Dr Judy Foster

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Workshop EProfessional networks and their role
in putting recommendations into practice
Dr Judy Foster Chair St Michaels Fellowship on
the PMHCW Network
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PARENTAL MENTAL HEALTH AND CHILD WELFARE PROJECT

• is a collaboration between the Social Care
  Institute for Excellence (SCIE) and the National
  Institute for Health and Clinical Excellence
  (NICE) involving
• A literature review of existing research into
  health and social care services supporting
  parents with mental health problems and their
  children, and
• A survey of current practice in this area.

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PRACTICE SURVEY

• Five practice sites considered the following
  issues
• Joint planning and commissioning processes
• Needs assessment and evaluation, inc. BME,
  asylum/ refugees
• Service provision and relevant policies
• Operational practice (including protocols and
  care pathways)
• Information systems and information sharing
• Professional practice
• Management, supervision, and organisational
  structures
• Service and workforce development

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DOCUMENT AND INFORMATION COLLECTION

• Local project teams organised the collection of a
  range of existing relevant local documentation,
  in order to answer questions around the key
  issues identified in the previous slide. Only
  existing information was used.

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PROCESS MAPPING

• Process mapping was used as a method to
  understand the experiences or care pathways of
  parents and their children when accessing and
  receiving mental health or children families
  services locally. Each site produced 2 or 3 maps
  of existing service responses.

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DISCUSSION GROUPS AND INTERVIEWS

• Discussions were arranged with key individuals/
  groups, including service users in order to
  supplement the process mapping exercise.

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ANALYTICAL REPORT

• The results of the practice survey were written
  up and subsequently tested through consultation
  with the SCIE Parental Mental Health and Child
  Welfare Network.

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Workshop EProfessional networks and their role
in putting recommendations into practice
Karen Johnson Safeguarding Children Lead, Mental
Health Trusts Network Geoff Allcock Senior Nurse
for Safeguarding Children, Birmingham Solihull
MH NHS Foundation
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National Network for Safeguarding Children
Leads in Mental Health
Karen Johnson Geoff Allcock
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Why a network of safeguarding leads?

• Mental Health Safeguarding Children leads
  required to change practice - inside and
  outside Mental Health Systems
• Pivotal between mental health and social care
  systems
• Political and complex and influential role
• Posts were new and isolated and needed support
• Defining Role
• Required to advise whole systems
• Demystification and clarification of mental
  health to non mental health agencies and LSCBs

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Roles and Responsibilities

• Significant variations in resources, status and
  authority
• Complex and sometimes poorly understood role
  within own and other agencies
• Required to educate Boards and Senior staff
• Key activity bringing together agencies to
  provide safe practices for vulnerable children
  and families
• Strategic, operational and clinical
• Network plans to provide professional support and
  development
• No national standard of good practice what does
  good practice in safeguarding in Mental Health
  Trusts look like?

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What is our mission?

• To improve outcomes for children and families
  adversely affected by parental mental ill-health.
  To help to develop whole family integrated
  systems approaches and build capacity and
  capability in systems to deliver best
  safeguarding practices.
• How
• 1.By influencing change in outdated isolated
  practices
• 2. By establishing national standards for good
  safeguarding practices (including resources)
• 3.By leading mental health systems to develop
  policy, procedure and guidance consistent with
  best practice i.e. integrated care planning, SCIE
  Parental Mental Health and Child Welfare

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Workshop EProfessional networks and their role
in putting recommendations into practice
Oliver Kianchehr Childrens Specialist in Adult
Mental Health, London Borough of Tower Hamlets
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Parental Mental Health Child Welfare

• The CHAMP project
• London Borough of Tower Hamlets

Oliver Kianchehr Childrens Specialist in Adult
Mental Health
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Parental mental health interest group

• Multi-disciplinary membership including
• Borough Co-ordinator, parental mental health
• CAMHS
• CMHT Manager
• Education (Behaviour supp/Transition/Ed.Psych)
• Educational Social Workers (AWAs)
• Voluntary sector project (F.A. Building Bridges)
• Young Carers project

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CHAMP pilot project

• 12 month pilot project based in one of four CMHTs
• Previous estimate of around 100 children of
  service users known to Isle of Dogs South
  Poplar Community Mental Health Team out of an
  estimated total of 250 in the borough as a whole
• Review of CMHT files as well as Social Services
  databases revealed true number to be 229. If
  replicated in other 3 CMHTs, the total number for
  LBTH is likely to be in the region of 600
  children
• Discrepancy due to the lack of accurate
  information about children collected by adult
  services

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Outcomes

• Professionals
• reported reduced anxiety about working with
  parental mental illness. They also found it
  helpful to have someone available to discuss
  cases or make joint visits
• Parents
• valued the opportunity for their children to
  talk to someone else about their parents illness
  as they find this difficult to do themselves.
  Also felt happy to see their children happy and
  engaged in more pleasurable activities
• Children
• he keeps us safe
• he helps with school problems
• he asks our parents to help us with things,
  like home work
• he talks about when people have moods

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Children and Adults Mental Health Project (CHAMP)

• Gurinder Lall          Project Coordinator
•           
• Fateha Hussain      Team Administrator 
• Noah Solarin          Children's Specialist in
  Adult Mental Health 
•                          
• Louise Gallagher Learning Support Service
  Teacher
• Oliver Kianchehr    Children's Specialist in
  Adult Mental Health,
•                                  Isle of Dogs
  South Poplar CMHT
•                                  The Barkantine
  Centre, 121 Westferry Road, London E14 8JH
•                                  Tel    0207
  791 8299
• E-mail oliver.kianchehr_at_towerhamlets.gov.uk
•                                 
                                  
• Project e-mail CHAMP_at_towerhamlets.gov.uk

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