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
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.
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
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
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
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.
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
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