Anywhere CAMHS and Let go of Families

16. Manage variation in closing cases

  • Agree a system in the team for multidisciplinary review for ALL cases
  • Review the team literature about your service. Ensure there is mention of how contact with families will end
  • Start discussing with every family the time when they will no longer come to the service, right from the start of contact.

Anywhere CAMHS organises case discussion weekly, in small groups of 4 clinicians. Each week the groups are different and randomly chosen. Any case could be discussed but once a month this has to include all cases that were opened a year ago.

17. Use Care Plans

  • As a team, agree the headings and format of Care Plans
  • Write in plain English, avoiding jargon
  • State the key worker, coworkers and network
  • Make the goals clear
  • Record what the family and others will do
  • Include a date for review
  • Include baseline and regular review outcome measures
  • Copy to family and network with consent
  • Have a system for collating outcome measures so that each clinician knows how their cases go.

Anywhere CAMHS developed a form that parents, young people and children can complete to describe their difficulties, what they are doing about them and what goals they are working towards: a Partnership Plan

18. Have a systematic approach to long-term problems

  • Start asking families and young people with chronic problems about what long-term services they need
  • Develop agreements with partner agencies about how to support families with long-term mental health or neurodevelopmental conditions.

Anywhere CAMHS runs multi-family workshops for those with anorexia nervosa. The first session includes a family who has gone through the programme and where the young person has recovered. Their personal experience of the problem and overcoming it is a source of great strength to other families. Relationships between members of the workshops are often sustained following completion of the programme.