Our tour down under!

Ann and I have been very privileged recently to do a couple of weeks work in New Zealand and Australia around CAPA. We spent three days in Auckland working with the Werry Center (NZ’s excellent CAMHS change organization) including one day’s masterclass with CAPA champions from cross the country. Then we flew to Wellington, met with the local Adult mental health team in their service (great to visit actual buildings and staff) followed by a CAPA conference for the whole DHB (organization). After that we flew to Sydney briefly and on to Orange (160 miles west and inland of Sydney) doing two workshops there – one for staff and another for clinical leads, planners, clinical directors etc. After flying back to Sydney we had a day off on the Wednesday and then two metropolitan conferences in the city.

So much to talk about but for me the highlights were:

  • the positive feedback from the Christchurch team about how CAPA had increased their team cohesion so they had been able to provide a service through the difficulties and been able to flex choice capacity in responses to waves of referral demand. Humbling experience to hear about them, their situation and their efforts.
  • the discussions with adult consumer advisers (service users) about what they would like the initial appointment to be called. They said they really did not like “First Assessment” as they did not want to be “Assessed” not did they like that the service was counting already! The loved “Choice” as “we wold love to be really able to feel that we had a choice”
  • turning up to Wellington airport to discover our booked flight to Sydney did not exist!
  • the size of some of the patches in the Orange area and especially so further inland, The size of Germany with only 100K people in them. And the challenges of the lone workers in these patches were enormous and their resilience was extraordinary.
  • cycling round the Manly dam cycle track on a hire mountain bike. This was not for beginners to advanced as advertised. Very scary for me anyway!
  • the energy of the Sydney metro conferences
  • and finally arriving at Sydney to come home to discover that our return flights had been unbooked by the airline as we had missed the non-existent plane!

We plan to be back in a year maybe. Thanks to all and to Ann for sharing it all with me.

Steve

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Adult Eating Disorders: new steps…

I met with the manager of the my trust adult eating disorders team yesterday. They are joining two local teams and were looking for a service model to bring the services together. She had heard of CAPA in CAMHS in my trust and wanted to know if it might help.

Initially we talked about the numbers and how to work out treatment (Partnership) activity. As that maths is simply based on the number of contacts a clinician can do if a half day and the average treatment duration, finding the right multiplier for her service would be fine

She could see that the collaborative stance with patients, the peer group discussion and layering skills in her particular service into the specific specialist skills and extended core versions of these would really make a transparent, open service. It’s really exciting to work with a new team and service area and to work more on not translating CAPA into adult mental health but thinking about the principles of CAPA and how they work in a wide range of services – system free CAPA!

I’m going to go to the next team meeting to talk with everyone as a taster.

Steve