Department of Health funds further support CYP IAPT sites
Care and Support Minister, Norman Lamb said: "Acting early to help children with mental health problems can prevent a lifetime of suffering as half of those with lifelong mental health problems first experience symptoms before the age of 14. This technology helps children and young people see how their treatment is progressing. Where treatment is not going as well as it could, practitioners can then change their approach to get the best results. Children and young people have told us how much it helps them to see how their treatment is going and these new devices do just that. I have seen this for myself in Oxford and talked to a teenager who had benefitted."
In 2012-13 The Children and Young People's IAPT project will extended the geographical reach achieved in year one by offering the service transformation, parenting for 3 - 10 year olds and CBT training and support package through two new CYP IAPT Learning Collaboratives. The five collaboratives and their associated Higher Education Institutes are :
- London and the South East (UCL and Kings)
- North East, Yorkshire and Humber ( Northumbria)
- North West (Salford Cognitive Training Centre)
- Oxford/Reading (Reading)
- South West (Exeter)
In April 2013, the project will move from the Department of Health to the NHS Commissioning Board (NHSCB) to the NHS Improving Quality Delivery Team (NHSIQ).
The NHSCB and NHS IQ are committed to implementing the NHS Outcome Framework and NHS Mandate, which includes an undertaking to continue to improve access for children and young people to psychological therapies, to improve access to best evidence based treatments and to deliver parity of esteem between physical and mental health.
Our focus within the NHS IQ will continue to be:
- refining and implementing the programme of service transformation to build capability to deliver positive and measurable outcomes for children, young people and families, increasing choice of evidence based treatments available and collaborative working between children, young people, families and professionals, and
- to work in partnership with children, young people, families colleagues and agencies to improve outcomes for children and young people.
In 2011 the IAPT programme added a new project working to support children and young people.
The Children and Young People's (CYP) IAPT Project is a Service Transformation Project for Child and Adolescent Mental Health Services (CAMHS). The focus of CYP IAPT is on building a more collaborative relationship between children, young people, families and therapists through use of frequent outcome monitoring and extending participation in service design and feedback, extending training to staff and service managers in CAMHS and embedding evidence based practice across services, making sure that the whole service, not just the trainee therapists, use session by session outcome monitoring.
CYP IAPT is different to the Adult IAPT programme. CYP IAPT is not creating new standalone services. Although the CYP IAPT project sits within the overall IAPT programme, and has learned from the adult experience, it is not the same. It works with existing services and established local systems. Commissioners of services and those working in Adult IAPT services may find our Guidance for Working with Under 18s especially useful.
In Years one and two, CYP IAPT has supported training in two therapies. The choice of CBT and Parenting for 3-10 year olds was based on best evidence (NICE) and the prevalence of emotional disorders such as anxiety, depression and behavioural problems in children and young people. This year, CYP IAPT is developing training in evidence based systemic work with families and Interpersonal Therapy.
A comprehensive CAMHS needs a range of modalities and interventions. CBT and parenting programmes are not the answer to all mental health problems experienced by children and young people. There are also other evidence based treatments and approaches which contribute to a comprehensive CAMHS which commissioners and services will want to see available to children and young people.
CYP IAPT is developing session by session outcome monitoring. This will be used by CYP IAPT Trainees, and can also be used from the word go by colleagues in targeted and specialist (Tiers 2 and 3) community services locally. The aim of the session by session monitoring is to support collaborative practice and demonstrate the outcomes CAMHS achieves. The approach being trialled was reviewed in July 2012, and new measures have been introduced alongside changes to the dataset to support the development of CAMHS Payment by Results (PbR). All year one IAPT sites began to submit data from all community CAMHS from December 2012. Read more about routine outcomes monitoring.
CYP IAPT aims to fit the measure to the child not the child into the measure. CYP IAPT measures are designed to offer clients and professionals options which suit need and practice. There will be occasions when clinicians judge that session by session outcome monitoring is not appropriate.
CYP IAPT works in partnership with children and young people. Children and young people are involved at a national level to help steer the project, and each of the sites is committed to working with children and young people locally, listening to their wishes and preferences. Read more at MyAPT.
CYP IAPT was initially given a budget of £8M per year for 4 years. (2011/12-14/15) We are starting small to test our models of training and outcome monitoring, learning as we go. The £32M budget is non recurrent. On February 29th 2012, the Deputy Prime Minister Nick Clegg announced further funding for the project of up to £22M to 2015. This takes our total budget over the four years of up to £54M.
Five Learning Collaboratives have been funded so far from Higher Education Institutions (HEIS) and local CAMHS Partnerships to take forward CYP IAPT. The Learning Collaboratives provide the training and mutual support for Service Managers, Supervisors and Trainees who will put the service transformation into action.
CYP IAPT is open to the voluntary and statutory services. The training is competency based and is open to non NHS trainees, supervisors and managers. The training Institutions will check if the trainees are competent to pass the course.
Some elements of CYP IAPT will change as the project develops. The project is committed to service transformation, training in evidence based therapies. Other aspects such as how sessions are monitored or adding extra modalities will be reviewed as we go forward.
Local CAMHS partnerships will have the opportunity to bid to join the collaboratives in further years. Further support materials are in development and will be posted to this site in due course.
More information is available from the CYP key facts document.
To sign up for project updates, click here and select Children and Young People`s Project updates.