CYP IAPT: Children & Young People's Improving Access to Psychological Therapies
QI Project presentation
1. Improving Occupational Therapy
Groups’ processes at the Coborn
Centre for Adolescent mental Health
Project lead: Evangelia Theochari-Boateng, Principal OT
Project team: Sarah Rothon (Senior OT), Ronncie Anuforoh
(OT Tech), Everoll Corea (OT Tech), OT students
Project sponsor: Dr Rafik Refaat, Lead Clinician
2. Background
• Why?
To improve quality of OT processes in an Inpatient NHS Service
in East London Foundation Trust
• What?
Increased complaints from young people and staff about time
keeping of the community focus group, loss of interest, loss of
reliability of resources and a cause of frustration for both
Young people and staff. Attendance in this group has been
reported as the lowest of all OT groups.
• Project aim
To increase attendance in the community focus group by
100% within the next 3 months
3. Driver diagram
C
Occupational Therapy groups processes
Increase the
attendance by
100%at the
community focus
group within the
next 3 months
C G
Increase Awareness
Increase motivation
Increase
engagement
Increase
efficiency
Group Protocols on ALL wards
Advertising with posters
Young People are involved in making the posters for the OT
groups and deciding group activities
Individual timetables
Attendance lists for different pathways
Create group plans for indoor-outdoor options
Correct staffing level for group
All young people
and staff to be
aware of the time of
the group, the
attendance list and
the group content
Young people who
attend the group
stay in the group
Group starting and
finishing on time
Positive feedback is
provided by the
young people
Team building
games/fundraising/r
esearch/outdoor
activities
Staff are on time
4. PDSA cycles
Tests of change
Change day
Change time
Change attendance list
Change sessions on offer
Age specific sessions
Advertise and review group protocol
5. A P
S D
A P
S D
Cycle 1: P:More support available from nursing team, D: Change day and time of the group, S:
Nursing team were available to help since the new day and time did not clash with their
business meeting, A: keep the group running at the new day and time for the next 8 sessions
and review attendance list.
Cycle 2 P: Increase the attendance by 50% within the next 3 weeks, D: Advertise
the group in all the Service and make posters with the young people, S: Review
attendance list and monitor attendance for 3 weeks, A: Send results to QI lead and
review process
Cycle 4:
Cycle 3 P: Increase the attendance by 100% within the next 4
weeks, D: Separate the group in 2 sub groups according to age
and implement age appropriate vocational activities, S: Collect
data on attendance, A: prepare a satisfaction questionnaire
after each session
Sequence of PDSA’s – for one change
idea or secondary driver
Cycle 5:
7. Learning
Positives:
• ositive feedback given in oung erson’s council. The attitude in young people has
changed. Young People are looking forward to the group.
• The time keeping has improved. The group starts and finishes on time.
• The attendance has improved.
• Nursing staff are more able to provide support.
Challenges:
• It now clashes with afternoon education time. However, this has already being
negotiated and from education the CFG will be given priority
• It is difficult to access resources available in all 3 Boroughs. Geographical
challenges.
• Difficult to measure attendance if a young person is unwell and cannot stay in the
group or only attends for a very limited time. How do you measure this?
• How can we implement this for all groups and measure quality of group sessions
on offer?
8. What next?
• Continue to use the same thinking in order to evaluate quality of OT
group sessions for all therapeutic groups available at the Coborn
Centre for Adolescent Mental Health.
• o we “hit the spot” or not? nd if not how can we improve?
• Include a young person in the OT team when reviewing processes
of groups and continue to create Small QI projects for each of the
groups until satisfaction and attendance has remained at 100% for
the end of 2015.
