1. NORTH TYNESIDE CAMHS
Specialist Child & Adolescent Mental Health Service Information

2. Specialist interventions
What we do
Service organisation
Staffing
Referral
Waiting times
Specialist interventions

3. What we do Direct Clinical Work
1200 referrals per year offered a specialist CAMHS assessment.
Over 9000 sessions per year for children & young people having therapies
Over 1000 children & young people currently receiving specialist care from the core teams (approx 1 in every 36 children in North Tyneside) 3

4. Consultation & Liaison
Telephone consultation for schools, social services and healthcare professionals
24/7 access to Consultant psychiatrist advice / assessment via GP or Paediatrics
Regular meetings with Teachers, Educational Psychologists, Public Health School Nurses, The Language & Communication Team & The RHELAC team
Senior CAMHS staff also provide expert advice for legal purposes 4

5. Teaching and Training
A key component to CAMHS work is spent supplying teaching & training for students, trainees and colleagues in partner agencies
From the Introduction to CAMHS ‘Everybody’s Business’ training programme (on the North Tyneside training matrix)
Targeted training on disorders. Specialist training in therapies and management strategies for individual children 5

6. Service Organisation
Primary Mental Health Workers - At the interface between specialist and wider CAMHS. PMHW’s are a first point of contact for advice & support
3 Generic PMHWs 1Adolescent PMHW (15 – to 18th birthday)
1 PMHW working in CAMHS across YOS and N2L
1 CAMHS/ LD PMHW
2 Specialist CAMHS Teams (tier 3) for children & young people up to the age of 18 years across North Tyneside
2 Specialist Nurse Practitioners for Complex and persistent behaviour disorders
Currently in the process of centralisation to one locality base 6

7. We currently have around 20 full time equivalent staff including:
Staffing
A multi-disciplinary CAMHS department
We currently have around 20 full time equivalent staff including:
Camhs Administration support
Primary Mental Health Workers
Clinical Psychologists
Camhs Nurses
Social Workers
Art Therapist
Consultant Psychiatrists
Trainee Psychotherapists
Trainees from all professional disciplines on Camhs placements 7

8. PMHWs accept referrals across health, education and social care
Source
Usually made by other health professionals – GPs, Public Health School Nurses, Health Visitors, Social Workers
PMHWs accept referrals across health, education and social care
Eligibility Criteria
Very few referrals are regarded as “inappropriate” and if there is doubt a child will usually be seen for an assessment 8

9. Referrals
In order to provide early intervention and prevention around emotional needs for children with a learning disability the PMHW/LD can provide short term intervention.
Children with a Learning Disability who require Tier 3 intervention for assessment and treatment are directed to the Community Learning Disability Service.
Some cases will be discussed between CAMHS and CLDT to decide which service can best meet their needs. 9

10. All non-urgent cases are seen within 10 weeks (average 4 – 6 weeks)
Waiting Times
Non-urgent Referrals
All non-urgent cases are seen within 10 weeks (average 4 – 6 weeks)
Urgent Referrals
Urgent referrals can be made by telephone or fax and will be seen as soon as possible, on the same day where necessary 10

11. Autistic Spectrum disorder Deliberate self harm Attachment
Different types of mental health clinical disorders in children and young people
Emotional
Conduct
Hyperkinetic
Developmental
Autistic Spectrum disorder
Deliberate self harm
Attachment
Eating disorders
Habit
Post traumatic stress
Substance misuse
Psychotic 11

12. Specialist Interventions
Initial Specialist Assessment
A high quality assessment is key to all successful therapeutic work. It allows us to develop an understanding with each family regarding the specific problems they are facing. An essential part of each assessment is liaison with partner agencies (eg schools) to seek their views. Family consent is vital to this
Some children and young people need further assessment to help us to fully understand their difficulties. Examples are cognitive assessment and diagnostic assessment for Autism 12

13. Cognitive Behavioural Therapy Systemic (family) Therapy
Specialist Therapies
Following on from assessment, each case is offered an individualised package of care with help to choose the right therapy for them
Staff are trained in and can offer a variety of specialist therapies including:
Cognitive Behavioural Therapy
Systemic (family) Therapy
Individual psychodynamic therapy (including Art Therapy)
Specialist behaviour management groups for parents
Psychopharmacology (use of medication) 13

14. CAMHS Audit, Research and Development and User satisfaction
Annual CAMHS audit plan against NICE Guidelines
User involvement in service questionnaires
CAMHS Training evaluations 14

15. Tracy Scott PCPI Lead NHCFT
High School Health Awareness Day June 2011 NHCFT Evaluation and Key Outcomes
Staff from CAMHS at NHCFT where invited to be part of a Year 10 National Curriculum Health Day at a local high school. The aims of the day were to raise service provision awareness and to obtain greater understanding of young peoples views, experiences, and ideas which could be embedded into CAMHS future service planning, delivery and improvements.
Tracy Scott PCPI Lead NHCFT 15

16. Suggestions and Recommendations from the High School pupils
“Tell more people about positive mental health”
“Train teachers and people in school to recognise signs early”
“Good information on line on your website”
“Advertise around school, making more people aware of who you are”
“Try and change your name”
“Re-package your image”
“Use assemblies/tutorial to increase awareness”
“Have drop in sessions in school”
Local North Tyneside High School pupils responses June 2011 16

17. CAMHS CASE DISCUSSIONS WITH DELEGATES
Typical issues which may present at CAMHS appointments from young people 14 – 18 years
Issues cover Confidentiality & Safeguarding 17

18. Partnership Working - CAMHS & CONNEXIONS
‘ Helping Hands ‘ a programme supporting Young people in North Tyneside with emotional needs
A presentation by Connexions Youth Worker – Ella Hallpike 18

19. NORTH TYNESIDE CAMHS
Albion Road Resource Centre, Albion Road, North Shields NE29 0HG Tel: 19