Solihull Approach in Kent A Ke nt- wide multi- age nc y tr aining initiative Dr Alex Hassett Senior Consultant (CAMHS) Manager CAMHS Practice Improvement Programme
Outline for the Presentation • Background – Programme – Solihull Approach in Kent • What is happening currently – structure and process • Research • New developments • Results from survey • Challenges and learning
POLICY CONTEXT: SERVICES FOR CHILDREN AND YOUNG PEOPLE Childcare Bill and Every Child National Matters: Childcare Change for Strategy Children Youth Matters The National Promoting Service The National Children's Mental Framework for Healthy Schools Health Within Children, Young Standard on Early Years and People and emotional health School Settings Maternity and well-being Services
Policy Context New policy developments and guidance in education, health and social services emphasise: • Mental health promotion • Primary prevention programmes • Early identification and intervention • Beginning this process as young as possible • Impact parenting has on the emotional well- being and development of children and young people.
To meet the mental health needs of children and young people the policy calls for the development of multi-agency comprehensive child and adolescent mental health (CAMH) services that are delivered in a seamless manner and that are appropriate to the service users needs. Thus supporting young people’s mental health is not just the responsibility of Specialist CAMHS, it is the responsibility of all those working with children and young people. Need for all staff working directly with children, young people and their families, to have sufficient knowledge, training support to promote psychological well-being and to identify early indicators of difficulty
The definition of comprehensive CAMHS emphasises the need for a balance and range of services that should be available to children and their families, in order that all levels of mental health need are met. This includes ensuring that professionals and workers at tier 1, in daily contact with children, have sufficient knowledge of children’s mental health need in order to: 1. identify those who need help 2. offer support and advice to those with mild or minor problems 3. to have sufficient knowledge of services to be able to refer on when appropriate
CAMHS Training and Development Project 2003 – 2006 • The Child and Adolescent Mental Health (CAMH) Training and Development Project was a Kent based multi-agency training and development project focusing on service providers working with children and young people in both the statutory and voluntary sectors. • The Project was focused on addressing the education, training and development needs of these workers to enable them to work more effectively with issues relating to the mental health and emotional well-being of the young people with whom they work.
CAMHS Practice Improvement Programme 2007 - 2010 Aim: to put in place processes and structures that support and develop the children and young people’s workforce’s capability to take responsibility in terms of caring for children and adolescents’ emotional well-being and to do so in an optimal and relevant way, appropriate to their level and role. Kent wide programme which covers all statutory services for children and young people and will attempt, where possible, to engage with the voluntary and private sector. Focus: Improving the provision of comprehensive mental health services for children and young people.
This is done in various ways: • The primary focus of the programme for the improvement of CAMH services is through the training and development of the children and young people’s workforce. This will continue and extend the work of the CAMHS Training and Development Project. • The programme supports agencies in training and developing their workforce’s skills, competencies and capabilities to enable the workforce to provide effective and safe responses to promoting emotional well-being and mental health, identifying mental health difficulties and offer effective, evidence based interventions across a spectrum of need.
This is done in various ways: • Through enhancing and supporting commissioning and practice through research, policy and practice guidance. • The programme sits between commissioning and delivery, providing an advisory and consultancy function in an attempt to improve both commissioning and provision of multi-agency comprehensive CAMHS provision.
Programme has various projects focusing on different levels of training, development and support •Looking both at formal and informal training •Links with Higher Education Institutions as well as other training providers e.g. MSc in Mental Health Studies (CAMHS) at Kent University Adolescent Mental Health (module at level 2 and 3 at Canterbury Christ Church University)
Programme has various projects • Child Observation Training • Support between specialist & primary care staff • Linking Youth Offending Service and CAMHS • ADHD Protocol Training • Member of: – CAMHS Strategy Steering Group – Parenting Support Strategy Steering Group – Children and Young People’s Workforce Strategy Steering Group – Young Carer Strategy Group
CHALLENGE: How do we ensure that Tier 1 Universal Services Frontline workers have sufficient knowledge of children’s mental health need in order to: 1. identify those who need help 2. offer support and advice to those with mild or minor problems 3. to have sufficient knowledge of services to be able to refer on when appropriate But not make them into counsellors or therapists and Value what they are already doing
Mental Health Awareness Training and The Solihull Approach
How has the Solihull Approach rolled out in Kent? Background
Background • School Nurse Lead and Primary Mental Health Worker – East Kent • £2000 from PCT • Education match funded • Ran 2 courses with PMHW and Ed Psychs
Background •Train the trainer •Cascade approach •Delivered by multi-agency trainers to multi-agency groups •Offer locality based training and practice development sessions
Background • Children's Consortia Steering group • Educational Psychology signed up to become trainers • PMHW and Tier 2 services - trainers • Accepted as the Kent-wide approach in principle • Consortia Performance Reward Grant money
Funding Kent County Council and the NHS in Kent. Over the first 2 years funding came from: •Consortia (10 out of 12) •PCTs (8 out of 9) •Surestart •Family Liaison Officer Service and various other pots of money
Where we are now Solihull Approach in Kent A Ke nt- wide multi- age nc y tr aining initiative
Funding Currently • £65 000 from the Children’s Services Grant (2007/8 and 2008/9) • Additional funding from extended schools e.g. conference and support for trainers forums • Local pots of money
Funding • Funding for roll out across the county until March 2009 (resource packs, venues, refreshments) • Administration support (.5 wte) • Research Assistant (.5 wte)
Training Offered • 2 days of training in the foundation course – Certificate • 6 Practice Development Sessions – Certificate
Practice Development Sessions • It is expected that if a person attends the 2 days training they will also attend a minimum of 6 practice development sessions to embed the approach in their practice. • These sessions will be run locally by members of the Solihull Approach Trainers Group. • Participants will get a certificate of attendance for the 2 days training and will then get another one to confirm their attendance of the 6 practice development sessions • Six is the minimum number of sessions - additional sessions may be available
Practice Development Sessions • During these sessions additional training needs may be identified and these will be fed back to managers through the trainers forums. Where possible local need will be met locally. • Practice development sessions of the Solihull Approach does not replace organisational supervision. It is important that agencies think about the support needs of their staff internally. • It is important that managers understand that the practice development sessions: – are essential to the practice of the approach – are not clinical supervision but rather to enable practitioners to put the approach into practice with the cases they are working with
Structure of the Solihull Approach in Kent A Ke nt- wide multi- age nc y tr aining initiative
KENT CHILDREN’S TRUST CAMHS Strategy Steering Group CAMHS Practice Improvement Programme County-wide Solihull Approach Steering Group East Kent West Kent Trainers Forum Trainers Forum
Link with children and young people’s workforce development plan • Solihull Approach is seen as part of the core training for universal children and young people’s services • It is integrated into the plan along with mental health awareness training • Plan under review – mental health still seen as a key element underpinning 5 ECM outcomes
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