National Deaf Child and Adolescent Mental Health Service
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Transcript National Deaf Child and Adolescent Mental Health Service
National Deaf Child and
Adolescent Mental Health
Service
Tim Richardson, Service Manager
Aims
What is NDCAMHS?
Who do we work with?
Mental health in deaf children and young people
When and how to refer?
What is NDCAMHS?
National
Deaf CAMHS
National mental health service for deaf
children and young people aged 0-18.
Increased risk of mental health problems
in deaf children
Who do we work with?
Work with deaf children and young people (0-18yrs) with
mental health problems, and their families
Work with hearing children who have deaf parents
To be referred:
CGAS score below 50
Severe/profound hearing loss or…
BSL as preferred language (Oral, non-signing children can be
referred)
Who pays?
National Specialist Commissioning Team
(NSCT), part of NHS.
NHS CB as of April 2013
Free for families.
Who works in the Northern arm?
Service Manager
Outreach Team Managers
Deaf Family Support Workers
Specialist Deaf Outreach Workers
Social Workers
CAMHS Community Nurses
Clinical Psychologists
Child and Adolescent Psychiatrists
BSL Interpreters
Medical Secretaries
Mental health and deaf children
Deaf children at greater risk of mental health
problems (40%)
Less likely to access CAMHS
Rates in deaf children with deaf parents
probably same as hearing children (25%)
90% deaf children born into hearing families
Types of mental health problems
ADHD
Psychosis
Eating disorders
Behaviour problems
Attachment problems
Mood Problems
Self esteem/identity problems
Self Harm
Anxieties/phobias
(Autistic spectrum disorders)
‘Deafness itself is not a risk for mental
health needs, it is the consequences of
being deaf in a hearing-oriented society.’
Helen Reed, NDCS 1996
Factors which may affect
deaf children
Abuse (NDCS)
Communication problems
Family relationship difficulties (e.g. attachment)
Peer relationship difficulties
Self esteem/identity
Additional sensory, physical, learning difficulties
School
Isolation
“Failure” (academic and social)
Bullying
Additional difficulties
About 1/3 of deaf children have additional
difficulties e.g.:
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syndromes (eg. CHARGE, Waardenburg,
Ushers)
causes of deafness such as meningitis,
rubella, prematurity
Problems in identifying and assessing
additional difficulties (e.g. learning
difficulties and autism)
Deafness & Autism
ASD
diagnosis more common in deaf
children BUT
Delayed Theory of Mind common when there
is linguistic deprivation
Fewer opportunities for incidental learning
When to refer
If there are concerns about a child/young person’s
mental health or behaviour.
Could be related to concerns about e.g.
developmental disorder, communication disorder,
learning disability.
Who can refer?
Professional who knows the child or young
person such as a G.P., Social Worker, or Teacher
of Deaf.
If in doubt – professionals can contact us for a
consultation before referring.
What if I am a parent/carer?
We do not accept referrals from parents/carers.
Talk to a professional (G.P, ToD, Social worker),
they can refer.
Referrals
Process:
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•
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Refer via referral form
Key worker allocated
Communication profile
Assessment offered
Care plan/intervention agreed
Review
How do we help?
Whole family work/family therapy
Parenting work
Individual work
Specialist full team assessments
How do we help?
Work with teachers and carers
Work with other agencies who may be involved
Communication (e.g. BSL letters)
Contact Details – York
Deaf Children, Young People and Family
Service (National Deaf CAMHS)
Lime Trees
31 Shipton Road
York YO30 5RE
Tel: 01904 726926
Fax: 01904 632893