Outcomes Orientated Approach to Mental Health Services (OO-AMHS) is a whole service model for teams who provide mental health and counselling services that incorporates existing evidence on how to improve outcomes, reduce DNA’s and dropout rates, and provide cost savings through improved therapeutic efficiency.
Following the continued success of the Outcomes Orientated approach within the local Child and Adolescent Mental Health service (CAMHS), Lincolnshire Partnership NHS Foundation Trust has formed a partnership with the National Society for the Prevention of Cruelty to Children (NSPCC) to disseminate OO-AMHS e-learning training nationally to their practitioners and service managers.
Why is this important to the HEEM?Research consistently highlights inadequacies in the levels of support for looked after children. Often these individuals struggle to get the help they need until serious behavioural or mental health problems present and jeopardise well-being and the stability of placements. Due to the high demand for CAMHS services and the waiting lists which prevail in almost all areas, accessing timely, specialist, help and support in times of crisis can be problematic. This lack of timely help can also lead to risky behaviours such as running away, and the associated dangers.
OO-AMHS training programme incorporates feedback in its approach as recommended by the Monro Review of child protection (2011). OO-AMHS is founded on a strong evidence base which aims to engage and empower individuals, regarding them as “experts” in their own lives. OO-AMHS e-learning is the only accessible UK training available that incorporates session by session feedback.
Proposed education interventionThe aim of this project was to build upon the local success in Lincolnshire of OO-AMHS by partnering with the NSPCC’s Connecting with Children in Care. Connecting with Children in Care are piloting a short-term, face to face service using a brief solutions focussed approach, which can (where appropriate) be accessed by looked after children, via Childline. Through the completion of the modules contained in the e-learning programme, 50 NSPCC practitioners and their service managers in 15 locations across the UK will benefit from the OO-AMHS approach.
The e-learning package covers 8 modules.
Foundation Level modules are designed for individual practitioners and provide a broad understanding of the evidence on the outcomes and how this knowledge can be incorporated to improve practice:
• Module 1 – Understanding the evidence
• Module 2 – Evidence and services
• Module 3 – Applying the evidence
• Module 4 – Using ratings scales and building an outcomes database
Advanced level modules are designed to support a whole service transformation project and are aimed at managers and supervisors who will lead the service transformation:
• Module 5 – Preparing for service transformation
• Module 6 – Supervisor and manager training
• Module 7 – 6 month review
• Module 8 – 12 month review
Benefits to patients and serviceThis projects provides a low cost, easy to implement training programme which can have substantial benefits for gathering relevant data, improving patient engagement and outcomes, and allowing more patients to recover quicker, which will result in greater capacity for the service.
Visit the HIEC archive to read more about the Outcomes Oriented Approach to Mental Health Services project.
Productivity and impactThe project, led by Dr Sami Timimi, has delivered face to face training to 25 NSPCC Service Managers and 20 Clinical Supervisors from across the UK. This training was received with great enthusiasm and post training feedback has been very positive with managers and supervisors (who are also clinicians) who attended feeding back that they now appreciated that the approach provides valuable clinical tools, whereas their original impression had been that the routine collection of feedback from patients was a management and service evaluation tool only. The training has therefore seen significant changes in well-being of 213 young people that went through OO-AMHS related services and reported a reduction in ‘clinical levels of distress’.
The managers are currently facilitating the implementation of an outcomes orientated approach to their delivery of face to face services for looked after children. Both managers and practitioners are being supported through this implementation process by the formal e-learning package completing modules 1 to 4 of the foundation level. Managers will then move on to complete the advanced level to fully implement and evaluate their outcomes orientated service transformation.
Professor Sami Timimi,Consultant Child Psychiatrist