Dr Judy Foster Chair St Michael’s Fellowship on the PMHCW Network Workshop E: Professional networks and their role in putting recommendations into practice

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.

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

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.

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.

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

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.

Karen Johnson Safeguarding Children Lead, Mental Health Trusts Network Geoff Allcock Senior Nurse for Safeguarding Children, Birmingham & Solihull MH NHS Foundation Workshop E: Professional networks and their role in putting recommendations into practice

National Network for Safeguarding Children Leads in Mental Health

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

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?

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

Oliver Kianchehr Children’s Specialist in Adult Mental Health, London Borough of Tower Hamlets Workshop E: Professional networks and their role in putting recommendations into practice

Parental Mental Health & Child Welfare The CHAMP project London Borough of Tower Hamlets Oliver Kianchehr – Children’s Specialist in Adult Mental Health

CHILDREN’S SERVICES VOLUNTARY SECTOR CAMHS ADULT MENTAL HEALTH

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

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

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 parent’s 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’

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: Project