TIER 4 Training 2022

Health Education England has provided funding for In-Patient Units in London & the East of England to attend a 10-day training course, based on the CYP IAPT principles. The CYP IAPT programme is a whole service transformation model that seeks to improve the quality of children and young people’s mental health services. 

The CYP IAPT programme includes core principles as part of its service transformation:

• Value and facilitate authentic participation of young people, parents, carers and communities at all levels of the service
• Provide evidence-based practice and are flexible and adaptive to changes in evidence
• Are committed to raising awareness of mental health issues in children and young people, and are active in decreasing stigma around mental ill-health
• Demonstrate that they are accountable by adopting the rigorous monitoring of the clinical outcomes of the service, and
• Actively work to improve access and engagement with services

These principles are co-dependent and are applied within a culture of collaboration and shared decision-making.

 

Funding has been allocated to 13 services in London & the South East. This page is for the staff based at these services. 

 

Please see the bottom of this page for information about registering and receiving the links to join.  

 

This course includes: 

1. Attachment & Mentalisation

Training will address the challenges of working with young people whose needs are multiple, complex, where there is significant risk, and who are often at best non-conventional in their help-seeking strategies. The training will draw on the mentalisation framework for making sense of human communication and behaviour that is strongly evidence based in more specific focused treatment settings. Mentalising is a core skill for those working in an Inpatient setting. This seminar (1) and Team Working & Theraputic Milieu seminar (2) are linked because developing an effective and supportive milieu for staff and children/young people and their families is strongly linked to the team’s
collective and individual ability to mentalise.

2. Team Working & Therapeutic Milieu

The target client group usually attracts large interagency professional networks, so that coordinating care is frequently challenging. 

The training emphasises the essential requirement for local services to adapt its tools to support local requirements, and empowers them to do so. The facilitators will be helping attendees focus on creating conditions that would support the most effective outcomes from a range of therapeutic interventions that are on offer – in many of which the team will already have abundant skills and expertise. 

Its goal is to provide a platform to help workers to think and prioritise in settings where immediate demands often drown out such opportunities, and to move forward with tools to help the onwards development of team identity, a shared mission and methods.

Team working & Mentalisation sessions utilize many of the AMBIT techniques. More information about AMBIT can be found freely available online (manuals.annafreud.org/ambit).

3. Child Development

Matt Woolgar is a clinical psychologist who has worked in community and residential settings with children and young people. He has a particular interest in how we translate research on development and attachment particularly research on emotion regulation into work with children and young people particularly those who might be thought of as ‘ hard-to-manage’. Dr Woolgars session will cover how an understanding of development can help and inform your work - not just theorectically but in the practical. 

4. Parenting

This session will focus on the importance of the relationships with the parents/carers of children and young people who are in your care. The family/carer is usually the strongest resource that young people have when they suffer adversity, psychological difficulties and mental ill health and are likely to be dramatically affected by their young person’s admission. The family/carer often need help in working out what they can do for their young people, how they can change patterns which affect emotional wellbeing, and how they can build resilience.; and how they can be an important resource in your work.

5. Trauma Informed Care

Dr David Trickey is a Clinical Psychologist whose research and clinical work focuses on how trauma affects children and young people and is co-Director of the UK Trauma council. Many of the children and young people cared for in inpatient CAMHS units have histories of abuse and neglect. This seminar will cover how trauma can affect people and how we can adapt the care. At its most basic, Trauma-Informed Care could be described as services and individuals providing care asking the question “what’s happened to you?” rather than the question ‘What’s the matter with you?” Ideally it can be seen in the knowledge, attitudes and behaviour at an systemic level, as well as at an individual level. This one day workshop will explore how children and young people can be traumatised by their experiences, in explicit and implicit ways. And then will consider how care can be provided in a way that takes into account the likely trauma histories of clients.

6. Psychopharmacology

Dr Margaret Murphy is a consultant child and adolescent psychiatrist who has spent much of her consultant career working in CAMHS inpatient units including general adolescent units and a specialist eating disorder inpatient unit. Dr Murphy also worked for CQC as the clinical advisor on inpatient CAMHS. What will be covered?- The seminar will cover the main medications used in CAMHS inpatient settings, good practice in prescribing including use of PRN and rapid tranquillization and how to integrate use of medication with other aspects of care.

7. Physical Health 

Dr. Sanchita Pal is a consultant pediatrician. The seminar will cover common physical health problems occurring in children and young people and health promotion in children and teenagers. 

8. Looked after CYP

Dr. Sheila Redfern is a clinical psychologist. her clinical work has focused on the relationship between attachment security, trauma and development, and has developed services for young people with emergent boarderline personality disorder using mentalization based therapy. An overview of the system and context for Looked After Children and Young People in England and Wales; the problems experienced by
Looked After Children and Young People and how to adapt clinical care to better the needs of Looked After Children and Young Person.

9. Collaborative Practice with CYP & Parents including ROMS

What will be covered - Collaborative practice means working together towards shared goals. However this can be difficult to achieve in inpatient settings where people may be admitted involuntarily, there are inevitable rules and children and young people may not share the adults’ views of what their outcomes should be. This session will explore what the barriers and opportunities are within your settings to establish and maintain effective collaboration. The use of Routine Outcome Measures will be considered alongside this as a tool for gauging individual progress and setting shared goals of care. 

10. Autism Spectrum Conditions (with or without Learning Disabilities) - Practical Application 

 This will be a very practical session helping staff to think about how the environment and care processes in their units could be better adapted to meet the needs of autistic people. It is expected that staff will already have completed training on a basic understanding of autism such as the MindEd modules.

 

Please register for each session that you plan to attend by using the 'Book Now' buttons on the right. 

The Zoom links for attendance will be sent to registrants:

• 2 weeks,
• 1 week,
• and 1 day before the training/

Registration closes the day before each session at 13:00. 

We will only be able to provide Certificates of Attendance for those that register. If, for example, you are joining from the service in a group call on the day, this will not be a problem but staff will need to initially individually register so we can compare registration with attendance.