1. Calderdale Therapeutic Services Presentation by Andrew Waterson-Smith

2. The Back Story…  Looked After and Adopted Child Health Team  Philosophy  Structure  Challenges  Recruitment new Team Manager, 2014

3. Back to the Drawing Board  Need to re-consider the work, the outcomes, and the impact.  Development process for the team.  Team Away Day.  Consultation process.  Need to configure Service.  Additional resources provided by Service.

4. New Structure with C.T.S.  Three pods – this supports the practice expectations inherent within Systemic Practice.  VYPP  Life Story Work  Clinical Pod  New Team - CTS

5. Calderdale Therapeutic Services  Strands of work are:  VYP Keyworkers (13+)  Life Story Work  Clinical support to placement/individuals  CAMHS Pathway  IRO Fostering  Currently two Students  SDQ responsibilities  Aligned with Systemic implementation

6. Vulnerable Young People Keyworkers  Pod of Three VYP Keyworkers, overseen by an Advanced Practitioner  Experienced Residential Workers  Works arrives via VYP Panel (occasionally directly)  VYP 13+, multiple vulnerabilities  Link to other VYP Keyworkers within service  Development Days occur monthly across service  Developing expertise in risk assessment, motivational interviewing, and intensive interventions to support change.

7. Life Story Work  New pod, currently three workers, overseen by an Advanced Practitioner.  Referrals received via C.T.S.  Life Story Books  Life Story Work (Therapeutic)  Process Mapped  Backlog of Adopted Children  Need to bring focus forwards, to ensure all children with permanence plan have access to Life Story Work

8. Clinical pod  Commissioned service – Clinical Psychology, Child and Adolescent Psychotherapy  Four Advanced Practitioners, all with additional therapeutic training  Team Manager/Psychotherapist also helps out!  Referrals via C.T.S.  Training and Consultation  Clinical Supervision to wider service pods (Systemic)

9. Referral Process  Referral Form to C.T.S.  Lead Professional for informal/formal discussions around cases/referrals  Screened within 24 hours  Decision made as to pod and oversight put on CASS  Lead Professional allocated  PSC generally (requirement for this within 28 days)  Write up/Treatment Plan within 7 days  Process map

10. Oversight  SDQ responsibility within C.M.B.C.  Referral Tracker – indicators  Regular Reporting  Presence of Child’s Voice within entire process  Internal auditing  More robust system

11. Where now?  Outcome focus – is the service making a difference?  Is a child’s emotional well-being improved by involvement with C.T.S.?  Are foster carers sufficiently supported by clinical oversight?  Are we supporting recovery from abuse?  Are we reducing vulnerability?  Emotionally safer?

12. Questions  Questions…