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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


  1. Michel elle L e Lee Charlie Waller Institute m.j.lee@reading.ac.uk Caring, safe and excellent

  2. 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 of 14 Teachers and primary healthcare professionals play a • pivotal role in problem recognition and early intervention for childhood mental health problems Caring, safe and excellent

  3. Backg ckground und t to t the projec oject 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). Caring, safe and excellent

  4. 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 Caring, safe and excellent

  5. 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 • other necessary qualities are identified and invited to attend a ‘train the trainer’ workshop. Trainers are on occasion 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) Caring, safe and excellent

  6. Natur ure o of 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 Caring, safe and excellent

  7. Engaging young people: GP/nurse toolkit for mental health consultations with young people Dr Maryanne Freer Caring, safe and excellent

  8. Self-harm: Supporting young people who self-harm Kielly Alfoadari Caring, safe and excellent

  9. Depression: Supporting young people with Behavioural Activation techniques Prof.Carl Lejuez Caring, safe and excellent

  10. Adolescent Anxiety: Using CBT techniques to support young people with anxiety Dr Polly Waite Caring, safe and excellent

  11. Overcoming childhood anxiety: An introduction to guided parent-delivered cognitive behavioural therapy Dr Kerstin Thirlwall Dr Dr Monika Parkinson Caring, safe and excellent

  12. Conduct Disorder and behavioural difficulties: Introduction to a parenting intervention Dr Deb McNally Caring, safe and excellent

  13. Separation Anxiety and School Refusal: Supporting children and their families with CBT techniques Prof. Silvia Schneider Caring, safe and excellent

  14. Specific Phobia: Using CBT techniques with children and young people with specific phobia Dr Lucy Willetts Caring, safe and excellent

  15. Obsessive Compulsive Disorder: Supporting children and young people with OCD Dr Tim Williams Caring, safe and excellent

  16. Post Traumatic Stress Disorder: Supporting children and young people with PTSD Prof. William Yule Caring, safe and excellent

  17. 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 ople le Caring, safe and excellent

  18. Psyc ycholo logic ical P l Perspectiv ives in Education & Primary Care Su Supporting y young pe people wit with e eating disorders diso 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 Caring, safe and excellent

  19. Modules to be developed • Resilience Caring, safe and excellent

  20. What hat does es t the he trai raini ning lo look lik like? Caring, safe and excellent

  21. 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 of time available). Caring, safe and excellent

  22. 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) Caring, safe and excellent

  23. Supported by training material on DVD Caring, safe and excellent

  24. 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) Caring, safe and excellent

  25. 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 Caring, safe and excellent

  26. 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 Caring, safe and excellent

  27. Over Overvi view o of 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 Caring, safe and excellent

  28. 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? Caring, safe and excellent

  29. Over Overvi view o of 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) Caring, safe and excellent

  30. Overvi Over view o of 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 Caring, safe and excellent

  31. Over Overvi view o of 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 Caring, safe and excellent

  32. 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 • Caring, safe and excellent

  33. m.j.lee@reading.ac.uk

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