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Improving children and young people’s mental health and emotional wellbeing: findings from the LGA's peer learning programme
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2019
- Pagination:
- 31
- Place of publication:
- London
A report on the learning from the councils involved in the Local Government Association's Peer Learning programme, which aimed to improve the mental health of children and young people by prioritising early help and prevention. Eight councils took part in two learning days and were also partnered with a peer organisation learn to share good practice. The issues of concern to the councils included improving children and young people's access to services, transitions from CAMHS to adult mental health services, co-producing with children, young people and families; and developing a shared multi-agency understanding of high need. The report discusses the five themes that emerged: the value of taking a holistic view of children and young people; hearing young people’s voices and responding through service co-design; the contribution of the wider children’s workforce to supporting the mental health of children and young people; the role of local councillors in championing children’s emotional health and wellbeing; and delivering services in times of organisational change, external change and resource pressure. (Edited publisher abstract)
Stick with us: tackling missed appointments in children's mental health services
- Author:
- ABDINASIR Kadra
- Publisher:
- Children's Society
- Publication year:
- 2017
- Pagination:
- 68
- Place of publication:
- London
This report explores missed appointments within Child and Adolescent Mental Health Services (CAMHS), policies to help address missed appointments and how services need to change to support children and young people. It draws on evidence from a responses to Freedom of Information (FOI) request from 39 providers of specialist CAMHS and a desk-based literature review. The analysis found that approximately 157,000 specialist appointments in specialists Child and Adolescent Mental Health Services (CAMHS) were missed by children and young people in 2016. Missed appointments not only result in a financial cost to the NHS but pose a risk to young people themselves. Reasons for missed appointments included because of the mental health problem itself, long waiting times to get treatment, difficulty with getting to appointments, trust in adults, and the stigma around mental health. The report also found that many missed appointments are not followed up by CAMHS. The report makes recommendations to help reduce missed appointments, including: mandatory follow up by mental health services after missed appointments, shorter waiting times so children don't give up and drop out of the system, and involvement of children and young people's views in the way services are designed and delivered. (Edited publisher abstract)
An exemplar of GP commissioning and child and adolescent mental health service partnership: Cambridge 1419 young people’s service
- Authors:
- HUMPHREY Ayla, et al
- Journal article citation:
- Journal of Integrated Care, 24(1), 2016, pp.26-37.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to draw attention to commissioning and service structures enabling implementation of evidence-based cost-effective care as illustrated by the “1419” young people’s service treating mild to moderate severity mental health difficulties in teenagers old 14 to 19 years. The authors describe relevant local contextual factors: “relational commissioning”, demand capacity planning and a receptive and safe clinical context. Design/methodology/approach: The authors used a participant observer qualitative research design to describe commissioning and service design. Treatment outcomes were analysed using a quantitative design and found significant improvement in service user mental health and daily function. These results will be reported elsewhere. Findings: The dynamics and structures described here enabled clear shared goals between service user, service purchaser, service provider and service partners. The goals and design of the service were not static and were subject to ongoing development using routine outcome measures and conversations between referrers, commissioners, service users and within the team about what was and was not working. Research limitations/implications: The methods are limited by the lack of a prospective systematic evaluation of the implementation process and by the time limitations of the service. Practical implications: Implementation of whole system change such as that envisioned by Children and Young People’s Improving Access to Psychological Therapies requires consideration of local context and process of implementation. The authors suggest key factors: consideration of “relational commissioning” with purchasers, providers and service users designing services together; case-level collaboration between services and partner agencies; smaller child and adolescent mental health teams eliminating competing task demands, permitting speed of action, providing psychological safety for staff, promoting shared goals and innovation; rigorous demand/capacity planning to inform funding. Social implications: The failings of child and adolescent mental health services (CAMHS) are detailed in the Department of Health report “Future in mind: promoting, protecting and improving our children and young people’s mental health and wellbeing” (2015). The aims of the report are contingent on the ability of local health providers to implement its recommendations. The authors provide a theoretical approach to enable this implementation. Originality/value: To date there are no published papers addressing the key characteristics enabling implementation of evidence-based practice within CAMHS. The unique experience in forming the“1419” service has important implications nationally and brings together evidence of an effective service within a theoretical underpinned context. (Publisher abstract)
Parents say toolkit
- Author:
- YOUNGMINDS
- Publisher:
- YoungMinds
- Publication year:
- 2015
- Place of publication:
- London
An online toolkit developed to support services delivering mental health treatment to young people to implement parent participation in all aspects of their work. It also supports services to make an effective business case for parent participation. The Toolkit is divided into 5 key areas, which emerged as central themes in consultations with parents and carers. These are: improving service access, equality and diversity by working with parents; the need for greater levels of communication from services; participation in service leadership and delivery; diversifying the methods of engagement used with parents and carers; supporting the workforce development of staff teams. Modules cover key points to consider, the views of parents, links to additional resources, and related modules in the toolkit. The Toolkit was commissioned and funded by NHS England’s Children and Young People’s Mental Health Programme and developed with input from over 900 parents. (Edited publisher abstract)
Mental health services for children and young people: the past, present and future of service development and policy
- Author:
- CHARMAN Stella
- Journal article citation:
- Mental Health Review, 9(2), June 2004, pp.6-14.
- Publisher:
- Pier Professional
Provides an overview of the development of mental health services for children and young people (CAMHS) in England and Wales. Assesses its current position in relation to the national policy agenda, and draws conclusions about how services are likely to change in the future. The comments are based on the author's extensive experience of working as a consultant with CAMHS and on a database of information on over 40 specialist teams.
A handbook on child and adolescent mental health
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1995
- Pagination:
- 32p.,list of orgs.,bibliog.
- Place of publication:
- London
Part of the Key Area Handbook series. Suggests a number of themes for action in service development for purchasers and providers, including: undertaking multi-agency needs assessment; matching available resources to local needs; setting planning priorities; developing discrete contracts for child and adolescent mental health services; strengthening existing specialist services; co-operating with other purchasers to ensure the consistent provision of more specialised services; and operating within co-ordinated multidisciplinary specialist services and linking with non-specialist and other specialist services.