Wellbeing Support - Professionals Professionals Guidance for The Young Somerset Wellbeing Service Working in collaboration for the benefit of children, young people and their families. the following guidance will help you assess if a request to the Young Somerset Wellbeing Service (low intensity CBT) is appropriate. Low intensity Cognitive Behavioural Therapy (CBT) works best for children, young people and parents/carers when they have the cognitive abilities to be aware of their thoughts and behaviours, and the motivation to effect change. It can be helpful for mild to moderate mental health needs concerning low mood and anxiety including social anxiety, panic, general anxiety, OCD and separation anxiety. It is not a recommended intervention for children and young people (CYP) with multiple/complex needs or where there is high risk. The table below provides guidance on the types and severity of difficulties we may support. (Please note that if some aspects of the ‘not suitable’ column apply this will likely mean we won’t be able to support the CYP, even if the primary problem may be something we could support – i.e. low mood but misuses substances.) We use specific CBT therapeutic interventions designed to address specific needs and to work towards goals chosen by the client. Interventions require the client to engage in materials and complete work outside of sessions, hence the need for clients to be motivated to change. We either work directly with a young person in 1:1 sessions or may offer parent led CBT where a child is under 12. We do not work with behavioural issues where children are 11 years + When a request is accepted this does not guarantee we will be able to provide support. A Wellbeing Practitioner will carry out an assessment to check suitability for a low intensity CBT intervention. If assessed as appropriate the client will be offered a maximum of eight sessions. If our service is not suitable or not suitable at this time we will signpost or refer clients on to more appropriate services. CYP with high ACE scores (Adverse Childhood Experiences), toxic stress and childhood trauma are unlikely to benefit from low intensity CBT, without prior, effective support. This is due to difficulty in being able to focus, retain information and learn. For more information on ACE’s and toxic stress; https://www.stresshealth.org/ Completing the request for support form: Please do not ask CYP or families to self-request to the service. We have access via self-request for CYP and parents, but this is not meant as an alternative to a professional completing a request for support form where applicable. If you are looking to request support for someone please complete the professionals request for support form and do not ask them to self-request. They are designed to increase access for independent young people and parents who haven’t accessed a service or discussed things with a professional before. They provide increased access but provide us with less information and reduce ability to contact relevant professionals. In order to help us to support the young person to the best of our ability please ensure you complete the request for support form with as much information as you have and ensure all sections are completed and please include a copy to the young person/parent unless there are reasons not to (i.e. young person doesn’t want parent to know). A detailed overview of the current difficulties is essential and completing it with the young person, or ensuring they add their voice to a section helps us to know what they find difficult and want support with in their view as well as what you, as the professional, may think. Current and past support must be included to allow us to see what support is being provided as well as what has been attempted in the past and the outcomes of this. We co-manage risk with GP’s by reporting active risk to them and are not equipped to deal with CYP at high risk. Young Somerset is not a crisis intervention service. If you have any immediate concerns, please look to get in touch with other services as appropriate. Complete the request for support form here >> If you have any questions or queries regarding a request or aren’t sure about suitability please contact us through email [email protected] or by calling 01278 722100 and asking to speak with a member of the wellbeing team. Looking for self-help resources? http://www.selfhelpguides.ntw.nhs.uk/somerset/ NEED SUPPORT IMMEDIATELY? If it's an emergency call 999. Samaritans – for everyone, (24/7)Call: 116 123 Email: [email protected]Provides confidential, non-judgemental emotional support for people experiencing feelings of distress or despair, including those that could lead to suicide. You can phone, email, write a letter or in most cases talk to someone face to face. Childline – for children and young people under 19 (24/7)Call: 0800 1111 (the number won't show up on your phone bill)ChildLine is a private and confidential service for children and young people up to the age of nineteen. You can contact a ChildLine counsellor for free about anything - no problem is too big or too small. Papyrus – for people under 35 Call: 0800 068 41 41 – Monday to Friday 10am to 10pm, weekends 2pm to 10pm, bank holidays 2pm to 5pm Text: 07786 209697 Email: [email protected]PAPYRUS is the national UK charity dedicated to the prevention of young suicide. You can contact them for help and guidance for yourself or for someone else in your care. Elefriends – For everyone (online)Website: http://elefriends.org.uk/Elefriends is a supportive online community where you can be yourself. Elefriends is run by Mind.