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Barnardo's - Parenting Wellbeing Service (Surrey wide)

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Barnardo's - Parenting Wellbeing Service (Surrey wide)

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PWS offers support to parents or carers whose children and young people are experiencing poor mental health and well-being such as anxiety, depression, stress, mild self harm and eating disorders.

The service aims to enable parents and carers to be a protective factor for their child or young person in their wellbeing recovery. Support is offered to parents or carers across Surrey.

PWS Practitioners will meet with parents or carers to help them identify their goals and how they can achieve positive change for them and their family. This can be through:
Meeting with practitioners for 1:1 support
Attending local groups
Getting advice, guidance or information
Accessing phone or online support
Finding other support in the local community
Befriending other parents or carers going through similar difficulties

PWS works within the i-THRIVE framework (Getting help)

PWS can receive referrals from:
Mindworks Surrey Access and Advice Service (formerly CAMHS access and advice service)
Professionals working with the family such as GP, education, social care
Parents or carers themselves

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Parenting Wellbeing Service (PWS) - Surrey

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PWS offers support to parents or carers whose children and young people are experiencing poor mental health and well-being such as anxiety, depression, stress,

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Barnardo's - Surrey Positive Parenting Service

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Barnardo's - Surrey Positive Parenting Service

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Attention deficit hyperactivity disorder (ADHD) is a group of behavioural symptoms that include inattentiveness, hyperactivity and impulsiveness.
Barnardo's aim to support parents/carers of children (6-18 years old) who have a diagnosis of, or who are awaiting a diagnosis of ADHD. This support and advice is delivered in an 8 week programme; within your local community or online via zoom, during school hours, or in the evenings.
We support parents by helping them to:
*gain confidence and skills as parents when living with a child with ADHD
*exploring how positive parenting is beneficial to the family as a whole
*discuss strategies for effective behaviour management
*have the opportunity to meet with other parents
*understanding the importance of clear communication for a child with ADHD
We have two skills building programmes, The Parent Factor in ADHD is for parents/carers of children that have an ADHD diagnosis (8 week skills building programme) and the Nurturing Programme, delivered with ADHD as a clear focus, is for those parents/carers awaiting a diagnosis for their child. (8 week skills building programme).
Parents and carers can also access advice and guidance from this service, 365 days per year from 5-10.30pm by calling 0300 222 5755, no referral is necessary to access this Out of Hours Helpline.

Referrals can only be generated by a professional, for example a GP, teacher or Family Support Worker, via https://www.mindworks-surrey.org/
For SABP CAMHS Professionals, the referral form can be downloaded and emailed to[email protected] .
For enquiries, or to verify whether your family is able to access the support, contact the team by email.
Parents/Carers that have been referred can expect to receive a phone call from a Barnardo's worker to introduce the service and give an opportunity to discuss the support and needs required, as well as answering any questions.

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Attention deficit hyperactivity disorder (ADHD) is a group of behavioural symptoms that include inattentiveness, hyperactivity and impulsiveness. Barnardo's

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The Children and Young People's Emotional Wellbeing and Mental Health Service for Surrey.

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We provide advice, help and support to children, young people and their families through a wide range of emotional wellbeing and mental health services, delivered by a large team of experienced, skilled professionals.

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Community based services providing early support 

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Community based services providing early support 

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Early Support :: Mindworks Surrey (mindworks-surrey.org)

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YMCA - Counselling, CBT & Family Wellbeing Support

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YMCA - Counselling, CBT & Family Wellbeing Support

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YMCA East Surrey has been supporting children and young people with their emotional wellbeing for over 30 years. Our services have grown and evolved as more and more children and young people have been experiencing difficulties such as anxiety, poor self-esteem and feelings of hopelessness.

As part of the Mindworks Surrey service, we provide a wide range of services for children, young people and families to help them towards mental and emotional wellbeing.

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Emotional Wellbeing & Mental Health - YMCA East Surrey

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YMCA East Surrey has been supporting children and young people with their emotional wellbeing for over 30 years. Our services have grown and evolved as more and more children and young people have been experiencing difficulties such as anxiety, poor self-esteem and feelings of hopelessness.

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A safe space for children and young people aged 10-18 to talk about worries and mental health in a confidential, friendly and supportive environment.

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Support Line and Workshops | CYPHaven Surrey

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The CYP Haven now has a virtual helpline running throughout the week. We also run weekend workshops

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kooth - online mental wellbeing community

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kooth - online mental wellbeing community

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A judgement-free forum to get advice, help others and share your story.

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Explore Kooth - All kinds of articles, stories and content to help you through tough times

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What is Kooth? Understanding Kooth: A Free, Safe, and Anonymous Online Mental Health Support Service Join Kooth for Free https://vimeo.com/452161021 Online counselling designed for young people According to the NHS, as many as 1 in 5 young people have a probable mental health issue.

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Our website is full of advice and information to give young people the tools to look after their mental health.

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YoungMinds | Mental Health Charity For Children And Young People

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YoungMinds are a mental health charity for children, young people and their parents, making sure all young people can get the mental health support they need.

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Supporting children and young people through the death of a loved one.

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A charity that helps children, teenagers and young adults (up to the age of 25) find their feet when their worlds are turned upside down by grief.

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Winston's Wish is the UK's childhood bereavement charity. We support children and their families after the death of someone important.

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Support and tips to help you keep children safe. From advice on children’s mental health to staying safe online, support for parents and what to do if you’re worried about a child.

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The NSPCC is the UK’s leading children’s charity, preventing abuse and helping those affected to recover. Help us be here for children. Please donate now.

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People can contact us online or by phone. We listen to them, help them to understand the illness, and support them to take positive steps towards recovery.

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Need information or support for an eating disorder? Find out about how to seek help including services that Beat offer.

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Our unique mentoring and skills training helps families, vulnerable young people, and low-skilled adults.

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Our programmes and projects are defined through our three themes We work with a wide range of partners and funders to provide our support free of charge or heavily subsidised.

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Emotional Based School Non-Attendance. What is EBSNA?

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Emotional Based School Non-Attendance. What is EBSNA?

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What is EBSNA?

Emotionally Based School Non-Attendance (EBSNA) is a term used to describe the difficulty children and young people experience in attending school due to emotional reasons, such as stress, anxiety and/ or feeling overwhelmed. This can result in prolonged periods of absence from school.

Other terms EBSNA is known by include:

Emotionally Based School Refusal (EBSR)

Anxiety Related Non-Attendance (ARNA)

Emotional Based School Avoidance (EBSA)

School refusal

In Surrey we use the term Emotionally Based School Non-Attendance (EBSNA) to include children who are unable to attend school, rather than choosing not to attend, because of increased feelings of fear and anxiety that may make school feel unsafe.

If you are looking for support for your child or for someone you care for or support, please know that you are not on your own. We hope this webpage will provide you with the information you need.

What are the signs of EBSNA?

Spotting the signs of EBSNA and taking action quickly can enable a child or young person to remain in education and achieve their aspirations.

Children and young people can display a range of behaviours, which on their own may not be a sign of EBSNA. However, Parents/ Carers of children and young people with EBSNA have reported the following behaviours:

Frequently feeling unwell

Separation anxiety

Frequent minor absences

Tearfulness and general irritability

Sleep difficulties

Emotional volatility

Lack of appetite

Friendship issues

Changes in personality

Poor academic attainment

Autistic young people are also described as experiencing 'Autistic Burnout'.

What is the impact of EBSNA on children?

The impact of EBSNA on children is far reaching and can include:

poor academic attainment

reduced social opportunities

limited employment opportunities

an association with poor mental health in adulthood

EBSNA absence can often lead to long periods of time away from school. EBSNA is different from absence for physical illness and truancy. Most young people experiencing EBSNA can be highly anxious and show significant distress about attending school. In many instances, they remain engaged with education and want to return to school even though they feel unable to do so. Often, the young person's anxiety will reduce during weekends or school holidays.

EBSNA is complex and the issues are specific to each individual so there is not one way to resolve the situation for all children and young people. It is likely to be a gradual process to support a child to return to school particularly when it may feel that the EBSNA is well established, but there are many avenues of support available. This webpage offers information, advice, and a range of strategies gained from Surrey families' lived experiences.

How can EBSNA impact families?

Supporting your child with EBSNA can impact on families in different ways, we've listed some of these below, along with potential sources of support.

Parent Carer mental health and wellbeing

Caring for a child with EBSNA might impact on your mental health and wellbeing. You may feel lonely or isolated, but please know that you are not to blame, and you are not on your own. Family Voice Surrey have created a School Anxiety group for parents and carers.

It is important to look after yourself. If you find that your mental health and emotional wellbeing is poor, there are services that can offer advice or emotional support:

The Child Mind Institute offer information on why Self-Care is essential to parenting on their website

Mindworks Surrey information for Parents/Carers - Every child or young person is different and may require different services. Mindworks Surrey will guide you through each step you need to take as a parent or carer, from your initial concerns to being introduced to the Mindworks service

Healthy Surrey Wheel of Well-being - The Wheel of Well-being is a handy way to think about things you can do to help improve your mood, reduce the risk of depression, strengthen your relationships, and even add up to seven years to your life

Relate - services include relationship counselling, family counselling, mediation and children's and young people's counselling

Parent and Carers Group - The Hope Service - The Hope Service is a multi-agency service for young people aged 11-18 who are experiencing complex mental health, emotional, social and behavioural needs.

Barnardo's Parent Wellbeing Service - The Parent Wellbeing Service offers support to parents or carers whose children are experiencing poor mental health and wellbeing such as anxiety, depression, stress, self-harm and eating disorders. The service will enable parents and carers to be a protective factor for their child/young person in their wellbeing recovery. Increasing their confidence to support their child/young person

This shortlist of Helplines and online support services for parents has the details of further services who may be helpful to refer to.

Parenting support and advice:

For more general parenting support and advice, the following may be helpful.

Family Lives - provides targeted early intervention and crisis support to families who are struggling. The issues they support families with include family breakdown, challenging relationships and behaviour, debt, and emotional and mental wellbeing

Surrey Family Information Service's parenting courses and advice web page

Surrey Family Learning offer a wide range of free courses which are offered online, from parenting and wellbeing to Maths and English for parents who speak English as an additional language

The Free online parenting guides which are available to all Surrey residents that include top tips from childcare, education and NHS health experts.

Finances:

Supporting a child experiencing EBSNA can also have a financial impact on families if for instance, parents have given up work or reduced their working hours to support their child or have paid privately for education provision, counselling, therapy and assessments. There is a range of financial assistance that may be available to you.

Siblings:

EBSNA may also have an impact on siblings, if for instance they are often late for school or mirror their sibling's behaviour. The Local Offer Support for sibling and young carers web page, provides details of activities that siblings can do together, help for young carers and financial assistance.

Ways you can support your child

Unfortunately, there are many children and young people across the UK struggling with school-based anxiety and other difficulties that can impact on school attendance.

Such difficulties should not be viewed as a behavioural or parenting problem. There are many different things that can trigger anxiety and attendance difficulties including bullying, academic pressure and sensory issues in the school environment.

It is common for children to pretend or hold in their distress until they get home from school - this is called "masking". This can lead to misunderstandings and differences in opinion between home and school. It is important that professionals work in partnership with parents and listen to the voices of children and young people.

What you can do if your child is struggling to go to their education setting?

Believe your child's distress is real, listen to what they say and trust your instincts as a parent

One of the most important ways you can support your child is to calmly listen to them and acknowledge that their fears are real to them. Remind them how important it is to access education and reassure them that you and the education setting will try and make it a happier place for them.

Listen to and talk with your child

Consider when and where you will talk. Think about what communication method might be easiest for your child e.g. text messaging, letters, brainstorming key words and feelings. You may find ' mapping the landscape visuals', to be a useful method of communication for your young person. Your young person can 'drag and drop' their thoughts.

Agree an appropriate time and place with your child, e.g., this could be in the time after school and before dinner if your child is attending school. For children who are not attending, agree with them the best time to talk for instance, in the middle part of the day or after they have had breakfast. Try to avoid first thing in the morning before they are fully awake or just before bed as they may be tired or it might disrupt sleep.

When you speak to your child, try to remove any distractions (such as family members, TV or electronic devices) and also set a limit on how long you speak to them for.

You may like to refer to the NHS Talking to your child about feelings web page for support in approaching this conversation.

Focus on listening

If your child has opened up to you, it is because they trust you and feel a need to share their difficulties. Let them talk and try to ask open questions that encourage a fuller response than 'yes' or 'no'.

Examples of open conversation starters:

What is going well for you at the moment?

What would you be doing differently if it wasn't for these difficulties?

What is going well in school?

If things get better, how would that look?

How are things with friends?

If you woke up tomorrow and knew it was better, what would have changed?

What do you want to change?

When things where better than they are now, what was happening then to make it better?

When did this start?

What ideas do you have about what you need to feel better at the moment?

How does it affect you?

What kind of support would help you?

What is this stopping you doing......?

Are there things or people that help?

Let them know if you do not understand or need clarity

Answers can get muddled as children try to explain feelings they may not understand, asking clarifying questions shows you are listening and trying to understand.

Examples of ways of clarifying might include:

"Did I understand you when you said?"

"Did I hear you correctly when you said?"

"Let me check [...] you feel angry/ frustrated/ sad because [...]"

At the end of your conversation validate their feelings, acknowledge their strength and clarify priorities.

Examples of how to do so:

"I can see that things are difficult at the moment. However, you managed to share/ talk about a lot of things today. So, let us recap/ see where we've got to..."

Empathise and acknowledge how hard it is

It is important to let your child know that overcoming anxiety is hard, and that you are proud of their efforts. Let them know you are trying to understand their experience, are listening to what they have to say and want to help. Try not to validate their fears. The message you want to send is, "I know you're scared, and that's okay, and I'm here, and I'm going to help you get through this."

Make yourself available to talk again if needed

It can be a relief to talk, but ongoing anxiety is not solved with just one conversation. Let them know they can speak to you again. Explain that you will look at how you can help them. Never leave this kind of conversation without agreeing next steps, this will help the child to realise that you are working with them to move things forward.

A support plan can be used to support your child/young person think through how support can be individualised to support their own needs. This can be completed independently, with a parent/carer, trusted adult or with friends. This plan can be shared with school/college to help create a package of ongoing support.

It is crucial that all adults, at home and in school, work together to understand the reasons for EBSNA and find solutions together. As soon as signs are spotted parent/carers should tell the school there is a problem and request a meeting.

If you have a younger child who is experiencing anxiety with accessing a pre-school environment you may find the NHS Learning to talk resources following resource helpful to support the development of language.

Activities outside of an education setting

You may like to look at encouraging participation in activities outside of an education setting to support social interaction and reduce isolation. Some suggestions of how to do so include:

The Local Offer Directory contains details of both one off and ongoing leisure and social activities.

Club 4 holiday activities run during the longer school holidays and offer healthy food and fun activities for eligible children aged 5 to 16. The Club 4 website also includes a number of holiday ideas for children.

The video below aims to support parents and carers to develop plans to manage the anxiety of getting into school.

Who can you contact for support?

There are a number of services who can offer support if and when you feel you need it.

Support from School or education setting

It is important to communicate any concerns regarding EBSNA with your child's school/setting. They can help to find out what's worrying your child and what you and they can do to help. A support plan can be created that could include:

Home-school meeting to understand the reasons for the non-attendance.

An allocated named key adult who can maintain daily communication, to include a wellbeing check and ensure work is set, if not in class

Meeting with the pupil to gain their views around the non-attendance or participation

Jointly creating a support plan with you, your child and the school/setting.

Making reasonable adjustments according to your child's needs and the reasons for their non-attendance/participation.

Schools in Surrey can take a Surrey Healthy Schools approach to wellbeing and health and can access a range of resources and services to support your child. Support can include mental health support, counselling, and access to a School Nurse, they can also ask Specialist Teachers for Inclusive Practice (STIPs) to assess your child's difficulties.

Children and Young People with Additional Needs

An underlying Additional Need or Disability can contribute to anxiety levels; this can include Autistic Spectrum Conditions, ADHD, Sensory Processing Disorder or Dyslexia. These can make school feel like a difficult place to be for a child, even if they do want to attend school. It is worth noting that additional needs includes Social, Emotional or Mental Health Difficulties. These can affect a child's ability to make friendships and cope with strong emotion.

You may therefore also wish to discuss with the school if they feel an assessment of your child for any relevant additional needs is required.

If you need a bit more help

There are times when the challenges of family life become more difficult, and families may need some personalised support for a period of time. Targeted help focuses on the specific needs of the family to help them make positive changes. Requests for support (we used to call these referrals) can be made by all health, education and social care practitioners. Parent/carers can also request support via the Children's Single Point of Access (CSPA).

Helpful resources and services

You may also find the information and support offered by these services is helpful to you. The details of further services can be found on our Local Offer Directory.

Define Fine
A small UK parent led organisation that support families affected by EBSNA.

Not Fine In School
A UK based organisation set up to support parents, young people and professionals impacted by EBSNA: They also have a family support group on Facebook.

Young Minds
Have a parent's guide to School Anxiety and Refusal.

Every Mind Matters- Children's Mental Health
This is important for children of all ages, but in particular if the child is transitioning from one school to another, or to another class, which may make them more anxious about school.

SEND Advice Surrey
Offer impartial, confidential, free advice and support to parents/carers of children and young people with special educational needs and/or disabilities.

Family Voice Surrey
Champions the needs and rights of SEND families in Surrey: families with children or young adults up to the age of 25 who have special educational needs, chronic illnesses, including mental health conditions, or disabilities.

The National Autistic Society Surrey Branch
Is a volunteer-run support group founded by parents to support other parents. Volunteers offer a variety of local support group meetings, talks, parent programmes and activities for families that include autistic children or adults.

Are safe spaces for young people to drop into to talk about worries and mental health confidentially. There is also a phone service and virtual workshops operating alongside the face-to-face sessions. The opening times and phone number are listed on their website. They also offer two daytime projects for young people who aren't in school called 'Slow Grow' and 'Forests Skills'.

Children and Family Health Surrey

Have a number of sensory video workshops, on their website.

Your Child's GP can offer support which might include a referral to a Paediatrician or Mindworks who provide advice, help and support to children, young people and their families through a wide range of emotional wellbeing and mental health service,

You can also speak to your child's school nurse. The video below describes what a school nurse does and how they can help.

EBSNA information for young people

Everyone feels anxious or worried about school or college sometimes. This is normal, Anxieties are part of life and learning to deal with them is part of growing up However, sometimes anxiety or constant worrying can become a problem especially when it stops us doing what we want or need to do. If you have high levels of anxiety and worry about attending school, you may be experiencing Emotionally Based School Non-Attendance (EBSNA).

You most definitely are not alone and there is lots of useful information which can help you to find the best ways to help support yourself with this.

Some signs of EBSNA

Getting head or stomach aches

Feeling unsure

Feeling bad tempered

Worrying about relationships

Struggling to sleep

Feeling scared

Feeling depressed

'Autistic Burnout'

Remember you are not alone many children and young people feel this way.

We understand that it can be hard to start a conversation about how you are feeling sometimes as you may be worried about the reaction you will get. You may be surprised to know that your parent/carer or teacher may already have an idea that you are finding things difficult and it may be an easy conversation to have. It's important to tell your family and school how you feel so they can support you. There is no wrong way to do so and you might like to write a letter or send a text to say how you are feeling.

You may wish to complete a support plan which can be used to support you think through how support can be individualised to support your needs. This can be completed independently, with a parent/carer, trusted adult or with friends. This plan can be shared with school/college to help create a package of ongoing support.

You can also let them know about this webpage so they can come and look at the resources for parent/carers and schools.

Some of these services might also be able to help you:
Please remember, in the case of an emergency, call 999 or 112 from a mobile.
How can you support a child with EBSNA you are working with?

EBSNA is a complex issue, staying curious, feeling confident to try a different approach, remembering that no one is to blame for the situation, along with a culture that promotes staff and student well-being, can all support a successful reintegration.

It is important to remember most school-anxiety/ school refusing children do WANT to attend school however their difficulties and anxiety are overwhelming. They care about their education and want to succeed; however, they need understanding and support at home and at school to do so. They may need adjustments to their daily routines, timetables, or their school environment. Pressures to focus on attendance rather than the child's needs can make things even harder to 'fix'. As soon as concerns are raised, a designated member of school staff should reach out and connect with the parents/ carers. Preferably staff with a trusting relationship.

Many of the factors associated with positive outcomes will already be present within your education settings existing good practice and include:

Developing a Surrey Healthy Schools approach to wellbeing, health, inclusion and achievement

Early Intervention

Working with parents and staff as well as the child or young person

Working flexibly with a focus on understanding the function of the child or young person's avoidance behaviour

A focus on a rapid return to an education setting alongside intervention, support and adaptations within the school and home environment (be mindful that a focus on rapid return will not be appropriate for all children and young people).

Implementation of the 'Assess, Plan, Do, Review' Four part cycle:

Assess

As part of the 'Assess' phase you can identify EBSNA signs and risk factors, education setting push and pull factors to gather information to build a rich picture of the situation. You can use Surrey's Early Help Assessment form and Early Help Assessment practitioner guidance.

Plan

As part of the 'Plan' you can bring together all the information gathered and use it to inform a co-authored action and support plan.

Do

The 'Do' strand should describe strategies and interventions that have been effective in supporting the reintegration of a child or young person who is experiencing difficulties coming to an education setting. Carry out additional High Quality Teaching strategies and note differences made. Refine delivery of strategies to maximise the effect they have. Ensure that additional provision is delivered as it is meant to be. Think about what you need to adjust considering initial observations and feedback.

Review

Using assessment measures to monitor the progress of an intervention and adjust the plan for next steps will be part of your 'Review.'

Where can I receive advice or support with EBSNA?

Training and Webinars

Surrey Educational Psychologist Service and Mindworks School Based Needs Services are continually delivering training. The training is underpinned by research and provides extensive resources. Training for schools/settings can be booked on the training section of the Surrey Education Services. Third sector and wider partner EBSNA webinars have been uploaded to the Surrey Youth Focus webpage.

There is a progressive programme of training and support for schools to assist in the development and maintenance of a supportive and inclusive school culture. For more information visit Surrey Healthy Schools

Effective Family Resilience incorporating Early Help Assessment training is bookable through the Surrey Children's Services Academy: Training covers how to use the Family Resilience Windscreen and identify the range of services available to support families.

Resources

Individual support for children and young people

A Profile of Risk of EBSNA has been developed that looks at 5 key risk areas for EBSNA. The checklist is for use alongside the usual attendance monitoring systems in education settings, e.g., SIMS and consideration of patterns of attendance, to screen for possible EBSNA in relation to non-attendance. If the resultant profile suggests to you that the pupil is at risk of emotionally based school non-attendance, the next step is to obtain the views of the pupil, parent/carers and other staff within a setting. A support plan should be co-produced with the pupil, parent/carers and education setting using the EBSNA support guide for settings and the EBSNA Support Plan template provided by Surrey County Council and partners.

If the family need resources to be made accessible e.g., no access to technology or are not confident using it, are visually impaired or have English as an additional language you must ensure the resources available to families can be made accessible and families are supported to use them.

As part of any plan to support the child to attend well, education settings should facilitate relevant pastoral support. This should be done with the clear aim of improving attendance as much as possible while supporting the underlying EBSNA issue. The Department for Education have published examples of effective reasonable adjustments.

You may also like to refer to the Department for Education's summary of responsibilities where a mental health issue is affecting attendance.

Additional Support Services

The Inclusion Service provides support to schools, parents and young people in providing services on behalf of the Local Education Authority and deals with non-attendance, child Protection and making enquiries about children missing education.

Surrey's Education Psychology Service offer a weekly helpline for education settings that operates in every quadrant every Wednesday from 1-4pm (including school holidays).

Surrey County Council are developing a new support pathway for EBSNA via our Learners Single Point of Access (L-SPA), this will allow referrals for support to be made direct to our multi-professional team. More information COMING SOON

Whole School best practice

By asking "can we create an environment where EBSNA doesn't exists?" schools are already employing many strategies that support CYP who may experience school related anxiety. We suggest that schools develop a Surrey Healthy Schools approach to wellbeing, health, inclusion and achievement and use the Self-Evaluation Tool and training to assist the leadership and management of these areas. This can help to foster a compassionate, respectful and anxiety friendly environment.

Surrey Healthy Schools presents an opportunity for schools to actively promote physical, emotional and mental health and wellbeing. It is a commitment to encouraging personal, social and health development and supports the links between health, behaviour and achievement. It is not aimed merely at pupils' health or school curriculum development but centres around the whole school environment and all aspects of school life.

By looking at the systems already in place and creating opportunity for open discussion, you will develop a solid foundation that works for your school.

Where can you find support and advice?

This EBSNA Padlet website has an EBSNA resource bank designed for professionals.

Surrey Educational Psychology Service EBSNA Whole School Initial Audit Tool for Schools is a useful tool to gain a whole school understanding of EBSNA awareness and will help to identify areas of development.

Graduated Response Early Years information and documents to help special educational needs coordinators (SENCOs), early years practitioners, home-based childcarers and playworkers support children with Special Educational Needs and Disabilities (SEND) and their families.

Surrey Inclusion & Additional Needs service schools a document designed to schools and settings understand Surrey County Council service offers available to support schools to meet pupils needs as they emerge.

Ordinarily available provision (schools) this guidance aims to support settings, practitioners, families, and carers to work together to ensure that children's additional needs are met at the earliest opportunity.

Surrey Wellbeing Partnership (SWP) is a formal joint venture of local and national charities of various sizes with a common goal: to work with children and young people in the community to improve wellbeing and mental health so that they can live full, fun and confident lives.

Mindworks School Based Needs Team: offers advice and signposting for children, young people, parents and school staff, 1-1 support and group work for children, young people and parents (both within school and out of school settings).

Mindworks - Complex Mental Health Needs Teams (Community Teams)- work across Surrey and are made up of health and social care professionals. These multi-disciplinary teams promote good mental health and provide assessment and treatment to children and young people up to the age of 18 with a mental health condition. The teams assess and treat children and young people who are struggling with difficulties associated with neurodevelopment conditions where these are having a significant impact on the child's development and quality of life and causing them and/or their carers distress.

Mindworks - Mental Health Support Team for Specialist Schools in Surrey - a school-based service, which supports the mental health of children and young people in specialist schools across Surrey. The team offer support and advice to key people (teacher and or parent/ carer) around the child or young person to enable them to identify any concerns, understand what has happened for that child or young person and support any developing mental health needs.

The Mindworks 24/7 mental health crisis line, is available for children and young people who are worried about themself, a friend, or for parents worried about their child or young person. It can be contacted on 0800 915 4644, is open all day and all night, seven days a week.

Transitioning from primary to secondary school or changing schools in-year is a particularly significant change for children. Learning about change and how to cope with it will help them with transition and prepare them for many other changes and challenges they will face in life. Young Minds have a section of resources related to supporting school transitions.

Youth Engagement Scheme (YES) - is an early intervention for young people, between the ages of 13 and 16, who are struggling with one or more of: school attendance, low self-esteem, lack of self-confidence and/or are at risk of becoming involved in anti-social behaviour and the criminal justice system.YES is an early intervention for young people, between the ages of 13 and 16, who are struggling with one or more of: school attendance, low self-esteem, lack of self-confidence and/or are at risk of becoming involved in anti-social behaviour and the criminal justice system. You can email yes@surreycc.gov.uk for more information.

You may also find the details of further services who offer information and support on our Local Offer Directory.

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Emotionally Based School Non-Attendance (EBSNA)

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Emotionally Based School Non-Attendance (EBSNA) refers to children who are unable to attend school, rather than choosing not to attend because of increased feelings of fear and anxiety that may make school feel unsafe. Support for EBSNA is available.

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Have you recently become a carer? Or realised that you are a carer? There can be a lot to think about – but we have all the key information for you right here.

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Action for Carers | Supporting carers of all ages across Surrey

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Action for Carers Surrey supports carers of all ages across Surrey with free advice and support.

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If you are a young person, and you help care for someone who has an illness, a disability, or is affected by mental ill-health or alcohol/substance misuse, we can help you.

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Young carers (under 18) | Action for Carers

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Support for young carers from Action for Carers Surrey

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In addition to our how-to guides on the most popular apps, you can also find out more about other social apps that children are using. Below we have compiled a list of apps to watch out for and provide a related web link for you to learn more about how to set controls on the app.

Live streaming apps

Live streaming has captured the imagination of teens around the world but also introduced a number of risks they could be exposed to. See our list of safety guides to get up to speed on the most popular Live streaming apps.

Periscope - Designed by Twitter, Periscope lets you share and experience live video streams from your mobile or tablet device.

Live.me - Live.me is a social platform that allows users to connect with others and earn virtual goods which can be exchanged for prizes, rewards, and cash.

YouNow - The app allows you to comment and like users videos and buy gifts that generate money for the app creator.

Social gaming apps

If your child is gaming online, they may be using platforms to allow them to chat and communicate with other players or friends. Use the following safety guides to help keep them safe on the most popular social gaming platforms.

Steam - This is one of the most popular social gaming networks that allows you to buy and play games online and store them in the cloud.

Xbox live - Microsoft's online service for its consoles is called Xbox Live and when you're signed into the service you can chat to other Xbox Live members and befriend them.

Twitch TV - Twitch.tv is a live streaming social gaming platform that is equipped with a chat feature to allow players to interact with each other and live stream and watch video game competitions.

Roblox - One of the biggest online gaming platforms and features social elements which allows players to talk to each other and send friend requests.

Minecraft - One of the most popular gaming platforms among primary school age children (despite 13 minimum age guide).

PlayStation Network - Allows users to go online and access PlayStation Store content, online gameplay and use the chat function to talk to other players.

Nintendo Network - Nintendo's consoles are more family-friendly than most and therefore its chat functionality is a lot more geared to safe interaction for younger players.

Limitation of network filters

Some content and sites can be encrypted, which means they're coded in a way that prevents the controls from knowing what the content actually is, so filters will not necessarily apply. There are also ways of bypassing filters using what's called a Virtual Private Network (VPN) if your child is technologically savvy enough.

They also don't usually restrict purchases through apps or the use of certain programmes that are already on the device. You'll need to consider setting your device controls and platform (such as Chrome or Netflix) controls too.

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Take a look at our list of social media guides to get you up to speed on the most popular platforms and help set the right privacy settings.

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Grief can be overwhelming. You don't have to deal with it alone.

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Grief can be overwhelming - you don’t have to deal with it alone. Cruse Bereavement Support is here. Call our helpline or chat online.

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Welcome to Holland - A poem for parents and carers of children with special needs

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Welcome to Holland - A poem for parents and carers of children with special needs

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Short breaks, youth clubs, parent support, rebound therapy

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Local charity focusing on Health & Wellbeing, Disability, Children and Young People, Housing and Challenge Events

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For children and young people with additional needs, their families and the practitioners who help them. On it you will find helpful information and the details of support services in your area.

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Welcome to Surrey's Local Offer!

Our Local Offer website is for children and young people with additional needs, their families and the practitioners who help them. On it you will find helpful information and the details of support services in your area.

Use our feedback page to tell us how helpful you have found the Local Offer and ways we can improve it.

Share your feedback and get involved

Search our directory

Find registered childcare, family activities, holiday clubs and support groups near you.

Find information by category

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Our Local Offer website is for children and young people with additional needs, their families and the practitioners who help them. On it you will find helpful information and the details of support services in your area. Use our feedback page to tell us how helpful you have found the Local Offer and ways we can improve it.

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We believe that every disabled adult, child, older person and carer should be able to live independently with the same choices, opportunities and control over their lives as anyone else.

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Surrey Independent Living Council (SILC)

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Surrey Independent Living Charity (SILC)

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Our specialist, approachable team offer a range of services to help you live independently however you fund your care.

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We provide information, advice and support to parents, carers and young people with special educational needs and/or disabilities (SEND) aged 0 to 25 years, it is provided impartially, confidentially, free and at arm's length to the Local Authority.

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Disclaimer: SEND Advice Surrey has made all reasonable efforts to ensure that the information contained is accurate and up to date at the time of publication. It does not constitute legal advice and SEND Advice Surrey cannot accept any responsibility for any loss or damage suffered as a consequence of any reliance placed upon it.

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Information guides, template letters, links to webinars and useful links around different aspects of Special Educational Needs and/or Disabilities (SEND) Advice

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Our videos give advice, information and tips about supporting your toddler, child or teenager including those with additional needs and learning disabilities with sleep.

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Sleep is essential for children's growth and development, and important for our mental, emotional, and physical wellbeing.

If your child or young person is struggling to sleep it can be exhausting for them and for the whole family. More than half of all children may have difficulties settling or sleeping at some point in childhood. Children with additional needs and learning disabilities can be more likely to experience sleep difficulties.

Everyone needs sleep. And lots of important processes take place whilst we're sleeping. A lack of sleep can affect our wellbeing and can cause depression, anxiety and difficulties regulating our emotions.

Common difficulties can include:

Finding it hard to settle when you go to bed

Waking throughout the night

Waking too early in the morning

Not falling asleep until late

Finding it difficult to get up in the morning

Feeling tired in the day.

If you would like further support contact our health visiting or school nursing teams through our advice line or visit a child health drop-in.

The sections below include videos, information, tips and advice on how to support the sleep of your toddler, child and teenager (including those with additional needs and learning disabilities).

Understanding your child or young person

The relationships in your child's life help shape their emotional health and wellbeing.

Finding time to think about your own feelings, your child's development, behavior and communication will support your understanding of them and how they are feeling. This can help you understand how to support your child with change and sleep difficulties.

Visit the Free guides: understanding your baby, child or teenager page to find out more.

Bedtime routine and bedroom environment

Bedtime routine

Bedtime routine is important in getting a good night's sleep helping to support children's body clocks and aid relaxation.

Consistency is key, sometimes sleep patterns may get worse before they get better. It is not uncommon to think that a new routine isn't working but it is important to stick to it for at least two weeks to see results.

Visit the The Sleep Charity website and Sleep Scotland website for more information.

Golden Hour

The golden hour is the hour before bedtime for relaxing and winding down. If your child is excited or anxious, their bodies will produce extra cortisol, a hormone that wakes us up and stops us falling asleep.

This will then suppress the production of the hormone melatonin, a hormone that encourages us to become sleepy. For children, there are lots of activities which stimulate cortisol production such as exercise, watching TV and dancing.

Focus on quiet time and relaxing, and offer quiet, relaxing activities for your child. This could include spending one-to-one time with your child. You may want to give deep pressure hugs which can have a calming effect. Listen to relaxing music or audio books, read a story or poems using a quiet tone. Do calming crafts or tasks, puzzles, colour block sorting, counting objects or a jigsaw.

Remember to turn screens off at least an hour before bedtime as they will stimulate your child.

Visit the Sleep Scotland website and The Sleep Charity website for further information

Bedroom environment

Temperature

Hot, cold and drafty rooms can seriously impact on sleep.

Your body's heat peaks in the evening and then drops to its lowest levels when you are asleep so between 16 and 20 degrees is an ideal temperature.

Temperatures over 24 degrees are likely to cause restlessness while a cold room of 12 degrees will make it difficult to fall asleep.

Young children may require a slightly warmer environment, so think about getting a thermometer to keep track of temperatures.

An extra layer of sheets or blankets will make you more comfortable when it's cold and a pair of bed socks can also help.

If it is safe to do so, have windows open to maximize cool air circulation in hot months.

Lighting

When we see light our bodies tell us it's time to wake up and when it's dark, we release melatonin (the sleep hormone) which relaxes the body and helps us to drift off to sleep.

Remember all screens and devices should be off, and not showing any light, so keep these out of the bedroom.

Comfort

Relaxation

The final step in creating the perfect sleeping environment is to ensure your child's bedroom is relaxing. Making sure the bedroom is calm, tranquil and uncluttered.

Some children may need additional sensory considerations and strategies in place to support and promote good sleep.

For children with additional needs and learning disabilities, please speak to a specialist school nurse or school nurse for more guidance and support.

Visit The Sleep Charity website and Sleep Scotland website for more information.

Keeping a sleep diary

If your child or young person is experiencing sleep difficulties, we would recommend using a sleep diary for at least 2 weeks.

Visit The Sleep Charity website for further information.

Sleep walking, nightmares and night terrors

Teenagers

Changes that occur during puberty can disrupt a teenager's body clock and cause it to shift.

During adolescence the body clock can shift around 2 hours later, and this can last until their early 20s.

This means that adolescents are likely to be more active in the evening and go to bed later.

Because of this, teenagers may find it hard to settle at night and get up in the morning.

Some teenagers find this shift to their body clock can be very disrupted.

This is going to sleep very late at night or in the early hours of the morning and getting up in the late afternoon.

A good evening routine will help to prevent disruption to a teenager's body clock.

Visit the Teen Sleep Hub website for further information including advice about:

anxiety

routine

going to sleep and waking up

social media, screen time and peer pressure

exercise

remixes to relax.

Children with additional needs and learning disabilities

Sleep difficulties in children and young people with additional health needs and learning disabilities can be more common and complex.

This can range from finding it hard to get to sleep and waking up a lot at night to irregular sleep patterns and waking early in the morning.

What are the reasons?

There can be several reasons for sleep issues such as:

physical reasons such as night-time wetting

reduced mobility meaning your child may not able to turn and reposition themselves without support

skin conditions causing itching and discomfort at night

epilepsy and night-time seizures or seizures on waking

autism or communication issues that can make changes to bedtime routines difficult (it is ok to change bedtime routines for autistic children, it just may take additional time and require extra support)

hyperactive or attention conditions that may make it difficult to settle or move between daytime and night-time routines

poor memory skills could mean a child has not learnt to sleep in their own bed

those who have had a lot of hospital stays may have disrupted sleep patterns.

Visit the Specialist School Nursing page, Mindworks website, Cerebra website or National Autistic Society website for further information.

Anxiety and sleep

Talk to your child to try and understand their anxiety or worries. With older children, try talking to them without any pressure, perhaps during mealtimes, whilst walking or during an activity like arts and crafts. It can be easier for them to talk when there is another focus.

Provide a calm and consistent bedtime routine for reassurance and predictability. Create a comfortable sleeping space and peaceful environment. Support them to learn how to self soothe by trying muscle relaxation, mindfulness, or something like worry bags, worry boxes or worry dolls.

Visit the Mindworks website and Beacon House website for further information.

Sleep strategies

The following strategies can support your child's sleep difficulties. The key is to be consistent and provide continual reassurance for your child.

Visit the Cerebra website for further information for children with additional needs and learning disabilities.

Visual timetables

Visual timetables are suitable for all children including those with additional needs and learning disabilities.

These timetables offer a series of pictures or symbols that can help children to understand the sequence of events in their sleep routine.

Visit the Autism Speaks website for further information.

Top tips

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Make sure your child or young person is getting enough exercise throughout the day and eating well.

The circadian rhythm is a 24-hour body clock so what we do during the day, impacts us at night.

Provide a comfortable, uncluttered sleeping place and a relaxing bedroom environment.

Use calming and relaxing approaches such as a bath, puzzles and reading

Support your child to self-settle.

Establish a regular bedtime routine and be consistent every day of the week.

It can take several weeks or even months to establish a new routine so keep at it and persevere, you will get there.

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If your child or young person is struggling to sleep it can be exhausting for them and for the whole family. More than half of all children may have difficulties settling or sleeping at some point in childhood.

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Our 1-1 telephone appointments for parents and carers looking for emotional support.

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Our 1-1 telephone appointments for parent carers looking for emotional support.

You might be struggling emotionally and looking for strategies to help you cope. Or maybe you just need to talk to someone who understands the extra challenges you face and who can point you in the right direction to get the support you need for your family.

To help, we offer 1-1 telephone appointments with a family support adviser for parent carers looking for a listening ear, reassurance and practical and emotional support.

Making an appointment is simple: Choose the day (morning, afternoon or evening), and when you register choose the time slot you want. Appointments are regularly updated and are subject to availability.

Important information before booking

Please ensure that you book your call for a time that you know you will be free to talk and somewhere that you feel safe and is quiet so that you can get the most out of the time you have

All appointments are one hour long.

BOOK A FREE APPOINTMENT
Watch our senior parent adviser Shona talk about Listening Ear below to find out more about what the service is, what parents can talk about during their call, what families think of their Listening Ear experience, and some of her most memorable calls so far.

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Our 1-1 telephone appointments for parent carers looking for emotional support. You might be struggling emotionally and looking for strategies to help you cope. Or maybe you just need to talk to someone who understands the extra challenges you face and who can point you in the right direction to get the support you need for your family.

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24/7 Crisis line for young people and families

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24/7 Crisis line for young people and families

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Are you, or is a young person you know, not coping with life? For confidential suicide prevention advice contact Papyrus - link below:

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Are you, or is a young person you know, not coping with life? For confidential suicide prevention advice contact Papyrus - link below:

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Papyrus UK Suicide Prevention | Prevention of Young Suicide (papyrus-uk.org)

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Do you need crisis support outside of office hours? Contact the Extended Hope Service. Link below.

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Do you need crisis support outside of office hours? Contact the Extended Hope Service. Link below.

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Extended Hope Service :: Mindworks Surrey (mindworks-surrey.org)

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Being a parent or carer can be the most wonderful thing in the world and can bring so much love and joy into your life. We also know that the responsibility of parenthood and the daily challenges of this role can be as daunting as they can be exciting.

The Family Space is here for you. Our virtual family hub offers information, advice, guidance and support for all stages of your parenting or caring journey.

Our nationwide network of family hubs and children's centres provides services directly to parents and care givers of children of all ages. If you aren't able to get to a centre or hub, we hope you will find what you need here.

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Barnardo's Family Space is our virtual family hub offering information, advice and support for all stages of your parenting or caring journey.

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Not Fine in School was created as a resource for the growing numbers of families with children experiencing school attendance barriers.

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Written by Fran Morgan with Ellie Costello and edited by Ian Gilbert, Square Pegs: Inclusivity, compassion and fitting in - a guide for schools is a book for educators who find themselves torn between a government/Ofsted narrative around behaviour, attendance and attainment, and their own passion for supporting square pegs and their families.

Over the last few years, changes in education have made it increasingly hard for those children who don't 'fit' the system - the square pegs in a rigid system of round holes.

Budget cuts, the loss of support staff, an overly academic curriculum, problems in the special educational needs and disabilities (SEND) system and difficulties accessing mental health support have all compounded pre-existing problems with behaviour and attendance. The 'attendance = attainment' and zero-tolerance narrative is often at odds with the way schools want to work with their communities, and many school leaders don't know which approach to take.

This book will be invaluable in guiding leaders and teaching staff through the most effective ways to address this challenge. It covers a broad spectrum of opportunity, from proven psychological approaches to technological innovations. It tests the boundaries of the current system in terms of curriculum, pedagogy and statutory Department for Education guidance. And it also presents a clear, legalese-free view of education, SEND and human rights law, where leaders have been given responsibility for its implementation but may not always fully understand the legal ramifications of their decisions or may be pressured into unlawful behaviour.

Bringing different perspectives and expertise together in one place, Square Pegs aims to help school leaders and staff support children (and their families) more effectively. The authors cover a wide variety of topics - including school attendance, building relationships, trauma-informed practice, and behaviour management. Featuring contributions from more than 50 individual authors, this is an accessible, dip-in, dip-out book - perfect for busy school leaders.

Suitable for all professionals working in education and the related issues surrounding children and young people's mental health, as well as policymakers, academics and government ministers.

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Not Fine in School is a parent-led organisation empowering families & raising awareness of school attendance barriers (school refusal/ anxiety/ SEND/ bullying)

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Barnardo's - covering Waverley, Woking, Surrey Heath & Spelthorne

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Barnardo's - covering Waverley, Woking, Surrey Heath & Spelthorne

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Barnardo's Community Wellbeing Team works across Surrey Heath, Spelthorne, Waverley & Woking. We work with children and young people, aged 6-18 years, to help support emotional health and wellbeing as soon as a need is identified.

The Community Wellbeing Team provides support in the following ways:
Meeting with them for 1:1 support (up to 10 sessions)
B-Connected - a 6 week school-based wellbeing group
Advice, guidance, information and signposting to other provisions
Offering phone or online support
Finding other support in the local community
Holiday wellbeing check-in sessions

Community Wellbeing Mentors will spend time getting to know the young person and what goals they want for future sessions. The service uses a goal-based approach to guide young people to understand their strengths and how they can use them to achieve their goals. Community Wellbeing Mentors will meet young people where they feel safe and comfortable which can be at home, in school/college or out in the local community.

Referrals can be made via:
Mindworks Surrey Access and Advice Service (formerly CAMHS access and advice service)
Professionals working with the young people such as GP, education, social care
Young people (aged 16 and over), parents or carers themselves

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Barnardo's Community Wellbeing Team works across Surrey Heath, Spelthorne, Waverley & Woking. We work with children and young people, aged 6-18 years, to help

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YMCA -  Epsom & Ewell, Tandridge, Reigate & Banstead

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YMCA -  Epsom & Ewell, Tandridge, Reigate & Banstead

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Community Wellbeing Team - YMCA East Surrey

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Local charity focusing on Health & Wellbeing, Disability, Children and Young People, Housing and Challenge Events

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For over 25 years, The Matrix Trust has worked across the Borough of Guildford providing dedicated support to young people aged 8 to 18 years.

We believe that early intervention changes lives. As part of the Surrey Wellbeing Partnership, our Wellbeing Practitioners provide tailored support to children and young people before challenges escalate.

We focus on building personal strengths and promoting positive outcomes, offering flexible support that may include; one-to-one sessions, group workshops, participation in other Matrix projects, family-based support or signposting to more specialist services.

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Whether you are a young person, a parent or a professional you can find help here.

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Our Hideaway Youth Cafe provides a safe space for young people to belong. Here they can have fun, relax, meet and make friends, as well as connect with their community. Being open access young people can come and go as they like, engaging with activities that meet their needs at that time. Matrix Youth workers provide positive role models and when needed, can signpost young people to other youth-focused activities or more specialised support. NEW: Wednesday's are now our Relaxed, Neurodivergent Friendly day! We will still be running the workshops, just in a calmer setting! During holidays we run just one Youth Café session on a Wednesday for Y6-Y11s.

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MatrixYouthWork | Instagram, Facebook | Linktree

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The go-to hangout for young people in the centre of Guildford!

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Learning Space - covering Epsom, Banstead, Leatherhead, Dorking, Redhill and Tadworth

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Learning Space - covering Epsom, Banstead, Leatherhead, Dorking, Redhill and Tadworth

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Our Community Wellbeing Service offers a range of groups for children and young people based across Reigate & Banstead, Mole Valley and Epsom & Ewell . The groups take place in a range of safe and supportive environments and allow young people to connect with others and take part in fun activities. We can offer up to two 1:1 sessions to help support engagement and make sure young people feel ready to take part. We are proud to offer a self-referral route for our groups and are happy to discuss which group would fit you best and how we can support you to get involved.

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Our parent anxiety course, parent voice and youth voice groups are for any young person or parent living in Surrey.

If you wanted to pop along to a Youth Voice session to try it out before you apply, we have half termly try before you apply sessions where you'll be made to feel very welcome. Please visit the Youth Voice page to find out more.

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There are Community Wellbeing Services based throughout Surrey, if you are based outside of the areas above, please visit Mindworks Surrey to find services locally.

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To register for any of the groups, please complete the registration form below

Self Referral (parent/carer or young person) - click here

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If you have any questions, please contact Natasha

Group support for Parents

We have set the dates for future Parent Voice meetings at our centre in Redhill for the first half of 2023. Please put the dates in your diaries, we welcome you to join this safe supportive space for Parents. They are always held on Thursdays from 10.30am-12pm.

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Our Community Wellbeing Service offers a range of groups for children and young people based across Epsom & Ewell, Reigate & Banstead and Mole Valley. The groups take place in a range of safe and supportive environments and allow young people to connect with others and take part in fun activities.

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Eikon - covering Runnymede and Elmbridge

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Eikon - covering Runnymede and Elmbridge

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Eikon in my area | The Eikon Charity supports young people

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Eikon in my area - you’ll find us in lots of different places across Surrey in schools, community groups, youth clubs, online, and many more…

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Community Wellbeing Team :: Mindworks Surrey (mindworks-surrey.org)

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This agreement can help to bring your family together to think about how you can work to keep each other safe online.