental health facilities – and eager to see innovations that could transform recovery.
The Exhibition will be open from
09.00 to 17.00
17Mental Health Awareness Poster Competition
“Social Media and Mental Health
let’s talk”
The Mental Health Nursing Department at Ulster University have launched a poster competition
to increase recognition about the impact mental health can have on all of our lives. This poster
competition will form part of our Fifteenth Annual Mental Health Conference taking place at the
Magee Campus on Saturday 27 October 2018.
An aspiration of the conference is to raise public awareness of mental health well-being within
schools. A unique way to do this is to have your students participate in creating a poster
concentrating on mental health issues. It will give them the opportunity to discuss and explore
the various types of problems and issues that children confront.
We would like to encourage you to celebrate the outcome of the finished products by entering
this POSTER COMPETITION. Winning posters will form part of the conference exhibition and
students and their school will be notified before the event. The awarding of prizes will occur at
the conference ONLY.
Conference Art Exhibition will take place on 27 October 2018 inside the new MU Building
(beside library) Magee Campus.
The Exhibition will be open from 09.00 to 17.00pm.
18NOTES:
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