Together for Children and Young People - T4CYP

Improving the emotional and mental health of children and young people in Wales

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About the Programme

T4CYP was launched by the Minister for Health and Social Care at a stakeholder event at the end of February 2015.  Led by the NHS in Wales, this multi-agency service improvement programme is working at pace to reshape, remodel and refocus the emotinal and mental health services provided for children and young people in Wales, in line with the principles of prudent health and care.  T4CYP is based on a human rights approach and is committed to embedding the 7 Core Aims for children and young people under the United Nations Convention on the Rights of the Child (UNCRC).

The Windscreen Model

T4CYP is using the Windscreen Model to inform its thinking, which shows how a wide range of services provide a continuum of support for children and families. These services are provided by a wide range of statutory and third sector organisations and so working in partnership to get the balance right between these is central to successfully delivering T4CYP.

Work Streams

A small high level multi-agency Programme Board has been established, to oversee T4CYP with work streams to undertake detaled work right across the full scope of the windscreen.  They are looking at the full range of support, children and families require.

T4CYP is focussing on implementing service change and improvement at pace. Specific areas of work will include:

• Resilience and Early Intervention Work Stream; to consider building universal resilience in children and young people, and early intervention where this is required to support young people's emotional wellbeing and mental health; getting it right from the start.
• Neurodevelopment; to consider how best, and who is best placed, to meet the needs of those with neurodevelopmental and learning disabilities in a timely and effective manner, with the appropriate level of input from sCAMHS.
• Specialist Child and Adolescent Mental Health Services (CAMHS); starting with a baseline variations audit of provision of sCAMHS this work stream will develop a delivery and quality framework  based on achieving consistent outcomes across Wales. It will be based on the Choice and Partnership Approach, a clinical system widely adopted by CAMHS services. This framework will be implemented in 2016.
• Workforce, Education and Training; to consider the staffing and training needs across, education, health social services and third sector partners to deliver effective models of care and good practice
• Care Transitions; to consider all aspects of the transition of children and young people between services. This will include the transition from adolescent to adult mental health services, early years transitions and the transfers between health and youth justice services.
• Health Needs Assessment; a refresh and extension of the work undertaken by Public Health Wales (PHW) in 2011;
• Engagement with Children and Young People; Children and young people are being given the opportunity to develop and shape the future delivery of emotional and mental health services through broad roots engagement that captures the well being of all children and not just those who use Child and Adolescent Mental Health Services (CAMHS). This includes working closely with Children in Wales, the Children’s Commissioner’s office, and the third sector ‘High Needs Collaborative’.