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FICAPS Conference 2017: Inpatient CAMHS: Surviving and thriving relationships

Thursday 11th May 2017 at Hilton Manchester Deansgate

An inpatient CAMHS unit should contain an atmosphere of trust, within which staff members feel able to challenge each other and talk openly. No doubt most of us would agree with this but we might be more unsure about how to get there within the contexts we find ourselves. How do we ensure we survive the conflicts and strain of team working while making it work for us and the people we seek to support in a way that is in line with our values? The 2017 FICAPS conference will bring together practitioners’ presentations with workshops to explore the factors associated with helpful/unhelpful team working and potential intervention strategies. We will also explore the promise and pitfalls of working closely with young people and their families and how to develop and manage these relationships.

To download the conference programme, please click here.

Who is the conference intended for?

Assistant Psychologists, Trainee Psychologists and Qualified Psychologists would all benefit from attending this Conference.

Presentation Downloads

Paul Abeles, Galaxy House

How Psychology can Influence the future of outcome measurement in inpatient CAMHS:QNIC-ROM and a Recovery measure
Sam Hartley, Hope and Horizon and Paul Abeles, Galaxy House

“Magician, Cynic or Messiah?”
Antony Froggett, Group Analyst and Organisational Consultant
Audio clip of Antony Froggett's presentation

What can Clinical Psychology contribute to Inpatient CAMHS Quality Improvement?
Louisa Bravery and Alice Turland

Keeping Calm in the Chaos: How to de-stress your staff
Clare Wright & Kate Jobbins, Regis Healthcare Hospital

AMBIT (Adaptive Mentalization Based Integrative Treatment)
Liz Cracknell & James Fairburn

Welcome to the Conference

Influencing the future of outcome measurement in Inpatient CAMHS QNIC-ROM redevelopment

Dr Paul Abeles will first welcome everybody to the conference. He will then describe a very exciting opportunity to influence the way that outcome measurement happens in inpatient CAMHS units. He will argue that as Psychologists, we are very placed to contribute to this process. QNIC is investing in improving the QNIC-ROM data collection system that is currently offered. A brief overview of the current tool will be presented ,and delegates will be encouraged to think about what they would want from a revamped QNIC-ROM, in terms of the outcome measures to be employed, the methods of input and the format of reports for individual young people and across the

Keynote Presentations

Measuring recovery and capturing the importance of relationships in Tier 4 CAMHS

Dr Samantha Hartley, Hope and Horizon Units, Pennine Care, Greater Manchester

Charting progress and evaluating outcomes is a key tenet of psychological interventions. More broadly, services are required to demonstrate that they deliver positive change for young people through the journey of an inpatient admission. Traditionally, tools have gathered clinician-rated scores of symptoms and functioning. However, with the surge in more subjective, recovery-focused approaches, more nuanced and self-reported outcome measures are needed. The brief presentation will outline the attempts that have been made to capture the changes young people want, including their engagement with life and social relationships. This has involved piloting the use of a social connectedness measure and more recently, planning the validation of a questionnaire developed in community settings that has emerged from qualitative interviews with young people.

Magician, Cynic or Messiah? An exploration of the leadership role of clinical psychologists in multi-disciplinary teams

Antony Froggett

Intense emotional demands, unrealistic expectations and insecurity dominate many peoples' work lives in therapeutic settings. Individuals and teams can become cynical and blaming of others. Teams sometimes take on the dynamics of the clients and families with whom they work. What is the role of the clinical psychologist in this environment? What difference can s/he make? There are pulls to dramatic solutions - to grandiosity (transforming services to be leaner and fitter), to heroic resistance (fighting behalf of vulnerable clients) or to withdrawal (retreating to training or academic roles). What does good leadership look like in these circumstances? This talk explores various management strategies and looks at why they inevitably fail. It asks us to look again at the nature of failure and to consider whether it might hold the key to being an effective psychologist.

AMBIT and the well-connected inpatient camhs team: creating the conditions for help using a mentalization-based approach

Liz Cracknell & Dr James Fairburn

AMBIT is a mentalization-based approach to work with young people with complex, risky problems who have a poor relationship to help. The approach seeks to help workers and teams create the best possible conditions for therapy/care by applying mentalizing theory to four areas: Working with your Team, Working with your Client, Working with your Networks and Learning at Work. The workshop will introduce AMBIT and present a case example of its use in an adolescent inpatient setting in Cambridgeshire. Group activities will focus on “Working with your Team”, exploring the impact of the often high-stress context of inpatient settings on workers’ capacity to mentalize , and giving participants the opportunity to practice AMBIT techniques aimed at helping workers to remain “well-connected” to the wider team and creating a culture in which workers take responsibility for stimulating and supporting colleagues’ mentalizing.

Parallel Session Abstracts

How can Clinical Psychology Contribute to Inpatient CAMHS Quality Improvement?

Louisa Bravery and Alice Turland

QI (Quality improvement) is a methodology designed to offer all staff a simple, evidence based tool for bringing around positive changes to their service. It invites change ideas from any staff member in the organisation, and offers both a structured methodology and support from the wider team to ensure the project continues. In this workshop we will discuss the role Psychologists have taken in QI projects at the Coborn Centre. We will reflect on challenges that have arisen along the way, and share the outcomes of past and ongoing projects. These projects include reducing violent incidents, and improving the confidence of service users, families and staff in supporting young people who hurt themselves. This workshop will offer an opportunity for attendees to reflect on projects that would be achievable in their own areas of work.

Keeping Calm in the Chaos: How to De-stress Your Staff.

Dr Clare Wright & Kate Jobbins, Regis Healthcare Hospital

The aim of this study was to assess work-related stress and unhelpful behaviour amongst staff working within a low secure adolescent unit. A baseline of work related stress was assessed using the HSE Stress Management Standards approach, a self-report questionnaire which examines seven factors known to impact levels of staff stress and wellbeing in the workplace. These include: demands, control, manager’s support, peer support, relationships, role and change. Staff were also provided with space on the forms to provide any additional qualitative detail they felt to be relevant. All staff, including qualified nurses, healthcare support workers, MDT staff (psychology, psychiatry, occupational therapy, activity co-ordinator, educational departments), non-ward (house-keeping, administration and maintenance staff) were presented with a questionnaire via their pay slip and/or during work hours. This measure was then repeated 10 months later, following the implementation of several interventions. The interventions included: weekly group reflective practice sessions, use of reflective handovers, the ward and hospital managers working clinically on the ward, a clinical psychologist providing mediation between staff members, proactive staff support following incidents, health care support workers being invited to attend ward rounds and regular supervision for all staff. At baseline, 38 questionnaires where completed compared with 28 at Time 2. Results showed reduction in stress across all seven factors measured. The results will be discussed by applying psychological theory. In conclusion, research has shown that working with dysregulated clients can dysregulate staff. This small-scale study shows that there are interventions which can help reduce this.

If you have any queries please contact us via the event hotline on 01332 224507.


Thursday 11th May 2017

The full programme can be downloaded at the bottom of the page.

09:45Paul Abeles: Welcome
09:50Sam Hartley & Paul Abeles: How Psychology can Influence the future of outcome measurement in inpatient CAMHS:QNIC-ROM and a Recovery measure
10:15Antony Froggett: Magician, Cynic or Messiah? An exploration of the leadership role of clinical psychologists in multi-disciplinary teams
11:00Refreshments & Networking
11:15Parallel Session 1
12:00Parallel Session 2
12:40Lunch & Networking
13:15Liz Cracknell & Dr James Fairburn: AMBIT and the well-connected inpatient camhs team: creating the conditions for help using a mentalization-based approach
14:45Refreshment Break
15:00Liz Cracknell & James Fairburn: AMBIT continued including plenary session
16:20Conference Close

Speakers and Facilitators


Liz Cracknell

Keynote Speaker
Liz Cracknell is Project Co-Lead for Adolescent Mentalization Based Integrative Treatment (AMBIT) at the Anna Freud National Centre for Children and Families.

Liz is also a Registered Mental Nurse and Systemic Practitioner. She is Team Manager at Clare Lodge, a welfare-only Secure Children's Home for girls aged 10-17 within Cambridgeshire and Peterborough NHS Foundation Trust.

James Fairbairn

Keynote Speaker
James Fairbairn is a clinical psychologist working at the Darwin centre for young people, a Tier 4 adolescent in-patient unit in Cambridge. The Darwin centre adopted an AMBIT approach 4 years ago and James has been an AMBIT lead within the service.

James works as an assistant AMBIT trainer for the Anna Freud centre and has a specialist interest in systemic practice and mentalization-based approaches.

Antony Froggett

Keynote Speaker
Antony Froggett is the director of Thinking Space Consultancy. He works as an organisational consultant, providing training and consultancy to managers and teams. He originally trained as a teacher, and taught for 10 years in this country and abroad, before becoming a student counsellor and then an adult psychotherapist in the NHS. He is a training analyst and supervisor with the Institute of Group Analysis (IGA) and was previously the director of training for the IGA qualifying course in Manchester. He graduated from the Tavistock Clinic Masters course Psychoanalysis and the Organisation in 2006. He is an accredited Balint Group leader and has ran several groups for GPs over a period of 15 years. He was the module lead for Consulting to Teams and Organisations and Leadership and Service Development on the KUF MSc in Personality Disorder. He is employed as a senior lecturer by the University of Birmingham for the MSc. in Healthcare Leadership which is part of the NHS Leadership Academy training for managers and senior clinicians in the NHS. He has written a chapter on Leadership for the new edition of the Sage Handbook of Counselling and Psychotherapy which will be published later this year. He is currently based in Berlin, Germany, where he lives with wife and two children.

Dr Paul Abeles

Dr Paul Abeles is a Consultant Clinical Psychologist working at Galaxy House, an inpatient CAMHS unit specialising in Child Neurodevelopmental problems, Eating Disorders and complex psychosomatic presentations (including Pervasive Arousal Withdrawal Syndrome – PAWS). He also works into the regional RMCH Paediatric Clinical Psychology service (lead for Cleft Lip and Palate) and Social Communication services and is the clinical lead for RMCH’s CFS/ME service. Paul’s research experience has covered diverse areas of Child and Adolescent Psychology, including anxiety, visuospatial Working Memory, Inpatient-CAMHS dependency measurement, computerised CBT for depression and E-health treatments for CFS/ME.

Louisa Bravery

Louisa Bravery has been Consultant Clinical Psychologist at Coborn Centre for Adolescent Mental Health, East London NHS Foundation Trust, for the last 8 years. Prior to this she worked in CAMHS Inpatient Services in South London and Maudsley NHS Foundation Trust for over 6 years.

Dr Samantha Hartley

Dr Hartley is a clinical psychologist working in a North West CAMHS inpatient unit across both an acute and long-stay ward for young people aged 13-18. She has extensive experience in researching new psychological interventions and models of psychosis and is currently involved in a number of service-related projects to enhance psychological provision and evaluation, in collaboration with the University of Manchester.

Kate Jobbins

Kate is the Assistant Psychologist at Regis Healthcare, a 12 bed low secure adolescent hospital in South Wales. She has worked as a valued member of the Psychology and Multidisciplinary team now for almost a year. Prior to working at Regis, Kate has had a wide range of experiences within psychology services, including working with Older adults with dementia and/or behaviours that are challenging and within a specialist services for adults diagnosed with a personality disorder. Kate works mainly to facilitate a number of weekly groups with the young people including a DBT group, a CBT based group and an Expression Through Art group. She also engages in individual pieces of work with the young people, including cognitive assessments and graded exposure therapy sessions. Kate also analyses the incident forms recorded on the ward, which help contribute to each young persons’ individualised care plan and helps map their progress.

Alice Turland

Alice Turland is a newly qualified Clinical Psychologist, having completed Clinical training at the University of Surrey last year.

Dr Clare Wright

Dr Clare Wright is a Consultant Clinical Psychologist with 24 years' experience. She currently works for Regis Healthcare Low Secure CAMHS inpatient service in Ebbw Vale, Wales with 13 to 18 year olds. In addition to patient care, she is responsible for the staff wellbeing within the organisation. She started her career working in NHS Adult Mental Health inpatient and community services in Surrey and then Herefordshire. 9 years ago she qualified as a Systemic Family Therapist, training within outpatient and inpatient CAMHS services in Birmingham. She has a special interest in staff well-being and its impact on the quality of patient care. Prior to taking up her current post, she was Head of the Employee Wellbeing Service for Cardiff and Vale UHB where she was Lead Clinician for Organisational Health. In this role she worked across the organisation, at a senior level, addressing issues impacting staff emotional wellbeing and promoting positive mental health. Clare is an experienced clinician, manager, staff trainer and supervisor.


Hilton Manchester Deansgate

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Additional Information

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PDFFICAPS Conference Programme 2017