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CAMHS Research - Coggle Diagram
CAMHS Research
Product Specialists
PH
Speak to MG, JC, Core Logic
CAMHS can sit under MH, CYP, LA or GP which causes problems
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Keeping children in the community rather than admitting them is a big aim which is where mobile apps might be beneficial - check with trusts
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JS
We need to prevent children falling through the cracks. If they are referred or self-refer to a CAMHS service then the consultation/follow up needs to be fully comprehensive and trigger lots of actions to be taken down a care pathway. If a child is seen in a CAMHS Service it may trigger an event in social care or send a safeguarding notification to their school. (for example)
Interesting Trusts / Councils of note. BEH + Whittington share Haringey council, Mersey Care + North West Boroughs share Warrington council, ELFT + NELFT + Homerton share Hackney +Tower Hamlets + Waltham Councils
Articles
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80% of respondents agreed that covid had made their mental health worse (increasing feelings of anxiety, isolation, a loss of coping mechanisms, loss of motivation)
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31% of respondents who were accessing mental health support before the pandemic, said they were no longer able to access support even though they still needed it.
Recovery plan needs to involve:
- funding for mental health in schools, colleges and universities
- transition period to allow for the effects of trauma or emotional distress (reviewing behaviour policies, attendance policies and accountability measures
support for the NHS to cope with a rise in demand for mental health support, enabling face-to-face support, committing to accelerating the mental health ambitions of the NHS Long Term Plan
- a wellbeing campaign that is produced with and targeted toward CYP to help them support themselves and find effective help when they need it.
The number of under-18s getting NHS help for mental health issues in England nearly halved in the first two months of lockdown.
The number of people in England referred to Child and Adolescent Mental Health Services (CAMHS) dropped 47% in April and May, compared with last year.
Replies to Freedom of Information (FOI) requests from 40 NHS Trusts in England showed 22,735 patients were referred, compared to 42,887 patients in the same two months last year.
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"But although she was referred, she was then rejected for treatment twice in lockdown."
One in four children and young people with mental health problems has stopped receiving help as a result of the disruption caused by the coronavirus (YoungMinds)
Trusts
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ELFT
CAMHS QI Website
All 5 CAMHS services are currently focussing on using quality improvement methodology to improve access and flow in community services
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Lincs Partnership
Amy Butler
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Their waiting times are not reflective of the national picture and they have good performance standards.
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BSMHFT
Emailed James 05/11
Liam Laughton
National picture – increase in prevalence, increase in need, problems with capacity and demand, not enough funding.
They are part of the “Trailblazer Project” – the core function is to deliver evidence-based interventions for mild to moderate mental health issues. The teams work alongside other provisions such as counselling, education psychologists and school nurses.
Funding from the government supports this and allows them to provide support in schools and to parents.
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GPs and other CAMHS units have different systems and they don’t work with each other which slows things down, adds risk and increases double keying.
Helios was selected as a partner for online appointments but it “didn’t work with the internal systems”.
They have good retention of staff so whilst time is spent reviewing notes, they do tend to know the background.
Online appointment management would be a huge benefit – most HCP time is wasted because they have to manage their own diaries.
They would love a central landing page for the service which provides self-help, self-referrals and the ability to book appointments.
The ability to send and receive documents/assessments electronically would be useful – a lot of time is wasted chasing things up (EBO?).
At BSMHFT, the CAMHS unit is part of the Adult MH Unit so they do not have a problem with transitioning from Child-Adult.
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They have problems with managing consent, needs to be managed on a case by case basis.
They would like ways of receiving referrals from several sources but for there to be a minimum data set required so that time isn’t wasted capturing information at a late date, this would also help with triaging to the right place initially.
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They don’t feel that DNAs are a problem and have managed this by creating an algorithm which highlights at-risk patients but they are still being contacted manually via phone call.
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Dorset
The major digital challenges for CAMHS currently are patient portals – specifically being able to have patient-rated outcome measures that auto-populate into forms within Rio.
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They are struggling to use the outpatients clinics from large go-to groups and the admin required around this.
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VM
Might not related to software but other areas such as staff availability, locations that are open, service availability etc.
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IC
"I believe strongly market demand for these services will ratchet up whilst supply will remain constrained due to long professional training times"
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Appointment confusion (no record of appts, trust think patients have missed appts they weren't told about etc)
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Reports
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Patients reports they are repeatedly struggling to access help; being turned away; given one appointment where they are told they are ‘not ill enough’ to qualify for services and offered ‘advice’ instead and constantly required to justify why they should be getting help.
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Specialist services are only half the answer. They need to be accompanied by help in schools and in the
community, ideally preventing many kids from ever needing further interventions.
Children who need help but cannot access specialist care are falling through the gaps between local agencies fighting over who is responsible for providing this low-level help.
NHS Long Term Plan
1 in every 9 children has a mental disorder, half of all mental health problems are established by the age of 14, 3 quarters are established by 24 years old
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NHS have made a commitment that funding for children and young people's mental health services will grow faster than both overall NHS funding and total metal health spending.
By 2023/24 the will be increased support via NHS funded mental health services and school or college-based MHS Teams.
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MJ
No specific accounts mentioning CAMHS recently.
No services reported to be struggling.
Needs targeted research to understand which of our customers run the CAMHS service and if they use Rio or something else to capture that data.
'Normal’ contacts in IT might not be right people to discuss this with and it will be more service leads and clinical people.
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