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RCPCH statement on Child Mental Health

1st September 2020

Mental health issues are increasingly common among children and young people—suicide is now the leading cause of death for both males and females aged five to 19 years old, and one in eight people among this age group is currently living with a mental health condition. 

Children and young people in vulnerable groups are even more at risk, including LGBTQ+ people, low income households, children in care, and those with parental mental health issues, special educational needs, on child protection plans, or in the criminal justice system. 

Underinvestment in mental health is a longstanding concern. This has been amplified by the pandemic due to the extra stress caused by prolonged school closures, social isolation, adverse social and environmental circumstances, and a lack of access to usual support services. 

RCPCH’s Assistant Officer for Mental Health and Wellbeing, Dr Karen Street, says: “Our key message is that our patients’ mental health is our business. There is a joint responsibility to provide necessary services across the children’s workforce. 

“In the wake of COVID-19, many children and young people will have greater mental health support needs. As services begin to recover, the time is ripe to connect across the entire child health workforce and local, regional, and national boundaries. Together, we can work to develop improved and integrated mental health services.” 

In its statement, the College includes a number of recommendations, including: 

  • All paediatric teams should have a nominated lead for mental health. 
  • Paediatric training must include promotion of wellbeing in children and young people and management of common mental health issues. 
  • Paediatricians with higher exposure to issues need more extensive training and support. 
  • Paediatricians should not be expected to work in isolation when managing severe cases of mental illness. 
  • Use of mental health screening tools in higher risk people should be considered. 

The College will also continue to support mental health through its activities, including: 

  • Having an Assistant Officer for Mental Health on its Health Improvement Committee. 
  • Working with NHSE and HEE to implement of the NHSE Long Term Plan. 
  • Developing training through its Child Mental Health Specialty Advisory Committee. 
  • Developing the Progress curriculum for all paediatric trainees to include mental health. 
  • Partnering with MindEd to produce a paediatric ‘learning path’. 

Read the College’s full position statement on the role of paediatricians in mental health here

RCPSYCH Online Study day: Minimum Age of Criminal Responsibility

On 7th December 2020, the Royal College of Psychiatrists is holding a highly topical online study day, titled Minimum Age of Criminal Responsibility (MACR): Time for Change?

You can get a programme for the day here and can book a place here.

Below is some context provided by RCPSYCH:

“The UK has one of the lowest minimum ages of criminal responsibility (MACR) in the world, with the age being set at 10 years old in England, Wales and Northern Ireland and 12 in Scotland (having increased from 8 in 2019).  These low ages are inconsistent with current neuroscientific knowledge regarding brain maturation and has led to the UK being singled out for criticism by the United Nations, which issued a General Comment in 2019 stating that the minimum age of criminal responsibility should be at least 14 years old. 

The topic received further media coverage last week (see links below), following the release of the Justice Committee report on Young People and Youth Justice which called on the Government to review the current minimum age or provide justification for not doing this by February 2021. 

The purpose of this conference is to explore the issues behind criminal responsibility including current evidence regarding brain maturation, international approaches to setting minimum ages and alternative non-criminal disposal options for those who commit risky offences below the minimum age of criminal responsibility. It is hoped that participants will come from a wide range of backgrounds so that a full range of views can be heard during the discussions.”

https://www.telegraph.co.uk/news/2020/11/12/age-criminal-responsibility-england-wales-should-reviewed-says/

https://www.theguardian.com/society/2020/nov/12/review-age-criminal-responsibility-england-and-wales

Upcoming series of CAMHS events ONLINE

Healthcare Conferences UK has notified us about a number of interesting CAMHS events taking place online in the coming months. Details below:

A 10% discount by quoting ‘HCUK10pmha‘ when booking.

The first two events are taking place very soon:

Safeguarding Adolescents and Young Adults: Delivering a Strengths-Based Approach

Monday 23 November 2020 (VIRTUAL, Online)

We are pleased to announce the National Safeguarding Adolescents and Young Adults virtual conference which this year will focus on improving safeguarding practice: delivering a strengths based approach, transitional safeguarding, contextual safeguarding and complex safeguarding. Through national expert sessions and practical case studies the conference aims to bring together safeguarding leads working with adolescents and young people to understand current issues and the national context, and to debate and discuss key issues and areas you are facing in practice including supporting adolescents and young adults through COVID-19, and developing a strengths based approach to adolescent safeguarding.

For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/safeguarding-adolescents-and-young-adults or email kerry@hc-uk.org.uk

Follow this event on Twitter #SafeguardingYoungAdults
Masterclass: Reducing the Harmful effects of exposure to Domestic Violence & Abuse on Children and Young People

Tuesday 24 November 2020 (VIRTUAL, Online)

This CPD certified masterclass will consider the role of toxic stress and trauma in the pathway to interpersonal violence between parents, and the climate of violence which harms the mental health and development of children and young people. A trauma-informed model of identification, risk assessment, protection and modular intervention will be outlined to reduce the harmful effects of Domestic Violence and Abuse. 

For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/domestic-violence-children-young-people 
or email kerry@hc-uk.org.uk

The others are in the coming months:

Masterclass: Safeguarding Children Level 3 – NHS Level 4

Monday 7 December 2020 (VIRTUAL, Online)

The course will explore child protection conferences, preparing child protection plans and the role of core groups to ensure the best outcomes for children at risk of harm. You will have the opportunity to take part in a simulated Case Conference based on a detailed case study.The aim of the course is that you will have a clear understanding of the assessment and decision-making processes and a sound grasp of the principles and processes for effective collaboration. You will also gain skills in preparing for the Case Conference including how to write a formal report, identifying what is and what isn’t evidence-based information and how to challenge decisions.

For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/masterclass-safeguarding-children-level-3-nhs-level-4 
or email kerry@hc-uk.org.uk
Decision making using the Safeguarding Children Assessment and Analysis Framework

Tuesday 8 December 2020 (VIRTUAL, Online)

This virtual masterclass, facilitated by Fay Berry and Stephen Pizzey, explores decision making in complex child protection and safeguarding cases using the Safeguarding Children Assessment and Analysis Framework (SAAF).The Safeguarding Children Assessment and Analysis Framework (Pizzey, Bentovim, Cox, Bingley Miller and Tapp, 2016) was designed to help professionals make an analysis of the level of harm suffered or likely to be suffered by the child; the risks of re-abuse or likelihood of future harm; and the prospects for successful intervention in cases that social workers find complex.

For further information and to book your place visit
https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/safeguarding-children-framework  
or email kerry@hc-uk.org.uk
Identifying and Supporting people who are experiencing Domestic Violence & Abuse: Improving Practice during Covid-19

Thursday 10 December 2020 (VIRTUAL, Online)

This virtual conference focuses on identifying and supporting people who are experiencing Domestic Violence and Abuse.  Kenny Gibson National Head of Safeguarding NHS England, will give a keynote presentation focusing on the impact of Covid-19 and lockdown on domestic abuse.  You will have the opportunity to network with colleagues who are working to improve the recognition and response to domestic violence, self-assess and reflect on your own practice and gain CPD accreditation points contributing to professional development and revalidation evidence.

For further information and to book your place visit
https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/domestic-violence
or email kerry@hc-uk.org.uk

Follow the conference on Twitter #DVCovid
Masterclass: Children’s Safeguarding: Learning from inquiries, serious case reviews and inspections

Tuesday 26 January 2021 (VIRTUAL, Online)

This masterclass, facilitated by Carla Thomas and Stephen Pizzey, Child and Family Training, gives an opportunity for delegates to review the findings from inquiries, serious case reviews, safeguarding practices reviews and inspections regarding multi-agency safeguarding practice and consider the implications for their agencies policies and practice. Key learning objectives include considering the history of reviews in relation to child’s death and serious harm, and how some of these led to key changes in legislation and guidance. Review thresholds and processes for serious case and child safeguarding practices reviews. 
        
For further information and to book your place visit
https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/children-safeguarding-findings   
or email kerry@hc-uk.org.uk
Masterclass: Therapeutic work with children and young people suffering child sexual abuse and exploitation

Wednesday 27 January 2021 (VIRTUAL, Online)

This Masterclass programme, facilitated by Dr Arnon Bentovim and Carol Jolliffe, will help practitioners working in social care, health, education and youth justice to deliver effective therapeutic work with children subject to sexual abuse and exploitation. Practitioners in social care, health, education and youth justice who need to develop their skills in working with children and young people who have been sexually abused and exploited should attend.  The programme will present an innovative approach, the development of a Common Practice Elements approach which capitalises on the knowledge embedded in evidence-based treatments identifying evidenced-based therapeutic procedures and integrates them into a Library of Modules.

For further information and to book your place visit
https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/therapy-child-abuse  
or email kerry@hc-uk.org.uk
Masterclass: Childhood Neglect: Approaches to understanding, assessment and interventions

Wednesday 10 Febuary 2021 (VIRTUAL, Online)

This masterclass, facilitated by Carla Thomas and Carol Jolliffe, Child and Family Training, will consider the complexity of understanding, managing and modifying the impact of childhood neglect. It will support practitioners and managers in considering interventions to modify neglectful parenting and to increase children’s resilience. All practitioners, and managers, working with children and families in Health, Education, Social Care, in the Public and Voluntary sector should attend.

For further information and to book your place visit
https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/childhood-neglect
or email kerry@hc-uk.org.uk
Masterclass: Therapeutic Interventions to Reduce the Harmful Effects of Adverse Childhood Experiences

Friday 12 Febuary 2021 (VIRTUAL, Online)

This CPD certified programme will outline the increasing evidence of the impact of Adverse Experiences of Childhood (ACEs) on the health and well-being of children and young people extending into adult life. There is a growing demand for interventions to prevent their harmful effects. Research will be reviewed about the impact of ACEs through population studies, intergenerational studies, and specific groups – self harming, mental health, and substance abuse, offending, and violent behaviour.  Facilitated by Arnon Bentovim, who trained at the Maudsley Hospital/Institute of psychiatry trained as a Psychoanalyst, and subsequently became involved in the growing interest in the systemic/family therapy field. He helped to establish the Association and Institute of Family Therapy, and researched measures of family functioning, and clinical approaches with colleagues at the Institute of Child Health and Great Ormond Street Children’s hospital.

For further information and to book your place visit
https://www.healthcareconferencesuk.co.uk/conferences-masterclasses/therapeutic-interventions-adverse-childhood-experiences   
or email kerry@hc-uk.org.uk

Call for Abstracts for Poster Presentations

PMHA Annual Meeting ONLINE on the 28th and 29th January 2021

The Paediatric Mental Health Association invites trainees in Paediatrics, Psychiatry, General Practice, and Emergency Medicine to submit abstracts for our Annual Winter Meeting. 

The PMHA Annual Winter Meeting, taking place virtually on the 28th and 29th of January 2021, attracts speakers and delegates from a wide range of specialties to discuss the latest research and updates in Child Mental Health.

This year’s meeting will feature a trainee-led virtual poster session in which trainees can present their audits, research, or quality improvement projects. This year, we are welcoming abstracts related to the interface between physical and mental health. This is an excellent opportunity to showcase your work in the area of child mental health and to share best practice with interested professionals from around the country. Three abstracts will also be selected for oral presentation on Day Two of the meeting (29th January). 

To submit an abstract, please click here to download an abstract template then fill it in and submit it to PMHAtrainees@gmail.com.

Please submit your abstracts to us by December 13th at the latest. Your abstract will be reviewed by members of the PMHA Executive Committee and you will be notified of acceptance by the 18th of December.

We look forward to receiving your abstracts and to welcoming you to our meeting in January!

Sir Norman Lamb, Chair of the Children and Young People’s Mental Health Coalition, has agreed to record a talk for the ONLINE 2-day PMHA Annual Meeting

Join us on Friday 29th January 2021 to hear what he has to say

You can book for the PMHA annual meeting here https://pmha-uk.org/the-pmha-annual-winter-meeting/

About the CYPMHC:

CYPMHC Logo

“The vision of CYPMHC is for all infants, children and young people to grow up in a society that prioritises, invests in, listens and attends to their mental health and wellbeing. We are working towards building a nation where positive mental health is promoted and early intervention practices are in place to secure mentally healthier futures for our children and young people.

We see mental health as everyone’s business. When one of us is in distress, there are implications for everyone: lost potential, unemployment and crime are just some of the consequences.

We want the Government to hear what we have to say and to put our ideas into practice. We would like ministers, commissioners and everyone who makes decisions relating to children and young people to note that promoting positive mental health, preventing mental ill health, and intervening early when problems arise requires cross-government action.

We do not represent any one organisation, approach, or professional group but rather we engage with our members and come together to provide a strong unified voice speaking out about children and young people’s mental health.”

Please click on the link below for more information

https://cypmhc.org.uk

Get ready to SPIN: Level 3 Paediatric Trainees

The RCPCH offers various special interest (SPIN) modules for training.

A SPIN Module in Child Mental Health is now available

INTRODUCTION TO SPIN:

There are two types of SPIN offered:

  • SPIN in training for level 3 trainees 
    This is additional training and experience in a clinical area, which you complete in 12 to 18 months of clinical time. If you do a SPIN module and complete your training, you can apply for posts as a General Paediatrician with a special expertise.
  • Post completion SPIN for paediatricians on the GMC specialist register 
    This is additional training or experience, which you complete usually over a 12 month to five year period.

All SPIN modules are designed to enable a paediatrician to lead in that area as part of meeting a service need. It is vitally important that you articulate the service need for your choice of SPIN explaining why it is necessary on your application form.

Once completed, applicants can be the local lead and part of the clinical network providing for children who need specialist paediatric care.

For more information, please click on link below:
https://www.rcpch.ac.uk/resources/special-interest-spin-module-application-guidance

APPLICATIONS:

Applications opened on the 2nd November and close on the 1st December 2020. To apply now, click here.

* You can apply once you start your level 3 training in paediatrics (normally from your ST6 placement).

* You cannot usually undertake SPIN training at the same time as sub-specialty training (also called GRID). There are some exceptions to this rule and we will update this page as we develop our SPIN work. If you have an enquiry about SPIN eligibility for you, contact us at training.services@rcpch.ac.uk.

Attend ACAMH’s 2020 Events Online

Did you know that you can now see a lots of ACAMH events from wherever you might be at the moment?

With the global spread of the coronavirus, many organisations across the world are changing working practices to ensure everyone’s safety. One such organisation is the Association for Child and Adolescent Mental Health (ACAMH), which will not be staging physical events for the rest of 2020, but instead is bringing events online as live webinars, many of which will be free.

There are also a number of recorded webinars already available for view, including:

More will be added to the ACAMH website’s Freeview section, which contains a whole host of other past lectures.

Anna Freud Learning Network

The Anna Freud Learning Network is a free national network for professionals, both individuals and organisations, which shares the latest research, resources, and learning opportunities to those working to transform the mental health of children and young people.

To find out more and to join the network, please click on the link below

https://www.annafreud.org/mental-health-professionals/anna-freud-learning-network

Register for the PMHA Annual Meeting

Registration for the PMHA Annual Meeting, which is being held on the 28th and 29th of January 2021, is now open.

This year’s meeting will be conducted ONLINE via Zoom. The meeting is a great way to connect with colleagues, refresh your skills, and pick up new knowledge and ideas. There is an exciting line up of talks and presentations relating to all aspects of paediatric mental health.

You can view the full programme here

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Members of the PMHA can attend the meeting at a discounted price. Click here to join now for just £25 for a year

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To read more about the meeting
and to register click here

24th World Congress of the International Association for Child and Adolescent Psychiatry and Allied Professions’ (IACAPAP)

The virtual edition of the 24th World Congress of IACAPAP will be held from 2 – 4 December 2020. Themed “Starting from the Beginning – Laying the Foundation for Lifelong Mental Health”, this 3-day virtual congress will cover issues that are close to our hearts, as well as emerging trends and topics of interests to the adolescent and child psychiatry community.

Reasons to attend:

  • Join the programme designed to cater to delegates from different time zones, and engage live with speakers and presenters
  • Get access to session recordings on demand, even after the congress
  • Experience comprehensive programme featuring cutting-edge research and trends in Child and Adolescent Psychiatry
  • Gain international networking opportunities with potential collaborative partners, sponsors and exhibitors
  • Garner invaluable insights and experiences from renowned industry and academic experts

Visit www.iacapap2020.org for more information.

Read read more about IACAPAP 2020 in the email newsletter.

COVID-19: Child & Adolescent Mental Healthcare – Disruption or Evolution?

A related webinar on ‘COVID-19: Child & Adolescent Mental Healthcare – Disruption or Evolution?‘ was held in July 2020. You can watch a recording of this webinar here.

RSM Webinar

How to build a brain: From infancy to adolescence – Part 1

Date: Tuesday 27 Oct 2020
Time: 5:00pm to 7:10pm,
£10 – £40

This is the first part of a two-part webinar series that will provide an overview of both normal and abnormal brain development across a wide range of topics that are relevant to anyone working with infants, children and young people.

During this session, you will be able to:

  • Understand developmental ‘red flags’ 
  • Develop an insight into common neurological conditions that present in childhood, including movement disorders and childhood epilepsy 
  • Explore how cutting-edge neuroimaging techniques allow us to describe normal structural brain development 
  • Gain insights into current topics in neuroimaging 
  • Explore the MDT approach to managing children and adolescents with chronic neurodisability 
  • Gain insight into what features of neurodevelopment are important to parents and young people

Join a panel of clinicians and academics who are experts in their fields. Topics covered will focus on the MDT management of common neurological conditions in childhood, including emergency presentations. At this webinar, expand your understanding of the normal brain development as a window and to understand what happens when things go wrong.

During this session, you will be able to:

  • Understand developmental ‘red flags’ 
  • Develop an insight into common neurological conditions that present in childhood, including movement disorders and childhood epilepsy 
  • Explore how cutting-edge neuroimaging techniques allow us to describe normal structural brain development 
  • Gain insights into current topics in neuroimaging 
  • Explore the MDT approach to managing children and adolescents with chronic neurodisability 
  • Gain insight into what features of neurodevelopment are important to parents and young people

Key Speakers:

Dr Dennis Grigoratos
Consultant Paediatrician, Princess Royal University Hospital, King’s College NHS Trust

Dr Max Davie
Community Paediatrician and RCPCH Officer for Health Promotion, Evelina London Children’s Hospital

Click here for more information and to book