Welcome
A step in a new direction
A step in a new direction
EXPLORE
THE CARDS
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Split in to
4 sets
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HAVE A GO
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Can you tell
me a little bit
about
yourself?
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THE STORY OF THE
CARDS
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National Health Service
Equity and Excellence
No Health without Mental Health
CORC
Goal Based Outcomes
CWP
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Publication
“Evaluating the use of goalbased outcomes as a single
patient rated outcome measure
across CWP CAMHS: A pilot
study”
Fiona Pender, Claire Tinwell,
Emma Marsh and Victoria Cowell
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Participation
Clinically
useful
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User
led
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Launch
World Mental
Health Day
2012
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GOAL SETTING
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So what
would you like
to change by
coming here ?
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USES FOR THE
CARDS
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No decision about
me, without me.
DH 2010
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CYP-IAPT: Tiers 2-3
•Improving accessibility
•A better experience
•Increased use of GBO
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They asked questions without
using any words. Just talking
wouldn't really help. The pictures
proved an outcome. I wouldn't be
where I was now without them.
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Young Person
You can get stuck as a
parent, only seeing things
from one way, The cards
help change that.
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Parent
CAPA
From the Choice appointment
everything should feel:
• personalised
• collaborative
The clinician
• useful
should be a
• focused
facilitator with
expertise.
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TIER 1
•School Nurses
•Learning Mentors
•School Counsellors
•Family Support Workers
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Goal setting
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The cards and the
training are great, I
can’t wait to use
them.
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TIER 4
•Nurses
•Occupational
Therapists
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EVALUATION
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QUESTIONS
•Does using the cards support the
use of Goal Based Outcomes?
•Do the cards promote a person
centred approach?
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Patient-as
-person
Measuring Patients’
Perceptions of
Patient-Centered
Care: A Systematic
Review of Tool for
Family Medicine
Bio-psychosocial
perspective
What is ‘person
centeredness’?
Disease and
illness
experience
Common
ground
Hudson et al., 2011
Whole
person
Patientdoctor
relationship
Stewart et al, 2003
Mead & Bower, 2000
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Sharing
power
Therapeutic
alliance
METHOD
•30 CAMHS professionals
•5 Young People
•Questionnaire and semi-structured
interview
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RESULTS
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Communication
RESULTS
They are very good in breaking the ice
and starting discussion.
They are very useful with “I don’t know”
children and those who are reluctant to
talk
Cards do not require strong eye contact
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Communication
RESULTS
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GBO
RESULTS
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Patient Centredness
RESULTS
Understanding the whole person
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Patient Centredness
RESULTS
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Young People
RESULTS
All young people (5/5) said that the cards:
• made the sessions easy to follow and more
enjoyable
• put them in control of their therapy
• helped them to describe what was important to
them
• helped them work together with the therapist
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Young People
CONCLUSION
• the cards are seen as helpful by staff and
young people
• some evidence they support the use of
GBO
• they support a patient centred approach
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RECOMMENDATIONS
• staff need a clear definition of the resource
• staff need to be supported to use the cards
as soon as possible after training
• more research with young people
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OUR
NEXT STEPS
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www.nextstepcards.org.uk
www.nextstepcards.org.uk
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•Support focus on outcomes
•Promote patient-centred care
•Designed by young people for
young people
•Not for Profit
www.nextstepcards.org.uk
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HAVE
ANOTHER GO
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What do you think we
need to do to improve
child and adolescent
mental health
services? Choose 3 from 5
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GBO
0
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10
x 185
Shuffle
Draw
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References
Mead N, Bower P. (2000) Patient-centredness: a
conceptual framework and review of the empirical
literature. Soc Sci Med. 2000; 51(7) 1087-1110.
Pender F, Tinwell C, Marsh E, Cowell V. (2013)
Evaluating the use of goal-based outcomes as a single
patient rated outcome measure across CWP CAMHS: A
pilot study”. Child and Family Clinical Psychology Review.
2013 :1
Stewart M, Brown, JB, Weston WW, Freeman TR. (2003)
Patient-Centred Medicine: Transforming the Clinical
Method. 2nd Ed UK: Radcliffe Medical Press
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@DrFionaPender
@MyMindFeed
fiona.pender@cwp.nhs.uk
www.mymind.org.uk
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Thank you for listening
Dr. Fiona Pender
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Available buttons
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Life
What is ‘person
centeredness’?
Common
ground
Sharing
power
Whole
person
Patientdoctor
relationship
Therapeutic
alliance
Levels
Steps
Disease and
illness
experience
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Bio-psychosocial
perspective
Position
Patient-as
-person
A STEP BEYOND
Working in new ways
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HEAD STRONG
www.mymind.org.uk
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Challenges and learning
Reviewing the journey
Practitioner confidence
Refined training
Participation is slow
Slow is beautiful
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