What is the Single Point of Access?
Main Mental Health info point - https://sites.google.com/edubuzz.org/mhwb-information-point?usp=sharing
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What is available via Single Point of Access?
The Single Point of Access for Mental Health and Wellbeing is the system through which children and young people can access a range of different supports for their Mental Health and Wellbeing. You will find information on each of these below including the sorts of difficulties for which you might use these services, any criteria that there is and what someone should expect when accessing the services.
What is it? In a counselling session, a counsellor will listen to what a young person wants to talk about. There is usually little direction from the counsellor though they may ask questions and sessions are young person led. The counsellor's role is to listen without judgement and then help the young person to better understand what they are going through, explore possible solutions and they can also provide advice and guidance if the young person wants this. Walk-in appointments can be organised via Guidance Teachers with any of our school counsellors. Young people will be able to meet their counsellor and get a sense of whether counselling feels like a good fit for them before going ahead with weekly sessions. Counsellors tend to work with young people for about 10-12 sessions.
Who can Access it? Counsellors are available to every child and young person in East Lothian, between the age of 10 and 18. Counselling can be provided in school and this is where most young people access their sessions. The service can be delivered in community spaces however, for those that are finding it challenging to be in school or simply want their sessions to be somewhere else.
Typical Criteria. The triage team will usually allocate counselling where the young person is describing difficulties that originate from difficult experiences, peer or family relationships, past traumas or challenges that are complex and multi-faceted.
What to include if referring: If a child or young person you are working with is looking for counselling please describe in as much detail as you can, what the difficulties are that the young person is hoping to get help with. If there are difficult past experiences that are significant to the challenges the young person is facing, these are useful to include however, if the young person doesn't want to disclose what these are in the form and just wants to talk to the counsellor about these things, that is ok.
What is it? Art therapy uses art as the primary mode of expression, alongside talking with an art therapist. It aims to reduce distress and improve social, emotional and mental health by promoting insight, self-compassion and a sense of agency and self-worth.
During art therapy, you are supported by an art therapist to use art to express and articulate often complex thoughts and feelings through art making. This may be following difficult or traumatic experiences which may be hard to talk about. Art Therapy usually lasts about 12 sessions but this can be extended if required.
Who can Access it? Art Therapy is available to every child and young person in East Lothian, between the age of 5 and 18. Art Therapy can be provided in school and this is where most young people access their sessions. The service can be delivered in community spaces however, for those that are finding it challenging to be in school or simply want their sessions to be somewhere else.
Typical Criteria. The triage team will usually allocate Art Therapy where there are reasons why a child or young person might find it difficult to articulate their difficulties verbally. This can be because of their age and stage of development, because they may have a condition that makes verbal communication more difficult or they are affected by traumas that originate early in childhood, before they had verbal communication. Art Therapy can be particualy effective for children and young people with care experience.
What to include if referring: If a child or young person you are working with is looking for Art Therapy please describe in as much detail as you can, what the difficulties are that the young person is hoping to get help with. If there are difficult past experiences that are significant to the challenges the young person is facing, these are useful to include however, if the young person doesn't want to disclose what these are in the form and just wants to talk to the counsellor about these things, that is ok. It is also helpful to have a sense of what the young person/family/school are hoping the impact of the therapy might be.
What is it? Art therapy uses art as the primary mode of expression, alongside talking with an art therapist. It aims to reduce distress and improve social, emotional and mental health by promoting insight, self-compassion and a sense of agency and self-worth.
During art therapy, you are supported by an art therapist to use art to express and articulate often complex thoughts and feelings through art making. This may be following difficult or traumatic experiences which may be hard to talk about. Art Therapy usually lasts about 12 sessions but this can be extended if required.
Who can Access it? Art Therapy is available to every child and young person in East Lothian, between the age of 5 and 18. Art Therapy can be provided in school and this is where most young people access their sessions. The service can be delivered in community spaces however, for those that are finding it challenging to be in school or simply want their sessions to be somewhere else.
Typical Criteria. The triage team will usually allocate Art Therapy where there are reasons why a child or young person might find it difficult to articulate their difficulties verbally. This can be because of their age and stage of development, because they may have a condition that makes verbal communication more difficult or they are affected by traumas that originate early in childhood, before they had verbal communication. Art Therapy can be particualy effective for children and young people with care experience.
What to include if referring: If a child or young person you are working with is looking for Art Therapy please describe in as much detail as you can, what the difficulties are that the young person is hoping to get help with. If there are difficult past experiences that are significant to the challenges the young person is facing, these are useful to include however, if the young person doesn't want to disclose what these are in the form and just wants to talk to the counsellor about these things, that is ok. It is also helpful to have a sense of what the young person/family/school are hoping the impact of the therapy might be.
If someone is on the waiting list for a ND Assessment, or undergoing a ND assessment or open to CAMHS for prescribing for ADHD they can:
Still be referred to CAMHS or SPA for Mental Health support.
Use the CAMHS Tier 2 consultation line.
If someone is on the waiting list for Mental Health support or open to CAMHS for Mental Health support, or open to CAMHS for Mental Health medication:
It would not be appropriate to also refer to SPA for Mental Health support.
They can still be referred for a ND assessment.
The service aims to provide an additional level of support for children and young people who are experiencing difficulties with their mental health and wellbeing, where their needs cannot be met through universal supports. The Single Point of Access (SPA) is the system by which children and young people are matched with the most appropriate service for them. Services that can be accessed this way include: school counselling, therapeutic interventions for anxiety and low mood, creative therapies, occupational therapy, support from a mental health youth worker and access to a range of third sector supports.
The need for additional support should have been identified through the Child’s Planning Process. The Mental Health and Wellbeing Team comprises a Coordinator, Mental Health Youth Workers and an Occupational Therapist.
Anxiety
Low mood
Self-harm
Suicidal thoughts (where there is no clear planning or active intent)
Peer relationship difficulties
Family issues (such as separation, conflict, domestic abuse, ill health)
Bereavement reaction which appears extreme or long lasting
School issues which are affecting mental wellbeing
Social isolation
When making a referral please ensure that you include the information below. This will allow the team to determine the most suitable course of action, in as timely a manner as possible.
What are the current mental health concerns? Include: the difficulties that the child, young person or family is reporting and what you are noticing about them. What has changed for them?
What has been tried already and with what outcomes?
Include: initial advice given, strategies tried, resources/websites recommended, other services/agencies accesses and what the outcome of these interventions was.
What are the specific outcomes that you are aiming for?
What is the impact of the difficulties described on the young person's day to day functioning across settings?
Include: impact on behaviour at home, socially, school (attendance, academic progress, attitude to school)
Any other relevant information about the young person's circumstances
Include: any triggers for the difficulties emerging, whether the problem is situation specific or more generalised, any relevant history/family history, current family circumstances, particular risk factors, any statutory measures e.g. child protection register
What protective factors are there?
Include: strengths in the family, community supports, young person's strengths.
Is anyone else involved or have other agencies been involved previously?
Are there any current risks that you are concerned about?
Completed RfA's should be sent to cypspa@eastlothian.gov.uk. If you would like to discuss a potential RfA, please contact the Mental Health Youth Worker for your area.
Team Coordinator: John Watters-Marr (jmarr@eastlothian.gov.uk)
Tranent: Gemma Burns (gburns@eastlothian.gov.uk)
Prestonpans: Carla Byrne (cbyrne@eastlothian.gov.uk)
Dunbar: Joy Burton (jburton1@eastlothian.gov.uk)
North Berwick: Michael Cleary(mcleary1@eastlothian.gov.uk)
Musselburgh Grammar and Feeder Primaries: Danni Spencer (dspencer@eastlothian.gov.uk)
Rosehill Highschool and Feeder Primaries: Martin Lahiffe (mlahiffe@eastlothian.gov.uk)
Haddington: Martin Lahiffe (mlahiffe@eastlothian.gov.uk) and Michael Cleary(mcleary1@eastlothian.gov.uk)
Who is present at the SPA?