Place2Be in the Inner City

A school based mental health serviceAssociation for Research in Infant and Child Development

Dr Stephen Adams-Langley, Place2Be9th November 2012

About Place2Be

Who we are• National award-winning charity• Established in 1994• Improving children’s 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

Where to find Place2BeScotlandEdinburgh 2,400 children

East Lothian 1,300 children

Glasgow 630 children

WalesCardiff 2,000 children

North EastNorthumberland2,900 childrenCounty Durham2,800 childrenLeeds 2,800 children

North West & MidlandsEast Lancashire1,700 children

Greater Manchester2,200 children

Nottingham2,500 children

South EastHarlow2,000 children

Medway3,300 children

LondonBrent 6,000 children

Croydon 3,500 children

Ealing4,300 children

Enfield 5,000 children

Greenwich 2,500 children

Shoreditch 2,500 children

Southwark 2,500 children

Wandsworth 3,500 children

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

Place2Be - Area-Wide Solution Flexible, tailored and cost-effective menu for schools

Peer MentoringTraining

Empowering andenabling

young people

Place2BeFoundation

CourseTraining for the local community

Bespoke training

programmeSchool cluster

groups18 months

SafeguardingSupport

Advice and guidance for

schools

Themed seminars

School staff and other

professionalgroups

A Place for Counsellors Support for

1 day per week

Parent and Early Years Work

Dedicated therapeutic support

for parents and carers

Place2Be school-based

service 2 - 4 daysper week

The Place2Be Hub

Advice and support services

School-based services

Training and capacity building

KeyPlace2Think for school staff

Advice andsupport

Training courses

for schools and communities

MDS, LMs, TAs

School Based Services

Place2Be School-Based ModelDedicated team of on-site counsellors providing services to the whole school community

Parent and Early Years WorkSpecialist counselling service for parents and carers based in Schools and Children’s Centres

A Place for Counsellors1-day model for small primary schools (200 pupils or less)

Advice and Support Services

Place2Think Specialist consultation and advice for schools

Themed SeminarsSeries of open access seminars for Head teachers and school staff

Safeguarding support Advice for school-based professionals

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 Children’s Counsellor

• Foundation Course (OCNLR Accredited)

• Place2Be’s Diploma and Masters programmes (UEL / BACP Accredited)

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

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)

Outcomes and Impact

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

61%

68%

62%62%

68%65%

60%

71%

64%63%

72%

66%65%

74%71%

0%

10%

20%

30%

40%

50%

60%

70%

80%

As rated by the Teacher As rated by the Parent As rated by the Child

Per

cen

tag

e o

f ch

ild

ren

2005/06 2006/07 2007/08 2008/09 2009/10

Outcomes and Impact 2009/10

One-to-One ServiceImprovements in child’s wellbeing reported by- 74% of parents- 71% of children- 65% of teachers

Learning and Attainment95% of children improved in one or more subjects

Supporting the whole school95% of Head teachers say we have ‘improved their school environment.’

Supporting Parents and carers96% of parents reported increases in their wellbeing, confidence and social functioning

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

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

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

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

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

Reaching the Hard to Reach Parents

• Must have written consent for clinical work• Assessment data, Goodman SDQ’s• 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

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 People’s 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’

Contact Stephen Adams-Langley

Stephen.Adams-Langley@theplace2be.org.uk

Place2Be

13-14 Angel Gate

326 City Road

London, EC1V 2PT

07912 097 403