Targeted support and appropriate referrals

Targeted support and appropriate referrals

Once a need has been identified, staff should act quickly to ensure that children and young people receive the appropriate targeted support or referral pathway. Schools and colleges should have their referral pathway set out in a clear process which all staff should be aware of.  

Developing a graduated approach to your school’s mental health and emotional wellbeing (MHEW) provision is central to ensuring all MHEW needs are met and appropriate help and support are provided. This can be set out using a template, such as the ‘pyramid of graduated support’ and include both in-house and external provision available. Knowing about local services and ensuring that referrals are timely and appropriate, and followed up, are key to successful intervention and support. 

A clear referral process (see previous section ‘Identifying need and monitoring impact’) will ensure that children and young people receive the appropriate level of support.  

Universal support

This is support delivered at whole school/college level. It includes quality first teaching, reasonable adjustments, interventions and support for all children and young people. When MHEW is embedded throughout the curriculum and within the school and college ethos, MHEW ‘coverage’ will be happening daily and throughout positive interactions.   

Targeted support

Stage 1: Support and interventions delivered by staff using in-house resources, for example: 

  • one-to-one support from an individual needs assistant or teaching assistant 
  • small group work led by a staff member on issues such as bereavement, anxiety, or social skills 

Stage 2: As above, with advice or in-person support from an external professional. 

Specialist support

This is for children and young people who: 

  • have more complex and enduring MHEW needs 
  • need help from a trained expert, in addition to ongoing support from your school or college 

Mapping out a graduated support system

Use this document to identify the different levels of support, staff, professionals and services involved in your individual setting.  

MHEW Support pyramid template and example [324.2 KB] [docx] 

Key recommendations 

  • Produce clear, written guidance for staff about the referral process.  
  • Identify key staff by roles and the interventions they provide. 
  • Agree which assessment tools to use. 
  • Map out MHEW support, referral system & criteria. 
  • Publicise additional MHEW resources / support. 

Targeted support resources - local

Toolkits:

Anxiety 

Unexpected Death and Critical Incidents 

Self-Harm 

Targeted support resources – national