Getting Beneath the JSNA Jane Case – Knowsley Commissioning Officer

Knowsley, Liverpool and Sefton submitted a joint bid to be part of BOND – we recognised that we were all in different places. Together it allowed us to review and begin to unpick how we needed to work with key partners such as schools and Clinical Commissioning Groups -

BOND

Using national statistics and recent research, evidence suggests that a range of between 10 to 15% of children have a mental health problem, which would equate to between 3,930 and 5,235 children and young people in Knowsley (NAC, 2008, Kurtz, 1996).

The statistics regarding mental health issues in children and young people are stark with

Three children in every classroom has a diagnosable mental health disorder One in five young adults show signs of an eating disorderOne in 12 deliberately harm themselves (25,000 of them are hospitalised each year

because of this) Nearly 80,000 children and young people suffer from severe depression

(youngminds 2012)

Knowsleys Joint Strategic Needs Assessment highlighted that almost 4000 CYP aged 0-19 have a diagnosable mental health issue

In a time of reducing budgets, we needed to increase our capacity to meet need earlier

Developed an outcomes framework with providers - We looked at existing partnerships – Public Health,

HTs .. Area based Children and Family Partnership Boards

We evaluated the T2 servicesMore than half (60%) of the schools in Knowsley had

children or young people who had received T2 support over quarters 1 and 2

Of the 60%, 49% were young people from Centre’s for Learning. 38% were from primary schools  

1400 CYP had accessed the system …..

50% featured anger issues39% featured self harm/suicide32% had experienced some form of bereavement21% included anxiety21% had domestic abuse within the family21% had criminal activity in some form

Linked the Young Foundations capabilities- refined our thinking regarding monitoring and outcomes based accountability -

One language that made sense to everyone

Communication Confidence and Agency Planning & Problem Solving Creativity ResilienceManaging FeelingsRelationships & Leadership

We took an area based approach – key area leaders came together to look at need and to identify potential opportunities to do things differently BOND and National College for Teaching and Leadership facilitated a workshop to build capacity to commission against local need

Specific families were identified and action plans developed to support them

All partners flexed outside their normal parameter of involvement

Relationships matter

BOND Workshop – to support local leaders think like commissioners

The Evaluation gave us the evidence The Outcomes framework gave us the one language

that all could understand

Enabled us to have some thinking space Empowered us to look at things differently Legacy Gap analysis – opportunities to intervene earlier Children with increased vulnerabilityTurning the curve activity Commissioning plan ?

GETTING IN TOUCHWebsite: www.youngminds.org.uk/bondEmail: bond@youngminds.org.ukTelephone: 020 7089 5050