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

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Chapter 6 Risk assessment <strong>and</strong> management in CAMHS<br />

6.1 Term <strong>of</strong> Reference 2<br />

Theme 1: Risk assessment for children <strong>and</strong> young people<br />

In 2011 <strong>RQIA</strong> will review the implementation <strong>of</strong> guidance issued by the DHSSPS (2009) on risk assessment <strong>and</strong> management in<br />

adult mental health <strong>and</strong> learning disability settings. In planning the review <strong>of</strong> mental health services for children <strong>and</strong> young people,<br />

it was agreed that a baseline analysis <strong>of</strong> the risk assessment <strong>and</strong> management tool which implements the guidance would be<br />

conducted.<br />

A regionally agreed assessment tool, Functional Assessment <strong>of</strong> the Care Environment (FACE) was to be implemented throughout<br />

community <strong>and</strong> inpatient settings by 1 June 2010. Whilst PQC was issued in Sept 2009, the CAMHS addendum relating to FACE<br />

was only issued in May 2010 after the ToR were agreed. As this review was conducted in June 2010, the implementation <strong>of</strong> the<br />

tool was incomplete, therefore it would not provide sufficient information to indicate how well the guidance was embedded into<br />

daily practice. Alternatively, an overview <strong>of</strong> the initial stages <strong>of</strong> the implementation <strong>of</strong> risk assessment <strong>and</strong> management derived<br />

from the information from the focus groups with clinicians <strong>and</strong> management in the four trust areas is provided. In addition, the<br />

theme <strong>of</strong> clinical <strong>and</strong> social care governance has been based on recommendations made in Bamford <strong>and</strong> compliance with the<br />

<strong>Mental</strong> <strong>Health</strong> Order is assessed under a human rights approach.<br />

In the future <strong>RQIA</strong> will carry out a file audit for further review to provide DHSSPS assurance that risk assessment <strong>and</strong><br />

management, using the regional core guidance <strong>and</strong> regionally agreed tools, is effectively used to ensure the quality <strong>and</strong> safety <strong>of</strong><br />

risk assessment for children <strong>and</strong> young people accessing CAMHS.<br />

Criterion 2.1 A baseline review <strong>of</strong> the risk assessment <strong>and</strong> management in CAMHS<br />

All trusts were aware <strong>of</strong> the implementation <strong>of</strong> the FACE tool. Three <strong>of</strong> the trusts had commenced building it into assessment <strong>and</strong><br />

management plans for children <strong>and</strong> young people. The Northern Trust has not implemented FACE.<br />

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