1. Forward Thinking Birmingham FTB

3. Saturday 02.00hrs

4. Forward Thinking Birmingham The Mental Health Service for children young people and young adults 0-25 in Birmingham. The service is commissioned by the CCG and combines a partnership between: Birmingham Children’s Hospital Worcestershire Health and Care NHS Trust The Children’s Society The Priory Group Beacon UK

5. “I, as a fragmented teenager, and my fragmented family, have to integrate what you lot have failed to integrate for years…” ‘Lost in Transition’

6. “To be the first city where mental health problems are not a barrier to children, young people and young adults in Birmingham; resetting the bar for generations to come.” Our Vision

7. Developing our Clinical Model

8. Prevention Integration Choice Inpatient Services Intensive Complex Interventions Brief Interventions Universal Plus Partnership Universal & Health Promotion Recovery Based Model The Care Model

9. Universal & Health Promotion Universal Plus Partnership * Promoting resilience and emotional wellbeing by providing information training and consultation * VCS: family support, information * Working in partnership with universal plus Brief Interventions   Integrating CAPA, IAPT and CYP IAPT into a system of brief evidenced based interventions Key elements: * * VCS Contribution * * 4 integrated community teams * * Job plans based on slot and capacity management, skill matching  Early focus on developing resilience and attachment, older focus- identification and early intervention. Key elements: * VCS Contribution * Training, consultation and supervision * Connect City Centre Hub Complex Interventions   Coordinated MDT packages of care Key elements: * * 4 integrated community teams (plus EI teams) * * Providing pathway packages- ED, suicidality/ trauma, anxiety/ depression and ND Intensive Interventions   Outreach approach- preventing admission and reducing length of stay Key elements: * * Access centre * * Crisis team * * Home Treatment Team * * Crisis Inpatient Services  General and PICU beds Key elements: * Full MDT assessment and care * Interventions focused on symptom relief, activity, psycho- education and emotional regulation * Family care * Brief (short) admission

10. Five Clinical Pathways - integrated co-located specialist teams Emotional Behavioral Neuro-developmenta l Eating Disorders Suicidality Trauma and Personality Disorders Psychosis ASD, ADHD, LD Psychoeducation Cygnet Social problem solving Talking therapies NVR Medication Intensive Outreach DBT and MBT Self harm reduction Care Program Approach Anxiety, Depression, common mental health problems. * Talking treatments * Pharmacological treatments Integrated EI team Psychological treatments Pharmacological treatments Psychosocial interventions Education Training Employment Recovery Focus Community-based intervention Multi family therapy Intensive outreach approach

11. Flexible & timely access

12. Access Centre 24/7 Urgent/ CRISIS 0800-2000 Routine (0-25) HUB 7 days (1000-2000 tbc) (0-25) VCS Home Treatment EI & Respite (14-35) Team x 4 (0-25) Integrated Core YOSSMIAPTLD EDCore 136 POS RAID(16-25) UNIVERSAL PLUSBRIEFCOMPLEXINTENSIVEINPATIENT Tier 4 Inpatient (0-18) Inpatient Acute (18-25) Inpatient PICU (18-25) Day Care Step Down Outreach Rehab(18-25) FTB Clinical Model Partnership Online Service Directory

13. Crisis team An immediate response An alternative to A&E Out of hours cover Assertive and flexible approach to engagement Support the stepped care approach Collaborative care & relationships Home Treatment Avoid admission to psychiatric inpatient units Promote early discharge from hospital Receive care in a setting that is most comfortable and encourages recovery Provide 24/7 support for individuals and families under the care of HTT Urgent Care Pathway

14. October 1 st BCH CAMHS start transformation to Forward Thinking Birmingham Our access centre opens and phone number 0300 300 0099 went live Young People receiving support from the BCH CAMH Service, who reach age 16, will stay under the care of FTB Transfer of ADHD waiting list from BSMHFT end of Nov CCG Contracts were signed early October 2015 Appointment of an interim chair of Voluntary Sector Network Mobilisation September-December 2015

15. Intended transfer of Youth Support Clinical Services and Early Intervention Psychosis Service Continue to develop voluntary service network across the levels of care Testing of the new IT system Estates team to upgrade buildings for new integrated teams Medical Director start date between January and March 2016 The number of beds available will gradually increase through to April 2016 Mobilisation January-March 2016

16. FTB is fully operational, taking all new referrals through the access centre from professionals, patients and others There will be a phased transfer of patients from current providers The city centre connect and support hub opens All new beds available Our launch event will be held April 2016

17. 0300 300 0099 www.forwardthinkingbirmingham.org.uk

18. Questions?