Developing a Culture of Participation in CAMHS

1. Developing a Culture of ParticipationinCAMHS Jason Smith February2013

2. WE’RE STILL WORKING ON IT!

3. Some Background… • 5 Child and Adolescent Mental Health (Community) Services • Hope Unit • Horizon Unit

4. Some Background… • United Nations Convention on the Rights of a Child - Article 12 ‘Parties shall assure the child who is capable of forming his or her own views the right to express those views freely in all matters affecting the child. The views of the child being given due weight in accordance with the age and maturity of the child.’

5. Some Background… • The Children Act 1989 • Health and Social Care Act 2001 • Care Quality Commission • Ofsted

6. The Development- early days • Camhs Directorate Work Programme Group • Camhs Equality and Diversity Group • National Youth Agency • Service User Strategy

7. Other elements… • Service User Questionnaires – SDQ and Post Discharge • ‘You Said, We Did’ Boxes in receptions

8. The Framework Hear by Right

9. The Process • National Youth Agency • Mapping across boroughs • Planning nature of events

10. Hear by Right • Framework for standards and indicators • Stepped Process highlighting progress • User friendly

11. Hear by Right • Shared Values • Strategies • Structures • Systems • Staff • Skills and Knowledge • Style and Leadership

12. What have we done? • Events started across the directorate from 2010 • Challenges • Attendance • Location • Timings

13. Focus of Sessions • Building a group • Fun, relaxed, young person friendly • Food included! • Young People’s Impression of their Camh Service – environment, worker, experience • Voucher Payment

16. Evaluation of Sessions • Generally Positive • ‘ToR’ Established • ‘Don’t like to be talked at’ • Environment • Reception Staff • Difficult to sustain

17. The Next Phase • IAPT • Participation = pillar • The PLEDGE

18. What changed? • New Approach • Champions in each service • Shift in culture – not an add on

19. Current Work • Recruitment • Impact in clinical settings • Leaflets/publicity/website • Integrating local issues • Use of local authority youth councils • Self-referral • Your Welcome standards • Parents/Carers • 9 Priorities

20. Feeling Good… • Priority 1: Get Initial Assessments Right • Priority 2: Make Sure Session Monitoring Involves the Young Person • Priority 3: Provide Easy Access to Complaints and Advocacy

21. Doing the Job Right… • Priority 4: Make Sure Staff Have the Right Skills and Knowledge • Priority 5: Involve Young People in Recruitment • Priority 6: Involve Young People in Staff Appraisals

22. Running the Service Well… • Priority 7: Involve Young People in Commissioning • Priority 8: Help Young People Influence Senior Managers • Priority 9: Have a Strong Mission Statement

23. Success? • Challenging Process • Pennine Care – first mental health trust to use hear by right • Mandatory • Lots of opportunities/ideas • Fun!

24. Any Tips? • Expect Challenges • Keep persevering • Food and fun • Keep promises • Have an end product

25. Thank You Any Questions? jason.smith3@nhs.net