Mental Health and Emotional Wellbeing 23 January 2019

Mental Health and Emotional Wellbeing 23 January 2019 Working together with the Barnet population to improve health and well being 1

Prevalence (1) • • • Estimated prevalence of mental health disorders in CYP (2015) was 8. 3% of the population aged 5 -16 (compared to London 9. 3%; England 9. 2%) – rises to 7, 565 for 0 – 17 year olds In 2016/17 - 184 hospital admissions for DSH (aged 16 -14) in Barnet, representing 179 admissions/100, 000, lower than the national rate of 407 admissions/100, 00. Rate of first hospital admission for mental health conditions in 0 -17 year olds in Barnet is significantly worse than the English average, 158/ 100, 000 for Barnet compared to 82/ 100, 000 for England (and 77/100, 000 for the London region) “What about Youth Survey” of 15 year olds found that in Barnet 1 in 2 participants were unhappy with their body shape; 5% of participants had low satisfaction with life, and 1 in 2 had been bullied at least once in the previous few months. 2004 ONS survey found that prevalence of mental health disorders was higher in children and young people where: • there were lower levels of parental educational attainment. • neither of their parents were working. • they were living in households with a low household income. • they were living in areas of socio-economic deprivation. Working together with the Barnet population to improve health and well being

Prevalence (2) • Overall boys are more likely (11. 4%) to experience a mental health problem than girls (7. 8%), but girls are slightly more likely to experience an emotional disorder • Since 2013 there had been a rapid increase in referrals to Barnet CAMHS from the local authority and significant rise in the number of young people presenting with deliberate self -harm (DSH) Working together with the Barnet population to improve health and well being

CAMHS Transformation Plan • Submitted annually to NHS England from 2015 • Ambitions to improve whole system of emotional health and wellbeing for CYP inline with THRIVE • Overseen by CAMHS Transformation Board • Monthly partnership meetings, chaired by CCG Clinical Lead • Improved communication between partners to improve pathways and adapt to challenges • Focus for the next 6 months to address: • Continue to embed improvements in early help • Reduce waiting times • Improve support for young people in crisis • Reduce variability in service offers • Improve access – explore single point of access • Coproduction and engagement. Working together with the Barnet population to improve health and well being

Early years • Early Years Hubs (0 – 19) – live from October 2018 • Children’s Centres • Classes, childcare • Adult support: parenting, wellbeing, employment • Health visiting • Perinatal mental health Working together with the Barnet population to improve health and well being

Support in school Prevention and early help • Mental health first aid • Digital - KOOTH / QWELL More support • Children’s Wellbeing Practitioners • Primary Mental Health Workers Continue to embed LBB Clinical Team Review equity of offer Space 2 Grow funding for VCSE Working together with the Barnet population to improve health and well being

Specialist provision Specialist support: • • Primary care and general practice Generic CAMHS Eating disorders – NCL Review Adolescent services Family therapy SEND Paediatric liaison Waiting times Review of Specialist Provision: • Three providers • Variability Working together with the Barnet population to improve health and well being

Supporting CYP in crisis • Transforming care – Key workers • Assertive Outreach – shadow from Dec ‘ 18, live Feb ‘ 19 • Out of hours support (North Central London provision) – April ‘ 19 • Specialist inpatient provision – New Model of Care Working together with the Barnet population to improve health and well being

Your view Current provision • What works well with current service? • Where do you see current gaps in the service? Transformation • What are your initial thoughts about this service redesign? • Does this address your current issues and concerns with the service? • What qualities are important to you? Pathway • How would you like your interface to work with early help provision? • How would you like your interface to work with secondary care? Working together with the Barnet population to improve health and well being

Your view Please continue to feedback your thoughts to: Zoë Garbett Assistant Director, Children and Young People’s Commissioning (CCG) zoe. garbett@nhs. net Working together with the Barnet population to improve health and well being