Embedding a culture of participation at a strategic level and operational level in CYP IAPT

Manchester Children and Young People’s CYP IAPT Learning Collaborative

Welcome

The objectives for today

Lots of activities and interaction to get us thinking and talking about participation

An exploration of our values and aspirations for children and young people’s participation

Defining our aims for embedding participation in our everyday work with children and young people, and at an operational and strategic level

Consider how participation informs service transformation and change

Hearing from our Phase 1 partners about their experience of embedding participation and sharing our expertise

Mapping and planning to embed participation across our collaboration

Why is participation important?

Aids the provision of more accessible, appropriate and responsive services Improves relationships between those using services and those providing

them – promotes ‘shared perspectives’ Empowers young people and enhances their life opportunities Helps us develop our skills as therapists, service leaders and services

planners Impact on engagement with services and clinical outcomes Increases satisfaction with services Inform planning and service development

Because it helps service transformation and change

Young People in the Driving Seat for CYP IAPT?(from Hart 1992)

1.Manipulation

2. Decoration

3.Tokenism

4. Assigned but informed

5. Consulted and informed

6. Adult initiated shared decisions with children

7. Child initiated and directed

8. Child initiated shared decisions with adults

The Ladder of Participation

At the top rung of the ladder?Young People as ‘active citizens’?

CitizenshipIn the UK ‘citizenship’ has been outlined as beneficial for children Critical thinking and enquiry

– Empowering them to lead– Recognising and reporting

unfairness and discrimination – Taking informed and responsible

decisions– Developing moral and social

responsibility– Involving young people in their

communities– Developing social capital

ACT 2012

Democracy and Justice

Rights and Responsibilities

Identities and Diversity

3 key concepts

• Our research indicates that the best way to engage young people more generally is via Internet communication

• Young people want leadership programmes and education about mental health

• Smartphone applications, online networks and forums • Accessible technology to engage young people with disabilities• Fun and interactive activities such as virtual discussion forums, and

online seminars (webinars)• Involvement in planning health and care services• But…they also clearly that face to face meetings in schools about

relevant issues to do with mental health would be very beneficial for changing attitudes

Empowering young people to participate – what they say works (Warner-Gale and Sedgewick 2011)

Young People as active citizens in CYP IAPT

• Learning to contribute to programmes that directly affect their lives

• Empowered to initiate and lead decisions about their services

• Services become appropriate to them and owned by them

• Helps evaluate the standards of care they receive• Become confident and competent members of society• Improves the overall functioning of our communities

and their place within it

The 9 participation priorities

Feeling Good

Assessment, Outcome Monitoring, Complaints

procedure

Running the service

wellCommissioning,

Influencing senior managers, Mission

statement

Doing the job right

Staff training, supervision and

appraisals, recruitment

Direct Work

Operational Strategic

The 9 participation priorities

Feeling good: Direct Work Get initial assessments right; involve young people in session

monitoring; provide easy access to complaints and advocacyDoing the job right: Operational Make sure staff have the right skills and knowledge; involve

young people in recruitment and in staff appraisalsRunning the service well: Strategic Involve young people in commissioning; help young people to

influence senior managers; have a strong mission statement

Mapping the Priorities Nationally – the top 5 areas for support

1 Supervision and appraisal of staff 2 Staff training for trainees and existing workers 3 Recruitment and selection of staff (internally and externally)4 Session by session monitoring is standard practice5 A mission statement or charter is in place, accessible and used to review progress5 Influencing senior managers through a range of approaches and feeds into strategic decision making

In addition, several areas may benefit from some support around exploring models of participation for young people.

The Manchester Collaborative – mapping the priorities

Well on the way!

• Working action plans in place

• Participation staff in place in many areas

• Influencing senior managers

• Initial assessments• Session by session

monitoring

Areas for support

• Commissioning services• Staff Training• Recruitment and

selection• Supervision and

appraisal• A mission statement• Sustaining participation

groups

Today is about building on your progress and sharing ideas

Time to review what you already do, or have in place to support young people’s participation

Make a commitment to support participation based on what’s realistic and sustainable in your area and across the collaborative

Starting to take small, planned steps or building on what you’ve already done to really embed participation

Not forgetting our need to think about different groups and how to engage them – flexibility, need for training and support, range of options, being receptive to new ideas and suggestions

Building our community of learning and practice – including feedback loops

GIFT: Advice and support for participation

Planned support to your collaborative – action learning sets, training, events, support and challenge

Constantly updated information about participation and tools to support you is available from a variety of websites and organisations – e.g. GIFT’s partners Practical Participation, NYAS, Right Here and Youth Access…

Plus your local participation experts e.g. YoungMinds, NCB, Barnardos

And www.myapt.org which has been created specifically for everyone involved in CYP IAPT

Contact details

• Email: fiona@associatesolutions.co.uk

• Visit www.myapt.org and register to access the discussion forums for professionals and to learn more about how young people are involved with GIFT and across CYP IAPT