With Reference to the CYP IAPT Core Principles, critically discuss Evidence Based Practice and Routine Outcome Monitoring and the challenges of implementing these within the modality of parenting and within the wider context of practise within the children centres Introduction Studies published by Green, Meltzer, McGinnity, Goodman and Ford in 2004 estimated that 9.6% or nearly 850,000 children and young people aged between 5 -16 had a mental health disorder and it was estimated that a staggering 76% of those CYP with anxiety and depression disorders were not accessing mental health services compared to 35% of adults. As a result of such studies, The children and young people’s improving Access to Psychological Therapies programme (CYP IAPT) was conceived and aimed to transform the delivery of Child and Adolescent Mental Health Services (CHAMS) across England. CYP IAPT has four core principles, Evidence Based Practice (EBP), Routine Outcome Monitoring (ROM), Participation, and Reflective Practice. This essay will focus on the two principles of EBP and ROM and will consider the challenges of implementing these within the modality of parenting and within the wider context of practise within the children centres. Evidence Based Practise. There are many definitions of Evidence-Based Practice (EBP) and has been described as the integration of research evidence, Clinical expertise and patient values which all inform best practice (Sackett et al, 2000) What does EBP mean
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• Continue with personal plans All children have a personal plan and staff are becoming more confident using these due to support from management. Comments/Discussions: Monitoring Charmaine and Joyce were looking at how to take the monitoring forward in a way that will have the most impact on practice, the environment and children outcomes. We discussed that monitoring needs to be consistent and regularly reviewed and the impact of the monitoring documented in a clear succinct way. I showed Charmaine and Joyce a
Case Study 2 As a setting it is our responsibility to note down all events seen, including the date, time and where it took place. It is also important to monitor this, seeing if the child comes to the nursery like this often, or on particular days. It is our duty to safeguard the child and if we feel that they are being 'neglected' we have the right to report it. However, we could support the mother by having an informal meeting, talking about any issues that she may be having.
This essay will demonstrate an understanding of the Australian Sequentially Planned Integrative Counselling for Children Model (SPICC) which embraces theoretical concepts and practical strategies from a number of established psychotherapeutic approaches such as Client Centred Counselling, psychodynamic Psychotherapy, Gestalt Therapy, Narrative Therapy, CBT and Behaviour Therapy. The author will reflect on the goals of counselling children on all levels and explore the SPICC model which incorporating an overview of the stages of therapeutic change and the tasks of the therapist. The therapist must have a good understanding of the therapeutic modalities used in the SPICC model, the spiral of change and the processes occurring in the child in
They are however carried out to determine whether there were any lessons learned or knowledge gained from the events that took place pertaining to a certain case. This is particularly with regard to how people from different professions and agencies should coordinate in vulnerable adult or child care. These reviews are also carried out to determine or ascertain that procedures that are followed were ethical and evidence based. The recommendations that these review committees give are meant to help to enhance effective consultation between agencies and professionals (UK Govt,
In response to these national trends as well as the local shortage of qualified pediatric mental health professionals, The Division of Child and Adolescent Psychiatry at The Penn State Milton S. Hershey Medical Center (HMC), in collaboration with the Department of Pediatrics, developed a Pediatric Psychiatry Collaborative Care. Proved feedback from this project will enable us to identify areas for improvement of the collaborative clinic model, introduce new screening tool if indicated and adjust the model to better fit the need of
This paper will analysis the Pederson Family case study (Ledger 2015) and will discuss the presenting issues, the family constellation, the Barker and Hodes (2008) Common Assessment Framework (including the children’s developments requirements, parenting capability, and the extended family, community and environmental factors). With the use of evidence based practice, immediate risk will be identified and protective factors in relation to best interest of child will be ascertained (Connolly & Morris 2012). A genogram will be included as it visual representation of the Pederson Family. The area of children and families is one of the most challenging in a social workers professional practice.
Children and Youth Services Review, vol. 145, Feb. 2023. EBSCOhost, https://doi.org/10.1016/j.childyouth.2022.106797. Simmel, Cassandra, et al. “Antipsychotic Treatment for Youth in Foster Care: Perspectives on Improving Youths’ Experiences in Providing Informed Consent.” American Journal of Orthopsychiatry, vol. 91, no. 2, 2021, pp. 258–70.
The roles and responsibilities of different agencies and practitioners working to with children and young people. The role of Local Safeguarding Children Boards (LSCB’s) The process to
On the other hand, during the program, group therapy was the second most frequently identified but only constituted 15% of treatment, followed by anger management, social skills training, family education and support, and case management, which were all only identified by over 5% of respondents after the program. Dr. Donald P. Oswald (2006) stated that with no doubt the best of intentions with any program, we have at times promulgated treatment approaches and interventions that have been ineffective in dealing with the effects of mental illness. The treatment movement, thus, may be a testimony to some of the failures of the mental health system and treatment. The resulting implications are, first and foremost, to correct the flaws that have produced those failures. Recovery, as it applies to child mental health, is about reorienting the system, aligning attitudes, services, and programs to provide effective services for those receiving
The term Evidence based practice was developed to replace the historical customary practice view of psychological treatment and can be looked at as a preferred set of procedures considered standard within an organization. More specifically, Evidence based practice (EBPP) is defined as a triad system that is intricately intertwined by scientific research, clinical expertise and client values and preferences. The use of evidence based practice has become more prevalent in recent years considering suggested research findings which points to the ineffectiveness of employing treatment techniques and interventions with clients that have not been generated by sound evidence. As a science, psychology is presumably rooted in the scientific method which
It was challenging and fulfilling, allowing me to glimpse their dark side, growing up in broken, unfavorable family settings. Under a psychiatrist’s supervision, I cared for four children. I talked with them daily, discussing their behavior and trying to understand their emotions and thought process. I encouraged each to use positive coping skills and verbalize their emotions and helped develop insight into their behavior. An 11-year-old girl with Disruptive Mood Dysregulation Disorder responded particularly well with substantial improvement in her coping skills and reduction in impulsivity.
EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” (Sackett D, 1996) Carnwell defines EBP as ‘[the] systematic search for, and appraisal of, best evidence in order to make clinical decisions that might require changes in current practice, while taking into account the individual needs of the patient.’
The Department of Health (2004) highlights the importance of inter professional working to optimise health needs of children with long term illnesses, it identifies that this improves health outcomes for the child, supports the family and promotes social inclusion. Like minded, Bayliss-Pratt (2013) suggests that MDT working generates the appropriate skills to achieve better results and practices; an important outcome of the NHS healthcare system. When healthcare practitioners fail to liaise with each other professionals, it results in care delivery being inadequately
(1) Recent evidence suggests that three broad strategies based on the principles, strategies, and tactics of evidence-based medicine ' (EBM) can work. (2)By way of background, evidence-based medicine is said to have five linked ideas: Clinical and other health care decisions should be based on the best patient- and population-based as well as laboratory-based evidence.(2) Identifying the best evidence calls for the integration of epidemiological and bio-statistical ways of thinking with those derived from pathophysiology and personal experience of health care professionals or decision makers of the EBM (examples include using likelihood ratios to increase the power
A Case Study with Case Formulation and Counselling skills for Children Formulation is one of the core skills practiced by psychologists. The development and maintenance of the client's problems and needs are elicited through a framework drawn on from psychological research and practice. It integrates knowledge acquired through assessment using 'psychological, biological and systemic factors and procedures'. Formulation may involve many hypotheses by drawing on various theoretical models, and provides a foundation for the development of the appropriate psychological intervention (DCP 2010 cited in DCP 2011). Variations of the formulation technique have been applied to develop frameworks specifically for family therapy (Carr 1990).