Anywhere CAMHS and Use Care Bundles

30. Know current best practice

  • Pick one group of problems that you feel could benefit from a Care Bundle approach e.g. ADHD, depression, conduct disorder The aim is to choose an area where a combination of approaches will be better than one
  • Identify the elements of care based on best practice standards (such as NICE or SIGN guidance)
  • Identify areas where there is a lack of evidence
  • Discuss this as a team
  • Reach a consensus about how this guidance may be applied to the realities of the families you see.

Anywhere CAMHS start to develop a Care Bundle for anorexia nervosa. They look at the NICE guidance and discuss their experiences and talk with families and young people about what has helped them.

31. Local Policy on best practice Care Bundles

For your chosen area:

  • Agree as a team what the current state of evidence and guidance is
  • Agree as a team which approaches and interventions are best for any part of the problem where there is a dearth of evidence
  • Consult with users and incorporate their views about what works into the Care Bundle.

Anywhere CAMHS start writing their Care Bundle for anorexia nervosa. They agree an assessment format, physical examination and blood tests and interventions from a dietician, an individual therapist (CBT based) and systemic therapy, in combination with physical monitoring.

32. Implement and Monitor Care Bundle usage

  • Write the Care Bundle for your chosen area in a quick, easily accessed form e.g. as a checklist

  • Monitor compliance frequently, at least every time the family is seen
  • Collate results from all the families on Care Bundles and regularly review by clinicians and as a team
  • Make sure you act on the results of the monitoring.

Anywhere CAMHS has agreed their Care Bundle for anorexia nervosa. A checklist is in the front of each file and is completed each the family are seen. The results are fed back to the team monthly.