under 5s presentation - london and south east cyp iapt ... › 2016 › 07 ›...

© David Trickey, Consultant Clinical Psychologist 1

CYP-IAPT Measures for Work with Children Under 5 years old

David Trickey A clinician who likes a graph

Agenda

•  Welcome (DT) •  Introductions (All) •  History of choice of CYPIAPT measures to

date (DT) •  Discussion of specific measures (All) •  Next Steps (All)



Introductions

•  Name •  Involvement with under 5s and measures •  What you hope we will achieve today


CYP-IAPT

•  Different to Adult IAPT •  Transforming existing services

–  Improve collaboration –  Improve Evidence-Based Practice – Use of Empirically Supported Interventions –  Increase and improve routine use of

measures: •  Because it improves outcomes •  Because it helps with commissioning •  Because it helps inform decisions



Outcome and Evaluations Group (OEG) •  Chaired by Miranda Wolpert (Director of

EBPU & Chair of CORC) •  Objectives include:

– Advise on training required – Advise on protocols for sharing information – Review, evaluate and make recommendations

regarding best outcome measures to be included (considering psychometric properties, feasibility and cost)

– Liaise with wider CAMHS community


Final questions

•  What would we like the OEG to recommend?

•  Is it worth having another meeting (with more notice)?



CYP-IAPT Measures

•  CYP-IAPT need to be: – Relevant – Free to use – Not require any particular training (so as not to

exclude any practitioners) – Sufficiently psychometrically robust

•  Feedback obtained each year from online survey of practitioners

•  Has tended to be inclusive rather than exclusive (resulting in more than 50 measures)


All CYP-IAPT measures (Links to the measures and extra information is available from this table at www.corc.uk.net/measurestable)


CYP-IAPT Measures (v14.3)

This table can also be found at www.corc.uk.net/measurestable with direct links to the measures and additional information

Child / Young Person Parent / Carer Practitioner

Assessment / Choice *SDQ S11-17 *RCADS HoNOSCA (13-18)

*SDQ P2-4 *SDQ P4-17 *RCADS-P HoNOSCA-P

HoNOSCA CGAS **Current View

Ongoing / Partnership:

Goals Goal Progress Chart Goal Progress Chart

Global *ORS (13+) *CORS (6-12) YCORS (-5) *SWEMWBS (12+) *Modified SDQ S11-17 (RMQ11-17)

*ORS *Modified SDQ – P (RMQ 4-17) *Kessler-10

Family Context *Describe Your Family - SCORE-15 *Describe Your Family - SCORE-15

Problem trackers

*How are things – low moodRCADS *How are things – anxious away from homeRCADS *How are things – anxious in social situationsRCADS *How are things – anxious generallyRCADS *How are things – compelled to do or think thingsRCADS *How are things – panicRCADS *How are things – disturbed by traumatic event (CRIES) *How are things – Me and My School *How are things – PHQ9 *How are things – GAD7 *How are things – EDE-Q / EDE-A *CORE-YP *CORE-10

*How are things – low moodRCADS-P *How are things – anxious away from homeRCADS-P *How are things – anxious in social situationsRCADS-P *How are things – anxious generallyRCADS-P *How are things – compelled to do or think thingsRCADS-P *How are things – panicRCADS-P *How are things – behavioural difficulties (ODDp) SLDOM (3-16) BPSES

Session Feedback SRS (13+) CSRS (6-12) GSRS CGSRS YCSRS How was this meeting (SFQ)

SRS (13+) How was this meeting (SFQ)?

Review / Close *SDQ S11-17 FU *RCADS CHI ESQ (9-11) CHI ESQ (12-18) HoNOSCA (13-18)

*SDQ P2-4 FU *SDQ P4-17 FU *RCADS – P CHI ESQ (P) HoNOSCA-P

HoNOSCA CGAS Current View**


CYP-IAPT does have some measures that can be used with <5s, but generally not considered sufficient •  Parent’s perception of their parenting:

–  Brief Parenting Self-Efficacy Scale (BPSES) •  State of mind of the parent:

–  Kessler-10 •  Client feedback about session or service

–  SRS –  SFQ –  CHI-ESQ

•  Parental report of Child’s Psychological Functioning (2+yrs) –  SDQ P2-4 & SDQ P2-4 FU*

* Qualifies towards the 90% target © David Trickey, Consultant Clinical Psychologist 8


K10+ S e l f - R e p o r t M e a s u r e

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K10+

The following questions ask about how you have been feeling during the past 30 days. For each question, please circle the number that best describes how often you had this feeling.

Q1 DURING THAT MONTH, HOW OFTEN DID YOU FEEL …

ALL OF THE TIME

MOST OF THE TIME

SOME OF THE TIME

A LITTLE OF THE TIME

NONE OF THE TIME

A … tired out for no good reason? 1 2 3 4 5

B …nervous? 1 2 3 4 5

C …so nervous that nothing could calm you down? 1 2 3 4 5

D …hopeless? 1 2 3 4 5

E …restless or fidgety? 1 2 3 4 5

F …so restless that you could not sit still? 1 2 3 4 5

G …depressed? 1 2 3 4 5

H …so depressed that nothing could cheer you up? 1 2 3 4 5

I …that everything was an effort? 1 2 3 4 5

J …worthless? 1 2 3 4 5

PROVIDER

PROVIDER ID

Patient or Client identifier

Please go to the next page

Please use gummed label if available

SURNAME:

OTHER NAME:

DATE OF BIRTH: / / SEX: Male

1 Female 2

ADDRESS:

Date completed: / / 20

Thank you for completing this questionnaire.

Q3 During the past 30 days, how many days out of 30 were you TOTALLY UNABLE to work or carry out your normal activities because of these feelings?

NUMBER OF DAYS

Q4 NOT COUNTING THE DAYS YOU REPORTED IN RESPONSE TO Q3, how many days in the past 30 were you able to do only HALF OR LESS of what you would normally have been able to do, because of these feelings?

NUMBER OF DAYS

Q5 During the past 30 days, how many times did you see a doctor or other health professional about these feelings?

NUMBER OF TIMES

Q6 During the past 30 days, how often have physical health problems been the main cause of these feelings?

ALL OF THE TIME MOST OF THE TIME SOME OF THE TIME A LITTLE OF THE TIME NONE OF THE TIME

1 2 3 4 5

K10+ S e l f - R e p o r t M e a s u r e

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© World Health Organization 2003 All rights reserved. Based on the Composite International Diagnostic Interview © 2001 World Health Organization. All rights reserved. Used with permission. Requests for permission to reproduce or translate —whether for sale or for noncommercial distribution—should be addressed to Professor Ronald Kessler, PhD, Department of Health Care Policy, Harvard Medical School, (fax: +011 617-432-3588; email: [email protected]).

Q2 The last ten questions asked about feelings that might have occurred during the past 30 days. Taking them altogether, did these feelings occur MORE OFTEN in the past 30 days than is usual for you, ABOUT THE SAME as usual, or LESS OFTEN than usual? If you NEVER have any of these feelings, circle response option “4.”

MORE OFTEN THAN USUAL ABOUT THE SAME AS USUAL LESS OFTEN THAN USUAL

a lot some a little a little some a lot1 2 3 4 5 6 7

The next few questions are about how these feelings may have affected you in the past 30 days. You need not answer these questions if you answered “None of the time” to ALL of the ten questions about your feelings.


Session Rating Scale (SRS)

10

Please rate today’s session by placing a mark on the line nearest to the descrip6on that best fits your experience

I did not feel heard, understood and respected

I felt heard, understood and respected

We did not work on or talk about what I wanted to work

on and talk about

The therapist’s approach is not a good fit for me

There was something missing in the session today

We worked on and talked about what I wanted to work

on and talk about

The therapist’s approach is a good fit for me

Overall, today’s session was right for me

Rela%onship

Goals & Topics

Approach / Method

Overall




EXPERIENCE OF SERVICE QUESTIONNAIREDay services (Parent or Carer)

Please think about the appointments you, your child and/or your family have had at this service or clinic.

For each item, please tick the box that best describes what you think or feel about the service (e.g. ˛).

CertainlyTrue

PartlyTrue

NotTrue

Don’tknow

I feel that the people who have seen my child listenedto me q q q ? 1

It was easy to talk to the people who have seen mychild q q q ? 2

I was treated well by the people who have seen my child q q q ? 3

My views and worries were taken seriously q q q ? 4

I feel the people here know how to help with theproblem I came for q q q ? 5

I have been given enough explanation about the helpavailable here q q q ? 6

I feel that the people who have seen my child areworking together to help with the problem(s) q q q ? 7

The facilities here are comfortable (e.g. waiting area) q q q ? 8

The appointments are usually at a convenient time (e.g.don’t interfere with work, school) q q q ? 9

It is quite easy to get to the place where theappointments are q q q ? 10

If a friend needed similar help, I would recommend thathe or she come here q q q ? 11

Overall, the help I have received here is good q q q ? 12

PLEASE TURN OVER...

What was really good about your care? 13

Was there anything you didn’t like or anything that needs improving? 14

Is there anything else you want to tell us about the service you received? 15

Child’s age: Child’s gender: Female q Male q

Child’s ethnicity: White q Black/Black British Asian/Asian British

Mixed q Other q

Is your child registered disabled (e.g. hearing-impaired)? No q Yes q

If you don’t want to take part, please tick this box q and return the blank questionnaire in the envelopeprovided.

THANK YOU FOR YOUR HELP

Now place this form in the envelope provided andput it in the box marked CHI in the reception

For administration purposesTrust: ________________________________________

Service: ____________________ Code: __________

Tier: __________________ DB No: ______________



Small groups of about 3 for 10 minutes •  What data do you think CYP-IAPT should be encouraging

practitioners to collect? •  Should it be trying to measure all eight domains identified by

Robin Balbernie of PIPUK: 1.  Parenting skills and interactions between parent and infant; 2.  Parent’s perception of the infant, or of their own parenting

(BPSES); 3.  Stresses that the caregiving relationship is under; 4.  Quality of the caregiving relationship; 5.  Child’s social and emotional development (SDQ) as well as his

or her global development; 6.  State of mind of the parent (Kessler-10) 7.  Public health oriented indices which might interest to

commissioners; 8.  Client feedback at end of contact (ESQ, SRS, SFQ)

•  If not all eight, which ones? © David Trickey, Consultant Clinical Psychologist 14

Thinking just of the domains that you think are important •  What measures do you know of? •  Are they:

– Acceptable to clients – Clinically relevant – Free – Without need for special training – Sufficiently psychometrically robust – Normed on a relevant population (where

appropriate) •  What do you think of the SDQ P2-4?



Final questions

•  What would we like the OEG to recommend?

•  Is it worth having another meeting (with more notice)?


under 5s presentation - london and south east cyp iapt ... › 2016 › 07 ›...

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