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Accessibility Accountability Awareness Digital Evidence based News & Events Participation

The CYP IAPT Team presents at the Health and Care Innovation Expo 2018

The annual Health and Care Innovation Expo is an NHS showcase of innovative practice in the health sector. This year’s event, celebrating 70 years of the NHS, took place in Manchester Central, an exhibition centre in the heart of the city.

 

The CYP IAPT team attended the Expo to present work created with partners in the London & South East Learning Collaborative that has driven improvement and innovation in children and young people’s mental health provision.

First up was a mini hackathon lead by Alex Goforth and Max Gerber of InFact, a (very!) condensed version of the collaborative hackathon events that bring together young people, staff and developers to create new digital tools to benefit children and young people’s mental health. The attendees were kept busy, using various design-thinking exercises such as creating a dialogue with an imaginary chatbot and funky eights (a process through which the design of the tool is sketched), to refine their ideas to design a helpful digital product.

The group came away from the session with a better idea about how to go about turning their ideas into digital reality and were further inspired by trying out the apps developed at previous hackathons in the digital space next door, e.g. www.breathwithme.co.uk, www.stimmythings.com, and www.growgoals.co.

The next presentation from CYP IAPT was a showcase of the CYP IAPT Beacon sites, services recognised for their progress in implementing the CYP IAPT principles.

Attendees heard about the achievements of these services, which included amongst others:

  • The Brandon Centre: fantastic self-referral rates making this service truly accessible to young people in need
  • Greenwich CAMHS: young people and families being integral to service design, staff recruitment and appraisal and development of the CAMHS service
  • Croydon Drop In: developed relationships with local services making joined up, multi-agency working more effective resulting in holistic care for young people
  • Tower Hamlets Partnership: increased partnership working including joint delivery of interventions, resource sharing, staff seconded to partnership agencies and supervision across the partnership
  • Bromley Y: routine outcome measurement fully embedded in clinical work

Sharing the achievements of the CYP IAPT Beacon sites gave attendees a flavour of some of the creative and innovative ways in which the CYP IAPT programme has led to improved services for children, young people and their families, and was a valuable opportunity for sharing learning across a broad geographical spread.

Colleagues from CYP MeFirst also presented several times at the event, and the Debating Mental Health Project, initiated from the CYP IAPT Learning Collaborative platform, led a group of young people and professionals through a series of exercises to inspire their critical and lateral thinking.  Both Simon Stevens, NHS CEO, and Matt Hancock, Minister for Health and Social Care, whose speech can be read here, were a (nother) couple of the big draws for a 2 day event.

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Accessibility LBGTQ News & Events

Monitoring the sexuality and gender identity of the children and young people

You might have read our blog post about the Sexual Orientation and Gender Identity Guide, which has been developed in collaboration with Hertfordshire Partnership University NHS Foundation Trust (HPFT). Paired with this the HPFT wrote a report about monitoring the sexuality and gender identity of the children and young people using HPFT Child and Adolescent Mental Health Services; shedding light on the benefits, barriers and recommendations for practice.

You can find the full report here, or see below for a summary.

After initially embarking on the project to develop a monitoring tool for sexual orientation and gender identity in CAMHS the HPFT adjusted the aims of this piece of work to start thinking about whether it was necessary to monitor sexual orientation and gender identity in CAMHS at all. They felt this was an important place to start as the development of the tool needs to follow a rationale.

In order to develop a rationale the HPFT looked at existing research of why monitoring in health services is important and specifically what current ways to monitor sexual orientation and gender identity are being used. A lot of the research indicated that there is a high prevalence of mental health difficulties in those identifying as LGBT*Q which suggests the importance of monitoring in health services to ensure that services are accessible to these individuals, and if they aren’t ensuring services think about ways they can be.

Young people were asked in a focus group within an inpatient setting as well as in the community along with parents and carers through a questionnaire for their opinions of whether sexual orientation and gender identity should be monitored, what age they felt young people should be asked about their sexual orientation and gender identity, how they would like to be asked i.e. through face to face discussion or via a form and what a tool might look like.

It was felt generally that sexual orientation and gender identity should be monitored in health services however there were some differing opinions about what age young people should be asked, requiring some further thought and feedback from more young people and carers if a monitoring tool was to be developed.

Following the results short, medium and long term recommendations could be made as to how to proceed with developing a tool for CAMHS starting with on-going training for staff working in HPFT around mental health issues in the LGBT*Q community followed by the development of a tool and the roll out of this. This project has highlighted the importance on the involvement of staff, young people and carers when thinking about developing a tool. Staff needs to feel motivated to use the tool meaningfully, young people feel comfortable and confident to use the tool if they want to and carers feel that their children are being asked appropriate questions.

 

 

 

 

 

 

 

 

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Accessibility News & Events Resources

Sexual Orientation and Gender Identity: A guide for Clinicians working in Children and Young People’s mental health and emotional wellbeing settings

We are excited to launch a free new resource that provides information, considerations and practical suggestions for clinicians working in Children and Young People’s mental health and emotional wellbeing settings.  This guide was jointly developed with Hertfordshire Partnership (HPFT), who are leading the way with equality and diversity work in their partnership.

You can access the guide here:  Sexual Orientation and Gender Identity: A guide for Clinicians working in Children and Young People’s mental health and emotional wellbeing settings

All services should be accessible and acceptable to all young people that need them. This is why improving accessibility of services is one of the core principles of the CYP IAPT programme. This principle extends beyond opening hours and the provision of self referral and includes working to identify and remove barriers that may prevent children and young people accessing and engaging with services equally.

 

So and SI guide sample page 3Sexual Orientation and Gender Identity are not topics that clinicians may consider in their work, but both may be a contributory factor in a young person’s mental health and wellbeing.  LGBT+ young people have said that they would like to approach mental health services for support but many of those that did found mental health services ‘unhelpful’ due to limited knowledge and understanding of LGBT+ issues or focus on symptoms rather than cause of distress.

So and SI guide sample page

 

 

“Clinicians are well placed to help young people, but often may be missing a vital part of the picture. This guide was developed to help clinicians enable young people to talk more openly about these topics, through creating friendly and inclusive environments, use of monitoring forms and having sensitive conversations.”

 

 

So and SI guide sample page 2

This first version of the guide covers three main topic areas:

  • Inclusive environments
  • Use of monitoring forms
  • Having sensitive conversations

It was developed through consultation with various groups and individuals, and tailors information from various exsiting guidance documents to mental health and emotional wellbeing settings.

 

We will be updating future versions of the guide according to feedback. If you would like to let us know your thoughts, please get in touch

 

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Accessibility News & Events Training

New Money and Levers for CYP Mental Health

Two recent announcements from NHS England have outlined new incentives and levers to assist with service transformation and drive improvement in CYP mental health services.

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Accessibility Misc.

Children’s Commissioner Lightning Review

A lightning report from the Children’s Commissioner about access to CAMHS has highlighted some concerning issues.

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Accessibility Awareness Data Digital Participation

Healthy London Partnership blog: technology, mental health and children and young people

Alex was asked to speak about the role of digital technology in collaborative and the recent hackathon for the Healthy London Partnership’s Mental health Awareness Week blog series.