Manchester Children and Young People’s CYP IAPT Learning Collaborative Embedding a culture of participation at a strategic level and operational level in CYP IAPT Manchester Children and Young People’s CYP IAPT Learning Collaborative Welcome

The objectives for today Lots of activities and interaction to get us thinking and talking about participation An exploration of our values and aspirations for children and young people’s participation Defining our aims for embedding participation in our everyday work with children and young people, and at an operational and strategic level Consider how participation informs service transformation and change Hearing from our Phase 1 partners about their experience of embedding participation and sharing our expertise Mapping and planning to embed participation across our collaboration

Why is participation important? Aids the provision of more accessible, appropriate and responsive services Improves relationships between those using services and those providing them – promotes ‘shared perspectives’ Empowers young people and enhances their life opportunities Helps us develop our skills as therapists, service leaders and services planners Impact on engagement with services and clinical outcomes Increases satisfaction with services Inform planning and service development Because it helps service transformation and change

Young People in the Driving Seat for CYP IAPT? (from Hart 1992) 8. Child initiated shared decisions with adults 7. Child initiated and directed 6. Adult initiated shared decisions with children 5. Consulted and informed 4. Assigned but informed Talk about the model of participation employed – why it has worked and why it unique. Only a minute here. Emphasize the approach you have used to get Young People on the top rung of the ladder. Youth work model – leadership training, active citizenship, creativity, decision-making, strategic and operational roles. portfolios 3.Tokenism 2. Decoration 1.Manipulation The Ladder of Participation

At the top rung of the ladder? Young People as ‘active citizens’? Citizenship 3 key concepts In the UK ‘citizenship’ has been outlined as beneficial for children Critical thinking and enquiry Empowering them to lead Recognising and reporting unfairness and discrimination Taking informed and responsible decisions Developing moral and social responsibility Involving young people in their communities Developing social capital ACT 2012 Democracy and Justice Rights and Responsibilities Identities and Diversity 1. Critical thinking and enquiry a. engage with and reflect on different ideas, opinions, beliefs and values when exploring topical and controversial issues and problems b. research, plan and undertake enquiries into issues and problems using a range of information and sources c. analyse and evaluate sources used, questioning different values, ideas and viewpoints and recognising bias. 2. Advocacy and representation a. express and explain their own opinions to others through discussions, formal debates and voting b. communicate an argument, taking account of different viewpoints and drawing on what they have learnt through research, action and debate c. justify their argument, giving reasons to try to persuade others to think again, change or support them d. represent the views of others, with which they may or may not agree. 3. Taking informed and responsible action a. explore creative approaches to taking action on problems and issues to achieve intended purposes b. work individually and with others to negotiate, plan and take action on citizenship issues to try to influence others, bring about change or resist unwanted change, using time and resources appropriately c. analyse the impact of their actions on communities and the wider world, now and in the future d. reflect on the progress they have made, evaluating what they have learnt, what went well, the difficulties encountered and what they would do differently.

Empowering young people to participate – what they say works (Warner-Gale and Sedgewick 2011) Our research indicates that the best way to engage young people more generally is via Internet communication Young people want leadership programmes and education about mental health Smartphone applications, online networks and forums Accessible technology to engage young people with disabilities Fun and interactive activities such as virtual discussion forums, and online seminars (webinars) Involvement in planning health and care services But…they also clearly that face to face meetings in schools about relevant issues to do with mental health would be very beneficial for changing attitudes

Young People as active citizens in CYP IAPT Learning to contribute to programmes that directly affect their lives Empowered to initiate and lead decisions about their services Services become appropriate to them and owned by them Helps evaluate the standards of care they receive Become confident and competent members of society Improves the overall functioning of our communities and their place within it

The 9 participation priorities Direct Work Feeling Good Assessment, Outcome Monitoring, Complaints procedure Running the service well Commissioning, Influencing senior managers, Mission statement Doing the job right Staff training, supervision and appraisals, recruitment 9 participation priorities were agreed in year 1 Formed part of the process of applying to join CYP IAPT In year 2, children and young people involved in assessing bids and considered progress against the 9 priorities Operational Strategic

The 9 participation priorities Feeling good: Direct Work Get initial assessments right; involve young people in session monitoring; provide easy access to complaints and advocacy Doing the job right: Operational Make sure staff have the right skills and knowledge; involve young people in recruitment and in staff appraisals Running the service well: Strategic Involve young people in commissioning; help young people to influence senior managers; have a strong mission statement

Mapping the Priorities Nationally – the top 5 areas for support 1 Supervision and appraisal of staff 2 Staff training for trainees and existing workers 3 Recruitment and selection of staff (internally and externally) 4 Session by session monitoring is standard practice 5 A mission statement or charter is in place, accessible and used to review progress 5 Influencing senior managers through a range of approaches and feeds into strategic decision making In addition, several areas may benefit from some support around exploring models of participation for young people. Local organisations – often very keen to work in partnership with CAMHS – and have long established experience of supporting young people’s participation

The Manchester Collaborative – mapping the priorities Well on the way! Areas for support Working action plans in place Participation staff in place in many areas Influencing senior managers Initial assessments Session by session monitoring Commissioning services Staff Training Recruitment and selection Supervision and appraisal A mission statement Sustaining participation groups Local organisations – often very keen to work in partnership with CAMHS – and have long established experience of supporting young people’s participation

Today is about building on your progress and sharing ideas Time to review what you already do, or have in place to support young people’s participation Make a commitment to support participation based on what’s realistic and sustainable in your area and across the collaborative Starting to take small, planned steps or building on what you’ve already done to really embed participation Not forgetting our need to think about different groups and how to engage them – flexibility, need for training and support, range of options, being receptive to new ideas and suggestions Building our community of learning and practice – including feedback loops

GIFT: Advice and support for participation Planned support to your collaborative – action learning sets, training, events, support and challenge Constantly updated information about participation and tools to support you is available from a variety of websites and organisations – e.g. GIFT’s partners Practical Participation, NYAS, Right Here and Youth Access… Plus your local participation experts e.g. YoungMinds, NCB, Barnardos And www.myapt.org which has been created specifically for everyone involved in CYP IAPT Local organisations – often very keen to work in partnership with CAMHS – and have long established experience of supporting young people’s participation

Contact details Email: fiona@associatesolutions.co.uk Visit www.myapt.org and register to access the discussion forums for professionals and to learn more about how young people are involved with GIFT and across CYP IAPT