Ms Sarah Stockham:

As Professor Downes mentioned earlier, it is about building it from the start. We are not going in and offering tools straight away because offering to one or two and getting it right is better than offering to everyone and getting it wrong. We worked really closely with the schools initially to discuss the service, explain where we fit in and how we can support them. We are not there to replace anything that the schools are already doing but we are there to become embedded in the support. With that, we have consultations with the school where they identify young people they are concerned about. These are, for want of a better phrase, the worried wells or the almost anxiouses; the children on the periphery about whom we ask whether, if we could do something now, it would prevent things escalating in the future. From that the schools will have a conversation with the parents, because they have that relationship, and ask them if they think this would be useful. They hand over our referral and then the parents refer-in so we have buy-in from the parents right from the start. I think that has been a key part of the model. Our over-16s can self-refer. We have had young people email us to say that they would really like some support. When I worked in traditional CAMHS, you did not really get that. Being embedded, being part of the school community and delivering whole-class interventions, as well as the one-to-one work, show that you are approachable. We very much focus on the terms of emotional and mental well-being, rather than mental health because that tends to have a slightly different connotation. We can then help navigate those young people through the system if they need to or we can just offer those six to eight sessions of one-to-one work at that preventative and early help level. With our under-13s, much of that is done with the parents with whom we work jointly. Education is only there part of the day but the children are with their families, guardians or carers the rest of the time. We need to work together to make the change and we do it with a very collaborative approach rather than the traditional "us and them" health referral where someone tells you that you need to go and get support. We want people to come to us and ask for support. For us, having the discussions and the early buy-in has been key and it has really improved our relationships with the families that we work with.