Meet the team
Social Care Service Improvement Lead
Health and Social Care Board
- Northern Ireland
- Amanda Scott, BHSCT,
- Joanne Martin, SHSCT
What is the challenge your project is going to address and how does it connect to your chosen theme?
Young people have different conceptions and experiences of their time in both CAMHS and AMH services. The transition process is often blurred and misunderstood amongst even professionals, with a lack of understanding about the pathways within both services.
The IMPACT study (Northern Ireland, 2016) highlighted issues surrounding young people who require ongoing support from AMH services. Results showed lack of engagement with adult services and numerous DNA of appointments, poor transition outcomes led to high dropout rates, unemployment, increase in involvement with criminal justice system, early unplanned pregnancies and homelessness. The Northern Ireland Children and Young People’s Commissioning Report Speak Your Mind – Mental Health Review (2018) called for smoother flexible and young people-centred transition between services.
This idea supports the theme ‘Building improvement capability and insights across boundaries’ as it will build pathways to better support young people.
What does your project aim to achieve?
The Transition Passport (TP) (draft title as it will be co-produced with young people) will:
– allow young people to track their transition journey jointly with professionals
– avoid young people having to re-tell their story and the difficulties that come with this.
– offer space for young people to express their wishes for their future
–Provide support in relation to education, comm/voluntary sector organisations, physical social & sexual health, employment and independent living skills, etc.
– information will be accessible, appropriate and person-centred
The project will be tested using the IHI Model for Improvement and will be measured through questionnaires (paper or survey monkey) to determine service user experience and quality improvement. The idea would be to trial the transition passport in paper format first and build the specification/prototype for app development.
VFM will be achieved from transfer from paper to electronic version and reach will be extensive (free to use).
How will the project be delivered?
A focus group of young people will co-produce the product for testing based on their experiences of transition. The design stage will involve carer input. The product will be tested (PDSAs) at service user appointments and during co-working arrangements between CAMHS and AMHS. We have identified 3 possible risks associated with the project but we will manage these risks. These include young people not engaging in the project. We do know however that young people are technologically minded and will respond creatively to this project. Staff may be resistant to the idea. We are hosting a Regional Conversation in early October to explore the important culture shift required to think in a more life span-focused way. We also need to protect staff time to test the prototype. We will also continue to explore issues around data protection that may arise through the development of the digital format toolkit, once the hard copy test has been carried out and any revisions have been made.
What and how is your project going to share learning throughout?
We will use the IHI Model for Improvement to design, explore and test the Transition Passport concept. We will use the PDSA tool to test small scale and then ramp up across individual staff, then with Teams, and then across other POC Teams and boundaries. We will share our learning on-going and post project through local Qi fora in NI and through the Q website. Transitions is a priority cross programmes of care (POC) issue, not just in ID CAMHS/CAMHS, including Forensic CAMHS/AMHS. We are hoping to take the learning(scale up) into other POCs. We will identify potential engagement events to share current learning. We will use existing Quality Improvement Programme Boards and engage with our Qi Training Team Leads to share the learning and build upon the project outcomes. Our intention is that all young people who will transition from CAMHS to AMHS will have access to the TP App.
How you can contribute
- - Have any Q members been involved in any similar Transition projects nationally or internationally?
- - Have any Q members been had any App development challenges?
- - Have any Q members transferred hard copy to electronic copy - useful tips for transfer?