#WeCYPNs - Wednesday 20th September 2017 8pm (GMT Standard Time) CAMHS

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Hosted by WeCYPnurses using #WeCYPNs

Future in mind

Promoting, protecting and improving our children and young people’s mental health and wellbeing

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/414024/Childrens_Mental_Health.pdf

Over half of mental health problems in adult life (excluding dementia) start by the age of 14 and seventy-five per cent by age 18.

Future in Mind is the Government's 5year plan to help improve mental health of CYP which aims 2015-2020 to

  1. Improve public awareness and understanding to help reduce stigma and discrimination.

  1. Children and young people having timely access to clinically effective mental health support when they need it.

  1. Change in how care is delivered moving away from a system defined in terms of the services organisations provide (the ‘tiered’ model) towards one built around the needs of children, young people and their families.

  1. Increased use of evidence-based treatments with services rigorously focused on outcomes.

  1. Making mental health support more visible and easily accessible for children and young people.

  1. Improved care for CYP in crisis so they are treated in the right place at the right time and as close to home as possible.

  1. Improving access for parents to evidence-based programmes of intervention and support to strengthen attachment between parent and child, avoid early trauma, build resilience and improve behavior

  1. A better offer for the most vulnerable children and young people, making it easier for them to access the support that they need when, and where they need it.

  1. Improved transparency and accountability across the whole system, to drive further improvements in outcomes.

  1. Professionals who work with children and young people are trained in child development and mental health, and understand what can be done to provide help and support for those who need it.

During this chat we will

  • look at the differences in CAMHS provision around the country
  • identify areas of good practice
  • try to ascertain if any improvements have been noted as a result of the Future in Mind report considering we're probably nearly half way through the 5 years
  • what areas need further improvement?

References and Resources

The Young Minds website is an excellent resource

https://youngminds.org.uk/

Our previous CAMHS chat was 2 years ago

http://wecommunities.org/tweet-chats/chat-details/1487

RCN (2014) Mental health in children and young people:  An RCN toolkit for nurses who are not mental health specialists https://my.rcn.org.uk/__data/assets/pdf_file/0003/596451/RCNguidance_CYPmental_health_WEB.pdf






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 Chat Summary

 

Thanks to everyone who joined this chat, it was a very productive and enjoyable chat concentrating on a very topical issue


Question 1

What are the biggest challenges that you face looking after cyp with mental health issues on children’s wards?

  • fear of the unknown- what to expect and having the right supporting networks available (@spencer_sian)
  • most paediatric nurses don't get very much training in mental health (@cdodd09)
  • it would be great if there was some training offered at the very start of nursing roles and posts- as part of induction (@spencer_sian)
  • not having enough experience or knowledge to know how to deal best with certain issues (@bradley_juliet)
  • I feel like there are still issues in identifying mental health conditions (@DannGooding)
  • lack of t4 beds (@robbradley01)
  • training is crucial in supporting paediatric nurses on the ward (@hardcastle76)
  • new joint qualification cyp and cyp mh being offered university Leicester from 2018 (@hardcastle76)cChallenges regarding looking after YP that need 1-1 supervision, getting extra staff (@cdodd09)
  • staffing issues resulting in poor retention of nurses (@karmicgirl)


Question 2 and Question 3

In 2015 the Gvt launched a 5 yr strategy Future in Mind to help improve mental health of CYP 2 years in have you seen any improvements in your area?

Can you highlight any particular areas of good practice in your area?


  • @whytecm explainined how at Walsall they've looked at a whole system redesign including recognised training for staff to complete risk assessments.  Also reduced a substantial agency spend and converted to a substantive budget and have developed 2 anti-ligature areas.
  • @robbradley01 explained how Derby have CAMHS Rise who see patients in CED and have reduced the amount of admissions and offering support to CYP that is needed and has resulted in a 50% reduction in admissions to the ward
  • @michelletraine4 explained how the CAMHS and liaison service in Tees, Esk and Waer Valleys


Question 4

What areas still need further improvement?

  • There was a lot of discussion about crisis managment including out ouf hours support and early intervention including the role of schools and school nurses and home intervantion

Question 5

How can we support the families of our CYP with mental health issues?

  • Support for families is integral and needs to align to the wellbeing recovery for CYP (@DeeDavies12)
  • Education on their child's MH condition. It might be hard for them to empathise if they don't understand it (@MissLucyMay)





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 #WeCYPNs transcript

 
@WeCYPnurses
20 September 2017 20:00
Give us a wave, say hello and tell us what sort of area you work in Don't forget to use #wecypns ?? https://t.co/T46FmJD0nH
@emmaoman
20 September 2017 20:01
RT @WeCYPnurses: Tell your friends to join our camhs chat 8pm tonight #WeCYPNs https://buff.ly/2jAry2b https://t.co/kysdnzuw2S
@spencer_sian
20 September 2017 20:01
#wecypns Evening all?? sian here for a short while- Specialised Play Practitioner @WeCYPnurses https://twitter.com/wecypnurses/status/910579394669875200
@KateHKnight
20 September 2017 20:01
RT @WeCYPnurses: Tell your friends to join our camhs chat 8pm tonight #WeCYPNs https://buff.ly/2jAry2b https://t.co/kysdnzuw2S
@cdodd09
20 September 2017 20:01
@WeCYPnurses Caroline here at the helm tonight, I work on a general paeds ward where we have lots of cyp with MH issues #WeCYPNs
@WeCYPnurses
20 September 2017 20:02
@spencer_sian so glad you could join us Sian #wecypns
@WeCYPnurses
20 September 2017 20:05
Lets start with the 1st question #wecypns https://t.co/8H2eXQRFIV
@spencer_sian
20 September 2017 20:07
@WeCYPnurses Great first Q.#wecypns for us it's the fear of the unknown- what to expect and having the right supporting networks available
@cdodd09
20 September 2017 20:07
@WeCYPnurses Most paediatric nurses don't get very much training in mental health #wecypns
@spencer_sian
20 September 2017 20:07
RT @cdodd09: @WeCYPnurses Most paediatric nurses don't get very much training in mental health #wecypns
@karmicgirl
20 September 2017 20:08
@WeCYPnurses #WeCYPNs orla from NÍ . Education , Prisons and currently CAMHs
@WeCYPnurses
20 September 2017 20:08
@spencer_sian how do we try to make this better Sian? #wecypns
@karmicgirl
20 September 2017 20:08
@WeCYPnurses Have to pop in and out sorry ! #WeCYPNs
@spencer_sian
20 September 2017 20:08
Who's had some experiences that they can share #wecypns important we learn together @DCN_LSBU @DannGooding… https://twitter.com/i/web/status/910581558825951232
@bradley_juliet
20 September 2017 20:09
@WeCYPnurses Hiya it's Juliet in MAJORCA ???? may end up just lurking as the bingos about to start! I'm a clinical research nurse #wecypns
@WeCYPnurses
20 September 2017 20:10
@karmicgirl Fab that we have a CAMHS expert in the room Orla glad you could join us #wecypns
@spencer_sian
20 September 2017 20:10
@WeCYPnurses #wecypns it would be great if there was some training offered at the very start of nursing roles and posts- as pet of induction
@DeeDavies12
20 September 2017 20:10
@cdodd09 @WeCYPnurses #wecypns Yes agree my Paediatric training did not provide me with the skills required to car… https://twitter.com/i/web/status/910581939601575936
@WeCYPnurses
20 September 2017 20:10
@karmicgirl no problem, are you working with inpatient or community camhs? #wecypns
@spencer_sian
20 September 2017 20:10
RT @DeeDavies12: @cdodd09 @WeCYPnurses #wecypns Yes agree my Paediatric training did not provide me with the skills required to car…
@karmicgirl
20 September 2017 20:11
@cdodd09 @spencer_sian @WeCYPnurses #WeCYPNs
@bradley_juliet
20 September 2017 20:11
@WeCYPnurses Not having enough experience or knowledge to know how to deal best with certain issues #wecypns
@karmicgirl
20 September 2017 20:11
@WeCYPnurses I'm no expert , believe me ? #WeCYPNs
@karmicgirl
20 September 2017 20:12
@WeCYPnurses Regional inpatient unit #wecypns A newbie !
@WeCYPnurses
20 September 2017 20:12
@DeeDavies12 @cdodd09 MH should definately be a big part of the CYP nursing currciulum #wecypns Have you managed to… https://twitter.com/i/web/status/910582496299012096
@spencer_sian
20 September 2017 20:13
RT @bradley_juliet: @WeCYPnurses Not having enough experience or knowledge to know how to deal best with certain issues #wecypns
@WeCYPnurses
20 September 2017 20:13
@karmicgirl Have you got a MH backround Orla? #wecypns
@karmicgirl
20 September 2017 20:13
@spencer_sian @DCN_LSBU @DannGooding @DanniHoare #wecypns Safety , Risk , Trust
@spencer_sian
20 September 2017 20:13
RT @WeCYPnurses: @DeeDavies12 @cdodd09 MH should definately be a big part of the CYP nursing currciulum #wecypns Have you managed to…
@spencer_sian
20 September 2017 20:13
RT @karmicgirl: @spencer_sian @DCN_LSBU @DannGooding @DanniHoare #wecypns Safety , Risk , Trust
@WeCYPnurses
20 September 2017 20:14
@bradley_juliet Glad you could join us from your holiday Juliet! #wecypns Is there anyone you can call for help or support when required?
@karmicgirl
20 September 2017 20:14
@WeCYPnurses No Adult and CYP . Academic interest in Infant mental Health as well #wecypns
@spencer_sian
20 September 2017 20:14
RT @WeCYPnurses: @bradley_juliet Glad you could join us from your holiday Juliet! #wecypns Is there anyone you can call for help or suppor…
@DannGoodingRN
20 September 2017 20:14
@WeCYPnurses Oops, sorry @MissLucyMay & I are late! #WeCYPNs
@WeCYPnurses
20 September 2017 20:15
@bradley_juliet we'll understand if you suddenly shout house! #wecypns #bingo
@DannGoodingRN
20 September 2017 20:15
RT @WeCYPnurses: Lets start with the 1st question #wecypns https://t.co/8H2eXQRFIV
@DeeDavies12
20 September 2017 20:15
@WeCYPnurses @cdodd09 #wecypns In essence I have combined my learning with bedtime reading.
@MrsLucyGooding
20 September 2017 20:15
RT @WeCYPnurses: Lets start with the 1st question #wecypns https://t.co/8H2eXQRFIV
@DannGoodingRN
20 September 2017 20:15
RT @spencer_sian: @WeCYPnurses Great first Q.#wecypns for us it's the fear of the unknown- what to expect and having the right supporting n…
@spencer_sian
20 September 2017 20:15
#wecypns it's vital that training and learning is woven into levels of training and roles when it come to CYP and m… https://twitter.com/i/web/status/910583233531740163
@MrsLucyGooding
20 September 2017 20:15
RT @spencer_sian: @WeCYPnurses Great first Q.#wecypns for us it's the fear of the unknown- what to expect and having the right supporting n…
@MrsLucyGooding
20 September 2017 20:15
RT @spencer_sian: @WeCYPnurses #wecypns it would be great if there was some training offered at the very start of nursing roles and posts-…
@hardcastle76
20 September 2017 20:15
#WeCYPNs sorry late
@WeCYPnurses
20 September 2017 20:15
@DannGooding @MissLucyMay Better late than never! #wecypns Do you get a camhs placement in your training?
@DannGoodingRN
20 September 2017 20:16
@WeCYPnurses I feel like there are still issues in identifying mental health conditions. And time! #WeCYPNs
@1985Deanne
20 September 2017 20:16
RT @cdodd09: @WeCYPnurses Most paediatric nurses don't get very much training in mental health #wecypns
@DannGoodingRN
20 September 2017 20:16
RT @bradley_juliet: @WeCYPnurses Not having enough experience or knowledge to know how to deal best with certain issues #wecypns
@WeCYPnurses
20 September 2017 20:16
@whytecm Hi Caroline glad you could join us #wecypns
@spencer_sian
20 September 2017 20:16
Hey guys ?? #wecypns be great to know about current training and learning https://twitter.com/wecypnurses/status/910583311436836865
@DannGoodingRN
20 September 2017 20:17
@WeCYPnurses @MissLucyMay I haven’t had a camhs placement as such. I did a learning disabilities placement. #WeCYPNs
@robbradley01
20 September 2017 20:17
@WeCYPnurses Hello Rob here, good 1st question biggest challenge is if the CYP needs a tier 4 bed is the lack of them in UK #wecypns
@hardcastle76
20 September 2017 20:17
#WeCYPNs training is crucial in supporting paediatric nurses on the ward.
@MrsLucyGooding
20 September 2017 20:17
RT @DannGooding: @WeCYPnurses @MissLucyMay I haven’t had a camhs placement as such. I did a learning disabilities placement. #WeCYPNs
@DannGoodingRN
20 September 2017 20:17
RT @spencer_sian: Who's had some experiences that they can share #wecypns important we learn together @DCN_LSBU @DannGooding…
@bradley_juliet
20 September 2017 20:17
@WeCYPnurses Hmmm it's unlikely the way it's going at moment! #wecypns
@WeCYPnurses
20 September 2017 20:17
@karmicgirl In your past education life did you feel there was enough around camhs in the curriculum? #wecypns
@DannGoodingRN
20 September 2017 20:17
RT @karmicgirl: @spencer_sian @DCN_LSBU @DannGooding @DanniHoare #wecypns Safety , Risk , Trust
@whytecm
20 September 2017 20:17
@spencer_sian @WeCYPnurses Changing face of CYP nursing. #weCYPNs
@DannGoodingRN
20 September 2017 20:18
#WeCYPNs https://twitter.com/misslucymay/status/910583707328745473
@DannGoodingRN
20 September 2017 20:18
#WeCYPNs https://twitter.com/misslucymay/status/910583491963834369
@hardcastle76
20 September 2017 20:18
#WeCYPNs mids and east event today focusing specialised commissioning and review inpatient beds required across region
@MrsLucyGooding
20 September 2017 20:18
@DannGooding It's been a long day in my defence #WeCYPNs
@whytecm
20 September 2017 20:19
@WeCYPnurses Hi there glad no be here, I could go on for hours about this subject #weCYPNs
@hardcastle76
20 September 2017 20:19
#WeCYPNs new joint qualification cyp and cyp mh being offered university Leicester from 2018
@spencer_sian
20 September 2017 20:20
#wecypns when I first started working with CYP we hardly ever talked about mental health- or supporting a CYP mass… https://twitter.com/i/web/status/910584496470347776
@whytecm
20 September 2017 20:20
@WeCYPnurses Other Caroline here, divisional lead nurse but previous matron CYP and lots of CYP admitted for self harm / MH #WeCYPNs
@WeCYPnurses
20 September 2017 20:20
@robbradley01 Hi Rob! Agree often cyp have to wait a long time for T4 bed and then travel a long way from home #wecypns
@hardcastle76
20 September 2017 20:20
#WeCYPNs crucial element in my new job starting week after next as Head of nursing children's in Kettering and cyp mh support on wards
@spencer_sian
20 September 2017 20:20
RT @hardcastle76: #WeCYPNs new joint qualification cyp and cyp mh being offered university Leicester from 2018
@spencer_sian
20 September 2017 20:21
RT @hardcastle76: #WeCYPNs mids and east event today focusing specialised commissioning and review inpatient beds required across region
@cdodd09
20 September 2017 20:21
@WeCYPnurses Challenges regarding looking after YP that need 1-1 supervision, getting extra staff #wecypns @whytecm… https://twitter.com/i/web/status/910584672484302848
@DannGoodingRN
20 September 2017 20:21
RT @WeCYPnurses: @robbradley01 Hi Rob! Agree often cyp have to wait a long time for T4 bed and then travel a long way from home #wecypns
@DannGoodingRN
20 September 2017 20:21
RT @hardcastle76: #WeCYPNs crucial element in my new job starting week after next as Head of nursing children's in Kettering and cyp mh sup…
@whytecm
20 September 2017 20:21
@cdodd09 @WeCYPnurses We've looked at a whole system redesign #wecypns
@DannGoodingRN
20 September 2017 20:21
RT @hardcastle76: #WeCYPNs new joint qualification cyp and cyp mh being offered university Leicester from 2018
@hardcastle76
20 September 2017 20:22
RT @whytecm: @cdodd09 @WeCYPnurses We've looked at a whole system redesign #wecypns
@WeCYPnurses
20 September 2017 20:22
Next question #wecypns https://t.co/LykDLaq7ty
@spencer_sian
20 September 2017 20:22
RT @cdodd09: @WeCYPnurses Challenges regarding looking after YP that need 1-1 supervision, getting extra staff #wecypns @whytecm…
@hardcastle76
20 September 2017 20:22
RT @cdodd09: @WeCYPnurses Challenges regarding looking after YP that need 1-1 supervision, getting extra staff #wecypns @whytecm…
@whytecm
20 September 2017 20:22
@cdodd09 @WeCYPnurses Recognised training for staff to complete risk assessments #wecypns
@karmicgirl
20 September 2017 20:22
@spencer_sian Much further to go . Massive probs self esteem , attachment, nurture,boundaries ,drugs alcohol . #WeCYPNs
@spencer_sian
20 September 2017 20:22
RT @WeCYPnurses: @robbradley01 Hi Rob! Agree often cyp have to wait a long time for T4 bed and then travel a long way from home #wecypns
@WeCYPnurses
20 September 2017 20:23
Can you expand more? I know it's difficult in 140 char, may need a few tweets! #wecypns https://twitter.com/whytecm/status/910584829313536002
@karmicgirl
20 September 2017 20:23
@spencer_sian Early years issues, parenting support, and awareness needs to come v early #wecypns
@spencer_sian
20 September 2017 20:23
@karmicgirl Agree much further- funding, provision, support - advocacy #wecypns
@spencer_sian
20 September 2017 20:24
RT @karmicgirl: @spencer_sian Early years issues, parenting support, and awareness needs to come v early #wecypns
@hardcastle76
20 September 2017 20:24
@WeCYPnurses #WeCYPNs
@WeCYPnurses
20 September 2017 20:24
@hardcastle76 Hi Simon, can I ask what your role is currently? #wecypns
@karmicgirl
20 September 2017 20:24
@spencer_sian Kids not the same these days , different pressures and goals ? #WeCYPNs
@hardcastle76
20 September 2017 20:24
@WeCYPnurses #WeCYPNs lead for cyp mh in East Midlands clinical network
@MrsLucyGooding
20 September 2017 20:25
RT @WeCYPnurses: @robbradley01 Hi Rob! Agree often cyp have to wait a long time for T4 bed and then travel a long way from home #wecypns
@MrsLucyGooding
20 September 2017 20:25
RT @cdodd09: @WeCYPnurses Challenges regarding looking after YP that need 1-1 supervision, getting extra staff #wecypns @whytecm…
@WeCYPnurses
20 September 2017 20:25
Fab idea Caroline Cost saving and improved care for the CYP #wecypns https://twitter.com/whytecm/status/910585400133070848
@spencer_sian
20 September 2017 20:25
#wecypns early intervention key in identifying- linking up professionals - signposting appropriately @WeCYPnurses https://twitter.com/karmicgirl/status/910585336803332096
@WeCYPnurses
20 September 2017 20:25
Can you expand further on the improvement work Simon? #wecypns https://twitter.com/hardcastle76/status/910585309737472000
@spencer_sian
20 September 2017 20:25
RT @karmicgirl: @spencer_sian Kids not the same these days , different pressures and goals ? #WeCYPNs
@DannGoodingRN
20 September 2017 20:26
RT @spencer_sian: #wecypns early intervention key in identifying- linking up professionals - signposting appropriately @WeCYPnurses https:/…
@whytecm
20 September 2017 20:26
@cdodd09 @WeCYPnurses Reduced a substantial agency spend and converted to a substantive budget, #wecypns
@karmicgirl
20 September 2017 20:26
@whytecm @spencer_sian @WeCYPnurses #wecypns
@DannGoodingRN
20 September 2017 20:26
RT @WeCYPnurses: Next question #wecypns https://t.co/LykDLaq7ty
@WeCYPnurses
20 September 2017 20:26
Was this internal or external training? #wecypns https://twitter.com/whytecm/status/910585069529690113
@karmicgirl
20 September 2017 20:27
@WeCYPnurses Yes many thank goodness but still too little too late in the game. Remedial does not work well #WeCYPNs
@hardcastle76
20 September 2017 20:27
@WeCYPnurses #wecypns bringing together cyp mh commissioners across whole system ccg la education health and justic… https://twitter.com/i/web/status/910586215212224513
@WeCYPnurses
20 September 2017 20:27
That's so sad @MissLucyMay #wecypns https://twitter.com/MissLucyMay/status/910585021186150401
@spencer_sian
20 September 2017 20:27
RT @karmicgirl: @WeCYPnurses Yes many thank goodness but still too little too late in the game. Remedial does not work well #WeCYPNs
@spencer_sian
20 September 2017 20:27
RT @WeCYPnurses: Next question #wecypns https://t.co/LykDLaq7ty
@karmicgirl
20 September 2017 20:28
@WeCYPnurses And staffing ! Shocking issues there , and as result poor retention of nurses #WeCYPNs
@DannGoodingRN
20 September 2017 20:28
RT @WeCYPnurses: Fab idea Caroline Cost saving and improved care for the CYP #wecypns https://twitter.com/whytecm/status/910585400133070848
@WeCYPnurses
20 September 2017 20:28
RT @whytecm: @cdodd09 @WeCYPnurses Reduced a substantial agency spend and converted to a substantive budget, #wecypns
@DannGoodingRN
20 September 2017 20:28
RT @WeCYPnurses: That's so sad @MissLucyMay #wecypns https://twitter.com/MissLucyMay/status/910585021186150401
@hardcastle76
20 September 2017 20:28
@WeCYPnurses #WeCYPNs host East Midlands eating disorder and crisis network, hosting regional events on key priorit… https://twitter.com/i/web/status/910586547468144641
@spencer_sian
20 September 2017 20:28
@WeCYPnurses Policy development and pathway awareness to key services #wecypns but agree more resource and experienced practitioners key
@timmcdougall69
20 September 2017 20:28
RT @WeCYPnurses: Lets start with the 1st question #wecypns https://t.co/8H2eXQRFIV
@hardcastle76
20 September 2017 20:29
@WeCYPnurses #weCYPNs development of joint collaborative commissioning plans across ccg and specialised commissioning
@karmicgirl
20 September 2017 20:29
@robbradley01 @spencer_sian @WeCYPnurses I am Tier 5. Lots of eating disorders , undiagnosed / named psychosis and BPD #wecypns
@hepworth_becky
20 September 2017 20:30
@WeCYPnurses I am here! With very bad signal, so will lurk! #wecypns
@WeCYPnurses
20 September 2017 20:30
@hardcastle76 what does that mean in reality Simon how will it improve the services for the CYP? #wecypns
@whytecm
20 September 2017 20:31
@WeCYPnurses @cdodd09 Estates work done, now have 2 dedicated anti-ligature areas, one on PAU one on ward #weCYPNs
@DannGoodingRN
20 September 2017 20:31
RT @spencer_sian: @WeCYPnurses Policy development and pathway awareness to key services #wecypns but agree more resource and experienced pr…
@WeCYPnurses
20 September 2017 20:31
@hepworth_becky Glad you could make it! #wecypns
@DannGoodingRN
20 September 2017 20:31
RT @hardcastle76: @WeCYPnurses #WeCYPNs host East Midlands eating disorder and crisis network, hosting regional events on key priorit…
@karmicgirl
20 September 2017 20:32
@robbradley01 @spencer_sian @WeCYPnurses https://t.co/x1nMDhXejg. #wecypns
@robbradley01
20 September 2017 20:32
@whytecm @WeCYPnurses @cdodd09 What sort of things are in a anti-ligature area? #wecypns
@WeCYPnurses
20 September 2017 20:32
@karmicgirl How do we make camhs an attractive area for people to work? #wecypns
@DannGoodingRN
20 September 2017 20:33
RT @WeCYPnurses: @karmicgirl How do we make camhs an attractive area for people to work? #wecypns
@WeCYPnurses
20 September 2017 20:33
RT @karmicgirl: @robbradley01 @spencer_sian @WeCYPnurses https://www.google.co.uk/amp/www.assemblyresearchmatters.org/2017/03/21/mental-health-and-illness-in-northern-ireland-2-service-provision-care-pathways-recovery-focus/amp/. #wecypns
@hardcastle76
20 September 2017 20:33
@WeCYPnurses #weCYPNs will lead to improved access, more cyp being cared for by trained practitioners, reduction in lengths of stays....
@WeCYPnurses
20 September 2017 20:34
That's fantastic #wecypns https://twitter.com/whytecm/status/910587172822142978
@WeCYPnurses
20 September 2017 20:34
That's good news #wecypns https://twitter.com/hardcastle76/status/910587788231397381
@DannGoodingRN
20 September 2017 20:34
@WeCYPnurses @karmicgirl Asking myself “why don’t I want to work in camhs?” #WeCYPNs
@hardcastle76
20 September 2017 20:34
@WeCYPnurses #wecypns joint commissioning of services across ccg and local authority
@karmicgirl
20 September 2017 20:35
@whytecm @WeCYPnurses @spencer_sian Often the case #wecypns
@WeCYPnurses
20 September 2017 20:35
@DannGooding @karmicgirl and what's the answer Dann? #wecypns
@robbradley01
20 September 2017 20:35
#wecypns just seen this on my timeline this is a good way of CYP reaching out for help. https://twitter.com/lancashirecare/status/910078556792918016
@karmicgirl
20 September 2017 20:36
@WeCYPnurses @DannGooding I see @timmcdougall69 is listening in . Any comments ? #WeCYPNs
@MrsLucyGooding
20 September 2017 20:38
RT @robbradley01: #wecypns just seen this on my timeline this is a good way of CYP reaching out for help. https://twitter.com/lancashirecare/status/910078556792918016
@hardcastle76
20 September 2017 20:39
@karmicgirl @DannGooding @WeCYPnurses #weCYPNs often the case reactive rather than proactive - how can community se… https://twitter.com/i/web/status/910589227221602304
@WeCYPnurses
20 September 2017 20:39
don't you have camhs based in ED Rob #wecypns https://twitter.com/WeCYPnurses/status/910589058027606017
@DannGoodingRN
20 September 2017 20:39
RT @hardcastle76: @karmicgirl @DannGooding @WeCYPnurses #weCYPNs often the case reactive rather than proactive - how can community se…
@WeCYPnurses
20 September 2017 20:41
and should more input be put into services in schools? #wecypns https://twitter.com/hardcastle76/status/910589227221602304
@robbradley01
20 September 2017 20:41
@WeCYPnurses @whytecm @hardcastle76 #wecypns we have CAMHS Rise who see patients in CED and have reduced the amoun… https://twitter.com/i/web/status/910589666579099649
@DannGoodingRN
20 September 2017 20:41
RT @robbradley01: @WeCYPnurses @whytecm @hardcastle76 #wecypns we have CAMHS Rise who see patients in CED and have reduced the amoun…
@hardcastle76
20 September 2017 20:41
@WeCYPnurses #weCYPNs of course early and resilience key feature, mental health first aid and peer support in all schools
@WeCYPnurses
20 September 2017 20:42
#wecypns https://twitter.com/timmcdougall69/status/910587988802965504
@whytecm
20 September 2017 20:42
@karmicgirl @WeCYPnurses @DannGooding Totally agree School nurses intergral to emotional health and wellbeing @SchoolNWalsall #WeCYPNs
@WeCYPnurses
20 September 2017 20:42
RT @hardcastle76: @WeCYPnurses #weCYPNs of course early and resilience key feature, mental health first aid and peer support in all schools
@WeCYPnurses
20 September 2017 20:43
at both primary and secondary school - seem to be seeing children as young as 10 admitted with MH issues #wecypns https://twitter.com/whytecm/status/910589954362871808
@DannGoodingRN
20 September 2017 20:43
RT @hardcastle76: @WeCYPnurses #weCYPNs of course early and resilience key feature, mental health first aid and peer support in all schools
@hardcastle76
20 September 2017 20:43
@robbradley01 @WeCYPnurses @whytecm #WeCYPNs crisis and home treatment services crucial to reduce inappropriate admissions
@WeCYPnurses
20 September 2017 20:43
That's great Rob #wecypns https://twitter.com/robbradley01/status/910589666579099649
@MrsLucyGooding
20 September 2017 20:44
RT @WeCYPnurses: Fab idea Caroline Cost saving and improved care for the CYP #wecypns https://twitter.com/whytecm/status/910585400133070848
@hardcastle76
20 September 2017 20:44
RT @robbradley01: @WeCYPnurses @whytecm @hardcastle76 #wecypns we have CAMHS Rise who see patients in CED and have reduced the amoun…
@robbradley01
20 September 2017 20:45
@WeCYPnurses Yes see previous tweet re CAMHS Rise #wecypns
@DeeDavies12
20 September 2017 20:46
@WeCYPnurses #wecypns Schools need to raise awareness of mental health issues via parents 'educational' evenings
@WeCYPnurses
20 September 2017 20:46
@hardcastle76 @robbradley01 @whytecm crisis support vital we have a lot of CYP admitted already known to camhs #wecypns
@karmicgirl
20 September 2017 20:46
@WeCYPnurses CYP involve the and daily feedback from them which informs Care planning .the TIP model #WeCYPNs
@WeCYPnurses
20 September 2017 20:46
RT @DeeDavies12: @WeCYPnurses #wecypns Schools need to raise awareness of mental health issues via parents 'educational' evenings
@hardcastle76
20 September 2017 20:47
@WeCYPnurses @robbradley01 @whytecm #weCYPNs local data across em showing between 45-70% cyp admitted paediatric wa… https://twitter.com/i/web/status/910591245323505666
@robbradley01
20 September 2017 20:47
@WeCYPnurses #wecypns definitely more training for staff who deal with CAMHS issues. Also more in nurse training fo… https://twitter.com/i/web/status/910591245336137728
@WeCYPnurses
20 September 2017 20:47
RT @karmicgirl: @WeCYPnurses CYP involve the and daily feedback from them which informs Care planning .the TIP model #WeCYPNs
@robbradley01
20 September 2017 20:48
@WeCYPnurses #wecypns 2/2 to wards as students can update staff already on the wards.
@WeCYPnurses
20 September 2017 20:48
RT @robbradley01: @WeCYPnurses #wecypns definitely more training for staff who deal with CAMHS issues. Also more in nurse training fo…
@karmicgirl
20 September 2017 20:48
@WeCYPnurses Attitudes to MH generally and CAMHs esp is poor - ED don't see these as their business ?#WeCYPNs
@WeCYPnurses
20 September 2017 20:48
RT @hardcastle76: @WeCYPnurses @robbradley01 @whytecm #weCYPNs local data across em showing between 45-70% cyp admitted paediatric wa…
@karmicgirl
20 September 2017 20:49
@WeCYPnurses http://www.mhcc.org.au/media/25289/berkowitz-ford-ko-2008.pdf #WeCYPNs
@WeCYPnurses
20 September 2017 20:49
Last question #wecypns https://t.co/6fxEQZBd5U
@Ewout1985
20 September 2017 20:49
RT @WeCYPnurses: Lets start with the 1st question #wecypns https://t.co/8H2eXQRFIV
@DannGoodingRN
20 September 2017 20:49
RT @WeCYPnurses: at both primary and secondary school - seem to be seeing children as young as 10 admitted with MH issues #wecypns https://…
@MrsLucyGooding
20 September 2017 20:50
RT @WeCYPnurses: at both primary and secondary school - seem to be seeing children as young as 10 admitted with MH issues #wecypns https://…
@DannGoodingRN
20 September 2017 20:50
RT @hardcastle76: @WeCYPnurses @robbradley01 @whytecm #weCYPNs local data across em showing between 45-70% cyp admitted paediatric wa…
@WeCYPnurses
20 September 2017 20:50
#wecypns https://twitter.com/hardcastle76/status/910591787789635584
@DannGoodingRN
20 September 2017 20:50
@hardcastle76 @WeCYPnurses @robbradley01 @whytecm Is that for mental and physical health? #WeCYPNs
@robbradley01
20 September 2017 20:50
Tweet about CAMHS Rise from RCN conference fringe event this year #wecypns https://twitter.com/robbradley01/status/864817352302571520
@DannGoodingRN
20 September 2017 20:50
RT @robbradley01: @WeCYPnurses #wecypns definitely more training for staff who deal with CAMHS issues. Also more in nurse training fo…
@DannGoodingRN
20 September 2017 20:50
RT @DeeDavies12: @WeCYPnurses #wecypns Schools need to raise awareness of mental health issues via parents 'educational' evenings
@hardcastle76
20 September 2017 20:51
@DannGooding @WeCYPnurses @robbradley01 @whytecm #weCYPNs for cyp with mental health - with appropriate community/c… https://twitter.com/i/web/status/910592324463464449
@WeCYPnurses
20 September 2017 20:51
RT @karmicgirl: @WeCYPnurses Attitudes to MH generally and CAMHs esp is poor - ED don't see these as their business ?#WeCYPNs
@WeCYPnurses
20 September 2017 20:52
RT @hardcastle76: @DannGooding @WeCYPnurses @robbradley01 @whytecm #weCYPNs for cyp with mental health - with appropriate community/c…
@DeeDavies12
20 September 2017 20:52
@WeCYPnurses #wecypns Support for families is integral and needs to align to the wellbeing recovery for CYP
@DannGoodingRN
20 September 2017 20:53
RT @karmicgirl: @WeCYPnurses Attitudes to MH generally and CAMHs esp is poor - ED don't see these as their business ?#WeCYPNs
@MrsLucyGooding
20 September 2017 20:53
#wecypns https://twitter.com/danngooding/status/910592663396732930
@WeCYPnurses
20 September 2017 20:54
Think that's when most attend ED, adult MH have OOH crisis teams, maybe need camhs crisis OOH? #wecypns https://twitter.com/whytecm/status/910592627485167617
@hardcastle76
20 September 2017 20:54
@whytecm @DannGooding @WeCYPnurses @robbradley01 #weCYPNs sorry short tweets can't get all info in - not saying ed… https://twitter.com/i/web/status/910593005157064705
@WeCYPnurses
20 September 2017 20:54
RT @DeeDavies12: @WeCYPnurses #wecypns Support for families is integral and needs to align to the wellbeing recovery for CYP
@hardcastle76
20 September 2017 20:55
@whytecm @DannGooding @WeCYPnurses @robbradley01 #wecypns and should be 24/7 with home treatment support back in community or closer to home
@DannGoodingRN
20 September 2017 20:55
@whytecm @hardcastle76 @WeCYPnurses @robbradley01 Community services? Oh wait... #WeCYPNs
@DannGoodingRN
20 September 2017 20:55
RT @hardcastle76: @whytecm @DannGooding @WeCYPnurses @robbradley01 #weCYPNs sorry short tweets can't get all info in - not saying ed…
@DannGoodingRN
20 September 2017 20:55
RT @hardcastle76: @whytecm @DannGooding @WeCYPnurses @robbradley01 #wecypns and should be 24/7 with home treatment support back in communit…
@karmicgirl
20 September 2017 20:55
@WeCYPnurses Openness , trust, negotiation , respect, #wecypns
@MrsLucyGooding
20 September 2017 20:56
RT @WeCYPnurses: Last question #wecypns https://t.co/6fxEQZBd5U
@whytecm
20 September 2017 20:56
@WeCYPnurses Yes usually based in EDs #wecypns I know some trusts have this approach, it's a direction we would like to go to
@WeCYPnurses
20 September 2017 20:56
Thanks for sharing your views #wecypns https://twitter.com/sambarakat4/status/910593107334492160
@spencer_sian
20 September 2017 20:56
RT @WeCYPnurses: at both primary and secondary school - seem to be seeing children as young as 10 admitted with MH issues #wecypns https://…
@MrsLucyGooding
20 September 2017 20:57
@WeCYPnurses Education on their child's MH condition. It might be hard for them to empathise if they don't understand it #wecypns
@WeCYPnurses
20 September 2017 20:57
RT @karmicgirl: @WeCYPnurses Openness , trust, negotiation , respect, #wecypns
@karmicgirl
20 September 2017 20:57
@WeCYPnurses Yes but still need earlier interventions #WeCYPNs
@DannGoodingRN
20 September 2017 20:57
RT @WeCYPnurses: Thanks for sharing your views #wecypns https://twitter.com/sambarakat4/status/910593107334492160
@WeCYPnurses
20 September 2017 20:57
RT @hardcastle76: @whytecm @DannGooding @WeCYPnurses @robbradley01 #wecypns and should be 24/7 with home treatment support back in communit…
@WeCYPnurses
20 September 2017 20:57
RT @karmicgirl: @WeCYPnurses Yes but still need earlier interventions #WeCYPNs
@DannGoodingRN
20 September 2017 20:58
RT @DeeDavies12: @WeCYPnurses #wecypns Support for families is integral and needs to align to the wellbeing recovery for CYP
@hardcastle76
20 September 2017 20:58
@DannGooding @whytecm @WeCYPnurses @robbradley01 #weCYPNs new section 136 suites being commissioned in some local areas in em.
@WeCYPnurses
20 September 2017 20:59
can you explain what a section 136 suite is for those that don't know? #wecypns https://twitter.com/hardcastle76/status/910594040260960262




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