Children and Young Peoples Project

Children and Young Peoples Improving Access to Psychological Therapies Newsletter - September 2012

For more information please see: http://www.iapt.nhs.uk/cyp-iapt

Children and Young Peoples Project

Welcome and Introduction
Welcome to the second quarterly newsletter of the Children and Young Peoples Improving Access to Psychological Therapies Project (CYP IAPT). In this issue, we report on the success of our first annual CYP IAPT conference, where the then Minister for Care Services, Paul Burstow, announced that two new collaboratives and a number of new partnerships will be joining CYP IAPT for year 2 onwards. More details can be found on pages 2-3. The autumn Cabinet reshuffle means we must say goodbye to Paul Burstow as the Minister for Care Services. Paul was a great friend to our project, supporting us in our first 18 months and challenging us to be ambitious for our young service users and our services. Our new Minister for Care Services , Norman Lamb, has had a keen interest in mental health services for many years, and the Project Team looks forward to working with him over the coming months.

Professor Peter Fonagy National Clinical Lead for Children and Young Peoples IAPT

Everybody has worked incredibly hard during this first year of CYP IAPT, and we are delighted that the project has just been short-listed for the Civil Service Awards in the category of Change Management. from a total of 780 applications. Our conference in July was an opportunity to reflect on and celebrate our achievements and to look to the future. On pages 4-5 you can find a report and photos from the day, along with feedback from those who attended. One of the most entertaining presentations at the conference was delivered by Jo, Harry and Ryan from Article 12, a young representatives board.They had the audience jumping up and down and taught us all some valuable lessons, including how to interpret street language. We hope to keep up the same enthusiasm in year 2 and beyond. As well as expanding the number of teams we are working with, we will also be covering a wider range of therapies. One exciting new project is the development of e-learning for counselling. On page 6, we have an interview with Mick Cooper, CYP IAPTs new counselling advisor, who tells us more about this work. As we begin year two we are moving towards our goal of getting all members of the Tier 2 and 3 CAMHS Teams in year 1 sites collecting CYP IAPT data. Pages 7-8 provide a data bulletin from Dr Miranda Wolpert, National Lead for CYP IAPT Informatics. She explains why and how the roll-out is happening and offers some top tips to help with the transformation. We also have feedback from clinicians who have already been working with the dataset, and links to documents and sites that can offer help and advice. As ever, we hope the newsletter will not only inform those who are already part of CYP IAPT or just joining, but also encourage you to get involved in touch with your ideas and questions. Contact information can be found on page 8.

For more information please see: http://www.iapt.nhs.uk/cyp-iapt

Children and Young Peoples Project

Welcome to the New Teams Joining Us
We are delighted to welcome the North East and South West Collaboratives to CYP IAPT. Both teams impressed the young peoples and expert interview panels back in June and we would like to offer our congratulations. We are also very happy to report that existing collaboratives are extending their reach; London, Salford and Reading have recruited a total of 15 new partnerships between them, as shown on the map below.

Salford Central Lancashire North Lancashire Bolton Reading Berkshire Bedfordshire Luton Kensington & Chelsea

North East Tees Durham North Yorkshire Darlington Rotherham Doncaster London Tower Hamlets Hackney Camden Islington Waltham Forest Richmond Bromley Croydon

South West Devon Torbay Plymouth

London

Not in first two waves First wave Second wave

The addition of new teams allows CYP IAPT to cover an increased geographical area in England. The ambition is for CYP IAPT to cover the whole country; the map shows the progress we have made so far.

For more information please see: http://www.iapt.nhs.uk/cyp-iapt

Children and Young Peoples Project

Welcome to the New Teams Joining Us
We have gone from a standing start 18 months ago, to a position where children from Poole to the Pennines are getting access to treatment they simply havent had before.
Paul Burstow, former Minister for Care Services

We know that there are big challenges ahead but are really excited to be part of CYP IAPTs community of practice, learning together and supporting each other to deliver the best outcomes for all our children and families.
Professor Kath McCourt, North East Collaborative

We are delighted to be part of this remarkable opportunity to improve services and outcomes for children and young people who are experiencing mental health difficulties.
South West Collaborative

For more information please see: http://www.iapt.nhs.uk/cyp-iapt

Children and Young Peoples Project

The First CYP IAPT Conference
The first annual CYP IAPT conference was a great success! The event, which was hosted by University College London, brought together nearly 300 professionals from across the UK working or interested in child and adolescent mental health.
We were very lucky to be joined by the former Minister for Care Services, Paul Burstow, who congratulated everybody on their hard work and announced the two new collaboratives chosen to join the project. The highlight of the day was the young peoples presentation. To make sure everybody was awake, Jo, Ryan and Harry got the crowd jumping around and waving their hands in the air. They also provided us with an entertaining example of how things can get lost in translation between adults and young people.

The audience during the young peoples presentation

The other speakers gave an overview of the achievements of the first year, the challenges faced and plans for the future. If you were unable to make the conference, or would like to listen to a speaker again, you can watch films of all the presentations on UCLs CYP IAPT YouTube channel by clicking here.

Representatives involved in year 1 of CYP IAPT answer questions from the audience

We would like to thank all those who have already provided feedback on the conference. We value your comments and suggestions and will take them into account when planning next years event. Its not too late to send us your views and ideas about how the conference might be improved just fill in this online questionnaire.

For more information please see: http://www.iapt.nhs.uk/cyp-iapt

Children and Young Peoples Project

Young Peoples Participation
Ensuring that the voices of children and young people are heard clearly is a crucial aspect of our project. At the conference, Ryan, Harry and Jo (pictured left)gave us an overview of the projects that they and other groups have been working on.These range from working with services to directing plays and making films. They also told the audience what they think they and services can gain from a collaborative approach. Below are some quotes from their presentation.

At Action for Children we did a drama production called Taking Steps, which looks at the different aspects of mental health, and we took it round schools. We wanted to spread the message to young people that if they are suffering from mental illness not to feel afraid and not to feel like an outcast. You are not alone.
Ryan

If young people help in decisions it is beneficial, and it has made me feel personally that professionals are listening to me. CYP IAPT is a two-way thing. It brings down the formality of the professional, giving the professional and the young person a more level relationship.
Harry

Participation isnt just about talking to a young person it is about involving them in every part. This means being involved in the planning; in the development as the service grows, making sure it runs smoothly; and in the evaluation. If you cant evaluate what you have done, how can you progress next time?
Jo

For more information please see: http://www.iapt.nhs.uk/cyp-iapt

Children and Young Peoples Project

Counselling Services and e-Learning
Can you describe in simple terms what counselling is for children and young people?
Counselling is an opportunity for children and young people to talk through their difficulties with a trained adult in a confidential setting and find answers that are helpful for them. With younger children it may also involve play as a way of expressing and exploring their problems.

What do you think its strengths are?

Counselling is very respectful of the feelings and needs of children and young people. It really tries to meet them where they are at and understand how they are experiencing their problems. It doesnt tell children and young people what to do, but helps them find their own answers. The focus is on creating Professor Mick Cooper a warm, supportive, engaging relationship, which we know most children and CYP IAPT National Advisor for young people really value. Counselling

How could counselling services for children and young people be improved or transformed?

Systematic outcomes monitoring is one way that services could be generally improved and there is good evidence pointing in that direction. Outcomes monitoring enables counsellors to monitor how helpful the counselling is and to use that to inform dialogue with the children and young people. Outcomes monitoring also helps the counsellor to tailor what they are doing to the needs of each individual. In addition, it will help them to know when it is appropriate to refer on or find another source of help. I also think it would be helpful for counsellors to develop a range of competences in their work: so, as well as being able to engage in a warm and empathic way, also to have skills around, for instance, relaxation exercises so that they can bring them into the work where appropriate. Finally, a really good working knowledge of what other resources are available to children and young people will be important so that they can refer on where appropriate.

Can you tell us about e-learning for counselling?

This is a project running over the next two years. We will be developing resources, accessible via an e-learning portal, mainly to train counsellors who are working with children and young people. An important focus will be on helping them to develop skills and knowledge around outcomes monitoring and service development, and broadening their competences.

What are the benefits of the e-learning portal?

The portal will be very accessible for people who want to do training in this work. We can bring in international experts to deliver input. People can train in their own time, and there is an opportunity to develop very interactive learning modules that really represent best training practice, not just in the UK but also internationally. Of course, it wont replace face-to-face training it will be very much something that works in tandem with it.
l Professor

Coopers presentation on counselling at the CYP IAPT conference can be viewed here.

For more information please see: http://www.iapt.nhs.uk/cyp-iapt

Children and Young Peoples Project

Data Bulletin
The collection and analysis of outcomes data is a mission critical commitment in the CYP IAPT project.We cannot stress enough how important it is that data managers, clinicians, practitioners, managers, clinical leads and service leads work together to plan for the roll-out. We asked Miranda Wolpert, National Lead for CYP IAPT Informatics, to explain why monitoring outcomes is so important. Why are outcomes data important?
Outcomes monitoring helps us to understand, quantify and demonstrate how our treatment impacts on the lives of the young people using our services.This Dr Miranda Wolpert information enables our young clients to reflect on and track their progress CYP IAPT Informatics over the course of therapy. It also enables clinicians, young people and families Advisor to make decisions about what treatment is needed and how helpful particular treatments have been, as well as helping individual practitioners and services review their impact and make changes as necessary. This will ensure that we are able to deliver the best possible treatment to children and young people.

Practitioners from phase 1 sites have made the following comments:

A lot of young people who have used these tools have reported that they feel valued and involved in the therapy process. [use of the measures] helps build a shared understanding of the problem on which to base a shared formulation and rationale for treatment . . . it supports collaborative working with young people and families and facilitates open conversations around different areas.
Tell us how the data collection and outcomes monitoring resources were developed.
We worked with a range of experts in the field including colleagues from the voluntary sector to develop the CYP IAPT suite of measures and dataset. The dataset defines what information should be collected about each young person. It is compatible with and builds on the CAHMS minimum dataset, and will be used as the core dataset for CAHMS Payment by Results. The dataset dentifies a number of validated outcomes measures tools and specifies when these should be used. Some tools are completed by young people, some by parents and some by both. We selected measures that have a proven value, are quick to complete and are clinically useful.

For more information please see: http://www.iapt.nhs.uk/cyp-iapt

Children and Young Peoples Project

What is involved in measurement and data collection for CYP IAPT?
Specific tools have been selected for use at assessment and at review. Goals are set and tracked at each session, and/or general wellbeing assessed, and practitioners can choose one of a number of specific tools to help track relevant change for their clients from session to session. Data are collected nationally via the secure data storage CORCnexus system on a quarterly basis. Locally, services are required to submit a data extract containing data related to all activity in the reporting period. Data are collected and stored in accordance with strict rules on confidentiality. Importantly, young people are asked for permission to allow their information to be used for analysis. It is important to emphasise that it is not possible to identify a person from this analysis or reports.

What guidance is available?

Details on how to submit data, guidance material and the submission schedule can be downloaded from: http://www.iapt.nhs.uk/cyp-iapt/routine-outcome-monitoring-as-part-of-iapt/ Information relating to all aspects of the project including outcomes measurement, learning collaboratives and the National Curriculum can be found on the CYP IAPT website. The Children and Young Peoples IAPT Tracking Outcomes Resource Pack has been developed by CORC and provides full details on all the outcome measures included in the CYP IAPT dataset. A Practical Guide to using Service User Feedback & Outcome Tools to Inform Clinical Practice in Child & Adolescent Mental Health has been developed by the Outcomes-Oriented Practice (CO-OP) Group. The guide provides a wealth of practical information aimed at helping supervisors and clinicians who routinely use outcome measures in clinical practice. Both resources can be downloaded from the CYP IAPT website.

Contacts, Questions and Queries

The success of CYP IAPT depends on collaboration and communication.We are keen to get your feedback; to hear your service transformation stories, successes, ideas and challenges; and support your efforts to embed CYP IAPT principles throughout your collaboratives. If you have any pictures or news that you would like to include in the newsletter, let us know by emailing rose.palmer@ucl.ac.uk. For comments/queries relating to the CYP IAPT conference, please contact Sabina Hussain, email: sabina.hussain@ucl.ac.uk.

For more information please see: http://www.iapt.nhs.uk/cyp-iapt

Children and Young Peoples Project

CYP IAPT YouTube Channel
We are excited to have launched a CYP IAPT YouTube channel. If you missed the CYP IAPT conference you can watch the presentations online by clicking this link. If you have any interesting videos relating to the project that you would like to share, please email rose.palmer@ucl.ac.uk with details.

Sixth Annual New Savoy Conference

On November 29 and 30 the New Savoy Partnership is hosting a conference on Psychological Therapies in the NHS: State of the Therapy Nation at the Mermaid Conference Centre, London. The new Minister for Care and Support will be speaking at the event, along with several key members of the CYP IAPT project. Karen Turner, from the Department of Health, Professor Peter Fonagy, Dr Margaret Murphy, Professor Mick Cooper, Dr Miranda Wolpert and Dr Duncan Law will be presenting and taking part in discussions on:
l sing U

what we know about the ways children learn so we deliver high value clinical services: what works for CAMHS? the delivery of counselling to foster emotionally intelligent young people: what works for Schools? session-by-session tracking works in CYP-IAPT

l ransforming T

l How

For more information about the New Savoy Partnership conference Visit: www.healthcareconferencesuk.co.uk Email: jayne@healthcareconferencesuk.co.uk Tel: 01932 429933 Fax: 01932 880402 For more information please see: http://www.iapt.nhs.uk/cyp-iapt
9