Abstract
This chapter will present an outline of a model of service delivery that has been in use by a London “Child and Adolescent Mental Health Service” (CAMHS) to provide services to children, young people, and families whose multiple difficulties make it hard for them to access conventional clinic-based services. The “THRIVE Framework for System Change” (“THRIVE”) (Wolpert et al. in THRIVE-framework for system change, 2019) which underpins this service redesign, builds on the resilience of families, and the skills of supporting key workers who have the closest relationships with them. This chapter will outline the model of service delivery and use examples to illustrate its outcomes for the most vulnerable young people, their families, the staff working with them, and the organizations/agencies delivering services to these families.
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Notes
- 1.
The most widely spoken languages after English are: Bengali (2920 speakers), Somali (1530), Arabic (1160).
- 2.
Early help or early intervention, is support given to a family when a problem first emerges or families do not reach the threshold for intervention by children’s services. It can be provided at any stage in a child or young person’s life. Early help services can be delivered to parents, children, young people, or whole families and the focus is to improve the outcomes for children and young people.
- 3.
A child protection plan is drawn up by the local authority, and outlines how a child can be kept safe, the actions needed to make things better for the family, and what support the family will need to carry out these actions.
- 4.
Children in need are defined as children who need local authority services to achieve or maintain a reasonable standard of health or development, need local authority services to prevent significant or further harm to health or development or are disabled.
- 5.
National Health Services.
- 6.
Adaptive Mentalization-Based Integrative Treatment.
- 7.
Specialist schools for children with Social–Emotional and Mental Health difficulties, with Special Educational Needs who can’t attend mainstream schools.
- 8.
Youth Offending Teams work with young people that get into trouble with the law.
- 9.
The Public Law Outline (PLO) sets out the duties local authorities have when thinking about taking a case to court to ask for a Care Order to take a child into care or for a Supervision Order to be made. This is often described as initiating public law care proceedings.
- 10.
An Education, Health and Care (EHCP) plan is for people aged up to 25 who need more support than is available through special educational needs support. EHC plans identify educational, health, and social needs and set out the additional support to meet those needs.
- 11.
A special guardianship order is an order appointing one or more individuals to be a child’s ‘special guardian’. It is a private law order made under the Children Act 1989 and is intended for those children who cannot live with their birth parents and who would benefit from a legally secure placement.
- 12.
A Child in Need plan is a UK Social Services plan for children who are aged under 18 and need local authority services to achieve or maintain a reasonable standard of health or development.
- 13.
Where young people aged between 10 and 17 years old who have appeared in court for the first time and have pleaded guilty to the offense meet with all parties to negotiate a contract of reparation (payback) to the victim or community and a program of work to address offending behavior for 3–12 months.
- 14.
An NVQ (National Vocational Qualification) is a work-based way of learning—which is carried out at a college, school, or workplace. Each NVQ level involves a range of on-the-job tasks and activities that are designed to test you on your ability to do a job effectively.
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Lidchi, V.G. et al. (2022). Role of Mental Health Professionals in Extending Professional Support to People in Need. In: Deb, S., Gerrard, B.A. (eds) Handbook of Health and Well-Being. Springer, Singapore. https://doi.org/10.1007/978-981-16-8263-6_24
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