March 2022 Mental Health Policy
March 2022 Mental Health Policy
March 2022 Mental Health Policy
Primary School
March 2022
Named Mental Health Lead: Amanda Aplicano ( Pastoral Lead)
At Primrose Hill Primary School, we aim to promote positive mental health and wellbeing for our
whole school community (children, staff, parents and carers), and recognise how important
mental health and emotional wellbeing is to our lives in just the same way as physical health. We
recognise that children’s mental health is a crucial factor in their overall wellbeing and can affect
their learning and achievement. All children go through ups and downs during their school career
and some face significant life events.
● The national prevalence of children and young people who have a diagnosable
mental health condition is 9.6%. This equates to 4,652 children and young people in
Camden
● The Mental Health of Children and Young People Survey 2020 showed that 1 in 6
5-16 year olds were identified as having a probable mental health disorder. This is an
increase from 2017 when it was 1 in 9
● 92% of young people will experience a significant bereavement before the age of 16
years (Child Bereavement UK).
Mental Health difficulties can have an enormous impact on children and young people’s
quality of life, relationships and academic achievement. In many cases it is life-limiting.
The Department for Education (DfE) recognises that: “in order to help their children succeed;
schools have a role to play in supporting them to be resilient and mentally healthy”.
Schools can be a place for children and young people to experience a nurturing and supportive
environment that has the potential to develop self-esteem and give positive experiences for
overcoming adversity and building resilience. For some, school will be a place of respite from
difficult home lives and offer positive role models and relationships, which are critical in
promoting children’s wellbeing and can help engender a sense of belonging and community.
Our role in school is to ensure that children are able to manage times of change and stress, and
that they are supported to reach their potential or access help when they need it. We also aim to
ensure that children learn about what they can do to maintain positive mental health, what affects
their mental health, how they can help reduce the stigma surrounding mental health issues, and
where they can go if they need help and support.
Our aim is to help develop the protective factors which build resilience to mental health
difficulties and to be a school where:
● All children are valued.
● Children have a sense of belonging and feel safe.
● Children feel able to talk openly with trusted adults about their problems without feeling
any stigma.
● Positive mental health is promoted and valued.
● Bullying is not tolerated.
In addition to children’s wellbeing, we recognise the importance of promoting staff mental health
and wellbeing.
COVID and the lock downs have had and continue to have a huge impact on many children
and young people’s mental health, as well as on their families and on staff. Some will have
experienced anxiety, stress, loss and bereavement and trauma that continue to have a
lasting impact on their mental health and wellbeing.
The Policy covers two essential principles of Mental Health provision in schools
2. Identifying and providing targeted support for those with specific mental health needs
We use the World Health Organisation’s definition of mental health and wellbeing
“ a state of well-being in which every individual realises his or her own potential, can cope with the
normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or
his community”.
Mental health and wellbeing is not just the absence of mental health problems. We want all
children/young people to:
● feel confident in themselves.
● be able to express a range of emotions appropriately.
● be able to make and maintain positive relationships with others.
● cope with the stresses of everyday life.
● manage times of stress and be able to deal with change.
● learn and achieve.
4. How the policy was developed and who was consulted
The development of this policy was led by our Pastoral Lead for Social, Emotional & Mental
Health Needs and our AHT Inclusion, in consultation with children, staff, parents and carers, the
school nurse and local mental health professionals Child and Adolescent Mental Health Service
(CAMHS) and Educational Psychologists. We use the Camden example policy as the basis of our
policy.
In line with the school’s process for policy development, the policy was discussed and
approved by governors.
This policy links to our policies on Safeguarding, Medical Needs, Anti-Bullying, ,online safety,
PSHE, SEND, staff code of conduct and Equalities. Links with the School’s Trauma Informed
Behaviour Policy are especially important because behaviour, whether it is disruptive, withdrawn,
anxious, depressed or otherwise, may be related to an unmet mental health need.
We take a whole school approach to promoting positive mental health that aims to help children
become more resilient, happy and successful and to prevent difficulties before they arise or
worsen..
This encompasses seven aspects (that incorporate Public Health England’s 8 principles of a
whole school approach)
1. Creating an ethos, policies and behaviours that support mental health and resilience, and
which everyone understands, including leadership and management that supports and
champions efforts to promote emotional health and wellbeing and listen to the views
of pupils
2. Helping children to develop social relationships, support each other and seek help when
they need it.
3. Helping children to be resilient learners.
4. Teaching children social and emotional skills and an awareness of mental health.
5. Early identification of children who have mental health needs and planning support to
meet their needs, including working with specialist services and monitoring the impact of
interventions
6. Effectively working with parents and carers.
7. Supporting and training staff to develop their skills and their own resilience.
We also recognise the role that stigma can play in preventing understanding and awareness of
mental health difficulties and aim to create an open and positive culture that encourages
discussion and understanding of mental health issues.The COVID-19 pandemic has highlighted
the scale of mental health difficulties and our aim is to reduce the stigma surrounding mental
health to ensure that everyone feels able to ask for help if they need to be able to talk about
their feelings and manage their emotions.
Our whole school approach also takes account of the stress and trauma that some pupils
and staff are feeling as a result of the pandemic and incorporates 5 principles that have been
found to support recovery
1. A sense of safety
2. A sense of calm
3. A sense of control
4. Feeling of belonging and there are people that can provide support
5. Promoting hope
We believe that all staff have a responsibility to promote positive mental health, and to
understand about protective/ risk factors for mental health. Some children will require additional
help and all staff should have the skills to look out for any early warning signs of mental health
difficulties and ensure that children with mental health needs get early intervention and the
support they need.
Our school has been involved in Camden’s Trauma Informed Practice initiative. All our staff have
had training and are especially aware of pupils who have experienced trauma or who have
experienced significant loss or bereavement, including pupils who have joined schools as refugees
or have had to leave schools and the impact in terms of loss, friendships and transitions. As a
result of training, staff are more knowledgeable about the long-term impact of trauma on mental
health and are able to identify the signs and symptoms of mental health difficulties and therefore
better meet their needs.
Staff continue to be aware that all pupils’ experiences of the COVID-19 pandemic are different
and that some pupils require additional support over a longer period of time. It is critical that the
impact on wellbeing should not be under-estimated, and staff are aware that even those pupils
who demonstrated positive mental wellbeing before the pandemic, may now require additional
support
All staff understand possible risk factors that might make some children more likely to experience
problems, such as: physical long-term illness, having a parent who has a mental health problem,
death and loss, including loss of friendships, family breakdown and bullying. They should also
understand the factors that protect children from adversity, such as self-esteem, communication
and problem-solving skills, a sense of worth and belonging and emotional literacy (see appendix 1
on risk and protective factors).
Staff are aware that supporting pupils’ recovery from the impact of the pandemic entails
focusing on
· Resilience-helping pupils cope with change and adversity and recover quickly
● · Is involved in strategic decision making around mental health across the school
We recognise that many behaviours and emotional difficulties can be supported within the school
environment, or with advice from external professionals. Some children will need more intensive
support at times, and there are a range of mental health professionals and organisations that
provide support to children with mental health needs and their families.
Sources of relevant support include:
● Our own Senior Leadership Team
● Our own Inclusion Leadership Team
● Our Safeguarding/Child Protection Lead
● Our Phase Leaders
● School support staff employed to manage mental health needs of particular children
● Our AHT (Inclusion) and SENDCO help staff understand their responsibilities to children
with special educational needs and disabilities (SEND), including children whose mental
health problems mean they need special educational provision.
● Our Leader of Learning for Children, Families and the Community
● Our School Nurse
● Our Art Therapist & Music Therapist
● The psychotherapist from Camden’s CAMHS
● Our TOPS (Tavistock outreach in primary schools) team who provide support to
individuals and their families.
In addition we aim to support staff members’ own wellbeing and resilience. We recognise
that teaching can be a stressful job and that in order to support children effectively , staff
must develop their own emotional capacity. We have a menu of whole school, targeted
and specialist support for staff.
We believe the School has a key role in promoting children’s positive mental health and helping to
prevent mental health difficulties. Our School has developed a range of strategies and approaches
including:
Pupil-led activities
● Campaigns and assemblies to raise awareness of mental health.
● Friendship Squad – a lunchtime group supporting younger children at lunchtime.
● Individual transition plans for children identified as feeling anxious regarding change
● School council who publicise key dates with posters etc
● Wellbeing tuck shop and fundraising led by the school council
Transition programmes
● Transition Programme to secondary schools which includes all Year 6 children having a
staff mentor to support a smooth transition to secondary school
● Transition Programme for children new to school, including home visits, gradual build up
to full-time and open afternoons.
Class activities
● Dojos, a mechanism where children can be praised for effort applied, tasks achieved and a
collaborative attitude are given freely and work towards public praise.
● Worry boxes - where children can anonymously share worries or concerns in class and
select the adult they wish to talk to
● Mental health teaching programmes e.g. based on cognitive behavioural therapy
● Circle times
● We also have a 10 week Resilience Programme for Year 5, delivered by our Pastoral Lead,
as well as weekly circle times to help children learn personal, social and emotional,
communication and problem solving skills.
● A 4 week friendship/empathy programme for year 4, delivered by our Pastoral Lead
Whole school
● Termly Mental Health breakfasts - Pastoral Lead runs breakfasts for staff to talk about
mental health issues and do ongoing promotion
● Wellbeing postbox
● Anti-bullying week and activities
● National Children’s Mental Health Week/Mental Health Awareness Week
● Displays and information around the School about positive mental health and where to go
for help and support
● A range of bespoke mental health leaflets
● Growth Mindset
● Class charter
● Opportunities to do more physical activity and link being physically active to positive
mental health eg daily mile
Through PSHE we teach the knowledge and social and emotional skills that will help children to
be more resilient, understand about mental health and be less affected by the stigma of mental
health difficulties.
Key stage 1
● To recognise, name and describe feelings including good and not so good feelings
● Simple strategies for managing feeling
● How their behaviour affects other people
● About empathy and understanding other people’s feelings To cooperate and problem
solve
● To motivate themselves and persevere
● How to calm down and self-regulate
● About change and loss and the associated feelings (including moving home, losing
toys, pets or friends)
● The importance of talking about feelings and who to go to if they are worried
● About different types of teasing and bullying, that these are wrong and unacceptable
● How to resist teasing or bullying, if they experience or witness it, whom to go to and
how to get help
Our approach:
● Provide a safe environment to enable children to express themselves and be listened to.
● Ensure the welfare and safety of children are paramount.
● Identify appropriate support for children based on their needs.
● Involve parents and carers when their child needs support.
● Involve children in the care and support they have.
● Monitor, review and evaluate the support with children and keep parents and carers
updated.
Early Identification
Our identification system involves a range of processes. We aim to identify children with mental
health needs as early as possible to prevent things getting worse. We do this in different ways
including:
● SDQ (Strength and Difficulty Questionnaires),
● Analysing behaviour, exclusions, safeguarding concerns, visits to the medical room/school
nurse, attendance and sanctions.
● Boxall standardised assessments.
● Staff report concerns about individual children to the relevant lead persons and upload
onto My Concern.
● Worry boxes in each class for children to raise concerns which are checked by the Class
Teachers and Pastoral Lead (these are anonymous but give an indication of needs in a
particular class regularly).
● Pupil Progress Review meetings termly
● Regular meetings for staff to raise concerns.
● A parental information and health questionnaire on entry to the School.
● Gathering information from a previous school at transfer.
● Parental meetings in EYFS.
● Enabling children to raise concerns to any member of staff.
● Enabling parents and carers to raise concerns to any member of staff.
● Using pupil wellbeing questionnaires to identify concerns
All staff at Primrose Hill have had training on the protective and risk factors (see Appendix 1), types
of mental health needs (see Appendix 2) and signs that might mean a pupil is experiencing
mental health difficulty. Any member of staff concerned about a pupil will take this seriously and
talk to the Pastoral Lead, AHT (Inclusion) or the SENDCO and representatives or number of staff
from each KS who had external MHFA training.
Staff are aware that mental health needs, such as anxiety, might appear as non compliant,
disruptive or aggressive behaviour which could include difficulties with attention or hyperactivity.
This may be related to home problems, difficulties with learning, peer relationships or
development.
If there is a concern that a pupil is in danger of immediate harm then the School’s child protection
procedures are followed. If there is a medical emergency then the School’s procedures for medical
emergencies are followed.
We recognise how important it is that staff are calm, supportive and non-judgemental to children
who disclose a concern about themselves or a friend. The emotional and physical safety of our
children is paramount and staff listen rather than advise. Staff make it clear to children that the
concern will be shared with the Mental Health Lead or the Safeguarding Lead and recorded, in
order to provide appropriate support to the pupil.
All disclosures are recorded and held on the pupil’s confidential file, including date, name of pupil
and member of staff to whom they disclosed, summary of the disclosure and next steps.
All concerns are reported to the Pastoral Lead and recorded. We then implement our assessment
system, which is based on levels of need to ensure that children get the support they need, either
from within the School or from an external specialist service. Our aim is to put in place
interventions as early as possible to prevent problems escalating.
Children are informed that the Pastoral Lead is available when a pupil is dissatisfied with the level
of care and support.
We will involve the pupil who is suffering and their parents and consider what is helpful for friends
to know and what they should not be told, how they can best support, things they should avoid
doing/saying which may inadvertently cause upset and warning signs that their friend needs help.
We will also make information available about where and how to access information and support
for themselves and healthy ways of coping with the difficult emotions they may be feeling.
We have a Friendship Squad comprised of KS2 children who aim to support children’s social/ play
skills during the lunch period.
We have a duty of care to support children and will seek advice from medical staff and mental
health professionals on the best way to support children. We will carry out a risk assessment and
produce an Individual Care Plan to support children to re-integrate successfully back to school.
When a child leaves an inpatient provision and is transitioning back to school, we discuss what
needs to happen so the transition will be smooth and positive.
10. Working with specialist services to get swift access to the right specialist support and
treatment
In some cases a pupil’s mental health needs require support from a specialist service. These might
include anxiety, depression, self-harm and eating disorders.
We have access to a range of specialist services and during the support will have regular contact
with the service to review the support and consider next steps, as part of monitoring the children’
Individual Care Plan.
School referrals to a specialist service will be made by the Pastoral Lead, AHT (Inclusion) or the
SENDCO following the assessment process and in consultation with the pupil and his/her parents
and carers. Referrals will only go ahead with the consent of the pupil and parent/carer and when it
is the most appropriate support for the pupil’s specific needs.
Child and Adolescent Mental Health Service Accessed through school, GP or self-referral
(CAMHS)
TOPS (Tavistock outreach for primary schools) Accessed through CAMHS, Pastoral Lead, AHT
(Inclusion) or SENDCO
SEND and Mental Health
Persistent mental health difficulties may lead to children having significantly greater difficulty in
learning than the majority of those of the same age. In some cases the child may benefit from
being identified as having a special educational need (SEN)or disability.
On first entry to the School, our parent’s meeting includes a discussion on the importance of
positive mental health for learning. We ask parents to inform us of any mental health needs their
child has and any issues that they think might have an impact on their child’s mental health and
wellbeing, based on a list of risk factors pertaining to the child or family (see appendix 1). It is very
helpful if parents and carers can share information with the School so that we can better support
their child from the outset. All information will be treated in confidence.
● We provide information and websites on mental health issues and local wellbeing and
parenting programmes and have produced leaflets for parents on mental health and
resilience, which can be accessed on the School website. The information includes who
parents can talk to if they have concerns about their own child or a friend of their child and
where parents can access support for themselves.
● We include the mental health topics that are taught in the PSHE curriculum section, on
the School website
● When children start school, all parents and carers are given our mental health and
resilience leaflet that includes information on how parents can support their child’s mental
health and where to go for help and support.
Supporting parents and carers with children with mental health needs
We are aware that parents and carers react in different ways to knowing their child has a mental
health difficulties and we will be sensitive and supportive. We also aim to reassure by explaining
that mental health difficulties are common, that the school has experience of working with similar
issues and that help and advice are available.
Parents and carers will always be informed if their child is at risk of danger and children may
choose to tell their parents and carers themselves. We give older children the option of informing
their parents and carers about their mental health needs for themselves or of accompanying and
supporting them to do so.
We make every effort to support parents and carers to access services where appropriate. Our
primary concern is the children, and in the rare event that parents and carers are not accessing
services we will seek advice from the Local Authority. We also provide information for parents and
carers to access support for their own mental health needs.
Every year we train up a group of children as our Friendship Squad who lead on supporting peers
during unstructured playtimes.
We seek pupil’s views about our approach, curriculum and in promoting whole school mental
health activities.
We always seek feedback from children who have had support to help improve that support and
the services they received.
Our aim is both to support staff to be confident and skilled to support the mental health of
children and young people but also to support staff’s own wellbeing.
We want all staff to be confident in their knowledge of mental health and wellbeing and to be
able to promote positive mental health and wellbeing, identify mental health needs early in
children and know what to do and where to get help. Our Pastoral Lead is a qualified ‘mental
health first aider’ and a number of our staff have completed the 1-2 days course on mental health
first aid.
Supporting and promoting the mental health and wellbeing of staff is an essential component of
a healthy school and we promote opportunities to maintain a healthy work life balance and
wellbeing, such as celebrating Time to Talk Day, staff craft club, and our Staff Council (responsible
for organising team building events both physical and non physical). We have ‘duvet week’ to
ensure all staff leave work early for at least one week, to support that work-life balance. Staff also
have access to Camden’s counselling service and receive annual appraisal targets.
Staff questionnaires are used to help identify concerns and opportunities to improve our staff
wellbeing provision.
● Regular meetings or drop in times with SLT, half-termly meeting with key stage
leaders and opportunities to meet and discuss concerns with their line manager
● Regular wellbeing check-in’s led by SLT and line managers
● Training, including INSET days, support staff meetings and access to Camden’s
wellbeing and mental health workshops and support to staff programme
● Wellbeing breakfasts every term and end of term social events
● Regular information updates on mental health and wellbeing
● Staff noticeboard
● Annual wellbeing surveys and suggestion box
● Buddy scheme for new staff
● Opportunity to discuss wellbeing as part of twice yearly performance reviews
● Peer supervision and problem-solving discussions
● Information on mental health on the school’s shared drive
● Advice in the staff handbook and staff section of the school website
● Art Therapy (3 staff)
● Camden counselling service and other free mental health support
● A Wellbeing room-2 dedicated spaces for staff to relax and eat
● Structured support and supervision
The mental health and wellbeing policy is on the school website and hard copies are available to
parents and carers from the school office. All mental health professionals are given a copy before
they begin working with the school as well as external agencies involved in our mental health
work.
The policy is monitored at an annual review meeting led by thePastoral Lead and involves staff
with a responsibility for mental health, including specialist services supporting the school and
governors.
Appendices
Appendix 1 Protective and Risk factors (adapted from Mental Health and Behaviour DfE March 2016)
Appendix 2 Specific mental health needs most commonly seen in school-aged children
Annex C includes definitions, signs and symptoms and suggested interventions for
● Anxiety (including panic attacks, phobias and Obsessive Compulsive Disorder OCD)
● Depression
● Eating Disorders
● Substance Misuse
● Self Harm