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Evidence of what works

Background papers: children :: Emotional health and wellbeing of children and young people :: Evidence of what works

NICE provide evidence-based recommendations for antenatal/postnatal mental health (CG192),[1] as well as for pre-school, primary and secondary school aged children (PH12,[2] PH20,[3] PH40 [4]). Pre-school guidance includes support through home visiting, childcare and early education to those children classified as “vulnerable”; children who are at risk of or are already experiencing social and emotional problems. In later years, preventative measures can be taken up in schools to help children develop their social and emotional wellbeing and to ensure that the child is in a secure environment.[5] Public Health England also promotes the building of resilience of children and young people in schools.[6]

Department for Education have provided behaviour and discipline advice to schools of how they can manage behaviour in schools and support children whose behaviour may be related to an unmet MH need.[7] NICE advise LAs and schools to make sure that teachers and other staff are trained to identify when children show signs of anxiety or social and emotional problems and that children should have access to specialist advice and support that they require.[8],[9] NICE have also produced clinical guidance and quality standards for young people with specific MH disorders, such as depression, psychotic disorders, ASD and ADHD.[9],[10],[11],[12]

Department of Health commissioned a review of the wide-ranging literature on policy, practice and service delivery issues relating to children's mental health and psychological well-being in 2008.24 They came up with a number of recommendations, including the establishment of a National Advisory Council to champion wellbeing for children. They noted that there should be a clear strategic approach to monitoring, evaluation, service improvement, knowledge management and inspection across all children's services for mental health and psychological wellbeing. At the time of writing, they commented that many areas of CAMHS were currently still operating as separate services, and that the resource and expertise available within universal services not being used as effectively as it could be.[13]

National Support Team also undertook a review of children and young people's emotional wellbeing and MH, based on 480 visits to local partnerships. Their report “What good looks like” provides insights into improving outcomes locally for the emotional wellbeing of all children and young people, as well as children and young people with a specific mental health need.[14]


References

[1]   National Institute for Health and Clinical Excellence. Antenatal and postnatal mental health: clinical management and service guidance [CG192] 2014;
[2]   National Institute for Health and Clinical Excellence. Social and emotional wellbeing in primary education [PH12] 2008;
[3]   National Institute for Health and Clinical Excellence. Social and emotional wellbeing in secondary education [PH20] 2009;
[4]   National Institute for Health and Clinical Excellence. Social and emotional wellbeing: early years [PH40] 2012;
[5]   National Institute for Health and Clinical Excellence. Depression in children and young people [QS48] 2013;
[6]   Public Health England. Local action on health inequalities: Building children and young people's resilience in schools 2014;
[7]   Department for Education. Mental health and behaviour in schools 2014;
[8]   National Institute for Health and Clinical Excellence. Psychosis and schizophrenia in children and young people: recognition and management (CG155) 2013;
[9]   National Institute for Health and Clinical Excellence. Self-Harm, Quality Standard [QS34] 2013;
[10]   National Institute for Health and Clinical Excellence. Attention deficit hyperactivity disorder: diagnosis and management [NG87] 2018;
[11]   National Institute for Health and Clinical Excellence. Autism in under 19s: recognition, referral and diagnosis [CG128] 2011;
[12]   National Institute for Health and Clinical Excellence. Bipolar disorder: assessment and management [CG185] 2014;
[13]   of Health D. Children and young people in mind: the final report of the National CAMHS Review 2008;
[14]   Department of Health. Children and Young People's Emotional Wellbeing and Mental Health National Support Team. The learning: What good looks like 2011;