Related to: Mental Health and Illness, Ill Health and Disability, Employment and Economic Activity, Education, Learning Disabilities, Wellbeing, Children and Young People, Safeguarding Children and Young People, [[Children in Care]], Special Educational Needs
A persons health is multifaceted, people will commonly have more than one physical health condition, or a physical and a mental health condition or a mental/physical health condition and a learning disability. These various health status's will also influence and be influnced by, a persons lifestyle and social, financial, educational and employment situations
- 30% of people with a long term physical health condition will also have a mental health condition.
- 46% of people with a mental health condition will also have a long term physical health condition.
A comorbid mental health problem will raise the costs of treating a physical health condition by 45%.
People with long-term conditions and co-morbid mental health problems disproportionately live in lower income areas and have access to fewer resources of all kinds.
The interaction between co-morbidities and deprivation makes a significant contribution to generating and maintaining inequalities 1.
In a national study looking at a range of questions designed to understand happiness and wellbeing people who defined their health as poor or very poor and those describing themselves having a disability reported significantly lower results across the range of questions. In particular, nearly half of people who reported their health as "very bad‟ reported a high rating for "anxious yesterday‟.2
Children with Complex needs 3
Children with Complex needs as defined by the Joint Agency Panel (JAP)* are those children who have 2 of following 3 needs:
- Education: A statement of Special Educational Needs (SEN) that indicates a high probability of residential placement being needed or that the child’s educational needs cannot be met within existing services.
- Health: The presence of significant assessed health needs, including severe emotional and behavioural issues, contributing significantly to the risks to school and/or family placement and where it is not possible for these needs to be met within existing services.
- Social: A risk of family and/or placement breakdown and/or assessed social care needs which indicate a high probability of residential care being needed or that the child’s social needs cannot be met within existing local services.
Joint Agency Panel (JAP)* is made up of: B&NES Children’s Social Care, B&NES Clinical Commissioning Group and B&NES Education. B&NES it jointly commissions placements for children with complex needs through a pooled budget.The role of JAP is to commission, monitor and review packages and placements for children with Complex, Multiple and High Level Needs.
In making the transition from JAP to adult services young people who are turning 18 and placed in residential education placements, will have their education fees met by JAP and the social and health fees met by adult services, where the young person meets the threshold for adult services.
There is also evidence that 8/10 homeless people have a physial health condition and 7/10 have a mental health condition
- 1. long term conditions and mental health (2012) Kings Fund http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/long-term-conditions-mental-health-cost-comorbidities-naylor-feb12.pdf
- 2. Bath and North East Somerset Council 2012 Measuring Subjective Wellbeing: Bath and North East Somerset Summary http://www.bathnes.gov.uk/sites/default/files/measuring_subjective_wellbeing_-_briefing_note_270712.pdf
- 3. Bath and North East Somerset Council and Bath and North East Somerset Clinical Commissioning Group, (2014) Placements for Children in Care and Children with Complex Needs. A Joint Commissioning Strategy 2014 – 19