Service Innovation and local research: Care Co-ordination (recording)

Matt Kempen
Marketing Manager for ACAMH

Posted on

Delegates only. Organised by the ACAMH Southern Branch, this event showcased the recent journey of a busy specialist CAMH service in the region featuring innovative approaches to provide patient centred care and enhance team wellbeing.


Jacqui Tyson and Megan Fowler – Addressing unscheduled care through Support Time and Recovery Workers (STaR) – Improving service users journey in CAMHS

Dave Smallman and Dr Anu DevangaCare Co-ordination in busy teams – using a caseload review process to manage differing demands and identify trends in core work


About the talks

Dave Smallman and Dr Anu DevangaCare Co-ordination in busy teams – using a caseload review process to manage differing demands and identify trends in core work

In this presentation we would like to share our journey and experiences as a service over the last five years as we have navigated through Covid and other significant transitions/losses. We will discuss the impact of the change on the teams and the influence it has had on our current way of working. Plus our plans to provide safe, evidence-based, good quality clinical care to CYP and families in our care.

Key learning takeways

  1. To offer a reflective space for people to share their experiences and to facilitate an open discussion re: the flexibility that is required within all services to meet the changing profile/needs of the population that we serve and the need for a multiagency approach.
  2. To highlight the importance of working more innovatively by utilising the skill mix/resources within the team and partner agencies and empowering families to discover innate strengths and resources and building their resilience

Jacqui Tyson and Megan Fowler – Addressing unscheduled care through Support Time and Recovery Workers (STaR) – Improving service users journey in CAMHS

This presentation will outline the process we went through to develop this model in CAMHS. We will demonstrate the recovery approach and the role of the STaR workers and how we plan to implement these roles across a busy and pressurised community service.  This role is to provide children and young people recovery focused interventions to address complex care needs for those receiving therapy to deliver a recovery focused vision and support patient flow through the service. The aim of this innovation is to enable and promote well-being by promoting connectivity, acceptance and supporting a child and young person focused journey through the service. Community working, considering social and environmental factors of health care provision, enabling conditions to access resources and address safety needs by working collaboratively with families and the network. This includes working to develop daily activities promoting social inclusion and supporting organisational commitment. The role will support and develop autonomy and empowerment for young people and families in receipt of CAMH Services. They will deliver personally defined recovery care planned interventions, promoting citizenship and support connectivity and empowerment.

Key learning takeways

  1. To understand the concept of STaR workers in a CAMHS setting
  2. To share insights as to how to work in new ways to provide brief task focused interventions and reinforce learning and change from the therapeutic setting.
  3. To share focused and targeted plans for Children and Young people as part of their recovery.

About the speakers

Dave Smallman

Dave Smallman
Nurse Therapist – Registered Nurse learning Disability – Art Psychotherapist
Since qualifying 1999, Dave has worked RNLD within a range of inpatient and community services and now is Team leader for ID-CAMHS. The Service is intended to meet the needs of children with a Intellectual Disabilities (ID) who are also experiencing severe emotional and behavioural difficulties, which are leading to significant distress and/or functional impairment which have not resolved with the usual primary interventions. Clinical interests include positive behaviour support and functional analysis (completed training at the Tizard centre), creative therapies, supporting young people with Neurodevelopmental conditions, group work and delivering psychoeducation to parents. Dave has an in interest in developing solution focused management forums within Teams and across agencies.

Anupama (Anu) Devanga

Dr. Anu Devanga
Anu is a Consultant Child and Adolescent Psychiatrist for Pan Dorset Intellectual Disability CAMH service (specialist CAMHS) since June 2017 and is the Lead Consultant for Core (Generic) CAMHS in Dorset since May 2020. She is the sole Consultant for a service covering the county of Dorset with clinical bases in Dorchester and Southbourne and is part of a multidisciplinary service consisting of Nurses/Non-Medical Prescriber, Psychologists, Senior OTs, Mental Health Practitioners, Clinical Support Workers/Sleep practitioners, psychological therapists/Neurodevelopmental practitioners, Admin team, Nurse Associate, Trainee Psychologists, SaLT, and Family therapist.  The service works closely with partner agencies such as Children’s social care, Education/SEN/Schools, Paediatrics, Adult LD/MH, Primary care, Psychiatry liaison, Acute Hospitals. Most of the work takes place in the community and in schools and relevant assessments and reviews take place at the clinic base.

Anu completed her core training in Psychiatry in Northamptonshire when it was part of the Oxford deanery and higher specialist training in Child & Adolescent Psychiatry from the West Midlands deanery. Her first role as a Consultant Child & Adolescent Psychiatrist was in the West Midlands (Birmingham Children’s Hospital – East and North Hubs) and her areas of work included Neurodevelopmental conditions and looked after children.
Prior to joining Dorset Healthcare, Anu worked as a Consultant Psychiatrist across independent specialist residential schools in Dorset, Hampshire, and Gloucestershire for children with Autism, Learning Disability with complex psychosocial and mental health needs.

Jacqui Tyson qualified as a RMN in 1993 and has over 30 years experience working in mental health settings. She has worked across all ages and she qualified as an Approved Mental Health Professional in 2012. She achieved a MA in Advance Mental Health Practice in 2017. She has expertise in operational and organisational management. She works to develop services and created innovative projects to link with clinical practice and social justice. She is passionate about this work from a person centred perspective to improve the quality of life for children and young people. .

Megan Fowler is an Occupational Therapist who has had over 5 years experience in CAMHS and has worked across all age groups. She is an assistant team manager and has an interest in the recovery model and is a clinical supervisor for the STaR workers.

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