On 7 February 2013, the Salford Children and Youg People IAPT collaborative held an event focusing on building in participation across the culture and running of services. Here Jason Smith from Pennine Care shares his experience over 5 or more years embedding participation through using Hear by Right's 7S model of organisational change approach.
On 7 February 2013, the Salford Children and Youg People IAPT collaborative held an event focusing on building in participation across the culture and running of services. Here, Barry Nixon introduces the day and what he hopes to get out of it.
Here is the full report from the March 2011 event which launched the DH consultation with children and young people on extending access to psychological therapies. It contains a summary of findings, the emerging top participation priorities, much of the detailed content from the day AND summary interviews with children and young people.
VIK Project Regional Worker for Yorkshire and Humber Liz Neill updates us on news from the region. See http://tinyurl.com/buq8apw
This month the Department of Health has been selecting new collaboratives for inclusion in the second wave of the national CYP IAPT project.
A group of young women from Leeds project Getaway Girls formed a young person’s panel in order to feed into this decision-making process.
Catherine, Sarah and Shanise were provided with training on the IAPT programme and met with Kathryn Pugh and colleagues in the DH to get an update on CYP IAPT.
They based their interview assessment criteria around on the nine IAPT participation key indicators which guides the development and progression of IAPT sites in relation to the participation agenda.
The panel worked hard and professionally throughout the day, and fed back invaluable insight to the professional panel. They also got to spend some time in central London doing some sightseeing!
There will be film footage documenting this process shown at the IAPT conference in July.
We'll find out soon which sites were picked. Watch this space!
Children and Young People’s
Increasing Access to Physiological Therapies
Thinking about planning for the second year
From Kathryn Pugh
Project Manager
Department of Health
21 November 2011
Dear all,
The Children and Young people’s IAPT project team is very grateful for all the support we have had from children and young people. For those of you who have just started working with the project recently, this is the story so far.
1. If you just have a minute, please read this sentence and reply.
The big tough question we need your help on is whether to A. spread the CBT, Parenting and service development training we are doing already across more CAHMS in England OR B. add to the range of therapies available in a few pilot sites. What is your view? A or B? (At this stage, we can’t do both.) We need your guidance for 5 December. Thank you.
You can email your thoughts to:
Kathryn.Pugh@dh.gsi.gov.uk or bill@practicalparticipation.co.uk
Or you can text Bill on 07540 138 967.
2. If you have a bit longer, here is the fuller picture
2.1 What’s happened so far?
2.2 What next?
Even though the teaching has only just started for Service Managers and Supervisors, and won’t start for therapists until January, we are already thinking about the second year of the project in 2012-13.
The reason why we have to think about this so soon is because next year we need to make sure we match the timetable for other organisations we work with which need to set their budgets early in the New Year.
I have asked Bill from YoungMinds to ask for your views which will help guide the Department of Health for the next part of our work. The decisions we take will be informed by your answers, and conversations with professionals and experts.
2.3 The difficult choice
We are going to have to make some choices. We only have a limited amount of money, and need to spend what we have wisely. When we are making these choices, we need to remember that a large part of the budget has already been committed for next year, about three quarters. We have agreed to carry on the training for service development, CBT and Parenting in the three areas we have already chosen, and they will work with new areas of the country, joining the collaborative. Every year, new members can join the collaborative, so in time we hope the learning will spread.
There is one big issue - and it has pros and cons. Please let us know what you think by 5th December 2011.
Should we do more of the same and spread the net wider across the country, or should we introduce training in new treatments in the few current areas?
The pros of extending the reach across the country but not the range of therapies
- We haven’t had time to see if what we are doing in year one works, so it would be better to keep it simple and check the overall approach works.
- We know lots of CAMHS are interested in joining the training we planned for year one, so we know we can find new sites, but we don’t know what the take-up would be of new treatments.
The cons of extending the reach across the country but not the range of therapies
- The treatments offered by the project don’t suit everyone, and there are more therapies with a good evidence base that could be considered.
2.4 Why can’t we do both?
We can only spend the money we have once and we want to do whatever we do properly. If we want to introduce new training for new treatments, we need to make sure we have enough money to provide training and to support the staff and teaching organisations not just for one year but for the other years.
2.5 The big question
Please can you give us your thoughts on the following question? There isn’t a right answer; we want to know what you think.
Which do you think is the most important thing to do at this stage of the pilot programme? Do the few therapies in more places (ring 1, 2, 3 or 4 depending on how strongly you feel) or extend the range of therapies in the few pilot areas (ring 8, 9 or 10 depending on how strongly you feel)? If you have no strong opinion ring 5 or 6.
Just highlight one number please and:
Email Kathryn.Pugh@dh.gsi.gov.uk or bill@practicalparticipation.co.uk
Text Bill on 07540 138 967
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What else do you think we should be thinking about when we make these decisions? Please add any further thoughts or comments and send them back to us.
Thank you for your continuing help and support.
Kathryn Pugh
Department of Health
Talking Therapies – What’s Changed
“The government’s mental health strategy is ‘no decision about me without me.’ So let’s make that happen.” Children and young people supported by YoungMinds are at the heart of the government’s programme to help improve mental health and wellbeing for children and young people and to support the transformation of services based on their voice and influence.
When the Department of Health confirmed it was developing the Improving Access to Psychological Therapies for children and young people, YoungMinds undertook to review what children and young people had already told professionals and to run a big event of experts by experience to agree the top participation priorities for pilot sites. These include holistic and timely assessments, session by session monitoring and a clear complaints procedure, involving children and young people in staff recruitment, training and appraisal, as well as taking part in commissioning of services, influencing senior managers and there being a clear mission statement to promote children and young people’s participation.
“At the end of the day we’re the ones who receive this therapy. So it’s really important we’re involved.”
These nine indicators were then built into the tendering process for the first wave of mental health services, with each bid indicating what was in place for each indicator and how they planned to improve upon it. As one young person said, “We need to see the actions because they’ll speak louder than words.”
All those shortlisted then had two interviews, one being with a panel of young women from Leeds Getaway Girls project, supported by Liz Neill, the YoungMinds regional worker. The three pilot sites chosen now have a package of support to help ensure participation is built in throughout the programme, including the curriculum design and delivery and service development.
“The work of the young people gave a richness and depth to the interview process, reiterated the project's commitment to involving young people throughout and gave the interviewees a tough challenge. The young people were perceptive and thoughtful.” Kathryn Pugh, Children and Young People's IAPT Project Manager, Department of Health
Bill Badham, YoungMinds National Participation Manager
Presentation at DH on the children and young people’s participation in developing and Improving Access to Psychological Therapies
1. The outcomes – better mental health for children and young people and wider organisational change based on the greater voice and influence of children and young people
2. Programme based on proven understanding that the participation of children and young people leads to:
a) Better outcomes for children and young people
b) More responsive services
c) Better run and more efficient organisations
3. Model of organisational change:
a) For the participation of children and young people to be built in and not just bolted on, then we need to use a whole organisational change process
b) The tool proposes is the 7 Standards model as in Hear by Right
4. Recommendations are:
a) To involve children and young people in the developing of the whole programme as it goes on
b) To make sure in pilots bidding that they are committed to and able to progress the participation of children and young people
c) In the bidding process, pilots should include a participation map and action plan based around the 9 main indicators generated by children and young people during the first phase of the programme. These cover three on Feeling good, three on doing the job right and three on running the service well.
Bill Badham
YoungMinds
24 March 2011
This four page report looks to summarise the whole process to date in involving children and young people in influencing Improving Access to Psychological Therapies. The full report has masses of detail which is really worth reading and we hope this is of value too to all who have taken part and all those involved in promoting improved mental health with and for children and young people.
After the day, I got chance to chat with Kathryn and Karen, both officials at the Department of Health and collect their thoughts on the day and what they'll be taking back to the Government.
Kathryn
"If we want to change services, we have to improve how we work with young people, children and their familes and see them as equal participant and not as people we do things to but as people we walk along side with."
"If services listened to their young people and involved them then they would genuinely meet their needs."
Karen
"My only regret is that more of my colleagues can't be here with me listening to the incredible, insightful contributions the young people here have made. These conversations need to be happening with everbody involved in providing services to children and young people with mental health needs."