Michel elle L e Lee Charlie Waller Institute - - PowerPoint PPT Presentation

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Michel elle L e Lee Charlie Waller Institute - - PowerPoint PPT Presentation

Nov 07, 2023 116 likes •456 views

Michel elle L e Lee Charlie Waller Institute m.j.lee@reading.ac.uk Caring, safe and excellent Backg ckground und t to t the project ct: 50% of children and young people with long term mental health problems first experience

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Caring, safe and excellent

Michel elle L e Lee Charlie Waller Institute m.j.lee@reading.ac.uk

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Caring, safe and excellent

Backg ckground und t to t the project ct:

  • 50% of children and young people with long term mental

health problems first experience problems before the age

  • f 14
  • Teachers and primary healthcare professionals play a

pivotal role in problem recognition and early intervention for childhood mental health problems

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Backg ckground und t to t the projec

  • ject c

cont.:

  • Lack of specialised training in this area; research

indicates that teachers often feel unable to recognise mental health problems (e.g. differentiating between ‘normal’ and ‘clinical’ adolescent behaviour). Similarly GPs may struggle to recognise mental health disorders in children.

  • PPEPCare is for professionals working with children

in primary care and education and aims to help them (a) more accurately detect anxiety and depression in children and young people, and (b) provide a framework in which to support these children and young people (as well as their families).

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Objec jectiv ives: s:

…to develop effective teaching packages for (appropriate)

CAMHS staff to deliver to ALL staff working with children and young people in primary care and education

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How i w it w works rks:

  • Standardised teaching materials are developed for

professionals working in primary care (GPs, nurses, health visitors and so on) and educational settings

  • CAMHS staff with appropriate clinical experience and
  • ther necessary qualities are identified and invited to

attend a ‘train the trainer’ workshop. Trainers are on

  • ccasion accompanied by young people with

experience of service use

  • Information about the training is distributed locally (to

primary care and schools) and CAMHS staff deliver the training according to local demand (no charge made)

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Natur ure o

  • f the trai

raini ning: g:

  • Guided by actual need (consultations with experts in

the field, GPs, teachers, parents, young people etc)

  • Written by experts (local, national, international)
  • Modular, flexible and portable (PowerPoint slides,

DVDs, experiential exercises)

  • 11 Modules currently – 1 with CWMT training material,

10 additional modules were developed – 2 further planned

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Caring, safe and excellent

Engaging young people: GP/nurse toolkit for mental health consultations with young people Dr Maryanne Freer

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Caring, safe and excellent

Self-harm: Supporting young people who self-harm Kielly Alfoadari

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Caring, safe and excellent

Depression: Supporting young people with Behavioural Activation techniques Prof.Carl Lejuez

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Caring, safe and excellent

Adolescent Anxiety: Using CBT techniques to support young people with anxiety Dr Polly Waite

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Caring, safe and excellent

Overcoming childhood anxiety: An introduction to guided parent-delivered cognitive behavioural therapy Dr Kerstin Thirlwall Dr Dr Monika Parkinson

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Caring, safe and excellent

Conduct Disorder and behavioural difficulties: Introduction to a parenting intervention Dr Deb McNally

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Caring, safe and excellent

Separation Anxiety and School Refusal: Supporting children and their families with CBT techniques

  • Prof. Silvia Schneider
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Caring, safe and excellent

Specific Phobia: Using CBT techniques with children and young people with specific phobia Dr Lucy Willetts

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Obsessive Compulsive Disorder: Supporting children and young people with OCD Dr Tim Williams

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Post Traumatic Stress Disorder: Supporting children and young people with PTSD

  • Prof. William Yule
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Psyc ycholo logic ical P l Perspectiv ives

in Education & Primary Care

Recognising C Common M Mental al H Heal alth h Diffic ficult ulties i ies in Chil ildren a n and Y Young ng P Peop

  • ple

le

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Psyc ycholo logic ical P l Perspectiv ives

in Education & Primary Care

Su Supporting y young pe people wit with e eating diso disorders

Dr Joan anna a Hollida day, Eating g Disorde der Le Lead ad Buc ucking nghamshire Chi hild and nd Adolescen ent Ment ental Hea ealth Ser ervice

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Modules to be developed

  • Resilience
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What hat does es t the he trai raini ning lo look lik like?

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An n Over Overvi view ew

  • Teaching based around slides for each module, with:

– information gathering – information giving – case discussion – role plays – Video material

  • Designed to be portable (i.e., can be run anywhere, at anytime)

and flexible (i.e., can be customised to local need, and amount

  • f time available).
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  • It’s not about turning GPs/teachers into therapists
  • Includes information about psycho-education and relevant

evidence-based techniques, as well as guidance on how specific techniques can be adapted or integrated within routine clinical practice or within the school setting.

  • The aim is to help those in the front line to recognise and

understand childhood mental health issues better, and equip these professionals with some basic skills and the confidence to help support children/young people and their families (including some useful psycho-education that can be shared)

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Supported by training material on DVD

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Gener General al aim aims

  • To increase your awareness of mental health issues –

including how it may present in young people, how you can assess it and what might keep it going

  • To help you understand when it is appropriate to refer for

additional support

  • To help you understand what CBT, and other evidence

based interventions are and how they work

  • To familiarise you with some useful techniques to help

children and young people manage their mental health (that can be used in the primary care/school setting)

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Aims of the module

  • To increase your awareness of PTSD – including how it

may present and what might keep it going

  • To help you understand how the symptoms of PTSD

can be treated using cognitive behavioural therapy

  • To help you talk to young people about trauma that

they may have experienced and familiarise you with some useful CBT techniques to help support them

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Overview

  • What is PTSD and how does it present?
  • How may it present differently in children and

young people?

  • Assessment questions and other tools to use
  • What keeps the difficulties going?
  • CBT for trauma – overview and effectiveness
  • How you can support children and young

people with their difficulties

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Over Overvi view o

  • f c

f cont ntent nt…

  • 1. Information about how to recognise and

assess specific mental health difficulties:

  • what signs to look out for (what is

‘normal’ and what might be indicative of more serious mental health difficulties)

  • how to talk to children and young people
  • how to talk to parents
  • what questions to ask
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T alking to a young person about the trauma

Clip 1 Watch the following clip, where a school counsellor is talking to a teenager about a RTA that she was involved in 3 months ago.

  • 1. How does he introduce the topic?
  • 2. What questions does he ask?
  • 3. What is done particularly well?
  • 4. What can you take from this clip?
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Over Overvi view o

  • f c

f cont ntent nt…

Psychoeducation:

  • fundamentals of CBT
  • thoughts/feelings/behaviour/physiology
  • what keeps a problem going (e.g.

withdrawing in depression)

  • ‘unhelpful’ behaviour (children & parents)
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Over Overvi view o

  • f c

f cont ntent nt…

Information about interventions and adapting CBT techniques:

  • how to introduce the option of a parenting

programme; what it may involve

  • using BA techniques for adolescents with mild

depression; explaining the rationale; getting started

  • supporting young people who self-harm with

alternative strategies

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Over Overvi view o

  • f c

f cont ntent nt…

The young person’s perspective:

  • What it’s like to have mental health issues
  • Experiences of support
  • Advice to those in primary care/education
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Be Benefi fits fo for C CAM AMHS:

  • Strengthen links/relationships between CAMHS and

primary care (in particular GPs)

  • Sustainability of CAMHS services
  • Facilitate appropriate referrals
  • Dissemination and sharing expertise
  • Opportunities for CAMHS workers – job enhancement
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m.j.lee@reading.ac.uk