The project is a co-productive project aimed at reducing the stress, and hardship of young people transferring from Child and Adolescent Mental Health Services, to Adult Mental Health services. The two services have very different working styles. The group offers Peer Support from a group of individuals who have themselves been through the transition process. We will offer training sessions, guest speakers, teaching sessions (such as basic cooking skills) and a safe space for young people to speak about their experiences.
Please briefly describe your project, group, team or service, outlining what you do and why it makes a difference.
The transfer from CAMHS to AMHS is recognized as being a particularly turbulent time for young people. With changes to way of working and responsibility, some young people can really struggle with the changes. NICE guidelines recommend Peer Support for those transitioning to AMHS services. The Transitions Worker met with the Involvement Coordinator and identified 3 young people to discuss the transition. They expressed a passion to get involved, and to do what they could to make the transition better for others. The group agreed on a Peer Support group. During planning meetings the Involvees we asked the following questions: what support needs would they have wanted during their own transition? Who would they have wanted to speak to? What would they have wanted to know? The group came up with a plan, of a fortnightly support group, held in a Youth style venue. This would group would have a different aim for each session: 1. Workshop – learning around a subject, including basic living skills such as cooking and cleaning. 2. Speaker – this would be an invited speaker from local agencies and organisations, to talk about the work they undertake and offer. 3. Change – the group were really keen that they wanted to be able to make change, Improve services, and get involved in service design throughout CAMHS and AMHS Services.
The project is a co-productive project aimed at reducing the stress, and hardship of young people transferring from Child and Adolescent Mental Health Services, to Adult Mental Health services. The two services have very different working styles. The group offers Peer Support from a group of individuals who have themselves been through the transition process. We will offer training sessions, guest speakers, teaching sessions (such as basic cooking skills) and a safe space for young people to speak about their experiences. Following a successful bid to Charitable funds the group were able to secure the funding for a venue, and the group started in January 2019. Since then, the group has grown to around 10 regular attendees, learning skills, sharing experiences, giving support to each other as well as feeing into the current projects around CAMHS Service provision, The Riverside Unit changes, the access to CAMHS services and AWP Clinical Strategy design.
What makes your service stand out from others? Please provide an example of this.
A fully coproduced and Peer delivered group, it stands out as real innovative practice. The group is supported by staff, but delivered by the young people who have themselves gone through the transition between services. The supportive nature, passion and wealth of experience is second to none. The group is an exceptional example of co-design and coproduction that absolutely deserves to be nominated. The group are championing change within the two organisations, making sure the service user voice is heard, and actioned.
How do you ensure an effective, safe, compassionate and sustainable workforce?
The three young people were provided the training to become Peer Mentors, to ensure they were equipped to facilitate the group. We have a half hour debrief after every session to ensure the facilitators have a space to discuss any issues from that session. Nicola provides monthly support/supervision to the facilitators. We meet quarterly to reflect on the past three monthly os sessions, to review, make changes and improve practice. We will take applications from attending members in one year for potential training and joining the Facilitator group. Lesley and Nicola have regular management supervision (monthly), as well as regular clinical supervision.
Who is in your team?
Lesley – 7 (Full time) Nicola – 5 (Full time)
How do you work with the wider system?
The facilitators were provided with the Peer Mentor Training package to ensure they were equipped to deliver the group. They are able to stand down at any time, as well as being able to get involved in other involvement projects. The group work closely with Barnardo’s to feedback on the local inpatient experience, as well as the CAMHS teams, other providers and project boards for changes to services. The group are imbedded within Adult Mental Health services and feed into the Local Mental Health Engagement Forum.
Do you use co-production approaches?
This whole project has been coproduced. From the point of inception, when the young people were asked to get involved with a project. Working closely with Lesley and Nicola, the three facilitators strive to provide the best group, service and support possible.
Do you share your work with others? If so, please tell us how.
The group would be happy to share, we have shared it within our organisation but at this point we have not been publicized or discussed in the wider context.
What outcome measures are collected, how do you use them and how do they demonstrate improvement?
Prior to attending the group, the young people complete a WEWBS, this is then repeated regularly in-session to ensure improvement, as well as anonymous comments are captures to improve the group.
Has your service been evaluated (by peer or academic review)?
How will you ensure that your service continues to deliver good mental health care?
The organisation and Trust board are keen to continue, develop and evaluate this project. The Quality Improvement Team are involved, to ensure information is captured correctly as well as reviewed regularly. The Project leads, CCG and partner organisations are keen to continue this outstanding project.
What aspects of your service would you share with people who want to learn from you?
We would love to share the great work that has been undertaken, share the learning and challenges we have encountered on this journey. We would offer solutions and guidance on how to best proceed and facilitate a group like this, as well as offering some evidence as to why it is effective.
How many people do you see?
15 – 20 Young people since starting January 2019
How do people access the service?
Via referral to Senior Practitioner in CAMHS Transitions
How long do people wait to start receiving care?
Once referral is received, and triaged by Lesley they are able to attend from the next session if appropriate.
How do you ensure you provide timely access?
The referral process is open and clearly managed.
What is your service doing to identify mental health inequalities that exist in your local area?
The group facilitators are actively involved in coproduction and involvement within the locality, as well as the attending group session feeding directly into current projects around CAMHS Service provision, The Riverside Unit changes, the access services, The local Mental Health Partnership and AWP Clinical Strategy design.
What is your service doing to address and advance equality?
We adhere to Equality Act 2010, Care Act 2014, Human Rights Act 1998, we work closely to have raise awareness via our Local Engagement Forum and Events. The CAMHS to AMHS Transition Peer Support Group has been specifically set up to improve the experience for people who are at risk from and who often experience inequalities in health and care provision.
What support do you offer families and carers? (where family/carers are not the service users)
Carers are referred to Carer Psychoeducation Group, as well as an informal Care and Share café drop in. They are supported to have a Carers Assessment and are able to access further support from the Carer Support Centre.
Commissioner and providers
Commissioned by (e.g. name of local authority, CCG, NHS England): BNSSG CCG
Provided by (e.g. name of NHS trust) or your organisation: Avon and Wiltshire Mental Health Partnership NHS Trust
Brief description of population (e.g. urban, age, socioeconomic status):
South Glos. is a mix of Urban deprivation and rural poverty hidden behind a façade of the rural ideal. The population is approx. 250,000. Reduced level of support from third sector providers who tend to focus more into the City areas.
Size of population and localities covered: South Gloucestershire
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