• Real Skills Plus ICAMHS is a competency framework that describes the knowledge, skills, and attitudes that a practitioner needs in order to work with infants, children and young people that have moderate to severe mental health and/or alcohol or other drug (AOD) difficulties, their whanau and their community. The new revised version (Real Skills Plus ICAMHS/AOD, 2014) includes a primary level relevant to the primary level workforce.  Real Skills Plus ICAMH/AOD 2014 is now available. The E-Skill Plus survey, identifies areas for workforce development both for individuals and teams and plan service delivery.