#WeCYPNs - Tuesday 28th July 2015 8pm (GMT Standard Time)
Mental Health in Children and Young People
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Chat Details
Hosted by WeCYPnurses using #WeCYPNs
This chat is guest hosted by @NatalieMHN
Mental Health in Children and Young People
The facts (Young Minds 2015)
• 1 in 10 children and young people aged 5 - 16 suffer from a diagnosable mental health disorder
• Between 1 in every 12 and 1 in 15 children and young people deliberately self-harm
• More than half of all adults with mental health problems were diagnosed in childhood
Risk factors include :- (RCN 2014)
• abuse/domestic violence
• looked after children
• academic failure
• young offenders
• chronic illness
• bullying
• family breakdown
• death
• young carers
• disability
There is a range of mental health issues including:-
• sleep difficulties
• eating disorders
• bed wetting
• psychosomatic symptoms
• anxiety
• depression
• self harm
• substance misuse
• ADHD
• psychosis
CAMHS services:-
Tier 1 - Generic practitioners not mental health specialists eg GPS, health visitors, school nurses, teachers, social workers & youth workers . Offer general advice and in certain cases, treatment for less severe problems, promote mental health, aid early identification of problems and refer to specialist services.
Tier 2 - Practitioners at this level tend to be CAMHS specialists working in community and primary care settings in a uni-disciplinary way (although many will also work as part of Tier 3 services).
For example, this can include primary mental health workers, psychologists and counsellors working in GP practices, paediatric clinics, schools and youth services.
Practitioners offer consultation to families and other practitioners, outreach to identify severe or complex needs which require more specialist interventions, assessment
Tier 3 - A specialist multi-disciplinary service for more severe, complex, or persistent disorders.
Tier 4 - day units & highly specialised out-patient out-patient teams and in-patient units.
This chat aims to look at the issues faced by paediatric nurses, school nurses etc when dealing with CAMHS in their daily work.
References
Department of Health/NHS England (2015) “Future in Mind: Promoting, protecting and improving our children and young people's mental health and wellbeing”. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/414024/Childrens_Mental_Health.pdf
Royal College of Nursing (2014) "Mental Health in Children and Young People"
Young Minds (2015) www.youngminds.org.uk
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Chat Summary
Mental Health in Children and Young People
We decided to do a joint topic with @weMHnurses on mentalhealth in children and young people.
Natalie @NatalieMHN from @weMHnurses agreed to co-hostthis chat. Natalie works as a CAMHS eating disorders nurse in aspecialised unit.
CAMHS is a 'hot topic' at the minute often talked about inthe media re lack of bed availability and increasing demand. Hospital Play Specialist @spencer_sian echoedthe voice of many explaining that they have seen a huge increase in CYP mentalhealth on their ward. @hepworth_becky "it seems that as small districtpaeds unit, we are a holding place for CAHMs pts until a specialist bed isavailable". @drljbaldwin(Consultant CAMHS nurse) explained that looking for specialist beds nationallytakes up a lot of their time.
Training
We started off by asking "Do non mental health trained professionals feel equipped to look afterYP with mental health issues?" @hepworth_becky replied honestly with"no...completely inadequate" and that she's "always anxious I'llsay the wrong thing and make matters worse" @robbradley01 agreed.
@spencer_sian explained that a lot of her work is "support-time, safe boundaries building and listening." and that as a playspecialist she is fortunate to have a bit more time too and can use creative therapies.
@NatalieMHN shocked many by saying that "even mentalhealth nurses receive very little CAMHS training" as it's seen as aspecialty.
@AmyFrounks gave her personal experience as a YP "nursesaren't always comfortable - they need experience with MH before equipped. Theydon't always react well to MH"
@Girl_Interrupt_ gave her experiences as a parent andsuggested "why not have lived expert parents help with child MH training?"@AmyFrounks said it would be "equally as good to involve YP withexperience in training".
@spencer_sian explained that both herself and the schoolteacher have sought out further training in this area.
@AmyFrounks gave a great summary "MH nurses needspaeds experience and CYP nurses need MH training"
Support
@weMHnurses asked "Do you often have RMNs on paeds wards to help with CAMHS cases?
@hepworth_becky was lucky to have a consultant with adual MH/paeds qualification but obviously not available all the time.
There was a discussion about role of paediatric MH liaisonin hospitals. @drljbaldwin has adedicated CAMH Liaison service, mostly for self harm & f/u in ED and Paedward in his area.
@cdodd09 said that their hospital spends a lot of money on agencynurses to 1-1 patients eg when waiting for T4 bed or even whilst sectioned. @spencer_sian explained that they "oftenhave more than 1 RMN assigned to a CYP but even then the RMN not paediatrictrained". @hepworth_becky said that"nearly all of our ward excess staffing costs can be related to MH pts".
Joint working
We asked about joint working between CAMHS and paediatricteams. @cdodd09 gave a good example ofbeing invited on a CAMHS away day. @drjlbaldwin said we "need to buildtrusting relationships and understand each others stresses / viewpoints a bit better". @AmyFrounks gave another good example of a"fab peads dr who organised weekly MDT's including CAMHS staff" butexplained this isn't the norm.
16 and 17 year olds
We asked if 16 and 17 yrd olds are they admitted to adultor children's wards? Are they still seen by CAMHS or adult teams?
@hepworth_becky said "they are given the choice ifpossible". @cdodd09 explained thattheir hospital policy says "adult ward but seen by CAMHS however due tobed shortages often admitted to children's ward". @drjlbaldwin "some16, and more 17 yo's prefer to stay on MAU etc rather than go to paed ward.Still seen by CAMHS tho'"
Conclusion
It seems like all areas are suffering from an increase inCAMHS patients on their children's wards and a shortage of specialist bedsacross the country. It was also agreed that nurses need more training and support.
Thanks top everyone for an open and honest discussion
Useful links shared
Free online training https://www.minded.org.uk/
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#WeCYPNs transcript
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@WeCYPnurses
28 July 2015 20:00
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Thks for joining tonight's chat on CYP MH with @WeCYPnurses and @WeMHNurses. Give us a wave if you are here. Don't forget to use #wecypns! |
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@spencer_sian
28 July 2015 20:01
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@WeCYPnurses @WeMHNurses hello ???? #wecypns |
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@WeMHNurses
28 July 2015 20:01
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Good evening all! @NatalieMHN here from team #WeMHNs here, looking forward to tonight's joint chat #wecypns |
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@cdodd09
28 July 2015 20:01
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@WeCYPnurses @WeMHNurses Caroline from @WeCYPnurses here, paedaitric ward sister, looking after LOTS of CAMHS patients per month #wecypns |
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@hepworth_becky
28 July 2015 20:01
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Hello from sunny France! #wecypns |
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@cdodd09
28 July 2015 20:02
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@hepworth_becky welcome Becky glad you could spend your hols with us #wecypns |
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@robbradley01
28 July 2015 20:02
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I'm here but will be floating in an out as its bedtime in the Bradley household! #WeCYPNs |
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@WeCYPnurses
28 July 2015 20:02
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RT @hepworth_becky: Hello from sunny France! #wecypns |
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@WeCYPnurses
28 July 2015 20:02
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RT @cdodd09: @hepworth_becky welcome Becky glad you could spend your hols with us #wecypns |
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@WeCYPnurses
28 July 2015 20:02
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RT @WeMHNurses: Good evening all! @NatalieMHN here from team #WeMHNs here, looking forward to tonight's joint chat #wecypns |
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@cdodd09
28 July 2015 20:02
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@robbradley01 welcome Rob #wecypns |
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@WeMHNurses
28 July 2015 20:02
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I'm a #CAMHS eating disorders nurse, majority of our patients are in paeds ward 1st so interested to hear paeds nurses experiences #wecypns |
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@cdodd09
28 July 2015 20:03
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@spencer_sian @WeCYPnurses @WeMHNurses Welcome Sian #wecypns |
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@WeCYPnurses
28 July 2015 20:03
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RT @spencer_sian: @WeCYPnurses @WeMHNurses hello ???? #wecypns |
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@hepworth_becky
28 July 2015 20:04
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@spencer_sian very intermittent wifi here so may well be in and out! #wecypns |
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@AgencyNurse
28 July 2015 20:04
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Hi all #lurking #wecypns |
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@spencer_sian
28 July 2015 20:04
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@WeMHNurses #wecypns Im a Health Play Specialist have seen a huge increase of C&YP with associated acute as well as early mental breakdown |
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@cdodd09
28 July 2015 20:04
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RT @spencer_sian: @WeMHNurses #wecypns Im a Health Play Specialist have seen a huge increase of C&YP with associated acute as well as early… |
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@VanessaRNMH
28 July 2015 20:05
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RT @WeMHNurses: Good evening all! @NatalieMHN here from team #WeMHNs here, looking forward to tonight's joint chat #wecypns |
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@WeCYPnurses
28 July 2015 20:05
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Do non mental health trained professionals feel equipped to look after YP with mental health issues? #wecypns |
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@WeMHNurses
28 July 2015 20:05
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@spencer_sian a friend of mine is training to do that, she told me she sees lot of MH cases too #wecypns |
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@WeCYPnurses
28 July 2015 20:05
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RT @spencer_sian: @WeMHNurses #wecypns Im a Health Play Specialist have seen a huge increase of C&YP with associated acute as well as early… |
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@WeMHNurses
28 July 2015 20:05
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RT @WeCYPnurses: Do non mental health trained professionals feel equipped to look after YP with mental health issues? #wecypns |
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@AgencyNurse
28 July 2015 20:05
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RT @WeCYPnurses: Do non mental health trained professionals feel equipped to look after YP with mental health issues? #wecypns |
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@WeCYPnurses
28 July 2015 20:05
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@AgencyNurse Hi Teresa thanks for joining #wecypns |
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@PositivePracti1
28 July 2015 20:05
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RT @WeCYPnurses: Do non mental health trained professionals feel equipped to look after YP with mental health issues? #wecypns |
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@WeCYPnurses
28 July 2015 20:05
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RT @AgencyNurse: Hi all #lurking #wecypns |
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@hepworth_becky
28 July 2015 20:06
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@WeMHNurses it seems that as small district paeds unit, we are a holding place for CAHMs pts until a specialist bed is available #wecypns |
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@AgencyNurse
28 July 2015 20:06
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@WeCYPnurses really interested in tonights discussion #mumofthree #wecypns |
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@spencer_sian
28 July 2015 20:06
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@WeMHNurses @WeCYPnurses #wecypns a huge level of my work is support- time, safe boundaries building and listening |
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@WeCYPnurses
28 July 2015 20:06
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RT @spencer_sian: @WeMHNurses @WeCYPnurses #wecypns a huge level of my work is support- time, safe boundaries building and listening |
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@HerseyJane
28 July 2015 20:07
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@spencer_sian @WeCYPnurses @WeMHNurses No surprise. 40 % inc in youngsters self harming bc of poverty since Cameron came to power. #wecypns |
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@hepworth_becky
28 July 2015 20:07
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@WeCYPnurses no... Completely inadequate. ??#wecypns |
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@AmyFrounks
28 July 2015 20:07
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Hi @WeCYPnurses - here to chuck a YP's experience on tonights tweet chat! #WeCYPNs |
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@WeCYPnurses
28 July 2015 20:07
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@hepworth_becky @WeMHNurses this is a big issue as it appears there is too much demand on CAMHS beds #wecypns |
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@Girl_Interrupt_
28 July 2015 20:08
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@WeCYPnurses As a parent with a child who has issues I was poorly equipped & informed, learnt hard way #wecypns |
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@WeCYPnurses
28 July 2015 20:08
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@AmyFrounks very pleased to have you and your expertise #wecypns |
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@WeCommissioners
28 July 2015 20:08
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3 tweet chats on RIGHT NOW Join: #WeHVs Whats a Health Visitor? #WeGPNs Meningitis Vaccinations #WeCYPNs CYPs mental health All welcome! |
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@WeAHPs
28 July 2015 20:08
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3 tweet chats on RIGHT NOW Join: #WeHVs Whats a Health Visitor? #WeGPNs Meningitis Vaccinations #WeCYPNs CYPs mental health All welcome! |
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@WeNurses
28 July 2015 20:08
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3 tweet chats on RIGHT NOW Join: #WeHVs Whats a Health Visitor? #WeGPNs Meningitis Vaccinations #WeCYPNs CYPs mental health All welcome! |
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@WeLDnurses
28 July 2015 20:08
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3 tweet chats on RIGHT NOW Join: #WeHVs Whats a Health Visitor? #WeGPNs Meningitis Vaccinations #WeCYPNs CYPs mental health All welcome! |
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@WeParamedics
28 July 2015 20:08
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3 tweet chats on RIGHT NOW Join: #WeHVs Whats a Health Visitor? #WeGPNs Meningitis Vaccinations #WeCYPNs CYPs mental health All welcome! |
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@WePharmacists
28 July 2015 20:08
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3 tweet chats on RIGHT NOW Join: #WeHVs Whats a Health Visitor? #WeGPNs Meningitis Vaccinations #WeCYPNs CYPs mental health All welcome! |
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@WeMidwives
28 July 2015 20:08
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3 tweet chats on RIGHT NOW Join: #WeHVs Whats a Health Visitor? #WeGPNs Meningitis Vaccinations #WeCYPNs CYPs mental health All welcome! |
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@WeMHNurses
28 July 2015 20:08
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3 tweet chats on RIGHT NOW Join: #WeHVs Whats a Health Visitor? #WeGPNs Meningitis Vaccinations #WeCYPNs CYPs mental health All welcome! |
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@WeSchoolNurses
28 July 2015 20:08
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3 tweet chats on RIGHT NOW Join: #WeHVs Whats a Health Visitor? #WeGPNs Meningitis Vaccinations #WeCYPNs CYPs mental health All welcome! |
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@WeDocs
28 July 2015 20:08
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3 tweet chats on RIGHT NOW Join: #WeHVs Whats a Health Visitor? #WeGPNs Meningitis Vaccinations #WeCYPNs CYPs mental health All welcome! |
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@WeMedSts
28 July 2015 20:08
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3 tweet chats on RIGHT NOW Join: #WeHVs Whats a Health Visitor? #WeGPNs Meningitis Vaccinations #WeCYPNs CYPs mental health All welcome! |
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@WeCommNurses
28 July 2015 20:08
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3 tweet chats on RIGHT NOW Join: #WeHVs Whats a Health Visitor? #WeGPNs Meningitis Vaccinations #WeCYPNs CYPs mental health All welcome! |
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@WeCYPnurses
28 July 2015 20:08
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RT @Girl_Interrupt_: @WeCYPnurses As a parent with a child who has issues I was poorly equipped & informed, learnt hard way #wecypns |
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@hepworth_becky
28 July 2015 20:08
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@AmyFrounks fantastic! Glad you could join us @WeCYPnurses #wecypns |
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@HealthUKTD
28 July 2015 20:08
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RT @WeCYPnurses: Do non mental health trained professionals feel equipped to look after YP with mental health issues? #wecypns |
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@spencer_sian
28 July 2015 20:08
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@WeCYPnurses @hepworth_becky @WeMHNurses #wecypns such a huge close down in local as well as national services- budgets stretched- |
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@WeMHNurses
28 July 2015 20:08
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RT @WeCYPnurses: @hepworth_becky @WeMHNurses this is a big issue as it appears there is too much demand on CAMHS beds #wecypns |
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@WeCYPnurses
28 July 2015 20:08
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@Girl_Interrupt_ what could have improved things for you? #wecypns |
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@WeCYPnurses
28 July 2015 20:09
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RT @spencer_sian: @WeCYPnurses @hepworth_becky @WeMHNurses #wecypns such a huge close down in local as well as national services- budgets s… |
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@thesismum
28 July 2015 20:09
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RT @WeNurses: 3 tweet chats on RIGHT NOW Join: #WeHVs Whats a Health Visitor? #WeGPNs Meningitis Vaccinations #WeCYPNs CYPs mental health A… |
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@WeCYPnurses
28 July 2015 20:10
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@spencer_sian @hepworth_becky @WeMHNurses resulting in YP being sent a long way from home for beds #wecypns |
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@WeMHNurses
28 July 2015 20:10
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RT @WeCYPnurses: @spencer_sian @hepworth_becky @WeMHNurses resulting in YP being sent a long way from home for beds #wecypns |
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@spencer_sian
28 July 2015 20:10
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@hepworth_becky @AmyFrounks @WeCYPnurses Hi Amy- brilliant- def need your input and valued comments #wecypns |
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@WeCYPnurses
28 July 2015 20:10
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RT @spencer_sian: @hepworth_becky @AmyFrounks @WeCYPnurses Hi Amy- brilliant- def need your input and valued comments #wecypns |
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@drljbaldwin
28 July 2015 20:10
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@WeCYPnurses @WeMHNurses @hepworth_becky in CAMHS we spend / waste a lot of time looking for beds nationally :-( #weCYPNs |
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@WeMHNurses
28 July 2015 20:10
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RT @drljbaldwin @WeCYPnurses @WeMHNurses @hepworth_becky in CAMHS we spend / waste a lot of time looking for beds nationally :-( #weCYPNs |
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@hepworth_becky
28 July 2015 20:11
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@WeCYPnurses @spencer_sian @WeMHNurses not ideal at all. And then when discharged local support not robust? #wecypns |
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@WeCYPnurses
28 July 2015 20:11
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RT @drljbaldwin: @WeCYPnurses @WeMHNurses @hepworth_becky in CAMHS we spend / waste a lot of time looking for beds nationally :-( #weCYPNs |
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@Girl_Interrupt_
28 July 2015 20:11
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@WeCYPnurses paeds should have referred to CAMHS in infancy rather than blame *neurotic parent* who was understandably worried #WeCYPNs |
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@spencer_sian
28 July 2015 20:11
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@WeCYPnurses @hepworth_becky @WeMHNurses #wecypns it is horrifyingly emotive for us as professionals to watch this happen- |
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@VanessaRNMH
28 July 2015 20:11
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@WeCYPnurses @spencer_sian @hepworth_becky @WeMHNurses Which is distressing for parent & child and often ends up costing more too! #WeCYPNs |
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@WeCYPnurses
28 July 2015 20:11
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RT @hepworth_becky: @WeCYPnurses no... Completely inadequate. ??#wecypns |
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@WeMHNurses
28 July 2015 20:11
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Do you often have RMNs on paeds wards to help with CAMHS cases? #wecypns |
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@HerseyJane
28 July 2015 20:12
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RT @WeCYPnurses: @spencer_sian @hepworth_becky @WeMHNurses resulting in YP being sent a long way from home for beds #wecypns |
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@spencer_sian
28 July 2015 20:12
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@hepworth_becky @WeCYPnurses @WeMHNurses #wecypns lack of resource is the major issue- not enough trained HCPs means longer appt gaps- |
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@AmyFrounks
28 July 2015 20:12
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@WeCYPnurses Nurses aren't always comfortable - they need experience with MH before equipped. They don't always react well to MH #wecypns |
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@Girl_Interrupt_
28 July 2015 20:12
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@VanessaLGarrity @WeCYPnurses @spencer_sian @hepworth_becky @WeMHNurses services are bed keepers rather than service providers #WeCYPNs |
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@cdodd09
28 July 2015 20:13
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@WeCYPnurses d/c with our CAMHS team recently about having a joint funded CAMHS liasion nurse based in the hospital #wecypns |
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@HerseyJane
28 July 2015 20:13
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@WeCYPnurses @spencer_sian @hepworth_becky @WeMHNurses #wecypns Same disrespect for CYP's emotional needs as the Care System. |
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@hepworth_becky
28 July 2015 20:13
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@Girl_Interrupt_ @VanessaLGarrity @WeCYPnurses @spencer_sian @WeMHNurses that's really sad. How could it improve? #weCYPNs |
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@spencer_sian
28 July 2015 20:13
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@VanessaLGarrity @WeCYPnurses @hepworth_becky @WeMHNurses - unbearable to watch impact this has- completely adds to acute distress #wecypns |
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@WeCYPnurses
28 July 2015 20:13
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RT @cdodd09: @WeCYPnurses d/c with our CAMHS team recently about having a joint funded CAMHS liasion nurse based in the hospital #wecypns |
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@WeMHNurses
28 July 2015 20:14
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@cdodd09 @WeCYPnurses interesting how most trusts have psych liaison but no paeds liaison.. #wecypns |
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@Girl_Interrupt_
28 July 2015 20:15
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@AmyFrounks @WeCYPnurses why not have lived expert parents help with child MH training? #WeCYPNs |
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@hepworth_becky
28 July 2015 20:15
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@WeMHNurses no nursing staff but We are lucky to have a consultant with a dual MH/paeds qualification. #wecypns |
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@HerseyJane
28 July 2015 20:15
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@WeCYPnurses #wecypns Many children with depression & MH probs are getting no treatment or support at all RCP president is very concerned. |
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@WeCYPnurses
28 July 2015 20:15
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RT @Girl_Interrupt_: @AmyFrounks @WeCYPnurses why not have lived expert parents help with child MH training? #WeCYPNs |
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@drljbaldwin
28 July 2015 20:15
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@WeMHNurses @cdodd09 @WeCYPnurses we have a dedicated CAMH Liaison service, mostly for self harm & f/u in ED and Paed ward #weCYPNs |
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@WeCYPnurses
28 July 2015 20:16
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RT @HerseyJane: @WeCYPnurses #wecypns Many children with depression & MH probs are getting no treatment or support at all RCP president is … |
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@spencer_sian
28 July 2015 20:16
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@AmyFrounks @WeCYPnurses #wecypns HCP's need support to train, acknowledgement that this is a challenging subject, access to MH input |
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@HerseyJane
28 July 2015 20:16
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@WeCYPnurses #wecypns What has to be dealt with are the causes of CYP MH problems & they are worsening bc of welfare & services savage cuts. |
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@WeCYPnurses
28 July 2015 20:16
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RT @hepworth_becky: @WeMHNurses no nursing staff but We are lucky to have a consultant with a dual MH/paeds qualification. #wecypns |
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@AmyFrounks
28 July 2015 20:17
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@Girl_Interrupt_ @WeCYPnurses Gr8 thought - Equally as good to involve YP with experience in training - We can be quite good too! #wecypns |
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@WeMHNurses
28 July 2015 20:18
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RT @drljbaldwin: @WeCYPnurses @WeMHNurses @hepworth_becky in CAMHS we spend / waste a lot of time looking for beds nationally :-( #weCYPNs |
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@hepworth_becky
28 July 2015 20:18
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@cdodd09 @WeMHNurses she's a star and a great resource but not always there... And very busy! #wecypns |
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@hepworth_becky
28 July 2015 20:18
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RT @HerseyJane: @WeCYPnurses #wecypns What has to be dealt with are the causes of CYP MH problems & they are worsening bc of welfare & serv… |
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@cdodd09
28 July 2015 20:18
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@WeMHNurses we'vespent a lot of money lateley for agency nurses to 1-1 patients eg when waiting for T4 bed or even whilst sectioned #wecypns |
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@spencer_sian
28 July 2015 20:18
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@cdodd09 @hepworth_becky @WeMHNurses #wecypns we often have more than 1 RMN assigned to a C&YP but even then the RMN not paediatric trained |
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@cdodd09
28 July 2015 20:19
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RT @spencer_sian: @cdodd09 @hepworth_becky @WeMHNurses #wecypns we often have more than 1 RMN assigned to a C&YP but even then the RMN not … |
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@cdodd09
28 July 2015 20:19
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RT @hepworth_becky: @cdodd09 @WeMHNurses she's a star and a great resource but not always there... And very busy! #wecypns |
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@WeCYPnurses
28 July 2015 20:19
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RT @spencer_sian: @cdodd09 @hepworth_becky @WeMHNurses #wecypns we often have more than 1 RMN assigned to a C&YP but even then the RMN not … |
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@hepworth_becky
28 July 2015 20:20
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@cdodd09 @WeMHNurses nearly all of our ward excess staffing costs can be related to MH pts #wecypns |
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@WeCYPnurses
28 July 2015 20:20
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RT @hepworth_becky: @cdodd09 @WeMHNurses nearly all of our ward excess staffing costs can be related to MH pts #wecypns |
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@WeCYPnurses
28 July 2015 20:20
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Do CAMHS and paediatric teams work well together? #wecypns |
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@Girl_Interrupt_
28 July 2015 20:21
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@WeCYPnurses When my children we infants I had no idea what I was dealing with & did it all wrong! Psycho-education is vital #WeCYPNs |
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@WeMHNurses
28 July 2015 20:21
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@WeCYPnurses would be interested to hear of any examples of joint working. #wecypns |
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@spencer_sian
28 July 2015 20:22
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@hepworth_becky @cdodd09 @WeMHNurses #wecypns both myself and the school teacher have sought out further training- as we have the most input |
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@cdodd09
28 July 2015 20:22
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@WeCYPnurses igetting better in our area, last wk I was invited to a CAMHS away day with CAMHS team great to wk tog & share ideas #wecypns |
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@AmyFrounks
28 July 2015 20:22
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@WeCYPnurses Always room for improvement! #weCYPNs |
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@WeCYPnurses
28 July 2015 20:22
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RT @AmyFrounks: @WeCYPnurses Always room for improvement! #weCYPNs |
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@WeCYPnurses
28 July 2015 20:22
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RT @spencer_sian: @hepworth_becky @cdodd09 @WeMHNurses #wecypns both myself and the school teacher have sought out further training- as we … |
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@HerseyJane
28 July 2015 20:23
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@WeCYPnurses #wecypns What is clear is there is a MH crisis for patients and staff bc of diminishing services & cuts. http://t.co/me6ky59xdf |
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@WeCYPnurses
28 July 2015 20:23
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RT @HerseyJane: @WeCYPnurses #wecypns What is clear is there is a MH crisis for patients and staff bc of diminishing services & cuts. http:… |
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@spencer_sian
28 July 2015 20:23
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@hepworth_becky @cdodd09 @WeMHNurses @WeCYPnurses #wecypns - we don't wear a uniform- and are seen as "safe" most disclosures/therapeutic |
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@drljbaldwin
28 July 2015 20:23
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@cdodd09 @WeCYPnurses need to build trusting relationships and understand each others stresses / viewpoints a bit better :-) #weCYPNs |
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@WeCYPnurses
28 July 2015 20:23
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RT @spencer_sian: @hepworth_becky @cdodd09 @WeMHNurses @WeCYPnurses #wecypns - we don't wear a uniform- and are seen as "safe" most disclos… |
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@robbradley01
28 July 2015 20:24
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Right I've been told to buzz off by my 3year old so I'm here now! #weCYPNs |
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@AmyFrounks
28 July 2015 20:24
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@WeCYPnurses I have fab peads dr who organised weekly MDT's including CAMHS staff. That is when it works well! Norm isn't that #wecypns |
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@hepworth_becky
28 July 2015 20:24
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@spencer_sian @cdodd09 @WeMHNurses @WeCYPnurses and shiny!!! ?#wecypns |
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@WeCYPnurses
28 July 2015 20:25
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RT @hepworth_becky: @spencer_sian @cdodd09 @WeMHNurses @WeCYPnurses and shiny!!! ?#wecypns |
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@spencer_sian
28 July 2015 20:25
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@drljbaldwin @WeCYPnurses @cdodd09 @WeMHNurses #wecypns it's getting better- is because it has HAD to- because the journey has been acute |
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@WeCYPnurses
28 July 2015 20:25
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RT @WeMHNurses: @WeCYPnurses would be interested to hear of any examples of joint working. #wecypns |
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@yurhealth
28 July 2015 20:25
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RT @WePharmacists: 3 tweet chats on RIGHT NOW Join: #WeHVs Whats a Health Visitor? #WeGPNs Meningitis Vaccinations #WeCYPNs CYPs mental hea… |
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@WeCYPnurses
28 July 2015 20:26
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RT @spencer_sian: @drljbaldwin @WeCYPnurses @cdodd09 @WeMHNurses #wecypns it's getting better- is because it has HAD to- because the journe… |
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@WeCYPnurses
28 July 2015 20:27
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RT @hepworth_becky: @cdodd09 @WeMHNurses she's a star and a great resource but not always there... And very busy! #wecypns |
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@hepworth_becky
28 July 2015 20:27
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@AmyFrounks @WeCYPnurses sounds great. Glad it works for you. #wecypns |
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@spencer_sian
28 July 2015 20:27
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@hepworth_becky @cdodd09 @WeMHNurses @WeCYPnurses #wecypns because we are fortunate that we have a bit more time too- creative therapies too |
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@WeCYPnurses
28 July 2015 20:27
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RT @hepworth_becky: @WeCYPnurses @spencer_sian @WeMHNurses not ideal at all. And then when discharged local support not robust? #wecypns |
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@WeCYPnurses
28 July 2015 20:28
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RT @spencer_sian: @hepworth_becky @WeCYPnurses @WeMHNurses #wecypns lack of resource is the major issue- not enough trained HCPs means long… |
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@WeCYPnurses
28 July 2015 20:28
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RT @HerseyJane: @WeCYPnurses #wecypns What has to be dealt with are the causes of CYP MH problems & they are worsening bc of welfare & serv… |
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@WeCYPnurses
28 July 2015 20:29
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@HerseyJane @WeCYPnurses shame all the @WeSchoolNurses are busy at their conference sure they could share lots of gd practice #wecypns |
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@hepworth_becky
28 July 2015 20:30
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@spencer_sian I'm always anxious I'll say the wrong thing and make matters worse... #wecypns |
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@spencer_sian
28 July 2015 20:30
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@hepworth_becky @AmyFrounks @WeCYPnurses #wecypns we have them but formats change- educ/play not seen as important sometimes?? |
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@WeCYPnurses
28 July 2015 20:30
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What happens with 16 and 17 yrd olds are they admitted to adult or chiuldren's wards? Are they still seen by CAMHS or adult teams? #wecypns |
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@HerseyJane
28 July 2015 20:30
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@hepworth_becky @WeCYPnurses @spencer_sian @WeMHNurses #wecypns Point is when discharged many return2 same environment poverty poor housing. |
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@renpiskunowicz
28 July 2015 20:30
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RT @WeCYPnurses: Do non mental health trained professionals feel equipped to look after YP with mental health issues? #wecypns |
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@WeCYPnurses
28 July 2015 20:31
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RT @hepworth_becky: @spencer_sian I'm always anxious I'll say the wrong thing and make matters worse... #wecypns |
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@WeCYPnurses
28 July 2015 20:31
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RT @spencer_sian: @hepworth_becky @cdodd09 @WeMHNurses @WeCYPnurses #wecypns because we are fortunate that we have a bit more time too- cre… |
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@robbradley01
28 July 2015 20:31
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@hepworth_becky @spencer_sian that's my worry too #wecypns |
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@cdodd09
28 July 2015 20:31
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@hepworth_becky @spencer_sian this is why it would help if we could have training #wecypns |
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@AmyFrounks
28 July 2015 20:31
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@hepworth_becky @WeCYPnurses Taken time 2 get there & is gr8 when MH team r there but all nurses need 2 engage, or not successful #wecypns |
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@WeMHNurses
28 July 2015 20:32
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@WeCYPnurses in MH they would be seen by CAMHS. Do many 16-17yr olds end up on adult general wards? #wecypns |
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@AgencyNurse
28 July 2015 20:32
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RT @WeMHNurses: @WeCYPnurses in MH they would be seen by CAMHS. Do many 16-17yr olds end up on adult general wards? #wecypns |
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@WeCYPnurses
28 July 2015 20:32
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RT @HerseyJane: @hepworth_becky @WeCYPnurses @spencer_sian @WeMHNurses #wecypns Point is when discharged many return2 same environment pove… |
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@spencer_sian
28 July 2015 20:32
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@hepworth_becky @cdodd09 @WeMHNurses @WeCYPnurses #wecypns I worry about that too- but training is a must- not always saying but listening |
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@hepworth_becky
28 July 2015 20:33
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@WeMHNurses @WeCYPnurses they are given the choice if possible. #wecypns |
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@cdodd09
28 July 2015 20:33
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@WeCYPnurses policy says adult ward but seen by CAMHS however due to bed shortages often admitted to children's ward #wecypns |
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@HerseyJane
28 July 2015 20:33
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@WeCYPnurses #wecypns Many C&YP are being held in police cells and locked up for up to 40 hours because of lack of services and support. |
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@WeCYPnurses
28 July 2015 20:33
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RT @WeMHNurses: @WeCYPnurses in MH they would be seen by CAMHS. Do many 16-17yr olds end up on adult general wards? #wecypns |
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@WeCYPnurses
28 July 2015 20:33
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RT @hepworth_becky: @WeMHNurses @WeCYPnurses they are given the choice if possible. #wecypns |
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@AmyFrounks
28 July 2015 20:33
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@spencer_sian @hepworth_becky @WeCYPnurses Good point - sometimes only drs and nurses involved in MDT's and not the wider team. #wecypns |
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@spencer_sian
28 July 2015 20:34
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@hepworth_becky @cdodd09 @WeMHNurses @WeCYPnurses #WeCYPNs the worst has already happened to them- so space to say/do/paint/draw/make noise |
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@WeCYPnurses
28 July 2015 20:34
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RT @cdodd09: @WeCYPnurses policy says adult ward but seen by CAMHS however due to bed shortages often admitted to children's ward #wecypns |
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@WeCYPnurses
28 July 2015 20:34
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RT @spencer_sian: @hepworth_becky @cdodd09 @WeMHNurses @WeCYPnurses #wecypns I worry about that too- but training is a must- not always say… |
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@WeMHNurses
28 July 2015 20:34
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RT @cdodd09: @WeCYPnurses policy says adult ward but seen by CAMHS however due to bed shortages often admitted to children's ward #wecypns |
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@WeCYPnurses
28 July 2015 20:34
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RT @spencer_sian: @hepworth_becky @cdodd09 @WeMHNurses @WeCYPnurses #WeCYPNs the worst has already happened to them- so space to say/do/pai… |
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@melCYPN
28 July 2015 20:34
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RT @HerseyJane: @WeCYPnurses #wecypns Many children with depression & MH probs are getting no treatment or support at all RCP president is … |
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@WeCYPnurses
28 July 2015 20:34
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RT @hepworth_becky: @AmyFrounks @WeCYPnurses sounds great. Glad it works for you. #wecypns |
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@hepworth_becky
28 July 2015 20:35
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@HerseyJane @WeCYPnurses this is tragic. What is the alternative if there is no other place of safety..? #wecypns |
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@WeCYPnurses
28 July 2015 20:35
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RT @spencer_sian: @hepworth_becky @AmyFrounks @WeCYPnurses #wecypns we have them but formats change- educ/play not seen as important someti… |
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@AmyFrounks
28 July 2015 20:35
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@WeMHNurses @WeCYPnurses https://t.co/SMVZ6zHPx2 #wecypns |
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@drljbaldwin
28 July 2015 20:35
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@WeMHNurses @WeCYPnurses some 16, and more 17 yo's prefer to stay on MAU etc rather than go to paed ward. Still seen by CAMHS tho' #weCYPNs |
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@spencer_sian
28 July 2015 20:35
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@AmyFrounks @hepworth_becky @WeCYPnurses often discussion on safe guarding so confidentiality a key- and sharing info kept to min.#wecypns |
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@HerseyJane
28 July 2015 20:36
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#wecypns I'm sure there is a lot of good practice & it's a terrible shame that cuts will put @WeSchoolNurses & @WeCYPnurses under pressure |
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@WeCYPnurses
28 July 2015 20:36
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RT @HerseyJane: @WeCYPnurses #wecypns Many C&YP are being held in police cells and locked up for up to 40 hours because of lack of services… |
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@WeCYPnurses
28 July 2015 20:36
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RT @hepworth_becky: @HerseyJane @WeCYPnurses this is tragic. What is the alternative if there is no other place of safety..? #wecypns |
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@robbradley01
28 July 2015 20:36
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Quick question if I may, do wards have problems with CAMHS patients absconding from ward? How do they deal with this? #wecypns |
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@WeMHNurses
28 July 2015 20:36
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How quickly are CAMHS patients seen by CAMHS teams on paeds wards? #wecypns |
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@WeMHNurses
28 July 2015 20:37
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During my training I accompanied CAMHS nurses to assessments. But there was 1 nurse for the entire trust and they were also.. #wecypns |
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@WeMHNurses
28 July 2015 20:37
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working as a CPN alongside that liaison role #wecypns |
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@HerseyJane
28 July 2015 20:37
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@WeCYPnurses Inc in C&YP self harming but LA's support for schools has been lost bc of cuts Many @WeSchoolNurses deeply concerned. #wecypns |
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@robbradley01
28 July 2015 20:37
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@WeMHNurses if overnight admission weekday will be next day could be longer if over weekend #wecypns |
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@cdodd09
28 July 2015 20:38
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@hepworth_becky @HerseyJane @WeCYPnurses often YP are admitted to CW in these instances as place of safety #wecypns |
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@WeCYPnurses
28 July 2015 20:38
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RT @cdodd09: @hepworth_becky @HerseyJane @WeCYPnurses often YP are admitted to CW in these instances as place of safety #wecypns |
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@AmyFrounks
28 July 2015 20:38
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@spencer_sian @hepworth_becky @WeCYPnurses Info on how wider staff can help could be shared as a care plan/in a passport maybe? #wecypns |
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@WeMHNurses
28 July 2015 20:38
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RT @robbradley01: @WeMHNurses if overnight admission weekday will be next day could be longer if over weekend #wecypns |
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@spencer_sian
28 July 2015 20:38
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@WeMHNurses @WeCYPnurses jointly a pathway was born - and is in action at our DGH- #wecypns so that on presentation to ED/Paeds ED support |
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@WeCYPnurses
28 July 2015 20:39
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RT @cdodd09: @hepworth_becky @spencer_sian this is why it would help if we could have training #wecypns |
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@HerseyJane
28 July 2015 20:39
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@hepworth_becky @WeCYPnurses #wecypns Cuts to welfare & services mean more C&YP taken into care & pushed from pillar to post inc MH probs. |
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@WeCYPnurses
28 July 2015 20:39
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RT @HerseyJane: @hepworth_becky @WeCYPnurses #wecypns Cuts to welfare & services mean more C&YP taken into care & pushed from pillar to pos… |
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@WeCYPnurses
28 July 2015 20:40
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RT @spencer_sian: @WeMHNurses @WeCYPnurses jointly a pathway was born - and is in action at our DGH- #wecypns so that on presentation to ED… |
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@hepworth_becky
28 July 2015 20:40
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@robbradley01 tricky! Try to avoid if poss using 1:1 support. Security or the police are called. What about you rob? #wecypns |
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@drljbaldwin
28 July 2015 20:40
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@cdodd09 @WeCYPnurses @hepworth_becky @spencer_sian great e-learning resource at https://t.co/njX258FzAV and it's free! #weCYPNs |
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@hepworth_becky
28 July 2015 20:40
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@WeMHNurses goodness! Massive role. #wecypns |
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@robbradley01
28 July 2015 20:41
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@HerseyJane @hepworth_becky @WeCYPnurses we can see people waiting 2 weeks for inpatient beds, need more impatient adolescent units #wecypns |
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@WeCYPnurses
28 July 2015 20:41
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RT @WeMHNurses: working as a CPN alongside that liaison role #wecypns |
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@robbradley01
28 July 2015 20:41
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@hepworth_becky same! #wecypns |
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@HerseyJane
28 July 2015 20:41
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@RMNinTRAINING @hepworth_becky @WeCYPnurses #wecypns Attacks on MH services floods other services with problems & puts pressure on nurses. |
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@drljbaldwin
28 July 2015 20:41
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This seems pertinent! #weCYPNs :-( https://t.co/JS5VQ5i78r |
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@WeCYPnurses
28 July 2015 20:41
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@drljbaldwin thks for sharing #wecypns |
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@spencer_sian
28 July 2015 20:41
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@robbradley01 @WeMHNurses #weCYPNs @WeCYPnurses referral sent- phone call- come to hospital to assess- nights- following am- wkend- tricky! |
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@WeCYPnurses
28 July 2015 20:42
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RT @drljbaldwin: This seems pertinent! #weCYPNs :-( https://t.co/JS5VQ5i78r |
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@hepworth_becky
28 July 2015 20:42
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@cdodd09 @HerseyJane @WeCYPnurses not always possible though..? #wecypns |
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@WeMHNurses
28 July 2015 20:43
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Are people aware of @MindEd? Really useful training tool. #wecypns |
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@spencer_sian
28 July 2015 20:43
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It's brilliant- also YoungMinds- http://t.co/biYy1wP4j2 - #wecypns https://t.co/5ExlCgbedb |
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@HerseyJane
28 July 2015 20:43
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@robbradley01 @hepworth_becky @WeCYPnurses #wecypns 1,700 beds for mental health patients have been cut over the last 2 years. |
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@cdodd09
28 July 2015 20:43
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@robbradley01 we have a fast bleep to switchboard to instigate missing person's search! #wecypns |
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@hepworth_becky
28 July 2015 20:43
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@robbradley01 not running Rob taking chase then..! ????#wecypns |
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@AmyFrounks
28 July 2015 20:43
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@robbradley01 @HerseyJane @hepworth_becky @WeCYPnurses 2 weeks is too long ... so completely agree + paeds ward not best place #weCYPNs |
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@WeMHNurses
28 July 2015 20:43
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I think it's also worth mentioning that even mental health nurses receive very little CAMHS training, seen as a specialty. #wecypns |
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@WeCYPnurses
28 July 2015 20:44
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RT @cdodd09: @robbradley01 we have a fast bleep to switchboard to instigate missing person's search! #wecypns |
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@hepworth_becky
28 July 2015 20:45
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RT @WeMHNurses: Are people aware of @MindEd? Really useful training tool. #wecypns |
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@spencer_sian
28 July 2015 20:45
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@WeMHNurses #wecypns agree and they would welcome it- and more- I spend hours with them on the ward- specialising C&YP |
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@WeCYPnurses
28 July 2015 20:45
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@WeMHNurses good point CAMHS is a sepciality in it's own right #wecypns |
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@WeMHNurses
28 July 2015 20:45
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RT @spencer_sian: @WeMHNurses #wecypns agree and they would welcome it- and more- I spend hours with them on the ward- specialising C&YP |
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@WeCYPnurses
28 July 2015 20:45
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RT @spencer_sian: @WeMHNurses #wecypns agree and they would welcome it- and more- I spend hours with them on the ward- specialising C&YP |
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@robbradley01
28 July 2015 20:46
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@WeMHNurses I didn't realise that #wecypns |
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@WeCYPnurses
28 July 2015 20:46
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RT @HerseyJane: @robbradley01 @hepworth_becky @WeCYPnurses #wecypns 1,700 beds for mental health patients have been cut over the last 2 yea… |
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@WeMHNurses
28 July 2015 20:46
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@WeCYPnurses CAMHS *shouldn't* be a speciality when you consider how many 0-18yr olds there are! #wecypns |
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@WeCYPnurses
28 July 2015 20:46
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RT @spencer_sian: It's brilliant- also YoungMinds- http://t.co/biYy1wP4j2 - #wecypns https://t.co/5ExlCgbedb |
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@HerseyJane
28 July 2015 20:46
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@robbradley01 @hepworth_becky @WeCYPnurses #wecypns It's a scandal resulting in 2/3 people including C&YP suffering MH getting no treatment. |
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@WeCYPnurses
28 July 2015 20:46
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RT @WeMHNurses: Are people aware of @MindEd? Really useful training tool. #wecypns |
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@spencer_sian
28 July 2015 20:47
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@robbradley01 @hepworth_becky same- #wecypns have been know to hobble with stick across carpark to ensure safety of C&YP |
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@WeCYPnurses
28 July 2015 20:47
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RT @hepworth_becky: @cdodd09 @HerseyJane @WeCYPnurses not always possible though..? #wecypns |
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@WeMHNurses
28 July 2015 20:47
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@robbradley01 I was lucky to get a CAMHS placement, let alone a CAMHS job! #wecypns |
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@AmyFrounks
28 July 2015 20:47
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@robbradley01 @WeCYPnurses Once on paeds ward have witness pple absconding, nights of police chasing and restraining. #wecypns struggle |
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@cdodd09
28 July 2015 20:49
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lucky to have CAMHS service 7 days a wk. If referral b4 11 seen that day, prob if more than 2 ref as can only see 2 pts per day #wecypns |
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@WeCYPnurses
28 July 2015 20:49
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RT @robbradley01: @WeMHNurses if overnight admission weekday will be next day could be longer if over weekend #wecypns |
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@WeCYPnurses
28 July 2015 20:49
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RT @spencer_sian: @robbradley01 @WeMHNurses #weCYPNs @WeCYPnurses referral sent- phone call- come to hospital to assess- nights- following … |
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@robbradley01
28 July 2015 20:49
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@WeMHNurses can I ask is there any truth in the thought that if on an inpatient unit the CYP pts pick up tips from others? #wecypns |
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@spencer_sian
28 July 2015 20:51
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@WeCYPnurses @WeMHNurses #wecypns many things are shared with me- but those of abandoned / peer pressure/ having to conform/exams/attachment |
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@cdodd09
28 July 2015 20:51
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@AmyFrounks @robbradley01 @WeCYPnurses not nice for other patients and families to witness police on the ward #wecypns |
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@WeCYPnurses
28 July 2015 20:51
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RT @spencer_sian: @WeCYPnurses @WeMHNurses #wecypns many things are shared with me- but those of abandoned / peer pressure/ having to confo… |
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@cdodd09
28 July 2015 20:52
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@robbradley01 @WeMHNurses and picking up ideas from internet sites #wecypns |
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@drljbaldwin
28 July 2015 20:52
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@robbradley01 @WeCYPnurses @WeMHNurses well they certainly talk to each other about stuff of mutual interest :-) #weCYPNs |
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@WeCYPnurses
28 July 2015 20:53
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RT @HerseyJane: @robbradley01 @hepworth_becky @WeCYPnurses #wecypns It's a scandal resulting in 2/3 people including C&YP suffering MH gett… |
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@AmyFrounks
28 July 2015 20:53
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@WeMHNurses @WeCYPnurses Overlap - MH nurses needs paeds experience and CYP nurses need MH training! #wecypns |
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@WeCYPnurses
28 July 2015 20:53
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RT @WeMHNurses: @WeCYPnurses CAMHS *shouldn't* be a speciality when you consider how many 0-18yr olds there are! #wecypns |
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@WeMHNurses
28 July 2015 20:53
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@robbradley01 unfortunately yes. But that's part of adolescence and finding their "role." Same with social media. #wecypns |
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@WeCYPnurses
28 July 2015 20:53
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RT @WeMHNurses: @robbradley01 unfortunately yes. But that's part of adolescence and finding their "role." Same with social media. #wecypns |
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@spencer_sian
28 July 2015 20:53
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@robbradley01 @WeMHNurses as we know C&YP are intelligent- but also vulnerable- #wecypns |
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@WeCYPnurses
28 July 2015 20:54
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RT @AmyFrounks: @WeMHNurses @WeCYPnurses Overlap - MH nurses needs paeds experience and CYP nurses need MH training! #wecypns |
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@WeCYPnurses
28 July 2015 20:54
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RT @spencer_sian: @robbradley01 @WeMHNurses as we know C&YP are intelligent- but also vulnerable- #wecypns |
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@WeCYPnurses
28 July 2015 20:54
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RT @drljbaldwin: @robbradley01 @WeCYPnurses @WeMHNurses well they certainly talk to each other about stuff of mutual interest :-) #weCYPNs |
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@WeMHNurses
28 July 2015 20:55
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RT @spencer_sian: @robbradley01 @WeMHNurses as we know C&YP are intelligent- but also vulnerable- #wecypns |
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@WeMHNurses
28 July 2015 20:55
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RT @AmyFrounks: @WeMHNurses @WeCYPnurses Overlap - MH nurses needs paeds experience and CYP nurses need MH training! #wecypns |
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@spencer_sian
28 July 2015 20:55
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And that's the main focus- thanks @AmyFrounks #wecypns https://t.co/hbsIFurfkw |
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@WeCYPnurses
28 July 2015 20:55
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Gone quick tonight - 5 minutes left, final thoughts? #wecypns |
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@WeMHNurses
28 July 2015 20:55
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@cdodd09 @robbradley01 I went to a conference on this a few weeks back, v. interesting #WeCYPNs |
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@AmyFrounks
28 July 2015 20:56
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@cdodd09 @robbradley01 @WeCYPnurses Distressing for everyone, including the YP absconding - why paeds ward can only be temp option #wecypns |
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@HerseyJane
28 July 2015 20:56
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@WeMHNurses @WeCYPnurses #wecypns C&YP who suffer trauma & MI often poorly understood become adults stigmatised by an abusive system. |
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@WeCYPnurses
28 July 2015 20:56
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RT @WeMHNurses: @cdodd09 @robbradley01 I went to a conference on this a few weeks back, v. interesting #WeCYPNs |
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@HerseyJane
28 July 2015 20:57
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@WeCYPnurses #wecypns Poverty and inequality is the root cause of many MH probs for C&YP The situation is worsening Nurses need more support |
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@WeCYPnurses
28 July 2015 20:57
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We need to get it right before too late "More than half of all adults with mental health problems were diagnosed in childhood" #wecypns |
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@WeMHNurses
28 July 2015 20:58
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@AmyFrounks @cdodd09 @robbradley01 @WeCYPnurses and absconding from T4 units as well is a common occurance too #wecypns |
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@hepworth_becky
28 July 2015 20:58
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Well done @WeCYPnurses and @WeMHNurses. Great chatting. ?????? #wecypns |
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@WeCYPnurses
28 July 2015 20:58
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RT @WeMHNurses: @AmyFrounks @cdodd09 @robbradley01 @WeCYPnurses and absconding from T4 units as well is a common occurance too #wecypns |
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@spencer_sian
28 July 2015 20:58
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@WeCYPnurses - "we strive to provide a safe place- to acknowledge- to learn- to listen" #weCYPNs |
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@WeCYPnurses
28 July 2015 20:58
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RT @spencer_sian: @WeCYPnurses - "we strive to provide a safe place- to acknowledge- to learn- to listen" #weCYPNs |
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@robbradley01
28 July 2015 20:59
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@WeMHNurses @AmyFrounks @cdodd09 @WeCYPnurses don't really know the T levels #wecypns |
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@SBGriffin87
28 July 2015 20:59
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RT @AmyFrounks: @WeMHNurses @WeCYPnurses Overlap - MH nurses needs paeds experience and CYP nurses need MH training! #wecypns |
Stats
Total contributers:
30
Total tweets:
248
Total reach:
2,198,786
