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National Deaf Child and Adolescent Mental Health Service Tim Richardson, Service Manager.

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Presentation on theme: "National Deaf Child and Adolescent Mental Health Service Tim Richardson, Service Manager."— Presentation transcript:

1 National Deaf Child and Adolescent Mental Health Service Tim Richardson, Service Manager

2 Aims  What is NDCAMHS?  Who do we work with?  Mental health in deaf children and young people  When and how to refer?

3 What is NDCAMHS?  National Deaf CAMHS  National mental health service for deaf children and young people aged  Increased risk of mental health problems in deaf children

4 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 CGAS score below 50 Severe/profound hearing loss or… Severe/profound hearing loss or… BSL as preferred language (Oral, non-signing children can be referred) BSL as preferred language (Oral, non-signing children can be referred)

5 Who pays? National Specialist Commissioning Team (NSCT), part of NHS. NHS CB as of April 2013 Free for families.

6 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

7 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

8 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)

9 ‘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

10 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 Isolation “Failure” (academic and social) “Failure” (academic and social) Bullying Bullying

11 Additional difficulties  About 1/3 of deaf children have additional difficulties e.g.: syndromes (eg. CHARGE, Waardenburg, Ushers) syndromes (eg. CHARGE, Waardenburg, Ushers) causes of deafness such as meningitis, rubella, prematurity causes of deafness such as meningitis, rubella, prematurity  Problems in identifying and assessing additional difficulties (e.g. learning difficulties and autism)

12 Deafness & Autism  ASD diagnosis more common in deaf children BUT Delayed Theory of Mind common when there is linguistic deprivation Delayed Theory of Mind common when there is linguistic deprivation Fewer opportunities for incidental learning Fewer opportunities for incidental learning

13 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.

14 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.

15 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.

16 Referrals  Process: Refer via referral formRefer via referral form Key worker allocatedKey worker allocated Communication profileCommunication profile Assessment offeredAssessment offered Care plan/intervention agreedCare plan/intervention agreed ReviewReview

17 How do we help?  Whole family work/family therapy  Parenting work  Individual work  Specialist full team assessments

18 How do we help?  Work with teachers and carers  Work with other agencies who may be involved  Communication (e.g. BSL letters)

19 Contact Details – York Deaf Children, Young People and Family Service (National Deaf CAMHS) Lime Trees 31 Shipton Road York YO30 5RE Tel: Fax:


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