Service Detail

• Interventions to improve young peoples’ access to education, housing, social care and leisure
• Crisis resolution and crisis prevention
• Evidence-based psychological therapies, including cognitive behavioural therapy, family therapy, mentalization based therapy and parenting workshops
• Skills groups to develop emotional regulation capacity, mindfulness, interpersonal skills, social skills, facilitate behavioural activation and cognitive restructuring
• Art psychotherapy, sensory assessments and work, sports therapy and occupational therapy
• Improve school or vocational performance, engage with recreational activities and develop a functional support network on the basis of the family members, peers, members of the community and professionals

Case management follows the following four steps:
 

1. Assessment of need
2. Care planning
3. Implementation of the care plan
4. Regular review within the framework of the care programme approach (CPA)

Home treatment forms an integral part of this approach including mental state monitoring, administering medication, monitoring of side effects, providing psycho-education and delivering a range of evidence-based individualised psychological therapies, based on the initial formulation. Case management also includes individualised interventions aimed at improving young peoples’ access to education, housing, social care and leisure. Optimal crisis resolution and crisis prevention forms an important part of the Enhanced Treatment Service (ETS) treatment model.

ETS therapists contribute to the establishment and running of the expanded day care provision. They facilitate skills training groups aimed at developing young peoples’ emotional regulation capacity, mindfulness, interpersonal skills, social skills, facilitate behavioural activation and cognitive restructuring. Young people have access to a range of other treatments including art psychotherapy, music therapy, occupational therapy as well as education provided by the hospital school.

It is well recognised that family members play a crucial part in the young person’s recovery. ETS aims engage family members in all aspects of care. When indicated by the case formulation, pragmatic family therapy is undertaken. ETS interventions aim to improve caregivers parenting practice, improve family emotional climate and provide psycho-education and advice tailored to the individual young person’s needs. Each treatment plan is designed in collaboration with the young person and their family members.

ETS targets wider systems in young peoples’ lives to promote recovery. The interventions specifically target those factors in each young person’s social network that are contributing to their difficulties. ETS aims to optimise the peer network, improve the young person’s school or vocational performance, engage young people with positive recreational activities and develop a functional support network on the basis of the family members, peers, members of the community and the professionals young people interact with.

ETS treatment is delivered in a variety of settings that include the young peoples’ natural environment, such as their home, school, or elsewhere in the community.