CAMHS Seminars

16:20 - 16:40

Service User Led Design: Designing Therapeutic Personal Spaces for Autism/CAMHS Environments

Over the last 12 months the teams at Gilling Dod, Kingsway Group and Britplas have undertaken research, development, and collaboration to explore patient centred design around next generation CAMHS bedroom environments and in particular design responses around Autism, Neurodiversity and eating disorders.  The project is a vehicle to stimulate meaningful engagement and collaboration with a broad range of Service users, Experts by Experience, Clinical practitioners, carers, and providers in the sector. To give service user voices a platform, to stimulate design innovation/insight/learning and bring in supply chain experts/innovators to respond to bespoke needs. Aim was to create an innovative, responsive, sensory bedroom concept design which could be used to promote discussion/feedback/insights/learnings via real world mock ups to be encountered/explored/evolved with stakeholders moving forward.

Key to this project was engagement and we approached this is numerous ways. POE from previous CAMHS clients, reaching out to MH charities, advocates and champions in the field, and approaching leading figures in Autism centred services. This included The Caudwell Children’s charity who we have worked with collaboratively in developing the brief and even taking part in their Family fun day event meeting/engaging with young people, families, ambassadors and clinical practitioners to understand the key issues/drivers/triggers. Same experts then helped refine the initial concepts into a working design.

Designs were then developed with an assembled group of innovative suppliers (Kingsway Group, Britplas, Pineapple, Thorlux etc) to help create actual 1 to 1 mock up located either end of the country and with a view to engaging with key stakeholders over time to help evolve the understanding/stimulate the conversation. A chance to challenge the norm, go beyond the P23 repeatable room model, and promote design aspiration and expectations on MH build projects across all pathways.



  • Hannah Lee Interior Designer - Gilling Dod Interior Design
14:30 - 15:00

Coproducing Cultural Change and Improvement at our Adolescent Mental Health Inpatient Unit Using our 4Cs Philosophy and Visual Identity

Ty Llidiard: 15-bed Child/Adolescent Mental Health (CAMHS) regional admission hospital unit in Bridgend.

• 2019: went into level 4 enhanced monitoring (‘special measures’ highest level) over quality, safety, leadership and culture concerns.
• Undertook intensive 4Cs work programme to change the unit’s culture and physical environment to address concerns and improve staff and young people’s (YP) mental health and wellbeing.
• 2023: de-escalated to level 0 care group monitoring.


• Meaningful engagement with demoralised and demotivated staff, following intense scrutiny/investigation for 4 years, and Covid-19.
• Coproducing with YP aged 12-17 with wide range of behavioural/emotional/health needs.
• Very large, hexagon-shaped building with mostly white, cold-looking, segmented clinical spaces.
• Funding - no models/precedent for similar transformation programme in health board.

Ingredients for success

• Unit lead trusted by health board, able to define and communicate vision and commission specialist delivery team. Worked with Scarlet Design creating visual identity and 4Cs philosophy: Caring, Compassionate, Calm, Confident.
• Genuinely coproduced - engagement events, including on-site event with 65+ people, extensive consultation with past and present service-users, carers, staff and stakeholders, collecting 300+ survey responses.
• Unit lead understood the amount/type of physical environment change required to achieve aims.
• Building transformation plan created at start, delivered in stages to evidence impact, build trust and source funding.
• Visual identity that could extend across large unit.


4Cs identity, rainbow tree with birds logo and woodland scene applied across unit:
• Giant 4Cs scenes in connecting corridors, waiting spaces, meeting rooms
• External/internal entrances redesigned, providing welcoming environment, improving ‘first impressions’.
• Staffroom and outdoor spaces redesigned
• Ward office relocated to building centre creating a central square, improving interaction and observation for staff and YP - graffiti wall requested by YP.
• on YP door name-plates, office/lift doors, staff uniforms/lockers.

Staff feel valued, with improved retention and sickness reduction; YP feeling listened to and empowered, with improved outcomes.


  • Lloyd Griffiths Head of Nursing - Cwm Taf Morgannwg University Health Board