1. Slides by Peter Fonagy, Kathryn Pugh, Anne O’Herlihy, Robin Barker
CAMHS Transformation Programme – CYP IAPT Dr Jacqueline Cornish NCD CYP & Transition
Slides by Peter Fonagy, Kathryn Pugh, Anne O’Herlihy, Robin Barker
CYP – IAPT Programme

2. Could the profile of children and young people’s mental health get any higher?
Health Select Committee Report
Ministerial Children and Young People’s Mental Health and Wellbeing Taskforce
Collaborative Commissioning Pilots
Department for Education Guidance
UK Youth Parliament national campaign for 2015
Young Minds Vs campaign …..
NHS England Tier 4 Review
Five Year Forward View and Achieving Better Access to Mental Health Services by 2020
21/09/201821/09/2018

3. Where are we going? ‘golden threads’ running through legislation and policy
Parity of Esteem between physical and mental health
Whole life course
Evidence based treatment
Prevention and early intervention
Timely access and waiting times
No decision about me without me
Choice
Personalisation
Outcomes that matter to children, young people and their families
Recent publications: Tier 2/3 Specification for CAMHS and Transition and transfer to and discharge from care seehttp://

4. Impact of mental disorder: Most lifetime mental disorder arises early adulthood
Age of onset of lifetime mental illness – predates subsequent illness by several decades
Source: Kim-Cohen et al, 2003; Kessler et al, 2005; Kessler et al, 2007

5. Mental illness during childhood and adolescence in the UK:
£11,030 to £59,130 annually per child
Lifetime cost of a 1-year cohort of children with Conduct Disorder: £5.2 billion
Costs of adult crime with history of CD
£60 billion in England and Wales
£22.5billion attributable to CD
£37.5 billion to subthreshold CD
Including costs of various agencies
Health
Social services
Education
Justice
Evidence-based practice has substantial clinical & cost benefits
Little & Edovald, 2012; Suhrcke, Puillas & Selai, 2008
Only 6% of current spending on mental health goes to services aimed at children and young people Kennedy, 2010
With permission P Fonagy 5

6. CAMHS fit for the future – CYP IAPT
Began in April 2011 with specific remit (and limited budget) to work with existing CAMH services to:
Improve collaborative practice with children, young people and families
Deliver a workforce to offer evidence based practice (EBP) as recommended by NICE in
CBT for anxiety disorders and depression
Parenting training for conduct disorder (age 3-10)
Systemic Family Practice for conduct disorder (over 10s), depression and self-harm, and eating disorders
Interpersonal Psychotherapy for adolescents (IPT-A) for depression
Competency based curriculum using Roth and Pilling CAMHS competencies
Training for supervisors and service leads
Outreach and enhanced supervision workshops for other staff not attending training courses within the CYP IAPT Programme.

7. CAMHS fit for the future
Using ROMs (routine outcomes monitoring)
To guide therapist and supervisor
To help client monitor and understand how treatment is progressing
Across ALL Professions
Empowering service users to take control of their care, establish treatment goals, choose treatment approaches and take opportunities to improve their own health
Improving access to evidence-based therapies
Introducing evidence-based organisation of care

8. Map
In 2015 CYP IAPT is working with CAMHS & partner agencies that cover 68% of 0-19 population.

9. Therapist trainee numbers by modality across 4 years of CYP IAPT (n=749)

10. Trained supervisor numbers by modality across 4 years of CYP IAPT (n=249)

11. Trained service transformational leads across 4 years of CYP IAPT (n=178)

12. Responding iteratively to service needs
In , 184 CAMHS staff are to complete a New Enhanced Evidence Based Practice curriculum – brief short course at certificate level for Band 5-6 to create a CAMHS workforce that can work effectively
Parenting offered as PG Dip and PG Cert
Collaboratives take on a greater level of local support and challenge

13. Quality assurance
Accreditation council - CYP IAPT principles embedded in established accreditation processes for individual therapists, modality courses, services to support demonstration of and commitment to quality assurance
BABCP assuring CBT, Parenting
AFT will assure Systemic Family Practice
BPS will assure IPT-A with IPT-UK assuring relevant courses

14. Moving forwards - how to get to 100% by 2018
Who does what – 65% of CYP IAPT is workforce development
Offering courses at a more local level
Replacement training
More use of remote learning e.g. Northumbria
Greater level of responsiveness to service needs and where CAMHS is now
Continued support for added value improvements to practice
Filling the gaps for the CAMHS workforce
LD, ASD
Tier 4
New curricula e.g. NICE approved combination treatment, use of practice based evidence
Modifying curricula to widen workforce of therapists

15. Coming on stream…… Taskforce Report – March 2015
Building on CYP IAPT, service standards Delivering With Delivering Well
Draft standard service specification for Transition, including the Liverpool CQUIN payment incentive
Draft standard service specification - Targeted & Specialist CAMHS building on best practice and incorporating commissioning for evidence based, outcomes focussed collaborative CAMHS
System Dynamic Model for education, social care and health
Co-Commissioning grants – there is still time!
For new commissioners – MindEd training modules

16. Contacts: Kathryn.pugh1@nhs.net anne.oherlihy@nhs.net www.cypiapt.org