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

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3.5 Child Protection Training The profile questionnaire requested information on the percentage of CAMHS staff who have completed child protection training. Graph 5 outlines the percentages of staff trained at each level by individual trust. Percentage of Staff with CAMHS who have completed Child Protection Training 100 % 80 60 40 20 Stage 1 Stage 2 Stage 3 0 Belfast & South Eastern Trusts Northern Trust Southern Trust Western Trust Graph 5: Child protection training for CAMHS staff by trust Stage 1 Stage 2 Stage 3 Definitions of Stages of Child Protection Training Introduction to the safeguarding of children, having regular contact with children and/or parents Foundation training for staff working with children and families, where there may be a high risk of significant harm, but the staff are not involved directly in child protection services. Specialist training for staff directly involved in investigation, assessment and intervention to protect children considered to be at risk of significant harm. Source: Cooperating to Safeguard Children (DHSSPS, 2003) All trusts have achieved a high level of compliance with child protection training at stage 1 e.g. Southern Trust have 97 per cent of their staff trained to Stage 1. All other trusts have achieved at least 80 per cent. The review team noted the framework for training outlined. All CAMHS staff should be trained to a minimum of Child Protection Stage 2. This conclusion is based on training definitions and principles outlined in Cooperating to Safeguard Children (Interagency Training) (DHSSPS, 2003). 27
3.6 HSC Board profiling Following the review of public administration (RPA) the HSC Board became operational on 1 April 2009. The organisation structure consists of a Director of Social Care and Children Services in partnership with directors of commissioning, and performance. The HSC Board though the Children's Mental Health Commissioning teams, in partnership with local commissioning groups has responsibility for the commissioning of CAMHS. This is supported by a recently established Bamford Implementation Group. Director of Commissioning Director Social Care and Children Director Performance Management and Service Improvement Assistant Director Social Care and Children Assistant Director Mental Health and Learning Disability Assistant Director Mental Health Learning Disability Social Care and Community Care Service Improvement Performance Management 5 Local Commissioning groups CAMHS Commissioning Lead (TBA) Children & Families Commissioning Team Mental Health Regional Commissioning Team Mental Health and CAMHS Service Improvement Lead CAMHS Bamford Implementation Group Diagram 2 HSC Social Care Board Commissioning Structure DHSSPS Patients Client Council Independent Review HSCB - Bamford Implementation Steering Group Bamford CAMHS Sub Group CAMHS Workstreams CAMHS Managers Forum CAMHS Professional Forum CAMHS Community and Voluntary Sector Reference Group Diagram 3 Bamford Task Force Implementation Framework - CAMHS 28
Page 1 and 2: Place your message here. For maximu
Page 3 and 4: Chapter 6 Risk Assessment and Manag
Page 5 and 6: Executive Summary Context The revie
Page 7 and 8: Findings • Staff in each of the f
Page 9 and 10: Terms of Reference 2 Risk Assessmen
Page 11 and 12: CHAPTER 1: Context of the Review 1.
Page 13 and 14: 1.3 Relevant legislation The follow
Page 15 and 16: Key areas for improvement identifie
Page 17 and 18: Quality Improvement Network for Mul
Page 19 and 20: Self-assessment The five trusts and
Page 21 and 22: Chapter 3: Profile of CAMHS in Nort
Page 23 and 24: When a young person requires access
Page 25 and 26: When inpatient CAMHS or an alternat
Page 27 and 28: Trust Number of Admissions Age Rang
Page 29: Number of Referrals 700 600 500 400
Page 33 and 34: Chapter 4: Regional Views of Servic
Page 35 and 36: It was agreed that the consultation
Page 37 and 38: Of the young people who did not fin
Page 39 and 40: Trust Name (Total no. of participan
Page 41 and 42: medication changes. In the Belfast
Page 43 and 44: Young people stated: “I have five
Page 45 and 46: Care Plan Young people were asked a
Page 47 and 48: Young people discussed a range of e
Page 49 and 50: that they did not have a good relat
Page 51 and 52: Trust Name (Total no. of participan
Page 53 and 54: Waiting Times Parents were asked if
Page 55 and 56: Figure 20: Parents’ views on supp
Page 57 and 58: 32% 5% 63% Happy with crisis respon
Page 59 and 60: Of the parents surveyed only two ha
Page 61 and 62: Chapter 5: Access and Availability
Page 63 and 64: Criterion 1.1.4 - Service delivery
Page 65 and 66: The following scoring system has be
Page 67 and 68: Term of Reference 1 Theme 1. Organi
Page 73 and 74: 5.2 Theme 2: Information and Commun
Page 75 and 76: Term of Reference 1 Theme 2. Inform
Page 77 and 78: 5.3 Theme 3: Access and Availabilit
Page 79 and 80: specialist CAMHS in some areas prac
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Term of Reference 1 Theme 3. Access
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Assessment by review team comprehen
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It would appear that all trusts att
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Term of Reference 1 Theme 4 Access
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Term of Reference 1 Theme 5 CAMHS f
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Theme 2: Clinical and Social Care G
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6.2 Theme 2: Clinical and Social Ca
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6.3 Theme 3: Human Rights Term of R
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appropriate care was delivered on t
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Criterion 2.4.8 - All incidents of
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hospital. They stated that at times
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Assessment by review team person on
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Term of Reference 2 Theme 4 Young p
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All of the trusts indicated that th
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Term of Reference 3 Theme 1 Transit
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3.1.4. All service users, their fam
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Chapter 9 Assessment of HSC Board 9
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1.2.7 CAMHS Clinical psychology (Co
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Term of Reference 1 Theme 3 Commiss
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Belfast reported they had poor acce
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ased services and interventions. 8.
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Theme 5: CAMHS Facilities No recomm
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Southern Trust - Recommendations Th
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DAMHS DART DHSSPS DNA ECRs FACE Fou
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Tier 4 Specialist Multi-disciplinar
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