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Guidance for professionals in Gloucestershire working with young people with mental health or emotional wellbeing concerns

Contents

Foreword  6

Dear Mental Health Support Team – a letter from a young person  7

Glossary  9

Mental Health Support Team (MHST) Operating Principles  13

Purpose of this document 15

  1. Introduction and background 16

1.1      What is a Mental Health Support Team (MHST)?  16

1.2      Background and context 17

1.3      Core functions of Mental Health Support Teams (MHSTs) 17

  1. Working with education to improve mental health 19

2.1      Understanding the school and college landscape  19

2.2 The role of schools and colleges  21

2.3 What is a whole school/college approach?  22

Figure 3. DfE: school/college roles in mental health and wellbeing  24

Leadership and Management 24

Identifying need and monitoring impact 25

Staff development 26

Enabling Student Voice – children and young people involvement in design and approach  27

Working with parents and carers  27

2.4 The Role of Local Authorities and Regional School Commissioners  28

Regional schools commissioners: 29

The role of Ofsted  30

3     Delivering the core functions  31

3.1      Deliver evidence-based interventions for children and young people with mild-to-moderate mental health problems  31

Identifying and understanding the needs of children, young people, and their families and carers  33

Further assessment by Mental Health Support Teams (MHSTs) 34

Formulation  35

Components of a good assessment 36

Care plans  36

3.2      Supporting the senior mental health lead in each education setting to introduce, develop and support in the delivery of their whole school/college approach  37

3.3      Giving timely advice to school and college staff, and liaising with external specialist services, to help children and young people to get the right support and stay in education  38

4     Monitoring Outcomes and Impact 40

4.1      Data collection  40

4.2      Routine collection of outcomes of evidence based interventions  41

5     Workforce  43

5.1      Workforce model 43

Education Mental Health Practitioners (EMHPs) 43

Senior Mental Health Clinicians  43

Delivery  43

Plans  44

MHST staff wellbeing  45

5.2      Mental health roles in education settings  45

School/ college MHST coordinator 45

Senior mental health lead  45

5.3      Training  47

Mental Health Support Teams (MHSTs) 47

Training for education professionals  47

Training for pupils, students, parents and carers  47

5.4      Competences  48

5.5      Supervision  48

6     Governance, Accountability and Senior Leadership of the Mental Health Support Teams (MHSTs) 50

6.1 Governance and Oversight 50

Case Study Examples Governance Structures: 51

Please note this is place marker for additional content providing case study  51

examples of good governance structures. 51

6.2 Operational Governance  51

7     Developing and implementing the Mental Health Support Teams (MHSTs) 52

7.1      Co-production  52

7.1.1       How to ensure genuine co-production  53

7.2      Understanding the needs of the local population and education setting  53

7.3      Accessing Mental Health Support Teams (MHSTs) 54

Location of Mental Health Support Teamss  55

7.4      Information sharing, confidentiality and consent 55

7.5      Safeguarding  56

7.6      Utilising digital resources  56

7.7      Support for transitions  57

8     Addressing disadvantage, inequalities and need  58

8.1      Advancing mental health equality, and narrowing health inequalities and disadvantage  58

8.2      Strategies to proactively advance mental health equality  59

9     Learning from the Trailblazers  60

10       Abbreviations  61

11       How was this document developed?  62

Expert Reference Group members  62

Young people and carer reference group  62

NCCMH technical team and national advisers  63

Special advisers  63

Wider stakeholder group  63

12       References  63