Developing a Tier 4 CAMHS Practitioners Handbook

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Developing a Tier 4 CAMHS Practitioners Handbook

• Angela Sergeant-Consultant Nurse
• Royal College of Psychiatrists
• London

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Project Proposal

• To develop an education and Training package
  specially designed for staff working in Tier 4
  In-patient services- that will form the essential
  components in working effectively within this
  setting.
• This will form an introductory framework ensuring
  a consistently high standard of knowledge and
  skills across the UK.

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Background to Proposal

• CAMHS National Workforce Programme (Barry
  Nixon) commissioned Royal College of
  Psychiatrists (RCPsych)-CCQI-to provide an
  education and training package mid,2008.
• Clinician involved Oct, 08. Project Team formed
  comprising
• Adrian Worrall-Head of CCQI
• (College Centre for Quality Improvement)
• Peter Thompson-Programme Manager QNIC
• (Quality Network for In-Patient CAMHS)
• Angela Sergeant-Consultant Nurse-CAMHS

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Project Timescales
Develop Project Proposal - Present to PIG-Nov,08

Expert Panel Workshop to gather themes for
Practitioners Handbook- Feb,09
Publish Practitioners Handbook-agree
distribution-Sept,09
Develop online module/ Submit for RCN approval
May-Aug 09
Develop Key Themes / Educationalist involvement
re methods of delivery March Aug 09
Interim Report to CAMHS National Workforce- May,09
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Why is this needed?

• Demise of English National Board (ENB) 603 course
  in mid 1990s
• NICAPS Study (1999)
• NSF for Children (2004)
• Tier 4 Review (Kurtz,2007)
• Every Child Matters
• National CAMHS Review(2008)

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Why is this needed cont..

• National CAMHS Workforce Programme (2006)-linked
  to New Ways of Working, Creating Capable Teams
  Approach and knowledge and Skills Framework
• Darzis Next Stage Review-High Quality Care for
  All (2008)
• Recruitment and Retention (QNIC) and career
  pathway

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What Trusts often provide

• Safeguarding Children
• Control and Restraint
• MHA/Legal frameworks
• Administration of medication
• Post Qualifying Modules/and or Therapy Specific/
  Diagnostic Training

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Challenges to Training Delivery

• Release of Staff (especially nursing staff)
• Budget Constraints
• Identifying Appropriate Training
• Investing in Professionals and then retention of
  knowledge and skills/return of investment
• Limited Opportunities for Reflective
  Practice/Supervision
• Demands for Essential Training v Specialist Skills

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Key Milestones

• Scoping Exercise regarding University Provision
• Consultation via QNIC, CAMHS Nurse Consultant
  Network, Service Users
• Expert Advisory Workshop (held Feb,09) to gather
  themes for inclusion in handbook
• Source Literature/Best practice Documents/ DH
  publications
• Seek RCN Accreditation
• Educational Overview

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University Provision

• Greenwich
• Worcester
• Northampton
• York
• City University, London
• Exeter
• Lancaster
• Southampton
• Glamorgan
• Anglia Ruskin
• Kings College
• Kingston
• Bristol
• Leicester

• Course Provision
• Range from stand alone modules at Diploma, Degree
  or Masters Level.
• Mainly MDT provision
• Range from 1-2days-5yrs part time

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Initial Ideas Identified by QNIC Discussion Group

• Therapeutic Milieu
• Systems Approach
• Management of Risk
• Child/Adolescent Development
• Reflective Practice Supervision
• MDT dynamics and working effectively

• CBT/DBT
• Ethical and Legal Issues
• Engagement with Young People and Families
• Attachment Theory
• Therapeutic Use of Self/Communication

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Feedback from Young people

• Understanding of different illnesses
• Be confident and able to cope in a crisis
• Know about working with families-how to bridge
  the gap between them and parents
• Consent to treatment and legal frameworks
• Confidentiality
• How to communicate in a supportive, genuine,
  trusting and sensitive way

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Key Themes identified by Expert Advisory Group

• Child/Adolescent/Family Development
• Staff Behavioural Skills-Creating therapeutic
  alliance, milieu, boundaries
• Self Care of Professionals- support, supervision,
  debriefing
• Risk Related Issues
• Inpatient Pathways

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Ideas for Handbook Format

• Introduction
• Background Drivers
• Each chapter--
• Learning Outcomes (?Linked to KSF/Skills for
  Health)
• Body of Literature
• Case Scenarios
• Reflective Practice/Action Learning Group
  discussions
• Recommended Reading List/Web sites
• References

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Next Steps

• Initial draft sent out for feedback
• Educationalist review underway
• Submission to National Workforce Group for
  approval
• Submission to RCN for accreditation
• Publish handbook Sept 09
• Develop online module
• Phase Two roll out of materials/training

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Any Questions??

• Are there any thoughts to consider re Phase Two?
• What do you think the take up would be?
• How should handbook be disseminated?
• Thank you for attending this workshop