Be brave and keep talking

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Be brave and keep talking!

• Wolverhampton CAMHS

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Plan for presentation

• Brief overview of Wolverhampton CAMHS and context
  for relationship between Child and Family Service
  (CAFS) and Community Learning Disability Team for
  children and adolescents (CLDT-CA).
• Overview of CAFS
• Overview of CLDT-CA
• Working together
• Discussion

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Wolverhampton CAMHS
Enno Kuttner Director of CAMHS
The Key Team
Child and Family Service
Community Learning Disability Team
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Historical Overview of communication

• CAFS and CLDT previously on separate sites
• Operationally (access, co-working) separate
• Moved to GEM centre in April 2006
• Change in service manager for CLDT and
  significant change in staffing 2007
• Communication and operational relationship
  developed over previous 18 months

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The Child and Family Service

• Dr Wendy Woodhouse
• service manager / counselling psychologist

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MULTI-DISCIPLINARY STAFFING

• Consultant Clinical Psychologists 2
• Clinical Psychologists 4
• Counselling Psychologists 3
• Psychologists in Training 3
• Assistant Psychologists 1
• Consultant Psychiatrists 2
• Specialist Nurses 4
• Mental Health Practitioners 3
• Child Psychotherapist 1
• Consultant Systemic Psychotherapists 2
• Systemic Psychotherapists 2
• Social Workers 3
• Occupational Therapist/Counsellor 1
• Primary Mental Health Worker 1
• Secretaries/PAs 10
  
• 
  
  42

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SUB TEAMS

• ADHD Sub Group
• ASD Sub Team
• Links to BEST/MAST teams
• Links to Children Centres
• Consultations
• Reflective Practice groups
• Training Programme
• Crisis Team (In Progress)
• Face to Face Clinics
• Family Life and Emotional Health Project

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SUB TEAMS cont.

• Family Therapy Team
• Looked After Children Team
• Paediatric Liaison Team
• Perinatal Mental Health Service (In Progress)
• STAR Clinics X 4
• Support to Childrens Residential Units
• Youth Offending Team
• Audit and Research

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SERVICE DELIVERY

• Approximately 1300 referrals a year
• Referrals from Professionals only
• Pathway into Service
• Emergency referrals seen the same working day
• Urgent referrals seen 24 48 hours following
  referral
• Face to Face (majority)
• 40 referred to STAR Clinic
• 40 referred for specialist intervention
• 20 referred to Psychiatry
• No Waiting List since 2004

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Community Learning Disability Team (children and
adolescents)

• Dr Peter Corr
• service manager / clinical psychologist

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Who are we?

• Consultant Clinical Psychologist 1 1.0wte
• Clinical Psychologists 2 2.0wte
• Senior Community Nurses 3 2.5wte
• Community nurses 2 1.5wte
• Early Years practitioners 2 2.0wte
• Health Care Assistant 1 1.0wte
• Assistant Psychologist 1 1.0wte (split)
• Team secretaries / PA 2 1.5wte
• Intensive Support Worker 1 1.0wte (vacancy)
• Totals 18 13.5wte

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Who do we work with?

• Children with a learning disability
  (usually IQ around 70 ish or below)
• Families and carers the wider care network
• Schools, other agencies, family centres,
  childrens centres, acute hospitals etc
• Direct work with children
• Working through carers / professionals /
  consultation
• Teaching / training

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Service Delivery

• Approximately 220 referrals per year
• Open referral policy - professionals / families /
  young people
• Pathway into the service
• Referral triaged and redirected if required
• Initial screening (at appropriate clinic)
• Emergency referrals within one working day
• Urgent referrals within 2 weeks
• Routine within 6 weeks
• Allocated to worker within 7 days of screening
• We do not operate a waiting list
• Rolling caseload of approximately 250 cases at
  any time
• DNA rate of 8.6

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Active links
School Nursing
Special Schools
Early Years Service
Key Team
CAFS
CLDT-CA
LAC
Health Visitors
OT
Disabled Children Young People team
Adult LD Service
Childrens services at the Gem
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Working together

• What do we do?
• Cross service discussion about new referrals
• Co-working on cases
• Smooth transfer of cases that are open
• Supervision and support for cases shared across
  services
• Joint journal clubs / supervision
• Shared funding of Early Years post

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Working together why does it work?

• Why does it work?
• Shared confidence in the other service to take on
  work and not dumping cases
• Good communication between service managers
• Management lead for staff to co-work from
  Director of CAMHS and service managers
• Flexibility from both services who operate
  different working models

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Working together potential pitfalls

• Potential pitfalls
• Loss of identity for services?
• Is it just due to the personnel involved would
  a future change of managers leading to change in
  approach?
• Loss of business for CLDT or extra work for CAFS ?

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Contact details

• Enno Kuttner 01902 444021
• Enno.kuttner_at_wolvespct.nhs.uk
• Wendy Woodhouse 01902 444021
• Wendy.woodhouse_at_wolvespct.nhs.uk
• Peter Corr 01902 444706
• Peter.corr_at_wolvespct.nhs.uk
• The Gem Centre, Neachells Lane, Wolverhampton,
  WV11 3PG
• Website www.wolverhamptonhealth.nhs.uk