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Welcome to CAMHS
(Child and Adolescent Mental Health Services)
Val Stronach
Dawn Burston
CHALLENGED
HEALTH
ECONOMY
– legacy Mid Staffs
North Staffordshire Combined Healthcare
41Sites
Work across
£84m
annual income
Ambition to be
Outstanding
6 Clinical Directorates
Adult MH Inpatient
Adult MH Community
Children & Young People
Older People
Learning Disability
Substance Misuse
CAMHS
Community & Inpatient Services
4 Community Services
2 Inpatient Services
Stoke-on-Trent and North Staffordshire CAMHS
Specialist CAMHS Teams:
 Paediatric Psychology
 CAMHS ASD
 CAMHS LD
 Looked After Children
 Youth Offending Team
CAMHS
Central
Referral HUB
(Shelton)
North
Staffordshire
CAMHS
(Dragon
Square)
South Stoke
CAMHS
(Blurton)
North Stoke
CAMHS
(Tunstall)
Specialist
CAMHS
(Dragon
square)
The Darwin
Centre
(Tier 4 In-
patient
Services)
Children’s
Specialist Short
Break Service
Research tells us…
• Three children in every classroom has a diagnosed
mental health disorder
• One in five young adults shows signs of an eating
disorder
• One in 12 young people deliberately harm
themselves (and 25,000 of them are hospitalised
each year because of this)
• Nearly 80,000 children and young people suffer
from severe depression
http://www.youngminds.org.uk/
To keep perspective…
many mental health difficulties are…
• Mild and transient - arising from a combination of
factors
• Reach a resolution with support and without an
intervention from a tier 3 CAMHS service
What’s Important about
Stoke-on-Trent and North
Staffs?
• Stoke on Trent - estimated quarter of a million population (of
which 61, 900 CYP, 0-19 years)
• Expected projection to 64,900 by 2025
• North Staffordshire - Newcastle and Staffordshire Moorlands
Population is 213,000 (of which 47, 622 CYP 0-19 yrs)
• Significant deprivation and a range of challenging indicators
which impact on mental health
• What local intelligence do we have about our client group?
• Is our service in line with local need?
Transformation...
Vision for CAMHS
Provide the right service for the right person at the
right time, first time.
Transformation Plan
The plan has been developed using the following:
 Feedback from 15 one to one meetings with service
managers, directors in the trust, commissioners
 Feedback from the Listening in Action Events
 Amalgamation of the business cases already developed
 Visits to team meetings
 Feedback from the Youth Council
The Priorities
1. Ensure young people and families participate
in and influence service changes.
2. Maximise the use of local service information.
3. Implementing regulatory requirements.
4. Managing increased demand within our resources.
5. Engage staff in service development.
6. Develop a new model of care for the future.
Achieving the Vision - How?
• Being prepared as a service to change, innovate and
deliver the changes needed
• Having a clear end goal
• A real commitment to continued service
improvement through involving and responding to
children, young people and families.
• Responsive and innovative staff
• Strengthen partnership working with GPs, schools,
voluntary sector.
Why a Transformation plan
for CAMHS Why Now ?
National NHS priority
Local priority, journey of improvement
• A single point of access to reduce waiting times
for assessment and treatment. Signpost to
other services in a timely way.
Improve access to and flow
through the Central referral hub.
Establish New CAMHS helpline.
• More timely assessment and support for young
people.
Crisis response and intervention
24/7.
• Young people being supported by a specialist
team for self harming behaviour and eating
disorder
Implement the community
eating disorder programme.
• More young people treated at home.
Develop an integrated clinical
model across services.
• Earlier identification of young people at risk
and joint working with other professionals
Partnership with schools and
GPs and other care providers.
Resulting in…
CAMHS… Journey of improvement
We are going to… Resulting in…
Progress to date
• Central referral Hub now in place
• CAMHS help line in place
• Improved partnership working
• Increased staff with new additional posts
• Working to reduce our waiting lists
• Involving, Listening and Responding
Local Youth Council Chair Jaymee Smith
co-presenting at the Digital Innovations in CAMHS
conference in Birmingham June 2016
Central Referral Hub
“The partnership has enabled a
smooth transition for young
people across services and 4
and back down…… resulting in
the most appropriate and timely
service”
Strengthening Partnerships
“ I feel CAMHS has helped myself
and my child to understand his
anxiety and given us the tools to deal
with it. It is an absolutely fantastic
resource and I can’t thank them
enough”
Service Improvement Through Listening & Responding
“The therapist is wholly for the
individual and family. Anything said
is met with a gentle thoughtful
response, non-judgemental.
“There’s nothing I’d change about
CAMHS it’s been a great support”
“CAMHS helped me overcome my
personal issues and helped me through
my struggles”
“When I spoke about my issues, strategies
were set in place immediately meaning my
recovery started straight away”
“I was listened to constantly and
the consideration and kindness I
was shown throughout my
treatment meant I had the
confidence to believe in myself.”
It’s good but might be hard to get there.
It’s good treatment, but takes a long time to
receive.
The wait for assessment, this was far too long.
When we did get help, the care was excellent,
it was the delay in getting the help that was the
difficult part.
So what’s next?
How would you like to work with us?
Thank you
Questions?

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North Staffs Combined NHS Trust - CAMHS Presentation

  • 1. Welcome to CAMHS (Child and Adolescent Mental Health Services) Val Stronach Dawn Burston
  • 2. CHALLENGED HEALTH ECONOMY – legacy Mid Staffs North Staffordshire Combined Healthcare 41Sites Work across £84m annual income Ambition to be Outstanding 6 Clinical Directorates Adult MH Inpatient Adult MH Community Children & Young People Older People Learning Disability Substance Misuse CAMHS Community & Inpatient Services 4 Community Services 2 Inpatient Services
  • 3. Stoke-on-Trent and North Staffordshire CAMHS Specialist CAMHS Teams:  Paediatric Psychology  CAMHS ASD  CAMHS LD  Looked After Children  Youth Offending Team CAMHS Central Referral HUB (Shelton) North Staffordshire CAMHS (Dragon Square) South Stoke CAMHS (Blurton) North Stoke CAMHS (Tunstall) Specialist CAMHS (Dragon square) The Darwin Centre (Tier 4 In- patient Services) Children’s Specialist Short Break Service
  • 4. Research tells us… • Three children in every classroom has a diagnosed mental health disorder • One in five young adults shows signs of an eating disorder • One in 12 young people deliberately harm themselves (and 25,000 of them are hospitalised each year because of this) • Nearly 80,000 children and young people suffer from severe depression http://www.youngminds.org.uk/
  • 5. To keep perspective… many mental health difficulties are… • Mild and transient - arising from a combination of factors • Reach a resolution with support and without an intervention from a tier 3 CAMHS service
  • 6. What’s Important about Stoke-on-Trent and North Staffs? • Stoke on Trent - estimated quarter of a million population (of which 61, 900 CYP, 0-19 years) • Expected projection to 64,900 by 2025 • North Staffordshire - Newcastle and Staffordshire Moorlands Population is 213,000 (of which 47, 622 CYP 0-19 yrs) • Significant deprivation and a range of challenging indicators which impact on mental health • What local intelligence do we have about our client group? • Is our service in line with local need?
  • 7.
  • 8. Transformation... Vision for CAMHS Provide the right service for the right person at the right time, first time.
  • 9. Transformation Plan The plan has been developed using the following:  Feedback from 15 one to one meetings with service managers, directors in the trust, commissioners  Feedback from the Listening in Action Events  Amalgamation of the business cases already developed  Visits to team meetings  Feedback from the Youth Council
  • 10.
  • 11. The Priorities 1. Ensure young people and families participate in and influence service changes. 2. Maximise the use of local service information. 3. Implementing regulatory requirements. 4. Managing increased demand within our resources. 5. Engage staff in service development. 6. Develop a new model of care for the future.
  • 12. Achieving the Vision - How? • Being prepared as a service to change, innovate and deliver the changes needed • Having a clear end goal • A real commitment to continued service improvement through involving and responding to children, young people and families. • Responsive and innovative staff • Strengthen partnership working with GPs, schools, voluntary sector.
  • 13. Why a Transformation plan for CAMHS Why Now ? National NHS priority Local priority, journey of improvement
  • 14. • A single point of access to reduce waiting times for assessment and treatment. Signpost to other services in a timely way. Improve access to and flow through the Central referral hub. Establish New CAMHS helpline. • More timely assessment and support for young people. Crisis response and intervention 24/7. • Young people being supported by a specialist team for self harming behaviour and eating disorder Implement the community eating disorder programme. • More young people treated at home. Develop an integrated clinical model across services. • Earlier identification of young people at risk and joint working with other professionals Partnership with schools and GPs and other care providers. Resulting in… CAMHS… Journey of improvement We are going to… Resulting in…
  • 15. Progress to date • Central referral Hub now in place • CAMHS help line in place • Improved partnership working • Increased staff with new additional posts • Working to reduce our waiting lists • Involving, Listening and Responding
  • 16. Local Youth Council Chair Jaymee Smith co-presenting at the Digital Innovations in CAMHS conference in Birmingham June 2016
  • 17.
  • 18. Central Referral Hub “The partnership has enabled a smooth transition for young people across services and 4 and back down…… resulting in the most appropriate and timely service” Strengthening Partnerships
  • 19.
  • 20. “ I feel CAMHS has helped myself and my child to understand his anxiety and given us the tools to deal with it. It is an absolutely fantastic resource and I can’t thank them enough” Service Improvement Through Listening & Responding “The therapist is wholly for the individual and family. Anything said is met with a gentle thoughtful response, non-judgemental. “There’s nothing I’d change about CAMHS it’s been a great support” “CAMHS helped me overcome my personal issues and helped me through my struggles” “When I spoke about my issues, strategies were set in place immediately meaning my recovery started straight away” “I was listened to constantly and the consideration and kindness I was shown throughout my treatment meant I had the confidence to believe in myself.” It’s good but might be hard to get there. It’s good treatment, but takes a long time to receive. The wait for assessment, this was far too long. When we did get help, the care was excellent, it was the delay in getting the help that was the difficult part.
  • 21. So what’s next? How would you like to work with us?