As well as being a relatively new service (launched June 2016) and providing committed dedicated high-quality evidence based effective care to this vulnerable population, the team have been proactive by launching a year long eating disorder, body image and self-esteem Campaign; The Everybody Campaign; Everybody has a body and everybody is brilliant. Aims of the campaign: 1)To raise awareness and promote better understanding of eating disorders 2) To improve knowledge and encourage early identification of eating disorders 3) To promote awareness of where and how to make referrals to Hampshire CAMHS’ Specialist Eating Disorder Team 4) To improve body image acceptance, self-esteem and confidence in young people 5) To promote compassion and kindness 6) To inspire and empower young people to develop positive ways of coping
Please briefly describe your project, group, team or service, outlining what you do and why it makes a difference.
As well as being a relatively new service (launched June 2016) and providing committed dedicated high-quality evidence based effective care to this vulnerable population, the team have been proactive by launching a year long eating disorder, body image and self-esteem Campaign; The Everybody Campaign; Everybody has a body and everybody is brilliant. Aims of the campaign: 1)To raise awareness and promote better understanding of eating disorders 2) To improve knowledge and encourage early identification of eating disorders 3) To promote awareness of where and how to make referrals to Hampshire CAMHS’ Specialist Eating Disorder Team 4) To improve body image acceptance, self-esteem and confidence in young people 5) To promote compassion and kindness 6) To inspire and empower young people to develop positive ways of coping The Campaign compromises of a number of exciting, inclusive and inspiring projects which target; service users of the Hampshire EDT, all children and young people of Hampshire, parents and carers and professionals from voluntary and statutory services working with young people.
What makes your service stand out from others? Please provide an example of this.
Here is a brief summary of some of the projects/ initiatives of the Everybody Campaign: 1) The Great Big Bunting Off To promote individuality and diversity, young people and organisations will take part in creating a public display of art. Bunting will illustrate strengths, talents, things that make each person unique, things they are proud of, things that identity them. People could also use their section to express ways of coping, resilience and resources available to them and others during tough times. Just as no two people are the same, no pieces of bunting will be the same. We hope this project will be a celebration of difference and diversity; a reflection of strength, talent and personal expression using a creative medium. We are hoping to break a Guinness World Record for the longest string of bunting- approximately 11 miles!
Also our Guinness World Record attempt will coincide with the 70th birthday of the NHS on Thursday 5th July 2018. Approximately 40 schools, youth groups (Brownies, Scouts, young carers etc) and other organisations have taken part in this project with an estimated 10,000+ young people so far taking part. 2) Early Intervention Initiatives such as; Stickers highlighting key physical risk indicators of eating disorders along with the Hampshire EDT number on, to go into every GP clinic room, every school nursing office in Hampshire 3) Free Parent, Carer and Professional workshops on how to spot the signs of an eating disorder, how to support a young person with eating difficulty and how to boost body image and self-esteem. This has been filmed and is freely available for download from our website hampshirecamhs.nhs.uk 4) One Year to Make a Difference Project; Every 2 months, a newsletter is published which each one focusing on a topic related to young people’s sense of self, self-esteem, body image and self-confidence. Topics include; 1) Talents, strengths and individuality 2) Healthy lifestyle and healthy living (including nutrition), 3) Self-compassion, coping, resilience 4) Friendship and kindness to others 5) Communication and connection 6) Living a life of value and having fun. 5) Body Image Workshops; we are offering free body image and self-esteem workshops to Junior and Secondary schools across Hampshire.
Workshops consists of one hour sessions designed to engage young people, facilitate discussion, provide information and promote body image awareness in order to develop a healthy attitude to body image acceptance. Up to four workshops can be facilitated within a day with a maximum of 80 young people participating. So far 75+ schools have signed up to this initiative. 6) Conferences; Hampshire EDT will facilitate two free whole day events (one for junior school young people and one for secondary school young people). These events will provide a unique opportunity to explore eating difficulties, body image and self-esteem in creative, inspiring and memorable mediums. Also, a conference aimed at professionals working with young people (education, health, social care and voluntary sector). The focus of the event will be practical; information and resources required to identify and support young people with eating difficulties. There are other projects- this is just a selection!
How do you ensure an effective, safe, compassionate and sustainable workforce?
All EDT staff are supervised by appropriately skilled and qualified supervisors. All projects and initiatives are thoroughly risk assessed and have risk management plans associated for any young person that may take part or be involved. Training from the Lead Clinical Psychologist has been delivered to assistant psychologists, primary wellbeing practitioners, nurses, support workers to be able to deliver mass workshops/ projects across Hampshire CAMHs. All projects and initiatives are grounded in theory/ evidence base and consent is sought thoroughly for any young person taking part. Senior management are involved in supporting the design, delivery and audit of the Campaign and the projects associated. All projects are audited and feedback gathered. There will be a summary report written including all strands of the project which will be freely available. All resources from this project are freely available for download from our website hampshirecamhs.nhs.uk or can be requested directly from the team.
Who is in your team?
The team is made up of psychiatrists, a Clinical Psychologist, a psychological therapist, clinical nurse specialists, occupational therapist, dietician, family therapists, assistant psychologists, support workers, admin. This Campaign has been led by Helen Dove, Innovation and Participation Lead for Hampshire CAMHs and Emily David Clinical Psychologist
How do you work with the wider system?
We work closely with our Hampshire CAMHs colleagues who share involvement in many of the projects and initiatives. many of our projects involve detailed working collaborations with other agencies and organisations including but not limited to; Hampshire Cultural trust, Police Crime Commissioner, School Nursing Teams, Education providers (including special schools and PRU’s), Social Care, Primary Care services, voluntary agencies (such as young carer groups, bereavement charities, Autism Hampshire etc.
Do you use co-production approaches?
We involve young people in participation projects to design and deliver projects where possible and we seek to involve as many young people from various sources as practically possible for all our initiatives. Some of the projects were born from completing focus groups and audits to gather young people views about the pressing issues they experience or their feedback about what they would most like help/ support/ information about. We seek to find creative ways of delivering projects with key messages in many different forms to appeal and include as many young people as possible. Many of our projects such as the Great Big Bunting Off have brought communities together with shared aim, vision and focus. Children from pre-schools to adolescents at college and every age and from many different demographics have taken part in our projects.
Do you share your work with others?
Yes. All our resources, projects and campaign initiatives are freely available via our website. We share details of our events, projects, resources and initiatives via our social media platforms (Facebook, twitter and Instagram) as well as email out to our distribution lists which include; every school in Hampshire and other key stakeholders. Individuals can also request and be included in distribution lists or email directly for specific information or involvement. we attend as many public events as possible at weekends and evenings to increase our visibility and accessibility as well as to collaborate with other relevant initiatives being run in the county to work together for shared vision with other agencies.
What outcome measures are collected, how do you use them and how do they demonstrate improvement?
With workshops being run, we ask all young people to complete IAPT based session rating scales as well as qualitative feedback forms. For other initiatives we use various forms of feedback which seek to gather both quantitative and qualitative feedback from any person engaged within a campaign or project in order to establish whether the aims of the initiative/ project have been met, as well as to gather subjective views and feedback for service/ project development. All feedback is freely available and will be written into a campaign evaluation report at the end of the year. A Lead Clinical psychologist within the EDT oversees and ensures all projects are appropriately evaluated for effectiveness and quality. Feedback is also gathered from clinicians delivering projects to further ensure projects are being delivered appropriately, safely and effectively. Supervision and this feedback and regularly reviewed by both the Lead Clinical Psychologist and Innovation Lead.
Has your service been evaluated (by peer or academic review)?
The EDT service is evaluated by CQC and via other internal measures. The Campaign is evaluated as previously stated.
How will you ensure that your service continues to deliver good mental health care?
Feedback about the Campaign is regularly shared with senior managers, commissioners and to other key stake holders to keep people informed of the projects and their outcomes. This is vital when thinking about developing other collaborative working relationships and involving others in our projects as well as for sustainability and inclusivity across the county. We have been able to do this successfully by attending key meeting and presenting our work and being open to forming collaborations with other agencies and inviting other to work alongside us.
What aspects of your service would you share with people who want to learn from you?
We are happy to share our resources, projects and campaigns with anyone who is interested. This includes design, set up, delivery and evaluation as well as the barriers and obstacles identified and solutions generated. These include; staffing resources to be able to deliver some interventions.
How many people do you see?
approx. 350 referrals each year. The Everybody Campaign aims to involve every young person in Hampshire in some way with at least one of our projects.
How do people access the service?
people can self-refer to the EDT via our website or telephone line. Our projects are generally open to anyone who wants to take part and we make it clear how to access and get involved via our website, social media sites and via our distribution lists. We also make flyers which are widely distributed across the community.
How do you meet the needs of people using the service and how could you improve on this?
we could do with better school links to ensure that the right member of staff is receiving info about our projects to ensure schools are as aware and engaged as possible in the free resources and projects we are offering so as many children as possible can benefit.
NCCMH mental health care pathways
Have you implemented any of the mental health care pathways developed by the NCCMH (on behalf of NHS England)?
Eating Disorder Services for Children and Young People in the Community
If you have implemented any of the above, what were the benefits and challenges?
Time and resources to be able to do this! identifying a lead Clinical Psychologist, lead Nurse, Lead Psychiatrist and Leaf Family Therapist to work alongside the Team manager has been effective in managing the challenges of implementing specific pathways, ensuring we are following the Access and Waiting Time Standard and NICE guidelines.
Population details
Brief description of population (e.g. urban, age, socioeconomic status):
Any young person experiencing an eating difficulty 0-18years within Hampshire.
Size of population and localities covered:
All of Hampshire. Average referral rate per year 350-400
Commissioner and providers
Commissioned by (e.g. name of local authority, CCG, NHS England): *
5 different CCG’s
Provided by (e.g. name of NHS trust) or your organisation: *
