Place2Be in the Inner City

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Place2Be in the Inner City
A school based mental health service Association
for Research in Infant and Child Development Dr
Stephen Adams-Langley, Place2Be 9th November 2012
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About Place2Be

• Who we are
• National award-winning charity
• Established in 1994
• Improving childrens mental health and wellbeing
  
• What we do
• School Based Counselling
• Advice and Support for school / community based
  professionals
• Training and Capacity Building
• Where we work
• 20 areas across UK
• 58,000 children in schools
• Additional 20,000 children reached through
  training

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Where to find Place2Be
Scotland Edinburgh 2,400 children East Lothian
1,300 children Glasgow 630 children Wales Cardi
ff 2,000 children North East Northumberland 2,90
0 children County Durham 2,800 children Leeds
2,800 children North West Midlands East
Lancashire 1,700 children Greater
Manchester 2,200 children Nottingham 2,500
children
South East Harlow 2,000 children Medway 3,300
children
London Brent 6,000 children Croydon 3,500
children Ealing 4,300 children Enfield 5,000
children Greenwich 2,500 children Shoreditch
2,500 children Southwark 2,500
children Wandsworth 3,500 children
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Why Place2Be is needed

• Over 1 million children in the UK have a mental
  health problem
• Nearly half of young people with mental health
  problems drop out of full time education by age
  15
• Over 90 of young offenders had a mental
  health problem in childhood
• 1 in 6 adults have a mental health problem
• The World Health Organisation predicts that
  depression will be the 2nd largest killer of
  all parents by 2020

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Place2Be - Area-Wide Solution Flexible, tailored
and cost-effective menu for schools
Place2Be school-based service 2 - 4 days per
week
Parent and Early Years Work Dedicated
therapeutic support for parents and carers
Peer Mentoring Training Empowering
and enabling young people
A Place for Counsellors Support for 1 day per
week
Place2Be Foundation Course Training for the
local community
The Place2Be Hub
Place2Think for school staff Advice and support
Bespoke training programme School
cluster groups 18 months
Key
School-based services
Themed seminars School staff and other
professional groups
Advice and support services
Training courses for schools and
communities MDS, LMs, TAs
Safeguarding Support Advice and guidance for
schools
Training and capacity building
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School Based Services

• Place2Be School-Based Model
• Dedicated team of on-site counsellors providing
• services to the whole school community
• Parent and Early Years Work
• Specialist counselling service for parents and
  carers based in Schools
• and Childrens Centres
• A Place for Counsellors
• 1-day model for small primary schools
• (200 pupils or less)

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Advice and Support Services

• Place2Think
• Specialist consultation and advice for schools
• Themed Seminars
• Series of open access seminars for Head teachers
  and school staff
• Safeguarding support
• Advice for school-based professionals

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Training and Capacity Building

• Introductory and Accredited Training
• 1 day workshops
• CPD sessions
• 2-6 day courses (OCNLR Accredited)
• Professional Qualifications
• Progression route to becoming a Childrens
  Counsellor
• Foundation Course (OCNLR Accredited)
• Place2Bes Diploma and Masters programmes (UEL
  / BACP Accredited)

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Contribute to success in schools

• Emotional resilience in the school community
• In 10/11, over 2,800 children accessed individual
  therapeutic interventions and 1,050 children
  received group counselling support in Place2Be
  schools
• In 10/11, 21,755 children (36 of the school
  roll) accessed the self-referral service in
  Place2Be schools

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Contribute to success in schools

• A happy child has the headspace to learn
• 64 of children of children referred were
  underachieving in Reading after Place2Be
  intervention, 81 of these improved by at least
  two National Curriculum sub levels (National
  sample study, The Place2Be, 2011)
• 47 of referred children had significant
  difficulties affecting their learning in the
  classroom of these, 60 had a reduced
  interference on their classroom learning after
  intervention
• (The Place2Be 2010/11 SDQ statistics Teacher
  report)

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Outcomes and Impact
Percentage of children who showed improvement
post-intervention 2005/06 - 2009/10
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Outcomes and Impact 2009/10

• One-to-One Service
• Improvements in childs wellbeing reported by
• 74 of parents
• 71 of children
• 65 of teachers
• Learning and Attainment
• 95 of children improved in one or more subjects
• Supporting the whole school
• 95 of Head teachers say we have improved their
  school environment.
• Supporting Parents and carers
• 96 of parents reported increases in their
  wellbeing, confidence and social functioning

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Contributing to Public Policy

• Education
• Improving attainment, behaviour, discipline,
  aspiration
• Enabling high quality teaching and leadership
• Public Health
• Tackling health inequalities by improving access
  to services
• Delivering better health outcomes by intervening
  early
• Mental Health
• Reducing stigma and discrimination
• Providing positive care/support experiences,
  leading to recovery

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Cost Efficiency and Savings

• Business Impact Analysis
• Evaluate the cost-effectiveness of our work
• Determine our unit costs
• Assess the social return on investment
• Cost-effectiveness of Place2Be
• Place2Be costs 41 less than most comparable
  statutory support service
• Cost-savings to society
• 1 invested in Place2Be yields 6 cost saving to
  society
• Each exclusion costs society 64,000
• Adult Mental Health problems cost UK economy 105
  billion per year

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Place2Be Room

• Sole use by Place2Be
• Rationale Boundaries Securities Consistency
• Status with children and school professional
• Reparative space for children experiencing
  unreliable, chaotic parents/carers
• Sole use based on unsatisfactory experience
• Schools need to learn about the complementary
  possibilities of therapy and benefits to child,
  parent and teacher

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Reaching the Hard to Reach

• Parents can have legitimate reasons for avoidance
• Newly arrived in the UK
• Fearful of authority or professional intrusion
• Family business is not to be shared or revealed
• Issues of substance misuse, criminality, domestic
  abuse, mental health problems
• Literacy issues and shame
• Family secrets
• Anxiety about their child being monitored or
  removed

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The Therapist in the Rain

• High thresholds in statutory clinics
• No follow up policy
• Quiet tenacity
• Loss of professional comfort
• Inner-city stats - 4 missed appointments until
  engagement on the 5th
• Non-blaming approach
• Use of text as a reminder
• Sensitivity to descriptions and language used
  about clinical interventions

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Reaching the Hard to Reach Parents

• Must have written consent for clinical work
• Assessment data, Goodman SDQs
• Base line targets pre and post intervention
  parent/child/teacher
• Imperative to measure clinical impact and
  effectiveness
• Clinically effective to engage the parents and
  the teacher
• Place2Be as a flexible systemic model

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Awards and recognition highlights

• The Mental Health Awards 1998 - Department of
  Health Voluntary Sector Award
• Winner of The Guardian Charity Award 2000
• Highly Commended by Mental Health Europe - the
  European Regional Council of the World Federation
  for Mental Health
• Liveable City Awards 2005 Winner Access to
  goods and services for disadvantaged communities
  
• Beacon Fellowship In 2004 our Chief Executive,
  Benita Refson, was short-listed for a Beacon
  Prize in the category of Leadership (awarded to
  Bob Geldof). Benita was shortlisted again in 2005
  and 2007. In 2010 Benita received the Beacon
  Judges Special Prize for Philanthropic
  Achievements
• Charity Awards 2006 Highly Commended Research,
  Advice and Support
• Children and Young Peoples Services Awards 2006
  - finalist for the Wellbeing Award
• OBE for Benita Refson In 2007 Benita was awarded
  OBE as founder of Place2Be for Services to
  Children and Families
• Independent on Sunday Happy List 2008 Benita
  Refson features in the top 100 on the
  Independent's Happy List of people who make
  Britain a better and a happier place to live.
  Category of Excellence Mental Wellbeing
• The Charity Awards 2010 Highly Commended
  Education and Training
• Public Health Wales 2011 Winner National Good
  Practice Award Also that year, the three Cardiff
  primary schools to receive Healthy School Awards
  in the Mental Health and Emotional Wellbeing
  category all invest in Place2Be service.
• The Private Equity Foundation Awards 2012 Winner
  Charity of the Year

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Contact Stephen Adams-Langley

• Stephen.Adams-Langley_at_theplace2be.org.uk
• Place2Be
• 13-14 Angel Gate
• 326 City Road
• London, EC1V 2PT
• 07912 097 403