Divsion Talk

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Presentation to the Heads of Service on Future Challenges for Child Mental Health Services from a Clinical Psychology Perspective

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Divsion Talk

  1. 1. Child and Adolescent Mental Health<br />Simon Lalonde<br />Head of Department<br />Birmingham Children’s Hospital<br />
  2. 2. Key Drivers<br />Policy drivers<br />NSF, NWW, CAMHS Review, Aiming High, New Horizons<br />Performance Targets<br />18 week to treatment, Public Service Agreements + National Indicators (Learning Disabilities, 24/7, early intervention)<br />Finance and resources<br />‘health recession’ (Negative growth), public finance, savings (Tier 3.5)<br />Risk management<br />Reduce risk, evidence learning, improve accountability, Safeguarding<br />People<br />Expectations, relationships, politics, Local Authority<br />
  3. 3. Implications<br />Improving outcomes <br />Emphasis on evidence e.g. Brighter Futures, SDQs<br />Greater efficiency / better value<br />Less waiting, shorter interventions, cheaper service<br />Fewer headlines / crises<br />Safeguarding, death, cleanliness<br />More diverse workforce<br />Fewer profession based jobs – jobs based on skills and competencies<br />
  4. 4. Service and Professional Challenges<br />Mental health services are part of a system – efficacy depends on others (implications of CAF)<br />Frustrations of working in multi-disciplinary systems – no-one wants to give up power or take responsibility<br />Expectations are unclear - managing the voices<br />Delivering services is getting harder – greater demands – but less flexibility for staff<br />
  5. 5. Key things to work on<br />Promote accurate and robust information – using audit, research etc.<br />Ensure staff develop core clinical skills and competencies <br />Address grading and skill mix issues <br />Improve + maintain standards – responding to poor or out of date practise<br />Embrace wider responsibilities and encourage other senior staff to take on multi-disciplinary leadership<br />

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