RQIA Independent Review of Child and Adolescent Mental Health ...

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Chapter 10 Recommendations 10.1 Department of Health, Social Services and Public Safety Recommendations 1. The Department of Health, Social Services and Public Safety should confirm through policy guidance a model for service provision in Northern Ireland. 10.2 Health and Social Care Board Recommendations The Health and Social Care Board should: 1. Investigate and address the high combined 'Did Not Attend' rate and cancellation rates. 2. Routinely measure service user and carer experience and outcomes using consistent methods across all trusts. 3. Ensure a collaborative and pragmatic approach is taken by all trusts to managing access to the regional child and adolescent in-patient facility. 4. Ensure all young people who present in a crisis have access to emergency or intensive support services. 5. As part of it's commissioning plan clarify and specify the core model for CAMHS, outlining the specific service definitions for tiers 2 to 4. 6. Examine the reasons for the variation in referral rates to all tiers across Northern Ireland. 7. Work towards the cessation of the admission of young people to adult wards through development of alternative community 133
ased services and interventions. 8. Ensure that the role of a primary mental health worker is available in all trusts. 9. Collect and monitor demographic information to ensure that CAMH services continue to meet the needs of the young people and their families. 10.3 Regional Recommendations for all Trusts Theme 1: CAMHS Organisational Structures (Reporting and Accountability Arrangements) 1. A clearly developed operational strategy for CAMHS should be in place, and communicated to all staff working within CAMHS. 2. Strategies should be developed to overcome high DNA and CNA rates to ensure maximum efficiencies in service delivery. Theme 2: Information and Communication 3. Young people and parents should be included in the processes of planning, delivering and evaluating services. 4. Young people should have access to a range of age appropriate resources including the internet, to promote participation and engagement strategies for CAMHS. 5. Complaints information should be more accessible in a user friendly format for children and young people to ensure they know of how to make a complaint. 6. Children and young people should be able to access advocacy services and trusts should provide appropriate advocacy support. 134
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Place your message here. For maximu
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Chapter 6 Risk Assessment and Manag
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Executive Summary Context The revie
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Findings • Staff in each of the f
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Terms of Reference 2 Risk Assessmen
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CHAPTER 1: Context of the Review 1.
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1.3 Relevant legislation The follow
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Key areas for improvement identifie
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Quality Improvement Network for Mul
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Self-assessment The five trusts and
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Chapter 3: Profile of CAMHS in Nort
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When a young person requires access
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When inpatient CAMHS or an alternat
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Trust Number of Admissions Age Rang
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Number of Referrals 700 600 500 400
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3.6 HSC Board profiling Following t
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Chapter 4: Regional Views of Servic
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It was agreed that the consultation
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Of the young people who did not fin
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Trust Name (Total no. of participan
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medication changes. In the Belfast
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Young people stated: “I have five
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Care Plan Young people were asked a
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Young people discussed a range of e
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that they did not have a good relat
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Trust Name (Total no. of participan
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Waiting Times Parents were asked if
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Figure 20: Parents’ views on supp
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32% 5% 63% Happy with crisis respon
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Of the parents surveyed only two ha
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Chapter 5: Access and Availability
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Criterion 1.1.4 - Service delivery
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The following scoring system has be
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Term of Reference 1 Theme 1. Organi
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5.2 Theme 2: Information and Commun
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Term of Reference 1 Theme 2. Inform
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5.3 Theme 3: Access and Availabilit
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specialist CAMHS in some areas prac
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Term of Reference 1 Theme 3. Access
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Term of Reference 1 Theme 3. Access
Page 85 and 86: Term of Reference 1 Theme 3. Access
Page 87 and 88: Assessment by review team comprehen
Page 89 and 90: It would appear that all trusts att
Page 91 and 92: Term of Reference 1 Theme 4 Access
Page 95 and 96: Term of Reference 1 Theme 5 CAMHS f
Page 97 and 98: Theme 2: Clinical and Social Care G
Page 99 and 100: 6.2 Theme 2: Clinical and Social Ca
Page 101 and 102: 6.3 Theme 3: Human Rights Term of R
Page 103 and 104: appropriate care was delivered on t
Page 105 and 106: Criterion 2.4.8 - All incidents of
Page 107 and 108: hospital. They stated that at times
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Page 111 and 112: Term of Reference 2 Theme 4 Young p
Page 119 and 120: All of the trusts indicated that th
Page 121 and 122: Term of Reference 3 Theme 1 Transit
Page 123 and 124: 3.1.4. All service users, their fam
Page 125 and 126: Chapter 9 Assessment of HSC Board 9
Page 129 and 130: 1.2.7 CAMHS Clinical psychology (Co
Page 133 and 134: Term of Reference 1 Theme 3 Commiss
Page 135: Belfast reported they had poor acce
Page 139 and 140: Theme 5: CAMHS Facilities No recomm
Page 141 and 142: Southern Trust - Recommendations Th
Page 143 and 144: DAMHS DART DHSSPS DNA ECRs FACE Fou
Page 145 and 146: Tier 4 Specialist Multi-disciplinar
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