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Future in Mind: Overview and Next Steps

Claire Bethel, Deputy Director, Children and Young People’s Mental Health & Wellbeing

VCS Event 13th July

Future in mind Promoting, protecting and improving our children and young people’s mental health and wellbeing

Membership: Taskforce of Cross sector experts on children and young people’s mental health with knowledge of wider system transformation, including education, social care and health

Contains: 49 proposals to transform the design and delivery of a local offer of services for children and young people with mental health needs

Published: 17 March 2015

• Five key themes provide the structure of the report with recommendations:

• Participation and collaboration identified as a core principle - services designed with children, young people and families to meet their needs

• Contains 49 proposals to transform the design and delivery of a local offer of services for children and young people with mental health needs

Future In Mind Overview

Act early to prevent harm, by investing in the early years, supporting families/carers and building resilience through to adulthood, to reduce the

burden of mental and physical ill health over the whole life course.

•An anti-stigma campaign to raise awareness, promotes improved attitudes to children and young people affected by mental health difficulties.

•Time to Change campaign

•Prevention and early intervention•Whole school approaches to promoting mental health and wellbeing

•Enhancing existing maternal, perinatal and early years health services and parenting programmes.• Supporting self care

Promoting resilience, prevention and early intervention

Change how care is delivered and build it around the needs of children, young people and families, to ensure that children and young people have

easy access to the right support from the right service at the right time.

•Moving away from tiered system

•A joint training programme to support lead contacts in mental health services and schools

•Harnessing the vital contribution of the voluntary sector

•Continuing to implement the Mental Health Crisis Care Concordat

•Named points of contact in mental health services and schools

•A set of access and waiting times standards

•A national, branded web-based portal for online tools/services

•Legislating to ensure no young person under the age of 18 is detained in a police cell place of safety

Improving access to effective support- a system without tiers

Drive improvements in delivery of care and standards of performance, to ensure a better understanding of how to get best outcomes for vulnerable children, young

people and families/carers and value from investment.

• Making sure that mental health assessments include sensitive enquiry about the neglect, violence and abuse, including child sexual abuse and exploitation and for those 16 and above, a routine enquiry

• Making multi-agency teams available with flexible acceptance criteria for referrals concerning vulnerable children and young people.

Care for the most vulnerable

Accountability and transparency

Drive improvements in delivery of care and standards of performance, to ensure a better understanding of how to get best outcomes for children,

young people and families/carers and value from investment.

•Lead commissioning arrangements in every area for children and young people’s mental health and wellbeing services, responsible for developing a single integrated plan

•DH prevalence survey of children and young people’s mental health and wellbeing

•Health and Wellbeing Boards challenging and confirming Joint Strategic Needs Assessments and Health and Wellbeing Strategies

A workforce that is ambitious, excellent in their practice, able to deliver the best evidenced care, committed to partnership and integrated working.

•Targeting the training of health and social care professionals

•Implementing the recommendations of the Carter Review of Initial Teacher Training (ITT)

•Continuing investment in commissioning capability and development through the national mental health commissioning programme

Developing the workforce

•Extending CYP IAPT curricula and training programmes

•Expanding CYP IAPT to cover the remaining 32% of the country

•Developing a comprehensive workforce strategy, including an audit of skills, capabilities, age, gender and ethnic mix

Vision for change

The Government’s aspirations are that by 2020 we would see:

Improved access for parents to

evidence-based programmes of intervention and

support

Improved crisis care: right place, right time, close

to home

Professionals who work with children and young people

trained in child development and

mental health

Timely access to clinically effective

support

A better offer for the most

vulnerable children and young people

A smooth and planned

transition from children to adult

mental health services

More evidence-based, outcomes

focussed treatments

More visible and accessible

support

Improved transparency and

accountability across whole

system

Improved public awareness less fear, stigma and discrimination

What work are we doing now?

•Investment commitments

•Extension and expansion of the Children and Young people’s Improving Access to Psychological Therapies Programme

•Local transformation plans- working with NHS England and other partners on development of the guidance for local transformation plans, and on out of hospital care

•Commissioning a new prevalence survey for CYP mental health

•Piloting single points of contact for mental health in schools

•Considering the introduction of routine enquires for violence and abuse in those 16 and over

CONT.

•Working on plans for legislation on S136 places of safety to ensure that no young person is placed in a prison cell as a place of safety when in crisis

•Working on an anti-stigma campaign

•Improved services for perinatal mental health

•Working on an NHS choices portal for Children and Young People’s mental health

What work are we doing now?

What work are we doing now?

Investment commitments

What work are we doing now?

Extension and expansion of the Children and Young people’s Access to Psychological therapies programme (CYP IAPT)

What work are we doing now?

Local Transformation Plans: DELIVERING THE VISION

What work are we doing now?

Commissioning a new prevalence survey for CYP mental health

What work are we doing now?

Piloting single points for mental health of contact in schools

What work are we doing now?

Considering the introduction of routine enquires for violence and abuse in those 16 and over

What work are we doing now?

Working on plans for legislation on S136 places of safety to ensure that no young person is placed in a prison cell as a place of safety when in crisis

What work are we doing now?

Working on an anti-stigma campaign

What work are we doing now?

Improved services for perinatal mental health

What work are we doing now?

Working on an NHS choices portal for Children and Young People’s mental health

The Mental Health Taskforce • Brings together health and care leaders, experts and service

users.• Purpose is to develop a five year national strategy for all ages

that will be published in autumn 2015.• The Taskforce will be exploring the access and quality of

services, look at outcomes for people who aren’t able to access services and prevention and early intervention.

• The Taskforce will draw from the work done in Future in Mind as they have acknowledged the report to be an effective summation of issues in children and young people’s mental health and wellbeing.

What is the role for the voluntary sector in continuing the work of Future in Mind?

Over to you!