1. Children and Young People’s
Emotional Wellbeing and Mental Health Conference
10th October 2012

2. Specialist CAMH Service
by Sharon Robson

3. 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

4. Children’s Services across the spectrum of Need

5. Delivery Pyramid

6. Specialist CAMHS
NFHT commissioned to provide Specialist and Highly Specialist CAMH services across Northamptonshire.
Specialist Primary Mental Health
Specialist CAMHS Community Teams

7. 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 ( ). 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.

8. 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

9. 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)

10. Examples:
Emotional Disorders
Neurodevelopmental Disorders

11. 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)

12. 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

13. 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.

14. Useful Contacts:
Liaison Line: (01536) (9am to 12 noon) Newland House: (01604) Clarendon House: (01536) Out of Hours: (01604) (Berrywood Hospital)