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Professor Peter Fonagy National Clinical Lead for Children and Young Peoples IAPT
We aim to ensure that children and young people have improved access to the best possible psychological therapies in a way that they find acceptable and relevant. As acutely as ever we face the challenge of working with limited resources to meet the needs of a society increasingly aware of mental health issues and appropriately insisting that care is provided to children and young people. A common misconception is that Children and Young Peoples IAPT and Adult IAPT are the same. Although we sit within the overall IAPT programme, and have learnt from the adult experience, we are working to improve existing systems and services rather than creating new standalone services. The obligation to deliver value in child mental health has never been greater. Delivering therapies to the standards of RCTs may seem like a big challenge, but children deserve nothing less than the best if we can provide it - which it seems we can. The first year of the project is coming to an end and during this time everybody involved has worked unbelievably hard to ensure success at each stage of its development and implementation. The collaborative spirit, support and selfless commitment that we have received in the first year from those involved has been humbling and a source of immense gratification for me. In 35 years of professional work I have not experienced anything that comes close. With a limited budget and a tight timescale we have delivered national curricula, working with 18 partnerships of NHS services, commissioners and voluntary services committed to transformation to outcome-focused, evidence-based, child-oriented clinical work. You can read updates from the year one learning collaboratives on pages 7-9. We have been lucky enough to secure up to 22 million additional funding from the Government to extend the project over the next 3 years. More details about plans for year two onwards can be found on page 2. Ensuring that the voices of children and young people are heard clearly by all of us involved in providing mental health services for them is a crucial aspect of our project. They have been involved
For more information please see: http://www.iapt.nhs.uk/cyp-iapt/
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at both a national level, helping to steer the project, and at a local level, where sites have been listening to their wishes and preferences.You can read more about participation activities on page 5. I would like to thank you all for your extraordinary contributions and I hope that the upcoming years of the project, as we bring new modalities into Children and Young Peoples IAPT, are characterised by as much enthusiasm and hard work. On the 16th July 2012 UCL will be hosting the first annual Children and Young Peoples IAPT conference where Paul Burstow, the Minister for Care Services, will join us in celebrating our achievements and help us plan the future. More details about the conference can be found on page 10.
Professor Peter Fonagy National Clinical Lead for Children and Young Peoples IAPT
Too many young people suffer in silence with mental health problems. This is vital investment that will give children the very best tailored treatment to restore them to good health. Nick Clegg
Deputy Prime Minister
We broke new ground last year investing in childrens mental health. This additional funding will help deliver services specific to young people. Were working with young people and staff to start to change the way mental health is delivered by the NHS. Paul Burstow
Minister for Care Services
Reading Collaborative
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London Collaborative
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Salford Collaborative
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Ox and Bucks Wilts, Bath and NE Somerset Gloucs Swindon Bournemouth, Dorset and Poole
Lambeth & Southwark Herts Sussex Westminster Haringey Cambridge Wandsworth Greenwich
New CAMHS partnerships have been offered the opportunity to join one of our existing three collaboratives. Two new collaboratives in areas of the country that are not in easy reach of the existing collaboratives are being recruited.
New partnerships and collaboratives are being interviewed and the decisions are due to be announced shortly.
For more information please see: http://www.iapt.nhs.uk/cyp-iapt/
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The Getaway Girls from Leeds helped interview potential new collaboratives
Service users have always had opinions on the systems they are going through, or have been through. For the past six years I have been involved with OCD-UK, a charity run by sufferers for sufferers. At every step of my involvement with OCD-UK I have encountered fascinating insights from sufferers of all walks of life, as well as their friends and families. I have heard therapy described as a meeting of two experts: the clinician and the service user, therefore it is vital that both are involved in training. In the future I hope to see the insights and opinions of service users being heard by clinicians everywhere.
For more information please see: http://www.iapt.nhs.uk/cyp-iapt/
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Having robust outcome data also helps us to review the effects of the work and to ensure the project is good value for money.The outcomes monitoring is now being rolled out across services involved in the project. We have been very excited to see the first data coming in from sites, and the second data upload will be next month. This is an extraordinary achievement and is the result of hard work by therapists and data managers in all sites.
The sense of ownership and empowerment created by being at the centre of this participatory process supports children and young people to explore their feelings and issues at their own pace.
CBT trainee, Oxford Health
Its really good to look back on the progress I have made through graphs and being able to question how things have improved and what has worked.
15 year old, Oxford Health
Our Leadership Training Programme began in February 2012. There are eight managers and 11 clinical leads participating.As part of the programme, they are working together on projects around self-referral, implementation of routine outcome measures across a whole service, and young peoples participation. Its always been important that young people are involved in this project.Young service users have been on board from the start, interviewing, training managers, and designing invitations for our launch. As well as being involved in the future development of self-referral, some young people are currently making a short film to raise awareness of what Children and Young Peoples IAPT is and promote its use. All in all, its been a busy few months!
Reading University held a regional launch of the Children and Young Peoples IAPT project on 24th April 2012. Amy (front right), a young persons representative, gave a talk to the audience.
Its hard going but worth every minute, Im a different clinician now much more effective.
Parent Training trainee Salford Parent Training trainees
The service transformation training, led by Barry Nixon and Gill Walker, is almost finished, with 8 out of 10 training days completed to date. The course covers a diversity of topics from workforce planning, value-based practice, finance and economics to participation.The service leads are working hard on their individual service projects with support from Barry and Gill, who have been offering 5 whole-day site visits per service lead to offer bespoke support. They report that most of this has been around the implementation of outcome measures throughout the service. Feedback from the service leads has been excellent and they have been particularly appreciative of the site visits. In terms of project governance, a steering group was set up and commenced in March 2012 and meets monthly. Both YoungMinds and Barnardos have been involved in teaching on all of the training programmes and the interview process. Barnardos will be assisting with the phase two partnership interviews on the 22nd June and have been working with us to develop this.
The video supervision is intensive, but I cant believe how much Ive learnt from it.
CBT trainee Salford CBT Trainees
If you have any questions about the newsletter or suggestions for future issues please contact Rose Palmer: rose.palmer@ucl.ac.uk For more information please see: http://www.iapt.nhs.uk/cyp-iapt/
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