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Transforming Mental Health Services for Children & Young Adults

Kathryn Pugh, NHS England

News and updates from today's conference aimed at all mental health professionals in front line services who have a role in supporting young peoples mental health & wellbeing, and chaired by Sarah Brennan Chief Executive YoungMinds.

Transition from children’s to adults’ services for young people using health or social care services: Implementing the new NICE guidance in mental health

NICE Guidance available here

Professor Swaran Singh, 
Chair, Transition from children’s to adult services Guideline Committee, Head, Mental Health and Wellbeing & Deputy Head, Division of Health Sciences, Warwick Medical School, and Honorary Consultant Psychiatrist, Birmingham and Solihull Mental Health Foundation Trust & Forward Thinking Birmingham

Pre-Event Abstract:
The interface between child and adult mental health care has long been considered an impediment to continuity of care. Transition between these services has often been described as a problem, but till recently there was little evidence on the nature, magnitude and the consequences of the process and outcomes of good and poor transition.

The UK based TRACK project was a multisite, mixed-methods, multicomponent series of studies that explored policy, practice, outcome and experience of transition in an epidemiologically defined cohort of young people who had reached the transition boundary of their Child and Adolescent Mental Health Service (CAMHS). The findings were deeply disturbing. Many services had no clear policies; if policies existed, there was a policy-practice gap; young people felt inadequately prepared for transition; many simply dropped through the care gap; and those who made a transition experienced poor care. TRACK findings led to a serious policy rethink at the Department of Health UK. The findings also generated international attention and concern, with transition-related research reported from Europe, Canada, Australia and USA. In March 2016 NICE produced the first ever clinical guidelines for transition from child to adult care. 

This lecture will present the most recent transition-related evidence, summarise the results of two systemic reviews into transition, describe transition-related policies across Europe, report on novel youth pathways in England that are trying to overcome transition-related problems; and report emerging findings from the MILESTONE project, an EU funded eight country European project that is tested an innovative model of managed transition. It will also explore areas of uncertainty and lack of evidence in transition in the context of adolescent developmental transition

Prof Singh spoke of the importance of having a 'named worker' to plan ahead for transition of young people to adult mental health services, this would be a current member of the CAMHS team carrying out transition planning as part of their role so that someone is consistently involved in this responsibility, and can also review 6 months later to ensure the person is engaged in a new service. 

NHS England: Transforming mental health services for children and young adults
Kathryn Pugh, 
Children and Young People’s Mental Health Programme Lead, NHS England


Pre-Event Abstract:
Children and Young people’s mental health is a priority for this Government.  NHS England is committed to delivering the transformation of children and young people’s mental health set out in Future in Mind, endorsed and extended in Five Year Forward View for Mental Health.  This presentation will detail the current work programme within NHS England  and touch on work underway with our partners across Government including   public health, education, social care and youth justice.

Supporting mental health in schools
Brenda McHugh and
Neil Dawson, Co-Heads of Service for Schools, Anna Freud National Centre for Children and Families


Pre-Event Abstract:
Having originally trained as teachers and taught in Inner London schools, Neil and Brenda worked in CAMHS as consultant systemic psychotherapists, teachers and trainers for over thirty years. Together they created the UK’s first multi-family therapy classroom at the Marlborough Family Service as part of CNWL NHS Trust.
Since moving to the Anna Freud National Centre for Children and Families (AFNCCF) in 2013, they have set up a team of psychotherapists and psychologists delivering outreach mental health services in over 20 schools in Westminster, Kensington and Chelsea, Southwark and Brent. They are Co-Founders of The Family School London which opened in September 2014, as the first systemic, mentalisation and multi-family based Alternative Provision School for children and young people with complex mental health and behavioural problems and their families.

Their presentation will cover the following three topics:
•    Child Outcomes Research Consortium (CORC)
Founded in 2002 by a group of mental health professionals determined to understand the impact of their work. Today, CORC holds data of more than 400,000 children and young people. CORC aims to promote the meaningful use of evidence to enable more effective child-centred support.

•    Schools in Mind
To further the ambition of sharing best practice and research in child mental health with colleagues in schools, Brenda and Neil created the Schools in Mind network. This is a free service available for any professionals working in schools and with an interest in mental health issues. The AFNCCF distributes information and runs termly events on current key topics and research findings via the Schools in Mind network: schoolsinmind@annafreud.org

•    Multi Family Groups in Schools
In the presentation Brenda and Neil will show film material from their newly produced online training microsite in how to set up and run multifamily groups in schools.
The model of families working together in multi-family groups in schools has attracted keen professional and political interest and is being adopted widely in Britain and across Denmark, Norway, Sweden, Germany and Greenland .

Brenda and Neil have trained a minimum of seven thousand professionals from many disciplines with the majority being those having responsibility for delivering help for children and young people presenting with significant emotional, behavioural and mental health difficulties in schools. These professionals have largely been clinical and educational psychologists, psychiatrists, family therapists, teachers and school support staff. Many of the bespoke trainings have been constructed to be run jointly for teachers, other school staff and mental health-oriented professionals with the planned outcome of multi-family groups being set up in schools.
(Families changing families: The protective function of multi-family therapy for children in education, Morris E et al., July 2013). 

Keynote address by Norman Lamb MP Former Minister for Mental Health and Former Chair Independent Commission on Children and Young People's Mental Health.
Following a case study example of system failures Norman said; "we are letting down so many failures in our country and it is totally intolerable in my view." He spoke of the 'Future in Mind' project which places a focus on intervention and prevention and which led to the announcement of £250bn funding for children's mental health, however Norman said the money in year 2 was not being spent on children's mental health, it was just becoming part of main stream funding for CCGs; "it is not getting through to where it is intended to it's full extent."

Norman said; "there is potential to achieve significant transformation..some parts of the country are really innovating but in too many areas it's business as usual."

Future events of interest:

Towards Zero Suicide: Preventing Suicide, Saving Lives
Thursday 23 February, Birmingham

Achieving Better Access for Mental Health Crisis Care
Friday 28 April, London

Safeguarding Children: Level 3 Mandatory Safeguarding Training in Accordance with the Intercollegiate Guidelines
Monday 12 June, London

30 January 2017

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