CYP Mental Health Inequalities Webinar SE Region 2 nd November 2020 - - PowerPoint PPT Presentation

▶
cyp mental health inequalities webinar
SMART_READER_LITE
LIVE PREVIEW

CYP Mental Health Inequalities Webinar SE Region 2 nd November 2020 - - PowerPoint PPT Presentation

Mar 19, 2023 129 likes •1.05k views

CYP Mental Health Inequalities Webinar SE Region 2 nd November 2020 14.00 15.30 NHS England and NHS Improvement Guidelines for a successful call Please remain on mute when possible throughout the session - thank you. Use the hand

slide-1
SLIDE 1

NHS England and NHS Improvement

CYP Mental Health Inequalities Webinar

SE Region 2nd November 2020 14.00 – 15.30

slide-2
SLIDE 2

NHS England and NHS Improvement

Guidelines for a successful call

Please remain on mute when possible throughout the session - thank you. Use the ‘hand symbol’ if you wish to speak (If you have phoned in rather than coming in via the link please press *6 on your phone to unmute) Click this icon to toggle your camera on/off as and when required Feel free to add questions and comments via the Teams link chat box (accessible via this icon). Please vote for any questions others have written which you would like to have answered by clicking the ‘thumbs up’ . Questions will be answered during the session or followed up via email after the call if there is not enough time.

slide-3
SLIDE 3

NHS England and NHS Improvement Agenda

14.00 Welcome and Introductions Kerry Clarke CYP Mental Health Development and Improvement Manager South East Region NHS England and Improvement 14.05 PHE Nisha Sharma Health and Wellbeing Programme Manager – Public Mental Health Public Health England South East 14.25 BeYou Experience. Graysen Hall Porchlight 14.45 Boys in Mind Girls Mind Too Will and Lucia Youth Advisers Boys in Mind & Girls Mind Too 15.05 Group Discussion All 15.25 Close Kerry Clarke

slide-4
SLIDE 4

NHS England and NHS Improvement

Aim of the Webinar

To enable a systems change approach based on continuous quality improvement which can include smaller more targeted changes

Children and Young People to be at the centre

Bringing staff and service users together Winning hearts and minds of staff Leadership and culture

Focusing on

  • utcomes

Developing Testing Learning Together

slide-5
SLIDE 5

CYP Health Inequalities and the impact of COVID-19

Nisha Sharma, Public Mental Health Lead (PHE South East) Email: Nisha.sharma@phe.gov.uk

slide-6
SLIDE 6

6 CYP Health Inequalities & the Impact of COVID-19

slide-7
SLIDE 7

7 CYP Health Inequalities & the Impact of COVID-19

Child poverty has increased for those aged 0-18 in working families after housing costs. Mental health perveance in aged 5-15 and suicide rate per 100,000 in aged15-24 is increasing. Rate of young carers providing any unpaid care per week, per 1,000 young people aged 10-19 is increasing and so is the rate of LAC per 10,000 children aged 0-18

Source: https://stateofchildhealth.rcpch.ac.uk/evidence/at-a-glance/

slide-8
SLIDE 8

8 CYP Health Inequalities & the Impact of COVID-19

  • Since 2010, progress has been made in early years development, as

measured by children’s readiness for school. Clear socioeconomic inequalities persist, with a graded relationship between these measures and level of deprivation.

  • For low-income children, levels of good development are higher in

more deprived areas than in less deprived areas.

  • Rates of child poverty, a critical measure for early child development,

have increased since 2010 and are now back to their pre-2010 levels with over four million children affected.

  • Child poverty rates are highest for children living in workless families
  • in excess of 70 percent
  • More deprived areas have lost more funding for children and youth

services than less deprived areas, even as need has increased.

  • The most deprived 10 percent of children are nearly twice as like to

die (5.3 per 1,000) as the most advantaged 10 percent of children (3.1 per 1,000)

slide-9
SLIDE 9

9 CYP Health Inequalities & the Impact of COVID-19

In June 2020, PHE published the Disparities in the risk and outcomes of COVID-19 report. Summarises the findings of the descriptive review of data on disparities in the risk and

  • utcomes from COVID-19.

It confirms that the impact of COVID-19 has replicated existing health inequalities and, in some cases, has increased them.

slide-10
SLIDE 10

Cases - Deprivation

The rate in the most deprived quintile was 1.9 times the rate in the least deprived for males and 1.7 times the rate for females

10 CYP Health Inequalities & the Impact of COVID-19

Source: Public Health England Second Generation Surveillance System

Figure 3.2: Age standardised diagnosis rates by deprivation quintile and sex, as of 13 May 2020, England

slide-11
SLIDE 11

CYP Health Inequalities & the Impact of COVID-19 11

slide-12
SLIDE 12

Cases- Ethnicity

The highest age standardised diagnosis rates of COVID-19 were in people in the Other and Black ethnic groups, and the lowest rates were in the White ethnic groups

12 CYP Health Inequalities & the Impact of COVID-19

Source: Public Health England Second Generation Surveillance System

Figure 4.2: Age standardised diagnosis rates by ethnicity and sex, as of 13 May 2020, England

The rates in the Other ethnic group are likely to be an overestimate due to the difference in the method of allocating ethnicity codes to the cases data and the population data used to calculate the rates

slide-13
SLIDE 13

CYP Health Inequalities & the Impact of COVID-19 13

slide-14
SLIDE 14
  • Deprivation: the mortality rates from COVID-19 in the most deprived areas were more

than double for both males and females – consider potential impact of increased mortality in deprived communities on Children and Young People.

  • Urbanisation: Local authorities with the highest diagnoses and death rates are mostly

urban/densely populated – impact on communities and children and young people in urban areas.

  • Ethnicity - Risk of dying among those diagnosed with COVID-19 was higher in those in

Black, Asian and Minority Ethnic (BAME) groups than in White ethnic groups – consider impact on CYP – impact of cases, hospitalisation, mortality and increased fear and worry.

Disparities of Impact – Children & Young People

CYP Health Inequalities & the Impact of COVID-19 14

slide-15
SLIDE 15
  • Occupation: A total of 10,841 COVID-19 cases were identified in nurses,

midwives and nursing associates registered with the Nursing and Midwifery Council – consideration for children of key workers.

  • Sex: Working age males diagnosed with COVID-19 were twice as likely to die as

females – consider the loss of parent on CYP MH.

  • Age: Compared with those under 40, those who were 80 or older were seventy

times more likely to die - loss of grandparents to consider and impact on CYP MH.

Disparities of Impact – Children & Young People

CYP Health Inequalities & the Impact of COVID-19 15

slide-16
SLIDE 16

16 CYP Health Inequalities & the Impact of COVID-19

  • Longstanding inequalities exacerbated by COVID-19

Structural and societal environments & socio economic factors.

  • Increased risk of exposure to and acquisition of COVID-19

Key workers, higher use of public transport, multiple

  • ccupancy households.
  • Increased risk of complications and death from COVID-19

Higher rates of MLTC, mental health, poorer uptake of prevention services and importance of risk factors such as diabetes, obesity and CVD.

  • Racism, discrimination, stigma, fear and trust

Late presentation for treatment, access to PPE, Occupation risk assessment, role of faith and culture, need to rebuild trust.

  • Moving forward

Act now, cross government action, sustainable change, communications culturally and faith specific, more research needed.

slide-17
SLIDE 17
  • Intergenerational living: 30% of BAME groups live with a child under the age of 16

compared with only 11% of the white British population.

  • Social isolation and loneliness: Ethnic minority groups also face particular risks of social

isolation and loneliness, linked to higher levels of deprivation and potential exclusion from structures and processes that promote social connectedness and a sense of belonging.

  • Existing mental ill health: Increased acquisition risk and poorer health outcomes for

people with mental illness. This was especially compounded for BAME communities for whom problematic access to primary mental healthcare and mental health promotion have been well described.

Understanding the Impact on CYP: BAME Groups

CYP Health Inequalities & the Impact of COVID-19 17

slide-18
SLIDE 18
  • Impact of lockdown restrictions on those with mental illness: Social distancing

measures place restrictions on access to social support networks which are a fundamental part of BAME communities’ infrastructure and culture.

  • Barriers to accessing childcare: The proportion of Black African and Black

Caribbean households with dependent children and lone parents is high when compared to other groups; this may lead to difficulty arranging childcare in

  • rder to become economically active.

General Resources, Tools and Guides Migrant Mental Health Guide https://www.gov.uk/guidance/mental-health-migrant-health-guide Fingertips Data – Shows mental health data by protected characteristics http://fingertips.phe.org.uk/profile- group/mental-health

Understanding the Impact on CYP: BAME Groups

CYP Health Inequalities & the Impact of COVID-19 18

slide-19
SLIDE 19

CYP Health Inequalities – South East position (up to S43)

  • Population
  • Ethnic minority population
  • Index of deprivation LA level
  • Children in low income households
  • Children eligible of free school meals
  • Children in care
  • Special Education Need (SEN) children
  • 16-17 year olds Not in Education, Employment or Training (NEETs)
  • Mental and emotional wellbeing in school children
  • Looked after children (LAC – emotional wellbeing
  • Pupil absence and school exclusions (primary and secondary)
  • Learning disability and autism
  • Children in need due to abuse or neglect
  • Hospital admissions as a result of self-harm

19 CYP Health Inequalities & the Impact of COVID-19

slide-20
SLIDE 20

South East Population by gender and age band 2018

20 CYP Health Inequalities & the Impact of COVID-19

slide-21
SLIDE 21

Ethnic Minority population % 2016 across S.E.

21 CYP Health Inequalities & the Impact of COVID-19

slide-22
SLIDE 22

Index of Deprivation Affecting Children: IDACI 2015

22 CYP Health Inequalities & the Impact of COVID-19

slide-23
SLIDE 23

Children in low income families

23 CYP Health Inequalities & the Impact of COVID-19

slide-24
SLIDE 24

Children eligible for free school meals: as % in 2018

24 CYP Health Inequalities & the Impact of COVID-19

slide-25
SLIDE 25

Children in care 2019 by Local Authority

25 CYP Health Inequalities & the Impact of COVID-19

slide-26
SLIDE 26

IMD 2019 mapped across S.E. region

26 CYP Health Inequalities & the Impact of COVID-19

slide-27
SLIDE 27

IMD 2019 mapped across S.E. region (CCGs) v2

27 CYP Health Inequalities & the Impact of COVID-19

slide-28
SLIDE 28

IMD 2019

28 CYP Health Inequalities & the Impact of COVID-19

slide-29
SLIDE 29

SEN children across the South East

29 CYP Health Inequalities & the Impact of COVID-19

slide-30
SLIDE 30

Inequality distribution of SEN children

30 CYP Health Inequalities & the Impact of COVID-19

slide-31
SLIDE 31

SEN children across the South East v.2

31 CYP Health Inequalities & the Impact of COVID-19

slide-32
SLIDE 32

Age distribution of SEN children- S.E. region

32 CYP Health Inequalities & the Impact of COVID-19

slide-33
SLIDE 33

Age distribution of SEN children- S.E. region v.2

33 CYP Health Inequalities & the Impact of COVID-19

slide-34
SLIDE 34

16-17 year olds Not in Education, Employment or Training (NEETs)

34 CYP Health Inequalities & the Impact of COVID-19

slide-35
SLIDE 35

Mental and emotional wellbeing in schoolchildren

35 CYP Health Inequalities & the Impact of COVID-19

slide-36
SLIDE 36

Looked after children: emotional wellbeing

36 CYP Health Inequalities & the Impact of COVID-19

slide-37
SLIDE 37

Pupil Absence: education opportunity missed 2018/19.

37 CYP Health Inequalities & the Impact of COVID-19

slide-38
SLIDE 38

Primary school exclusions 2016/17

38 CYP Health Inequalities & the Impact of COVID-19

slide-39
SLIDE 39

Primary school exclusions mapped 2016/17

39 CYP Health Inequalities & the Impact of COVID-19

slide-40
SLIDE 40

Secondary school exclusions 2016/17

40 CYP Health Inequalities & the Impact of COVID-19

slide-41
SLIDE 41

Learning Disability QOF prevalence in S.E. 2018/19

41 CYP Health Inequalities & the Impact of COVID-19

slide-42
SLIDE 42

Children with learning difficulties known to schools 2018

42 CYP Health Inequalities & the Impact of COVID-19

slide-43
SLIDE 43

Children with learning difficulties known to schools 2018

43 CYP Health Inequalities & the Impact of COVID-19

slide-44
SLIDE 44

Children with learning difficulties known to schools 2018

44 CYP Health Inequalities & the Impact of COVID-19

The benchmark is the England average Moderate Learning Difficulties Severe Learning Difficulties Profound and Multiple Learning Difficulties

slide-45
SLIDE 45

Children with learning difficulties known to schools 2018: autism

45 CYP Health Inequalities & the Impact of COVID-19

The benchmark is the England average

slide-46
SLIDE 46

Children in need - rate per 10,000 under 18 years in 2018

46 CYP Health Inequalities & the Impact of COVID-19

slide-47
SLIDE 47

Hospital admissions as a result of self-harm 10-24yrs in 2018/19

47 CYP Health Inequalities & the Impact of COVID-19

slide-48
SLIDE 48

Data from the WICH tool

https://www.gov.uk/government/publications/wider-impacts-of-covid-19-on- health-monitoring-tool

slide-49
SLIDE 49

Percentage low life satisfaction : 16-24 age National data

49 CYP Health Inequalities & the Impact of COVID-19

slide-50
SLIDE 50

Percentage of low self-worth in the 16-24 age group in 2019 and 2020 compared nationally. The difference is statistically significant in the 16-24 year age group.

50 CYP Health Inequalities & the Impact of COVID-19

slide-51
SLIDE 51

Mental wellbeing during Covid19: no access to a garden by age group.

51 CYP Health Inequalities & the Impact of COVID-19

slide-52
SLIDE 52

Spotlight on young adults – 18-29 years

Anxiety and depression

52 Mental Health and COVID-19 – October 2020

Less impact on young adults - life satisfaction, loneliness and major stress staying at a similar level or reducing between March and July and similar to other age groups

Greatest impact

  • n young adults:

anxiety and depression - increased at lockdown in March, then reducing, but higher than other age groups

slide-53
SLIDE 53

Spotlight on young adults – 18-29 years

Greatest impact: thoughts of death/self-harm - at a similar level between March- July but higher than

  • ther age groups

self-reported self- harm - higher in July than in March and particularly high amongst 18- 29 age group

53 Mental Health and COVID-19 – October 2020

Thoughts of death and self harm

slide-54
SLIDE 54

Spotlight on children and young people

  • Negative effects for minority

ethnic groups, children and young people with mental health conditions and those with Special Education Needs and Disabilities.

  • Loneliness, disruption to access

to support, difficult relationships, parental stress and poor mental health and lack of access to

  • utdoors particularly impacted

vulnerable children and young people.

54 Mental Health and COVID-19 – October 2020

Adverse effects on mental health and well being due to: ‒ social distancing and staying at home ‒ lack of access to mental health support.

slide-55
SLIDE 55

Parents and Carers

University of Oxford, Co Space Study (May):

  • Top stressors are work (53%) and their child’s emotional wellbeing (50%)
  • Nearly 2/3 reported that they were not sufficiently meeting the needs of both work and their child

Young Minds parent and carers survey (May):

  • 66% of respondents said that COVID-19 had had a negative affect on their own mental health

University of Oxford, Co Space Study (May - June): Parents of children with SEND/ND report:

  • higher levels of stress across all areas - child behaviour was a frequent stressor
  • Particular discomfort about their children attending school
  • a reduction in their child’s emotional difficulties and no change in behavioural or

restless/attentional difficulties

55 CYP Health Inequalities & the Impact of COVID-19

slide-56
SLIDE 56

Kooth Data Release: BAME Infographic June 2020

56 CYP Health Inequalities & the Impact of COVID-19

slide-57
SLIDE 57

Deprivation

Children and Young People Street Games (May):

  • Challenging home conditions - YP trapped in overcrowded housing, with limited private space, and

reduced access to normal support structures

  • 77% of YP said not being able to socialise with friends and family is their biggest concern
  • A lack of structure – YP struggling to cope with their daily lives, staying up late and sleeping in
  • Many do not always have internet access
  • More than two-thirds say their activity rates have dropped
  • YP are often very short of activity kits, from board games to footballs

57 CYP Health Inequalities & the Impact of COVID-19

slide-58
SLIDE 58

Other considerations

Poverty and Unemployment Institute for Fiscal Studies (June)

  • People with health conditions, young workers and low-income families will experience the worst

economic outcomes Groups at risk of violence and abuse University College London (weekly social study)

  • Reports of abuse higher in adults under the age of 60, households with lower incomes,
  • vercrowded homes and among people living with children

¾ Domestic abuse charity Refuge recently reported a tenfold increase in visits to its website during lockdown ¾ Calls to NSPCC’s Childline increased by 20% in the first four weeks of lockdown Grief and loss

  • Mortality rates are higher in deprived and BAME communities

58 CYP Health Inequalities & the Impact of COVID-19

slide-59
SLIDE 59

Summary

  • Many improvements in the health and wellbeing of CYP recently, however, stark inequalities are

evident.

  • These inequalities are long-standing, persistent and significantly start early.
  • The impact of COVID-19 has exacerbated some of these inequalities for CYP and led to poorer

Mental Health in some of our most vulnerable groups.

  • There is a significant body of evidence and research describing the scale, nature and causes of

inequalities

  • But the drivers are often complex, tackling inequalities requires action at a number of levels, by a

range of organisations, at scale, and over a prolonged period of time.

  • But we can make a difference – we just need to carefully think about who we need to support in
  • rder to reduce inequalities in poor mental health outcomes for our CYP and what has been proven

to work.

59 CYP Health Inequalities & the Impact of COVID-19

slide-60
SLIDE 60

Resources:

slide-61
SLIDE 61

PHE Fingertips – Children and Young People’s Mental Health and Wellbeing Profile

61 CYP Health Inequalities & the Impact of COVID-19

slide-62
SLIDE 62

PHE WICH tool content

https://analytics.phe.gov.uk/apps/covid-19-indirect-effects/

Employment and income

  • employment, number in paid

employment, economic inactivity, redundancies, average weekly earnings, earnings from PAYE, hours worked, job vacancies, Benefits claimant counts Access to care data

  • % reporting worsening health condition, % who

did not seek help, Reasons why did not seek help Alcohol consumption

  • New change in alcohol consumption indicator
  • Heavy drinkers (AUDIT), Heavy drinkers (AUDIT-

C), Heavy drinkers cutting down, Heavy drinkers motivated to cut down Physical Activity Sport England data on children's and adults physical activity Behavioural risk factors

  • Smoking status, Smoking habits, Alcohol sales, Alcohol

consumption, Changes in physical activity Wellbeing

  • Self-worth, Life

satisfaction, Happiness, Anxiety, Loneliness Social determinants of health

  • Access to outdoor spaces, Homeschooling, Social capital,

community support, Mobility, change in transport use, Impact on businesses, employees on furlough, employees off sick or self-isolating due to coronavirus, change in business turnover, Time spend on activities before and during lockdown Grocery purchasing

  • Volume of sales, Volume of sales per trip, Trips per

household, Change in sales by category First release: Next release:

CYP Health Inequalities & the Impact of COVID-19 62

slide-63
SLIDE 63

CYP Health Inequalities & the Impact of COVID-19 63

slide-64
SLIDE 64

PHE Mental Health Surveillance Tracker- CYP section

https://www.gov.uk/government/publications/covid-19-mental-health-and-wellbeing-surveillance-report

64 CYP Health Inequalities & the Impact of COVID-19

slide-65
SLIDE 65

Sharing experiences of NHS services

slide-66
SLIDE 66

Where we work

slide-67
SLIDE 67

Accessing services

slide-68
SLIDE 68

Addressing patients

slide-69
SLIDE 69

How this can affect people personally

slide-70
SLIDE 70

How are other people around the young person affected?

slide-71
SLIDE 71

Support on the journey thebeyouproject.co.uk

slide-72
SLIDE 72

Advice for others

slide-73
SLIDE 73
slide-74
SLIDE 74
slide-75
SLIDE 75

Reducing Inequalities Workshop

Will and Lucia Youth Advisors

www.boysinmind.co.uk

slide-76
SLIDE 76

What We Do

Help young people to talk when they are struggling or feeling low

slide-77
SLIDE 77

The BIM Team

slide-78
SLIDE 78

Finn – one of our Primary Champions

slide-79
SLIDE 79

§ Our film projects enable young people to be heard and enable those who are filming to listen. § Help young people to talk when they are struggling or feeling low. § Our films and assembly plans have been co-produced by young people, mainly boys and young men.

slide-80
SLIDE 80

Beechen Cliff Film

slide-81
SLIDE 81

8 key principles of a whole school approach

  • Ethos & Environment;
  • Leadership & Management;
  • Teaching & Learning;
  • Student Voice;
  • Staff Development;
  • Monitoring & Evaluation of Impact;
  • Targeted Support;
  • Working with Parents & Carers.
slide-82
SLIDE 82

§Student Mental Health Team §E Teams (Equalities Teams) §Student Led Assemblies §Films §Solution Focused Approach

slide-83
SLIDE 83
slide-84
SLIDE 84

Will Youth Advisor

slide-85
SLIDE 85

Lucia Youth Advisor

slide-86
SLIDE 86
slide-87
SLIDE 87
slide-88
SLIDE 88
slide-89
SLIDE 89

Will and Lucia Youth Advisors

www.boysinmind.co.uk

slide-90
SLIDE 90

NHS England and NHS Improvement

What’s the story so far? Where do you want to get to? How will you get there?

Discussion Time

slide-91
SLIDE 91

NHS England and NHS Improvement

Useful Links https://boysinmind.co.uk/ https://www.porchlight.org.uk/about