The Young Ones

1

• The Young Ones
• Services for 16-17yrs
• Sharon Hall
• CAMHS North East Regional Development Worker
• National CAMHS Support Service /CSIP

2
Workshop Aims

• Policy CAMHS Visions and Aspirations
• CAMHS- Where are we now?
• Practice Examples
• Next Steps Key issues

3
National Policy for Children and Young People
The Change for Children Programme

• Children Act 2004
• Every Child Matters Change for Children
• National Service Framework
• for Children, Young People and Maternity
  Services
• Common Assessment Framework
• NHS Improvement Plan max. 18 week wait
• Priorities and Planning Framework 2003-2006
• Standards and Planning Framework 2005-208
• Local Delivery Plan
• CAMHS Grant Guidance 2003-04 / 2004-05

4
The Public Service Agreement Comprehensive
CAMHS by 2006

• PSA target increase child and adolescent mental
  health services by at least 10 per cent each year
  across the service according to agreed local
  priorities - investment, capacity /or staffing
• All CAMHS to provide a comprehensive service
  including mental health promotion and early
  intervention

5
Other Performance Indicators and Performance
Management

• LDP- Proxy Indicators for Comprehensive CAMHS
• Mental health and Learning Disability
• Services for 16 and 17 year olds
• 24 hour cover
• APAs
• As above, plus arrangements for those with long
  standing behavioural (conduct disorder) problems
• Providers
• CAMHS mapping
• PCTs
• 10 increase

6
Review of Standard 9

7
CAMHS Vision

• No young people under the age of 16 will be on an
  adult psychiatric ward.
• All children and young people with mental health
  problems will be able to access emergency care 24
  hours a day.
• All children and young people will be able to
  access the services they need, across a range of
  needs.
• Children and young people up to their 18th
  birthday will have their mental health needs met
  by appropriate CAMHS.
• All CAMHS have smooth transition arrangements
  with adult mental health services in place.
• Children and young people with mental health
  needs will experience similar high standards of
  care, no matter where they live.

8
Pushed into the Shadows

• Inadequate response to crisis
• Lack of information and planning
• Nothing to do, no one to talk to
• Lack of safety and security or therapeutic care
• Disorganised discharge arrangements

9
Pushed into the shadows

• End the use of adult wards for the treatment of
  under 18s
• Address the national shortage of emergency beds
  in Tier 4 CAMHS
• Development of alternatives to traditional
  in-patient provision
• Having resources to do provide services up to
  18th birthday

10
Key Findings from National Work Developing
Services

• Need to be more flexible - rigid age boundaries
  not helpful
• Leadership Creation and Innovation
• Partnership approach with good transition
  protocols, AMH and CAMH commissioners working
  closely/multi-agency commissioning
• Need to commission Needs Led services (not ones
  based on Historical provision)
• Understanding the importance of commissioned
  voluntary sector

11
Key Findings from National Work Developing
Services

• View the service and access to it from the
  perspective of a Young Person
• Identify a local forum to take things forward
• Accept neither CAMHS nor Adult MH have all the
  answers
• Health needs to work in partnership with a wide
  range of statutory agencies to design and deliver
  services that young people want to engage with
• Development of CAMHS/Adult MH training
  opportunities and possibilities for joint working