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(CAMHS) and Schools - London Health Programmes

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department who liaises with school staff over referrals. Another service provided<br />

monthly discussion groups in a high school on mental health issues <strong>and</strong> monthly<br />

meetings with the year heads.<br />

Training – teachers, SENCOs, school nurses<br />

46 of the <strong>CAMHS</strong> described training school staff. 4 This training ranged from INSET<br />

days for teachers, conferences <strong>and</strong> running regular groups. For example a family<br />

therapy interest group which was attended by teachers <strong>and</strong> health visitors, or regular<br />

seminars through the year. Several of the <strong>CAMHS</strong> that were running specialist<br />

groups or health promotion packages included a training element for the school staff.<br />

Other training included presentations on the role of the <strong>CAMHS</strong> <strong>and</strong> training on<br />

specific mental health problems such as autism, ADHD, aspergers syndrome,<br />

deliberate self -harm <strong>and</strong> depression.<br />

Support to school nurses<br />

Support to school nurses was mentioned specifically by <strong>CAMHS</strong> (20) in addition to<br />

support to other staff. This support ranged from case by case consultation to training<br />

<strong>and</strong> direct supervision of their work.<br />

3.3.2 Assessment <strong>and</strong> observation<br />

Several of the <strong>CAMHS</strong> described conducted assessments (48) <strong>and</strong> observation (7) of<br />

children in schools or early years settings. This was either in response to the school’s<br />

concern who wanted to make a referral, or when a child has already been referred to<br />

<strong>CAMHS</strong> <strong>and</strong> is assessed in a school or early years setting. This occurs more<br />

frequently in early years <strong>and</strong> primary settings than in secondary school settings.<br />

Several also mentioned contributing to SEN statements.<br />

3.3.3 Working with parents<br />

Just over half the respondents who were working with schools said that they worked<br />

with parents, although it was not clear if this is necessarily within a school. The work<br />

with parents was more common in early years settings <strong>and</strong> primary schools than in<br />

secondary schools. Parent support included directly running groups for parents in the<br />

school setting, <strong>and</strong> awareness raising on general mental health issues <strong>and</strong> about<br />

specific conditions. Parenting classes were run directly by <strong>CAMHS</strong> staff, or by<br />

education staff, with their support. This could be in the form of training Tier 1 staff in<br />

parenting (two mentioned a Webster Stratton parenting programme specifically) or<br />

offering ongoing supervision to staff running them. Some <strong>CAMHS</strong> mentioned<br />

providing home/school programmes. Other <strong>CAMHS</strong> mentioned liaison meetings at<br />

schools with parents <strong>and</strong> school staff about individual children. As with staff training,<br />

some of the specific intervention programmes with children <strong>and</strong> young people<br />

involved training for parents at the same time. Although work with parents in<br />

secondary schools was less common, one <strong>CAMHS</strong> mentioned attending parent<br />

evenings with an information st<strong>and</strong>, <strong>and</strong> running parent workshops.<br />

4 these figures come from descriptions of the work the respondents gave in an open question, which<br />

was then coded, rather than to a direct question (ie do you train staff – yes/ no, <strong>and</strong> thus may be an<br />

underestimate.

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