1. AUTISM What are CAMHS doing well? What could CAMHS do better?

3. Drivers behind initiative The Scottish Autism Strategy 2011 Dumfries and Galloway Autism Strategy 2014 – 2017 GIRFEC 2008 Quality Strategy Document 2010 Changes to the way services supporting families worked toward diagnosis Meet the parents Aspire to Lead 2015

4. Professor Dewar Professor of Practice Improvement – University of the West of Scotland Fiona Cook Psychotherapist, Practice Development leader, Nurse Teacher

5. Appreciative Inquiry Model

6. Emotional Touch Points A way of gathering information Allows Parents and Carers to feel listened to and tell their story The Good the Bad and the Ugly Lets services know what is going well and what we need to improve Lets parents and carers make suggestions

7. Positive inquiry Tool A fancy term for a simple tool I like simple Two questions What are CAMHS doing well? What could CAMHS do better?

8. What did I do? 5 Parents/Carers 5 Members of the CAMHS team – Psychiatrist, MHW and Support Mental Health Worker 5 Young people

9. Preliminary Results Parents/Carers Themes on training needs Post diagnosis intervention Collaborative Working Information sharing Acknowledgement of grief feelings Interventions for teens – around preparing to move on to secondary school, relationships, university college Suggestions – sign post earlier, support for parents grief, give parents more info to help support young person

10. Preliminary Results Staff We have knowledge and skills in some localities Some good links with partner agencies Some good Psycho social education going on Pathways and role not clear enough Diagnosis better Suggestions – replicate good work in each locality across whole region, post diagnostic service with clear role, clear pathways and role

11. What next AUTISM Mental Health Worker February 2016 presentation to CAMHS Senior Management Group Review of a better Autism service

12. After Keep using Emotional Touch Points Keep using Positive Inquiry tool Keep on discovering, dreaming, designing, Doing (Experimenting, Modifying, Empowering)

13. Unexpected Developments Bid for Autism Mental Health Worker Autism Network Autism conference with Parents and Carers and Adults Living with Autism Sept 2015 Todays conference

14. Many Thanks

15. Fiona Findlay PMHW fiona.findlay@nhs.net

16. References The Scottish Auti1sm Strategy 2011 Dumfries and Galloway Autism Strategy 2014 – 2017 GIRFEC Quality Strategy Document Dewar, B. Cook, F (2014) Developing compassion through a relationship centred appreciative and leadership programme. Nurse Education Today. Vol 34 Dewar, B. Et al (2010) Use of emotional touch points as a method of tapping into the experience of receiving compassionate care in a hospital setting. Journal of Research in Nursing. Vol 15 (29)