Elaine Bousfield & Phil Ferreira-Lay
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Transcript of Elaine Bousfield & Phil Ferreira-Lay
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How Digital can Support
System ChangeElaine Bousfield, Founder & Director – XenZone
Dr. Phil Ferreira-Lay, Clinical Director and Consultant Child Psychiatrist - Surrey and Borders NHS Trust
15th September 2016
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The Beginning
• It all began with the Samaritans in 1999
• XenZone started to deliver counselling online to men – dial up modem
• Within 18 months, 35% of traffic were young people aged 18 and under
• PCT
• 3 high schools
• Consultation with young people –how do you want your services delivered?
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Today
• Kooth is in 32 areas across England and Wales and growing
• Between Jan –May 2016, we had over 20,000 new users
• The service currently has 99,241 registered users
• Every year our team of counsellors and emotional wellbeing practitioners deliver thousands of chat sessions, message sessions and moderate thousands of forums
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New Kooth web app
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The challenge facing us in the UK
• How to increase access
• Getting the interventions right for the CYP
• Defining what we mean by mental health, emotional wellbeing and mental illness – what we do where
• Properly involving CYP in service design and learning
• Finances - what to spend money on
• NHS and Social Care
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What have we learned?
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Online counselling widens access
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Online services widen access
• Future in Mind – making it easier for CYP to get the help they need at the time they need it
• Proportional numbers of BAME -14% - in f2f its around 7%
• How you do it is important – a drop in facility rather than appointment only
• Open access with assessment -11-25 age range
• Widen access upstream but further down as well if designed well (more to come)
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Forums and peer support enable coping
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Articles
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Newsfeed
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Community, participation and communication
is key
• Provide self-help, peer support – live forums where CYP talk about a range of issues – learn from CYP digital pressures and resilience
• Popular on Kooth are the forums and magazine and live moderated discussions
• Building of an Ambassador Programme -offline and online
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Stepped Care Approach
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You can’t run digital services in CYP in isolation
• System wide approach – ‘nobody said it was easy’ but the embrace has arrived
• Online services need excellent clinical staff, governance, safeguarding, multi-disciplinary team and case notes system
• Digital can be a key
• Digital needs to be joined with the wider system of support and integrated with the NHS
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• CAMHs in Surrey re-tendered last year
• SABP Incumbent provider but took nothing for granted
• Substantial increase in funding –with a substantial increase in service
• Included completely new Behaviour and Neurodevelopmental Service
• Expectation that there is ‘no wrong door’
• Single Point of Access - CAMHs One Stop
• All of this within an 18 week mobilisation
• Live on 1st April 2016
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Wellbeing and Resilience Pathway
• These will be available across all pathways as early support and as a step-down from targeted/community CAMHS; every CYP discharged will have a wellbeing and resilience action plan to help sustain recovery and prevent re-referral. These services include:
• Guided self-help and support materials – digital (CAMHS website and kooth.com) and paper-based
• Primary Mental Health Workers (PMHW) – supporting CYP and professionals in the community and in schools
• Voluntary Sector Counselling/peer mentoring and schools education and resilience programmes
• Kooth.com – online counselling – out of hours, no stigma –IP work alongside PMHT
• Parental support
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Change of Focus
• SABP are Prime Provider – entered into a series of subcontracts with partners
• Activity and outcomes are therefore aggregated to contribute to overall contract performance
• Ranges from straightforward triage to a partner by our One Stop or a very quick appointment straight into clinic or face to face counselling partner
• CYP self refer to kooth – or referred by One Stop
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How our partnership will feel different and
provide better services
• Convenience
• Choice
• Help and support
• Transparency
• Flexibility and responsiveness
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What is Different
• ' CAMHS One Stop' - Referral & Information Centre for all referrals, which will
navigate children and young people to the most appropriate service and through the system
• A “no wrong door” i.e. all children, young people and families will be supported to find the right help at the right time
• The threshold criteria for acceptance into CAMHS will be lowered and volumes are expected to increase significantly
• Expanded operating hours 8am-8pm Monday to Friday and 9-12 on Saturday
• Services will be made more accessible and user friendly through convenient locations and online services open to 10pm seven days a week
• Automated clinical scheduling will ensure capacity, appointments and room availability is transparent and easier to manage
• Many other current CAMHS pathways will be enhanced
• Continued work with CAMHS Youth Advisors and development of an employment pathway for young people.
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Questions?
Visit our market stall
Elaine BousfieldFounder & Director - [email protected]
Dr. Phil Ferreira-LayClinical Director and Consultant Child [email protected]