CAMHS: Early Intervention for Children and Young Adults
News and updates from today’s CAMHS National Summit focusing on transforming services and early intervention for children and young adults implementing The Five Year Forward View for Mental Health set out by the government in 2016.
Transforming mental health services for children & young adults
David Lockwood, Programme Manager, Children & Young People’s Mental Health, NHS England
In his presentation David commented;
"I think sometimes there is a binary view of what CAMHS is rather then looking at the broader picture of what CAMHS is"
"The 2020 vision needs to be tackled by everyone not just the NHS"
"Data, metrics and milestones become the currency for discussions"
"1 in 10 diagnosed, but only a quarter seem to be receiving treatment?"
"Our expectation is that over time the need for beds will reduce as the community services are utilised"
"There is a huge opportunity in working with schools"
Transition from children’s to adults’ services for young people using health or social care services:
Implementing the new NICE guidance in mental health
Dr Clare Lamb, Member, Transition from children’s to adult services Guideline Committee
i-THRIVE a major service transformation for CAMHS
Rachel James, THRIVE Author and i-THRIVE Clinical Lead, The Tavistock and Portman NHS Foundation Trust
Emma Louisy, i-THRIVE Programme Manager, THRIVE Conceptual Framework and i-THRIVE implementation programme, The Tavistock and Portman NHS Foundation Trust
The i-THRIVE programme aims to improve children and young people’s mental health outcomes by supporting localities to implement the THRIVE Framework (Wolpert, et al 2016) through their CAMHS transformation and service improvement programmes.
THRIVE: a conceptual framework for CAMHS was developed by a collaboration of authors from the Anna Freud National Centre for Children and Families and the Tavistock and Portman NHS Foundation Trust.
The THRIVE framework is an integrated, person centred and needs led approach to delivering mental health services for children, young people and families. It aims to replace the tiered model of children’s mental health care with a conceptualisation of a whole system approach. It conceptualises need in five categories; Thriving, Getting Advice and Signposting, Getting Help, Getting More Help and Getting Risk Support. Prevention and the promotion of mental health and wellbeing is emphasised along with a clearer distinction between treatment and support. Children, young people and their families are empowered through active involvement in decisions about their care through shared decision making, which is fundamental to the approach.
THRIVE Elaborated Second Edition (Wolpert et al, 2016) can be downloaded here: THRIVE Elaborated Second Edition
i-THRIVE is the implementation of the THRIVE conceptual framework, translating the THRIVE core principles into models of care that fit local contexts. Key to this process is the use of evidence based approaches to implementation.
i-THRIVE supports the provision of services using a whole-system, place-based, approach to service delivery. This involves taking a population approach to delivery of care; enabling integration across health, care, education and third sectors, with a central focus on delivering improved outcomes for children and young people.
The i-THRIVE Community of Practice consists of organisations who are using the THRIVE framework as the basis of their CAMHS transformation and improvement programmes. 47% of the young people in England live within a locality that is a member of the i-THRIVE Community of Practice.
i-THRIVE is delivered through a partnership between the Anna Freud National Centre for Children and Families, the Tavistock and Portman NHS Foundation Trust, the Dartmouth Institute for Health Policy and Clinical Practice and UCLPartners.
How i-THRIVE supports the delivery of national strategic objectives
i-THRIVE encapsulates many of the current key strategic requirements for delivering CAMHS. The NHS Five Year Forward View emphasises services being person-centered, the importance of early intervention, taking a whole system approach and enabling self-care, all of which are core to the THRIVE framework and the delivery of the i-THRIVE programme.
THRIVE is based on emerging tariff payments and is identified within Future in Mind as a suggested service delivery framework.
Further information about i-THRIVE and examples of successful implementation in sites can be found at www.implementingthrive.org. For the latest news and updates you can also follow us on Twitter: @iTHRIVEinfo.
Future events of interest:
Towards Zero Suicide: Preventing Suicide, Saving Lives
Delivering Excellence in Recovery Oriented Services in Mental Health
Masterclass: Assessment, Diagnosis, Treatment & Management of Eating Disorders
Improving Mental Health Crisis Care
Eating Disorders Summit: Implementing the new NICE guidelines
Dual Diagnosis: Implementing the NICE Guidance
Mental Health Support for Asylum Seekers and Refugees Providing Emotional First Aid for Refugees: Third Annual Conference
22 September 2017