1. Innovations in the care of children and young people with mental health problems
Ann York, Child and Adolescent Psychiatrist and Clinical Advisor, HLP

2. What I will Tell You about
National policy for children and young people’s mental health (CYPMH)
Policy initiatives
Positive practice examples

3. Doing things differently…

4. National policy:
With thanks to Steve Jones

5. National policy:
With thanks to Steve Jones

6. Doing things differently – Policy Initiatives
With thanks to Steve Jones

7. Generic Evidence Based Treatment Pathway
Guidance:
Background
Key pathway considerations
Separate topic chapters:
First point of access
Scheduled Care
Intensive Interventions
Data collection
Key commissioning considerations
Appendices
Separate Helpful Resources Guide
Commissioners and providers of all mental health services for children and young people up to the age of 18 Recommended response times through an evidence-based treatment pathway Relevant to all CYP who require mental health care regardless of type or severity of mental health problem, or comorbid physical or learning disabilities

8. Useful Links links CYP Community Eating Disorder ED Performance
First data publications were on 11th May. Quarterly data reports on compliance with the ED standard. waiting-times/
o QNCC-ED: dolescent/communitycamhsqncc/communityeatingdisordercamh.aspx
o Directory: dolescent/communitycamhsqncc/qncc-ed/directoryofservices.aspx
o NICE clinical guideline for recognition and treatment of eating disorder (8 years plus) published :

9. Health and Justice Specialised Commissioning Workstream
Mental Health and Dementia Programme
CYP MH Transformation Programme
CYP MH Transformation Workstream

10. National CYP Transitions CQUIN
‘Sending’ and ‘Receiving’ services involved
Purpose of this CQUIN:
To incentivise improvements to the experience and outcomes for young people as they transition out of Children and Young People’s Mental Health Services (CYPMHS);
To improve joint working across service boundaries
There are three components of this CQUIN:
A casenote audit in order to assess the extent of Joint-Agency Transition Planning; and
A survey of young people’s transition experiences ahead of the point of transition (Pre-Transition / Discharge Readiness); and
A survey of young people’s transition experiences after the point of transition (Post-Transition Experience)

11. National CYP Transitions CQUIN
‘Sending’ and ‘Receiving’ services involved
To incentivise improvements to the experience and outcomes for young people as they transition out of CYPMHS
Purpose of this CQUIN:
There are three components of this CQUIN:
A casenote audit in order to assess the extent of Joint-Agency Transition Planning; and
A survey of young people’s transition experiences ahead of the point of transition (Pre-Transition / Discharge Readiness); and
A survey of young people’s transition experiences after the point of transition (Post-Transition Experience)

12. UEC Vanguards New Models of Care
The evaluation of the 8 EUC vanguards is due for publication September/October 2017 The findings of the call for evidence for to develop models of care and care pathways to support the mental health and wellbeing of looked after children has been published. The link is:

13. DOING THINGS DIFFERENTLY…
Examples around England

14. WLMHT/CNWL New Model of Care CAMHS
Two year pilot commenced in 1st April 2017
The Tier 4 budget for the 8 boroughs in North West London transferring to 2 Trusts (West London Mental Health Trust and CNWL)
Aim: to reduce the number of out of area placements, the length of stay for young people and reduce the number of inappropriate admissions into Tier 4 CAMHS and Eating Disorder units
Vision: a more seamless pathway between Tier 3 and Tier 4 provision
Savngs will be re-invested into local crisis and outreach teams

15. Forward Thinking Birmingham (FTB)
New services and facilities focussed around the individual needs of 0-25 year olds
Services are more closely aligned with health, education and care plans, and local authority services for people with learning disabilities and those in care
This is the first time that services have spanned this age range anywhere in the country – aiming to end disjointed and fragmented care, complicated service pathways and long waiting lists
Commissioned by Birmingham South Central, Birmingham Cross City, and Sandwell and West Birmingham Clinical Commissioning Groups (CCGs), the FTB partnership combines the expertise of Birmingham Children’s Hospital, Worcestershire Health and Care NHS Trust, the Priory Group, Beacon UK and The Children’s Society.

16. FTB Model uses CAPA as its framework (www.capa.co.uk)
A state-of-the-art integrated patient management system so that people no longer get 'lost in the system’ 
New inpatient beds for 18-25s in a newly refurbished, dedicated therapeutic environment
The Access Centre acts as the front door for all patients and referrers
A 24/7 phone number offers instant access to crisis support for all 0-25s, families, friends, health professionals and anyone else with a concern
A new city centre drop-in service, called Pause, located at 21 Digbeth (near the Bull Ring), offering advice and support in a friendly environment

17. Positive Practice Examples from Generic EBTP

18. Positive Practice Examples from Generic EBTP

19. Positive Practice Examples from Generic EBTP

20. THRIVE A New Model for Service Delivery
Developed by Tavistock and Portman NHS Foundation Trust with the Anna Freud Centre.
It builds on CYP IAPT and the Choice and Partnership Approach (CAPA)
THRIVE attempts to create a clearer distinction than in the current tiered system between treatment and support, self-management and intervention.
Eleven CAMHS providers across the country have formed i-THRIVE, a community of practice to test the model, share best practice and collect outcomes data.
Discover more about THRIVE here.

21. The THRIVE Conceptual Framework
Description of the THRIVE-Groups
Input offered
THRIVE is a needs based model that enables care to be provided according to four distinct groupings, determined by a patient’s needs and preferences for care
Emphasis is placed on prevention and the promotion of mental health and wellbeing
Patients are empowered to be actively involved in decisions about their care through shared decision making (SDM)
THRIVE is complimentary to successful existing models e.g. CAPA and CYP IAPT
It provides a clearer distinction than before between:
treatment and support
self-management and intervention
more systematic integration of shared decision making and routine collection of preference data
Five Needs Based Groups are distinct in terms of the:
needs and/or choices of the individuals within each group
skill mix of professionals required to meet these needs
resources required to meet the needs and/or choices of people in that group