CAMHS Strategy, CAMHS IG and CAMHS NSF Module

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CAMHS Strategy, CAMHS IG andCAMHS NSF Module

• Richard Williams

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Agenda

• Back brief on the English NSF CAMHS Module
• Review work programmes of the IGs Sub-groups
• Relationship between work of CAMHS EWG and that
  of IG

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The Childrens NSF

• 6 (now 7) modules
• Steering Group
• External Working Groups
• Relationship between work of EWGs and the final
  NSF
• Standards
• Common standards
• Evolution in policy
• Timelines

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Key Issues CAMHS Module

• Re-adoption of 4 Tier Strategic Framework
• Adoption of needs-led approach (rather than
  diagnosis-led)
• Structure of Sub-groups
• Tier 1
• Tier 2-Tier 3
• Tier 4
• Learning Disability
• Commissioning
• Evidence-base
• Outcomes
• Research

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Continuing Work Plan of IG

• Commissioning Sub-group
• Completion of commissioning guidance and
  monitoring of its implementation
• Work with HCW on implementation and development
  e.g.
• Advice on equitable policy on admission to
  inpatient services
• Advise HCW on construction of CAMHS Advisory
  Group
• Allocation of resources and development of a
  commissioning framework for bi- and tri-partite
  funded placements and admissions
• Initiate development of advice on LA
  commissioning frameworks

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Continuing Work Plan of IG

• Informatics etc Sub-group
• Complete and advise on initiation of WORD RD
  agenda
• Complete Stages 1 and 2 and initiate Stages 3 and
  4 of All Wales Needs Assessment
• Review results of placement and admissions
  research (with Service Development Sub-group)
• Consider mapping exercise in assoc with Dept of
  Health
• Consider outcomes of studies commissioned from ONS

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Continuing Work Plan of IG

• Workforce Sub-group
• Continue to advise the HEIs on development of the
  funded modular, multi-level professional training
  curriculum
• Support implementation and monitor impact of the
  3 new Nurse Consultant posts that are linked to
  WAGs workforce plans
• Complete, and advise on interpretation of
  recently commissioned VFM re-visited study and
  present results to NHS Workforce Development
  Steering Group
• New workforce initiatives
• Advise on database for new NHS workforce data set
• Initiate development of workforce advice for LAs
  and voluntary sectors
• Review and advise on development of competency
  frameworks relating to delivery of mental health
  services
• Advice to WAG and NHS on improving service
  culture and infra-structure in line with findings
  from VFM Re-visited
• Advice to WAG and NHS on improving training in
  line with findings from VFM Re-visited

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Continuing Work Plan of IG

• Service Development Sub-group
• Complete service development prioritisation
  framework
• Monitor trends in service delivery with
  particular attention to providing advice on
  avoiding and/or resolving perverse incentives
• Continue to advise WAG on work with YJB to
  resolve issues relating to a policy on
  prioritisation and improve service delivery at
  all tiers
• Review priorities as a result of the findings
  from the placement and admissions research (with
  Informatics Sub-group)
• Prioritise any monies that are made available
  according to the development plan
• Provide advice on implementation of service
  developments

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General Principles

• CAMHS should be
• Child-centred
• Respectful and protecting of children and
  adolescents
• Lawful
• Equitable and responsive
• Comprehensive and appropriate
• Integrated
• Competent and accountable
• Effective, efficient and targeted

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Child-centred Services

• Focus on
• Childrens rights (UN Convention on the Rights of
  the Child)
• Advocacy services
• Child friendly services
• Active steps to hear the voices of children

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Child-centred Services

• Professional practice should
• View each child as a developing person in his/her
  context
• View problems in the ways in which children
  experience them
• Include a focus on prevention and health
  promotion
• Develop relationships that aid young people in
  tackling their problems
• Be realistic

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Aims intent and direction

• Relief from current suffering and problems with
  the intention of improving, as soon as possible,
  the mental health of children, adolescents and
  their families
• Longer-term interventions to improve the mental
  health of young people as they grow up and when
  they become adults and, thereby, to positively
  influence the mental health of future generations
• Partnership with families, substitute families
  and all those who care for children

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Objectives

• Promote working in partnership
• Involve parents and carers
• Cultivate mutual support
• Establish child-centred services
• Move to needs and evidence-based services and
  disseminate good practice across Wales
• Improve mental health of children and young
  people through timely and effective interventions
• Replace reactive services with strategically
  managed services that forecast and manage
  projected rises in demand
• Build in child protection
• Remove stigma
• Consider problems of ethnic minority young people
• Link to programmes on social inclusion, substance
  misuse and reduction in offending

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Delivering the Plan

• The vision
• A multi-agency approach
• The Four Tier Strategic Concept
• Partnerships with children, young people,
  families and professionals
• A CAMHS Implementation Group
• Establishing priorities for action
• Ensuring there is an underpinning and supportive
  infra-structure
• Monitoring and reporting on local developments

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Priorities for Action

• A co-ordinated plan for a greater diversity of
  services that work together
• Develop planning and commissioning skills
• Improve the disposition, effectiveness and
  complementarity of current services
• Improving the capability, capacity and volume of
  present services

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CAMHS Strategy, IG and NSF Module