Crannog Nua High Support Services

Transcription

1 Crannog Nua High Support Services

2 Crannog Nua High Support Services Anne Wall Director Eugene Donohoe Senior Systemic Psychotherapist/ Coordinator of Mater Support Team

3 Crannog Nua High Support Services CAAB Submission Team: Ms Geraldine Buckley, Snr Speech & Language Therapist Mr Eugene Donohoe, Snr Systemic Psychotherapist Ms Sarah Keane, Deputy Unit Manager, Crannog Nua Ms Anne Wall, Director, Crannog Nua

4 Crannog Nua High Support Services MAKING IT WORK FOR YOUNG PEOPLE IN HIGH SUPPORT: A Collaborative Multidisciplinary & Interagency Approach Category D: Effective Practice in Residential Care

5 Residential High Support Service (SRSB Research Giller 2003) Individualised programme of support for young people aged 12 to 17 years Open non-secure environment. Therapeutic intervention Time-limited between 6 and 12 th

6 Our Young People YP have exceptional needs Experienced a number of adverse events and circumstances Reflected in Behaviour that is Troubled and/or destructive to themselves/others This can be stressful for the young people and for their carers

7 Provide Therapy Respect the dignity and rights of young people Help develop positive ways to meet Needs and Plan positively for their futures Assist young people to come to terms with individual circumstances Provide developmentall y enhancing Group Care MULTI DISCIPLINAR Y WORKING Use everyday life events to support young people to learn and grow Provide Education Develop and Maintain Therapeutic Relationship Promote Resilience in young people Promote Strengths in young people

8 Provide Therapy Provide developmentall y enhancing Group Care Provide Education Respect the dignity and rights of young people Help develop positive ways to meet Needs and Plan positively for their futures Assist young people to come to terms with individual circumstances Putting the best interests of the young people at the heart of everything we do Use everyday life events to support young people to learn and grow Develop and Maintain Therapeutic Relationship Promote Resilience in young people Promote Strengths in young people

9 Unique to this Service Child and Adolescent Mental Health Team in the Centre HSE, Mater Hospital and Education working together on site

10 Unique to this service Integrated Policy and Practice establishing a Culture of Interagency and Multidisciplinary Collaboration Effective Systemic Points of Interface Mutual Learning and Development through Reflexive Practice

11 A Collaborative Multidisciplinary & Interagency Approach Group Care Families Social Workers Young People Education Others Mental Health

12 Many Voices Complex environment with lots of participants Ensure voices of all participants are collaboratively heard

13 Many Voices YP Families Friends SW s Care Workers Teachers C.A.M.H.S. HIQA CAAB Guardian ad Litem Courts Gardai GP s Youth Workers Other Residential Centres HSE Managers Monitor

14 Collaborative Interagency and Multidisciplinary Conversations Admissions Placement Planning Summary Mental Health Profiles and Presentations DICES Risk Management Keyworking Therapy Sessions Unit Meetings Reviews Wellbeing Assessments Serious Incident Review Group Staff Debriefs Staff Support Sessions Management Meetings Discharge Planning

15 Effectiveness Staff Working Presence of CAMHS Team supports staff in their work with young people Gives focus and direction to therapeutic work Establishes reflexive practice as the norm i.e. responding not reacting to challenging behaviour

16 Effectiveness Staff Working Helps to contain the stress and anxiety in working with young people with complex needs Facilitates ongoing professional development Return from questionnaires validates this

17 Feedback From Staff (CAMHS) an invaluable professional insight to each individual case. The summary reports provide extensive guidance and overview to assist placement planning. MST only here days per week would like more. The MST helps staff/managers and young people not to become locked in negative stereotyping and reactionary practice. We are assisted to be reflective and open to another point of view.

18 Benefits to - Young People Helps Young People feel understood and supported Assists staying connected to family, education, social care and personal development. Complex needs of Young People met though Individualised Programmes and genuine relationships Helps young people come to terms with their individual circumstances Emphasis on well-being, increasing trust, and breaking down negative perceptions

19 Feedback from Young People I only came to school here.before I hadn t been to school for about nine months They help me out in the worst of times.. you can really do some good things here I have been really upset and wanting to hurt myself.i asked to speak to the MST and.talked to me about it I found a lot of the staff here great to

20 Thank you for your attention

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47 Crannog Nua High Support Services

48 Crannog Nua High Support Services