Presentation on theme: "National Deaf Child and Adolescent Mental Health Service"— 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 peopleWhen and how to refer?
3 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
4 Who do we work with?Work with deaf children and young people (0-18yrs) with mental health problems, and their familiesWork with hearing children who have deaf parentsTo be referred:CGAS score below 50Severe/profound hearing loss or…BSL as preferred language (Oral, non-signing children can be referred)
5 National Specialist Commissioning Team (NSCT), part of NHS. Who pays?National Specialist Commissioning Team (NSCT), part of NHS.NHS CB as of April 2013Free for families.
6 Who works in the Northern arm? Service ManagerOutreach Team ManagersDeaf Family Support WorkersSpecialist Deaf Outreach WorkersSocial WorkersCAMHS Community NursesClinical PsychologistsChild and Adolescent PsychiatristsBSL InterpretersMedical Secretaries
7 Mental health and deaf children Deaf children at greater risk of mental health problems (40%)Less likely to access CAMHSRates 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 ADHDPsychosisEating disordersBehaviour problemsAttachment problemsMood ProblemsSelf esteem/identity problemsSelf HarmAnxieties/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 problemsFamily relationship difficulties (e.g. attachment)Peer relationship difficultiesSelf esteem/identityAdditional sensory, physical, learning difficultiesSchoolIsolation“Failure” (academic and social)Bullying
11 Additional difficulties About 1/3 of deaf children have additional difficulties e.g.:syndromes (eg. CHARGE, Waardenburg, Ushers)causes of deafness such as meningitis, rubella, prematurityProblems 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 deprivationFewer opportunities for incidental learning
13 When to referIf 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 form Key worker allocated Communication profileAssessment offeredCare plan/intervention agreedReview
17 How do we help? Whole family work/family therapy Parenting work Individual workSpecialist full team assessments
18 How do we help? Work with teachers and carers Work with other agencies who may be involvedCommunication (e.g. BSL letters)
19 Contact Details – York Deaf Children, Young People and Family Service (National Deaf CAMHS)Lime Trees31 Shipton RoadYork YO30 5RETel:Fax: