South West Family Values is now part of the South West Children and Young Peoples IAPT South West collaborative working in partnership with Exeter University, CAMHS and Checkpoint. This partnership aims to train staff and deliver interventions designed to Improve young people’s Mental health. Moving forward SWFV aims to make these interventions sustainable and embed IAPT processes and Outcomes measures across our practice to ensure consistent approaches, improve efficacy, and ensure model fidelity. We have received funding from the NHS to engage staff to train on these courses throughout 2017.
General Overview of CYP IAPT
Children and Young people’s IAPT is part of a national drive to improve access to psychological therapies. The Government has committed to training 1700 new workers in this field and SWFV is part of this initiative that runs until Dec 2018.IAPT has several strandsThe current strands are: Parenting therapist, CBT, 0-5 parenting, Systemic practice, Wellbeing Practitioner, Learning disabilities. (more info on individual strands can be found here): www.http://cedar.exeter.ac.uk/iapt/cyphandbook/
Currently SWFV is training staff in the parenting strand but will be adding trainees in 2018 on the Wellbeing Practitioner strand and 0-5. (Further info available in 2018)
Info on current Parenting stand:
This strand is designed to target the parents of young children between the ages of 3-10. The research shows that children who exhibit behaviour problems in early childhood due to poor parenting are more likely to develop conduct disorders in later childhood which can lead to risky and antisocial behaviors, depression and anxiety. The Incredible years programme was chosen as the best model to help address this. The HNC model for more complex cases is now also included.
- 2 supervisors have now been trained in supervising evidence based parenting interventions, with another training next year. This is a PG cert level course provided by Exeter University.This role is to provide clinical supervision, ensure programme integrity and monitor the use ofIAPT routine outcome measures. (ROMS)
- 3 trainee parenting workers have been trained in parenting interventions. This is a PG Diploma level course provided by Exeter University. These workers spend a portion of their time in Uni and the rest delivering interventions for SWFV.This role is to facilitate evidence based parenting interventions using Incredible Years as thePrimary group model and ‘Helping the non-compliant child’ (HNC) as an additional model.
- Referrals come mainly from schools, children’s services, health visitors and other professionals, but self-referral is encouraged as well.
Parenting IAPT has a set structure and process around delivery, supervision and evaluating outcomes which must be adhered to.
IY Group sessions:
- Every group session is videoed, consent forms are signed by parents to allow this. Video is used to observe practice, ensure programme integrity and quality and to inform supervision sessions.
- SDQ this form is completed at the beginning and end of the group to assess outcomes overall.
- ROMS forms. (Routine Outcomes measures) These outcomes forms are filled in at every IY session. The forms are used to aid supervision and assist planning, but also to help evaluate outcomes in parenting and help plot progress. These forms are as follows:
- ‘Goal progress form’ (pg 63 of IAPT ROMS booklet)
- The ‘ORS’ (page 64) about their child
- For children over 8: ‘How are things’ (page 72) about their child's behavioral difficulties. The other questionnaires in this section are sections from the RCADS that relate to anxiety and depression so are not really relevant but you can use them if they have been identified as issues and you are working on any of those issues (again only if over 8)
- For all: ‘How is your child doing?’ (page 74)
- ‘How was this meeting’ (page 76) parent reporting on their own experience of the session
- ‘SRS’ (page 77) parent reporting on their experience of the session
The ROMS forms are also designed to help inform clinical supervision sessions. The IY programme itself also has evaluation forms that are used to evaluate progress with parents and help practitioner and supervisor ensure programme integrity. SWFV uses these forms to ensure that parenting programmes are having an impact and produces data reports on these outcome measures following each set of groups.
Supervision of parenting IAPT
- SWFV Provides weekly supervision for practitioners and individual supervision on 1-1 HNC cases.
- The practitioners should prepare a supervision ‘question’ and bring cases they are stuck on or have concerns about, to supervision weekly. They should bring video evidence to illustrate the problems or bring out areas of their practice that they want to explore or improve.
- Supervisors are trained in using SAGE and Roth and Pilling competencies that enable them to explore and improve clinical practice and outcomes using coaching, role play, observation, and teaching.