Embedding a culture of participation at a
strategic level and operational level in CYP IAPT
Manchester Children and Young People’s
CYP IAPT Learning Collaborative
Welcome
The objectives for today
 Lots of activities and interaction to get us thinking and talking
about participation
 An exploration of our values and aspirations for children and
young people’s participation
 Defining our aims for embedding participation in our everyday
work with children and young people, and at an operational
and strategic level
 Consider how participation informs service transformation
and change
 Hearing from our Phase 1 partners about their experience of
embedding participation and sharing our expertise
 Mapping and planning to embed participation across our
collaboration
Why is participation important?
 Aids the provision of more accessible, appropriate and responsive
services
 Improves relationships between those using services and those
providing them – promotes ‘shared perspectives’
 Empowers young people and enhances their life opportunities
 Helps us develop our skills as therapists, service leaders and
services planners
 Impact on engagement with services and clinical outcomes
 Increases satisfaction with services
 Inform planning and service development
 Because it helps service transformation and change
Young People in the Driving Seat for
CYP IAPT?
(from Hart 1992)
8. Child initiated shared decisions
with adults
7. Child initiated and directed
6. Adult initiated shared decisions
with children
5. Consulted and informed
4. Assigned but informed
3.Tokenism
2. Decoration
1.Manipulation
The Ladder of
Participation
At the top rung of the ladder?
Young People as ‘active citizens’?
Citizenship
3 key concepts
In the UK ‘citizenship’ has been
outlined as beneficial for children
Critical thinking and enquiry
– Empowering them to lead
– Recognising and reporting
unfairness and discrimination
– Taking informed and
responsible decisions
– Developing moral and social
responsibility
– Involving young people in their
communities
– Developing social capital
ACT 2012
Democracy
and Justice
Rights and
Responsibilities
Identities and
Diversity
Empowering young people to participate –
what they say works
(Warner-Gale and Sedgewick 2011)
• Our research indicates that the best way to engage young
people more generally is via Internet communication
• Young people want leadership programmes and education
about mental health
• Smartphone applications, online networks and forums
• Accessible technology to engage young people with
disabilities
• Fun and interactive activities such as virtual discussion
forums, and online seminars (webinars)
• Involvement in planning health and care services
• But…they also clearly that face to face meetings in schools
about relevant issues to do with mental health would be
very beneficial for changing attitudes
Young People as active citizens in CYP
IAPT
• Learning to contribute to programmes that directly
affect their lives
• Empowered to initiate and lead decisions about their
services
• Services become appropriate to them and owned by
them
• Helps evaluate the standards of care they receive
• Become confident and competent members of society
• Improves the overall functioning of our communities
and their place within it
The 9 participation priorities
Direct Work
Feeling Good
Assessment, Outcome
Monitoring, Complaints
procedure
Operational
Doing the
job right
Staff training, supervision
and appraisals, recruitment
Running the
service well
Commissioning,
Influencing senior
managers, Mission
statement
Strategic
The 9 participation priorities
Feeling good: Direct Work
 Get initial assessments right; involve young people in session
monitoring; provide easy access to complaints and advocacy
Doing the job right: Operational
 Make sure staff have the right skills and knowledge; involve
young people in recruitment and in staff appraisals
Running the service well: Strategic
 Involve young people in commissioning; help young people to
influence senior managers; have a strong mission statement
Mapping the Priorities Nationally – the top 5 areas
for support
1
2
3
4
5
5
Supervision and appraisal of staff
Staff training for trainees and existing workers
Recruitment and selection of staff (internally and
externally)
Session by session monitoring is standard practice
A mission statement or charter is in place, accessible and
used to review progress
Influencing senior managers through a range of
approaches and feeds into strategic decision making
In addition, several areas may benefit from some support around
exploring models of participation for young people.
The Manchester Collaborative – mapping the
priorities
Well on the way!
• Working action plans
in place
• Participation staff in
place in many areas
• Influencing senior
managers
• Initial assessments
• Session by session
monitoring
Areas for support
• Commissioning services
• Staff Training
• Recruitment and
selection
• Supervision and
appraisal
• A mission statement
• Sustaining participation
groups
Today is about building on your progress and
sharing ideas
 Time to review what you already do, or have in place to support
young people’s participation
 Make a commitment to support participation based on what’s
realistic and sustainable in your area and across the collaborative
 Starting to take small, planned steps or building on what you’ve
already done to really embed participation
 Not forgetting our need to think about different groups and how to
engage them – flexibility, need for training and support, range of
options, being receptive to new ideas and suggestions
 Building our community of learning and practice – including
feedback loops
GIFT: Advice and support for participation
 Planned support to your collaborative – action learning sets,
training, events, support and challenge
 Constantly updated information about participation and tools
to support you is available from a variety of websites and
organisations – e.g. GIFT’s partners Practical Participation,
NYAS, Right Here and Youth Access…
 Plus your local participation experts e.g. YoungMinds, NCB,
Barnardos
 And www.myapt.org which has been created specifically for
everyone involved in CYP IAPT
Contact details
• Email: fiona@associatesolutions.co.uk
• Visit www.myapt.org and register to access the discussion
forums for professionals and to learn more about how young
people are involved with GIFT and across CYP IAPT