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 Indicators or presence of severe, complex and enduring mental health difficulties 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: Emotional Disorders Neurodevelopmental Disorders

Examples continued 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 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)