creating a youth mental health service dr jon wilson ...€¢[email protected]. title:...
TRANSCRIPT
Creating a youth mental health service
Dr Jon Wilson
Consultant psychiatrist
“We can’t solve problems by using the same kind of thinking
we used when we created them…..
Where it all started
Team “C”
Lowers, R et al 2011, unpublished
Range of client needs at 12 months into service, as assessed by the Camberwell Assessment of Need.
Lower, R et al 2011
Outcomes for Team “C”
Development of a youth service
taken from Early Intervention in Psychosis key principles
Key Principles
• Being and to engage this group early
in severe mental illness (allowing staff to develop skills required)
• Being to minimise functional disability and maximisepotential
• Offer with a service user involved approach
• Having an assertive outreach component
• Aiming to / mental health act use
• Working with
• Promoting
with other support agencies
• Using and seeking to where none exists.
Streamed youth-friendly mental health services
• Streamed youth-friendly mental health services are more appropriate
for young people, who are more likely to:
• • be the mental health (or health) system for the
• • have who are being exposed to the mental health system
for the
• • be and to iatrogenic effects (medical or
environmental)
• • experience especially substance use, that require an
integrated model of care
• • be a with varying, and clinically uncertain illness
trajectories
• • be , as they have not had the time to learn about their
illness and how to manage it successfully
• • be prone to exhibit more and deliberate selfharm when
acutely unwell, because they are cognitively and emotionally less mature, are
younger and fitter, and more likely to have comorbid substance use disorders.
Aims of the service
young people at highest risk of developing enduring mental health difficulties
• Provide support
• Get young people well enough to engage with the Norfolk Wellbeing Service or:
• Well enough to engage in treatment
where possible through risk management with the IST / CRHT
• Then ensure that a service user is linked into appropriate (education, youth groups etc)
• Provide support
The problem of transitions…..
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Ref
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Age
All Referrals - CAMHS and AMHS September 2010 – August 2011
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Co
nta
cts
Age
All Contacts – CAMHS and AMHS September 2010 – August 2011
Ugochukwu O, Maxwell S et al, unpublished, funded by CLAHRC
The youth pilot……
Beck Depression Inventory
Social Interaction Anxiety Scale
Trauma History Questionnaire
Time Use Survey• Mean number of hours per week in structured activity 19.02 (including work,
education, voluntary work, leisure & sports activities, housework, and childcare)
compared to mean of 64.18 hours among a 18-35 year old non-clinical sample.
Current Service Pathway
Triage / Assess for following services:
