Bereavement - an overview
This edition of the e-newsletter has a feature article on bereavement. Click the link to read...
Written by Nick Skilton – Grief Support Worker Jigsaw (South East)
The majority of children and young people will be affected by bereavement before the age of 18. For 5% approximately that will involve the death of a parent, with illness being the most common cause.
How children and young people cope with grief
The grief that follows death has many facets and consequences. Children and young people may experience grief in different ways. For a young person their grief is much closer to that of an adult’s. Some of the most common emotional indications are anger, sadness, withdrawal, guilt and fear. Anger at the injustice, fear of future loss, difficulties in concentration and unusual behaviour can all be expected.
Younger children are much more episodic in their grief. Self esteem can be damaged and academic performance may deteriorate. We know that children don’t usually want to feel different, but they don’t want to be ignored either. They need different kinds of care to help them cope and to keep normal routine as much as possible. The consequences of bereavement can last many years.
How Jigsaw can help
Sometimes communication after a death becomes very strained within families. At Jigsaw we have families referred up to five years after a death. We find meeting with others in a similar situation can be very helpful and we facilitate this through six week family support groups.
“In one case we had a boy who had never cried since his father’s death.” Grief Support Worker at Jigsaw.
Jigsaw covers Surrey and surrounding areas and we accept self-referrals from families, CAMHS, schools, children’s services and agencies such as Surrey Young Carers and East Surrey Domestic Abuse Service.
This year we have received more than158 enquiries for support and we are currently working with 55 families across our two grief teams in north east and south east Surrey. We offer a six week family support group in Reigate and Cheam twice a year and a Woking group will be launched in the spring. We also offer support to schools and other professionals involved with young people and in response to requests from professionals, we will be introducing a training programme in the future.
After attending support groups we invite young people to our forum, ‘Your Say’, to hear their ideas on shaping future support for families as well producing ideas for their own newsletter. We also run annual events where families can be reunited with friends they have made through the groups they attended.
Call: 01342 313895
Where are we: East Court Mansion, College Lane, East Grinstead, RH19 3LT
Registered Charity No. 1147696, Company No. 08014061
Other organisations offering support to children, young people and their families
CRUSE South East Surrey Branch
Compassionate Friends Support and friendship after the death of a child
0845 123 2304
Support for families bereaved through suicide
0844 561 6855
Way Foundation Widowed and Young
0870 011 3450
SANDS Stillbirth & Neonatal death charity
020 7436 5881
Focus on STARS
Sexual Trauma Assessment, Recovery and Support
STARS (Sexual Trauma Assessment, Recovery and Support Team) were introduced in Surrey after the closure of NSPCC 2011.
What we do
We work closely with CAMHS and other professionals to ensure that children and young people who have been affected by sexual abuse receive appropriate services. We work directly with children and families through therapy groups and also provide consultation and training throughout the county.
What we provide:
- Therapeutic group work for children and young people who have experienced sexual abuse.
- Post group individual therapeutic sessions for children and young people. (We are unable to accept referrals for individual work for children and young people who have not attended a group.)
- Therapeutic group work for female carers.
- Short term work with parents and carers of children who have been affected by sexual abuse.
- Joint working with CAMHS colleagues in cases involving sexual abuse.
- Joint working on cases with ACT (Assessment Consultation and Therapy) where appropriate.
- Initial home visit assessment of all cases referred to CAMHS from the Solace Sexual Assault Referral Centre (SARC).
- Support and consultation to CAMHS clinicians and to external professionals working with sexual abuse cases.
- Training to CAMHS staff and to external agencies.
Making a difference
We have successfully run three therapy groups for adolescent girls who have experienced sexual abuse over the last year. We have another therapy group starting this month and based on feedback from the groups, this will run for a further 15 weeks.
We have also facilitated two therapy groups for female carers of sexually abused children this year and are looking to do more soon. We find that supporting carers can be as effective as supporting a child or young person directly and in our experience, when young people and their carers attend therapy together, we see the greatest improvement.
“Struggling alone and suffering in silence can be almost as painful as the reason we’re in the group. Being at Stars gives you a sense of community. You’re not alone and there are other people who feel the same as you. Stars can help!” Group member
Please contact the team if you have someone in mind that could benefit from attending or if you would like any more information about our groups. Contact Rachael Emsley or Natasha Dean on:
Address: Room F11 Farmside, West Park Hospital, Horton Road KT19 8PB.
Tel: 01372 203096
An NHS service for 16-25 year olds
The Mindful service is for young people aged between 16 and 25 who have emotional or mental health difficulties that are stopping you from being able to cope and are spoiling your quality of life.
We can help with:
- drug or alcohol difficulties
- risk of homelessness
- education or employment
- help after leaving care
We aim to offer support to anyone who is not already receiving help from mental health services.
What Mindful can offer
Everyone is different and there are several ways we can help:
- We can meet you for a one-off chat to explore what is worrying you and any other concerns you want to discuss.
- We can offer short/medium term one-to-one support – this can be in weekly, fortnightly or monthly sessions.
- We also offer workshops for small groups of young people to raise awareness of emotional and difficult issues, for example self harm, substance misuse, or relationship issues.
The Mindful service operates across Surrey from two hubs. Call us or read the Mindful information leaflet.
West Surrey: Sharon Snape 07771 976770
East Surrey: Elaine Fynn 07775 865224
SABP No Wrong Door Approach
Help for troubled families
SABP (Surrey and Borders Partnership) has set up a working group to develop whole systems thinking and a ‘no wrong door approach’ in working with troubled families in Surrey.
The term ‘no wrong door approach’ comes from the ‘Think family’ 2008 report. The report set out the concept that when a vulnerable family seeks help from services, those services do all they can to ensure that the family as a whole receives appropriate help before closing the case.
In the past, vulnerable families were likely to be passed from one agency to another, all saying that they did not meet the criteria for their service. The benefit of using this new approach is that families will get help from services working together, rather than one service operating in isolation. The approach is supported as a key priority in the changing landscape of health and social care and is part of the SABP’s operational plan this year.
SABP provides services across all ages, but traditionally services are organised in care groups, children and young people, working aged adults, older adults, learning disability and specialist services. It’s important to recognise that for some families a different ‘whole systems approach’ is needed, particularly as not all families may not meet the threshold in one area, but as a whole they can be at risk.
Through the SABP ‘think family’ forum chaired by Mandy Dunn, we are attempting to develop a different culture in how we work with vulnerable families.
Change a child’s life – find out about adopting in Surrey
Meet the children who are waiting for adoption
There are children in Surrey who are in care after suffering neglect, abuse, or witnessing domestic violence within their birth home. Many are now settled with foster carers, picking up their lives and starting to enjoy things that most children take for granted, like going to the park to feed the ducks or looking forward to play dates with friends.
They now have people who care for them, who will make sure they have clean clothes, healthy food, kind words and comfort. People who think they are important.
These children are waiting to be adopted. Most are over five-years-old, some are sibling groups, and others may have developmental uncertainties.
Meet the children who are waiting for adoption
Surrey County Council's adoption service welcomes enquiries from people from all walks of life. So if you want to offer a forever home to a child or sibling group, and would like to know more about adopting in Surrey, please visit www.surreycc.gov.uk/adoption or call 08000 96 96 26.
The Surrey family support programme
Everything you need to know
What is the Surrey family support programme?
This is Surrey’s approach to the Government’s troubled families programme and has been agreed between the council, Surrey Police and district and borough councils. It is now known as the Surrey family support programme, as feedback from staff and partners has indicated a dislike or misunderstanding of the phrase troubled families.
The name ‘family support programme’ gives a clearer description and avoids stigmatising the families involved.
The programme will see all relevant agencies working as a 'team around the family' (TAF). Each TAF will bring together all the agencies and professionals working with that family.
What is the Government trying to do through its troubled families programme?
The intention of the programme is to target those families who have, and cause, the most problems in their local communities. The programme plans to turn around the lives of families stuck in a cycle of unemployment, alcohol abuse, anti-social behaviour and truancy.
The Government has calculated that on average each of these troubled families costs the public agencies who work with them £75,000 a year, with more costs falling on local government and criminal justice agencies.
Based on the evaluation of some pilot authorities and similar schemes, it is estimated that through a period of intensive support, the overall costs of these families can be reduced, with improved outcomes for family members and their wider community.
The Government aims to turn around the lives of 120,000 families nationally by May 2015.
Who are these troubled families and how many are there in Surrey?
Surrey aims to turn around the lives of 1,050 families by May 2015 and plans to be working with 350 families by April 2013.
The Government has defined troubled families as those families that meet each of the following criteria:
families who have children not attending school (Surrey – around 1,700 pupils)
families who are involved in anti-social behaviour
families who have an adult claiming an unemployment benefit.
Surrey must include those families who meet each of the above criteria. However, as Surrey has low anti-social behaviour and unemployment levels, there are not enough families that fit the criteria, which allows the Surrey programme to develop and work with families that it already knows have multiple problems, but may not necessarily meet each of the above criteria.
A database of families with multiple problems in Surrey is being produced with Surrey Police, boroughs and districts and partners.
How will I know if I need to be involved in a team around the family (TAF)?
Your manager or the relevant district or borough will get in touch with you if one of the families you work with is chosen for the programme.
Will this mean more work for me?
No – all the families chosen to be part of the programme will already be in the Surrey system, so you will already be working with them. It will just mean a more joined-up way of working with partners, a single contact for the family and a single assessment plan, which should help to reduce your workload.
How is Surrey implementing the programme?
The local coordination of work with these families will be led by a small team of staff managed by each borough and district council. The county council, police and other agencies will support these local family support teams.
All relevant agencies will take part in a ‘team around the family’ (TAF) approach for each of the families in the programme. Each TAF will bring together all the agencies and professionals working with the family and over time simplify this support and ensure the families are able to access existing local services.
How will working with partners help?
There is strong evidence from pilot authorities and similar schemes that shows by coordinating efforts with partners around these families outcomes for families can be improved.
How do we know this approach will work?
The approach has been developed through research in other parts of the country, which have applied these sorts of services successfully.
What are the wider benefits of this work?
There are many benefits of the programme, not only for families, children and young people, but also for staff across all agencies. It will change the way in which we work with families in a positive way, meaning the family can access services through a single conversation and will be given a single family plan.
This in turn will see more adults in training, learning and employment, improved parenting skills, better family budgeting and more engagement in education. It will also improve partnership working across agencies, give better value for money and improve community outcomes, therefore reducing distress from anti-social behaviour and offending
Making referrals into the Surrey Family Support Programme a priority
To make the programme a success, our priorities for the next few months will need to include working together with partners. Key to this, is working with the borough and district councils who are setting up Family Support Teams from April - i.e. Elmbridge, Spelthorne, Guildford, Reigate & Banstead, Woking and Waverley. We need to help them scope out their local project and identify families for inclusion in the programme.
The Surrey Family Support Programme needs your help in both identifying families who could be eligible for the programme and in seeking the consent of the family to be referred. Whether you yourself work with a family you think may be suitable or if you manage staff who may be working with suitable families, please take a look at the criteria and guidance below and contact the relevant local Family Support Team.
Materials to help you check the criteria and guidance on how to refer families will be sent out shortly.
For more information please download the leaflets below:
Family support team - families leaflet
Family support team - practitioners leaflet
The latest from CAMHS Youth Advisors
The team has said goodbye to Damien, Charlotte’s maternity leave cover, and welcomed Charlotte back to the team.
The Rights and Participation Team, who support CYA and all CYA activities, now consists of:
Charlotte Williams, Rights and Participation Officer
Jamie Longstaff, Children’s Rights Apprentice
Emma Sweeney Children’s Rights Apprentice
Jason Watts, Children’s Rights Apprentice
Finlay Douglas, Business and Admin Apprentice
We are growing
CYA has seen 15 new referrals and an additional eight new members join which is absolutely brilliant – thank you to everyone who has referred. We have also seen several previously interested young people now getting involved and committed to CYA, reaching a record 35-40 active and regular members in the group in the last month.
What we’ve been working on
Our consultation topics have included; medication leaflets for children and young people, Feeling Good Week topics and themes, CYA in schools, planning the CYA Awards 2013, Our Voice issue 8 articles, planning make-overs and lots more.
We have organised several activities and fun workshops, such as lazerquest, donutting and bowling, which has had a positive effect on the number of young people attendees. We will continue to arrange activities after consultation meetings as an incentive to take part in consultation.
What else have we been up to?
Hopefully you should all have seen a copy of the Our Voice magazine that’s designed by CYA and young people at HOPE for all children and young people who access mental health services in Surrey. If you haven’t seen it yet – read it now.
We’ve had a lot of positive feedback from young people who have been given a copy of Our Voice when they have attended clinics across Surrey. Young people say the magazine has made them feel less alone, less different and more informed. Young people have also referred themselves to CYA after reading about us in the magazine.
Edition 8 is due out in March – this will also be a 24 page edition like the last issue – watch this space!
Our apprentice Emma Sweeney is leading on a project called CYPS (Children and Young Peoples Service) additions which will be running throughout the year. The project aims to involve young people in improving waiting room areas for their services. As part of the project, young people visit clinics and decide what’s needed to make the rooms more user friendly and run art workshops to make improvements.
Guildford CAMHS makeover
The transformation of the new Guildford CAMHS clinic is complete! Young people in CYA held art workshops and gave the clinic a facelift.
We are starting a new CYA group - CYA east.
CYA east will start on the 6 March and will meet fortnightly at The Bridge Youth centre in Leatherhead. CYA East is a partnership project with The Bridge Youth Centre and the Reigate and Redhill YMCA, who are supporting us with two members of staff from the centre that will work alongside us on the project. It's a fantastic well-resourced venue with everything from a music studio, craft room, basket ball court and snooker tables. Watch out for the bright blue postcard leaflets about this group to give to your young people!
Redhill drop in
This is a project in the east aimed at all ages and to give young people on this side of the county an opportunity to get involved in CYA. The drop in is re-launching on 20 March, and will be held on the 4th Wednesday of the month after that. Children and young people can come along and do arts and games, find out more about CYA, what they can get involved in and how. They will also have an opportunity to get involved in anything else CYA does, including consultation and training activities.
Some of our over 18 members are taking part in a BBC documentary, ‘Minds like Ours’. It’s going to show what it’s like being a young person with mental health issues. It will be aired on BBC3 in June.
This project is all about ensuring young people are involved in recruitment of CYPS staff. Young people in CYA were involved in seven interviews in December and we have one interview coming up in February.
Upload – our service user perspective training for all CAMHS staff, has been facilitated three times a year for the last three years. This year we are hosting this training ourselves and dates are currently being planned for 2013.
CYA Awards 2013
The CYA Awards, our annual celebration of achievements awards evening, is being held on 1November this year. It is going to be held at the H.G. Wells Centre in Woking. Save the date now! Nomination and booking details will be out soon.
We are always looking for new young people to join our group and projects, where we can support travel and offer incentives – please contact us to find out more. The best way to refer is to ask a young person if you can pass on their details to us, then give us a call so we can get in touch with them.
Contact the team on: email@example.com or call 01483 519 571.
Elephant's tea party
Developed by Child Bereavement UK, Elephant’s Tea Party is a new annual event to help teachers give children the emotional literacy and life skills needed to equip them for bereavement, now and in later life.
Using creative exercises, lesson plans and activities drawing on experience and guidance from Child Bereavement UK, Elephant’s Tea Party will give staff the resources to help pupils explore the subject in an age-appropriate and straightforward way ending with a tea party fundraising event in June 2013.
BBC report: Self-harm calls to ChildLine show biggest increase
Find out more.
Self-harming has become the fastest rising cause of calls for help to the ChildLine advice line, according to the charity's annual report.
Read the article.
Social networking site use and depression in older adolescents
A study by the Journal of Adolescent Health to evaluate the association between social networking site use and depression in older adolescents.
Read the report.
iPad app to assist in child assessment
A team of child psychologists have developed an iPad app that will prove "invaluable" for paediatricians, child therapists, school counsellors, clinical psychologists and psychotherapists.
Beat eating disorder awareness week
11 – 17 February
Beat eating disorder awareness week
Over 1.1 million people in the UK are affected by eating disorders, particularly under 25s.
Eating Disorders Awareness Week is a chance to raise awareness and understanding of this serious mental illness, challenge stereotypes and stigmas and raise funds for Beat.
Find out more.
Wear ‘Jeans 4 Jigsaw’ this February
Dress down for a day in February in exchange for a small contribution towards the work of East Grinstead-based charity Jigsaw (South East).
In its first year, the ‘Jeans 4 Jigsaw’ campaign aims to raise essential funds for bereaved families and young people across Surrey and surrounding towns. The idea is simple: wear jeans, pay a few pounds and support a worthwhile local cause.
£1,000 will pay for one family to go through the six-week grief support groups, which is supported by trained professionals and volunteers; £50 will cover the cost of the ‘balloon release’ at the Grief Groups’ family weekend; £30 will cover the cost of the memory boxes for each child on the weekly groups
To find out more about how to organise your Jeans 4 Jigsaw day, email firstname.lastname@example.org or call 01342 313895.
NHS Change Day - Do something better together
NHS Change Day - Do something better together
NHS Change Day is described as ‘one day during which the collective energy, creativity and ideas of thousands of NHS staff, in all areas of work and right across the country, will demonstrate how one simple action or new idea can make a difference and improve care for patients, their families and their carers.’
Find out more.
Youth Mental Health Network Conference
Monday 18 March
Youth Mental Health Network Conference
E-Mental Health - Harnessing the Power of Digital for Better Mental Health
The event will explore and promote the benefits of digital technology in supporting and promoting mental health.
Delegates will also be able to find out about:
- Training opportunities
- Working with academic institutions and technology industries
- Getting funding for e-mental health initiatives and research
- Service user involvement in mental health service improvement
- Removing barriers to innovation
- Our e-mental health vision for the future
Young Person Who Uses Services & Youth Mental Health App Developer
2. Tracey Butler
CEO of RAISE Mental Health
3. Professor Debra Rickwood
Head of Research & Quality Improvement, Headspace
4. Rebecca Cotton
Deputy Director, Mental Health Network, NHS Confederation
5. Jenny Hyatt
CEO The Big White Wall
6. Lynn Smith
Benefits Realisation & Health Informatics Lead, NHS South of England (East)
7. James Seward
Managing Director at Buddy App UK
Find out more and register for the event.
Sally Thomas from west PMHT.
West PMHT welcomes: Emma Maylon on secondment from NE Hants EIIP Team, Carol Thomas, NW Short Stay Schools and Leanne Bannister, Assistant PMHW / CORC Assistant.
NE Hants & Surrey Heath EIIP welcomes Lynsey Hart (Clinical Psychologist) and Michael Llewellyn (Community Mental Health Nurse).