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Helen Nash – Senior Systemic Practitioner

A Brief Introduction To The Children & Young Peoples IAPT Project – Including feedback from a young person’s perspective. Helen Nash – Senior Systemic Practitioner Michealla Lincoln – Safe Care Lead / Senior Cognitive Behaviour Therapist 16/1/18.

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Helen Nash – Senior Systemic Practitioner

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  1. A Brief Introduction To The Children & Young Peoples IAPT Project – Including feedback from a young person’s perspective • Helen Nash – Senior Systemic Practitioner • Michealla Lincoln – Safe Care Lead / Senior Cognitive Behaviour Therapist • 16/1/18

  2. By the end of the workshop participants will: • Increase their knowledge and understanding of the IAPT Agenda / Transformation of Services. • Follow a Young Person’s experience of their journey through the CYP-IAPT programme within Sunderland Community CAMHS (CCAMHS) • Gain an insight into the journey of CCAMHS practitioners through the CYP-IAPT agenda

  3. We Invite you use the rating scales to score your current knowledge of the CYP-IAPT transformation agenda

  4. Research on CAMHS service Policy/Research

  5. The Children and Young People's Improving Access to Psychological Therapies Project (CYP-IAPT) is an exciting programme…. Which aims are to: • Work with existing Child and Adolescent Mental Health Services (CAMHS) to improve access to CAMHS. • Improve the partnership working with children, young people, families, professionals and agencies • Build capability and capacity to deliver positive and measurable outcomes for children, young people and families • Increase choice of evidence based treatments available.

  6. This will be achieved as follows • Working in partnership with children and young people • Developing a culture of reflexivity and accountability • Improve access to treatments based on best evidence and training staff to deliver Evidence Based Practice • Make effective use of Routine Outcome Measures (ROM) to improve clients, therapist and supervisory experience

  7. CYP IAPT evidenced based therapies (within CCAMHS) • Cognitive Behaviour therapy for depression and anxiety disorders. • Incredible Years Parenting Programme for children aged 3-10 presenting with conduct disorder • Systemic work with families (including self harm / depression and conduct disorder) • Interpersonal psychotherapy for adolescent depression (IPTA) • Enhanced Evidence Based Programme (EEBP) • Supervision • Leadership • Evidence based programmes commencing in 2018: • Counselling for Depression • Psychological Well Being Practitioners (PWP’s)

  8. Sunderland CCAMHS Practitioners qualified in Evidence Based Interventions ROMS/PROMS Interpersonal Psychotherapy For Adolescents (IPTA) CBT Supervision Leadership IYG Parenting Enhanced Evidence Based Practice (EEBP) Systemic Practice

  9. An Example of a Young Person’s Journey Through CCAMHS • Introduction to the young person and his family • We will refer to the young person as ‘Jay’ to ensure confidentiality however permission has been given to share this today • Jay was referred by his GP for anger issues which was having a negative affect in school and in his relationships • We will now show you the young person’s presentation to highlight his experience of his journey through Community CAMHS

  10. Jays presentation:School and CAMHS working together • CAMHS has been working with our school to • Help children with worries and feelings.

  11. HELP This place can help you in so many ways such as: Thinking Talking Showing Problem solving Feelings Worries

  12. Bridges • One of the ways I learnt was bridges • This means that you can build imaginary bridges! • Its your choice if they are weak or strong • Its mostly about finding about feelings and how to deal with them.

  13. Trapping Anger • This is about finding ways to stop anger getting out. • Think of happy memories and positive feelings. • Think of Imaginary cages and dropping anger in to it. • I would recommend family help and speaking to family.

  14. How it changed anger • Because of the ways you have just learnt you should understand it can change you • The people around you • Your emotions

  15. Listening and pretending • It was a joyful way to learn about solutions. • You get interviewed as adult members and emotions . • You notice and learn from their perspective.

  16. Thank you • Power point highlights: • Approach: Counselling for 10 sessions/ Family Therapy 12 • Method: Family sessions in CCAMHS/ Reflecting Team/ • Work in school/ Jays presentation within school • Techniques: systemic questions, ROMS: SCORE 15, interviewing internalised other, externalising language…….

  17. What’s your reflections so far? • In the spirit of IAPT: How are we meeting your hopes/aims within the workshop?

  18. CCAMHS Practitioner’s experience of CYP-IAPT: positive perspective…. • Stimulating, thought provoking, challenging and affirming. • Great to meet and be with other CCAMHS practitioner ‘s and services. • I gained training in a new therapeutic modality and can now offer children and young people NICE approved treatment. • I have learned different theories and skills which was supported within supervision. • I have gained positive feedback from patients about the intervention being helpful as it help to facilitated positive change. • An opportunity to develop my practice amongst like minded people. • Incredible Year’s Group availability has risen and waiting list has reduced due to extra staff being trained through CYP-IAPT • CYP-IAPT has promoted talking therapies • More CBT, IYP Groups, IPTA-A and Systemic appointments available following CYP-IAPT

  19. And more….. • CYP-IAPT gave me the opportunity to enhance my knowledge and clinical skills • CYP-IAPT the opportunity reflect on my practice by reviewing recording within supervision. • Improved my understanding of Outcome measures and the benefits of these. • It was helpful to keep abreast of current policy and good practice. • Enjoyed networking with University and different professionals as well as trusts. • Well resourced and learned a great deal as I am now well equipped to deliver the approach. • Gained new ideas which helped me in my practice especially from Systemic Approach • Wider range of choice and therapeutic provision which can enable practitioners to tailor treatments according to need and service.

  20. CCAMHS Practitioner/ Challenges of CYP-IAPT • Young people were not fully involved within the transformation agenda. • Some frustration when applying knowledge and skills within the constraints of service and organisational culture. • Lack of co-ordination within the running of CYP-IAPT. • Course is very intense and felt rushed at times with the amount to learn and skills to consolidate. • Additional time was not given to complete training which was very demanding! • The hardest course that I have ever done! • Course not long enough to enable me to consolidate my practice… cram packed and sharp learning trajectory……. • Impact on my caseload as I was not on CYP-IAPT training.

  21. CCAMHS Practitioners consideration post CYP- IAPT and future…. • How to continue to involve the children and young people in shaping CCAMHS. • Concerned about the sustainability as CYP-IAPT is possibly ending 2018… • How can we sustain Evidence Based Treatments in our practice? • I would like to gain opportunity in Video Interaction Guidelines (VIG) in my Early Years role. • How can CCAMHS maintain links with University in the development of our service and within our roles a practitioners, supervisors…

  22. CCAMHS/ UNN collaboration within CYP-IAPT • Created the opportunity for CCAMHS Practitioners to have input within CYP-IAPT training: • CBT • Parenting • Systemic • Supervision • EBP • PWP

  23. Transformation in CCAMHS continues…. • PWP’s • Parenting: Early Years Specialist Practitioner • Review of Systemic Practice/ Family Therapy • Accreditation • Robust Supervision structures • Recognition with Commissioners of CYP-IAPT agenda

  24. Questions

  25. We Invite you use the rating scales to score your current knowledge of the CYP-IAPT transformation agenda

  26. Helpful references: • C. L. Hall, M. Moldavsky, J. Taylor, K. Sayal, M. Marriott, M. J. Batty, S. Pass, C. Hollis, Implementation of routine outcome measurement in child and adolescent mental health services in the United Kingdom: a critical perspective, European Child & Adolescent Psychiatry, 2013, • Wolpert, M., Fugard, A. J.B., Deighton, J. and Görzig, A. (2012), Routine outcomes monitoring as part of children and young people's Improving Access to Psychological Therapies (CYP IAPT) – improving care or unhelpful burden?. Child and Adolescent Mental Health, 17: 129–130. doi: 10.1111/j.1475-3588.2012.00676.x • http://www.corc.uk.net/wp-content/uploads/2013/10/Guide-to-Using-Outcomes-and-Feedback-Tools.pdf#page=85

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