Developing a Culture of

Participationin

CAMHS

Jason SmithFebruary2013

WE’RE STILL WORKING ON IT!

Some Background…• 5 Child and Adolescent

Mental Health (Community) Services

• Hope Unit• Horizon Unit

Some Background…• United Nations Convention on the

Rights of a Child - Article 12‘Parties shall assure the child who is capable of

forming his or her own views the right to express those views freely in all matters

affecting the child. The views of the child being given due weight in accordance with the

age and maturity of the child.’

Some Background…

• The Children Act 1989 • Health and Social Care Act 2001 • Care Quality Commission • Ofsted

The Development- early days• Camhs Directorate Work Programme Group

• Camhs Equality and Diversity Group

• National Youth Agency

• Service User Strategy

Other elements…

• Service User Questionnaires – SDQ and Post Discharge

• ‘You Said, We Did’ Boxes in receptions

The Framework

Hear by Right

The Process

• National Youth Agency

• Mapping across boroughs

• Planning nature of events

Hear by Right• Framework for standards and indicators

• Stepped Process highlighting progress

• User friendly

Hear by Right• Shared Values• Strategies• Structures• Systems• Staff• Skills and Knowledge• Style and Leadership

What have we done?• Events started across the directorate from 2010• Challenges

• Attendance• Location• Timings

Focus of Sessions• Building a group• Fun, relaxed, young person friendly• Food included!• Young People’s Impression of their Camh

Service – environment, worker, experience• Voucher Payment

Evaluation of Sessions

• Generally Positive• ‘ToR’ Established• ‘Don’t like to be talked at’• Environment• Reception Staff• Difficult to sustain

The Next Phase

• IAPT• Participation = pillar• The PLEDGE

What changed?

• New Approach• Champions in each service• Shift in culture – not an add on

Current Work• Recruitment• Impact in clinical settings• Leaflets/publicity/website• Integrating local issues• Use of local authority youth councils• Self-referral• Your Welcome standards• Parents/Carers• 9 Priorities

• Feeling Good…

• Priority 1: Get Initial Assessments Right

• Priority 2: Make Sure Session Monitoring Involves the Young Person

• Priority 3: Provide Easy Access to Complaints and Advocacy

• Doing the Job Right…

• Priority 4: Make Sure Staff Have the Right Skills and Knowledge

• Priority 5: Involve Young People in Recruitment

• Priority 6: Involve Young People in Staff Appraisals

• Running the Service Well…

• Priority 7: Involve Young People in Commissioning

• Priority 8: Help Young People Influence Senior Managers

• Priority 9: Have a Strong Mission Statement

Success?• Challenging Process• Pennine Care – first mental health trust

to use hear by right• Mandatory• Lots of opportunities/ideas• Fun!

Any Tips?

• Expect Challenges• Keep persevering• Food and fun• Keep promises• Have an end product

Thank YouAny Questions?

jason.smith3@nhs.net