What should the 0-25 model of children and young people’s mental health services look like? Louise.theodosiou@mft.nhs.uk Consultant Psychiatrist Transition Clinical Advisor Strategic Clinical Network
Emerge 16 – 17 Cmht Enthusiastic outreach model Offers home/college/GP/community visits Works to enhance autonomy and ownership of mental health needs Models of phoning young people to arrange appointments and chase missed appointments Joint working with voluntary sector organisations
What are the challenges for 18 year olds with mental health needs Leaving home for college/relationship/work Leaving care/youth justice/secure setting Moving from child to adult healthcare settings Change in legal status – increased autonomy / responsibility Different licensing guidelines for medication Conditions which are treated in children’s services are not always fully recognised in adult services e.g. ADHD, ASD, learning needs, people whose needs do not fit neatly into any one category.
What are the challenges for services Resources CAMHS often offers a ‘one stop shop approach’ thus the same clinician may be treating ADHD and depression. Care plans developed in CAMHS often involve parents/carers/education/social care/wider multiagency network CAMHS – AMHS involves Different trusts with different casenote systems/emails/cultures AMHS is designed in terms of pathways which can be difficult for patients with more than one mental health need.
What has enhanced care in Manchester Innovations flowing from NHS England Transition CQUIN Multiagency transition board attended by child and adult services Electronic referrals with follow up Face to face meeting Ongoing training Models of care across agencies Therapy within a voluntary sector setting with psychiatry input from Emerge Joint working with young people such as the Transaction network
What has enhanced care in Manchester Joint working across CAMHS/AMHS e.g. EIS Young people can continue to work with the same care co- ordinator when they turn 18 A model of care which operates on episode of care rather than age Expansion of a model which has developed over time in Emerge. Completion of an episode of care with skills to understand how to access ongoing support. Maintenance of care plan between the young person and service which can be updated on an ongoing basis using the principles of ready steady go