Children and Young Peoples Improving Access to Psychological Therapies Newsletter - September 2012
Professor Peter Fonagy National Clinical Lead for Children and Young Peoples IAPT
Everybody has worked incredibly hard during this first year of CYP IAPT, and we are delighted that the project has just been short-listed for the Civil Service Awards in the category of Change Management. from a total of 780 applications. Our conference in July was an opportunity to reflect on and celebrate our achievements and to look to the future. On pages 4-5 you can find a report and photos from the day, along with feedback from those who attended. One of the most entertaining presentations at the conference was delivered by Jo, Harry and Ryan from Article 12, a young representatives board.They had the audience jumping up and down and taught us all some valuable lessons, including how to interpret street language. We hope to keep up the same enthusiasm in year 2 and beyond. As well as expanding the number of teams we are working with, we will also be covering a wider range of therapies. One exciting new project is the development of e-learning for counselling. On page 6, we have an interview with Mick Cooper, CYP IAPTs new counselling advisor, who tells us more about this work. As we begin year two we are moving towards our goal of getting all members of the Tier 2 and 3 CAMHS Teams in year 1 sites collecting CYP IAPT data. Pages 7-8 provide a data bulletin from Dr Miranda Wolpert, National Lead for CYP IAPT Informatics. She explains why and how the roll-out is happening and offers some top tips to help with the transformation. We also have feedback from clinicians who have already been working with the dataset, and links to documents and sites that can offer help and advice. As ever, we hope the newsletter will not only inform those who are already part of CYP IAPT or just joining, but also encourage you to get involved in touch with your ideas and questions. Contact information can be found on page 8.
Salford Central Lancashire North Lancashire Bolton Reading Berkshire Bedfordshire Luton Kensington & Chelsea
North East Tees Durham North Yorkshire Darlington Rotherham Doncaster London Tower Hamlets Hackney Camden Islington Waltham Forest Richmond Bromley Croydon
London
The addition of new teams allows CYP IAPT to cover an increased geographical area in England. The ambition is for CYP IAPT to cover the whole country; the map shows the progress we have made so far.
We know that there are big challenges ahead but are really excited to be part of CYP IAPTs community of practice, learning together and supporting each other to deliver the best outcomes for all our children and families.
Professor Kath McCourt, North East Collaborative
We are delighted to be part of this remarkable opportunity to improve services and outcomes for children and young people who are experiencing mental health difficulties.
South West Collaborative
The other speakers gave an overview of the achievements of the first year, the challenges faced and plans for the future. If you were unable to make the conference, or would like to listen to a speaker again, you can watch films of all the presentations on UCLs CYP IAPT YouTube channel by clicking here.
Representatives involved in year 1 of CYP IAPT answer questions from the audience
We would like to thank all those who have already provided feedback on the conference. We value your comments and suggestions and will take them into account when planning next years event. Its not too late to send us your views and ideas about how the conference might be improved just fill in this online questionnaire.
At Action for Children we did a drama production called Taking Steps, which looks at the different aspects of mental health, and we took it round schools. We wanted to spread the message to young people that if they are suffering from mental illness not to feel afraid and not to feel like an outcast. You are not alone.
Ryan
If young people help in decisions it is beneficial, and it has made me feel personally that professionals are listening to me. CYP IAPT is a two-way thing. It brings down the formality of the professional, giving the professional and the young person a more level relationship.
Harry
Participation isnt just about talking to a young person it is about involving them in every part. This means being involved in the planning; in the development as the service grows, making sure it runs smoothly; and in the evaluation. If you cant evaluate what you have done, how can you progress next time?
Jo
Counselling is very respectful of the feelings and needs of children and young people. It really tries to meet them where they are at and understand how they are experiencing their problems. It doesnt tell children and young people what to do, but helps them find their own answers. The focus is on creating Professor Mick Cooper a warm, supportive, engaging relationship, which we know most children and CYP IAPT National Advisor for young people really value. Counselling
How could counselling services for children and young people be improved or transformed?
Systematic outcomes monitoring is one way that services could be generally improved and there is good evidence pointing in that direction. Outcomes monitoring enables counsellors to monitor how helpful the counselling is and to use that to inform dialogue with the children and young people. Outcomes monitoring also helps the counsellor to tailor what they are doing to the needs of each individual. In addition, it will help them to know when it is appropriate to refer on or find another source of help. I also think it would be helpful for counsellors to develop a range of competences in their work: so, as well as being able to engage in a warm and empathic way, also to have skills around, for instance, relaxation exercises so that they can bring them into the work where appropriate. Finally, a really good working knowledge of what other resources are available to children and young people will be important so that they can refer on where appropriate.
This is a project running over the next two years. We will be developing resources, accessible via an e-learning portal, mainly to train counsellors who are working with children and young people. An important focus will be on helping them to develop skills and knowledge around outcomes monitoring and service development, and broadening their competences.
The portal will be very accessible for people who want to do training in this work. We can bring in international experts to deliver input. People can train in their own time, and there is an opportunity to develop very interactive learning modules that really represent best training practice, not just in the UK but also internationally. Of course, it wont replace face-to-face training it will be very much something that works in tandem with it.
l Professor
Coopers presentation on counselling at the CYP IAPT conference can be viewed here.
A lot of young people who have used these tools have reported that they feel valued and involved in the therapy process. [use of the measures] helps build a shared understanding of the problem on which to base a shared formulation and rationale for treatment . . . it supports collaborative working with young people and families and facilitates open conversations around different areas.
Tell us how the data collection and outcomes monitoring resources were developed.
We worked with a range of experts in the field including colleagues from the voluntary sector to develop the CYP IAPT suite of measures and dataset. The dataset defines what information should be collected about each young person. It is compatible with and builds on the CAHMS minimum dataset, and will be used as the core dataset for CAHMS Payment by Results. The dataset dentifies a number of validated outcomes measures tools and specifies when these should be used. Some tools are completed by young people, some by parents and some by both. We selected measures that have a proven value, are quick to complete and are clinically useful.
what we know about the ways children learn so we deliver high value clinical services: what works for CAMHS? the delivery of counselling to foster emotionally intelligent young people: what works for Schools? session-by-session tracking works in CYP-IAPT
l ransforming T
l How
For more information about the New Savoy Partnership conference Visit: www.healthcareconferencesuk.co.uk Email: jayne@healthcareconferencesuk.co.uk Tel: 01932 429933 Fax: 01932 880402 For more information please see: http://www.iapt.nhs.uk/cyp-iapt
9