NHS England and Health Education England (HEE) commission Learning Collaboratives for the Children and Young People’s Improving Access to Psychological Therapies (CYP IAPT) programme. The aim of the programme is to improve outcomes and experience of care for children and young people by improving mental health care across the wider system (NHS, local authorities, voluntary sector, Youth Justice). This comprehensive approach to change differs from the Adult IAPT programme, which is concerned with delivering services for depression and anxiety.
The CYP IAPT learning collaboratives are Higher Education Institutions (HEIs) that work in collaboration with provider services and commissioners to form CYP MH partnerships. Their role is to embed CYP IAPT principles of delivering evidence-based, collaborative and outcome focused care with the full participation of children, young people and their parents/carers. Cultural change is achieved through mentoring and partnership working that supports infrastructure development (outreach service development and supervision training) and training existing CYP MH staff in evidence based interventions, supervision and service leadership.
The CYP IAPT programme works in partnership with the following six learning collaboratives:
- London & South East: University College London (UCL) andKing’s College London (KCL) as the joint HEIs for the London and South East Collaborative; contact Alex Goforth: firstname.lastname@example.org
- North West: Greater Manchester West Cognitive Therapy Training Centre as the HEI for the North West Collaborative; contact Dr Deb McNally: email@example.com and Barry Nixon: firstname.lastname@example.org
- Central and South: University of Reading as the HEI for the Central and South Collaborative; contact Ruth Henderson: email@example.com or Pam Myles-Hooton: firstname.lastname@example.org
- North East: Northumbria University as the HEI for the North East Collaborative; contact Tony Machin: email@example.com and Claire Pearson: claire.Pearson@sch.nhs.uk
- South West: Exeter University as the HEI for the South West Collaborative; contact Dr Catherine Gallop: firstname.lastname@example.org
- Midlands: University of Derby as the lead HEI with Northampton University for the Midlands Collaborative; contact Fiona Warner-Gale: email@example.com) and Jane Sedgewick: firstname.lastname@example.org
The training and service development offer for courses starting in 2018 includes the following for existing CYP MH staff:
- Core competency based curriculum using Roth and Pilling’s CYP MH competencies
- Cognitive Behavioural Therapy (CBT) for anxiety disorders and depression
- Parenting training for conduct disorder (age 3-10)
- Systemic Family Practice (SFP) for conduct disorder (over 10s), and depression and self-harm
- Systemic Family Practice (SFP) for eating disorders – linked to delivery of community based eating disorder services
- Interpersonal Psychotherapy for Adolescents (IPT-A) for depression
- Enhanced Evidence Based Practice – Certificate level course (aimed at band 5 and 6 CYP MH staff), supported by MindEd e-learning
- Combination Therapy – psychological and pharmacological interventions
- 0-5s curriculum on evidence-based developmental, infant and child mental health interventions
- Evidence Based Counselling
- Evidence Based Psychological Therapies for CYP with mental health problems and autism spectrum disorder and/or a learning disability.
- Whole team training for CYP MH staff delivering care in inpatient CAMHS units
- Training for supervisors
- Training for service leads
- Outreach service development
- Outreach enhanced supervision training for staff not attending other training courses within the CYP IAPT programme
The above CYP IAPT courses contribute towards meeting the targets to train 3,400 existing staff and Health Education England’s (HEE) offer (Recruit to Train and Wellbeing Practitioners) to train 1,700 new staff entering the CYP MH workforce by 2020, as set out in the Implementation Plan for the FYFV for MH. This is so an additional 70,000 young people per year will receive care from 2020. Each year up to 2020, the uplift in CCG allocations supports further transformation including the recruitment of the additional workforce required.
The therapies and interventions selected are NICE approved; however a comprehensive CYP MH service will offer other interventions.
Each year local area CYP MH partnerships of commissioners and providers will agree training numbers with their local CYP IAPT Learning Collaborative. The Learning Collaborative will receive funding directly from Health Education England for the agreed training costs of the courses. NHS England will pass on to CCGs the contribution (tabled below) towards salary support for investment in the relevant staff and providers. This is the final year of programme central funds towards salary support for staff completing CYP IAPT course in 2018. This funding is conditional on the CYP MH partnership signing up to implementing the programme, including confirmation that the appropriate level of funds will be made available to release the staff to undergo the full training.
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