Transcript Specialist CAMH Services - Sharon Robson

Children and Young People’s
Emotional Wellbeing and Mental Health Conference
10th October 2012
Specialist CAMH Service
by Sharon Robson
Strategic underpinnings:
• “Mental health is everybody’s business”
• “Whole system” and care pathway approach
• Support and early intervention in local communities
• Universal and targeted services accessed prior to requesting
involvement of specialist services
Children’s Services across the spectrum of Need
Delivery Pyramid
Specialist CAMHS
• NFHT commissioned to provide Specialist and Highly Specialist
CAMH services across Northamptonshire.
• Specialist Primary Mental Health
• Specialist CAMHS Community Teams
Specialist Primary Mental Health Team
• Consultation, advice, support and training to Universal and Targeted
services
• Direct involvement where difficulties may not meet the diagnostic
thresholds for a formal clinical diagnosis.
• Countywide Liaison Line on telephone number (01536 313887).
Open weekdays from 9am to 12 noon.
• Consultation and advice regarding potential requests for
involvement of Specialist CAMHS Community Teams is available to
all professionals through the Liaison Line.
Specialist CAMHS Community Teams
• Two MDTs providing services into the four local areas of the
county:
 Northampton
 Daventry and South Northants
 Wellingborough and East Northants
 Corby and Kettering
• Complex concerns that are assessed to be severe, enduring and
complex
• CAF should precede any request for specialist involvement
Criteria for Involvement
1. Indicators or presence of severe, complex and enduring mental
health difficulties
2. Severity and complexity is reflected in:
– The nature of symptoms
– presence of risk factors
– Moderate impairment in functioning in most areas, or
severe impairment in functioning in one area
– Co-morbidity
– Associated complexity (parental, family, medical,
educational and social factors)
Examples:
1. Emotional Disorders
2. Neurodevelopmental Disorders
Examples continued
3. Early Onset Psychosis (jointly with NSTEP)
•
High risk mental states suggestive of early psychosis/ severe mental illness
•
Early onset schizophrenia, bipolar disorder and affective psychosis
•
Other psychoses
4. Other Disorders
•
Conduct Disorders (where there are additional mental health concerns)
•
Substance Misuse (where there is a co-morbid mental health difficulty)
Service for children looked after & adopted
in Northamptonshire
• Access Specialist CAMHS LAAC Team only after universal and
targeted services have been involved.
• Consultation, advice, training, assessment and evidence based
interventions for LAAC with significant mental health concerns.
• The care pathway applies to children or young people age 0-18
who are:
– In Residential Care
– In Foster Care
– Adopted or on the path to Adoption
– On Care Orders
Concluding Comments
•
Countywide provision: MDTs catering for a range of mental
health difficulties.
•
Severe, complex and difficulties enduring mental health
difficulties.
•
Liaison Line: (i) consultation (ii) when considering
appropriateness of Specialist CAMHS involvement.
•
Commissioned service: KPIs and other targets
•
Collaborative working – supporting each other in the service of
our clients.
Useful Contacts:
Liaison Line:
(01536) 313887
(9am to 12 noon)
Newland House:
(01604) 656060
Clarendon House:
(01536) 313850
Out of Hours:
(01604) 682682
(Berrywood Hospital)