Project Update #15: 01 April 2016

Dear colleagues, 
This week we are focusing on the emotional and behavioural pathway and I’m delighted to introduce Dr Matthew Jenkins, Interim Head of Psychological Therapies, who’s going to give an overview here. The blog is in written format only.

Hello, I am Mathew Jenkins, Interim Head of Psychological Therapies, and I'm going to talk a little about the emotional behavioural pathway which is one of our five core pathways.
The emotional behavioural pathway is simply a way of describing a range of common mental health difficulties to do with how we feel, how we handle our emotions, and issues that affect behaviour. This might include feelings of anxiety or depression, or difficulties managing feelings of anger resulting in, for example, patterns of aggressive behaviour.

CAPA stands for Choice and Partnership Approach. This approach means that we work in partnership with you, to support you to make informed choices about the kinds of care and treatment you might need. It means you are always involved in decisions about your own care.

CAPA, your first point of contact, will usually be a choice appointment. This lasts around 45 minutes and aims to find out about concerns, clarify hopes for change, and agree a shared decision about the best way forward. Part of this process also includes thinking about which pathway seems the most appropriate.

Children, young people and young adults on the emotional behavioural pathway can often be helped by relatively brief interventions, working with someone with the right skills matched to your needs and also your preferences. 

For example, some people prefer face-to-face contact with a therapist while others may feel more comfortable accessing support through our online services. An example of this would be online CBT with an appropriate therapist via text messaging, allowing a young person to access therapy from their preferred venue (including from home) at a time convenient to them.

Another important stream within the emotional behaviour pathway is IAPT. This stands for Improving Access to Psychological Therapies and is particularly aimed at helping those experiencing depression and anxiety.

Those with more complex needs can access multidisciplinary packages of care. This means more than one professional from different backgrounds, for example a doctor, a therapist and a support worker, coming together in a coordinated way as a team around the child or young person.

Rather than having clinical based appointments with a specialist mental health practitioner, community based support may be better for some. FTB has a number of key partners from the Voluntary and Community Sector who can provide support in a range of settings.

Another example of a universal plus partnership community care offering is our recovery college which operates as an educational model helping individuals with recovery self-management, life skills, employment and education.

Finally, healthy emotional and behavioural development is not just about responding to referrals, it is also about promoting positive attachments between parent and child that supports good emotional regulation and prevents potential behavioural issues. We have a number of programs aimed at building resilience and preventing future mental health difficulties before they develop.

Many thanks to Matthew for sharing such clear and informative examples of the emotional and behavioural pathway and the range of support and care available.

Go Live update
Forward Thinking Birmingham has today (1 April) gone live and we are pleased to announce our exciting new range of services and facilities focussed around the individual needs of 0-25 year olds. This is the first time that services have spanned this age range anywhere in the country - providing a new way of delivering mental health services in response to what young people have told us they want.

The main benefits of the new service are:
  • For the first time, 0-25s will be seen by the same service.
  • Pause, our city centre drop-in service, will offer young people and their carers advice and support in a friendly environment at 21 Digbeth (near the Bull Ring).
  • Our dedicated Access Centre (0300 300 0099) provides:
    • 24/7phone number for access to urgent crisis support
    • Support for referrals, general enquiries, advice and guidance at the following times:
  • Monday to Friday 8am-8pm
  • Saturday and Sunday 10am-3pm
  •  Newly refurbished inpatient beds at Woodbourne, Priory Group, Edgbaston for 18-25s, with the new male and female psychiatric intensive care services available from 1 May 2016. PICU services will be provided by Birmingham and Solihull Mental Health NHS Foundation Trust (BSMHFT) until the Priory PICU facility opens). Under 16 inpatient beds will continue to be provided at Park View Clinic, Moseley.
  • A state-of-the-art integrated patient management system, ensuring people no longer get 'lost in the system’ 
  • A 24 hour nursing team providing support for those who need it every step of the way
  • A full range of psychological, medical and nursing interventions, including access to talking therapies, provided by voluntary sector partners. Some services are provided at other local venues, as close to home as possible.  
  • New electronic integrated patient records to ensure seamless data transfer between clinicians and improve monitoring of outcomes (within a robust governance framework). This will continue to develop to include on-line access to patient records.
Patients aged 16-25 currently being cared for within BSMHFT community teams will be transferred across over the next six months to ensure a safe transition. Individual patients will be informed when their own care is transferring to the new provider.

These services have been established during a phased approach between October 2015 and April 2016 and all Forward Thinking staff should be proud and excited at this fantastic achievement.

An at-a-glance update sent to GPs summarising these improvements can be accessed here.

Best wishes,

Denise McLellan
Managing Director