Current View Training
Introduction to the Current View
The Current View is a tool designed to capture assessment information in a standardised manner. It aims to represent not only the presenting problems that are seen in CAMHS, but also to capture some of the complexity and context of CAMHS work.
It is important to note that the Current View tool is not a diagnostic tool (although you will see that some problems have been described in diagnostic language). Selecting a problem on the Current View does not imply that a diagnosis has been made, rather that at that moment in time the clinician completing it had reason to believe the child/young person (CYP) was experiencing problems of that nature.
Nor does the Current View replace the need for a risk assessment; although some items relate to risk (e.g. ‘poses risk to others’), you should still carry out your usual risk-assessment procedures.
Please note: you will probably complete this form electronically, therefore it will look slightly different, but the items you will be asked to rate are the same.
When to Complete the Current View tool
The Current View tool should be completed at (or soon after) your first contact with a CYP. First contact should be locally defined depending on when you are likely to have enough information to complete it and what fits with your usual clinical procedure (e.g. referral, first meeting or choice appointment)
You should then update the form whenever new information emerges (changed situation) or your understanding of the case changes (changed understanding). You may update the forms as many times as you like but as a minimum you should aim to check that it is up to date at review and case closure.
It is important that you also complete the case identification information (as a minimum NHS ID or service ID (e.g. RiO number) and Date of Birth). In many cases, this information will already exist in the patient record system but where it does not (and when using paper forms) you should always ensure this information is recorded.
Completing the Current View: Thinking About Impact
When rating the Current View tool, you should be thinking about the impact on the CYP. For presenting problems, contextual problems and education/employment/training, this is rated as mild, moderate or severe. For complexity factors, this is rated as either present or absent.
Completing the Current View: None or Not Known?
The ‘none’ option should be selected whenever you are able to judge that a problem is not present.
The ‘not known’ option should only be used when you cannot make a judgement about whether a problem is present or absent because you genuinely do not have enough information.
When you are sure a problem is present but are struggling to decide between mild, moderate and severe, please do not use not known, in these instances make your best guess.
When considering whether a response of ‘none’ or ‘not known’ is more appropriate, please ask yourself the following:
- Is this problem is likely to be concurrent with a more obviously presenting problem?
- Would you routinely ask about this problem (given the age, gender and presentation of the CYP)?
- Is this CYP is in a high risk group for this problem (given their age, gender, presentation)?
- If the boy was 5 years old, you might choose to put ‘not known’ given that anxiety and sleep disruption are often accompanied by enuresis in children of this age.
- If the boy was 15 years old, you might choose to put ‘none’ given that enuresis is rare in young people of this age, regardless of their presenting problems.
It’s fine to have lots of “not known” responses early on in a case but this pattern should prompt you to complete additional updated forms to take account of new information and your increased understanding of the case.
Completing the Current View: Definitions
We ask that you use the definitions in the Current View Tool Completion Guide when rating the Current View. You can view these by clicking on the links below (each opens in a new page).
Once you have familiarised yourself with the definitions above, you can practice completing the Current View for a worked example (Matthew) and then test yourself by completing the Current View for a test vignette (Kelsie).