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RAAS Conference Aspiration and Achievement
Social Emotional and Mental Health as a special
education need
Nick Millward Strategic Lead for SEMH [email protected] 01872 326367
What is SEMH?
SEMH is an overarching term for people who demonstrate difficulties with emotional regulation and/or social interaction and/or are experiencing mental health
problems.
We all have SEMH?
We all have good or bad days. Depending on our internal resilience and support systems a bad day may impact
on our mental wellbeing.
Social Emotional and Mental Health as a special education need
What is SEMH?
Social Emotional and Mental Health as a special education need
loved
safe accepted supported
understood
valued
free
in control
cared about
how important they are to you both in your workplace and at
home?
The importance of good SEMH and brain development
Social Emotional and Mental Health as a special education need
Adverse Childhood Events
• Lived with a parent or guardian who got divorced or separated; • Lived with a parent or guardian who died; • Lived with a parent or guardian who served time in jail or prison; • Lived with anyone who was mentally ill or suicidal, or severely depressed
for more than a couple of weeks; • Lived with anyone who had a problem with alcohol or drugs; • Witnessed a parent, guardian, or other adult in the household behaving
violently toward another (e.g., slapping, hitting, kicking, punching, or beating each other up);
• Was ever the victim of violence or witnessed any violence in his or her neighborhood; and
• Experienced economic hardship “somewhat often” or “very often” (i.e., the family found it hard to cover costs of food and housing).
Can you name some ACEs ?
The importance of good SEMH
Social Emotional and Mental Health as a special education need
‘Social and emotional wellbeing creates the
foundations for healthy behaviours and educational
attainment.’ NICE, 2013
‘Good mental health allows children and young people to
develop the resilience to cope with whatever life
throws at them and grow into well-rounded, healthy adults.’
Mental Health Foundation
When does SEMH become a Special educational need ?
SEMH can become a Special Educational Need for a small proportion of children and young people.
Some educational, medical, emotional or social
factors can have a significant and sustained impact on social, psychological and or emotional
wellbeing / resilience. This can in turn have an ongoing negative impact on accessing education.
It is vital that the correct educational and clinical assessment / support is put in place, by the right
people in the right location at the right time
Graduated response
Social Emotional and Mental Health as a special education need
If left with out the right treatment or support
SEMH is not one need
Social Emotional and Mental Health as a special education need
Social wellbeing Is the ability to form, hold
positive and age appropriate relationships with others. Additionally good social
wellbeing enables a person to function co-operatively, in such
a way so as not to cause distress and or harm to themselves or others
Emotional wellbeing Enables an individual to function in society and meet the demands of everyday life. With appropriate emotional responses
Psychological wellbeing The ability to be self-reliant,
problem solve, manage emotions, see aspects from other people’s perspective, be able to give and
receive constructive criticism and be attentive.
RAAS Conference Aspiration and Achievement
Data
What is the extent of need
Social Emotional and Mental Health as a special education needs
0
1
2
3
4
5
6
7
8
9
10
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12
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15
16
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18
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2015 2016 2017
% o
f stu
dent
s id
entif
ied
as S
EMH
Acedemic year
Percentage of Primary schools SEN students identified as SEMH
National
Cornwall
What do you see ?
Social Emotional and Mental Health as a special education needs
16
17
18
19
20
21
22
2015 2016 2017
% o
f stu
dent
s ide
ntifi
ed a
s SEM
H
Acedemic year
Percentage of Secondary school SEN students identified as SEMH
National
Cornwall
What do you see ?
Social Emotional and Mental Health as a special education needs
0
10
20
30
40
50
60
a b c d e f g h i j k l m n o p q r s t u v w x y x aa ab ac ad ae
Num
ber o
f you
ng p
eopl
e id
entid
e as
hav
eing
SEM
H
Secondary schools
Numbers of young people identified as have SEMH as their primary SEN within all the Cornish secondary schools
2016 SEMH
2017 SEMH
What do you see ?
Reflection and discussion
What is your setting or organisation doing to support SEMH and how much does your staff know about the development of
SEMH and A SEN ?
Social Emotional and Mental Health as a special education need
How can schools support children with SEMH ?
Social Emotional and Mental Health as a special education need
• Share information • Increase understanding and training around attachment • Co-produce a triggers curve / arousal curve • Keep calm – tone of voice! • Clear and predicable routines • Greet the child by name and show interest • Actively listen and model empathy • Have low sensory environments • Visual prompts • Have access to a trusted adult • Activity teach coping skills (visual choices, deep breathing etc..) • Work closely with the family to have a joint strategy
Remember in fight or flight logic is not always prevalent
National programs for improving Mental Health of children
Future in Mind – some key workforce development • Carter Review of Initial Teacher Training (ITT) reported in January 2017. It recommended
commissioning a sector body to produce a framework of core content for ITT which would include child and adolescent development
• Foundation Programme curriculum for doctors (covering the first two years of postgraduate training for doctors qualifying in the UK) will give increased prominence to mental health
• The social work reform programme is placing a much stronger focus on the skills and competencies needed by child and family social workers. This includes identifying child development, physical and mental health and education needs
• The Think Ahead initiative will provide a new cadre of top graduates training to specialise in adult mental health social work, including work with young adults.
Social Emotional and Mental Health as a special education need
National programs for improving Mental Health of children
Youth Mental Health first Aid (MHFA) • This three year Programme launched in Easter 2017 and is fully funded by
the Department of Health
• Every secondary school in England is entitled to one free place on a Youth MHFA One Day course through the Youth MHFA in Schools programme.
• One Day courses to train Youth MHFA Champions - someone with the skills
to spot the signs of mental health issues in young people and guide them to a place of support.
• Contact – [email protected]
Social Emotional and Mental Health as a special education need
Child Adolescent Mental Health Service (CAMHS) and the Kernow Clinical commissioning group
Cornwall Council is working very closely with colleagues in various health teams.
• CAMHS support and therapies
• Tier four in patient development and integration
Social Emotional and Mental Health as a special education need
Cornwall workforce development to support SEMH
• Headstart and Trauma Informed Schools (TIS)
• Emotional literacy support assistant training (ELSA)
• Emotional first aid (EFA)
• 5 to thrive
• National Nurturing school program • Social, Emotional and Mental health (SEMH) lead – advice and training
Social Emotional and Mental Health as a special education need
Within Cornwall to support SEMH more widely
Social Emotional and Mental Health as a special education needs
There is a lot of support from education, health and social care teams across Cornwall. Some of the main teams that you could seek support from are:
• Early support • Locality teams • Headstart community and school based teams • Early inclusion team • Educational Welfare Service • Healthy schools team • SEN support services • ASC team / ASC parenting support • Council commissioned YPC services e.g. Kooth • CAMHS • School nurse / health visitors • Youth offending service • Speech and language service
Additionally - there are a number of non for profit /
charitable services running
Within Cornwall to support SEMH more widely
Social Emotional and Mental Health as a special education needs
Take 3 Overall Aim Take 3 is an evidence based course for parents of young people aged 10 to 18. Originally developed to support parents of at-risk or vulnerable young people with challenging behavior https://www.supportincornwall.org.uk/kb5/cornwall/directory/service.page?id=fT0IKYibvBk 07837 311505 Equus Solutions Provide a successful and innovative approach to improving mental health in adults, children and young people. Qualified, experienced therapists use interactive experiences with horses to enable emotional and social growth. http://www.equussolutions.co.uk/r was causing problems for parents and/or the school
Social Emotional and Mental Health as a special education needs
What do you think ?
Where do you feel that there are gaps in Cornwall’s understanding and provision ?
Social Emotional and Mental Health as a special education needs
In summary
• A commitment to meet SEMH needs requires a consistent and strategic approach which can only be achieved through a whole school / organisation plan
• To have a shared understanding around the language or vocabulary
• On going work force development around SEMH and child development
• A clear parent / carer engagement plan
• To have a comprehensive sharing and referral process for children causing the greatest concern
http://www.annafreud.org/media/4612/mwb-toolki-final-draft-4.pdf Public Health England and the Anna Freud National Centre for Children and Families collaborated to fund and develop this free toolkit.
Social Emotional and Mental Health as a special education needs
Nick Millward Strategic Lead for SEMH [email protected] 01872 326367